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    29 January 2012, Volume 16 Issue 5 Previous Issue    Next Issue
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    Embryotoxic effect of deguelin in zebrafish
    Li Wen-hao1, Wu Xin-rong1, 2
    2012, 16 (5):  652-654.  doi: 10.3969/j.issn.1673-8225.2012.05.022
    Abstract ( 287 )   PDF (495KB) ( 347 )   Save

    Embryotoxic effect of deguelin in zebrafish BACKGROUND: The establishment of antitumor drug deguelin model provides basis for the in vivo experiment.
    OBJECTIVE: To investigate the influence of different concentrations of deguelin on zebrafish embryonic development.
    METHODS: The zebrafish embryos were treated with different concentrations of deguelin. The changes of the phenotype were observed at 48 and 72 hours after postfertilization, and the hatching rate was counted at 72 hours after postfertilization.
    RESULTS AND CONCLUSION: The development of embryo was remained under 0.1 μmol/L concentration of deguelin. The development of embryo was delayed at 0.2 μmol/L concentration of deguelin. 0.3 μmol/L concentration of deguelin could inhibit the development of embryo and cause death of the embryo. These results show that high concentration of deguelin leads to embryonic lethality, while low concentration of deguelin delays the embryonic development.

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    Establishing a rat model of orthotopic liver transplantation 
    Shi Jun, Wu Qin-rong, Luo Wen-feng, Wang Yong-gang
    2012, 16 (5):  761-765.  doi: 10.3969/j.issn.1673-8225.2012.05.001
    Abstract ( 222 )   PDF (339KB) ( 489 )   Save
    BACKGROUND: Establishing a model of orthotopic liver transplantation by two-cuff technique can decrease the time without the liver and significantly increase the survival rate of the rats subjected to liver transplantation.
    OBJECTIVE: To establish the rats models of orthotopic liver transplantation based on two-cuff technique in combination with some related literatures.
    METHODS: Totally 150 Sprague Dawley rats‎ were treated with liver transplantation by improved two-cuff method in the portal vein, hepatic inferior vena cava under the law in line with cuff, liver superior and inferior vena cava were sutured with suture line. Biliary tract reconstruction was completed in bile duct stent law.
    RESULTS AND CONCLUSION: Receptors rats were generally in good condition after operation. 1-day survival rate was 94.0% and 1-week survival rate was 90.0% in 50 cases of the formal experiment. The time for donor operation and receptor operation was (34.44±3.25) minutes and (49.07±4.93) minutes, respectively, and anhepatic time was (17.26±2.51) minutes. The average blocking time of inferior vena cava was 20 minutes. To master the operation technique, operate patiently and carefully and reduce various complications can get a stable rat model of orthotopic liver transplantation.
     
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    Low-intensity pulsed ultrasound combined with periodontal flap surgery for the repair of bone-defect periodontitis in Beagle dogs
    Li Na1, Lu Li2, Song Jin-lin1, Deng Feng1, Zhao Chun-liang3, Wang Zhi-biao3
    2012, 16 (5):  766-770.  doi: 10.3969/j.issn.1673-8225.2012.05.002
    Abstract ( 257 )   PDF (416KB) ( 372 )   Save

    BACKGROUND: In recent years, there are no reports regarding tissue repair effects of low-intensity pulsed ultrasound (LIPUS) combined with periodontal flap surgery treatment on bone-defect periodontitis.
    OBJECTIVE: To observe the effects of LIPUS combined with periodontal flap surgery on the repair of bone-defect periodontitis in Beagle dogs.
    METHODS: Bone-defect periodontitis models were established in the left mandibular second, third and fourth premolars of four Beagle dogs. The models were randomly divided into a control group (0 mW/cm2) and two LIPUS treatment groups (ISATA
    30 mW/cm2×20 min/d, ISATA 60 mW/cm2×20 min/d) after modified Widman flap surgery and root treatment.
    RESULTS AND CONCLUSION: There was no significant difference in the change of gingival tissue’s surface temperature before and after LIPUS irradiation (P > 0.05). There was no significant difference of periodontal clinical parameters in the LIPUS and control groups, as well as between the two LIPUS groups after 6 weeks treatment (P > 0.05). Histological analysis (hematoxylin- eosin staining) indicated that osteoblast proliferation and bone lacunae in the LIPUS groups, especially in ISATA 30 mW/cm2×    20 min/d group, were more mature than those in the control group. Masson staining showed red staining was more obvious in the LIPUS groups than in the control group. Long-junction epithelium was found in all the three groups. LIPUS may have some potential reparative effects on the promotion of alveolar bone maturation.

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    Liver transplantation for end-stage liver disease with hypersplenism 
    Fang Ying-bing1, Jiang Yi1, Lü Li-zhi2, Cai Qiu-cheng2, Zhang Xiao-jin2
    2012, 16 (5):  771-774.  doi: 10.3969/j.issn.1673-8225.2012.05.003
    Abstract ( 256 )   PDF (325KB) ( 902 )   Save

    BACKGROUND: Liver transplantation has become the most effective method to treat end-stage liver disease with hypersplenism. However, it is not certain that whether hypersplenism can occur when the speen is kept in the process of liver transplantation.
    OBJECTIVE: To observe the recovery of spleen function after liver transplantation in end-stage liver disease with hypersplenism.
    METHODS: Sixty-three cases of end-stage liver disease treated with liver transplantation were selected, and they were divided into two groups: hypersplenism group and non-hypersplenism group. Postoperative changes of the two groups in platelets, diameter from top to bottom measured by color ultrasound, intercostal thickness, splenic vein diameter at the portal vein were observed, and all the patients were followed-up for 15 months.
    RESULTS AND CONCLUSION: Of the 63 cases selected, eight cases died, and 55 cases were analyzed. Only one case survived in the four cases which underwent parallel splenectomy. When surgery ended, platelets level in the hypersplenism group was significantly lower than that before surgery, and decreased to its lowest point at day 3 after surgery, then gradually increased,  obviously increased at day 7 (P < 0.05), and kept stable until month 15. Platelets level in the non-hypersplenism group dropped to its lowest point at day 5 after surgery, and reached the preoperative level at day 17. There were significant differences between the two groups (P < 0.05). In the hypersplenism group at day 7 after surgery, spleen diameter from top to bottom and thickness began to reduce significantly (P < 0.05); splenic vein diameter significantly reduced at month 3 (P < 0.05), and kept stable until month 15. In the 55 cases, no case was found portal hypertension and variceal bleeding. These findings suggest that the speen should be kept as far as possible in the process of liver transplantation if cases have no indications for splenectomy.

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    Engraftment of human amniotic epithelial cells injected by different routes in the liver 
    Zhang Hai-yan1, 2, Piao Zheng-fu1, 2, Ding Shu-qin2, Ren Feng1, 2, Isao Kamo3○, Norio Sakuragawa3○, Li Ning1, 2
    2012, 16 (5):  775-778.  doi: 10.3969/j.issn.1673-8225.2012.05.004
    Abstract ( 296 )   PDF (550KB) ( 335 )   Save

    BACKGROUND: Cell transplantation has a certain effect for liver disease, and it has its own advantages compared with the liver transplantation, but there are many issues to be resolved.
    OBJECTIVE: To investigate the engraftment of human amniotic epithelial cells (hAECs) injected by different routes in liver of rats.
    METHODS: hAECs were separated from placenta and labeled by PKH26 fluorochrome. hAECs (1×107 cells) were transplanted into SD rats through enterocoelia, portal vein, caudal vein or injected directly into the liver. Liver frozen sections were prepared after 3 days. The distribution of hAECs in liver was detected by converted fluorescence microscope. And survival condition of hAECs injected through portal vein in liver was observed by time dependent.
    RESULTS AND CONCLUSION: hAECs were successfully transplanted into SD rat liver injected by portal vein, caudal vein and the route of liver injection, but hAECs injected intraperitoneally were not found in the liver. The hAECs that injected by portal vein could live for at least 16 days. Excessive cell injection causes the vascular thrombosis in liver and leading to necrosis. hAECs can live 16 days above without transplantation rejection. It indicates that amnion source cells may become one of the biomaterials for the treatment of liver diseases.

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    Autologous purified freezing fat microparticle injection for facial rejuvenation
    Xie Hong-ju, Deng Ying, Li Ming, Luo Hui-zhong, Chen Nian
    2012, 16 (5):  779-782.  doi: 10.3969/j.issn.1673-8225.2012.05.005
    Abstract ( 281 )   PDF (553KB) ( 508 )   Save

    BACKGROUND: Presently, slight and repeated injection is a good method to elevate the survival rate of implanted fat tissue.
    OBJECTIVE: To explore the clinical application of autologous purified freezing microparticle fat injection in facial rejuvenation.
    METHODS: Totally 64 facial aging patients presenting with atrophy and depression of facial soft tissue were treated with injecting transplantation of microparticle fat which was obtained from patient’s abdomen or thighs by using tumescent liposuction technique. Microparticle fat was purified by low-speed and low-pressure centrifugal, then undergoing -20 ℃ hypothermic freezing and 37 ℃ rewarming for 1 hour. Vitality of fat tissues was detected.
    RESULTS AND CONCLUSION: Totally 21 cases of 64 cases (186 positions) received one time injecting transplantation, 35 cases received two times injecting transplantation, and eight cases received three times injecting transplantation. All the patients were followed for 6 months, the effects were satisfactory and there was no complication. Autologous purified freezing microparticle fat injecting transplantation is characterized as low absorptivity, duplicate injection, and acceptable easily.

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    Comparison of serum human chorionic gonadotropin beta-subunit levels on day 14 after in vitro maturation of immature eggs, in vitro fertilization and embryo transfer
    Ji Jing-juan, Liu Yu-sheng, Luo Li-hua, Luan Hong-bing, Zheng Sheng-xia, Tong Xian-hong, Jin Ren-tao
    2012, 16 (5):  783-786.  doi: 10.3969/j.issn.1673-8225.2012.05.006
    Abstract ( 269 )   PDF (337KB) ( 442 )   Save

    BACKGROUND: Studies have shown that the serum human chorionic gonadotropin β-subunit levels in pregnant women after in vitro fertilization and embryo transfer can predict the pregnancy outcomes. It is unknown whether in the in vitro maturation, it can be a predictive index for the pregnancy outcomes.
    OBJECTIVE: To evaluate the value of serum human chorionic gonadotropin β-subunit levels in the prediction of pregnancy outcome in women undergoing in vitro maturation, and to compare serum human chorionic gonadotropin β-subunit levels in infertility patients after in vitro maturation and in vitro fertilization and embryo transfer.
    METHODS: A total of 42 successfully treated pregnant women who received in vitro maturation were enrolled as experiment group; and 66 women who received in vitro fertilization treatment at the same time were enrolled as control group. Retrospective analysis was used to compare the serum human chorionic gonadotropin β-subunit levels in both groups on day 14 after embryo transfer.
    RESULTS AND CONCLUSION: There was a significant difference in the serum human chorionic gonadotropin β-subunit levels between single pregnancy and gemellary pregnancy in both model group and control group on day 14 after embryo transfer. The incidence of gemellary pregnancy increased significantly in both groups when the serum human chorionic gonadotropin β-subunit level≥ 800 U/L. These findings indicate that human chorionic gonadotropin β-subunit level is a valuable index for the prediction of pregnancy outcome in women received in vitro maturation. The prediction of pregnancy outcomes in women who received in vitro maturation was similar to that in women who received in vitro fertilization and embryo transfer.

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    Comparative analysis of volume regimens for homogeneity variant kidney transplantation
    Zhang Tie-zheng, Cui Ya-nan, Zhou Jin
    2012, 16 (5):  787-792.  doi: 10.3969/j.issn.1673-8225.2012.05.007
    Abstract ( 234 )   PDF (327KB) ( 342 )   Save

    BACKGROUND: The volume regimens through different stages in renal transplantation. But which liquid treatment strategy is more reasonable and effective is still unclear.
    OBJECTIVE: To compare three different volume regimens for kidney transplantation by observing the effect on hemodynamics and turnover.
    METHODS: Retrospectively analysis was done in 255 patients undergoing homogeneity variant kidney transplantation. The patients were divided into three groups according to the type of the infusion liquid: Colloids (crystalloids+succinylated gelatin+red blood cells+albumin) group, crystalloids and red blood cells group and crystalloids group. Analysis indexes included general information, perioperative data and postoperative follow-up data.
    RESULTS AND CONCLUSION: Although crystalloid infusion was contributed to the protection of renal function during renal transplantation, the effect of expansion was weak and the duration of expansion was short, as well as it was not conducive to maintain the stable hemodynamics, and easily led to electrolyte imbalance. The crystalloid infusion in renal transplantation should apply the equilibrium liquid mainly instead of normal saline. The combination of crystalloid and colloid infusion was conducive to stabilize the hemodynamics, but had no advantage for the protection of renal function. The equilibrium liquid was mainly used and red blood cells were infused when necessary. This volume regimen could maintain hemodynamics stable and homeostasis stable, and profit to turnover. It may be the best volume regimen for renal transplantation.

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    Liver biopsy and prognosis analysis of patients with hepatitis B virus infection before renal transplantation
    Shen Bei-li, Qu Qing-shan, Wang Kai, Jiang Xin, Xie Hong-mei, Guo Xiao-fang, Li Xiao-yan, Liu Ya-fei
    2012, 16 (5):  793-796.  doi: 10.3969/j.issn.1673-8225.2012.05.008
    Abstract ( 297 )   PDF (286KB) ( 357 )   Save
    BACKGROUND: A number of studies have reported the renal transplantation in patients with hepatitis B virus infection in China, but few research investigates the liver biopsy in hepatitis B virus infection patients before renal transplantation.
    OBJECTIVE: To conduct the liver biopsy in patients with chronic renal failure and different degrees of chronic hepatitis B before kidney transplantation, and to observe the turnovers during 2-year post-transplant follow-up observations.
    METHODS: A total of 21 uremic patients with hepatitis B virus infection who are candidates for renal transplantation received liver biopsy. According to pathological changes in liver biopsy, patients were divided into three groups: mild (n = 9), moderate (n = 7), and severe (n = 5). After renal transplantation all patients were followed up for 2 years. There were two cases in each of three groups undergoing repeated liver biopsy for histopathological examination.
    RESULTS AND CONCLUSION: All observation indicators showed no significant changes in patients with mild chronic hepatitis B in the 2-year follow-up. In the patients with moderate chronic hepatitis B, the glutamyl transpeptidase activity was significantly higher than normal level from 3 months after transplantation, and two cases were diagnosed as severe disease by repeated liver biopsy at the end of follow-ups. In the patients with severe chronic hepatitis B, the glutamyl transpeptidase activity was higher than normal levels from 3 months after transplantation; the serum albumin was lower than normal levels from 18 months, but the globulin levels were higher than normal; four cases showed cirrhosis changes at the end of follow-ups. The experimental results indicate that, the prognosis alter in patients with different degrees of chronic hepatitis B after renal transplantation, and liver biopsy is an important means to evaluate the lesion degree of liver disease and it can guide the effect of renal transplantation.
     
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    BK virus infection detected by real-time fluorescent quantitative PCR method after renal transplantation
    Xie Jun-jie1, Qian Ye-yong2, Shi Bing-yi2, Fan Yu2, Bai Hong-wei2, Chang Jing-yuan2, Han Yong2, Wang Hong-yang1
    2012, 16 (5):  797-800.  doi: 10.3969/j.issn.1673-8225.2012.05.009
    Abstract ( 319 )   PDF (324KB) ( 423 )   Save

    BACKGROUND: For the BK virus (BKV) and BK virus-associated nephropathy, there lack of standardized laboratory diagnostic procedures and non-invasive testing methods.
    OBJECTIVE: To establish a real-time fluorescent quantitative PCR method for determining the BKV level of urine and peripheral in renal transplant recipient and to evaluate its clinical application.
    METHODS: According to the BK virus genome, BKV-F, BKV-R and Taqman fluorescent probe BKV-P were designed by us. 5' extremity of Taqman fluorescent probe BKV-P was labeled with fluorophores. Except 5' extremity, other sites were marked quenching group; the results of PCR reaction were obtained after detecting the samples.
    RESULTS AND CONCLUSION: The positive PCR products were preformed with gene sequencing, the result confirmed by BLAST was the BK virus gene sequence; 56 samples were detected with this method, 20 cases of BKV in serum samples and 20 cases of BKV in urine samples were positive and had a good S-type amplification curve. Dynamic range tests showed that there was a good correlation among the 103-1010 copies/mL standard curves. Five urine samples from healthy individuals, five blood samples and six blood samples of common pathogens in clinical were negative, there was no S-type amplification curve. 
    The real-time fluorescent quantitative PCR assay established in this study was qualitative and quantitative, and has the ability of sensitivity and specificity, low-cost and less false-positive. The general determining results can be obtained in 30 minutes and suitable for large-scale clinical application.

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    nversion from cyclosporin A to tacrolimus combined with Tripterygium wilfordii Hook. f. for the treatment of chronic allograft nephropathyCo
    Zhang Jian-qiang, Wei Ya-fei, Hu Jian-min, Chen Hua, Li Liu-yang, Li Min, Zhao Ming
    2012, 16 (5):  801-804.  doi: 10.3969/j.issn.1673-8225.2012.05.010
    Abstract ( 313 )   PDF (314KB) ( 378 )   Save

    BACKGROUND: In recent years, several studies have shown that immunosuppressive regimen of tacrolimus conversed from cyclosporine A (CsA) has a certain effect on chronic allograft nephropathy. 
    OBJECTIVE: To investigate the clinical efficacy and safety of conversion from CsA to tacrolimus combined with Tripterygium wilfordii Hook. f. (TII) on CAN.
    METHODS: Retrospectively analysis of 57 patients with chronic allograft nephropathy diagnosed by clinical and pathological identification. The patients were treated with CsA+mycophenolate mofetil+prednisone immunosuppressive therapy before diagnosis, and then the patients were divided into two groups according to different treatment options: CsA group (n=27) which was continued to use the initial therapy, CsA+TII group (n=30) was treated by tacrolimus instead of CsA combined with TII.
    RESULTS AND CONCLUSION: There was significant difference on the level of serum creatinine and quantity of 24-hour urine protein excretion in two groups at 3 and 6 months after conversion (P < 0.05), but there were no statistical difference of those in each group at 3 and 6 months (P > 0.05). And there were no significant differences on the level of total cholesterol, triacylglycerol, alanine aminotransferase and aspartic acid aminotransferase between two groups (P > 0.05). The tremor incidence in CsA+TII group was obviously higher than that in the CsA group (P < 0.05), but the incidence of hypertension, hypertrichosis, hyperglycemia and gingival overgrowth in CsA+TII group was significantly lower than that in the CsA group (P < 0.05). Conversion from CsA to tacrolimus combined with TII has a good efficacy for the treatment of chronic allograft nephropathy in kidney transplant recipients with fewer adverse effects, which benefits for the long-term survival of allograft.

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    Combined regime of Tripterygium wilfordii Hook. f. plus losartan or amlodipine in the treatment of proteinuria after renal transplantation
    Chen Tong-qing, Lin Min-wa, Kong Yao-zhong, Lu Jie-wen, Lian Gui-ying, Li Yan
    2012, 16 (5):  805-808.  doi: 10.3969/j.issn.1673-8225.2012.05.011
    Abstract ( 254 )   PDF (338KB) ( 329 )   Save
    BACKGROUND: Proteinuria is an independent risk factor for grafted renal function after renal transplantation. Both Tripterygium wilforilii Hook. f. (TII) and losartan can reduce urine protein excretion.
    OBJECTIVE: To observe effect of combined regime of TII plus losartan or amlodipine on proteinuria after renal transplantation.
    METHODS: Forty patients with proteinuria and mild or moderate hypertension after renal transplantation were selected during the follow-up in Foshan First People’s Hospital. The patients were divided into two groups according to random number table. The patients in the TII+losartan group took 0.5 mg/(kg•d) TII and 50 mg/d losartan; the patients in the TII+amlodipine group took 0.5 mg/(kg•d) TII and 50 mg/d amlodipine. The blood pressure was controlled under 130/80 mm Hg (1 mm Hg=0.133 kPa). After 6 months, the blood pressure, liver and renal function, blood and urine routine, drug concentration, urine protein of 24 hours and side effects of these drugs were tested.
    RESULTS AND CONCLUSION: The final analysis showed that the systolic pressure and diastolic pressure were remarkably decreased (P < 0.05); and after 6 months, the systolic pressure and diastolic pressure reached the aim values (P < 0.01). There was no obvious difference between these two groups in blood drop-out value, mean arterial pressure and the total effective rate (P > 0.05). There was no obvious difference of blood urea nitrogen, creatinine, and serum uric acid before and after treatment   (P > 0.05). The urine protein was notably reduced in both groups after treatment, but there was no significant difference between two groups (P > 0.05). The dosage of cyclosporine was significantly reduced (P < 0.05). For the patients with proteinuria and mild or moderate hypertension after renal transplantation, the combined regime of TII plus losartan or amlodipine could release the blood pressure smoothly, reduce the proteinuria, descend the dosage of cyclosporine and meanwhile protect the renal functions.
     
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    Cytotoxicity assay of New Zealand female-male rabbit skin graft models in vivo
    Liang Wei-chao, Jiang Ze-sheng, Wang Yan, Zhong Li-min, Pan Ming-xin
    2012, 16 (5):  809-812.  doi: 10.3969/j.issn.1673-8225.2012.05.012
    Abstract ( 291 )   PDF (368KB) ( 331 )   Save

    BACKGROUND: The establishment of an effective assessment model for monitoring post-transplant recipient's immune status is the difficulty in current researches.
    OBJECTIVE: To establish an in vivo method of cytotoxicity assay in rabbits; to verify whether the in vivo cytotoxicity assay can detect the immune status of the recipient rabbits.
    METHODS: New Zealand female-male rabbit skin graft models were established; the untransplanted female and male rabbits served as control. The spleens of both female and male rabbits were removed to prepare single cell suspension; and then live cell dye hydroxyfluorescein diacetate succinimidyl ester of different concentrations were added to stain and prepare for the 1:1 mixed cell suspension. Peripheral blood samples of the male rabbits were collected at 1, 2, 3 and 8 hours after the infusion of the mixed cell suspension. Flow cytometry was used to detect the ratio of the two kinds of fluorescytes in the peripheral blood; the killing rate of specific cells in the donors was calculated.
    RESULTS AND CONCLUSION: The female-male rabbit model of skin graft rejection was established in the 2nd week after skin transplantaion. The ratio changes in the peripheral blood of model group and control group were different after the infusion of mixed cell suspension; the killing rate in the male rabbits of the model group was significantly higher than that of the control group at 1, 2, 4 and 8 hours after infusion (P < 0.01). These findings indicate that cytotoxicity assay in vivo can be used to monitor immune state; it can directly reflect the specific immune environment in vivo of the skin graft models and the intensity of the immune attack that the graft suffered.

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    Safe duration limits of tolerance to warm ischemia of kidney grafts from non-heart-beating donor rats
    Dai Chen, Li Su-hua, Liu Jian
    2012, 16 (5):  813-817.  doi: 10.3969/j.issn.1673-8225.2012.05.013
    Abstract ( 267 )   PDF (362KB) ( 221 )   Save

    BACKGROUND: Recently, non-heart-beating donor has become the most potential source of transplant donors. At present, the research reports on safe duration limits of tolerance to warm ischemia of kidney grafts differ significantly, much less reach the theoretical perspective of safe duration limits.
    OBJECTIVE: To investigate the establishment of kidney transplantation model of non-heart-beating donors in rats and to explore the safe duration limits of tolerance to warm ischemia of the donor.
    METHODS: Rat medulla oblongata was broken to establish the kidney transplantation model of non-heart-beating donors in rats. The rats were divided into four groups according to the warm ischemia time (0, 10, 30 and 60 minutes). Changes of histopathology and malondialdehyde content in kidney off-body with different warm ischemia time were observed. 
    RESULTS AND CONCLUSION: Under light-microscopy, renal pathological changes were reversible within 30 minutes of warm ischemia. Along with the extension of warm ischemia time, pathological changes developed towards irreversible direction. The malondialdehyde contents in the groups of 10, 30 and 60 minutes warm ischemia were increased than that in the group without warm ischemia (P < 0.05). The malondialdehyde contents in the groups of 30 and 60 minutes warm ischemia were significantly increased than that in the 10 minutes warm ischemia group (P < 0.05). There was no significant difference in malondialdehyde content between the groups of 30 and 60 minutes warm ischemia (P > 0.05). These findings indicate that the kidney transplantation model of non-heart-beating donors was established successfully by breaking the medulla oblongata. On that basis, the safe duration limits of tolerance to warm ischemia of kidney grafts from non-heart-beating donor is determined as 30 minutes according to the pathological results and malondialdehyde content changes in donor kidneys.

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    Specificity of new quantitative monitoring of immune status in skin transplantation model rats
    Pan Ming-xin, Zhong Li-min, Wang Yan, Gao Yi, Jiang Ze-sheng
    2012, 16 (5):  818-822.  doi: 10.3969/j.issn.1673-8225.2012.05.014
    Abstract ( 250 )   PDF (369KB) ( 333 )   Save

    BACKGROUND: How to monitor the recipient’s immune status, and predict the occurrence of rejection after organ transplantation, in order to adjust the dosage of immunosuppressive agents is the important issue faced currently.
    OBJECTIVE: To investigate antigen-specificity of new quantitative monitoring of immune status in skin transplantation model rats
    METHODS: The C57→BALB/c skin graft injection model was established, the models were injected with C57/BALB/c mixed splenocytes suspension and third party DBA/BALB/c mixed splenocytes suspension respectively. The proportion of mixed cell suspension and killing rate of donor cells were detected after cells injection. The homologous series skin transplantation control group was setted, and compared with immunocompromised nude mice control group and immunosuppressant control group.   
    RESULTS AND CONCLUSION: The C57/BALB/c suspension in model group and C57/BALB/c in immunosuppressant group had a strong specific cytotoxicity on C57 splenocytes of the donors. The specific cytotoxicity of C57/BALB/c suspension in immunosuppressant group was weak, and there was no obvious specific cytotoxicity in the cells at 2-4 hours after third party DBA/BALB/c mixed splenocytes injection. However, the cells of immunocompromised nude mice had no specific cytotoxicity. The antigen-specific immune status detection method established in the experiment can detect the immune status of skin transplant recipients rapidly.

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    Application of fetal cartilage grafts in the reshaping of the nasal tip 
    Wang Lu, Liu Lin-bo, Zhu Ying, Chen Min-jing
    2012, 16 (5):  823-826.  doi: 10.3969/j.issn.1673-8225.2012.05.015
    Abstract ( 331 )   PDF (287KB) ( 317 )   Save

    BACKGROUND: The fetal cartilage have the advantages of rich source, soft, easy to cut, low rejection and higher survival rate, so it is widely used in cartilage tissue repair.
    OBJECTIVE: To investigate clinical effects of fetal cartilage grafts on the reshaping of the nasal tip.
    METHODS: Eighty-four cases of patients were selected who came to our hospital because of nasal tip deformity between January 2008 and January 2011. Nasal tip deformity was reshaped with fetal cartilage grafts in all patients.
    RESALTS AND CONCLUSION: Eighty-four patients had good wound healing with no infection, no obvious rejection, no discomfort, no fever, no thinning and red of the nasal tip skin and other complications. The morphology of the nasal tip was natural and beautiful. The nasal tip extent, projection, angle between the lower lob of the nasal tip and columella, the ratio of nasal tip high and nose length were used to evaluate the postoperative effect; the redress rate was above 96%. All patients were satisfied with the results. The morphology of the nasal tip reshaped with fetal cartilage grafts is natural, and beautiful. Fewer symptoms, small injury and low rejection occur.

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    Allogenic bone transplantation for pediatric developmental dysplasia of the hip  
    Li Nan-zhu, Lin Shan
    2012, 16 (5):  827-830.  doi: 10.3969/j.issn.1673-8225.2012.05.016
    Abstract ( 261 )   PDF (399KB) ( 309 )   Save

    BACKGROUND: Pelvic osteotomy in the treatment of children with developmental dysplasia of the hip (DDH) has been widely used, but for younger children there are some limitations in the traditional treatment methods, which requires the implantation of autologous iliac in the osteotomy gap.
    OBJECTIVE: To discuss the efficacy of allogenic bone transplantation in the treatment of pediatric DDH.
    METHODS: A retrospective study was carried out in 36 DDH patients aged 1.5-3.0 years undergoing allogenic bone transplantation. The treatment of hip dislocation was evaluated by imaging.
    RESULTS AND CONCLUSION: The follow-up of 1.0-2.5 years after treatment showed that there was no incision drainage; none of patients had slight pain in the hip, no rejection, no allograft bone displacement and absorption. Imaging evaluation for the efficacy of hip dislocation showed that 38 hips were excellent and good (90%), three hips were fair (7%) and one hip was poor (3%) after treatment. The follow-up result of allogenic bone transplantation for pediatric DDH was satisfied.

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    Massive bone allograft combined with autologous bone marrow transplantation for proximal femoral defects resulting from tumor resection 
    Li Bo1, 2, Chen Jing3, Que Xiang-yong1, Chen Wen-yao1, Li Xin-zhi1
    2012, 16 (5):  831-834.  doi: 10.3969/j.issn.1673-8225.2012.05.017
    Abstract ( 232 )   PDF (288KB) ( 414 )   Save

    BACKGROUND: Bone defects due to bone tumor resection are difficult problems in clinic, and how to repair bone defects is a hotspot in the orthopedics.
    OBJECTIVE: To discuss the clinical application and effect of massive bone allograft combined with autologous bone marrow transplantation for the defects after proximal femoral tumor resection. 
    METHODS: From July 2000 to June 2005, a total of 12 patients with massive bone defects after proximal femoral tumor resections received irradiated frozen massive bone allograft combined with autologous bone marrow transplantation. The surgery used “eggshell” technology similar to the spinal cord, femoral head was empty, the round ligament and cortical bone of the femoral head was kept, as well as one third blood supply of the femoral head. Massive bone allograft combined with autologous bone marrow transplantation and internal fixation was performed.
    RESULTS AND CONCLUSION: Patients were followed-up regularly for 6-11 years after operation. The X-ray film showed that vascularization and bone trabeculae crossing the host bone could be seen in 12 cases. In addition, the mean MSTS93 score of 12 patients was 26.33, and the excellent rate of limb function was 83.3%. Massive bone allograft combined with autologous bone marrow transplantation is an effective method for proximal femoral defects resulting from tumor resection and can integrate with the surrounding host bone.

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    100 cases of lung harvesting for lung transplantation: Effect of cold ischemia time > 6 hours and lung volume reduction on prognosis
    Wang Zhen-xing, Chen Jing-yu, Zheng Ming-feng, Ye Shu-gao, Liu Feng, Chen Ruo, Lu Rong-guo, Wei Dong
    2012, 16 (5):  835-838.  doi: 10.3969/j.issn.1673-8225.2012.05.018
    Abstract ( 286 )   PDF (244KB) ( 368 )   Save
    BACKGROUND: During lung transplantation, the surgical techniques of donor lung harvesting, the upper limit of cold ischemia time, as well as the mismatching between donor lung and recipient’s thoracic cavity need further explored.
    OBJECTIVE: To summarize operative techniques of donor lung harvesting and to explore the effect of donor lung cold ischemia time and lung volume reduction on all kinds of complications and survival rate after transplantation.
    METHODS: The clinical data including 100 lung harvesting cases and 101 recipients undergoing transplantation were retrospectively analyzed. All recipients were divided into two groups according to lung cold ischemia time: the group of donor lung cold ischemia time < 6 hours and the group of donor lung cold ischemia time > 6 hours. Besides, according to whether to meet the mismatching between donor lung and recipient’s thoracic cavity, they were divided into two groups: the group of lung volume reduction and the control group. Mismatching cases underwent lung volume reduction in different ways. The effect of cold ischemia time >6 hours and lung volume reduction on prognosis was analyzed.
    RESULTS AND CONCLUSION: Totally 100 donor lung harvesting cases and 101 lung transplantation cases were all successful, including one donor lung transplanted into two recipients, so totally 101 cases underwent lung transplantation. There was no significant difference between the group < 6 hours and the group > 6 hours (P > 0.05) except the incidence of primary graft dysfunction was higher in the group < 6 hours than in the group > 6 hours (P < 0.05). All clinical indexes had no significant difference between the group of lung volume reduction and the control group (P > 0.05). It is indicated that the strict selection of donors, perfect lung volume reduction of donor lung and shortened cold ischemia time can effectively prevent occurrence of various complications after operation, increase achievement ratio of lung transplantation and improve recipient prognosis.
     
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    Effect of ischemic preconditioning combined with ischemic postconditioning on ischemia reperfusion injury during lung transplantation
    Liu Guo-hua, Liang Yue-pei
    2012, 16 (5):  839-842.  doi: 10.3969/j.issn.1673-8225.2012.05.019
    Abstract ( 272 )   PDF (275KB) ( 393 )   Save

    BACKGROUND: Studies find that ischemic preconditioning and ischemic postconditioning both have obvious protective effects on the ischemia-reperfusion-induced lung injury.
    OBJECTIVE: To explore the cumulative protection effects of ischemic preconditioning combined with ischemic postconditioning on the ischemia reperfusion injury during lung transplantation.
    METHODS: A total of 40 SD rats were randomly divided into sham operation group, model group, ischemic preconditioning group, ischemic postconditioning group and combined ischemic preconditioning and ischemic postconditioning group. Lung ischemic reperfusion injury model in rats was constructed in the latter four groups. The left hilus pulmonis in rats of the ischemia preconditioning group, ischemic postconditioning group and combined ischemic preconditioning and ischemic postconditioning group was blocked and opened for three circles before modeling or/and after modeling.
    RESULTS AND CONCLUSION: Dry weight ratio, the acitivity of myeloperoxidase and the level of malondialdehyde in rat lungs of the combined ischemic preconditioning and ischemic postconditioning group were markedly lower than those in the ischemic preconditioning group and ischemic postconditioning group (P < 0.05); while the activity of superoxide dismutase was significantly higher in the combined ischemic preconditioning and ischemic postconditioning group than those in the ischemic preconditioning group and ischemic postconditioning group (P < 0.05); the pathological injury of the lungs reduced significantly. The activity of superoxide dismutase, the level of malondialdehyde and the activity of myeloperoxidase in rat lungs of the ischemic preconditioning group and ischemic postconditioning group were close to each other (P > 0.05); and the pathological injury of the lungs were close to each other. The levels of the superoxide dismutase and malondialdehyde in the ischemic preconditioning group and combined ischemic preconditioning and ischemic postconditioning group were positively correlated with myeloperoxidase level. These findings indicate that ischemic preconditioning combined with ischemic postconditioning have an obvious cumulative protection effect on lung tissue injury induced by the neutrophil infiltration, activation and oxidation, therefore it can further reduce the lung injury after ischemia reperfusion.

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    Immunomodulatory activity of artesunate to T lymphocytes from the spleens of delayed-type hypersensitivity mice 
    Li Qin1,2, Chen Hong2, 3, Bai Shu-fang3, Wei Na3, Zhang Shi3
    2012, 16 (5):  843-846.  doi: 10.3969/j.issn.1673-8225.2012.05.020
    Abstract ( 238 )   PDF (323KB) ( 482 )   Save

    BACKGROUND: Artesunate is a derivant of high efficiency and low toxicity from artemisinin, which has been shown to affect immune response. However, the underlying mechanism remains elusive.
    OBJECTIVE: To investigate the immunoregulatory mechanism of artesunate to T lymphocytes from the spleens of delayed-type hypersensitivity mice.
    METHODS: The effects of artesunate on the ear swelling and spleen index were measured in delayed-type hypersensitivity mice. The transformation of spleen lymphocytes was used to detect the proliferation of T cells. Western blot assay was applied to investigate the p38 mitogen-activated protein kinase (MAPK) activation. The proliferation of T lymphocytes was detected by T lymphocyte transformation test. MAPK activity was detected by western blot method.
    RESULTS AND CONCLUSION: Topical application of artesunate could suppress the increase in ear thickness, spleen index and ConA-induced T lymphocytes proliferation significantly. Furthermore, artesunate was observed to decrease the phosphorylation of p38 MAPK. These demonstrated that artesunate had an anti-delayed-type hypersensitivity effect through modulating p38MAPK pathways, which might be beneficial for immune-related diseases.

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    Polymorphism of killer cell immunoglobulin-like receptor genes in Xinjiang Uygur population of China
    Lin Guo-yue, Wang Yan-bin, Zhang He-ping, Wu Yang, Meng Wei
    2012, 16 (5):  847-851.  doi: 10.3969/j.issn.1673-8225.2012.05.021
    Abstract ( 282 )   PDF (252KB) ( 314 )   Save

    BACKGROUND: Studies have found that killer cell immunoglobulin-like receptor (KIR) gene has genetic polymorphism. Different individuals and NK cells express different banks of KIR gene. 
    OBJECTIVE: To study the genotypes, haplotypes and polymorphism of KIR gene in Xinjiang Uygur population of China.
    METHODS: Gene frequency of KIR gene from 84 volunteers in Xinjiang Uygur population was detected by using sequence-specific primer PCR method. The genotypes and haplotypes were analyzed by Hsu standard.
    RESULTS AND CONCLUSION: ①Totally 16 known KIR genes were detected. 3DL3, 2DL4 and 3DL2 were expressed in all the individuals; the most common genes were 2DL1, 3DP1, 2DP1 and 2DL3; the following were 2DS4, 3DL1, 2DL5, 2DS2, 2DL2, 2DS1, 2DS5 and 3DS1; the 2DS3 were relatively low. ②A total of 19 different kinds KIR genotype were identified. The most common on KIR genotypes were AJ (2, 2), AH (5, 2) and M (2, 8), with frequencies of 25.00%, 10.71% and 10.71%. The following were P (2, 17), AI (1, 5), H (2, 4) and C (5, 3), with frequencies of 9.52%, 5.95%, 5.95% and 4.76%. Also, in this study were identified two new genotypes U (17, 21), T(8, 8), which had not been observed in Han so far have been found. ③A total of 11 different kinds of KIR haplotypes were identified. The haplotypes 2 was predominant with a frequency of 48.7%. The following was haplotypes 5 with a frequency of 15.8%. Furthemore, three new genotypes which had not been observed in other population so far, and three new genotypes could not be assigned to the haplotypes, accoding to standard method of Hsu. These findings suggested that there are distinctive frequencies of KIR gene content, genotype as well as haplotype in Xinjiang Uygur population of China. Meantime, the data demonstrate the presence of new KIR genotypes and haplotypes.

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    Effect of different oxygen concentrations on blood oxygen pressure in the system of in vitro physiological environment foster limbs
    Wang Jiang-ning, Yin Ye-feng, Gao Lei, Wang De-cheng, Zuo You-wei, Su Cai-pei
    2012, 16 (5):  855-858.  doi: 10.3969/j.issn.1673-8225.2012.05.023
    Abstract ( 290 )   PDF (406KB) ( 390 )   Save

    BACKGROUND: Limb replantation success rate with limb preservation method is directly related to conduct in vitro simulated physiological environment foster limbs, which can extend saved time of the limbs.
    OBJECTIVE: To investigate the effects of different oxygen concentrations on blood oxygen pressure in the system of in vitro physiological environment foster limbs.
    METHODS: Totally nine New Zealand sheep with a total of 36 limbs underwent in vitro limb perfusion experiments with blood and were randomly divided into six groups according to different concentrations of oxygen gas (100%, 60%, 50%, 40%, 20%, 10%) into the membrane lung.
    RESULTS AND CONCLUSION: Comparison of blood oxygen pressure in each group, the arterial oxygen values in experimental group 6 was in the normal range (80-100 mm Hg), and with the oxygen concentration decreases, arterial oxygen pressure values decreases. It is indicated that in vitro simulation of physiological environment in the foster care system, different concentrations of oxygen gas into the membrane lung may have an impact on the arterial partial pressure of oxygen; through reducing the oxygen concentration, the arterial oxygen pressure can be close to the normal range.

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    Application of blood oxygen level-dependent magnetic resonance imaging in chronic kidney disease
    Wang Wen-juan1, 2, Guo Yan1, Li Zhu-hao1, Cai Hua-song1, Shi Yao-ping1, Yang Dong1
    2012, 16 (5):  859-862.  doi: 10.3969/j.issn.1673-8225.2012.05.024
    Abstract ( 302 )   PDF (368KB) ( 397 )   Save

    BACKGROUND: Blood oxygen level-dependent magnetic resonance imaging is a non-invasive method to monitor renal blood oxygen content.
    OBJECTIVE: To explore the application of blood oxygen level-dependent magnetic resonance imaging in the evaluation of renal blood oxygen content and renal function.
    METHODS: Blood oxygen level-dependent magnetic resonance imaging was used on 20 healthy volunteers and 24 chronic kidney disease patients. The cortical and medullary R2* value were measured and compared in each group.
    RESULTS AND CONCLUSION: Normal medullary R2* value was higher than cortical R2* value (P < 0.05). There was no significant difference in bilateral kidney (P > 0.05). Patients with chronic kidney disease had higher cortical and medullary R2* than normal health (P < 0.05). There was a positive correlation between serum creatinine and renal R2* (r=0.564, P =0.004; r=0.588, P =0.003). This research shows that blood oxygen level-dependent magnetic resonance imaging can reflect renal blood oxygen levels, and has certain value in evaluate the renal function.

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    Comparison of two methods of tendon preservation at normal temperature in glycerine
    Han Bing, Song Yi-ping, Wang He-hong, Chen Shuo, Tong Xun, Zhao Ri-guang, Sun Yi-yan, Feng Hui
    2012, 16 (5):  863-866.  doi: 10.3969/j.issn.1673-8225.2012.05.025
    Abstract ( 293 )   PDF (444KB) ( 284 )   Save

    BACKGROUND: The greatest degree to obtain the biological activity of tendon is the conditions for allograft tendon transplantation.
    OBJECTIVE: To select the best tendon preservation method at room temperature.
    METHODS: The rabbit tendons were randomly divided into four groups using the aseptic technique: Control group of fresh tendon, normal saline group, anhydrous glycerol group Ⅰ(tendons were preserved in anhydrous glycerol after gradient dehydration), anhydrous glycerol group Ⅱ (tendons were preserved in anhydrous glycerol directly). Tendons in each group were preformed with examination at 2, 4 and 7 months.
    RESULTS AND CONCLUSION: Hematoxylin-eosin staining showed that the cell integrity of anhydrous glycerol group Ⅰ was higher than that of anhydrous glycerol group Ⅱ. Electron microscope observation showed that the morphology of most tendon cells in anhydrous glycerol group Ⅰ was normal, the structure of tendon tissue was integrated; After the tendons were preserved in anhydrous glycerol group Ⅱ for 4 and 7 months, the nucleus were coagulation, condensation and collapse-like. The activity of superoxide dismutase in anhydrous glycerol group Ⅰ was obviously higher than that in the anhydrous glycerol group Ⅱ. It indicates that the tendon preformed with gradient dehydration can be preserved in anhydrous glycerol effectively.  

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    Protective effects of traditional versus reforming cryopreserving methods on human vascular endothelial cells 
    Li Liu1, Hou Guang-hui2, Wu Jing3
    2012, 16 (5):  867-870.  doi: 10.3969/j.issn.1673-8225.2012.05.026
    Abstract ( 291 )   PDF (450KB) ( 275 )   Save

    BACKGROUND: As for traditional cryopreserving method, cells are cooling by steps at 4 ℃ and -20 ℃, which is complicated and a waste of time.
    OBJECTIVE: To compare the protective effects of traditional and reforming cryopreserving methods on human vascular endothelial cells.
    METHODS: The vascular endothelial cells were incubated with a freezing medium consisting of 10% dimethyl sulfoxide, 60% fetal bovine serum and 30% DMEM serum-free medium after digested with trypsin, and then the cell suspension were put into preserving tubes. Each group was intervened. In the experimental group, the tubes were packaged with gauze and then thawed into -80 ℃ refrigerator straightly. In the control group, the tubes were pre-cooling at 4 ℃ and -20 ℃ for 30 minutes and 1 hour, then thaw into -80 ℃ refrigerator. One month later, the endothelial cells were resuscitated.
    RESULTS AND CONCLUSION: There were no significant difference in the survival rates and growth curves between experimental group and control group. The experimental group was significantly better than control group in adherence rates, morphological changes and proliferation. The reforming cryopreserving method is better than traditional cryopreserving method which is more convenient and easier to operate.

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    Effect of pancreatotrophin on the proliferation and function of islet cells in rats
    Xu Yan-hua1, Wang Hong-min2, Zhang Zhen1, Cai De-hong1, Yu Jing-wen1, Wu Li-feng1, Chen Dao-ming1, Chen Hong1
    2012, 16 (5):  871-874.  doi: 10.3969/j.issn.1673-8225.2012.05.027
    Abstract ( 375 )   PDF (341KB) ( 275 )   Save

    BACKGROUND: Studies have reported to promote proliferation, differentiation and regeneration of β-cells is a potential treatment for patients with type 2 diabetes.
    OBJECTIVE: To investigate the effects of pancreatotrophin on the proliferation and function of rat islet cells in vitro.
    METHODS: The rat islet cells were isolated and purified by collagenase digestion and tissue-culture, followed with the detection of purity and activity. The islet cells were divided into blank control group and experimental group. Normal culture medium was added in the blank control group, pacreatotrophin in different concentrations were put in the experimental groups (100, 200, 300, 400 mg/L respectively). CCK-8 detection was performed to test the proliferous activity after 1, 3 and 5 days. After 5 days of culture, insulin release test was carried out in the condition of low-glucose and high-glucose.
    RESULTS AND CONCLUSION: Along with the increase of the pancreatotrophin concentration, the proliferate activity of islet cells was in a dose-dependent manner (P < 0.05), but it demonstrated that there was no obvious time-dependent; In addition to 100 mg/L group and 200 mg/L group, the volume of insulin secretion in 300 mg/L group and 400 mg/L group were significantly higher than that in the blank control group (P < 0.05). It demonstrates that the concentrations of pancreatotrophin in 300 mg/L and 400 mg/L can not only promote cell proliferation, but also can significantly enhance the function of islet cells to secrete insulin

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    pifithrin-alpha reduces the expression of PUMA protein in the early stage of liver ischemia-reperfusion in rats
    Peng Song-lin, Xing Fei, Wang Kai, Zhao Yang, Dai Chao-liu
    2012, 16 (5):  875-878.  doi: 10.3969/j.issn.1673-8225.2012.05.028
    Abstract ( 261 )   PDF (438KB) ( 316 )   Save

    BACKGROUND: pifithrin-α is a reversible inhibitor of p53, the effect of pifithrin-α inhibited p53 pathway on hepatic ischemia-reperfusion injury is unclear.
    OBJECTIVE: To explore the effect of nuclear transcription factor p53 inhibitor on the expression of PUMA protein after liver ischemia-reperfusion in rats.
    METHODS: Ninety-six male Wistar rats were divided into four groups randomly: control group, ischemia-reperfusion group, ischemia-reperfusion+solvent dimethyl sulfoxide (DMSO) group (DMSO group) and ischemia-reperfusion+pifithrin-α group (pifithrin-α group). The 70% liver ischemia model was established. The rats in PFT group were injected with pifithrin-α after 60 minutes, the DMSO group was injected with dimethyl sulfoxide solution and the control group and ischemia-reperfusion group were injected with normal saline in the same dose.
    RESULTS AND CONCLUSION: At 1, 3 and 6 hours after ischemia-reperfusion in rat liver, the expression of PUMA protein in liver tissue was obviously, the expression of PUMA protein in pifithrin-α group was inhibited significantly. However, at 24 hours after ischemia-reperfusion, the expression of PUMA protein in pifithrin-α group was higher than that in the other three groups. pifithrin-α can protect liver from ischemia-reperfusion injury through suppressing p53 in the order to decrease the expression of PUMA protein, but pifithrin-α can reduce the expression of PUMA protein only in the early stage after rschemia-reperfusion.

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    Multi-level analysis of literature regarding anesthesia for renal transplantation based on Science Citation Index database from 1991 to 2010
    Cai Zhen-yu1, Rui Gang2
    2012, 16 (5):  879-884.  doi: 10.3969/j.issn.1673-8225.2012.05.029
    Abstract ( 289 )   PDF (433KB) ( 310 )   Save
    BACKGROUND: Anesthesia for renal transplantation plays an important role. The effect of anesthesia may affect the safety and success rate of renal transplantation.
    OBJECTIVE: To analyze the literature regarding anesthesia for renal transplantation in Science Citation Index (SCI) database in order to improve the understanding of research trend in anesthesia for renal transplantation.
    DESIGN: Bibliometric analysis.
    DATA RETRIEVAL: Literature regarding anesthesia for renal transplantation in SCI database was retrieved by electronic retrieval methods using key words of “renal transplant/kidney transplant, anesthe, general anesthesia, epidural anesthesia/EA”. The analysis combined the Web of Science data and used statistics in Excel. All articles referring to anesthesia for renal transplantation in SCI database were assessed according to the following aspects: publication year, publication outputs of countries, regions, and institutes, output in journals, distribution of citations, as well as number of author output.
    INCLUSIVE CRITERIA: ①Peer-reviewed original articles closely related to anesthesia for renal transplantation. ②Reviews related to anesthesia for renal transplantation. ③Meeting notes and abstracts related to anesthesia for renal transplantation.
    ④Letters related to anesthesia for renal transplantation. Exclusion criteria: ①Unpublished articles. ②Articles need to be obtained by phone or manually search.
    MAIN OUTCOME MEASUREMENTS: ①Publication year of anesthesia for renal transplantation. ②Publication outputs of countries or regions. ③Institutional distribution. ④Output in journals. ⑤Distribution of citations. ⑥Number of author output.
    ⑦Document type. ⑧Bibliometric data comparison between general anesthesia and epidural anesthesia.
    RESULTS: ①During 1991 to 2010, 387 publications regarding anesthesia for renal transplantation were retrieved in SCI database. The original articles ranked the first with 344 publications. The overall number of literature had an upward trend in the time distribution, and 12 publications served as classical references. ②Transplantation Proceedings ranked the first with 42 publications, followed by Transplantation with 14 articles, and Anesthesia and Analgesia with 13 articles. The number of articles addressing general anesthesia for renal transplantation was 77, which was greater than that addressing epidural anesthesia for renal transplantation.
    CONCLUSION: The analysis of international literature shows the development trend of anesthesia for renal transplantation, which provides recommendations for subject experts to study anesthesia for renal transplantation.
     
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    Immunosuppressant medicines for renal transplantation: A literature analysis based on Science Citation Index database from 2001 to 2010  
    Guo Yi-tong1, Tan Zhi-gang2
    2012, 16 (5):  885-894.  doi: 10.3969/j.issn.1673-8225.2012.05.030
    Abstract ( 342 )   PDF (432KB) ( 365 )   Save

    BACKGROUND: Immunosuppressive medication plays an important role in renal transplantation. The use of immunosuppressant medicine for renal transplantation will affect survival of humans/kidneys after kidney transplantation as well as patient’s quality of life.
    OBJECTIVE: The literature regarding various immunosuppressant medicines for renal transplantation in Science Citation Index (SCI) database was analyzed to understand the trends of studies on immunosuppressant medicine for renal transplantation.
    DESIGN: Bibliometric analysis.
    DATA RETRIEVAL: A retrieval was performed for the literature of various immunosuppressant medicines for renal transplantation, including azathioprine/ Aza, cyclosporin A/CsA, rapamycin/sirolimus, mycophenolate mofetil and tacrolimus/FK506 during 2001-01 and 2010-12 in SCI. Quantitative analysis was used to analyze the literatures based on their document type, publication time, country, funding agency, citation, and author.
    SELECTIVE CRITERIA: Articles on immunosuppressant medicine for renal transplantation including the following types: (1) Peer-reviewed original paper; (2)Reviews; (3)Meeting notes and abstracts; (4)Letters; (5)Editorial materials. Exclusive criteria were included (1)Articles unrelated the study of immunosuppressant medicine for renal transplantation; (2)Articles published before 2001; (3)Articles which were not published on journals; (4)Articles which need to be retrieved by phone or manually.
    MAIN OUTCOME MEASUREMENTS: (1)Document type distribution. (2)Publication time distribution. (3)Country distribution.
    (4)Funding agency distribution. (5)Journal distribution. (6)Citation frequency. (7)Author output. (8)Comparison of literature  regarding five immunosuppressants for renal transplantation.
    RESULTS: (1)6 224 papers on immunosuppressant medicine for renal transplantation were retrieved in SCI database, in which most of paper were published as original articles. Twenty-two articles were identified as classic literature. (2)The overall number of literature had an upward trend from 2001 to 2005, and a downward trend from 2006 to 2010. (3)Forty-nine papers were funded by National Institutes of Health (NIH). (4)Transplantation Proceedings published most papers in this field (914), followed by Transplantation (777) and American Journal of Transplantation (535). Transplantation Proceedings was recognized as the core journal in the area.
    CONCLUSION: The analysis of international literature shows the development of immunosuppressant medicine for renal transplantation, which could provide reference for subject experts to further study unsolved issues in the field.

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    Clinical application and theoretical study of organ preservation before transplantation
    Hou Ping, Li Jian-ping
    2012, 16 (5):  895-898.  doi: 10.3969/j.issn.1673-8225.2012.05.031
    Abstract ( 262 )   PDF (344KB) ( 633 )   Save

    BACKGROUND: Organ activity before organ transplantation is the key of functional recovery and is also a difficult medical problem of organ preservation.
    OBJECTIVE: To review the organ preservation methods, preservation solution and current preservation situation at home and abroad in order to find the best preservation methods and preservation solution for providing the theory basis of organ preservation. METHODS: Wanfang, VIP and PubMed databases were retrieved for articles related to the organ preservation before transplantation published from January 1998 to September 2011. Key words were “organ; transplantation; preservation” in Chinese and English. Articles which published recently or in the authoritative magazines were preferred in the same field. A total of 186 articles were obtained, and 20 articles were involved for summarization according to inclusion criteria.
    RESULTS AND CONCLUSION: To understand the methods of organ preservation is beneficial for selecting appropriate preservation methods according to the current research situation. Organ preservation solution is the key to keep organ activity. Extant preservation solution is sufficient, so the effect of different preservation solutions on different organ preservations is different. To select the proper preservation solution is to achieve the best effect of transplanted organ preservation and to restore the best organ function after transplantation. To study the methods of organ preservation before transplantation, preservation solution and understand the different organs with the appropriate preservation method and preservation solution is beneficial for the further medical development of organ preservation.

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    Chen Yun-fei1, Wang Yi2, Yang Hong-ji3
    2012, 16 (5):  899-·902.  doi: 10.3969/j.issn.1673-8225.2012.05.032
    Abstract ( 333 )   PDF (428KB) ( 448 )   Save

    BACKGROUND: Pigs are easy feeding and easy propagation, and their organ size matches human organ. Furthermore, the matching ability of organ donor and receptor could be enhanced by genetic engineering. Therefore pigs are the best large-animal model as heterogeneous organ donor.  
    OBJECTIVE: To summarize the recent research progress on xenotransplantation using pig organs.
    METHODS: An online search of PubMed database and Wanfang database was performed for relevant articles published between January 2001 and December 2010 on xenotransplantation using pig donor or non-human primate donor.
    RESULTS AND CONCLUSION: The clinical application of pig donor in xenotransplantation could alleviate the organ shortage. But there are still some immunological obstacles in xenotransplantation, which could be resolved by genetic engineering and immunosuppressive drug innovation. So far, the immunologic rejection cannot be completely overcome on the current research level. Besides, heterogeneous pathogen infection can be caused by xenotransplantation, such as porcine endogenous retrovirus. It is uncertain whether using pig donor in xenotransplantation is potentially infectious, but along with further studies, immune rejection and viral infection problems will be completely overcome.

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    Expression and distribution of regulatory T lymphocytes in liver transplant tissues
    Nong Cun-li, Long Teng-he, Guo Qian
    2012, 16 (5):  903-906.  doi: 10.3969/j.issn.1673-8225.2012.05.033
    Abstract ( 255 )   PDF (393KB) ( 353 )   Save

    BACKGROUND: Regulatory T cells play an important role in the immune tolerance induction of liver transplantation in animals.
    OBJECTIVE: To explore the expression and distribution of regulatory T cells in the liver transplantation tissues.
    METHODS: An online search of Medline (1990-01/2010-12), Wanfang Med Online (1990-01/2010-12) and China Hospital Knowledge Database (1998-01/2010-12) was performed for the related articles with the key words of “liver transplantation, rejection immune tolerance, regulatory T cells” in English and in Chinese.
    RESULTS AND CONCLUSION: Regulatory T lymphocytes are one of the major regulatory cells in the regulation of the immune response; they assist the humoral and cell-mediated immunity. Regulatory T lymphocytes and their cytokines play a very import role in the immunoreactions of liver transplantation: the balance of Th1/rh2 is closely related with the immunoreactions after liver transplantation; the increased secretion of Th1 cytokine causes liver transplant rejection. Immune tolerance reactions are more likely to occur when the Th1/rh2 balance shifts to Th2. Clinical evaluation of the immune status in liver transplantation patients should be combined with ImmuKnow, T lymphocytes, plasma concentration, liver function testing and other related inspection, therefore the individual use of immunosuppressive agents in liver transplant recipients can be effectively guided

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    Liver transplantation research and common complications treatment 
    Huang Wen-feng, Zhang Xiao-ling, Xie Zhi-jun, Shu Tao
    2012, 16 (5):  907-910.  doi: 10.3969/j.issn.1673-8225.2012.05.034
    Abstract ( 254 )   PDF (395KB) ( 458 )   Save

    BACKGROUND: Liver transplantation is the effective treatment for end-stage liver diseases. How to reduce complications after liver transplantation and choose effective treatment for postoperative complications is the current focus in the field of liver transplantation.
    OBJECTIVE: To investigate the feasibility, indications, and contraindications of liver transplantation, as well as cure and prevention of complications after liver transplantation.
    METHODS: A computer-based search of CNKI and PubMed databases (1999-01/2011-07) were performed for articles related to liver transplantation. The keywords were “liver transplantation, rejection, complication” in Chinese and English. Relevant articles published recently or in authorized journals were preferred. Totally 206 articles were retrieved, and finally 19 articles were included in result analysis.
    RESULTS AND CONCLUSION: The number and quality of liver transplantation has gradually increased, as well as the survival rate has gradually increased and occurrence of post-transplantation complications has decreased year by year. Liver transplantation technique in China has been into the international advanced level. End-stage cirrhosis of the liver is the primary indication for liver transplantation. Living donor liver transplantation avoids the death of liver recipients due to insufficient liver sources. With the development of molecular biology, immunology, anesthesia and other medical related disciplines, liver transplantation indications and transplantation techniques have been improved, and liver transplantation has achieved a great progress. However, there are still many problems to be solved.

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    Pathology performance and changes of kidney necrosis and rejection after kidney transplantation 
    Sha Chun-yan
    2012, 16 (5):  911-914.  doi: 10.3969/j.issn.1673-8225.2012.05.035
    Abstract ( 329 )   PDF (385KB) ( 303 )   Save

    BACKGROUND: The key for the survival of the transplant kidney is to provide regularly renal biopsy, correct pathological diagnosis and appropriate treatment for the recipients in the early stage when the problems of the transplant kidney are discovered.
    OBJECTIVE: To summarize the pathology performance and changes of kidney necrosis and rejection after kidney transplant.
    METHODS: A computer-based online search of VIP Database and PubMed database was performed for the relevant articles on kidney necrosis and rejection after kidney transplant published from January 1998 to October 2009. The collected articles were preliminarily reviewed; the references of each article were checked.
    RESULTS AND CONCLUSION: A total of 16 articles were retained according to the inclusion criteria. The pathological types of chronic kidney damage after transplantation include chronic rejection, mesangial lesions, crescentic glomerulonephritis, membranous nephropathy, Ig nephropathy and hemolytic uremic syndrome. Chronic rejection is the most common pathological type of chronic kidney damage after transplantation; the factors related to chronic rejection may include: donor age, the incidence of acute rejection, delayed graft function recovery and CMV infection. Hypertension and proteinuria have important effects on the long-term prognosis of transplanted kidney. Pathological changes in transplanted kidney are complex and diverse; the combined diagnosis method based on the results of renal puncture biopsy and clinical analysis has high success rate and good safety. It has an important guiding sense to the judgments of kidney damage after renal transplantation based on clinical laboratory data and the selection of treatment options.

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    Immunological characteristics of allogeneic tendon and achilles tendon after transplantation
    Li Min, Wang Li-xia, Zhang Rui-cun
    2012, 16 (5):  915-918.  doi: 10.3969/j.issn.1673-8225.2012.05.036
    Abstract ( 224 )   PDF (429KB) ( 306 )   Save

    BACKGROUND: Immune rejection of allogeneic transplantation is the most important issue for the successful transplantation.
    OBJECTIVE: To summarize the immunological characteristics of allogeneic tendon and achilles tendon transplantation for the treatment of achilles tendon defects and cruciate ligament, respectively.
    METHODS: A computer-based research was conducted on the PubMed database and Wanfang database for the articles on allogeneic ahilles tendon transplantation or achilles tendon reconstruction published from January 1990 to January 2012. The key words were “allograft, tendon, immunity, transplantation” in Chinese and English. A total of 83 articles were obtained.
    RESULTS AND CONCLUSION: The immune rejection of allogeneic tendon transplantation increased the risk of failure; however, the present studies have showed that deep-frozen processed allogeneic tendon is an ideal alternative material for the repair of human tendon defects. It has the advantages of no normal tissue structure sacrifice and free from the individual constraints. It could ensure the success of the tendon transplantation and provide a reliable guarantee for the repair of achilles tendon re-rupture defects with the advantages of simple operation, small incision, less damage and reliable effects.

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    Effect of soluble N-ethylmaleimide-sensitive factor attachment protein receptor on the immunological function of macrophages
    Wang Rui-heng1, Wan Ying2
    2012, 16 (5):  919-922.  doi: 10.3969/j.issn.1673-8225.2012.05.037
    Abstract ( 250 )   PDF (429KB) ( 382 )   Save

    BACKGROUND: Macrophage performs the antigen phagocytosis, secretion of cytokines and migration through vesicle transport. Soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) is a family of proteins which mediate the transportation of vesicles.
    OBJECTIVE: To thoroughly understand the effects of SNARE proteins on the immune activities of macrophage and the function.
    METHODS: An online search of PubMed, Embase and VIP databases (2011-11) was performed using key words of “SNARE proteins, macrophages” for articles published in English or Chinese. The irrelevant or repetitive papers were eliminated by screening for the titles and abstracts. Some essential articles that were helpful for understanding its mechanism were supplemented.
    RESULTS AND CONCLUSION: A total of 27 articles were included. SNARE family is the molecular basis to ensure the direct transportation of vesicles and accurate unloading, and plays a role in antigen phagocytosis of macrophages, cytokine secretion and migration. It is a reasonable strategy for research the immune activity of macrophages with the starting point of SNARE family.  

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    Laboratory outcomes of discarded embryos cultured into blastocysts in vitro
    Wang Juan, Lü Yu-zhen, Zhao Fang
    2012, 16 (5):  923-926.  doi: 10.3969/j.issn.1673-8225.2012.05.038
    Abstract ( 309 )   PDF (343KB) ( 339 )   Save

    BACKGROUND: Some reports have showed that the discarded embryos can be used to establish the human embryonic stem cell lines, after freezing and thawing, the transplantation of embryos that hysteretic in morphological development still has medical value.
    OBJECTIVE: To study the potential of discarded embryos cultured into blastocyst in vitro.
    METHODS: Totally 404 discarded embryos were collected from the patients treated with in vitro fertilization and embryo transfer (IVF_ET) or intracytoplasmic sperm injection (ICSI), and then preformed with blastocyst sequential training.
    RESULTS AND CONCLUSION: ①The 404 discarded embryos formed 65 blastocyst, the total blastocyst formation rate was 16.1%. ②There was no relation between the blastocyst formation and the patient's etiology, age, fertilization methods (P > 0.05). ③The blastocyst in embryos derived from the ≥ 3 pronuclear (PN) embryos (6-8) cell group had the highest formation rate    (P < 0.05). The number of blastomeres increased with the number of cells and the blastocyst rate was also increased, but, when the cell number was more than 8, the blastocyst rates was dropped, and similar to < 3 cell group. ④The Ⅰ and Ⅱ embryos with the a high blastocyst formation rate that was higher than Ⅲ and Ⅳ embryos (P < 0.05). ⑤The clinical pregnancy rate of the patients with blastocyst formation was higher than those without blastocyst formation (P < 0.05). The blastocyst formation has no relation with the etiology of patients, age and fertilization methods. The good quality embryos and (6-8) cell embryos has the highest blastocyst formation rate, and the blastocysts formation value of the pronuclear embryos should be caused for concern. The recycle of the discarded embryos can predict clinical outcomes and provide favorable land resources for human embryonic stem cells.

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    Ethical considerations of living organ donors
    Zhong Hui-liang1, 2
    2012, 16 (5):  927-930.  doi: 10.3969/j.issn.1673-8225.2012.05.039
    Abstract ( 295 )   PDF (393KB) ( 271 )   Save
    BACKGROUND: Ethical issues in living organs have gradually become the focus and difficult point in research.
    OBJECTIVE: To further study the ethical issues of living organ donors.
    METHODS: A computer-based online search in CNKI database and VMIS database from January 2001 to March 2011 was performed for articles on organ transplantation, with key words of “living donor” and “organ transplantation, ethics” by screening titles and abstracts. The documents closely related to living donor in the same field, and published in authoritative journals or recently were preferred. Unrelated, antiquated and repetitive studies were excluded. Totally 18 literatures and four medical ethics books were chosen to summarize.
    RESULTS AND CONCLUSION: Laws and regulations in organ transplantation and donation should be improved, and donor sources should be standardized in order to prevent sale of living donor driven by scientific and technological benefits and economic benefits to achieve healthy survivor. Study the ethical issues in living donors can improve the enthusiasm and initiative of living donors and solve the shortage of organ donors.
     
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    Establishment of an abdominal compartment syndrome animal model
    Chang Geng-yun1, Mei Ming-hui2
    2012, 16 (5):  931-934.  doi: 10.3969/j.issn.1673-8225.2012.05.040
    Abstract ( 271 )   PDF (352KB) ( 226 )   Save

    BACKGROUND: The mechanism of organ functional lesion cause by abdominal compartment syndrome (ACS) is unclear. The appropriate animal models should be established for the in-depth study of the pathogenesis and pathophysiology.
    OBJECTIVE: To investigate the related issues you might encounter during the process, including the model preparation standard, method, animal selection and monitoring of abdominal pressure.
    METHODS: The PubMed database and CNKI database from 1990 to 2011 were used to search the articles on ACS, abdominal high pressure and related animal model.
    RESULTS AND CONCLUSION: A successful animal model of ACS should have to maintain the stability of intra-abdominal pressure, and can persist for some time. Meanwhile it should impact on the experimental results as little as possible. Therefore, the key is the measurement of the intra-abdominal pressure in intraperitoneal infusion of liquid of gas model as well as the maintenance of a stable pressure. Dynamic monitor of the abdominal pressure can not be preformed on the intraperitoneal infusion of liquid model, and the pressure fluctuations is significant; To compare with intraperitoneal infusion of liquid model, it is convenient to measure the intra-abdominal pressure on intraperitoneal infusion of gas model, and the utilization of electronic supply system to dynamic monitor the intra-abdominal pressure is desirable. The establishment of physical model is forward-looking experiment, but the existing physical models are needed to be improved.

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    Flap and musculocutaneous flap grafting plus irrigation for the repair of multiple decubitus ulcers after paraplegia
    Wang Hao, Zhang Pu-zhu
    2012, 16 (5):  935-938.  doi: 10.3969/j.issn.1673-8225.2012.05.041
    Abstract ( 265 )   PDF (258KB) ( 361 )   Save

    BACKGROUND: Decubitus ulcer is a common complication in paraplegia patients. Severe decubitus ulcer is difficult to cure by conservative therapies.
    OBJECTIVE: To explore the therapeutic efficacy of flap and musculocutaneous flap grafting plus irrigation in the repair of multiple decubitus ulcers after paraplegia
    METHODS: A total of 16 paraplegia patients with multiple decubitus ulcers who received medical service in the Department of Burn and Plastic Surgery of Beijing Jishuitan Hospital from January 2007 to December 2010 were included. All cases were combined with different degrees of bone destruction. Surgery involved wound debridement and bone scraps, sequestrum, scars and infected granulation tissues were removed. Then the wound surfaces were covered by flap or musculocutaneous flap. The wounds were irrigated after operation.
    RESULTS AND CONCLUSION: Wounds in all 16 cases healed by first intention. No recurrence was found in the 3rd month follow-up after patients leaving the hospital. Flap and musculocutaneous flap grafting plus irrigation is effective to cure the multiple decubitus ulcers after paraplegia.

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    One-stage arthroscopic reconstruction of anterior and posterior cruciate ligaments: A mid- and long-term curative effect of autograft versus allograft
    Li Wei-ping, Song Bin, Yang Rui, Zhang Zheng-zheng, Wang Li-hui
    2012, 16 (5):  939-943.  doi: 10.3969/j.issn.1673-8225.2012.05.042
    Abstract ( 318 )   PDF (299KB) ( 573 )   Save

    BACKGROUND: Few studies on one-stage arthroscopic combined with arthroscopic reconstruction anterior crueiate ligament (ACL) and posterior cruciate ligament (PCL), especially on mid- and long-term follow-up.
    OBJECTIVE: To introduce one-stage arthroscopic reconstruction of ACL and PCL, and to evaluate the mid- and long-term clinical curative effect.
    METHODS: From June 2002 to June 2007, 45 patients with ACL and PCL injuries received one-stage arthroscopic reconstruction. Totally 20 cases chosing autografts and 25 cases chosing allografts. The reconstruction with absorbable screw was performed using the single-bundle ACL and PCL technique. Wound was treated simultaneously.
    RESULTS AND CONCLUSION: Totally 33 patients were followed up for 3 to 8 years. The range of motor was normal. Anterior drawer test of 3 cases were mild-positive, posterior drawer test of 5 cases were mild-positive. LACHMAN test of 6 cases was mild-positive, pivot shift test of 3 cases was mild-positive. Lysholm score and Larson score of autografts and allografts teams after 3 years construction were higher than those of before reconstruction (P < 0.05). There were no difference in Lysholm score and Larson score between the autografts team and the allografts team (P > 0.05). Eight cases were bone tunnel expansion, including 5 cases of ACL tibial segment, 3 cases of PCL tibial segment. Five cases suffered from hydrops articuli, and then treated with paracentesis and clysis, none were broken again. It is indicated that one-stage arthroscopic reconstruction of ACL and PCL with autograft and allograft can both obtain satisfactory motion range, joint stability and well clinical effect of mid-and long-term follow-up.

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    Lung volume reduction surgery: A transitional treatment prior to lung transplantation
    Chen Ying, Chen Jing-yu
    2012, 16 (5):  944-946.  doi: 10.3969/j.issn.1673-8225.2012.05.043
    Abstract ( 273 )   PDF (220KB) ( 378 )   Save

    BACKGROUND: Previous studies showed that lung volume reduction (LVR) is considered as a potential palliative surgical option for some patients with end-stage emphysema before lung transplantation surgery.
    OBJECTIVE: To explore the feasibility and curative effect of lung transplantation for end-stage emphysema who accepted LVR surgery.
    METHODS: One patient who accepted secondary LVR surgery because of end-stage emphysema was treated with left lung transplantation.
    RESULTS AND CONCLUSION: The patient weaned from ventilator at 32 hours after the operation. There were no acute rejection and other complications occurred after the operation. CT scan demonstrated the left lung dilatation and blood perfusion was better at postoperative 25 days, and the lung function was significantly improved at postoperative one month and finally discharged from hospital at postoperative 35 days. Further indicates that lung transplantation surgery followed by LVR is feasible and the lung function is improved greatly after the lung transplantation.

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    Interventional treatment for vascular complications after kidney transplantation in eight cases 
    Li Jin-feng1, Feng Gui-wen1, Guan Sheng2, Ding Peng-xu2, Wang Yue1, Pang Xin-lu1, Shang Wen-jun1, Liu Lei1
    2012, 16 (5):  947-950.  doi: 10.3969/j.issn.1673-8225.2012.05.044
    Abstract ( 296 )   PDF (326KB) ( 312 )   Save

    BACKGROUND: Interventional therapy for vascular complications after allograft kidney transplantation has become a safe and effective treatment.
    OBJECTIVE: To explore the diagnosis experiences and value evaluation of interventional treatment for vascular complications after allograft kidney transplantation.
    METHODS: The clinical data of eight patients with interventional treatment for vascular complications after allograft kidney transplantation were retrospectively studied.
    RESULTS AND CONCLUSION: In the eight cases undergoing transplantation, five cases were found renal artery stenosis, two cases were found pseudoaneurysm, and one case was found renal vein thrombosis, and they were all diagnosed by color Doppler flow imaging. Five cases of renal artery stenosis took further examination by magnetic resonance angiography, and they underwent ballon angioplasty and followed-up for 6, 8, 20, 36 and 40 months. One case was found restenosis in five cases, whose serum creatinine level maintained in the range of 130-160 μmol/L. Four cases of renal artery stenosis in five cases were found no recurrence, and their serum creatinine level was in normal range. The aneurism in two cases of renal artery pseudoaneurysm disappeared after undergoing stent graft placement across the external iliac artery, and then they were treated with routine hemodialysis. Thrombosis disappeared in one case of renal vein thrombosis after undergoing interventional thrombolysis. The graft function recovery of this case delayed, the serum creatinine level decreased to 210 μmol/L at day 35. After that the serum creatinine level of this case maintained in the range of 200-250 μmol/L. Based on the clinical data of these eight cases, it suggests that interventional treatment for vascular complications after allograft kidney transplantation is feasible.

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