Analysis on the difference between the payment limitations of anti-cancer drugs and the application scope of drug indications / 中国药房

OBJECTIVE To analyze the difference between the payment limitations of anti-cancer drugs and application scope of drug instructions， so as to better implement the payment policy of medical insurance drugs. METHODS The differences between the payment limitations of anti-cancer drugs and application scope of drug instructions in the National Catalogue of Drugs for Basic Medical Insurance， Industrial Injury Insurance and Maternity Insurance （2022） were compared and analyzed； the evidence-based basis of the difference was discussed， and the scope of limited payment was interpreted. RESULTS Totally 118 drugs had payment limitations； limitations scope mainly included limited evidence of gene detection results， limited indications， limited second-line and above treatment， limited payment duration， limited specialist prescription， limited medical institution grade， etc. Among them， 43 drugs had differences between the payment limitations and drug instructions， and the indications of 31 drugs were greater than payment limitations； for seven drugs， the drug indications beyond the payment limitations were recommended by the guidelines. The payment limitations of 75 drugs were consistent with drug instructions. The second-line and multi-line treatment was ineffective or intolerable with first-line drugs. There was a certain relationship between locally advanced， advanced or metastatic tumor and tumor stage， but different tumors had different criteria. Systemic treatment mainly referred to systemic treatment with drug. The results of limited genetic test required that the result was positive or negative. In addition， six kinds of TCM injections were limited to the level of medical institutions； the payment of two drugs did not exceed 12 months； when lenalidomide was combined with isazomide citrate， the medical insurance only paid for one of the drugs. CONCLUSIONS The payment limitations of some anti- cancer drugs are inconsistent with the drug indications. The drug payment limitations should be expanded according to the actual situation of clinical medication and the recommendations of guidelines. At the same time， the payment limitations should be formulated accurately and in detail， thus clinical and medical insurance staff can understand it and fully protect the interests of patients.

Inhibiting effect of Lactobacillus acidophilus on intestinal colonization of enterohaemorrhagic E.coli O157:H7 in vitro and vivo / 实用医学杂志

Objective To test the inhabiting effect of Lactobacillus acidophilus on E.coli O157: H7 in intestinal colonization and explore its mechanism. Methods The suppressive effects of Lactobacillus acidophilus against E.coli O157:H7 adhering to Ht29 cells were carried out by competition , exclusion and replacement as-says. Furthermore, we evaluated the cytokine levels of IL-4, IL-12, and INF-γ in serum of mice. In addition, E.coli O157:H7 fecal shedding was monitored and the pathological changes of intestines were observed in mice. Results The competition, exclusion and replacement assays showed Lactobacillus acidophilus inhibited E.coli O157:H7 adhering to Ht29 cells. In vivo, the mice of treatment group were induced significantly higher level of IL-4, IL-12, and INF-γ, though prevention group induced IL-12 only. Fifteen days after E.coli O157:H7 infec-tion, there were 8 mice (80%) in prevention group and 5 mice (50%) in treatment group stopped shedding. Moreover, the pathological changes of intestines of both prevention group and treatment group appeared normal , but control groups showed seriously damaged in intestinal villus. Conclusion Lactobacillus acidophilus inhibits E.coli O157:H7 in intestinal colonization and the preventative effect was better than treatment effect. Thus , Lac-tobacillus acidophilus can be used for E.coli O157:H7 in prevention and treatment infection as probiotics.

Lactobacillus rhamnosus GG inhibits Cronobacter-induced meningitis in neonatal rats / 南方医科大学学报

<p><b>OBJECTIVE</b>To investigate the inhibitory effect of Lactobacillus rhamnosus GG ( LGG) against Cronobacter-induced meningitis in neonatal rats.</p><p><b>METHODS</b>The cell adhesion and invasion capacities of Cronobacter were assayed in Caco-2 cells, and the optimal time length and concentration of the bacterium for infection were determined. The suppressive effects of LGG on the adhesion and invasion of Cronobacter in caco-2 cells were tested by competitive and exclusion experiments, and its inhibitory effect against Cronobacter-induced meningitis was evaluated in neonatal rats.</p><p><b>RESULTS</b>Cronobacter showed aggressive adhesion to caco-2 cells with an optimal infection time of 3 h. LGG produced a concentration-dependent inhibition of Cronobacter adhesion and invasion by competing with and excluding the latter for cell adhesion. In neonatal rats, LGG showed an obvious preventive effect and also a moderate therapeutic effect against Cronobacter-induced meningitis.</p><p><b>CONCLUSION</b>LGG can inhibit Cronobacter entry across the intestinal barrier to achieve preventive and therapeutic effects against Cronobacter-induced meningitis.</p>

Effect of Warm Needling on Learning and Memory Abilities and the CaMKⅡ Content of Prefrontal Cortex Area in Morphine Withdrawal Rats / 上海针灸杂志

Objective To investigate the effect of warm needling on learning and memory abilities and the calmodulin kinaseⅡ (CaMKⅡ) content of prefrontal cortex area in morphine withdrawal rats andexplore the mechanism of its action. Methods Forty clean-grade male SD rats were randomly allocated to control, model, manual needling and warm needling groups, 10rats each. A SD rat model of morphine addiction and withdrawal was made by dorsal subcutaneous injection of day-by-day incremental morphine and rapid withdrawal with Naloxone after addiction. Learning and memory abilities were tested using a Morris water maze and the CaMKⅡ content of prefrontal cortex area was measured by an immunohistochemical method in every group of rats.Results There were statistically significant differences in mean platform escape latency, the number of platform crossing and the CaMKⅡ content of PFC area between the control, manual needling or warm needling group of rats and the model group (P<0.01). There were statistically significant differences in mean platform escape latency, the number of platform crossing and the CaMKⅡ content of PFC area between the warm needling and manual needling groups (P<0.05).Conclusions Warm needling treatment can restore learning and memory abilities in morphine withdrawal rats. The mechanism of its action may be related to an increase in the CaMKⅡ content of prefrontal cortex area.

Prokaryotic expression of Tir gene of enterohemorrhagic escherichia coli / 实用医学杂志

Objective To identify the immune activity of the recombinant protein Preli minarily after expressing Tir C-ter minal of enterohemorrhagic Escherichia coli(EHEC) in E.coli BL21/DE3 efficiently. Methods Tir C-ter minal (marked as Tir-C)was amplified by PCR considering the result of Bioinformatics analysis of Tir. The recombinant plasmid(designed as PET-30a(+)-Tir-C)was identified by PCR,sequencing and digested by restriction endonucleases. The positive recombinants were transformed into E.coli BL21/DE3 and induced by IPTG to express the Tir-C. The Tir-C protein was detected by SDS-PAGE and identify the antigenic of the recombinant protein Preli minarily by Western blot. Results The 675bp DNA was gained. The plasmid PET-30a (+)-Tir-C was built. Tir-C was expressed mainly in supernatant of lysis and was purified by Ni+affinity chromatograghy. Concentration of the purified protein is about 500 μg/mL and a unique band was detected with the relative molecular mass of approximately 24KDa by Western blot. Conclusion The recombinant Tir-C was expressed successfully and had immunoreactivity to some extent, which deserves the investigations for vaccine against EHEC.

Loop-mediated isothermal amplification for detecting enterohemorrhagic Escherichia coli O157:H7: a comparison with PCR / 南方医科大学学报

<p><b>OBJECTIVE</b>To establish a rapid method of loop-mediated isothermal amplification (LAMP) for detecting enterohemorrhagic Escherichia coli (EHEC) O157:H7.</p><p><b>METHODS</b>Six primers that specifically recognized the rfbE gene of EHEC O157:H7 were designed. Under the optimized reaction conditions, LAMP and PCR were evaluated for the sensitivity and specificity in the detection of 39 laboratory samples of EHEC O157:H7 strains, and their detection results of contaminated fresh pork samples were compared.</p><p><b>RESULTS</b>LAMP assay correctly identified all the 7 EHEC O157:H7 strains and showed negative results for all the 32 non-EHEC O157:H7 strains. The detection limit of LAMP was much lower than that of rfbE-PCR (10 vs 100 cfu/ml). In the detection of the contaminated pork samples, both LAMP and PCR yielded results consistent with those by the conventional detection method.</p><p><b>CONCLUSION</b>The rfbE-based LAMP assay can serve as a rapid, sensitive, specific and low-cost means for detecting EHEC O157:H7 strain.</p>

Expression, purification and effect of different immunization approaches of Tir from EHEC O157:H7 / 中华微生物学和免疫学杂志

Objective To clone and express translocation intimin receptor(Tir)of enterohemorrhagic Escherichia coli(EHEC)O157:H7,and to analyze the effect of different routes on the induction of immunity to the recombinant protein.Methods The tir eucoding genes were amplified from EHEC O157:H7 strain guangzhou 246 genome,and genes were cloned into the vector pET-30a(+).The pET-30a(+)tir recombinant was transformed into E.coli BL21.and expression was induced bv IPTG.The expressed product was analyzed by SDS-PAGE and purified by Ni-IDA affinity chromatography.The immunized mice sera and fecal against the recombinant protein was detected.Resuits The length of the tir is 1677 bp,with the initiation codon ATG and the termination codon TAA.Double enzyme digestion and DNA sequencing confirmed that the recombinant expression plasmid pET-30a(+)-tir was constructed.The recombinant protein was expressed in Escherichia coli expression system,and was purified by Ni-IDA affinity chromatography.The mice were able to produce a high serum IgG antibody titer after both subeutaneous and intranasal immunizations.Meanwhile,the intranasal immunization induced serum and fecal IgA antibody titer was significantly higher than that of the subcutaneous immunization group.Conclusion Tir molecule is potential vaccine candidate for preventing EHEC disease.

Study on cross-reactivity of allergens between shrimps and crabs / 中国免疫学杂志

Objective:To explore the mechanism for the immune cross-reaction between crabs and shrimps.Methods:The cross-reactivity between shrimps and crabs was observed by inhibition of ELISA and Western blot.Results:The protein constituents were similar where their genus relationship was closer in shrimps and crabs.There were the same bands at 20,36,38,44,68,75,and 85 kD of molecule weight.The protein at 36 kD was the main allergen for shrimps and the proteins at 36,66 and 85 kD were the main allergens for crabs.S.serrata and M.nipponense could inhibit the allergic response of various kinds of shrimp and crab in a concentration-dependent pattern.Conclusion:There is a strong immune cross-reaction between different species of shrimp and crab in 36 000.

Study on Detection of Five-kinds of Pathogenic Bacteria in Drinking Water by Multiplex-PCR / 微生物学通报

The five kinds of food-borne pathogenic bacteria including Salmonella sp.、Shigella sp.、Pseudomonas aeruginosa、Eterohaemorrhagic O157 and Vibrio rahaemolyticus that couldn't be detected in drinking water. The five pairs of primers were designed and composed according to the toxin genes, high-conservative genes and specific genes of these pathogens. The specificity of individual primer pairs in PCR was evaluated on DNA templates of more than thirty different bacterial isolates from ten species. Through optimizing the system and condition of multioplex-PCR, the detection sensitivity was improved dramatically. Multiplex-PCR analysis was primary performed on several water samples. The method established shortened the detection time and provided a cost-effective way in maximum. The experiment showed the multiplex-PCR using the five pairs of primers produced specific amplicons of expected sizes, the detection limits for the bacterial targets were estimated at 10~(1)~10~(2)cfu for one essay. It only took five to six hours to detect a sample, got the single, steady and clear result when the method was applied primarily in the analysis of water samples. The informative supplement to those areas which were environmental inspection, water detection, food sanitation supervision , commodity inspection and detection, etc.