右心室心肌梗塞心电图的观察（附22例分析）

对２２例右心室心肌梗塞（ＲＭＩ）患者住院期的心电图作连续观察，发现多数仅累及Ｖ３Ｒ、Ｖ４Ｒ两个导联；相应导联病理性Ｑ波出现率占６８；２％，多数表现为ＱＳ、Ｑｒ、ＱＲ，其次为ｑＲ、ｑｒ；ＳＴ段抬高１～２ｍｍ占８１．１％，起病４８、７２小时内分别有７７．３％和９０．９％的病例ＳＴ段回到等电位线；Ｔ波多在４８小时内变为倒置，极少形成冠状Ｔ波。结果表明ＲＭＩ的心电图没有单纯性左室梗塞（ＳＬＭＩ）典型，演变快，提示梗塞范围小且程度较轻。     

Histopathology of insulin-induced laminitis in ponies

Reasons for performing study: Ponies with laminitis associated with insulin resistance and hyperinsulinaemia lack systemic and/or intestinal inflammatory signs, suggesting a different pathogenesis potentially reflected in differing histopathology. Objectives: To describe the histological appearance and quantify morphological changes in primary and secondary epidermal lamellae (PEL and SEL) of laminitis lesions from ponies with insulin‐induced laminitis. Methods: Equine hoof lamellar tissue was obtained from 4 control ponies and 5 ponies with laminitis induced following infusion of insulin (1036 ± 55 µU/ml) while maintaining euglycaemia for 55.4 ± 5.5 h. Sections from all 4 hooves were stained and examined by a veterinary pathologist. Measurements of lamellar length (PEL and SEL) were made in mid‐dorsal sections of the right forefeet by 2 blinded observers. Immunolabelling for calprotectin was performed using a monoclonal antibody. Results: No lesions were detected in normal ponies. Lesions detected in ponies with laminitis were variable in severity between ponies. Within ponies, SEL lesions were more severe along the axial region of PEL. Lesions included swelling, disorganisation and abnormal keratinisation of epidermal cells, increased mitotic activity and apoptosis. Separation of basement membranes was minimal. Immunostaining revealed inflammatory cells within the lamellar dermis. SEL were significantly elongated in laminitic hooves relative to controls, with the greatest elongation in those attached to abaxial and middle regions of PEL. Conclusions: Laminitis induced by prolonged infusion of insulin lacked widespread basement membrane disintegration, and increases in epidermal cellular proliferation at axial aspects were marked for this acute stage of disease. Potential relevance: Defining equine laminitis entirely in terms of separation of the basement membrane may not be appropriate for laminitis associated with hyperinsulinaemia.     

Evaluation of cardiac performance of the dog after induction of portal hypertension and gastric ischemia

Objective: To determine changes in hemodynamic and cardiac energetic parameters in dogs after induction of portal hypertension and gastric ischemia. These blood flow alterations are similar to changes seen in splanchnic blood flow in dogs with gastric dilatation volvulus syndrome (GDV). Design: Original experimental study. Setting: Veterinary teaching hospital. Animals: Seven purpose‐bred, intact male dogs. Interventions: Standard midline laparotomy and median sternotomy were performed under general anesthesia. Dogs were instrumented to obtain arterial blood pressure, aortic flow, cardiac chamber pressures, central venous pressure, portal flow, and portal pressure. Colored microsphere technology was used for the determination of myocardial blood flow. Measurements and samples were obtained at baseline, following induction of portal hypertension, and after induction of portal hypertension and gastric ischemia. Measurements and main results: Left ventricular myocardial blood flow was increased from 81.8±20.1 mL/100 g/min at baseline to 127.7±57.2 mL/100 g/min (P=0.02) after induction of portal hypertension and gastric ischemia. Myocardial oxygen consumption increased from 142.2±27.4 J/min/100 g at baseline to 219.1±33.4 J/min/100 g (P=0.003) after induction of portal hypertension and gastric ischemia, but cardiac external work remained unchanged (13.67±6.2 to 13.27±9.6 J/min; P=0.78; power=0.79). Cardiac efficiency decreased from 11.6±6.1% at baseline to 7.6±5.1% (P=0.017) after induction of portal hypertension and gastric ischemia. Conclusions: Transfer of energy within the myocardium was less efficient after induction of portal hypertension and ischemia of the stomach wall. On the basis of these results, alterations in cardiac function associated with GDV may result from deterioration of cardiac efficiency.     

桦褐孔菌对肺癌细胞抗增殖和诱导凋亡观察

用MTT法测定桦褐孔菌抗突变活性成分Inotodiol,对人肺癌A549细胞株的增殖抑制作用,20mg.L-1～80mg·L^-1桦褐孔菌的抗突变活性成分Inotodiol对人肺癌A549细胞株有抑制增殖作用,且表现出浓度和时间依赖关系。在倒置显微镜下、HE染色光学显微镜下、AO/EB双染色荧光显微镜下、透射电子显微镜下观察,肿瘤细胞均有体积变小、有凋亡小体。桦褐孔菌的抗突变活性成分Inotodiol可抑制人肺癌A549细胞株的增殖和诱导肿瘤细胞凋亡。     

二乙基己烯雌酚对成年仓鼠睾丸一氧化氮生成和生精细胞凋亡的影响

探讨了在二乙基己烯雌酚（DES）诱发成年动物生精细胞凋亡过程中睾丸一氧化氮（NO）生成和生精细胞一氧化氮合酶（eNOS和iNOs）表达的变化，以期为阐明DES诱发生精细胞凋亡机理的研究提供基础资料。成年雄性仓鼠皮下注射不同剂量DES（分别为0．01、0．1和1mg／kg体重），连续注射7d后取其睾丸，进行NO含量的测定和eNOS、iNOS免疫组化染色。电镜观察生精细胞超微结构的变化，并用TUNEL法检测睾丸中生精细胞凋亡的变化，苏丹Ⅲ染色法检测睾丸生精小管内脂滴分布的变化。结果显示：NO的生成与DES呈剂量依赖性。DES处理后，在1mg／kg体重剂量组，大量生精细胞表达eNOS和iNOS，并出现大量凋亡，退化的生精细胞胞浆内有大量髓样结构，并有大量脂滴分布于生精细胞内和细胞间。eNOS和iNOS阳性生精细胞与凋亡的生精细胞数量和类型基本一致，主要为精母细胞和圆形精子细胞。     

细胞色素C在生物医学方面的研究进展

综合论述了细胞色素C的研究简史和结构性质,探讨了细胞色素C与细胞线粒体呼吸链、生物进化细胞凋亡的关系,并对细胞色素C的应用前景作了展望。     

三肽囊素对环磷酰胺诱导的免疫器官细胞凋亡的影响

研究了三肽囊素对环磷酰胺诱导的鸡免疫抑制模型中免疫器官细胞凋亡的影响。将180只1日龄粤黄鸡随机分成环磷酰胺组、正常对照组、三肽囊素组以及三肽囊素 环磷酰胺组。利用末端脱氧核苷酸转移酶介导的dTUP缺口末端标记法(TUNEL)，对不同组鸡的免疫器官细胞凋亡进行计数。结果发现，环磷酰胺组细胞凋亡数比对照组明显增多(P＜0．05)，而三肽囊素 环磷酰胺组细胞凋亡数显著少于环磷酰胺组(P＜O．05)；三肽囊素组的细胞凋亡数比环磷酰胺组少，且差异显著(P＜0．05)。由此可知，三肽囊素对环磷酰胺所诱导的细胞凋亡具有抑制作用。     

Caspase非依赖性细胞死亡的研究进展

细胞凋亡是一种生理性细胞死亡机制，它是由多基因调控的一种细胞的主动的自杀性过程。一般认为它是由蛋白酶caspases通过两种途径激活的。但是，近年来研究发现除caspases引起的细胞凋亡外，还有caspases非依赖性的细胞死亡形式存在，包括细胞的自我吞噬作用、细胞蛋白酶体的降解和线粒体途径。这些途径无论是在试验的条件下还是在生理或病理的情况下都可以观察到。目前认为凋亡诱导因子(AIF)在caspases非依赖性的细胞死亡中起关键作用。     

嗅鞘细胞对无血清培养诱导PC12细胞凋亡的作用

采用无血清培养诱导PC12细胞凋亡,研究嗅鞘细胞(Olfactory ensheathing cells,OECs)对去血清后诱导PC12细胞凋亡中的作用。通过MTT法检测细胞的活性,细胞形态学观察,以及结合流式细胞仪检测细胞的凋亡率,井对不同组细胞凋亡率进行比较。结果表明：①OECs培养上清对去血清后PC12细胞的存活有明显的促进作用;②从形态学上观察,OECs对去血清诱导PC12细胞凋亡有明显的抑制作用,使得细胞向死亡过渡受阻;②流式细胞对细胞周期分析,去血清诱导后的PC12细胞,大部分细胞滞留在G1期,细胞向S期过渡受阻,造成G1期细胞的堆积,它们所占比例分别为：73．6％,25．9％,0．5％;而OECs联合培养组所占比例：53％,42．3％,4．7％;OECs上清组：42．1％,52．2％,5．7％;正常有血清培养组：45,6％,41．4％,13％。凋亡细胞所占百分比分别为：60．3％,45,6％,37．4％,0．5％。     

Intrathymic inoculation of liver specific antigen protects hepatocytes from apoptosis after liver allotransplantation

AIM: To study the effects of intrathymic inoculation of liver specific antigen (LSA) on hepatocyte apoptosis after liver allotransplantation. METHODS: Orthotopic liver transplantation was used in this study. Group Ⅰ: syngenic control (Wistar-to-Wistar); Group Ⅱ: acute rejection (SD-to-Wistar); Group Ⅲ: thymus inoculation of SD rat LSA day 7 before transplantation. The observation of general situation and survival time, hepatocyte apoptosis and LAT expression in liver transplants were used to analyze immune state of animals in different groups. RESULTS: The general situation of group Ⅰ was very well after transplantation. Recipients of groupⅡ lost body weight progressively and all died within day 9 to day 13 post transplantation. As for group Ⅲ, the general situation of recipients was remarkably better than that in group Ⅱ. The positive cells of apoptosis in group Ⅲ detected by TUNEL were not significantly different from that in group Ⅰ, but was significantly lower than that in group Ⅱ. LAT was detected at any time in group Ⅱ with peak expression at day 5 and day 7 post transplantation. In contrast, LAT was not detected in any other groups. CONCLUSION: Intrathymic inoculation of LSA protects hepatocytes from apoptosis after liver allotransplantation.