摘要:Gliomas are the most common primary malignant
tumors in the central nervous system,and more than half of them are WHO grade IV glioblastomas. Even if
surgery,concurrent chemoradiotherapy and adjuvant
chemotherapy were applied,median survival of GBM
patients is still only 14.2 months. Immunosuppression is an important feature
of malignant glioma. Immunotherapy which reverse immunosuppression may be the
most promising way to improve the treatment effect of glioma patients in recent
years. This article reviews the recent progress of glioma immunotherapy and the
research progress of regulatory T cells(Treg)and glucocorticoid-induced tumor necrosis factor receptor(GITR)in the glioma microenvironment. We hope
this article will provides new research ideas for glioma immunotherapy.  
关键词:glioma;microenvironment;regulatory T cells;GITR
摘要:Sepsis is defined as a life- threatening organ
dysfunction caused by a deregulated host response to infection and is the
leading cause of mortality in intensive care units. Although the exact
pathogenesis of sepsis remains unclear,immunosuppression is considered to play a key role. Sepsis-induced
immunosuppression is characterized by a failure to eradicate the primary
infection and by development of secondary nosocomial infections, resulting in a prolonged hospitalization and increased
death rate in
sepsis patients. Early recognition of immunosuppression and
appropriate intervention will benefit these patients. This review helps clinicians
identify patients with immunosuppression through high-risk population screening
and biomarkers detection,and introduces
immunostimulants that have been used in clinics and clinical trials.  
摘要:【Objective】To investigate the effect of PD-related gene SNCA mutated in A53T on
methylation modification in the dopaminergic neurons from the mouse midbrain.【Methods】The midbrain tissue from the A53T
mutant human α-synuclein(hA53T α-syn)transgenic mice and non-transgenic(nTg)mice were isolated α-synmice. Bisulfite-sequencing(BS-seq)was utilized for analyzing the DNA
methylation of 12-month-old of hA53T α-synmice and nTg mice at a whole genome
level. Subsequently,differentially methylated regions(DMRs)were screened for GO enrichment
analyses.【Results】Through
comparative analyses,481 DMRs were found. Among the
data ,hypermethylated and hypomethylated DMRs accounted
for 257 and 224 respectively. These DMRs involved in ubiquitin degradation
pathway-related genes, including Ubqln2,HECTD4,Rnf157 genes;serine/threonine
protein kinase PINK1 gene,etc. Enrichment data revealed
that the genes containing DMRs projected to 545 GO sub-terms,and significantly enriched in anatomical structure development,dendrite development,nervous system
development,neuronal projection,etc.【Conclusion】The
A53T mutation of SNCA gene which is related to PD could introduce DNA
methylation alterations in mouse midbrain.  
摘要:【Objective】The aim of this study is to investigate whether Fuzi polysaccharide(FPS)inhibits calcification of vascular
smooth muscle cells(VSMC)and
its underlying mechanism involving ceramide signaling.【Methods】We used Ox- LDL to induce in vitro model of human VSMC calcification
in this study. FPS at different concentrations was used to treat human VSMC.
Cell calcification was assessed by alizarin red staining. The mRNA expressions
of osteogenic differentiation markers including Msx2,Osterix
and BMP2,and contractile marker SMA were analyzed by
qRT- PCR. The protein expressions of Msx2 and BMP2 were analyzed by western
blot. Cell apoptosis was examined by TUNEL. Additionally,we investigated the effect of FPS on ceramide levels and N- SMase
activity in VSMC. 【Results】We
found that FPS inhibits Ox- LDL- induced VSMC apoptosis and calcification.
Ceramide participates in Ox- LDL- induced apoptosis and calcification of VSMC.
FPS reduces N- SMase activity and ceramide levels in Ox- LDL- treated VSMC.
Collectively , reducing N-SMase activity and ceramide
levels could become a promising strategy for the treatment of vascular
calcification.【Conclusion】We
demonstrate that FPS attenuates VSMC calcification via targeting ceramide signaling.  
WANG Dan-yang,TAN Qian,CHUN Ka Man,GUO Hui-yu,JIAO Cao,ZHANG Liang,ZHONG Xing-wu
Vol. 41, Issue 1, (2020)
摘要:【Objective】To observe macular choroidal thickness and topographical variation in
Chinese healthy and myopic children and to investigate the correlated factors. 【Methods】 A total of 196 myopic children treated
at Hainan Province Eye Hospital were selected and divided into hyperopia ,emmetropia,low,moderate
and severe myopia groups according to their
spherical equivalents(SE). Axial
length(AXL),subfoveal choroidal
thickness(SFCT)and 1 mm ,3 mm nasal,temporal,superior,and
inferior to the foveal choroidal thickness were recorded. Forty- five students from
Tung Wah Group of Hospital′s MA Kam Chan Memorial Primary School in Hong Kong were
also recruited in this 1-year longitudinal study. Children were grouped to myopic
group and emmetropic or hyperopic group according to SE ,thickness changes of choroid were compared among children with or without
myopic shift. The correlation among choroidal SE,and AXL
variations were also investigated.【Results】Mean SFCT was 250(204~314)μm. The choroid was thinner at the nasal
and inferior sectors ,the thinnest being at 3mm nasal to
the fovea ,and the thickest at 1mm temporal to the fovea.
Choroidal thickness in all orientations became thinner with progressively descending
refractive degree. SFCT and 1 mm around fovea decreased most compared with other
surrounding directions in all groups(Kruskal- Wallis test,P < 0.05). The choroidal thickness in subfovea
and other sectors got thinned after 1 year follow-up time(Pair t test,P < 0.05).The variation of the choroidal thickness in fovea and surrounding positions
was positively correlated with the change of SE and negatively related to the change
of the AXL. The myopic group had a faster descent of SE and a faster growth of AXL
than the emmetropic or hyperopic group. SFCT and surrounding choroidal thickness
showed a progressive descent in the myopic group,but a slight
decrease in the emmetropic or hyperopic groups.【Conclusions】There is significant topographic variation of choroidal at different
regions of the macular. The choroidal thickness decreases faster in myopes. SFCT
is more sensitive to myopic progression compared with surrounding regions.  
关键词:myopia;choroidal thickness;longitudinal study;cross-sectional study
摘要:【Objective】To study the expression of Tip60(KAT5)in Oral squamous cell carcinoma(OSCC),and to investigate the relationship of Tip60(KAT5)and OSCC.【Methods】Forty-nine samples of OSCC and 36 samples of nor⁃ mal tissue adjacent to OSCC were collected and analyzed retrospectively.
The expression of Tip60(KAT5)was
detected by immunehisto chemistry using Envision detection system. OSCC cell line
Cal27 and UM1 cultured in vitro were treated with Nu9056,an inhibitor of Tip60(KAT5)for 24h,respectively. Then the effect of different
concentrations and times on the growth of Cal27 and UM1 cells was evaluated with
MTT assay.【Results】The expression
of Tip60(KAT5)in OSCC was significantly higher than that in normal
tissue adjacent to OSCC(P=0.000). Its expression was significantly positively correlated with the degree
of histological differentiation(r=0.461,P=0.001). With the increase of concentration,the proliferation inhibition rate of Nu9056 on Cal27 and UM1 cells gradually
increased,showing a concentration- dependent and time-dependent
relationship(P<0.05).【Conclusions】The expression of Tip60(KAT5)protein in oral squamous cell carcinoma
tissues was related to the degree of histological differentiation ,Tip60(KAT5)can be used
as oral squamous cell carcinoma progression and prognosis of biological indicators.  
摘要:【Objective】To investigate the effect of adding different preparations containing
luteinizing hormone activity in patients with normal ovarian reserve but suboptimal
response during GnRH agonist protocol when undergoing IVF/ICSI- ET.【Methods】872 infertile patients with normal ovarian
reserve but suboptimal response to FSH during GnRH agonist protocol were enrolled.
According to the supplementation of different preparations containing LH activity
,patients were divided into three groups,including low- dose hCG group(n=28),rLH group(n=319)and HMG
group(n=525). The clinical parameters
and pregnancy outcomes were retrospectively compared among three groups.【Results】The proportion of ultra-long GnRH-a protocol
in hCG group was higher than that in HMG group(14.3% vs.
1.1%,P<0.001). The total duration and dosage gonadotrophin in hCG group were more
than that in HMG group [15.0(13.0~16.8)vs. 13.0(12.0~15.0)days
,P = 0.027 ;2 925(2 531~3 900)vs. 2 550(2 100~3 225)U ,P = 0.046]. The total duration and dosage gonadotrophin in rLH group were less
than that in HMG group[13.0(12.0~14.0)vs. 13.0(12.0~15.0)days,P = 0.009;2 400(1 950~3 075)vs.
2 550(2 100~3 225)U ,P = 0.009]. There were 53.6%(15/28)patients who still showed suboptimal response
after the administration of HMG or rLH in hCG group. The clinical pregnancy rate(69.2%,58.6% vs.63.8%;P>0.05)and live birth
rate(65.4%,49.6% vs. 53.1%;P>0.05)were similar among
these groups.【Conclusions】 For patients
with normal ovarian reserve but suboptimal response during GnRH agonist protocol
,the supplementation of different preparations containing
LH activity showed comparable effect on pregnancy outcomes. The addition of low-
dose hCG was effective even when patients still showed suboptimal response after
the administration of HMG or rLH.  
DAI Xin-zhen,MI Xian-jun,ZHONG Shou-jun,DUAN Li-feng,YANG Wei-hong,LIU Xiang-yu,XU Xiu-mei,HUANG Zhao-hua
Vol. 41, Issue 1, (2020)
摘要:【Objective】To investigate the expression of FosB in invasive breast cancer and its
correlation to the ultrasound findings and clinical significance.【Methods】Immunohistochemical and ultrasound examination
were performed for 155 cases with invasive
breast cancer,36 cases with paracancerous tissue and 30
cases with normal breast tissue. To investigate the correlations between the different
expression of FosB with histological grade ,lymph nodes,and ultrasound findings.【Results】①The expression of FosB in paracancerous tissue and normal breast tissue
was higher than that in invasive breast cancer(P<0.01). ②Based on immunohistochemical staining,high positive expression rate of FosB was associated with low histological
grade,ER positive
and PR positive(P<0.05). There was no correlation between FosB and age,tumor diameter,lymph nodes,Her2 and clinical stages(P>0.05)③The expression of FosB was higher in microcalcification
positive and lymph nodes bigger tissues(P<0.05). There was no correlation between FosB
and tumor size, regular shape,boundary,posterior attenuation ratio and blood flow(P>0.05).【Conclusion】The expression of FosB in invasive breast cancer was lower than that
in paracancerous tissue and normal breast tissue. The different expression of FosB
was correlated with histological grade,ER positive and PR
positive. To study the expression of FosB in invasive breast cancer may be helpful
for differential diagnosis and targeted treatment. The different expression of FosB
was correlated with microcalcification,lymph nodes,and combined FosB with ultrasound findings may contribute to prognostic
evaluation of breast cancer.  
关键词:FosB;invasive breast cancer;ultrasound;immunohistochemical
摘要:【Objective】To prepare rapamycin(RAPA)sustained-release film and to evaluate its dissolution.【Methods】RAPA sustained- release film was created
by using polymer polyactioglyconic acid (PLGA),copolymer of polyactic acid(PLA)and polyglycolic acid(PGA). Drug content of the sustained-release film was determined using specificity
test,recovery,relative standard
deviation(RSD)and stability test.
Then,the dissolution of the sustained- release film was
analyzed.【Results】The concentration
of RAPA had a linear relationship with peak area,which ranged
between 0.408 μg/mL and 40.8 μg/mL through the standard curve. The specificity test
of the drug content determination indicated the excipient of the film and the solution
with 0.3% sodium dodecyl sulfate(SDS)did not affect in determining the RAPA content. The recovery and RSD
were excellent through drug content determination in blank films,which had three different levels of RAPA concentrations. The mean RAPA
content of the sustained-release films was(112.6±10.1)μg(RSD 8.99%)through
the drug content determination of the films,and the stability
of RAPA with 0.3% SDS was good within 15 days. In addition,dissolution test of the sustained- release film indicated that the amount
of drug release reached a high level and sustained up to 15 days.【Conclusion】 The RAPA sustained-release film with
certain behavioral characteristic parameters had a stable drug content and favorable
sustained-release property,and it may have certain application
potential in anti-proliferation after glaucoma filtering surgery.  
摘要:【Objective】 Cloud point extraction (CPE) combined with hydrophilic interaction (HILIC)
was employed to simultaneously determine the anti-AIDS drugs in
the serum of rats. 【Methods】Triton
X-114 was used as extraction medium to extract
four nucleoside antiviral drugs from rat serum. Response surface methodology was
employed to further optimize CPE parameters. The content of four anti-AIDS drugs
in rat serum was simultaneously determined by HILIC method.【Results】 The optimized conditions were as follows:5%(w/v)Triton X- 114,0.3 mol/L NaCl,PH 5.0, the water- bath equilibrium 20 min at 40 ℃ . Under optimized extraction
conditions,the extraction rates of the four anti- AIDS drugs
were all over 85.0%,which was pretty close to the predicted result. The extracted
samples were analyzed under the optimal chromatographic conditions. The recovery
rate was over 75.0% and RSD was less than 5.0%. The optimized chromatographic conditions
were as follows:Ze month- CN(250
× 4.6 mm,5 micron)as stationary
phase,mobile phase (methanol:acetonitrile:ammonium acetate buffer)(5∶5∶90),column temperature 35 ℃,detection wavelength 275 nm,flow rate 0.5 mL/min.【Conclusion】The developed method of CPE combined
with HILIC can enrich four anti-AIDS drugs in rat serum ,which is simple,environment- friendly and can
be used to accurately determine the blood concentration of four anti-AIDS drugs
in rat serum,providing a new method for clinical blood concentration
monitoring.