Assessment of Myocardial Viability by Low-dose Dobutamine Stress Speckle Tracking Echocardiography and Delayed Enhancement MRI in Patients With Old Myocardial Infarction / 中国循环杂志

Objective: To compare the sensitivity and specificity between low dose dobutamine stress speckling tracking echocardiography (LDDS-STE) and delayed enhancement MRI (DE-MRI) for assessing viable myocardium (VM) in patients with old myocardial infarction (OMI). Methods: A total of 30 in-hospitalized OMI patients were enrolled, all patients received cardiac MRI and LDDS-STE prior percutaneous coronary intervention (PCI). Radial peak systolic strain (RS) and strain rate (RSr) were analyzed by LDDS-STE at both resting and loading conditions, echocardiography was performed at 1, 3 and 6 months after PCI to observe the cardiac wall motion changes and the improvement of wall motion score was taken as golden standard of VM. Results: 510 left ventricular segments were obtained for analysis in 30 patients and echocardiography indicated 201 segments with abnormal wall motion. Compared with golden standard, the area under ROC curve of RSrest for detecting VM was 0.636 with the sensitivity at 60.0% , specificity at 60.5% and the area under ROC curve of RSLDDS for detecting VM was 0.806 with the sensitivity at 79.1%, specificity at 82.7%; the area under ROC curve of RSrrest for detecting VM was 0.646 with the sensitivity at 60.0% , specificity at 60.5% and the area under ROC curve of RSrLDDS for detecting VM was 0.808 with the sensitivity at 80.0%, specificity at 83.7% which were obviously improved than RSrrest . By DE-MRI, the area under ROC curve for detecting VM was 0.901 with the sensitivity at 90.8%, specificity at 87.1% and accuracy at 89.5%. Conclusion: Both DE-MRI and LDDS-STE can recognize VM in OMI patients; while DE-MRI had the better accuracy and repeatability, cost less time which may provide important basis for predicting the efficacy of PCI and for making the treatment strategy.

Limited sampling strategy for estimating exposure to mycophenolic acid in patients with autoimmune disease / 中国药学杂志

OBJECTIVE: To establish limited sampling strategies for the estimation of exposure (AUC) to mycophenolic acid (MPA) in patients with autoimmune disease (AID). METHODS: The 24 AID patients were treated with MMF 0.75 g q12 h to steady state. Serum MPA concentrations were measured at pre-dose, 0.5,1,1.5,2,4,6,8 and 12 h after dosage and MPA AUC0-12 h were caculated with the trapezoidal rule. The resulted data were randomly devided into index set and validation set. Multiple liner regression analysis of the index set was used to determine the 1 to 4 sampling estimation models and the models were validated in the validation set. The prediction bias and precision combining clinical feasibility were used to choose the final models. RESULTS: The 1-point model based on the simple measurement of c12 h produced acceptable prediction for MPA AUC0-12 h, in which, r was 0.957, the prediction bias and imprecision were repectively-3.93 and 11.93, both <15%; 4-point model based on 0.5,1.5,6,8 h or 1.5,6,8,12 h sampling times were fitted to MPA AUC0-12 h, with highest correlation coefficients of 0.996, and prediction errors between ±15% for 9 patients; other 2 or 3-point models resulted somewhere in-between prediction performance. CONCLUSION: Considering the clinical feasibility, the accurate 4-point model AUC=3.19+0.49c0.5 h+1.76c1.5 h+2.95c6 h+5.46c8 h is applicable to MPA AUC monitoring in AID inpatients after morning dose; the simple 1-point model AUC=10.82+13.37c12 h is a good choice for AID outpatients after last-night dose. Bland-Altman analysis reveals that both the two models could effectively predict MPA AUC in Chinese adult AID patients receiving MMF concomitant methylprednisolone therapy.

Surgical treatment of thoracic ossification of ligamentum flavum and therapeutic effects analysis / 中国骨伤

<p><b>OBJECTIVE</b>To investigate the surgical treatment of thoracic ossification of the ligamentum flavum (TOLF) and analysis of the therapeutic effects.</p><p><b>METHODS</b>Six patients with thoracic ossification of the ligamentum flavum were retrospectively studied from October 2006 to October 2009. All of the patients in this group were treated by en bloc hemi-articular process laminectomy. There were 4 males and 2 females, ranging in age from 45 to 66 years, averaged 55.2 years. The evaluate factors including the preoperative and postoperative JOA scores,and the function of the urinary bladder were analyzed.</p><p><b>RESULTS</b>All the 6 patients were followed after operation. The mean followed-up duration was 10.5 months, ranging from 2 to 18 months. According to JOA evaluation criteria, 4 patients got an excellent result, 1 good and 1 bad. The one patient with bad result had spinal cord compressed for too long time, and the T2-weight MRI showed nonreversible degeneration of spinal cord and combined with schizophrenia. The clinical symptoms improved with varying degrees.</p><p><b>CONCLUSION</b>The en bloc hemi-articular process laminectomy is an effective method for ossification of the thoracic ligamentum flavum. A thorough decompression and real-time protection of the spinal cord is the key to the success of surgery.</p>

Complete genomic sequence of a watermelon isolate of cucumber green mottle mosaic virus in northern China / 病毒学报

The complete genomic sequence of a watermelon isolate of Cucumber green mottle mosaic virus (CGMMV-LN) in Liaoning province was determined and compared with other cucurbit-infecting tobamoviruses. The genomic RNA of CGMMV-LN comprised 6422 nt, and 5'- and 3'- noncoding regions consisted of 59 nt and 175 nt, respectively. The encoded four proteins were two replicase proteins of 186 kD and 129 kD, move protein of 29 kD and coat protein of 17.4 kD. The alignment results of complete nucleotide sequence showed that CGMMV-LN shared identities of 97.6%-99.3% with four other CGMMV isolates, but only shared identities of 61.7%-62.8% with three other tobamoviruses. Homology trees generated from replicase proteins of 186 kD and coat proteins suggested that cucurbit-infecting tobamoviruses could be separated into two subgroups: subgroup I comprising all the isolates of CGMMV and subgroup II comprising Cucumber fruit mottle mosaic virus, Kyuri green mottle mosaic virus and Zucchini green mottle mosaic virus.

Construction and immunological characterization of recombinant Marek's disease virus expressing IBDV VP2 fusion protein / 生物工程学报

A transfer plasmid vector pUC18-US10-VP2 was first constructed by inserting the gene of the enhancer green fluorescent protein(eGFP) fused to the VP2 gene of very virulent Infectious bursal disease virus (IBDV) JS strain into the US10 fragment of the Marek's disease virus (MDV) CV1988/Rispens. The recombinant virus, designated as rMDV, was developed by co-transfecting CEF with the transfer plasmid vector and simultaneously infecting with the CVI988/Rispens virus. The PCR and IFA results indicated that the rMDV is stable after 31 passages. Chickens vaccinated with rMDV were protected from challenge with 100LD50 of IBDV JS. The protection ratio of the chickens vaccinated with the 1000PFU, 2000PFU, 5000PFU of the rMDV were 50%, 60%, and 80% respectively. It is interesting that the average histopathology BF lesion scores of chicken group immunized with 5000PFU of rMDV by one-time vaccination was close to that of chicken group vaccinated with IBDV live vaccine NF8 strain for twice (2.0/1.5). There is no difference in protection between the groups (P > 0.05) but significent difference between groups immunized with 5000 PFU of rMDV and with normal MDV. This demonstrated that rMDV expressing VP2 fusion protein was effective vaccine against IBDV in SPF chickens.