[Epstein-Barr virus infection-related post-transplant lymphoproliferative disorders in transplanted lung: a clinicopathological analysis].

Objective: To investigate the clinicpathological characteristics of post-transplant lymphoproliferative disorders (PTLD) in transplanted lung, and to improve its diagnosis and treatment. Methods: The clinicopathological characteristics of PTLD in three transplanted lungs were evaluated at Wuxi People's Hospital Affiliated to Nanjing Medical University from 2014 to 2019. HE, immunohistochemical staining and in situ hybridization were performed. The relevant literature of PTLD was reviewed. Results: All three patients had chronic obstructive pulmonary disease (COPD) before lung transplantation. After receiving both lung transplants, they were all treated with anti-rejection drugs tacrolimus or mycophenolate mofetil, and combined with antiviral and/or rituximab. The time from transplantation to diagnosis of PTLD was four years, seven months, and five months, respectively. Two patients died one month and five months after initial diagnosis, and one patient was alive with no disease after one year. Histologically, all cases were monomorphic B-cell PTLD (diffuse large B-cell lymphoma, unspecified), and the tumor cells were positive for Epstein-Barr virus by in situ hybridization; one of the late-onset patients had herpes simplex virus infection. Conclusions: PTLD in the post-transplant lung tissue shows unique morphology and clinical characteristics, and is closely related to Epstein-Barr virus infection. Patients who receive lung transplantation due to COPD are more susceptible to develop PTLD, while late-onset ones occur more commonly in the hilum of lungs, and the prognosis is relatively poor.

[A study of the correlation between low back pain and occupational stress in coal miners].

Objective: To study the correlation between low back pain (LBP) and occupational stress in coal miners. Methods: From January 2015 to December 2016, a total of 472 front-line workers in a mining area of a large-scale coal mining enterprise in Shanxi, China were enrolled in the study. The general information, condition of LBP, and occupational stress level of the subjects were obtained by questionnaire survey. Dichotomous logistic regression (DLR) was used to analyze the correlation between LBP and occupational stress. Results: Of the 472 subjects, 186 subjects experienced LBP in the past year; the prevalence rate of LBP was 39.41%. The scores of the Occupational Role Questionnaire were significantly higher for workers in the LBP group than in the non-LBP group (P<0.01) . As revealed by the DLR analysis, age, marital status, length of service, occupational stress role, labor intensity, keeping single posture during work, and working in shifts were risk factors of LBP (P<0.01) , while smoking may be a protective factor against LBP (P<0.01) . Conclusion: Occupational stress role is a potential risk factor for LBP in coal miners (P<0.01) . Reasonable work assignment and timely alleviation of occupational stress may be one of the effective approaches to prevent LBP.

[Increase of 3H-GABA release from rat cultured cortex neurons after chronic exposure to MK801].

Excitatory amino acids are involved in acute and chronic neurodegenerative diseases. Little is known about the potential consequences of chronic blockade of NMDA receptors (one subtype of excitatory amino acid receptors). Receptor function measured as 3H-GABA release in culture media after pretreatment with MK801 was studied in rat cortical neurons in primary cultures. Cultured neurons were exposed to 1 mumol.L-1 MK801 for 4 days since the 14th day. Glutamate (1 mmol.L-1) evoked 3H-GABA release was shown to be significantly increased (control 0.2174/1000 +/- 1.40/1000; MK801 treatment 0.763% +/- 0.192%). KCl 40 mmol.L-1 stimulation showed no such effect. This result suggests that the NMDA receptor function of releasing neurotransmitters changed after chronic treatment with noncompetitive antagonists.

Evaluation of an enzyme immunoassay for the detection of antibodies against Sarcocystis spp. in naturally infected cattle in China.

An enzyme immunoassay was used to detect anti-Sarcocystis antibodies in the sera of 159 cattle sent to slaughter in Jilin Province, north China. The musculature of each carcase was closely examined for the presence of parasitic cysts and aliquots of muscle were digested with pepsin and examined microscopically for cystozoites. Specific antibodies were detected in 126 (79.25%) cattle whereas cystozoites were detected in 123 (77.36%) and cysts in 103 (64.78%). The accuracy, sensitivity and specificity of the enzyme immunoassay were high (0.97, 0.99 and 0.91, respectively) and false reactions were only detected in four cases. The assay exhibited a high level of reproducibility when samples were re-tested and the soluble Sarcocystis spp. antigens did not cross-react with anti-Toxoplasma antibodies raised in rabbits. This report presents the first successful application of an enzyme immunoassay in the diagnosis of Sarcocystis spp. infections in naturally infected cattle in China. The assay, however, failed to detect specific antibodies in four dogs experimentally infected with S. cruzi from cattle.