Intra-hepatic-arterial infusion of misonidazole--an experimental study of regional radiosensitisation by intraarterial embolisation

The purpose of this study was to generate a selective radiosensitising effect by the intra-hepatic-arterial infusion of misonidazole (MISO). MISO (10 mg) was infused after transcatheter hepatic-arterial embolisation into the livers of rabbits bearing VX2 liver cancer. This procedure was followed by 15 Gy electron irradiation. Evaluation of tumour volume and histological examination was carried out on the 7th day after treatment. The greatest tumour response was obtained in the group which received MISO followed by radiation and was characterised by extensive fibrosis around the tumour and nearly complete tumour necrosis. Liver cell regeneration was also noted in adjacent liver tissue. The advantages of regional infusion of MISO following hepatic-arterial embolisation are: (1) Selectivity increased radiosensitivity of liver cancer alongside very low drug concentration in the plasma. (2) Reduced or absent deleterious side effects of MISO with higher tumour/normal tissue ratios of drug concentration. (3) Reduced cost due to the lower dosage of MISO required for regional infusion.

Formation of the excited ferryl species following Fenton reaction

A concomitant chemiluminescence burst can be detected when hydrogen peroxide is injected into the solution containing either free or chelated ferrous iron. The duration of the burst is slightly longer than the time for the oxidation of Fe2+. The luminescence intensity is a quadratic function of the initial concentration of H2O2 and is dependent on Fe2+ concentration. The scavengers of hydroxyl radical effectively inhibit, while the previously added ferric ions enhance, the luminescence. It is proposed that the excited species responsible for the luminescence is created by the reaction of hydroxyl radical with ferric iron. The theoretical analysis based on such a mechanism can fairly well interpret the experimental observation. The present study suggests that an excited ferryl species may be formed in Fenton reaction.

[Vibrio cholerae toxin B subunit gene expressed in a Salmonella vaccine strain]

This paper reports that the V. cholerae toxin B subunit (ctx B) gene was inserted into pYA 248 plasmid with the aspartate beta-semialdehyde dehydrogenase (asd)gene and the recombinant plasmid was transformed into S. typhimurium deleting asd gene. Results showed that ctx B gene was highly expressed and secreted into midium. This strain was able to colonize in the intestinal epithelium. Oral immunity and general immunity could produce antibodies at high level and enhance cellular immune responses. The animals orally inoculated with S. typhimurium x 4072 (pYA-ctx B) vaccine had remarkable protection against virulent V. cholear 569B strain and S. typhimurium strain. Use of such system provides useful method for oral vaccine.

Postural stability in patients with Huntington's disease

We characterized postural stability in patients with Huntington's disease (HD) by examining their ability to use different sensory cues to maintain balance and by recording their automatic postural responses to externally applied perturbations. Our HD patients, like normal subjects, depended more on proprioceptive than on visual cues to maintain balance. HD patients, however, developed more sway than normal subjects when proprioceptive cues, or when proprioceptive cues and vision, were altered. Thus, HD patients showed a defect in using vestibular information alone to maintain normal postural stability. The onset of compensatory motor responses in the lower extremities following sudden translations of the support surface was delayed by 30 to 60 msec in HD patients as compared with normal subjects. HD patients also had more sway and falls during unexpected rotations of the support surface, although they could appropriately reduce their motor responses on the next trial.

[Mechanisms and therapeutic effect of Cordyceps sinensis (CS) on aminoglycoside induced acute renal failure (ARF) in rats]

Nephrotoxic ARF model of rat was induced by IP injection of either Gentamycin or Kanamycin and treated with CS. The results of study showed that the simultaneous administration of CS with Gentamycin could protect the proximal tubular cells from Gentamycin toxicity and the use of CS after the establishment of Kanamycin nephrotoxic ARF could prompt an earlier recovery from ARF as compared with the control group. The possible mechanisms of CS on ARF include: (1) protecting tubular cell sodium pump activity; (2) attenuating tubular cell lysosome overfunction stimulated by phagocytosis of aminoglycoside; (3) decreasing tubular cell lipoperoxidation in response to toxic injury.

[Blood supply of hepatic carcinomas and its clinical significance]

Parasitic blood supply in 85 patients with hepatic carcinoma was demonstrated by selective angiography and CT. The hepatic carcinomas in the posterior segment of the right hepatic lobe and the lateral segment of the left hepatic lobe were partially fed by the inferior phrenic arteries in 48 patients. The hepatic carcinomas in the inferior portion of the right hepatic lobe were partially fed by the omental arteries in 37 patients. The development of parasitic blood supply depends more upon the location of the tumor than the occlusion of hepatic artery. Although the hepatic artery is occluded, the tumor may still receive blood supply from its parasitic arteries and continue to grow steadily. Therefore, in patients with double arterial blood supply, transcatheter double arterial (hepatic artery and parasitic arteries) infusion and embolization (TDAIE) should be applied for treatment. TDAIE was used in 33 of 85 cases and the preliminary result was quite satisfactory.

Effect of digoxin on contractility and symptoms in infants with a large ventricular septal defect

The effect of digoxin on contractility and symptoms in infants with a large ventricular septal defect (VSD) is controversial. Nineteen infants with symptoms of congestive heart failure due to a VSD were studied with load-independent indexes during 4 study periods: (1) before any medication; (2) while on chronic diuretics; (3) while on both diuretics and digoxin; and (4) while on diuretics alone, to determine if digoxin: (a) increases "contractility" when added to diuretic therapy; and (b) improves symptoms. Symptoms, signs (heart and respiratory rates, and weight gain), shortening fraction, preload (left ventricular end-diastolic dimension), afterload (left ventricular end-systolic wall stress) and contractility were measured at each period. The difference between the measured and predicted velocities of circumferential fiber shortening for the measured left ventricular end-systolic wall stress served as an index of contractility. Eighteen infants also underwent catheterization. Mean pulmonary-to-systemic blood flow ratio was 3:1. When digoxin was added to diuretics, contractility index was significantly greater than in control subjects (0.13 +/- 0.15 vs 0.0 +/- 0.12 circ/s, p = 0.04). When patients were again on diuretics alone (after discontinuation of digoxin), contractility index was no longer different. Symptoms and signs were not significantly improved by either diuretics or digoxin. It is concluded that in infants with a large left-to-right VSD shunt and receiving digoxin and diuretics, contractility index was significantly greater than in control subjects. However, neither diuretics alone nor in combination with digoxin improved symptoms significantly.

[Cloning and expression of the cholera toxin B subunit gene]

The CT-B gene-expressing plasmid pXB1 and modified pXB2 were constructed using recombinant DNA techniques. These resulted in high CT-B gene expression in E. coli (280-350 ng/ml), with CT-B accounting for 71.5% of total extracellular protein. The results of CT-B expression kinetics showed that the CT-B product levels reached a peak after 24 h in culture. Certain concentrations (100 micrograms/ml) of MgCl2, L-histidine and asparagine can increase the CT-B product level by 10%-25%. The binding of the expressed CT-B product to GM1 receptor on free or live cell membranes was identified by GM1-ELISA, CHO cytotoxicity test, indirect immunofluorescence, and the rabbit ileal loop test. No toxic response to cells or rabbits was detected.

[Effects of Cordyceps sinensis, rhubarb and serum renotropin on tubular epithelial cell growth]

Primary cultured rat tubular epithelium was utilized to investigate the effect of Cordyceps sinensis (CS) on cellular proliferation and metabolism. Judging from incorporation rate of 3H-TdR, it was found that the addition of serum containing CS metabolites into the culture media could promote the DNA synthesis of tubular cells profoundly (P less than 0.001). In association with its beneficial effects on gentamycin nephrotoxity in vivo study, it is indicated that CS could enhance the regeneration of injured tubular cells. In addition, sera obtained from 5/6 nephrectomized rats (5/6 NT) and rhubarb treated rats were studied to see their effects on tubular cells growth. The results showed that the serum of 5/6 NT rats could promote the DNA synthesis of tubular epithelium, while the presence of experimental serum of rhubarb in culture median markedly inhibited the DNA synthesis of cells.

Changes in cardiac function during extracorporeal membrane oxygenation for persistent pulmonary hypertension in the newborn infant

The effects of extracorporeal membrane oxygenation (ECMO) on cardiac function and its determinants (preload, afterload, contractility, and heart rate) are largely unknown, although some evidence exists that function may decrease. To determine whether cardiac function decreases and what changes in the determinants take place during and after ECMO, we observed 26 newborn infants with persistent pulmonary hypertension. Serial echocardiograms were performed before ECMO, during maximum cardiopulmonary bypass, and after ECMO. Cardiac function was assessed by using standard echographic ejection phase indices (shortening fraction and cardiac output). Heart rate, preload (left ventricular end-diastolic dimension and area), afterload (left ventricular end-systolic wall stress), and contractility (relationship between velocity of circumferential fiber shortening and wall stress) were also measured. Ejection phase indices significantly decreased during ECMO (shortening fraction 33% to 25%, cardiac output 205 to 113 ml/kg/min; p less than 0.05) and returned to normal after ECMO (shortening fraction 26% to 34%, cardiac output 107 to 240 ml/kg/per minute; p less than 0.05). Heart rate also significantly decreased during ECMO (158 to 118 beats/min; p less than 0.05). Preload significantly increased after ECMO (left ventricular end-diastolic dimension 1.4 to 1.6 cm, left ventricular end-diastolic area 1.9 to 2.2 cm2; p less than 0.05). There were no significant changes in contractility and afterload during any study period. We conclude that, although left ventricular ejection phase indices and heart rate decreased during ECMO, these changes were transient and resolved when bypass was terminated. Contractility and afterload did not appear affected by bypass.

[Model of stimulus train-induced bursting in rat hippocampal slice and the effect of L-glutamate on it]

A train of pulses (60 Hz, pulse duration 100 microseconds, train duration 2s, 2-3 fold maximal intensity) were applied to the CA3 stratum radiatum fiber pathway in rat hippocampal slices in vitro. Recordings of the field potentials were made from the stratum of CA3 pyramidal cells in response to these pulses so that the model of stimulus train-induced bursting (STIB) could be studied. It was a new and valuable model of epileptiform activity in hippocampal slices in vitro and the effect of L-glutamate (Glu) on STIB was also studied. Results showed that: 1. The number of train stimulus for a stable STIB averaged 5.5 +/- 2.1; the induced number of population spikes (PS) increased with an average in 5.2; and the STIB activity was long-last, persisting for up to 3-4 hours following the last train. 2. Superfusions of Glu in concentrations of 1, 2, and 3 mmol/L in hippocampal slices produced inhibition of STIB in CA3, but the first antidromic PS was unaffected, suggesting the site of inhibition is postsynaptic. The mechanisms related to the genesis of STIB and its inhibition by superfusion of Glu were discussed.

Erythrocyte fatty acids, plasma lipids, and cardiovascular disease in rural China

Cardiovascular disease (CVD) mortality (coronary heart disease, hypertensive heart disease, and stroke), plasma lipids, and red blood cell fatty acid composition were examined in an ecologic study in 65 rural counties in the People's Republic of China. Means of plasma total cholesterol, triglyceride, low-density-lipoprotein (LDL) cholesterol, and high-density-lipoprotein (HDL) cholesterol concentrations were substantially lower and the ratio of HDL cholesterol to total cholesterol was higher in this Chinese population than in Western populations. Mortality rates for CVD in China were well below Western values. Within China neither plasma total cholesterol nor LDL cholesterol was associated with CVD. A strong inverse correlation between red blood cell oleate concentrations and CVD was observed. However, red blood cell oleate concentrations were not associated with plasma cholesterol but were strongly negatively associated with arachidonate concentrations, suggesting potential diminution of CVD by oleate through reduced platelet aggregability. The results indicate that geographical differences in CVD mortality within China are caused primarily by factors other than dietary or plasma cholesterol.

[Antifatigue and anoxia-tolerating effects of the root of Tragopogon porrifolius L]

The root of Tragopogon porrifolius can evidently prolong the duration of swimming and stick-climbing for mice. The drug has provided food for tolerating anoxia in several models of rats and mice.

[Monoclonal antibody against laminin a and b chains: preparation and its clinical application]

In present study, we developed a hybridoma cell line which secretes monoclonal antibody against Laminin (Mo-611). The MoAb produced was identified to be isotype of IgG1. It reacted with Laminin obtained from murine EHS sarcoma, the intensity of reaction declined in accompany with increment of dilution, and could be absorbed by Laminin in 1 u/ml. On western blotting, it bounded to Laminin A chain 400 KD and Laminin B chain 200 KD. On IF study of renal tissue, positive staining with Mo-611 could be detected in fetal GBM and TBM, normal adult glomerular mesangial area and cytoplasm of tubular epithelium. In case of IgA nephropathy, the amount of deposits in mesangial area increased while in membranous nephropathy deposits along the capillary loop was also abundant in amount. In conclusion, the clinical application of McAb against Laminin might be helpful in the immunopathological diagnosis of glomerular diseases.

[A new monoclonal antibody against human tubular brush border: preparation and its application in membranous nephropathy]

A new monoclonal antibody (McAb) against human tubular brush border was successfully prepared by authors using the hybridoma technique. The McAb produced was identified to be isotype of IgG1 by IF and SDS-PAGE assay. It was unique for its purity and specificity. To demonstrate the clinical usefulness, the McAb was applied for immunopathological study in 94 cases of renal biopsy of glomerular diseases. This McAb was distinguished by its specific deposition along the human tubular brush border and the subepithelial region in certain type of glomerular disease, particularly the MGN. Identification of this McAb might contribute to the immunopathological diagnosis of GN.