Application effect of cardiac remote real-time monitoring system in pre-hospital rescue / 心血管康复医学杂志

Objective: To study application effect of cardiac remote real-time monitoring system in pre-hospital rescue. Methods: A total of 400 patients with coronary heart disease complicated arrhythmia treated in our hospital were selected. They were chronologically and equally divided into routine monitoring group (received routine bedside 12-lead ECG examination and ECG results were checked regularly by physicians and nurses during bedtime) and remote monitoring group (wore cardiac remote monitoring alert reporter, results were recorded by multi-channel simultaneously and auto-delivery mode was activated). Abnormal results recorded by real-time monitoring and time to identify patient's abnormal condition were compared between two groups, and application effect was evaluated. Results: There were no significant difference in percentages of ventricular tachycardia, supraventricular tachycardia, paroxysmal atrial fibrillation, atrioventricular block, bundle branch block, premature ventricular contraction Lown grade I～II and≥grade III between two groups, P＞0. 05 all. Compared with routine monitoring group, there was significant rise in percentage of patient's abnormal condition identified within 10min (38％ vs. 52％), and significant reductions in percentages of patient's abnormal condition identified within 10～30min (44％ vs. 28％) in remote monitoring group, P＜0. 05 all. Conclusion: Cardiac remote real-time monitoring system possesses the advantages of rapid diagnosis, long transmission distance and simple operation, etc., which is worth extending.

The three dimensional organoids-based high content imaging model for hepatotoxicity assessment / 药学学报

The drug hepatotoxicity assessment method in vitro was established by 3D organoid model of HepaRG cell line in combination with high content imaging analysis. HepaRG cells were differentiated into hepatocyte-like morphology and bile canaliculus-like structures by treatment with hydrocortisone and dimethyl sulfoxide(DMSO), inducing the expressions of drug-metabolizing enzymes, transporters, nuclear receptors and hepatocyte-specific protein albumin(ALB)genes, finally forming the stable organoids with closely resembling liver function in vitro. Through the high content imaging analysis and the specific, multi-targets fluorescent dye, the number of live/dead cells, mitochondrial membrane potential(MMP), intracellular reactive oxygen species(ROS)were analyzed for the drug hepatotoxicity evaluation. The results showed that the organoids evaluation model of HepaRG cells in vitro could be used to assess accurately the difference between hepatotoxicity positive control drugs of amiodarone(AMD), cyclosporin(CSP)and the negative control drug of aspirin(ASP): AMD and CSP concentration-dependently decreased the number of total and live organoid cells. The number of dead organoid cells was increased sharply when the concentration of AMD was more than 50 μmol·L-1, while no significant changes was observed for ASP. AMD and CSP concentration-dependently caused the MMP declined and the ROS increased, with AMD showing a greater degree than CSP and ASP presenting no markedly effect. In conclusion, the organoid evaluation method of HepaRG cells in combination with high content imaging analysis can be used for the drug hepatotoxicity assessment in vitro. It displays the advantages of multi-target, high throughput, intuitive results as well as quantitatively.

Research progress on chemical constituents of Paeoniae Rubra Radix and their pharmacological effects / 中草药

Paeoniae Rubra Radix (PRR) with the function of clearing heat and cooling blood, dissipationg blood stasis and relieving pain, has been widely used in clinics. PRR, containing total glucosides of paeony, tannins, flavones, and volatile oil, is the current research focus because its significant hepatoprotective, antitumor, neuroprotective, and cardio-protective effect thus far, as well as its antithrombosis and anti-oxidative activities. According to vast information from literatures in the last decade, we summarize the chemical compositions and pharmacological actions, in hopes of offering more clues for further research as well as clinical application of PRR. Meanwhile, despite of enormous progress has been made all over the international research on PRR, the development of relevant safe and effective agents is still needed. At present, the definition of the mechanism and the extension of the clinical application remain as the primary tasks of the exploration of PRR.

Protective effects of luteolin preconditioning on rat liver under ischemia/reperfusion / 生理学报

The aim of the study is to explore the effects of luteolin preconditioning on hepatic ischemia/reperfusion injury in rats and its mechanism, and investigate the effects of the change of heme oxygenase-1 (HO-1) activity on hepatic ischemia/reperfusion injury. Sprague-Dawley rats were divided into 5 groups randomly: control, model, luteolin, luteolin + zinc protoporphyrin (ZnPP, an inhibitor of HO-1) and hemin groups (n = 8 for each group). The rats in control, model and hemin groups received a standard chow daily. The rats in luteolin and luteolin + ZnPP groups received a chow supplemented with luteolin (200 mg/kg) daily. After 4 weeks, ZnPP (25 μmol/kg) and hemin (20 μmol/kg) were injected hypodermically 6 h before ischemia/reperfusion in luteolin + ZnPP and hemin groups, respectively. Portal vein and hepatic artery supplying the middle and left hepatic lobe were clamped with an atraumatic vascular clip for induction of partial hepatic ischemia in all rats except control group. After the 60 min of hepatic ischemia, a 60-minute reperfusion period was initiated by removal of the arterial clip. The levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were detected in serum, and the activity of superoxide dismutase (SOD) and the content of malondialdehyde (MDA) in serum and liver were measured with assay kit. The expression of HO-1 protein and activity of HO-1 were examined in liver. The results showed that the luteolin and hemin pretreatment led to significant decreased levels of AST and ALT in serum, increased activity of SOD and decreased content of MDA in serum and liver compared with model group (P < 0.01). In addition, the expression of HO-1 protein and activity of HO-1 were elevated in luteolin and hemin groups (P < 0.01). ZnPP markedly increased the levels of AST and ALT in serum, and decreased the activities of SOD and HO-1, elevated MDA content in liver when compared with those in luteolin group (P < 0.01). Cytoplasmic vacuolation and swelling of hepatocytes were revealed in the model group after ischemia/reperfusion. Treatments with luteolin and hemin markedly relieved the liver structural changes. These results suggest that HO-1 protects rat liver from ischemia/reperfusion injury, and luteolin reduces the content of MDA and increases the activity of SOD and the expression of HO-1, which indicate that luteolin can elevate the antioxidation in rat liver, and thus protects rat liver from ischemia/reperfusion injury.

Analysis of the factors related to glomerular filtration rate in type 2 diabetes without albuminuria / 南方医科大学学报

<p><b>OBJECTIVE</b>To analyze the risk factors affecting the glomerular filtration rate (GFR) in type 2 diabetic patients without albuminuria.</p><p><b>METHODS</b>A total of 131 type 2 diabetic patients with normal urinary albumin excretion rate (UAER) were divided into normal GFR group and decreased GFR group. The factors relevant to GFR were analyzed by multiple factors regression.</p><p><b>RESULTS</b>Age, course of diabetes, systolic blood pressure, prevalence of hypertension, the level of serum creatinine (SCr), blood urea nitrogen (BUN) and uric acid (UA) were significantly higher in decreased GFR group than in normal GFR group. Multivariate regression showed that SCr, age, systolic blood pressure, and UA were negatively correlated to GFR.</p><p><b>CONCLUSION</b>Reduced GFR occurs in some type 2 diabetic patients without albuminuria. SCr, age, systolic blood pressure and UA are the major factors related to decreased GFR. The degree of early renal damage in diabetic patients can be better evaluated by combining GFR and UAER.</p>

Level and effect of anti-HSP70 antibody changed in the procession of rat atherosclerosis / 中国应用生理学杂志

<p><b>AIM</b>To explore the level of anti-HSP70 antibody in plasma during atherosclerosis procedure induced by high-fat diet in rat and the relationship of them.</p><p><b>METHODS</b>Twenty eight rat were divided into high-fat diet group (H) and control group (C). The total cholesterol (TC), Glyceride (TG), low density lipoprotein cholesterol (LDL-C) in serum, pathology change of rat Arch of the aorta were determined, the level of anti-HSP70 antibody and their Phenotype were evaluated by ELISA.</p><p><b>RESULTS</b>After two weeks, the serum concentrations of TC and LDL-C in rat supplemented by high-fat diet were significantly higher than those in control group (P < 0.01), the serum TG were much lower than those in control group (P < 0.01). Four weeks later the level of anti-HSP70 antibody, IgM, IgG phenotype were significantly higher than those in control group (P < 0.01). There were lipin deposition and mottling formation in rat Arch of the aorta in rat supplemented by high-fat diet in 12th week.</p><p><b>CONCLUSION</b>Atherosclerosis could be induced by high-fat diet in rat. Accompany with the atherosclerosis procession, the level of anti-HSP70 antibody was continuously elevated, the level of anti-HSP70 antibody was related to atherosclerosis. The level of anti-HSP70 antibody was closely associated with atherosclerosis.</p>

Affinity maturation of a single-chain antibody against hepatocellular carcinoma / 中华肝脏病杂志

<p><b>OBJECTIVES</b>To obtain a single-chain antibody with high affinity against hepatocellular carcinoma (HCC).</p><p><b>METHODS</b>A second single-chain antibody mutant library was established using an error-prone PCR and a phage display. Single-chain antibodies with high affinity for hepatocellular carcinoma were selected using ELISA.</p><p><b>RESULTS</b>The content of the second single-chain antibody mutant library was about 4.5 x 10(7). Two selected mutants, M90 and M116, were obtained after 3 rounds of panning and ELISA. Immunoassay showed that both M90 and M116 could bind to human HCC cells. The relative affinity of M90 was 1.7-fold higher than that of the original antibody, and M116 was 2-fold higher than that of the original antibody.</p><p><b>CONCLUSION</b>Error-prone PCR is an effective and simple method for affinity maturation of antibodies isolated from a phage antibody library.</p>