ABSTRACT
Objective To investigate the efficacy of N-acetylcysteine on prevention of contrast -induced nephropathy (CIN).Methods According to the regulation of evidence-based medicine,the selection criteria,elimination criteria and search strategy were defined.PubMed,Cochrane Library,Wiley Online Library and Google Scholar were searched.The literature limited range was from January 2000 to December 2011.Two investigators extracted the data independently from all the studies that accorded with selection criteria using a suitable form.All the statistical analyses were performed with RevMan version 5.1.Results A total of 151 potential literatures were screened and 16 remained literatures (including 4588 patients) were identified to accord with the criteria in this meta-analysis.In 14 literatures,the Jadad score was 3 at least.The meta-analysis of 16 trials showed N-acetylcysteine could prevent CIN from happening [odds ratio (OR)=0.65,95％ CI 0.46-0.92,P=0.01].In the groups of average Scr baseline ＜ 132.6 μmol/L,result displayed the OR of incidence associated with Nacetylcysteine for prevention of CIN was 0.93 (95％ CI 0.75-1.15,P=0.49).In the groups of average Scr baseline ≥ 132.6 μmol/L,the OR for N-acetylcysteine associated with incidence of CIN was 0.52 (95％ CI 0.30-0.93,P=0.03).Conclusion There is specific effect that N-acetylcysteine prevents CIN from happening in the groups of average Scr baseline ≥ 132.6 μmol/L.
ABSTRACT
Objective To explore the association between estrogen receptor gene polymorphism and systemic lupus erythematosns in women of Han nationality from Jiangxi province.Methods Whole blood samples were obtained from 95 female patients with SLE of Han nationality (18 with pre-menarche onset and 77 with post-menarche onset) and 100 healthy female controls from Jiangxi province.Genomic DNA was extracted from these samples followed by the analysis of polymorphism at Pvu Ⅱ and Xba I sites of estrogen receptor alpha gene with PCR-restriction fragment length polymorphism (RFLP).The frequencies of alleles and genotypes were compared between the control and patients and between patients with pre-menarche onset and those with post-menarche onset.Results The frequency of P allele was higher in patients with SLE than in the controls (35.8% vs 27%,P<0.05),but lower in patients with pre-menarche onset than in those with post-menarche onset (19.4% vs 39.6%,P<0.05).Further more,an increment was observed in the frequency of Xxpp genotype in patients with pre-menarche onset compared with normal controls and patients with postmenarche onset (16.7% vs 1% and 1.3%,both P<0.05).Conclusions The frequency of P allele in ER alpha gene is increased in female patients with SLE of Han nationality from Jiangxi province.The Xxpp genotype of ER gene may be associated with the susceptibility to pre-menarche onset SLE.