Molecular targeted therapy for hepatocellular carcinoma / 医学研究生学报

Hepatocellular carcinoma (HCC) is the fourth malignant tumor with the third mortality rate in China. Most patients have lost their chance of surgery at the time of diagnosis and are required to receive systemic treatment. The molecular targeted agent sorafenib has brought revolutionary progress for the treatment of advanced liver cancer. The latest diagnosis and treatment guidelines for hepatocellular carcinoma in China also recommend sorafenib as the first choice for systematic treatment of advanced liver cancer. With the gradual deepening of our understanding of the biology of hepatocellular carcinoma, the continuous accumulation of drug experience and the increasing perfection of clinical research system, molecular targeted agents and effective drug regimens for advanced hepatocellular carcinoma will appear in succession. This article reviews the progress in this field.

Study on the application of CCQ-DSA in the evaluation of microvascular of liver carcinoma / 中国医学装备

Objective: To evaluate the clinical value of color coded quantitative-digital subtraction angiography(CCQ-DSA)in microvascular of liver carcinoma.Methods: 40 patients with hepatocellular carcinoma(HCC)who received treatment in hospital were selected in this research and they were divided into observation group(20 cases)and control group(20 cases).The CCQ-DSA was applied in observation group to observe microvascular of liver carcinoma and DSA imaging was applied in control group.And the applied effects of two groups in the display evaluation of new vessels of liver carcinoma were compared.Results: The differences of collateral circulation vessel and collateral circulation of small lesion of liver carcinoma between the two groups were significant(x2=5.584,x2=18.142,P＜0.05),respectively.And the difference of capillary type of liver carcinoma by diagnosis of angiography was significant(x2=10.039,P＜0.05).Conclusion: The diagnostic effect of CCQ-DSA for microvascular of liver carcinoma is better than that of DSA imaging,and it has significant advantage of display on image detail.

The experimental model of intestinal epithelial cell growth established by real time cell analysis / 中国药理学通报

Aim To observe the effect of epidermal growth factor (EGF) on cell growth under different culture conditions using the real-time cell analyzer and EGF as a tool medicine to promote cell growth,and to provide reference for establishing pharmacokinetic model of IEC-6 cell growth (proliferation).Methods IEC-6 cell was inoculated on E-Plate 16 plate at a density of 1 × 104 cell/well and cultured in DMEM with 10％ serum for 24 h,then replaced by serum-free DMEM culture (serum starvation)for 20 h,then the effects of different culture conditions on cell growth as well as EGF efficacy were observed.Results ① When the serum concentration was 10％,the cell growth index of EGF group(1,10,100 μg · L-1) after drug administration 24 h,48 h and 72 h was P ＞ 0.05 compared with the blank group,suggesting that 10％ serum culture could not reflect the efficacy of EGF.② When the serum concentration was 0％,EGF (1,10 μg · L-1) improved cell growth inhibition caused by serum-free cultivation,but could not recover it to normal level (the EGF group after drug administration 24 h,48 h and 72 h was P ＜0.01 compared with 5％ serum),which suggested that serum-free culture could not reflect the EGF efficacy.③ 0％,0.5％,1％ serum had different effects on cell growth,of which 0.5％ serum could neither have obvious inhibition on cell growth,nor reflect the EGF effect due to promoting cell growth for a long time.④When the serum concentration was 0.5 ％,the cell growth index of EGF groups after drug administration 24h,48h and 72h was P ＜0.01 compared with the blank group,suggesting that 0.5％ serum culture could better reflect EGF efficacy.⑤The efficacy of EGF (10 μg· L-1) in promoting cell growth was confirmed by repeated validation of 0.5 ％ serum.Condusions A reference scheme of the IEC-6 cell growth (proliferative) pharmacological experimental model is established in the real-time cell analyzer:cells are cultured in DMEM with 10％ serum for 24h,then in serum-free DMEM (serum starvation) for 20h,then after the adding of reagent,cells are cultured in DMEM with 0.5％ serum for 48-72 h to observe its effect on cell growth (proliferation).

Effect of tissue factor on the biological behavior of gastric cancer cells / 肿瘤

Objective: To investigate the effect of tissue factors (TF) on the biological behaviors of human gastric cancer SGC7901 and MKN45 cells. Methods: The recombinant TF antisense and sense vectors (pcDNA3.1-antisense TF and pcDNA3.1-sense TF) were constructed and transfected into SGC7901 cells (high expression of TF) and MKN45 cells (no expression of TF), respectively. The cell proliferation, cell cycle distribution and invasion capability were detected by MTT method, flow cytometry (FCM) and Transwell method, respectively. Results: The expression level of TF protein in SGC7901 cells transfected with recombinant TF antisense vector was down-regulated. As compared with the parental cells and the cells transfected with an empty vector, the proliferation of SGC7901 cells transfected with recombinant TF antisense vector was obviously decreased (P < 0.05), the proliferation index (PI) dropped from 0.357 to 0.286, and the number of the cells moved through the artifical membrane was reduced (P < 0.01). The proliferation of MKN45 cells transfected with recombinant TF sense vector was obviously increased as compared with those of the parental cells and the cells transfected with an empty vector (P < 0.05), the PI was increased from 0.277 to 0.366, and the invasion ability was increased (P < 0.01). Conclusion: TF may be an important factor associated with proliferation, movement and invasion of gastric cancer cells.

Complementary treatment of 141 HIV/AIDS patients with pulmonary infection by qingfei peiyuan micro-pill: a clinical observation / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To observe the effect of Qingfei Peiyuan Micro-pill (QPM) on HIV/AIDS patients with pulmonary infection of phlegm heat obstructing lung syndrome (PHOLS).</p><p><b>METHODS</b>Totally 141 HIV/AIDS patients with pulmonary infection of PHOLS were randomly assigned to the treatment group (94 cases) and the control group (47cases). On the basis of Western medicine, patients in the treatment group took QPM. The therapeutic course for all was 28 days. The improvement of symptoms and signs was observed. The body temperature (BT), chest X ray, and white blood cells (WBCs) were detected.</p><p><b>RESULTS</b>The Chinese medical syndrome score was lower in the treatment group than in the control group at the 7th, 21st, and 28th day of treatment, showing statistical difference (P < 0.05). The efficacy was better in the treatment group than in the control group at the 7th, 21st, and 28th day of treatment, showing statistical difference (P < 0.05). The BT was lower in the treatment group than in the control group on the 7th day. There was no statistical difference in the patient number with normal WBCs on the 7th day (P > 0.05). But there was statistical difference in the patient number with normal WBCs on the 14th, 21st, and 28th day of treatment (P < 0.05). There was no statistical difference in the patient number with normal chest X ray on the 7th and 28th day of treatment (P > 0.05). But there was statistical difference in the patient number with normal chest X ray on the 14th and 21 st day of treatment (P < 0.05).</p><p><b>CONCLUSION</b>QPM had certain complementary effect on HIV/AIDS patients with pulmonary infection of PHOLS.</p>

Research on Chinese medicine syndrome distribution of asymptomatic HIV infection patients / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To explore Chinese medicine syndrome distribution laws of asymptomatic HIV infection patients.</p><p><b>METHODS</b>Using Chi-square test, Chinese medicine syndrome distribution laws were compared and analyzed in 1 156 asymptomatic HIV infection patients from March 2009 to October 2011 from four aspects, i.e., age, possible infection time, disease duration, and different routes of infection.</p><p><b>RESULTS</b>Qi deficiency syndrome (QDS) and internal dampness-heat accumulation syndrome (IDHAS) were dominant in all syndrome types. Along with aging, QDS showed a growing tendency, while IDHAS showed obvious declining tendency. There was no obvious change in other syndrome types. There was statistical difference in the distribution of each syndrome type among each age period (P < 0.01). Within 15 years, along with the increase of infection time, QDS showed a growing tendency, while IDHAS ratio showed an obvious declining tendency. No obvious laws were found in other syndrome types. There was statistical difference in the distribution of each syndrome type (P < 0.01). Along with the prolongation of disease duration, the case number of each syndrome showed a decreasing trend, but QDS and IDHAS still accounted for higher ratios in each stage. There was statistical difference in the distribution of each syndrome type (P < 0.01). As for infection routes, QDS was predominant in paid blood donation, blood transfusion infection, intravenous drugs. IDHAS was predominant in sexual transmit. No obvious laws were found in other syndrome types. There was statistical difference in the distribution of each syndrome type (P < 0.01).</p><p><b>CONCLUSIONS</b>DIS, IDHAS, and no confirmable syndrome typing were dominant in asymptomatic HIV infection patients. Deficiency and dampness were important pathological factors for them.</p>

Preliminary study on features of syndrome distribution and cluster analysis for AIDS patients with pulmonary infection / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To investigate Chinese medical features of acquired immunodeficiency syndrome (AIDS) patients with pulmonary infection.</p><p><b>METHODS</b>Using cluster analysis method, Chinese medical syndromes of 196 AIDS patients with pulmonary infection were analyzed. The distribution features of each syndrome type were analyzed according to the severity and CD4+ numerical analysis.</p><p><b>RESULTS</b>Basic Chinese medical syndrome types could be summed up as three kinds: exterior invasion of wind heat and phlegm heat obstructing Fei syndrome (61 cases, 31.1%), Fei-Pi deficiency and Fei stagnation of phlegm syndrome (64 cases, 32.7%), Fei-Shen deficiency and yin deficiency induced inner heat syndrome (71 cases, 36.2%). There was statistical difference in the severity degree and the distribution of CD4 among the three syndrome types (P < 0.05).</p><p><b>CONCLUSIONS</b>AIDS patients with pulmonary infection involve Fei, Shen, and Pi. The pathogenic factors were related to "wind", "heat", "phlegm", and "xu". The Chinese medical syndrome distribution was closely correlated with patients' immunity.</p>