Diferentes concentraciones de mitomicina C en la prevención del haze en la queratectomía fotorrefractiva / Different concentrations of mitomycin C for haze prevention in photorefractive keratectomy

Objetivo: Evaluar la utilidad de dos concentraciones de mitomicina C para la prevención del haze en la queratectomía fotorrefractiva. Métodos: Se realizó un estudio experimental aleatorizado en 26 ojos de 17 pacientes con defectos miópicos. Los pacientes fueron asignados a dos grupos según las dosis de mitomicina C (0,02 por ciento grupo 1 y 0,002 por ciento grupo 2). La variable de respuesta principal fue la presencia de haze. Se buscó correlación entre la magnitud del haze con grado de ametropía tratada, profundidad de ablación, microscopia endotelial y resultados visuales y refractivos. Resultados: A los 6 meses la mayoría de los pacientes del grupo 1 no presentó haze (ocho ojos / 57 por ciento), y del grupo 2 mantuvieron haze 0,5 (6 ojos / 50 por ciento). En la ametropía severa el haze en el grupo 2 fue mayor que en el grupo 1 durante todo el posoperatorio, y se observó la mayor diferencia al sexto mes con 0,5 ± 0,4 vs. 1,5 ± 0,32. En ablaciones > 75 micras el grupo dos terminó con más haze que el uno, con 0,5 ± 0,44 vs. 1,75 ± 0,76. La agudeza visual sin corrección se vio más afectada en el grupo 2. No hubo daño endotelial en ningún grupo. Conclusión: La presencia de haze predomina en los casos tratados con dosis 0,002 por ciento de mitomicina C, comparada con la dosis 0,02 por ciento, aunque en este caso ambos grupos mantuvieron un resultado visual y refractivo adecuado y baja toxicidad endotelial.

Objective: Evaluate the usefulness of two concentrations of mitomycin C for haze prevention in photorefractive keratectomy. Methods: An experimental randomized study was conducted of 26 eyes of 17 patients with myopic defects. The patients were divided into two groups according to their mitomycin C doses (Group 1: 0.02 percent and Group 2: 0.002 percent). The main response variable was the presence of haze. Verification was performed of the correlation between haze magnitude and the degree of the ametropia treated, ablation depth, endothelial microscopy, and visual and refractive results. Results: At six months most patients in Group 1 did not have any haze (eight eyes / 57 percent), whereas 0.5 (6 eyes / 50 percent) in Group 2 still had haze. In severe ametropia, haze was larger in Group 2 than in Group 1 throughout the postoperative period, the greatest difference being observed in the sixth month with 0.5 ± 0.4 vs 1.5 ± 0.32. In ablations > 75 microns, Group 2 ended with more haze than Group 1, with 0.5 ± 0.44 vs 1.75 ± 0.76. Uncorrected visual acuity was more affected in Group 2. No endothelial damage occurred in either group. Conclusion: The presence of haze prevails in cases treated with 0.002 percent doses of mitomycin C, as compared with 0.02 percent doses, though in this case both groups maintained an appropriate visual and refractive result and low endothelial toxicity(AU)

Norepinephrine attenuates injury of vascular endothelial cells induced by LPS / 中国病理生理杂志

AIM: To investigate the effects of norepinephrine(NE)on vascular endothelial cell damage in-duced by lipopolysaccharides(LPS).METHODS: Human umbilical vein endothelial cells(HUVEC-12)were cultured with LPS at 100 mg/L to establish the cell damage model.Real-time PCR and Western blot were used to determine the ex-pressions of VE-cadherin at mRNA and protein levels.The levels of TNF-α,IL-1β,IL-2 and IL-10 in culture supernatant were measured by ELISA.The reactive oxygen species(ROS)production in the endothelial cells was detected by ROS as-say kit.RESULTS: LPS decreased both mRNA and protein levels of VE-cadherin accompanied by increased levels of TNF-α,IL-1β,IL-2 and intracellular ROS,and decreased level of IL-10 in the endothelial cells.NE reversed the expres-sion of VE-cadherin at mRNA and protein levels under the condition of LPS treatment in a dose -dependent manner,and al-so alleviated the intracellular oxidative stress.CONCLUSION: NE reverses the endothelial damage induced by LPS, which may be related to the up-regulation of VE-cadherin level and the decreases in oxidative stress and inflamatory media-tors.

A Study on the Influence of Atorvastatin for the CXCL Chemokines and Vascular Endothelial Damage Indexes of Patients with Angina Pectoris of Coronary Heart Disease / 昆明医科大学学报

Objective To study and observe the influence of atorvastatin for the CXCL chemokines and vascular endothelial damage indexes of patients with angina pectoris of coronary heart disease.Methods 86 patients with angina pectoris of coronary heart disease in our hospital from February 2016 to July 2017 were selected as the study objects, and all the patients were divided into the control group and the observation group with 43 cases in each group according to the random number table.The control group were treated with simvastatin on the basis of routine treatment, and the observation group were treated with atorvastatin on the basis of routine treatment.Then the treatment effect of angina pectoris, adverse reaction rates, CXCL chemokines and vascular endothelial damage indexes before and after the treatment of two groups were analyzed and compared.Results The total effective rate of observation group with angina pectoris was significantly higher than that of control group, so the difference had statistical significance (P＜0.05), the adverse reaction rates of two groups were compared, so the difference had no statistical significance (P＞0.05), the CXCL chemokines and vascular endothelial damage indexes of two groups before the treatment were compared, and the differenceshad no statistical significance (P＞0.05), the serum PGI2 of observation group after the treatment were lower than those of control group, the serum CXCL chemokines and other vascular endothelial damage indexes were lower than those of control group, and the differences had statistical significance (P＜0.05). Conclusions The treatment effect of atorvastatin in the patients with angina pectoris of coronary heart disease is better, and its safety is higher, and it has a better improvement role for the CXCL chemokines and vascular endothelial damage indexes, so it has a higher application value in the patients with angina pectoris of coronary heart disease.

Angiogenic factors are associated with development of acute graft-versus-host disease after allogeneic hematopoietic stem cell transplantation / 华中科技大学学报（医学）（英德文版）

Acute graft-versus-host disease (aGVHD) is a serious complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). However, the mechanisms of aGVHD are not well understood. We aim to investigate the roles of the three angiogenic factors: angiopoietin-1 (Ang-1), Ang-2 and vascular endothelial growth factor (VEGF) in the development of aGVHD. Twenty-one patients who underwent allo-HSCT were included in our study. The dynamic changes of Ang-1, Ang-2 and VEGF were monitored in patients before and after allo-HSCT. In vitro, endothelial cells (ECs) were treated with TNF-β in the presence or absence of Ang-1, and then the Ang-2 level in the cell culture medium and the tubule formation by ECs were evaluated. After allo-HSCT, Ang-1, Ang-2 and VEGF all exhibited significant variation, suggesting these factors might be involved in the endothelial damage in transplantation. Patients with aGVHD had lower Ang-1 level at day 7 but higher Ang-2 level at day 21 than those without aGVHD, implying that Ang-1 may play a protective role in early phase yet Ang-2 is a promotion factor to aGVHD. In vitro, TNF-β promoted the release of Ang-2 by ECs and impaired tubule formation of ECs, which were both weakened by Ang-1, suggesting that Ang-1 may play a protective role in aGVHD by influencing the secretion of Ang-2, consistent with our in vivo tests. It is concluded that monitoring changes of these factors following allo-HSCT might help to identify patients at a high risk for aGVHD.

Resveratrol improves vascular endothelial injury induced by high-calorie and high-cholestrol diet through reduced ERS and increased eNOS expression / 中国药理学通报

Aim To study whether the mechanisms in-volved in resveratrol′s protective effects on vascular en-dothelial injury induced by high-calorie and high-chol-estrol diet are concerned with ERS and the change of eNOS expression. Methods Twenty-four male C57BL/6 mice were randomly divided into standard control diet (SCD),high-calorie and high-cholestrol diet(HCD)and HCD group treated with resveratrol (HCD +RES,400 mg·kg -1 ·d -1 ,1 2 weeks).Then the thoracic aorta was separated,embedded and sliced to analyze the pathological changes by HE and resor-cinol staining.The protein distribution of eNOS was measured with immunohistochemical analysis.The up-stream and downstream genes of ERS in thoracic aorta were detected by RT-PCR.After the pretreatment with different concentrations of resveratrol,the mouse aortic endothelial cells (MAECs)were treated with palmitic acid,then the changes of cell proliferation in each group were compared.Western blot,immunofluores-cence and immunohistochemistry were used to deter-mine the protein expressions of GRP78,CHOP and eNOS respectively.Results Mice fed with HCD showed thickening of thoracic aortic wall and disorgan-ized elastic fibers as compared with those in SCD group.The mRNA levels of ERS related genes were all increased obviously (P <0.05),while the protein expression of eNOS was decreased.Compared with HCDgroup,the thickened wall and the disorganized elasticfibers were improved significantly,the mRNA levels ofERS related genes were all decreased obviously (P <0.05)and the expression of eNOS protein was increased in HCD +RES group.Compared with NCgroup, the cell proliferation was significantly decreased,meanwhile GRP78 and CHOP was significantly increased (P <0.05)and the protein expression ofeNOS was decreased in PA group.The cell proliferation was increased significantly (P <0.05),the mRNA and protein expression of GRP78 and CHOP wasobviously decreased (P <0.05),meanwhile the protein expression of eNOS was increased in the mediumand large dose of RES pretreatment groups.Conclusion Resveratrol has obvious effects of improving endothelial damages induced by HCD and decreasing cellproliferateion of MAECs induced by PA, and themechanisms are possibly related with decreased ERSand increased level of eNOS protein.

Complications of Descemet's stripping with automated endothelial keratoplasty / 中华实验眼科杂志

Endothelial keratoplasty(EK)has the advantage of minor surgical injury and fast visual recovery and herein has become the optimal surgical choice for endothelial disorders.It has unique complications closely related to surgical maneuver,skill of operation and proper intervention.The most common complication is graft dislocation,especially in eyes with defect lens-iris diaphragm.The damage of endothelium cells is another characteristic of this surgery.In severe cases,it may lead to primary graft failure.The rejection rate of this surgery is lower than that of penetrating keratoplasty.And its manifestation for rejection is different from other types of keratoplaty.So EK is a new type of surgery and it is necessary to acknowledge and understand its surgical features.

Association of the vascular endothelial damage and estrogen, progesterone / 대한산부인과학회지

OBJECTIVE: The aim of this study were to examine the serum level of estradiol, estriol, progesterone, oxidized LDL in preeclamtic patients and to evaluate the protective effects of estrogen and progesterone against lysophosphatidylcholine (LPC) induced cell death in Human umbilical vein endothelial cells (HUVECs). METHODS: We analysed the serum level of estradiol, estriol, progesterone, oxidized LDL in patients with preeclampsia and control. We used LPC to induce cell death in HUVECs. For cytotoxic assay, we did LDL assay for cell death and Resazurin assay for cell viability. HUVECs were exposed to various concentrations of LPC, LPC+estrogen, LPC+progesterone and we did cytotoxic assay. RESULTS: The serum estradiol, estriol were lower in the preeclamptic patients (P<0.05). Oxidized LDL were higher in the preeclamptic patients(P<0.05). LPC induced cell death in a concentration-dependant manner. Estrogen or progesterone inhibited LPC-induced cell death in a concentration-dependant manner (P<0.05). CONCLUSION: Estrogen and progesterone attenuated LPC-induced cytotoxicity. The results suggest that Oxidized LDL induced endothelial damage in preeclampsia may be induced by low serum estradiol, estriol and progesterone levels and prevented by estrogen and progesterone addition.

Correlation of Traditional Chinese Medical Syndrome Patterns with Endothelial Damage,Inflammation and Platelet Activation in Patients with Coronary Heart Disease / 广州中医药大学学报

Objective The differences of von Willebrand factor(vWF),hypersensitive C-reactive protein(hs-CRP) and soluble P-selectin CD62P were observed in coronary heart disease(CHD) patients with different syndrome patterns,and the correlation of traditional Chinese medical(TCM) syndrome patterns with endothelial damage,inflammation and platelet activation in CHD patients was investigated.Methods One hundred and eighty-six CHD patients were differentiated as the syndromes of blockage of heart-blood-stasis,phlegm blocking heart vessels,deficiency of heart and kidney yin,deficiency of both yin and Qi,and deficiency of yang and Qi.Thirty healthy volunteers served as normal control.The blood levels of vWF,hs-CRP and CD62P were detected in the CHD patients and the normal controls.Results Blood vWF level in CHD patients was higher than that in the normal controls(P0.05).Blood CD62P in the syndrome pattern of deficiency of yang and Qi was higher than the other patterns(P

The Corneal Endothelial Protective Effect of Soft Shell Technique in Cataract Surgery

PURPOSE: To evaluate the efficacy and safety of soft shell technique (SST) to reduce corneal endothelial damage during cataract surgery. METHODS: Cataract surgery was performed in thirty five eyes using SST with Healon and Viscoat , and in thirty five eyes with Healon alone as a control group. The corneal parameters such as corneal thickness, cell density, hexagonality, and the coefficient of variance were evaluated. RESULTS: The mean central corneal thickness in the control group was 533.1 +/- 34.9micrometer before surgery and 549.1 +/- 34.3micrometer at one week after surgery. The difference in corneal thickness was statistically significant (p<0.01). However, in the SST group, the change in corneal thickness before and after surgery was not statistically significant (529.5 +/- 36.3micrometer, 536.0 +/- 36.9micrometer, respectively). There were statistically significant changes in cell density after surgery in both groups. The results for the control group were 2478.5 +/- 319.7/mm2 before surgery and 1861.9 +/- 109.1/mm2 at 3 months after surgery. The result for the SST group were 2571.2 +/- 256.5/mm2 before surgery and 2107.2 +/- 374.1/mm2 at 3 months after surgery. The rate of endothelial cell loss at 3 months after surgery was smaller in the SST group (19%) than in the control group (25%). The coefficient of variance and hexagonality were normalized at one week after surgery in SST group. CONCLUSIONS: These results suggest that SST is effective in protecting corneal endothelial cells during cataract surgery, providing better results in the early postoperative period.

In Vitro Effect of Cyclosporin A on Corneal Endothelial Cells

Cyclosporin (CsA)is a potent immunosuppressive agent and is used for prevention of corneal graft rejection.In vitro effects of CsA on the cultured rabbit corneal endothelial cells and the rat corneal button were investigated. Rabbit corneal endothelial cells were cultured in the medium containing C s A (5 microgram/ml, 500ng/ml, 50ng/ml, or 5ng/ml)for 48hr.The incorporation of 3H-thymidine into cells was determined.Fresh corneal buttons were obtained from Lewis rats.Each button was divided into 4 quadrants and incubated in Optisol medium containing CsA, Cremophore (solvent of CsA), pred-nisolone 0.1 microgram/ml, or Optisol alone for 48hr.The above 4 different concen-trations of CsA were used in different corneal buttons.After incubation corneal buttons were stained with PAS and endothelial cells were stained with Alizarin red S.Results showed that thymidine counts were lower in these media containing CsA.Endothelial membrane was also disrupted in the media containing CsA > or=5 0 n g /ml.In conclusion, corneal medium contain-ing CsA may induce damage to the endothelium in vitro.

Toxicity of Benzalkonium Chloride on Corneal Endothelium of Rabbits

An experimental study was performed on 16 rabbits to evaluate the toxicity of benzalkonium chloride(BAK) on the corneal endothelium. Each rabbit received two drops of 0.01% BAK in the right eye and BSS in the left eye as control. The rabbits were divided into 4 groups: instillation of BAK 20 times at 6-minute intervals in normal cornea(group 1), instillation of BAK 40 times at 3-minute intervals in normal cornea (group 2), instillation of BAK 20 times at 6-minute intervals in de-epithelized condition with the size of 6mm diameter(group 3) and instillation of BAK 40 times at 3-minute intervals in deepithelized cornea(group 4). After the last instillation of BAK, histopathologic examination was performed with electron microscope. Group 1 showed nearly normal corneal endothelial findings, but group 2, 3 and 4 showed enlarged rough endoplasmic reticulum, partially distrupted Goigi apparatus and mitochodria, the presence of vacuoles and phagosomes. Group 4 showed severe destruction of subcellular structures. The results of this study indicate that an exaggerated use of topical drug containing 0.01% BAK may induce corneal endothelial damage, especially when the epithelium was already damaged.

Clinical evaluation of AMVISC(R) as a Vicodlastic Substance in Extracapsular Cataract Extraction with Intracoular lens Implantation

The effects of AMVISC(R) and Healon(R) in patients undergoing extracapsular cataract extraction with intraocular lens implantation were compared to the operative efficiency and postoperative reactions namely, inflammation, intraocular pressure, corneal endothelial damage, and corneal thickness. During the course of the cataract operations, twenty eyes received AMVISC(R) and twenty eyes received Healon(R). The AMVISC(R) and Healon(R) were all aspirated from anterior and posterior cha mbers by means of the irrigation and aspiration system at the end of the procedure. There were no significant difference in operative efficacy and postoperative reactions between AMVISC(R) group and Healon(R) group.

The Effect of Steroid on the Viability of the Endothelial Cell of Stored Cornea

Autolysis, which is brought about by the release of lysosomal hydrolytic enzymes, has been prevented in cornea with the use of lysosomal membrane stabilizers, such as corticosteroid. So, we performed this study to see whether corticosteroid could reduce endothelial damage in stored corneas, or not. The experiment was performed on 15 albino rabbits which were killed by intravenous air injection. 40 microgram of hydrocortisone sodium succinate was injected into the anterior chamber of the enucleated eye. The whole eye ball was stored in the moist chamber at 4 degrees C for 24 hours, 48 hours, or 72 hours, then the cornea was removed and stained with trypan blue. Unstained endothelial cells were counted with light microscope to determine the density of viable endothelial cells. Same procedures were done on the contralateral eye with injecting normal saline into the anterior chamber instead of hydrocortisone as a control. The density of viable endothelial cells in the steroid group was higher than that in the control group by 1.75%, 14.39%, and 27.40% in 24 hours, 48 hours, and 72 hours storage, respectively.

The Effect of Steroid on the Viability of the Endothelial Cell of Stored Cornea

Autolysis, which is brought about by the release of lysosomal hydrolytic enzymes, has been prevented in cornea with the use of lysosomal membrane stabilizers, such as corticosteroid. So, we performed this study to see whether corticosteroid could reduce endothelial damage in stored corneas, or not. The experiment was performed on 15 albino rabbits which were killed by intravenous air injection. 40 microgram of hydrocortisone sodium succinate was injected into the anterior chamber of the enucleated eye. The whole eye ball was stored in the moist chamber at 4 degrees C for 24 hours, 48 hours, or 72 hours, then the cornea was removed and stained with trypan blue. Unstained endothelial cells were counted with light microscope to determine the density of viable endothelial cells. Same procedures were done on the contralateral eye with injecting normal saline into the anterior chamber instead of hydrocortisone as a control. The density of viable endothelial cells in the steroid group was higher than that in the control group by 1.75%, 14.39%, and 27.40% in 24 hours, 48 hours, and 72 hours storage, respectively.