ABSTRACT
Objective:To observe the effect of Danggui Buxuetang on lung histopathology and protein kinase D1 (PKD1), nuclear transcription factor-κB (NF-κB) and manganese superoxide dismutase (MnSOD)-mediated oxidative stress pathway in rats with pulmonary fibrosis induced by bleomycin, so as to explore the mechanism of intervention of pulmonary fibrosis.Method:Thirty-two male SPF SD rats were randomly divided into sham operation group, model group, Danggui Buxuetang group and prednisone group, with 8 rats in each group. Except the sham operation group, the other groups were prepared through the intratracheal instillation with bleomycin. After modeling for 24 h, the rats of Danggui Buxuetang group were administered with Danggui Buxuetang (0.81 g·kg-1). The rats of prednisone group were given aqueous solution of prednisone (0.005 g·kg-1). The rats of sham operation group and model group were given the same volume of saline. After 14 days of administration, blood was collected from the femoral artery, serum was separated, and the lungs were taken by thoracotomy. The pathological changes of rat lung tissues were observed by hematoxylin-eosin staining (HE) and Masson trichrome staining, and graded by Szapiel score and Ashcroft score at the same time. The content of serum malondialdehyde (MDA), and the activities of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GSH-Px) were determined. Real-time fluorescent quantitative polymerase chain reaction (Real-time PCR) and Western blot were used to measure mRNA and protein expressions of PKD1, NF-κB, MnSOD.Result:Compared with the rats in sham operation group, the rats in model group had higher Szapiel scores and Ashcroft scores (P<0.05), higher serum MDA content , but lower SOD, CAT and GSH-Px activities(P<0.01), moreover, the rat lung tissues in model group had higher mRNA and protein expressions of PKD1, NF-κB and MnSOD (P<0.01) than those in sham operation group. Compared with the rats in model group, the Szapiel scores and Ashcroft scores of the rats in Danggui Buxuetang group were decreased significantly（P<0.05）. The serum MDA content was decreased significantly, and SOD, CAT, GSH-Px activities were increased, whereas mRNA and protein expressions of PKD1, NF-κB, MnSOD in the rat lung tissues were decreased（P<0.05，P<0.01）.Conclusion:Danggui Buxuetang can reduce the degree of pulmonary fibrosis by regulating the anti-oxidation pathway of PKD1/NF-κB/MnSOD mitochondrial nucleus and improving the body's antioxidant capacity.
ABSTRACT
Objective To explore the factors affecting the detection rate of colorectal polyps in repeated colonoscopy. Methods 400 patients from February 2016 to February 2017 were selected for repeated colonoscopy. Strict control of the objective factors in colonoscopy (endoscopic experience, endoscopic mode of operation, retraction time and the degree of intestinal cleaning, etc.), the number, size, shape, location and pathological types of polyps detected in the 400 randomly selected patients were compared between the two examinations, Logistic regression analysis was used to find the independent influencing factors of missed diagnosis. Results A relatively high missed rate could be happened in multiple polyps, small polyps ( ≤ 5 mm), stepless polyps, sigmoid polyps, transverse colon polyps and ascending colon polyps (all P < 0.05), and low missed rate in pathological types (P > 0.05). Logistic regression analysis showed that the number, size, shape and location of polyps were independent factors (all P < 0.05). Conclusion The number, size, shape and location of colorectal polyps are all important factors influencing the detection rate. With the advancement of clinical technology, it is possible to use the new technique to improve the detection rate of polyps.