Résumé
【Objective】 To investigate the effect and mechanism of arctigenin (ARG) on hypoxia-reoxygenation (H/R) induced pyroptosis of cardiomyocytes. 【Methods】 H9C2 cells were cultured in vitro, and underwent hypoxia for 2 hours and reoxygenation for 4 hours to establish H/R cell injury model. The cells were divided into control group (Control), model group (H/R), ARG group, miR-21 simulation group (miR-21 mimic), and ARG+miR-21 inhibitor group (ARG+miR-21 inhibitor). TUNEL staining was used to detect the pyroptosis index of H9C2 cells; the lactate dehydrogenase (LDH) kit was used to detect the release of LDH in each group of cells; the enzyme-linked immunosorbent assay (ELISA) was used to detect the content of interleukin-1β (IL-1β) and interleukin-18 (IL-18). Western blotting was used to detect the expressions of pyroptosis-related proteins (Caspase-1, GSDMD, IL-1β and IL-18) in each group. 【Results】 Compared with those in the control group, the pyroptosis index, the release of LDH, IL-1β and IL-18, and the protein expressions of Caspase-1p20, GSDMD-N, IL-1β and IL-18 in the H/R group were significantly increased (P<0.01). Compared with H/R group, ARG group and miR-21 mimic group had significantly reduced pyroptosis index, LDH, IL-1β and IL-18 release, and protein expressions of Caspase-1 p20, GSDMD-N, IL-1β and IL-18 (P<0.01), and the above-mentioned index changes could be reversed after treatment with +miR-21 inhibitor. 【Conclusion】 ARG can inhibit H/R-induced pyroptosis of cardiomyocytes, and its mechanism is related to the promotion of miR-21 expression.
Résumé
OBJECTIVE@#To investigate clinical interns' knowledge and attitude on pain management, influential factors and requirement. @*METHODS@#A total of 212 clinical interns were investigated by the self-designed general condition questionnaire and the Chinese version of the knowledge and attitude survey regarding pain (KASRP). @*RESULTS@#The correct answer rate for the knowledge and attitude questionnaire was (51.70±14.18)%. The education background, the condition of pain education in clinical practice and the use of pain assessment tools were the key factors that impact the scores of knowledge and attitude on pain management. @*CONCLUSION@#Clinical interns' perception on pain management is insufficient. It cannot meet the clinical actual needs. The medical colleges are lack of pain management education courses and standardization training. Schools and hospitals are encouraged to offer and strengthen pain education for clinical interns to create a good environment for pain treatment and to improve the management level for patients' quality of life.