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1.
Chin Med J (Engl) ; 129(6): 672-8, 2016 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-26960370

RESUMO

BACKGROUND: Wolf-Hirschhorn syndrome (WHS) is a contiguous gene syndrome that is typically caused by a deletion of the distal portion of the short arm of chromosome 4. However, there are few reports about the features of Chinese WHS patients. This study aimed to characterize the clinical and molecular cytogenetic features of Chinese WHS patients using the combination of multiplex ligation-dependent probe amplification (MLPA) and array comparative genomic hybridization (array CGH). METHODS: Clinical information was collected from ten patients with WHS. Genomic DNA was extracted from the peripheral blood of the patients. The deletions were analyzed by MLPA and array CGH. RESULTS: All patients exhibited the core clinical symptoms of WHS, including severe growth delay, a Greek warrior helmet facial appearance, differing degrees of intellectual disability, and epilepsy or electroencephalogram anomalies. The 4p deletions ranged from 2.62 Mb to 17.25 Mb in size and included LETM1, WHSC1, and FGFR3. CONCLUSIONS: The combined use of MLPA and array CGH is an effective and specific means to diagnose WHS and allows for the precise identification of the breakpoints and sizes of deletions. The deletion of genes in the WHS candidate region is closely correlated with the core WHS phenotype.


Assuntos
Hibridização Genômica Comparativa/métodos , Reação em Cadeia da Polimerase Multiplex/métodos , Síndrome de Wolf-Hirschhorn/genética , Criança , Pré-Escolar , Feminino , Genótipo , Humanos , Lactente , Recém-Nascido , Masculino , Fenótipo
2.
Taiwan J Obstet Gynecol ; 55(1): 104-8, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26927259

RESUMO

OBJECTIVE: We present prenatal diagnosis, genetic counseling, and molecular cytogenetic features of familial recurrence of Wolf-Hirschhorn syndrome (WHS). MATERIALS AND METHODS: A 31-year-old woman was referred to a hospital at 24 weeks of gestation because of abnormal ultrasound findings in the fetus. Her first child was a boy who had growth retardation, mental defect, and a distinctive facial appearance. Based on the conventional cytogenetic analysis, the combined use of multiplex ligation-dependent probe amplification (MLPA) and array comparative genomic hybridization (aCGH) facilitated the prenatal diagnosis and genetic counseling in the fetus. Results of the standard G-banging karyotype analysis of the fetus, the parents, and the boy were normal. RESULTS: The MLPA analysis revealed the same 4p microdeletion accompanied by 2p microduplication in the fetus and the boy. The aCGH analysis revealed a 3.57-Mb 4p16.3 microdeletion or arr [hg19] 4p16.3 (71,552-3,636,893) x1 in the fetus and a 3.29-Mb 4p16.3 microdeletion or arr [hg19] 4p16.3 (71,148-3,360,737) x1 in the boy. The 3.57-Mb 4p16.3 microdeletion encompassed 39 OMIM genes. The 3.29-Mb 4p16.3 microdeletion encompassed 36 OMIM genes. They both included LETM1 and WHSC1. The 2p25.3 microduplication was smaller than 666 kb and encompassed only one OMIM gene, ACP1. CONCLUSION: The combined use of MLPA and aCGH is an effective way to diagnose recurrent WHS. Although WHS is typically caused by a de novo deletion, prenatal diagnosis and genetic counseling are necessary in the next pregnancy in families that have suffered such cases.


Assuntos
Deleção Cromossômica , Duplicação Cromossômica , Cromossomos Humanos Par 2 , Cromossomos Humanos Par 4 , Doenças Fetais/genética , Síndrome de Wolf-Hirschhorn/genética , Aborto Eugênico , Adulto , Criança , Hibridização Genômica Comparativa , Feminino , Doenças Fetais/diagnóstico por imagem , Aconselhamento Genético , Humanos , Masculino , Reação em Cadeia da Polimerase Multiplex , Gravidez , Ultrassonografia Pré-Natal , Síndrome de Wolf-Hirschhorn/diagnóstico por imagem
3.
Clin Res Hepatol Gastroenterol ; 39(2): 230-6, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25457562

RESUMO

OBJECTIVE: To investigate the use of citrulline as an indicator for diagnosing septic acute intestinal dysfunction (SAID) in a rat model. METHODS: SD rats were divided into three groups: a normal group (A), a model group (B), and a glutamine group (C). Group B was divided into a 36-h group (B1) and a 72-h feeding group (B2). The concentrations of serum citrulline, intestinal fatty acid-binding protein (I-FABP) and intestinal glutamine and histopathological changes were measured. RESULTS: The lengths of the villus and thicknesses of the mucosal layer in groups B1, B2 and C were significantly different from those in group A. Citrulline concentrations in groups B1, B2 and C were lower than in group A; the serum concentrations in group C were significantly greater than in groups B1 and B2. The I-FABP levels of groups B1, B2 and C were higher than group A; I-FABP levels of groups B1 and B2 were higher than group C. Intestinal glutamine levels of groups B1 and B2 were lower than groups A and C. The serum citrulline of group C was negatively correlated with I-FABP and Chiu's score. CONCLUSIONS: Serum citrulline could be used as the diagnostic indicator of SAID.


Assuntos
Citrulina/sangue , Enteropatias/sangue , Enteropatias/diagnóstico , Sepse/sangue , Animais , Biomarcadores/sangue , Enteropatias/etiologia , Masculino , Ratos , Ratos Sprague-Dawley , Sepse/complicações
4.
Fa Yi Xue Za Zhi ; 30(1): 52-4, 2014 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-24804387

RESUMO

OBJECTIVE: To study ApoB gene genetic polymorphism of Han nationality and Mongolian nationality in midwest area of Inner Mongolia. METHODS: Some unrelated individuals of Han nationality and Mongolian nationality in midwest area of Inner Mongolia were selected. Polymerase chain reaction-restriction fragment length polymorphism technology was used to check the presence of Xba I (X+) and EcoR I (E-) sites of rare alleles. The genotype frequency, allelic frequency and population genetics parameters were calculated. RESULTS: The frequencies of Xba I (X+) and EcoR I (E-) rare alleles were 2% and 4.6% in Han population. There was no Xba I (X+) or EcoR I (E-) rare alleles found in Mongolian nationality. CONCLUSION: The allelic frequencies of ApoB gene Xba I and EcoR I sites are very different in different races. These sites may be used in identification of ethnicity.


Assuntos
Apolipoproteína B-100/genética , Grupo com Ancestrais do Continente Asiático/genética , Polimorfismo Genético , Alelos , China , Grupos Étnicos , Frequência do Gene , Genótipo , Humanos , Mongólia , Reação em Cadeia da Polimerase , Polimorfismo de Fragmento de Restrição
5.
Zhonghua Yi Xue Za Zhi ; 93(16): 1247-50, 2013 Apr 23.
Artigo em Chinês | MEDLINE | ID: mdl-23902617

RESUMO

OBJECTIVE: To explore the expression and significance of respiratory chain enzyme of cells in urine sediment in mitochondrial encephalopathy myopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome. METHODS: Through enzyme histochemistry, the authors analyzed the changes of respiratory chain enzyme in urine sediment in 20 MELAS patients due to mitochondrial A3243G mutation (MELAS group) and 20 health peoples (control group). And the impact on the expression of protein encoded by nuclear DNA (A21347) and mitochondrial DNA (A6404) was detected by immunochemistry. Image pro Plus 6.0 software was used for analysis of absorbance (A) of staining images as staining intensity. The data were expressed as M (Q1, Q3) and analyzed through statistical software. RESULTS: The staining intensity of complexes Iin the MELAS group was lower than that in the control group (0.06(0.01, 0.12) vs 0.12(0.01, 0.62), P = 0.010). The intergroup staining intensity of complex II showed no marked difference. Increased density of blue particle and cytoplasmic gathering was found in 13 cased (65%) of the MELAS group under light microscope. The staining intensity of complexes IV was expressed at a low level in the MELAS group (0.14(0.03, 0.32) vs 0.23(0.06, 0.43), P = 0.038). The expression of protein encoded by nuclear DNA (A21347) was lower than that in the control group (0.05(0.02, 0.45) vs 0.17(0.03, 0.70), P = 0.000). The expression of protein encoded by mitochondrial DNA (A6404) was also lower than that in the control group (0.03(0.01, 0.07) vs 0.15 (0.09, 0.23), P = 0.000). CONCLUSION: Abnormal change of respiratory chain enzyme in urine sediment in MELAS due to mitochondrial A3243G mutation and a low expression of proteins encoded by two kinds of DNA in complexes IV can help to confirm the genetic diagnosis of mitochondrial encephalomyopathies so that different subtypes may be classified and its pathogenesis elucidated.


Assuntos
Complexo IV da Cadeia de Transporte de Elétrons/urina , Síndrome MELAS/enzimologia , Adolescente , Adulto , Idoso , Estudos de Casos e Controles , Núcleo Celular/genética , Criança , Pré-Escolar , DNA Mitocondrial/genética , Transporte de Elétrons , Complexo IV da Cadeia de Transporte de Elétrons/genética , Feminino , Humanos , Síndrome MELAS/metabolismo , Síndrome MELAS/urina , Masculino , Pessoa de Meia-Idade , Membranas Mitocondriais/metabolismo , Mutação , Adulto Jovem
6.
Diabetes Care ; 36(7): 2038-40, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23536582

RESUMO

OBJECTIVE: To evaluate the usefulness of a fasting plasma glucose (FPG) at 24-28 weeks' gestation to screen for gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS: The medical records and results of a 75-g 2-h oral glucose tolerance test (OGTT) of 24,854 pregnant women without known pre-GDM attending prenatal clinics in 15 hospitals in China were examined. RESULTS: FPG cutoff value of 5.1 mmol/L identified 3,149 (12.1%) pregnant women with GDM. FPG cutoff value of 4.4 mmol/L ruled out GDM in 15,369 (38.2%) women. With use of this cutoff point, 12.2% of patients with mild GDM will be missed. The positive predictive value is 0.322, and the negative predictive value is 0.928. CONCLUSIONS: FPG at 24-28 weeks' gestation could be used as a screening test to identify GDM patients in low-resource regions. Women with an FPG between ≥4.4 and ≤5.0 mmol/L would require a 75-g OGTT to diagnose GDM. This would help to avoid approximately one-half (50.3%) of the formal 75-g OGTTs in China.


Assuntos
Diabetes Gestacional/sangue , Jejum/sangue , Glicemia/metabolismo , China/epidemiologia , Diabetes Gestacional/epidemiologia , Feminino , Teste de Tolerância a Glucose , Humanos , Gravidez
7.
Diabetes Care ; 36(3): 586-90, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23193214

RESUMO

OBJECTIVE: To evaluate the value of fasting plasma glucose (FPG) value in the first prenatal visit to diagnose gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS: Medical records of 17,186 pregnant women attending prenatal clinics in 13 hospitals in China, including the Peking University First Hospital (PUFH), were examined. Patients with pre-GDM were excluded; data for FPG at the first prenatal visit and one-step GDM screening with 75-g oral glucose tolerance test (OGTT) performed between 24 and 28 weeks of gestation were collected and analyzed. RESULTS: The median ± SD FPG value was 4.58 ± 0.437. FPG decreased with increasing gestational age. FPG level at the first prenatal visit was strongly correlated with GDM diagnosed at 24-28 gestational weeks (χ(2) = 959.3, P < 0.001). The incidences of GDM were 37.0, 52.7, and 66.2%, respectively, for women with FPG at the first prenatal visit between 5.10 and 5.59, 5.60 and 6.09, and 6.10-6.99 mmol/L. The data of PUFH were not statistically different from other hospitals. CONCLUSIONS: Pregnant women (6.10 ≤ FPG < 7.00 mmol/L) should be considered and treated as GDM to improve outcomes; for women with FPG between 5.10 and 6.09 mmol/L, nutrition and exercise advice should be provided. An OGTT should be performed at 24-28 weeks to confirm or rule out GDM. Based on our data, we cannot support an FPG value ≥5.10 mmol/L at the first prenatal visit as the criterion for diagnosis of GDM.


Assuntos
Glicemia/metabolismo , Diabetes Gestacional/diagnóstico , Jejum/sangue , China , Feminino , Idade Gestacional , Humanos , Gravidez , Cuidado Pré-Natal
8.
Zhonghua Yan Ke Za Zhi ; 48(1): 27-32, 2012 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-22490913

RESUMO

OBJECTIVE: Use three different methods of amniotic membrane transplantation for acute alkaline burn of rat cornea, to investigate the difference on operation time, reabsorption time of amniotic membrane, integration patterns of amniotic membrane into the cornea among the three amniotic membrane transplantation methods. METHODS: SD rats were randomly assigned into five groups. Group A: simply alkaline burn of cornea; Group B: inlay method; Group C: overlay method; Group D: sutureless method; Group E: normal. Prepared the model of corneal alkaline burn of the right eyes of group A-D rats, performed three different methods of amniotic membrane transplantation on Group B-D rats respectively within 24 hours after alkaline burn. The operation time was recorded. Observed the eyes with slit-lamp microscopy after transplantation, recorded the reabsorption time of amniotic membrane. HE staining and immunohistochemical staining against human collagen IV were performed for pathological study. The results were analysed with Image-Pro Plus 6.0 software. The integration patterns of amniotic membrane into the cornea after amniotic membrane reabsorbed were observed. RESULTS: (1) Operation time: Group B was (35.500 ± 2.878) minutes; Group C was (33.375 ± 2.973) minutes; Group D was (9.875 ± 1.246) minutes. There was statistical significance between group B and group D (P < 0.001), group C and group D (P < 0.001). There was no statistical significance between group B and group C (P = 0.102). (2) Reabsorption time of amniotic membrane: Group B was (16.625 ± 3.662) days; Group C was (9.250 ± 2.188) days; Group D was (12.833 ± 2.483) days. There was statistical significance among group B, C, D (P < 0.001). (3) There was significant inflammatory reaction around the suture in Group B and Group C, and there was inconspicuous inflammatory reaction in Group D. (4) There were three integration patterns of amniotic membrane into the cornea after amniotic membrane reabsorption: superficial localization, intraepithelial and intrastromal. We could find one or more integration patterns in same method of amniotic membrane transplantation, there was no statistical significance among group B, C, D (P = 0.86). CONCLUSIONS: Amniotic membrane can integrate into the cornea after amniotic membrane reabsorption. Sutureless amniotic membrane transplantation which has short operation time and inconspicuous inflammatory reaction is better than traditional amniotic membrane transplantation, and it will be used extensively in the ophthalmology field in future.


Assuntos
Âmnio/transplante , Queimaduras Químicas/cirurgia , Córnea/cirurgia , Queimaduras Oculares/cirurgia , Animais , Masculino , Ratos , Ratos Sprague-Dawley
9.
Front Med China ; 4(3): 303-7, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21191836

RESUMO

The possibility of the 2 h oral glucose tolerance test (OGTT) as an alternative to the 3 h OGTT was investigated based on data from a national survey on pregnancy-associated diabetes. Data were retrieved from 4179 pregnant women who had OGTT performed after an abnormal 50 g glucose challenge test (GCT). All of the 4 glucose levels during their OGTT were collected and analyzed. According to American Diabetes Association (ADA) gestational diabetes mellitus (GDM) diagnostic criteria, among the 4179 pregnant women who required OGTT, 3429 (82.1%) were normal and 750 (17.9%) were diagnosed as GDM. If the 3rd h glucose levels were omitted from OGTT, 79 cases of GDM (10.5%) would be overlooked. No trend was shown where women with more risk factors were more likely to be overlooked if the 3rd h test was omitted (χ2 for trend=0.038, P>0.05). No significant differences were found in the rate of cesarean section (CS), preterm births or macrosomia between the 79 cases and those with normal OGTT results and in the gestational weeks when OGTT was performed. It shows that in order to diagnose one woman with GDM, another 52 pregnant women would have an innocent 3rd h glucose test. Omission of the 3rd h glucose test in OGTT might be reasonable due to its convenience, better compliance and a small number of possibly miss-diagnosed cases, and their pregnancy outcomes have no significant difference from those of normal pregnant women.


Assuntos
Diabetes Gestacional/diagnóstico , Teste de Tolerância a Glucose/métodos , Adulto , Glicemia/análise , China/epidemiologia , Diabetes Gestacional/epidemiologia , Reações Falso-Negativas , Feminino , Humanos , Gravidez , Resultado da Gravidez , Prevalência , Fatores de Risco , Fatores de Tempo
10.
Zhonghua Yi Xue Za Zhi ; 90(45): 3184-7, 2010 Dec 07.
Artigo em Chinês | MEDLINE | ID: mdl-21223764

RESUMO

OBJECTIVE: A3243G mutation in mitochondrial DNA is the most common pathogenic point mutation causing a variety of phenotypes. The clinical phenotype and the relationship between the clinical phenotype and the ratio of A3243G mutation were studied in the members from nuclear families carrying A3243G mutation. METHODS: A total of 42 families carrying A3243G mutation were recruited and their clinical symptoms, laboratory results and the ratio of A3243G analyzed. RESULT: (1) In probands, myopathy, seizure, hirsutism, headache, cognitive impairment, weight loss and short stature were the most common clinical features. They tended to occur simultaneously. Lactic acid, pyruvate and MRI were abnormal in most probands; (2) most carriers had a normal phenotype. Myopathy, weight loss and short stature were their most common clinical features; (3) the ratio of A3243G mutation in urine was higher than that in blood in probands (t = -15.06, P < 0.001). And the ratio of A3243G mutation in urine was higher than that in blood in their mothers (z = -6.241, P < 0.001); (4) the ratio of A3243G mutation in probands was 2-fold higher than that in their mothers in both blood and urine. CONCLUSION: The phenotype of patients carrying A3243G mutation is varied. The clinical symptoms and laboratory results of probands are worse than those of mothers. It is probably due to a higher mutation ratio of m.3243A>G in their tissues.


Assuntos
DNA Mitocondrial/genética , Síndrome MELAS/genética , Mutação Puntual , Adolescente , Adulto , Núcleo Celular/genética , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Linhagem , Fenótipo , Adulto Jovem
11.
Zhonghua Fu Chan Ke Za Zhi ; 44(3): 183-7, 2009 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-19570442

RESUMO

OBJECTIVE: To study three single nucleotide polymorphisms (SNP), SNP-43, -19 and -63 of calpain-10 (CAPN10) gene in pregnant women with glucose metabolism disorders and their relationship with the risk of these disorders. METHODS: Totally, 270 pregnant women including 156 with an abnormal oral glucose tolerance test (study group) and 114 healthy controls were selected among those delivered at the Department of Obstetrics and Gynecology, Peking University First Hospital from Jan. 2005 to Dec. 2006. The SNP of CAPN10 gene at positions 43, 19, and 63 were analyzed by primer-introduced restriction analysis-polymerase chain reaction (PIRA-PCR). RESULTS: (1) The frequencies CAPN10 SNP-19 2R/2R genotype (26.9%, 42/156) and 2R allele (48.9%, 152/312) were higher than those in controls (12.3%, 14/114 and 36.8%, 84/228, respectively; P=0.012, 0.006). (2) Stratified analysis according to family history of diabetes mellitus showed the proportion of the CAPN10 SNP-19 2R/2R+2R/3R genotypes (83%, 47/57) in the study group were significantly higher than that of control group (52%, 11/21; P=0.009), and the proportion of SNP-63 T/T+T/C genotypes (47%, 27/57) in study group were significantly higher than that of control group (14%, 3/21; P=0.026) among those with positive family history. (3) The combined effect of CAPN10 SNP-43, -19 and -63 on glucose metabolism disorders was analyzed by comparing with the other haplotypes and showed that the haplotype 121 distribution in study group was significantly higher than those in controls (P=0.036), and 221 haplotype was significantly lower than controls (P=0.042). CONCLUSIONS: (1) CAPN10 SNP-19 is associated with glucose metabolism disorders in pregnant women. And 2R allele might be the risk factor. CAPN10 SNP-19 2R/2R+2R/3R and SNP-63 T/T+T/C genotypes might increase the risk of glucose metabolism disorders in women with positive family history. Haplotype 121 might increase the risk of glucose metabolism disorders in pregnant women and 221 be a protective factor.


Assuntos
Calpaína/genética , Transtornos do Metabolismo de Glucose/genética , Polimorfismo de Nucleotídeo Único/genética , Complicações na Gravidez/genética , Adulto , Alelos , Glicemia/metabolismo , Estudos de Casos e Controles , Primers do DNA , Diabetes Gestacional/genética , Feminino , Frequência do Gene , Predisposição Genética para Doença , Genótipo , Haplótipos , Humanos , Reação em Cadeia da Polimerase/métodos , Gravidez , Fatores de Risco
12.
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue ; 20(2): 104-7, 2008 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-18279595

RESUMO

OBJECTIVE: To investigate the effect of methylprednisolone (MP) and naloxone (Na) on pulmonary ischemia/reperfusion (I/R) injury in rats and to study its possible mechanism. METHODS: Seventy male Sprague-Dawley (SD) rats were used for reproduction of unilateral lung ischemia/reperfusion (I/R) injury, and they were randomly divided into five groups (14 rats in each group): sham operation group (sham group), I/R group, MP group,Na group, and MP+Na group. Each group was subdivided into two subgroups of 3-hour and 6-hour postinjury. I/R injury was produced by 45 minutes of cross-clamping of the pulmonary artery, followed by 3 hours or 6 hours of reperfusion. Apoptosis rate in lung tissue was assessed by the use of Annexin-V-PI with flow cytometry. Expression of I Kappa B-alpha and caspase-3 in lung tissue were observed by immunohistochemical stain and image analysis. The wet to dry weight (W/D) ratio, the pathological and ultrastructure changes in lung tissue were observed. RESULTS: (1) The expression of I Kappa B-alpha in lung was obviously lower in I/R group than in 6-hour MP group (P<0.01), while expression of caspase-3 in lung tissue was significantly less intense in 3-hour and 6-hour Na group compared with I/R group (both P<0.05). Apoptosis rate in lung tissue was obviously lower in MP and 3-hour and 6-hour Na group than in I/R group (both P<0.01). The pathological and ultrastructure changes in lung tissue were less intensive. (2) Apoptosis rate, caspase-3 of lung tissue were significantly lower in MP+Na group than of 6-hour in MP, Na, I/R groups (P<0.05 or P<0.01) while the expression of I Kappa B-alpha was higher than of 6-hour Na group. The pathological and ultrastructure change in lung tissue were less more mark in MP+Na group than in other groups. CONCLUSION: MP and Na inhibit apoptosis in lung I/R injury by either decreasing the activation of I Kappa B-alpha or caspase-3.MP and Na when used together in early period of lung I/R injury could exert more effective protection to lung tissue.


Assuntos
Pulmão/irrigação sanguínea , Metilprednisolona/farmacologia , Naloxona/farmacologia , Traumatismo por Reperfusão/prevenção & controle , Animais , Apoptose/efeitos dos fármacos , Caspase 3/metabolismo , Modelos Animais de Doenças , Proteínas I-kappa B/metabolismo , Pulmão/metabolismo , Pulmão/patologia , Masculino , Inibidor de NF-kappaB alfa , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley , Traumatismo por Reperfusão/metabolismo , Traumatismo por Reperfusão/patologia
13.
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue ; 19(8): 481-4, 2007 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-17708846

RESUMO

OBJECTIVE: To evaluate the effect of early parenteral glutamine (Gln) administration on heat shock protein (HSP70) expression and clinical outcome in critical patients. METHODS: Forty-four Patients requiring parenteral nutrition (PN) for more than 7 days, admitted to emergency intensive care unit (EICU) and neurosurgical intensive care units (NICU) were randomly divided into two groups, one was the control group, the other was the Gln treatment group (each n=22). Patients in both group received PN and enteral nutrition (EN). In addition, glutamine 0.4 g/kg per day was given to patients of Gln treatment group for 7 days. Serum HSP70, Gln concentrations were measured at admission and 7 days after the nutritional supplementation. Observations of clinical outcome included the length of mechanical ventilation, the length of stay in intensive care unit (ICU), the incidence of liver and kidney dysfunction before and after treatment. RESULTS: Serum HSP70 and Gln level showed no significant changes in control group and Gln treatment group before the treatment (both P>0.05), though they were mildly increased after conventional treatment compared with the control group, but without statistically significant difference. In Gln treatment group, between serum HSP70, Gln concentrations were significantly higher than those before treatment (both P<0.01), and they showed significant difference between control group and Gln group after treatment (both P<0.01). HSP70 level was significantly positively correlated with Gln level in critical patients (r=0.650 5, P=0.001). The ratios of liver dysfunction and the length of mechanical ventilation showed significant difference between Gln group and control group (both P<0.05). The ratios of kidney dysfunction and the length of stay in ICU showed no obvious changes between two groups (both P>0.05). CONCLUSION: Early parenteral glutamine administration can improve clinical outcome, decrease the ratio of organ dysfunction possibly by the mechanism of increasing serum HSP70 in critical patients.


Assuntos
Dipeptídeos/uso terapêutico , Glutamina/uso terapêutico , Proteínas de Choque Térmico HSP70/sangue , Nutrição Parenteral , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Unidades de Terapia Intensiva , Rim/fisiopatologia , Fígado/fisiopatologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Adulto Jovem
14.
Zhonghua Bing Li Xue Za Zhi ; 33(1): 40-3, 2004 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-14989927

RESUMO

OBJECTIVE: To study the possible role of hTERT and c-myc in endometrial carcinogenesis. METHODS: The expression of hTERT and c-myc mRNA was examined by in situ hybridization of endometrial samples from 14 cases with simple hyperplasia, 10 with complex hyperplasia, 8 with atypical hyperplasia and 42 with endometrioid carcinoma. RESULTS: Expression of hTERT was demonstrated in samples with simple hyperplasia, complex hyperplasia, atypical hyperplasia and carcinoma at frequencies of 2/14, 4/8, 8/10 and 39/42 (92.9%), respectively. The prevalence and intensity of the hTERT signal was greater in the carcinomas and lesions with atypical hyperplasia than those with simple or complex hyperplasia (P < 0.05). The expression of c-myc was demonstrated in samples with simple hyperplasia, complex hyperplasia, atypical hyperplasia and carcinoma at frequencies of 3/14, 1/8, 5/10 and 23/42 (54.8%), respectively. The frequency of c-myc expression was higher in carcinomas and hyperplastic lesions with atypia than those in lesions with simple or complex hyperplasia without atypia (P < 0.05). The expression of hTERT was shown to be correlated with the level of differentiation (P < 0.05), while the c-myc expression appeared to be associated with the depth of myometrial invasion (P < 0.05). The expression levels of hTERT and c-myc were not found to be correlated with each other in the tissues examined (P > 0.05). CONCLUSIONS: The expression of hTERT and c-myc may be involved in the progression from the endometrial aypical hyperplasia to invasive carcinoma. The correlation between hTERT and c-myc in endometrial hyperplasia and carcinoma are not found.


Assuntos
Neoplasias do Endométrio/genética , Genes myc , Lesões Pré-Cancerosas/genética , RNA Mensageiro/análise , Telomerase/genética , Adulto , Idoso , Proteínas de Ligação a DNA , Neoplasias do Endométrio/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Lesões Pré-Cancerosas/patologia
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