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Objective:To investigate the application value of magnetic resonance dynamic contrast enhancement magnetic resonance imaging (DCE-MRI) combined with microRNA-21 (miR-21) and miR-92a in the benign and malignant differentiation of bone tumors and the evaluation of their efficacy.Methods:A total of 120 patients with bone tumors were selected retrospectively from June 2018 to June 2019 in Panyu Hospital of Chinese Medicine, including 52 cases in the benign group and 68 cases in the malignant group. The DCE-MRI dynamic enhancement parameters and tumor tissue miR-21, miR-92a levels were compared between the two groups. The diagnostic value of DCE-MRI, miR-21, miR-92a levels of cancer tissue and their correlation were analyzed. Patients with bone malignant tumors were given comprehensive treatment. Six months after operation, according to the criteria of solid tumor curative effect, they were divided into good curative effect group and poor curative effect group. The DCE-MRI dynamic enhancement parameters [signal enhancement amplitude (SEE), early dynamic enhancement slope value (Slope), centripetal enhancement rate (DER)], miR-21, miR-92a levels of patients with different curative effects were compared.Results:The levels of SEE, Slope, DER and miR-21 a nd miR-92a in the malignant group were higher than those in the benign group ( P<0.05); The area under curve (AUC) of DCE-MRI, miR-21, miR-92a combined in the diagnosis of benign and malignant bone tumors (0.885)>Slope(0.808)>SEE(0.788)>miR-21(0.785)>miR-92a (0.740)>DER(0.660), with sensitivity 80.88%, specificity 88.46%, respectively; the DCE-MRI dynamic enhancement parameters SEE, Slope, DER were positively correlated with miR-21 and miR-92a ( P<0.05); the DCE-MRI dynamic enhancement parameters SEE, Slope, DER and miR-21, miR-92a of patients with good curative effect were lower than those with poor curative effect ( P<0.05). Conclusions:DCE-MRI dynamic enhancement parameters, miR-21, miR-92a levels are abnormally high expression in patients with bone malignant tumors, and combined detection is expected to become an important means to identify benign and malignant bone tumors and evaluate the efficacy.
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Objective:To investigate the expression of serum eosinophil cationic protein (ECP) in children with respiratory syncytial viruses (RSV) pneumonia and its clinical significance.Method:One hundred and six children with RSV pneumonia (RSV pneumonia group) and 70 healthy children (control group) from January 2017 to October 2019 in the Affiliated Suzhou Science & Technology Town Hospital of Nanjing Medical University were selected. Among children with RSV pneumonia, low risk was in 68 cases, intermediate risk was in 25 cases and high risk was in 13 cases. The serum ECP level was measured by enzyme-linked immunosorbent assay. The lung function indexes were measured, including the forced expiratory volume in one second as a percentage of predicted value (FEV 1%), forced expiratory volume in one second (FEV 1)/forced vital capacity (FVC) and fractional exhaled nitric oxide (FeNO). Risk factors of severity in children with RSV pneumonia were analyzed by multivariate Logistic regression analysis. The area under the receiver operating characteristic (ROC) curve was used to evaluate the diagnostic efficacy of serum ECP for RSV pneumonia. Results:The FEV 1% and FEV 1/FVC in RSV pneumonia group were significantly lower than those in control group: (81.47 ± 14.08)% vs. (96.80 ± 17.10)% vs. (72.17 ± 21.63)% and (93.46 ± 26.57)%, the FeNO and ECP were significantly higher than those in control group: (17.88 ± 2.55) ppb vs. (9.79 ± 2.35) ppb and (64.00 ± 20.05) μg/L vs. (41.59 ± 16.99) μg/L, and there were statistical differences ( P<0.01). The serum ECP in RSV pneumonia children with intermediate risk and high risk were significantly higher than that in RSV pneumonia children with low risk: (70.82 ± 20.84), (90.71 ± 19.75) μg/L vs. (58.05 ± 14.72) μg/L, the serum ECP in high risk children was significantly higher than that in intermediate risk children, and there were statistical differences ( P<0.05). Multivariate Logistic regression analysis result showed that FEV 1%, FEV 1/FVC, FeNO and ECP were independent risk factors of severity in children with RSV pneumonia ( OR=12.913, 17.845, 0.002 and 0.126; 95% CI 2.641 to 63.139, 2.972 to 107.139, 0.000 to 0.017 and 0.028 to 0.566; P<0.01). ROC curve analysis result showed that the optimal cut-off value of serum ECP for the diagnosis of RSV pneumonia was 51.84 μg/L, AUC was 0.809, and the sensitivity and specificity were 78.57% and 75.47%; the optimal cut-off value of serum ECP for early diagnosis of RSV pneumonia was 43.17 μg/L, AUC was 0.714, and the sensitivity and specificity were 58.57% and 82.35%. Pearson correlation analysis result showed that serum ECP was negatively correlated with FEV 1% and FEV 1/FVC ( r=-0.632 and-0.604, P<0.01), and it was positively correlated with FeNO ( r=0.707, P<0.01). Conclusions:Serum ECP level in children with RSV pneumonia is significantly increased, which is negatively correlated with FEV 1% and FEV 1/FVC, and positively correlated with FeNO. Serum ECP can be used as one of the reference indicators for the diagnosis and severity assessment of children with RSV pneumonia.
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Objective To summarize the epidemiology and evaluate possible age-related differences in the presenting clinical features in three year-old children with Mycoplasma pneumoniae pneumonia(MPP)during 2009 to 2014.Methods The medical records of 17855 children with community-acquired pneumonia enrolled by Children′s Hospital of Soochow University during 2009 to 2014.Totally 1145 younger than three year-old children with MPP were enrolled,and they were classified into three groups of 1 month to 1 year-old group (n=512),1 to 2 year-old group (n=393) and 2 to 3 year-old group (n=240).The epidemiology and possible age-related differences in the presenting clinical features,main laboratory and imaging results in three year-old children with MPP were summarized.Results (1) The highest infection rate of different reasons in Suzhou was in autumn(10.46%),and the lowest was in spring(6.95%),The highest infection rate of different ages was 2 to 3 year-old group(11.61%),and the difference was statistically significant (P<0.05).(2) Compared with 1 month to 1 year-old group(n=512,4.31%) and 1 to 2 year-old group (n=39,10.09%),2 to 3 year-old group (n=240,11.61%) had higher infection rate,more patients with fever(53.9% vs. 77.1% vs. 85.4%) and high fever(16.8% vs. 30.5% vs. 41.4%),longer time to normalization of temperature(3d vs. 5d vs. 6d),but less patients with wheezing(61.3% vs. 52.4% vs. 42.9%) and dyspnea(7.6% vs. 4.6% vs. 3.8%).(3) The differences were statistically significant in the percentage of neutrophils,lymphocytes,CRP and platelet count between different ages(P<0.001).(4) The incidences of large area of lesions in chest X-ray examination among different ages had significant differences(P<0.001).Conclusions MP is one of the important pathogens of respiratory tract infection in younger than 3 year-old children.It can occur in every season,and the highest infection rate of MP is in autumn and spring.In younger than 3 year-old,older patients are more vulnerable to infection of MP,the number of fever and high fever are more,fever duration is longer,but younger patients are more vulnerable to virus infection and prone to dyspnea.Chest X-ray examination shows small patchy shadow in most cases,the younger children are more easily to have large area of lesions and pleural effusion.
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Objective To investigate whether there is any functional link between p27~(Kip1) function and all-trans retinoic acid (RA) in the control of neuronal differentiation of immortalized human neural progenitor cells (hSN12W-TERT cells). To investigate the mechanism by which p27~(Kip1) regulates the differentiation of immortalized human neural progenitor cells. Methods hSN12W-TERT cells were derived from the striatums of human embryos at 12 weeks gestation and cultured with serum-free medium in presence of EGF and bFGF. At the appropriated time, hSN12W-TERT cells were exposed to 1μmol/L RA for 3, 5, 7 days respectively. The experiment was repeated there times. Cell cycle analysis was performed by flow cytometry analysis (FACS). The expression of p27~(Kip1), p21~(cip1), cyclin-dependent kinase 2 (cdk2), p-cdk2 and S-phase kinase-associated protein 2 (skp2) in hSN12W-TERT cells before and after RA treatment cells were determined by using Western blotting analysis. Results FACS result showed that 77.25% of proliferating hSN12W-TERT cells were in the G1/G0-phase while 9.38% of cells in the S-phase. Following RA treatment, cell growth was arrested, and 85.68% of cells accumulated in G1/G0-phase while 8.57% of cells in the S-phase. Western blotting analysis demonstrated that the levels of p27~(Kip1) in the hSN12W-TERT cells increased following 3 days' treatment with RA compared with those of normal untreated cells, with a peak at 5 days (P<0.05). The similar results were acquired both in nuclear proteins and in cytoplasm proteins of hSN12W-TERT cells. The expression level of p21~(cip1) decreased in response to RA treatment. RA did not affect the expression of cdk2, but the expression of p-cdk2, which represented the activity of cdk2, was markedly decreased in response to RA treatment. Skp2, which was required for the ubiquitin-mediated degradation of p27~(Kip1), was detected in proliferating hSN12W-TERT cells. The expression of skp2 reduced dramatically in response to RA treatment in a time-dependent manner.Conclusion There is a functional link between RA and p27~(Kip1) function in the control of neuronal differentiation in hSN12W-TERT cells. P27~(Kip1) plays a key role during neuronal differentiation. Moreover, high levels of p27~(Kip1) are associated with its degradation inhibiting through reducing proteasome-dependent proteolysis.
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Objective To investigate the role of asctrocytes in the process of chronic degeneration of dopaminergic neurons in intracephalic inflammation rat model induced by intracerebroventricularly injection of lipopolysaccharide.Methods Sixty healthy male SD rats were assigned into lipopolysaccharide group or saline control group randomly.All injections were made intracerebroventricularly on right side of the rats.Ethovison software was used to measure the movement distance of rats within 30 minutes.Specific antibody for glial fibrillary acid protein (GFAP) was used in immunohistochemistry stain to detect the changes of asctrocytes in the substantia nigra of rats.Results Movement distance of lipopolysaccharide-injected rats decreased by 21.2% compared with saline-injected rats at 16 weeks after injection (t=2.54,P<0.05)by 27.0% (t=3.55,P<0.01) at 24 weeks and by 31.4% (t=3.91,P<0.01) at 28 weeks after lipopolysaccharide injection.The asctrocytes were activated obviously in the substantia nigra of lipopolysaccharide-injected group at 2 weeks,while the numbers of GFAP-positively stained cells (228.60 + 22.35) increased significantly compared with saline-injected group ( 165.20 ± 25.97) (t = 4.14,P< 0.05).The activation of asctrocytes was not found in lipopolysaccharide-injected group at 4 weeks and 12 weeks.The asctrocytes were re-activated in the substantia nigra of lipopolysaccharide-injected group at 24 weeks,while the numbers of GFAP-positively stained cells (220.00±21.01 ) increased significantly compared with saline-injected group (169.00± 19.00) (t= 4.03,P<0.05).The activation of asctrocytes was not seen at any time point in saline-injected group.Conclusions Intracephalic inflammation induces chronic degeneration of substantia nigral dopaminergic neurons in rats.The asctrocytes exhibite "acute activation-quiescing-reactivation" state,indicating that they might be involved in the mechanism of dopaminergic neurons degeneration.
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Aim To investigate whether prostaglandin E2(PGE2)can increase endogenous Nurr1 expression in a dopamine-synthesizing cell line(MN9D) with immature characteristics and to study whether tyrosine hydroxylase(TH) expression is up-regulated in response to Nurr1-overexpression,in order to investigate the role of Nurr1 during dopaninergic neurons development.Methods MN9D cells were treated with 100 ?g?L-1 PGE2 for 2 h to 6 h.The morphology changes of MN9D cells were observed under phase-contrast microscope. The expression of Nurr1 and TH in MN9D cells was analyzed by using immunohistochemical staining and Western blot analysis.Results ① The morphology of MN9D cells did not change significantly following PGE2 treatment for 2 h,4 h and 6h compared with that of MN9D cells left untreated.② Nurr1-positive staining in MN9D cells treated with PGE2 for 2 h,4 h and 6 h was much stronger than that of untreated cells while the percent of TH-positive MN9D cells after PGE2 treatment for 2 h,4 h and 6 h was similar to that of untreated.③ The expression of Nurr1 protein in MN9D cells treatment with PGE2 for 6 h was significantly higher than that of untreated(P