CD44v6编码蛋白与Throm bodulin/TM在腹水胃癌细胞的鉴别诊断

观察转移相关黏附分子拼接变异体CD44v6在腹水胃癌细胞中的表达率,评价CD44v6是否作为腹水胃癌细胞特异性标志物,探讨胃癌细胞的转移机理。用TM区分腹水中胃癌细胞与间皮细胞,并与M elano-cyte/MC进行了敏感性、特异性对比。从腹水液基薄层细胞涂片中筛查出53例胃癌细胞,28例间皮细胞进行常规细胞石蜡包埋切片,采用鼠抗人CD44v6,TM,MC特异性抗体,对53例胃癌细胞,28例间皮细胞进行了免疫组化检测,应用χ2检验。CD44v6在腹水胃癌细胞中的检出率为96.2%(51/53),间皮细胞中的检出率为7.14%(2/28);TM,MC在间皮细胞中的检出率分别为96.4%(27/28),92.9%(26/28),胃癌细胞中的检出率为7.55%(4/53)22.6%(12/53);TM,MC对间皮细胞敏感性分别为96.4%(27/28)、92.9%(26/28);TM,MC对间皮细胞特异性为92.5%(49/53)、77.4%(41/53)。薄层细胞涂片、石蜡包埋技术能够有效地开展细胞免疫化学检测,并且具有广阔发展前景。CD44v6在胃癌细胞中的检出率明显高于间皮细胞,提示参与了胃癌细胞的浸润转移,可作为胃癌细胞的标志物。TM对间皮细胞检测的敏感性、特异性要高于MC。CD44v6协同TM对于胃癌细胞和间皮细胞的鉴别诊断有重要的意义。

同型半胱氨酸与2型糖尿病合并早期肾病的关系

目的 探讨同型半胱氨酸 (Homocysteine,Hcy)与 2型糖尿病病人合并早期糖尿病肾病的关系。方法 应用高效液相色谱分析法测定 6 7例 2型糖尿病病人和 4 7例正常人的血浆 Hcy水平 ,并同步检测可溶性血栓调节蛋白(s TM)、叶酸和维生素 B1 2 。结果 2型糖尿病病人血浆 Hcy水平明显高于对照人群 (15 .2 7± 6 .0 4 μmol/L vs12 .10± 1.86 μmol/L;P<0 .0 1) ,而合并早期糖尿病肾病的血浆 Hcy水平又高于无糖尿病肾病患者 (17.86± 8.0 4 μmol/L vs13.83± 4 .0 0 μmol/L;P<0 .0 1) ;存在高 Hcy血症的糖尿病病人 ,其早期糖尿病肾病发生率明显高于无高 Hcy血症患者(5 2 .0 % vs2 6 .2 % ;P<0 .0 5 ) ,且前者存在着较高水平的 s TM(P<0 .0 5 )。结论 高 Hcy血症与 2型糖尿病早期肾病的发病有关 。

EFFECTS OF RADIX SALVIAE MILTIORRHIZAE AND ITS COMPONENT "DANSHENSU" ON THE PRODUCTION OF PA, PAI, PGI_2 AND EXPRESSION OF THROMBOMODULIN BY BOVINE ENDOTHELIAL CELLS IN CULTURE

The effects of Radix Salviae Miltiorrhizae and its component 'DANSHENSU' on the production of PA, PAI, PGI_2 and expression of thrombomodulin by cultured bovine endothelial cells were studied. 6-Keto-PGF_(1α) was measured with RIA. PA, PAI and thrombomodulin were measured with chromosenic substrate S2390 and S2238 respectively. The results showed that Radix Salviae Miltiorrhizae could promote PA activity and PGI_2 production by bovine endothelial cell (BEC). It could inhibt activity of PAI secreted by BEC. Its component 'DANSHENSU' had the same effects. In addition, Radix Salviae Miltiorrhizae could also increase thrombomodulin activity on the surface of BEC, but 'DANSHENSU' did not.