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        west china medical publishers
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        find Author "嵇武" 6 results
        • 巨大十二指腸間質肉瘤伴腺癌1例報道

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        • Advances in research of gallbladder cancer organoid

          ObjectiveTo summarize the progress and challenges in the research of gallbladder cancer organoid, and explore the possible solution strategies. MethodThe literature relevant to the researches of gallbladder cancer organoid at home and abroad in recent years was reviewed. ResultsThe research of gallbladder cancer organoid was in its infancy. The gallbladder cancer organoid was mainly constructed from surgically resected gallbladder cancer tissues. Now the research of gallbladder cancer organoid had made some progress, such as on the pathogenesis and drug screening of gallbladder cancer. ConclusionsThe study on gallbladder cancer organoid can further understand the gallbladder cancer and help to speed up the update of diagnosis and treatment plan. However, the model of gallbladder cancer organoid is facing the challenges such as low construction success rate. The experience gained from organoids research in other diseases is worthy of reference.

          Release date:2023-02-02 08:55 Export PDF Favorites Scan
        • One Case of Obstructive Jaundice Caused by Biliary Tuberculosis and Literatures Review

          目的 總結膽管結核的臨床特點,以提高膽管結核的認識和診斷水平。方法 分析1例膽管結核患者的臨床資料、診斷過程并復習文獻。結果 根據患者病程中有盜汗、胸片中有陳舊性結核、術前結核感染T細胞斑點試驗(T-SPOT. TB)(+++)等信息,結合術中快速病理,明確診斷為膽管結核,行膽腸吻合術后,抗結核治療6個月后患者痊愈。結論 膽管結核是一種罕見疾病,對于年輕患者患有占位性病變導致梗阻性黃疸、影像學中腫瘤特征不典型、患者來自結核高發區、有陳舊性結核病史、病程中有低熱盜汗等任一癥狀者,應該注意結核的鑒別診斷,首選T-SPOT. TB檢測或內鏡引導下穿刺活檢,術中冰凍活檢是避免膽管結核患者過度醫療的最后一道防線。

          Release date:2016-09-08 10:36 Export PDF Favorites Scan
        • Experimental Study of Colonic Microflora Imbalance in Patients with Obstructive Jaundice

          ObjectiveTo explore the variation of the structure of the intestinal flora between healthy people and patients with obstructive jaundice perioperatively. MethodsFrom February 2013 to August 2014, 20 patients with obstructive jaundice and 10 healthy persons (normal control group) in our hospitol were selected as the research object. The first stool specimens of the research object after admission were obtained and the total fecal bacteria DNA were extracted. After polymerase chain reaction amplification, the changes in the structure of bacterial flora were dynamic observed by using denaturing gradient gel electrophoresis (DGGE), and the gel bands were analyzed by using Quantity One software. The similarity and diversity of flora structure, and principal component analysis (PCA) were analyzed. ResultsSignificant differences of colonic microflora were found between patients with obstructive jaundice and healthy people; advantage intestinal flora in obstructive jaundice patients was significant lower than the normal control group. With the extension of time and degree of obstruction aggravated, a descending trend was found in number, abundance, and diversity of the intestinal microflora (P < 0.05). ConclusionThere is significant differences in the structure of colon bacteria in patients with obstructive jaundice and healthy persons.

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        • Effect of the NF-κB on Intestinal Mucosal Barrier in Mice with Severe Acute Pancreatitis

          【摘要】 目的 探討NF-κB在重癥急性胰腺炎小鼠腸黏膜屏障功能損傷中的調控機制。 方法 36只BALB/C小鼠隨機分為對照組、模型組、NF-κB干預組,每組12只。18 h后處死小鼠,比較各組的腹腔內大體改變、腸黏膜病理改變,腸道通透性的變化及血清細胞因子水平,腸上皮緊密連接蛋白occludin的表達。 結果 模型組小鼠腹腔內呈明顯炎癥反應,腸管水腫,腸黏膜水腫,腸道通透性顯著增高,NF-κB特異性阻斷劑能降低腸道損傷,改善腸黏膜水腫,上調腸上皮緊密連接蛋白occludin的表達,顯著降低腸道通透性,降低細胞因子水平。 結論 NF-κB阻斷劑能夠通過選擇性的抑制NF-κB活性,改善受損的腸屏障功能。這一作用通過上調腸上皮緊密連接蛋白occludin的水平而實現。【Abstract】 Objective To investigate the roles of NF-κB in the intestinal mucosal barrier injury in mice with severe acute pancreatitis(SAP). Methods Thirty-six BALB/C mice were randomly assigned to normal control group, SAP model group and intervention group. Eighteen hours later, pathological intestinal villus changes, intestinal permeability, serum cytokines were evaluated in all three groups. Results In SAP model group, intestinal mucosa was found to be oedematous and intestinal permeability was markedly increased. NF-κB could ameliorate intestinal injury and mucosa edema, and improve intestinal permeability by upregulating occluding expression. Conclusion NF-κB could protect the function of intestinal mucosal barrier by inhibiting NF-κB activity, which suggests that NF-κB may play an intermediating role in SAP-induced intestinal failure through upregulating occluding expression.

          Release date:2016-09-08 09:50 Export PDF Favorites Scan
        • Influences of miRNA-155/PU.1 Signaling Pathway Blockade on Rat Bone Marrow-Derived Dendritic Cell Maturation and Transplantation Immunity

          ObjectiveTo explore the influence of miRNA-155/PU.1 signaling pathway blockade on bone marrow-derived dendritic cells (DCs) maturation and immune function of rat small intestinal transplantation. MethodsThe DCs were induced by adherent culture.The critical transcription factor gene PU.1 was designed and PU.1 siRNA was synthe-sized.The DCs were transfected by liposome transfection and a pair of PU.1 siRNA was screened according to the high silencing efficiency.The expressions of DCs surface markers CD80, CD86, and MHC-Ⅱamong three groups (PU.1 silent group, negative control group, and control group) were analyzed by flow cytometry.The IL-10 and IL-12p70 secretion levels in the supernatant were tested by ELISA method.The allogeneic T lymphocyte proliferation was tested by mixed lymphocyte reaction.The transfected cells were intravenously injected into the recipient rat on day 7 before intestinal transplantation.The survival conditions as well as pathological changes were observed in each group recipients. Results①The surface molecules CD80, CD86, and MHC-Ⅱin the PU.1 silent group were (27.0±5.6)%, (23.6±4.8)%, and (36.8±6.8)%, respectively; versus (74.0±9.4)%, (76.5±8.7)%, and (87.8±11.3)% in the negative control group, respectively, which were significantly lower in former and showing an in creased trend (P < 0.05).②Compared with the negative control group, IL-10 secretion level was significantly increased (P < 0.05), IL-12p70 secretion level significantly decreased (P < 0.05) in the PU.1 silent group.③The proliferation of T lymphocytes in the PU.1 silent group was significantly lower than that in the negative control group (P < 0.05).④When the transfected DCs were injected into the intestinal transplantation rats on day 7 before operation, the survival time was (14.3±3.3) d, (7.8±1.5) d, and (8.0±2.5) d in the PU.1 silent group, negative control group, and control group, respectively, which in the PU.1 silent group were significantly longer than that in the other two groups (P < 0.05), and the graft pathology showed that there were mild intestinal tissue damage, lymphocyte infiltration or villus edema in the PU.1 silent group. ConclusionmiRNA-155/PU.1 signaling pathway blockade could reduce DCs maturation and induce receptor-specific immune tolerance, which are proved both in vivo and in vitro.

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