[Establishment of a platelet production model by bone marrow cavity transplantation of mouse primary megakaryocytes].

Objective: To establish an intramedullary transplantation model of primary megakaryocytes to evaluate the platelet-producing capacity of megakaryocytes and explore the underlying regulatory mechanisms. Methods: Donor megakaryocytes from GFP-transgenic mice bone marrow were enriched by magnetic beads. The platelet-producing model was established by intramedullary injection to recipient mice that underwent half-lethal dose irradiation 1 week in advance. Donor-derived megakaryocytes and platelets were detected by immunofluorescence staining and flow cytometry. Results: The proportion of megakaryocytes in the enriched sample for transplantation was 40 to 50 times higher than that in conventional bone marrow. After intramedullary transplantation, donor-derived megakaryocytes successfully implanted in the medullary cavity of the recipient and produce platelets, which showed similar expression of surface markers and morphology to recipient-derived platelets. Conclusion: We successfully established an in vivo platelet-producing model of primary megakaryocytes using magnetic-bead enrichment and intramedullary injection, which objectively reflects the platelet-producing capacity of megakaryocytes in the bone marrow.

[Pylorus-preserving gastrectomy and segmental gastrectomy: discrimination of concepts and surgical procedures].

Both pylorus-preserving gastrectomy (PPG) and segmental gastrectomy (SG) achieve the preservation of gastric cardia and pylorus through the circumferential resection of stomach, while concepts and surgical procedures of these two operations are obviously different. In this sense, transectional gastrectomy includes both PPG and SG. PPG is one of the standard surgical procedure for early gastric cancer (EGC). The extent of lymph node dissection (No.1, 3, 4sb, 4d, 6, 7, 8a, 9) and the retention of infrapyloric vessels, hepatic and pyloric branch of vagal nerve has formed a consensus. Meanwhile, SG is regarded as an investigational treatment according to the Japanese gastric cancer treatment guidelines. It is still controversial and may generate an ethical risk in the clinical practice. This article distinguishes the difference in the concepts and surgical procedures between PPG and SG, assisting a comprehensive evaluation in further research.

[Segmental gastrectomy with cardia preservation for early gastric cancer].

Segmental gastrectomy with cardia preservation can reduce the symptoms of postoperative gastroesophageal reflux and improve the quality of life, which is potentially advantageous among function-preserving gastrectomy procedures. However, due to the limited extent of excision, this procedure is classified as an investigational treatment in the Japanese Gastric Cancer Treatment Guidelines, without wide acceptance in clinical practice. It is generally believed that the surgical indication of segmental gastrectomy is more selected compared to the pylorus-preserving gastrectomy, and there are also differences between their therapeutic goals. The indications of cardia preservation in segmental gastrectomy mainly depend on the T stage, the distance of the resection margin and the metastasis of lymph nodes. Other points of segmental gastrectomy mainly include the scope of lymphadenectomy, the preservation of blood vessels and vagal nerves, which are still controversial in different researches. High-quality evidences are needed to confirm the safety and long-term efficacy of the segmental gastrectomy.

[Study on the analgesic effect of acupuncture with opioid receptors agonist in induced arthritic rats].

Our previous study demonstrated that acupuncture increased pain threshold of the body, especially in the inflammatory area. Because acupuncture can promote the release of enkephalin in the brain, it is possible that analgesic effect of acupuncture could be further strengthened by administration of fentanylan opioid receptor's agonist and droperidol-dopamine receptor's agonist at same time. In present study arthritic rats induced by freund's complete adjuvant were divided into two groups. All of them received electro-acupuncture on bilateral "Hung-Tiao" points for 15 minutes. The first group animals were also given with common dose of fenanyl 10 micrograms/kg and droperidol 0.5 mg/kg by intraperitoneal injection. Pain threshold increased very soon after needling and drugs given. The analgesic effect lasted as long as 180 minutes. There is a statistical significant difference between this common dose group and acupuncture control group which only kept analgesic effect 90 minutes, P less than 0.01. When only 1/5 dose of these drugs with acupuncture was applied to arthritic rats, not only the pain threshold reached to 180 + 3% (P less than 0.01), but also the analgesic effect persisted as long as 120 minutes (P less than 0.01). The results from mentioned above suggested that if a small dose of drug is no effect in usual treatment, it could still play a role and reduce the pharmacological side effect by way of combining acupuncture application.