胃镜检查在幽门杆菌感染多发区常规检测中的应用

我国是胃癌的高发区，胃癌死亡人数占所有因癌症死亡人数的23．2％，接近1／4，到目前为止，胃癌仍然是人类常见的恶性肿瘤，居全球肿瘤发病率和癌症死亡率的第25位，尤其值得注意的是，近年来我国青壮年胃癌患者呈增加趋势，19—35岁的胃癌患者占胃癌总数的百分比已由20世纪70年代的1．7％上升到3．3％。因此，开展健康体检筛查对胃癌的早发现、早诊断、早治疗显得尤为重要。

An ELISA Based on a Truncated Soluble ORF2 Protein for the Detection of PCV2 Antibodies in Domestic Pigs

Postweaning multisystemic wasting syndrome (PMWS) is an important swine disease that is closely associated with porcine circovirus type 2 (PCV2). The capsid protein (Cap protein) is a major structural protein that has at least three immunoreactive regions, and it can be a suitable candidate antigen for detecting the specific antibodies of a PCV2 infection. In the present study, an indirect enzyme-linked immunosorbent assay (TcELISA) based on a truncated soluble Cap protein produced in Escherichia coli (E.coli) was established and validated for the diagnostic PCV2 antibodies in swine. The TcELISA was validated by comparison with an indirect immunofluorescence assay (IIFA). The diagnostic sensitivity (DSN), specificity (DSP), and accuracy of the TcELISA were 88.6%, 90.7% and 89.4%, respectively. The agreement rate was 89.38% between results obtained with TcELISA and IIFA on 113 field sera. A cross-reactivity assay showed that the method was PCV2-specific by comparison with other sera of viral disease. Therefore ,the TcELISA will be helpful for the development of a reliable serology diagnostic test for large scale detection of PCV2 antibodies and for the evaluation of vaccine against PCV2 in swine.

An Extended Ontology Model and Ontology Checking Based on Description Logics

Ontology is defined as an explicit specification of a conceptualization. In this paper, an extended ontology model was constructed using description logics, which is a 5-tuples including term set, individual set, term definition set, instantiation assertion set and term restriction set. Based on the extended model, the issue on ontology checking was studied with the conclusion that the four kinds of term checking, including term satisfiability checking, term subsumption checking, term equivalence checking and term disjointness checking, can be reduced to the satisfiability checking, and satisfiability checking can be transformed into instantiation consistence checking.

XAF1 is frequently methylated in human esophageal cancer

AIM： To explore epigenetic changes in the gene encod- ing X chromosome-linked inhibitor of apoptosis-associ- ated factor 1 （XAF1） during esophageal carcinogenesis. METHODS： Methylation status of XAF1 was detected by methylation-specific polymerase chain reaction （MSP） in four esophageal cancer cell lines （KYSE30, KYSE70, BICl and partially methylated in TE3 cell lines）, nine cases of normal mucosa, 72 cases of pri- mary esophageal cancer and matched adjacent tissue. XAF1 expression was examined by semi-quantitative reverse transcriptional polymerase chain reaction and Western blotting before and after treatment with 5-aza- deoxycytidine （5-aza-dc）, a demethylating agent. To investigate the correlation of XAF1 expression and methylation status in primary esophageal cancer, immu- nohistochemistry for XAF1 expression was performed in 32 cases of esophageal cancer and matched adjacent tissue. The association of methylation status and clini-copathological data was analyzed by logistic regression. RESULTS： MSP results were as follows： loss of XAF1 expression was found in three of four esophageal cell lines with promoter region hypermethylation （com- pletely methylated in KYSE30, KYSE70 and BIC1 cell lines and partially in TE3 cells）; all nine cases of normal esophageal mucosa were unmethylated; and 54/72 （75.00%） samples from patients with esophageal can- cer were methylated, and 25/72 （34.70%） matched adjacent tissues were methylated （75.00% vs 34,70%, z2 = 23.5840, P = 0.000）. mRNA level of XAF1 mea- sured with semi-quantitative reverse transcription poly- merase chain reaction was detectable only in TE3 cells, and no expression was detected in KYSE30, KYSE70 or BIC1 cells. Protein expression was not observed in KYSE30 cells by Western blotting before treatment with 5-aza-dc. After treatment, mRNA level of XAF1 was detectable in KYSE30, KYSE70 and BIC1 cells. Protein expression was detected in KYSE30 after treatment with 5-aza-dc. Immunohistochemistry was performed on 32 cases of esophageal cancer and adjacent tissue, and demonstrated XAF1 in the nucleus and cytoplasm. XAF1 staining was found in 20/32 samples of adjacent normal tissue but was present in only 8/32 samples of esophageal cancer tissue （Z2= 9.143, P = 0.002）. XAF1 expression was decreased in cancer samples compared with adjacent tissues. In 32 cases of esophageal can- cer, 24/32 samples were methylated, and 8/32 esopha- geal cancer tissues were unmethylated. XAF1 staining was found in 6/8 samples of unmethylated esophageal cancer and 2/24 samples of methylated esophageal cancer tissue. XAF1 staining was inversely correlated with XAF1 promoter region methylation （Fisher＇s exact test, P = 0.004）. Regarding methylation status and clinicopathological data, no significant differences were found in sex, age, tumor size, tumor stage, or metas- tasis with respect to methylation of XAF1 for the 72 tis- sue samples from patients with esophageal cancer. CONCLUSION： XAF1 is frequently methylated in eso- phageal cancer, and XAF1 expression is regulated by promoter region hypermethylation.

Detection of Mycoplasma synoviae Infection in Broiler Breeder Farms of Morocco Using Serological Assays and Real Time PCR

Mycoplasma synoviae （MS） is an economically important pathogenic agent of chickens, causing air sacculitis and synovitis. The diagnosis and monitoring of M. synoviae infection is usually made using serological assays, while confirmative diagnosis is made by isolation and identifcation of the organism, because of the cross reaction between M. gallisepticum and M. synoviae. This study was conducted from 2011 to 2013 during which l l broiler breeder flocks were sampled. These farms were located in all regions of morocco, The sampling was conducted as follows： Farms were visited on day one old chicks ＂day of importation from Europe＂. 20 to 60 ＂chicks＂ were randomly sampled. At the age of 8, 16, 32 and 56 weeks, 60 blood samples and 60 tracheal swabs were collected at each sampling. The serological screening was performed using Rapid Slide Agglutination （RSA） according the OIE protocol and Indirect EL1SA （IDEXX） according the manufacturer＇s instructions. The molecular diagnosis was performed using a commercial kit of a duplex real time PCR （Life Biotechnology）. The results revealed that one day old chicks were negative to MS by RSA and PCR, however they have a variable stock of maternal antibodies （Ig-Y） detected by iELISA. The seroprevalence found by RSA is variable and increase with the age （Sth week： 55%, 16th week： 91%, 32tb and 56th week： 100%）, the same profile was traced by PCR （Sth week： 36%, 16th week： 64%, 32th week： 82%, 56th week： 100%）, however, all farms were positive by iELISA, from the first day to 56th weeks. These results show that MS infections are very frequent and very widespread among poultry breeder flocks, and showed a perfect agreement between serological tests and Real time PCR starting from 32th week of age.

Correlativity of lymph node micrometastases detection in follicular carcinoma of thyroid in different risk groups

Objective:The aim of this study was to explore the relationship between follicular carcinoma of thyroid in different risk groups and lymph node micrometastases.Methods:The keratin-19 of negative neck lymph nodes in 83 cases in routine pathological examination,was detected by SP immunohistochemistry using keratin-19 monoclonal antibody to confirm lymph node micrometastases.All of cases are divided into high risk group,middle risk group and low risk group according to factors related prognosis,the relationship between lymph node micrometastases and different risk groups and follow-up visit documents were analyzed.Results:Fifty-eight neck lymph nodes in 16 cases of 83 cases(19.3%) showed positive lymph node micrometastases,and incidence of lymph node micrometastases was 4/39 in low risk group,5/32 in middle risk group and 7/12 in high risk group,respectively.it showed remarkable difference during 3 groups(P < 0.001).Nine patients in 16 cases with positive lymph node micrometastases showed local recurrence and distant metastases,6 patients in 67 cases with negative lymph node micrometastases showed same result(P < 0.001).Conclusion:Lymph node micrometastases in follicular thyroid carcinoma closely correlated to factors related to prognosis.The detection of lymph node micrometastases can directly assistant postoperative treatment and prognosis evaluation to some extent for follicular thyroid carcinoma.

二硫化碳作业工人神经电生理检测结果分析

目的检测接触二硫化碳（CS2）工人神经肌电图，为寻找职业性体检神经肌肉电生理的筛查指标提供依据。方法检测接触CS2工人正中神经、尺神经、腓总神经、胫后神经运动神经的潜伏期和波幅，对主诉肢体麻木明显的151人增加了正中神经、尺神经觉、腓肠神经感觉神经的潜伏期和传导速度检测。将检测结果与GBZ76—2002《职业性急性化学物中毒性神经系统疾病诊断标准》附录B中表B．2运动神经传导速度、表B．3感觉神经传导速度中神经指标参考值进行对照。结果596人（60．3％，596／989）主诉头昏、头痛、失眠、多梦、易怒、记忆力明显减退、肢体麻木、肢体抽搐、肢体酸痛等症状。989人中共94例有至少1项神经传导速度检测指标异常，94例神经传导速度异常者中共检出神经传导速度异常神经148条：64条正中神经传导速度异常，占全部神经传导速度异常神经的43．24％（64／148），36条（24．32％，36／148）尺神经传导速度异常，38条（25．68％，38／148）腓总神经传导速度异常，9条（6．08％，9／148）胫后神经和1条（0．68％，1／148）腓肠神经传导速度异常。与GBZ76—2002标准比较，正中神经、胫后神经、腓总神经运动神经末端潜伏期降低，尺神经运动神经末端潜伏期升高，差异均有统计学意义（P〈0．01）。与GBZ76—2002标准比较，CS2作业工人正中神经、尺神经感觉神经传导速度降低，差异有统计学意义（P〈0．01）。与GBZ76—2002标准比较，CS2作业工人正中神经、尺神经、腓肠神经感觉神经末端潜伏期延长，差异有统计学意义（P〈0．01）。结论感觉神经可以作为接触CS2作业工人职业性体检中神经肌电图检测的必检神经，感觉神经潜伏期、传导速度可以作为职业性体检检测指标。

An accurate,high-speed,portable bifunctional electrical detector for COVID-19

Coronavirus disease 2019(COVID-19),caused by SARS-CoV-2,has rapidly spread and caused a severe global pandemic.Because no specific drugs are available for COVID-19 and few vaccines are available for SARS-CoV-2,accurate and rapid diagnosis of COVID-19 has been the most crucial measure to control this pandemic.Here,we developed a portable bifunctional electrical detector based on graphene fieldeffect transistors for SARS-CoV-2 through either nucleic acid hybridization or antigen-antibody protein interaction,with ultra-low limits of detection of~0.1 and~1 fg mL^(−1) in phosphate buffer saline,respectively.We validated our method by assessment of RNA extracts from the oropharyngeal swabs of ten COVID-19 patients and eight healthy subjects,and the IgM/IgG antibodies from serum specimens of six COVID-19 patients and three healthy subjects.Here we show that the diagnostic results are in excellent agreement with the findings of polymerase chain reaction-based optical methods;they also exhibit rapid detection speed(~10 min for nucleic acid detection and~5 min for immunoassay).Therefore,our assay provides an efficient,accurate tool for high-throughput point-of-care testing.