Tyrobp promotes neuroinflammation in Tourette's syndrome model mice and related mechanisms / 中华行为医学与脑科学杂志

Objective:To explore the effects and possible mechanisms of Tyrobp gene on neuroinflammation in Tourette's syndrome mice.Methods:Twenty C57BL/ 6J and Tyrobp knock-out male mice aged 6 weeks were randomly divided into 4 groups according to random number table method: WT+ NS group, Tyrobp -/-+ NS group, WT+ IDPN group and Tyrobp -/-+ IDPN group. Mice in WT+ IDPN group and Tyrobp -/-+ IDPN group were injected with IDPN intraperitoneally at a dose of 150 mg/kg·d, while mice in WT+ NS group and Tyrobp -/-+ NS group were injected with equal volume of normal saline, once a day for 7 days. Then stereotypical behavior of mice were evaluated. Western blot was used to detect the levels of Tyrobp, TNF-α, IL-6, IL-1β, TLR4, Myd88, p-NF-κB p65 and p-IκBα in the striatum of mice. Immunofluorescence staining was used to observe the activation of microglia. Statistical analysis was performed using GraphPad Prism 8.0 software, and t-test was used for comparison between two groups. One-way ANOVA was used to compare the means of multiple samples, and LSD test was used for further pairwise comparison. Results:The results of behavior assessment showed that there were significant differences in the motor stereotypic behavior and categorical stereotypic behavior score( F=270.9, 379.7, P<0.01), and the scores in WT+ IDPN group were higher than those in Tyrobp -/-+ IDPN group (motor stereotypic behavior: (3.23±0.26), (2.13±0.21), t=9.02, P<0.05; categorical stereotypic behavior: (45.80±4.29), (26.60±3.48), t=12.00, P<0.05). Western blot results showed that there were significant differences in the protein expression level of TNF-α, IL-6, IL-1β, TLR4, Myd88, p-NF-κB p65 and p-IκBα ( F=29.07, 23.09, 39.36, 57.6, 52.55, 15.50, 40.48, all P<0.05), the level of those in WT + IDPN group was higher than those in WT+ NS group( t=8.31, 7.37, 8.13, 11.43, 10.47, 6.05, 9.96, all P<0.05), Tyrobp -/-+ IDPN group was higher than Tyrobp -/-+ NS group ( t=3.60, 3.00, 5.84, 4.81, 3.59, 2.26, 4.68, all P<0.05), and WT + IDPN group was higher than Tyrobp -/-+ IDPN group ( t=3.97, 3.93, 4.14, 6.40, 7.63, 3.45, 3.03, all P<0.05). Immunofluorescence showed that microglial cells in the striatum region of mice in WT+ IDPN group and Tyrobp -/-+ IDPN group were enlarged and microglial cells were activated, and the activation pattern of microglial cells in WT+ IDPN group was more obvious than that in Tyrobp -/-+ IDPN group. Conclusion:Tyrobp may be involved in the pathogenesis of Tourette's syndrome by promoting neuroinflammation mediated by TLR4/Myd88/NF-κB signaling pathway.

The role of microglia in Alzheimer′s disease / 中华神经科杂志

At present, many drugs were developed based on the main pathological feature of Alzheimer′s disease (AD): "β-amyloid cascade hypothesis and abnormal tau protein aggregation" as targets, but the efficacy is unsatisfactory. With the progress on the study of pathological mechanism of AD, the role of microglia and their related expression genes, such as TREM2, CD 33, ABCA7 gene and their related signal transduction pathways in the pathological mechanism of AD has been paid more and more attention. The study on AD biomarkers and therapeutic targets based on microglia and their related expression genes has also increased significantly. This review will mainly focus on the pathophysiology of microglia, the mechanism of microglia in AD, the biomarkers related to microglia and the drug treatment of AD.

Changes of mRNA N6-methyladenosine methylation in blood of patients with Alzheimer's disease / 中华行为医学与脑科学杂志

Objective:To explore the changes of mRNA N6-methyladenosine methylation level and methyltransferase-like 3 (METTL3) and demethylase fat mass and obesity-associated (FTO) in the blood of patients with Alzheimer's disease (AD) compared with normal controls.Methods:From January 2020 to June 2021, totally 40 AD patients treated in the outpatient and inpatient department of Neurology of the Affiliated Hospital of Jining Medical University were selected as the patient group, and 40 healthy volunteers as the control group. The blood samples were collected to extract plasma and peripheral blood mononuclear cells for enzyme-linked immunosorbent assay (ELISA), Western blot (WB), quantitative real-time PCR (qPCR) and m6A methylation quantification experiments respectively to detect the methylation levels of METTL3, FTO and m6A. The data were analyzed by SPSS 23.0 statistical software for t-test. Results:The plasma concentrations of METTL3 and FTO protein in AD group were lower than those in control group (METTL3: (22.33±3.01)ng/mL, (25.63±1.70)ng/mL, t=6.055, P<0.01; FTO: (63.51±4.95)pg/mL, (69.60±4.60)pg/mL, ( t=5.704, P<0.01). The band gray values of METTL3 and FTO protein in blood cells in AD group were lower than those in control group (METTL3: 0.399 5±0.028 7, 0.676 6±0.053 3, t=7.935, P=0.001; FTO: 0.439 4±0.017 8, 0.782 6±0.087 6, t=6.652, P=0.003). The expression levels of METTL3 and FTO in blood cell RNA in AD group were lower than those in control group (METTL3: 0.387 8±0.020 3, 1.010 0±0.177 0, t=6.041, P=0.004; FTO: 0.442 8±0.037 1, 1.003 0±0.090 4, t=9.931, P=0.001). The levels of m6A in blood cell RNA in AD group were lower than those in control group((0.000 571±0.000 167)%, (0.002 514±0.001 284)%, t=6.041, P=0.004). Conclusion:The levels of METL3, FTO and m6A methylation are down-regulated in the plasma and peripheral blood mononuclear cells of patients with AD, indicating that there is a certain association between mRNA N6-methyladenosine methylation and AD.

Effect of DNA damage marker γH2AX in the process of oxygen-induced retinal neovascularization / 中华实验眼科杂志

Background Changes in the concentration of oxygen induced retinal neovascularization and DNA damage repair response.Overexpression of angiogenic factors is the main reason of angiogenesis.Whether the DNA damage related to retinal neovascularization is unclear.Objective This study was to study the role of DNA damage marker γH2AX in the process of retinal neovascularization of mouse.Metbods Seventy-two 17-day-old C57BL/6J mice were randomly classified into normal control group,oxygen induced retinopathy (OIR) model group,OIR positive control group and OIR negative control group,18 for each group.The retinal tissue were obtained from the 4 groups,the retinal patch immunofluorescence was used to observe and compare the area of retinal neovascularization and non-perfusion region and γH2AX expression of the four groups.The human umbilical vein endothelial cells (HUVECs) were classified into normal control group,hypoxia model control group,positive interference group and negative interference group.The cells from the 4 groups were obtained 12 hours after treatment,the expression of the γH2AX from different HUVECs groups were compared by immunofluorescence.Western blot was performed to detect the expressions of the γH2AX from different HUVECs groups.Results The retinal patch immunofluorescence showed that the OIR model was successfully established.The area of retinal neovascularization and the area of non-perfusion region among the 4 groups had statistical significances (F=437.62,93.05,both at P＜ 0.01).The area of retinal neovascularization and non-perfusion region in OIR model group and OIR negative control group was larger than that in the normal control group.The non-perfusion region was smaller in the OIR positive control group than that in the OIR model group and OIR negative control group (both at P＜0.01).The appearance of the retinal γH2AX focus congestion was consistent with the area of neovascularization and non-perfusion in the 17-day-old mouse.The difference of γH2AX positive percentage in the four groups of HUVECs was statistically significant (F=64.97,P＜0.01).The percentages of γH2AX positive cells in the hypoxia model control group and negative interference group were significantly higher than that in the normal control group (both at P＜0.01).The percentage of γH2AX positive cells in the positive interference group was lower than that in the hypoxia model control group and negative interference group (both at P＜0.01).Conclusions γH2AX is abundant in OIR neovascularization.Inhibiting the formation of γH2AX may reduce the OIR neovascularization.

TO STRENGTHEN THE MEDICAL ETHICS REVIEW FOR PROMOTING THE HEALTHY DE-VELOPMENT OF CLINICAL RESEARCH / 现代医院

Based on the practices of ethic review to medical research , we have established some related review process and censorship of medical ethics review committee, and proposed two review ways of quick review and meeting review according to the type of project, in addition to adding the whole process of review procedure including the initial review , tracking review and concluding re-view.It will be not only simplify the procedures to improve efficiency, but also improve the effectiveness of the ethical review and management.Besides, we have propose some urgent and necessary problem that how to strengthen the medical ethics review for pro-moting the healthy development of clinical research , for example, establishing the same ethical review procedure of research involving human, and systematically training the members of ethics committee, medical staff and managers of medical research about ethnic knowledge, and so on.

Nosocomial Infection in Operating Room:Control and Experience / 中华医院感染学杂志

OBJECTIVE To enhance the control and management of nosocomial infection in operating room in order to reduce nosocomial infection rate.METHODS We estabilished some effective sterilization and isolation measures and infection monitoring systems,strictly carried out sterile operation rule and created the qualified environment of operating room.RESULTS The nosocomial infection rate of cleaning wound was 0.25%,there was no specific nosocomial infection.CONCLUSIONS Strengthening management of nosocimial infection in operating room can effectively prevent it and reduce the infection rate of cleaning wound.