简介:BACKGROUND:Theuseofacupuncturehasreceivedrecognitiontoeffectivelytreatcerebralpalsy.Moreover,musictherapycanbeusedtomodifytreatmentofcerebralpalsy.OBJECTIVE:Tostudytheeffectsofcombinedtreatmentusingacupunctureandmusictherapyongrossmotorfunctionmeasure(GMFM)ofchildrenwithcerebralpalsy,comparedwithacupuncturetreatmentalone.DESIGN,TIMEANDSETTING:Randomized,controlled,clinicalstudy.TheexperimentwasconductedinShenzhenHospitalofTraditionalChineseMedicinebetweenJanuary2007andSeptember2007.PARTICIPANTS:AllchildrenwithcerebralpalsyinthetrialwerefromtheoutpatientdepartmentofShenzhenHospitalofTraditionalChineseMedicine.Thechildrenwererandomlydividedintotwogroups:30childreninGroupBreceivedacupunctureandmusictherapy,while30childreninGroupAreceivedonlyacupuncturetherapy.METHODS:SubjectsinGroupsAandBreceivedacupuncturebasedonsyndromedifferentiation.Themainacupointswerenecessaryforallparticipants.Atfirst,flashneedlingwasappliedtotheacupoints.Fortheremainingacupoints,thetechniqueoftransverseneedlingwasappliedtotheheadacupoints,andperpendicularneedlingwasusedfortheotherpoints.Theinsertedneedlesweretwirledandthenmaintainedfor30minutes.Theneedlewastwirledforonesecondeveryother10minutes,withoutreinforcing-reducingtechniques.Thetherapywasperformedeveryotherday.Thetrialconsistedofthreeperiodseach,andlastedfor84days.SubjectsinGroupBreceivedmusictherapy.Theylistenedtomusicthattheypreferredwhileacupuncturewasbeingperformed.Followingacupuncture,theywereallowedtoperformmusicalactivities,suchaspercussion,singing,anddancing.Themusictherapywasscheduledforonehour,includinglisteningtomusicfor30minutesandmusicactivitiesfor30minutes.MAINOUTCOMEMEASURES:ThecomprehensivefunctionalevaluationscaleofcerebralpalsyandtheGMFMwereappliedtotestsymptomsbeforeand
简介:BACKGROUND:Ithasbeenreportedthatperoxisomeproliferator-activatedreceptorγ(PPARγ)ishighlyexpressedinlungcancer,coloncancer,andgastriccancer,aswellasothertumors.OBJECTIVE:TostudyexpressionofPPARγinpituitaryadenomasandanalyzetheroleofPPARγinhormonaltypingofpituitaryadenomas.DESIGN,TIMEANDSETTING:Semi-quantitativeimmunohistochemistryofpathologicalspecimens.TheexperimentwasconductedattheDepartmentofNeurosurgery,WuxiSecondHospitalAffiliatedtoNanjingMedicalUniversitybetweenJanuary2002andMay2005.MATERIALS:Surgicalresectionsamplesofpituitaryadenomasfrom38cases(18maleand20female)wereanalyzed.Eightcasesweredeterminedtobeinvasivepituitaryadenomasand30caseswerenon-invasivepituitaryadenomas.Hormonalclassificationofthetypesofpituitaryadenomasrevealedsomatotrophicadenomasinsixcases,corticotrophicadenomainfivecases,prolactinomasin13cases,multi-hormonesecretingadenomasinsixcases,andeightcasesofadenomawithoutalteredendocrinefunction.Fiveautopsyspecimenswerecollectedduringthesameperiodfrompatientsofmatchingagethatdiedfromunrelateddiseasesandwereincludedasnormalanteriorpituitarycontrols.METHODS:Cellcountsforpositiveimmunohistochemicalsignalswererecordedfromhistopathologicalsections.Thepercentageofpositivecellswasreportedasasemi-quantitativeanalysis.MAINOUTCOMEMEASURES:TherateofPPARγpositivecellsindifferenttypesofadenomawasbasedonhormonallevelsandinvasivenessofpituitarytumorcells.RESULTS:AlltumorbiopsiesweredeterminedtoexpressPPARγTherateofPPARγ-positivecellsrangedbetween8%-65%inthepituitaryadenomas.Accordingtohormonaltype,PPARγexpressiondidnotvarybetweenthegroups.Inaddition,therewasnosignificantdifferenceinPPARγexpressionbetweenthenon-invasiveandinvasivepituitaryadenomas.CONCLUSIONS:HumanpituitaryadenomasexpressPPARγ,andthisexpressionisunrelatedto
简介:X-irradiationhasabeneficialeffectintreatingspinalcordinjury.WesupposedthatX-irradiationcouldimprovethemicroenvironmentatthesiteofaspinalcordinjuryandinhibitglialscarformation.Thus,thisstudywasdesignedtoobservetheeffectsof8GyX-irradiationontheinjurysiteat6hoursand2,4,7,and14dayspostinjury,intermsofimprovementinthemicroenvironmentandhindlimbmotorfunction.ImmunohistochemistryshowedthattheexpressionofmacrophagemarkerED-1andtheareawithglialscarformationwerereduced.Inaddition,theBasso,BeattieandBresnahanscorewashigherat7dayspostinjuryrelativetotheothertimepointspostinjury.ResultsindicatedthatX-irradiationatadoseof8Gycaninhibitglialscarformationandalleviatetheinflammatoryreaction,therebyrepairingspinalcordinjury.X-irradiationat7dayspostspinalcordinjurymaybethebesttimewindow.
简介:HeavyionbeamswithhighlinearenergytransferexhibitmorebeneficialphysicalandbiologicalperformancethanconventionalX-rays,thusimprovingthepotentialofthistypeofradiotherapyinthetreatmentofcancer.However,thesetworadiotherapymodalitiesbothcauseinevitablebraininjury.TheobjectiveofthisstudywastoevaluatetheeffectsofheavyionandX-rayirradiationonthecytoskeletonandcytomechanicalpropertiesofratcorticalneurons,aswellastodeterminethepotentialmechanismofneuronalinjuryafterirradiation.Corticalneuronsfrom30new-bornmicewereirradiatedwithheavyionbeamsatasingledoseof2GyandX-raysatasingledoseof4Gy;subsequentevaluationoftheireffectswerecarriedoutat24hoursafterirradiation.AnimmunofluorescenceassayshowedthatafterirradiationwithboththeheavyionbeamandX-rays,thenumberofprimaryneuronswassignificantlydecreased,andtherewasevidenceofapoptosis.Radiation-inducedneuronalinjurywasmoreapparentafterX-irradiation.Underatomicforcemicroscopy,theneuronalmembraneappearedroughandneuronalrigidityhadincreased.ThesecellchangesweremoreapparentfollowingexposuretoX-rays.OurfindingsindicatedthatdamagecausedbyheavyionandX-rayirradiationresultedinthestructuraldistortionandrearrangementofthecytoskeleton,andaffectedthecytomechanicalpropertiesofthecorticalneurons.Moreover,thisradiationinjurytonormalneuronswasmuchsevererafterirradiationwithX-raysthanafterheavyionbeamirradiation.
简介:目的:探讨癌基因表达的变化与辐射性细胞放射损伤的关系.方法:采用免疫组化技术检测人脑星形细胞瘤细胞系经X射线处理前后p53、c-myc、bcl-2基因表达的变化;采用原位杂交方法检测p53基因在mPNA水平表达的变化.结果:①处理组内p53、c-myc基因表达率明显高于对照组(P<0.001),bcl-2表达显著减弱(P<0.05),p53或c-myc与bcl-2基因表达呈显著性负相关(P<0.05).②处理组内p53在mRNA水平表达量明显高于对照组(P<0.05),p53基因在蛋白水平与mRNA水平表达呈显著性正相关(P<0.05),p53基因在蛋白水平与mRNA水平表达呈显著性正相关(P<0.05).结论:p53、c-myc和bcl-2基因在X线诱导的细胞损伤中起着重要的作用.本研究结果为脑胶质瘤的放射治疗和基因治疗提供了一条新线索.
简介:OBJECTIVE:ToevaluatetheassociationofX-raycross-complementinggroup1(XRCC1)Arg399Gln,Arg194TrpandArg280Hispolymorphismswiththeriskofglioma.DATASOURCES:AsystematicliteraturesearchofpaperspublishedfromJanuary2000toAugust2012inPubMed,Embase,ChinaNationalKnowledgeInfrastructuredatabase,andWanfangdatabasewasperformed.Thekeywordsusedwere"glioma","polymorphism",and"XRCC1orX-rayrepaircross-complementinggroup1".Referencescitedintheretrievedarticleswerescreenedmanuallytoidentifyadditionaleligiblestudies.STUDYSELECTION:Studieswereidentifiedaccordingtothefollowinginclusioncriteria:case-controldesignwasbasedonunrelatedindividuals;andgenotypefrequencywasavailabletoestimateanoddsratio(OR)and95%confidenceinterval(CI).Meta-analysiswasperformedfortheselectedstudiesafterstrictscreening.Dominantandrecessivegeneticmodelswereusedandtherelationshipbetweenhomozygousmutantgenotypefrequenciesandmutantgenefrequencyandgliomaincidencewasinvestigated.WechosethefixedorrandomeffectmodelaccordingtotheheterogeneitytocalculateORand95%CI,andsensitivityanalyseswereconducted.PublicationbiaswasexaminedusingtheinvertedfunnelplotandtheEgger’stestusingStata12.0software.MAINOUTCOMEMEASURES:AssociationofXRCC1Arg399Gln,Arg194Trp,andArg280Hispolymorphismswiththeriskofglioma,andsubgroupanalyseswereperformedaccordingtodifferentethnicitiesofthesubjects.RESULTS:Twelvearticleswereincludedinthemeta-analysis.ElevenofthearticleswereconcernedwiththeArg399Glnpolymorphismandgliomaonsetrisk.Significantlyincreasedgliomariskswerefoundonlyinthedominantmodel(Gln/Gln+Gln/ArgversusArg/Arg:OR=1.26,95%CI=1.03-1.54,P=0.02).Inthesubgroupanalysisbyethnicity,significantlyincreasedriskwasfoundinAsiansubjectsintherecessive(OR=1.46,95%CI=1.04-2.45,P=0.03)anddominantmodels(OR=1.40,95%CI=1.10-1.78,P=0.007),andhomozygotecontrast(OR=1.69,95%CI=1.17-2.45,P=0.005),bu
简介:目的探讨脊髓挫伤部位的X线照射治疗对脊髓损伤后运动功能恢复的作用.方法将70只雌性Wistar大鼠按照纽约大学的重力冲击方法建立大鼠脊髓(T10)损伤动物模型,按照随机数字表法分为7组,每组10只,其中6组大鼠在损伤后不同时间(损伤后20min、1d、2d、4d、7d、17d)对挫伤部位进行X线(20Gy)照射,第7组则不予照射(对照组).然后根据Basso、Beattie、Bresnahan(BBB)评分标准评测各组大鼠运动功能恢复情况,并进行统计学比较.采用快蓝染色对存活6周以上的大鼠进行挫伤脊髓的组织形态学观察.结果脊髓挫伤后20min、1d、2d行X线照射组BBB评分明显高于对照组,差异均有统计学意义(P〈0.05),且在脊髓损伤后的2~3周进展较快,后期恢复缓慢.组织形态学观察可见应用X线治疗组周边组织残存区面积大于对照组.结论脊髓挫伤部位伤后早期行X线照射治疗可保护脊髓残存的神经组织,改善运动功能的恢复.
简介:BACKGROUND:Alpha-actinin(α-actinin)playsakeyroleinneuronalgrowthconemigrationduringdirectionaldifferentiationfromneuralstemcells(NSCs)toneurons.OBJECTIVE:Todetectinsitumicrodistributionandquantitativeexpressionofα-actininduringdirectionaldifferentiationofNSCstoneuronsinthetemporallobecerebralcortexofneonatalrats.DESIGN,TIMEANDSETTING:BetweenJanuary2006andDecember2008,cultureanddirectionaldifferentiationofNSCswereperformedatDepartmentofHistologyandEmbryology,PreclinicalMedicalCollege,ChinaMedicalUniversity.ImmuneelectronmicroscopywasperformedatDepartmentofHistologyandEmbryologyandDepartmentofElectronMicrology,PreclinicalMedicalCollege,ChinaMedicalUniversity.SpectrumanalysiswasperformedatLaboratoryofElectronMicroscopy,MentalResearchInstitute,ChineseAcademyofSciences.MATERIALS:Basicfibroblastgrowthfactor,epidermalgrowthfactor,brain-derivednervegrowthfactor,type-1insulinlikegrowthfactor,andα-actininantibodywereprovidedbyGibcoBRL,USA;rabbit-anti-ratnestinmonoclonalantibody,rabbit-anti-ratneuronspecificenolasepolyclonalantibody,andEDAX-9100energydispersiveX-rayanalysiswereprovidedbyPHILIPSCompany,Netherlands.METHODS:NSCs,followingprimaryandpassageculture,weredifferentiatedwithserumculturemedium(DMEM/F_(12)+10%fetalbovineserum+2ng/mLbrain-derivednervegrowthfactor+2ng/mLtype-1insulinlikegrowthfactor).MAINOUTCOMEMEASURES:Expressionofα-actinininneuron-likecellswasquantitativelyandqualitativelydetectedwithimmunocytochemistryusingenergydispersiveX-rayanalysis.RESULTS:Immunocytochemistry,combinedwithelectronmicroscopy,indicatedthatpositiveα-actininexpressionwaslikeaspheroidparticlewithhighelectrondensity.Inaddition,theexpressionwasgraduallyconcentratedfromthenuclearedgetothecytoplasmandexpandedintodevelopingneurites,duringdifferentiationofneuralstemcellstoneurons.Conversely,energydispersive