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    18 August 2019, Volume 23 Issue 23 Previous Issue    Next Issue
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    Differences in the expression of related degrading enzymes in joint fluids of different stages of osteoarthritis
    Wang Haiying1, 2, Ding Xiao1, 2, Yang Li3, Han Fei1, 2, Pu Peidong1, 2, Ma Qingyuan1, 2, Shi Chenhui1, Wang Weishan1
    2019, 23 (23):  3609-3772.  doi: 10.3969/j.issn.2095-4344.1304
    Abstract ( 268 )   PDF (967KB) ( 129 )   Save

    BACKGROUND: At present, there are many studies on the degrading enzymes in synovial membrane and articular cartilage in patients with osteoarthritis. The related factors in joint fluid have also been reported, but the expression of related factors in different stages of osteoarthritis is little reported. There are few reports on the correlation between these factors and the disease severity.
    OBJECTIVE: To detect the expression of extracellular regulated protein kinase, matrix metalloproteinase 13 and a disintegrin and metalloproteinase with thrombospondin-like motifs 4/5 in patients with different stages of osteoarthritis.
    METHODS: Ninety-four patients with osteoarthritis undergoing arthroscopic surgery at the Department of Orthopedics, Department of Orthopedics, the First Affiliated Hospital of the Medical College, Shihezi University, from October 2016 to December 2017 were included. According to clinical symptoms and K-L X-ray classification, the patients were divided into early- (n=27), medium- (n=32), and late-stage (n=35) groups. Ten healthy patients who underwent amputation, knee trauma undergoing arthroscopy examination and outpatients who volunteered to participate in the experiment were as control group. The synovial fluids of each group were collected to detect the expression levels of extracellular regulated protein kinase, matrix metalloproteinase 13 and a disintegrin and metalloproteinase with thrombospondin-like motifs 4/5 by qRT-PCR and ELISA. The study was approved by the Ethics Committee of the First Affiliated Hospital of the Medical College, Shihezi University, approval number: 2017-052-01.
    RESULTS AND CONCLUSION: (1) The mRNA expression levels of each gene detected by qRT-PCR in the early-, middle- and late-stage groups were significantly higher than those in the control group (P < 0.001). The mRNA expression of extracellular regulated protein kinase and matrix metalloproteinase 13 in the early-, middle- and late-stage groups was on a rise (P < 0.01). The mRNA expression of a disintegrin and metalloproteinase with thrombospondin-like motifs 4/5 in the early-stage group was significantly higher than that in the middle- and late- stage groups (P < 0.01). (2) The protein expression levels of each gene detected by ELISA in the early-, middle- and late-stage groups were significantly higher than those in the control group (P < 0.001). The protein expression of extracellular regulated protein kinase and matrix metalloproteinase 13 in the early-, middle- and late-stage groups was on a rise (P < 0.01). The protein expression of a disintegrin and metalloproteinase with thrombospondin-like motifs 4/5 in the early-stage group was significantly higher than that in the middle- and late- stage groups (P < 0.01). (3) Correlation analysis showed that there was a positive correlation between extracellular regulated protein kinase and matrix metalloproteinase 13 expression (P < 0.01), a disintegrin and metalloproteinase with thrombospondin-like motifs 4 and 5 expression levels were positively correlated (P < 0.01). The expression levels of a disintegrin and metalloproteinase with thrombospondin-like motifs 4/5 were negatively correlated with the expression levels of extracellular regulated protein kinase and matrix metalloproteinase 13 (P < 0.05). (4) These results show that the expressions of extracellular regulated protein kinase, matrix metalloproteinase 13 and a disintegrin and metalloproteinase with thrombospondin-like motifs 4/5 are closely related to the clinical symptoms of knee osteoarthritis. The molecular mechanism of these factors in different stages of osteoarthritis is expected to provide reference for the clinical diagnosis and prognosis. 

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    Expression and correlation of matrix metalloproteinase-3 and galectin-3 in synovial tissue of osteoarthritis patients 
    Yang Pengfei1, Gao Peng2, Li Yuejun3, Jian Yongzhi1, Yang Tong1, Gu Peilun4, Wang Weishan5, Dong Jinbo5
    2019, 23 (23):  3616-3622.  doi: 10.3969/j.issn.2095-4344.1222
    Abstract ( 331 )   PDF (2815KB) ( 76 )   Save

    BACKGROUND: Matrix metalloproteinase-3 and galectin-3 play important roles in the pathological process of osteoarthritis. There may be some potential relationship between them, but has not been reported.
    OBJECTIVE: To detect the expression levels of matrix metalloproteinase-3 and galectin-3 in the synovial tissue of osteoarthritis, and to investigate the roles and relationship between matrix metalloproteinase-3 and galectin-3 in the pathogenesis of osteoarthritis.
    METHODS: Synovial tissues were obtained from the 60 patients undergoing total knee arthroplasty or knee arthroscopic treatment surgery and 20 healthy patients suffering from amputation caused by trauma or meniscus or knee ligament injuries caused by acute injury. The informed consents were obtained from all patients, and the study was approved by the Ethics Committee of First Affiliated Hospital of Medical College of Shihezi University. According to the Western Ontario and McMaster Universities Osteoarthritis Index, the osteoarthritis observation group was divided into three groups: mild, moderate, and severe groups, with 20 cases in each group. The expression levels of matrix metalloproteinase-3 and galectin-3 in the synovial tissues were detected by immunohistochemistry, and Pearson correlation analysis was conducted.
    RESULTS AND CONCLUSION: (1) Immunohistochemistry results showed that matrix metalloproteinase-3 was positive in 2 (10%) in the non-osteoarthritis group, positive in 7 (35%) samples in the mild-osteoarthritis group, positive in 13 (65%) samples in the medium-osteoarthritis group and positive in 18 (90%) samples in the severe-osteoarthritis group. (2) Galectin-3 was positive in 1 (5%) sample in the non-osteoarthritis group, positive in 6 (30%) samples in the mild-osteoarthritis group, positive in 12 (60%) samples in the medium-osteoarthritis group and positive in 17 (85%) samples in the severe-osteoarthritis group. (3) The expression levels of matrix metalloproteinase-3 and galectin-3 in the synovial tissues presented a positive correlation (r=0.926, P < 0.001), and the levels increased with joint degeneration becoming severe. (4) These results imply that there is a significant increase in the expression levels of matrix metalloproteinase-3 and galectin-3 in the synovial tissues of osteoarthritis compared with the non-osteoarthritis group, and both exert effect in osteoarthritis. Matrix metalloproteinase-3 and galectin-3 play important roles in regulating the process of osteoarthritis and related mutually, thus providing new theoretical direction and experimental basis for targeted gene therapy of osteoarthritis.

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    Expression and significance of prolyl hydroxylase and von-Hippel-Lindau tumor suppressor protein in the synovial tissues of rheumatoid arthritis
    Song Xiaoli1, Su Juan2, Liu Chongyang1, Zhang Guangyuan3, Zhang Xin4
    2019, 23 (23):  3623-3629.  doi: 10.3969/j.issn.2095-4344.1305
    Abstract ( 386 )   PDF (2532KB) ( 90 )   Save

    BACKGROUND: It is widely recognized that hypoxia-inducible factor plays a role in rheumatoid arthritis. As the key factors of hypoxia-inducible factors, whether prolyl hydroxylase and von-Hippel-Lindau tumor suppressor protein (pVHL) participate in rheumatoid arthritis still remains unknown.
    OBJECTIVE: To investigate the relationship between prolyl hydroxylase and pVHL in the synovial tissues of rheumatoid arthritis and osteoarthritis, and to explore the underling mechanism.
    METHODS: Synovial tissues were removed from 11 patients with rheumatoid arthritis undergoing knee arthroplasty, and synovial tissues from 20 patients with osteoarthritis undergoing knee arthroplasty were as controls. The study was approved by the Ethics Committee of Affiliated Hospital of Qinghai University, and the patients signed the informed consents. The expression levels of prolyl hydroxylases 1, 2 and 3, and pVHL in the synovial tissues were detected by immunohistochemical EnVision two-step method.
    RESULTS AND CONCLUSION: (1) All of the prolyl hydroxylases 1, 2 and 3, and pVHL were positive in the two groups. Prolyl hydroxylase 1 was significantly lower in rheumatoid arthritis patients than in osteoarthritis patients (P < 0.01). The expression level of prolyl hydroxylase 2 in rheumatoid arthritis patients was significantly higher than those in synovial tissues of osteoarthritis (P < 0.05). There was no significant difference in the expression of hydroxylase 3 and pVHL between two groups (P > 0.05). (2) The analysis of Spearman rank correlation showed that hydroxylases 2 and 3 (rs=-0.875, P < 0.01), hydroxylase 1 and red blood cell distribution width-standard deviation (rs=-0.374, P < 0.03), hydroxylase 2 and hemoglobin (rs=-0.457, P < 0.01), hydroxylase 3 and red blood cell distribution width-standard deviation (rs=-0.363, P < 0.04) were negatively correlated respectively, while there were positive correlation between hydroxylase 2 and eosinophil (rs=0.363, P < 0.04), hydroxylase 2 and hemoglobin (rs=0.405, P < 0.02), respectively. (3) Rheumatoid factor, C-reactive protein, serum amyloid A, and globulin were signi?cantly higher in serum of rheumatoid arthritis patients than in those of the osteoarthritis patients (P < 0.05). (4) These results indicate that the changes of hydroxylases 1 and 2 in synovial tissues of rheumatoid arthritis patients might be involved in the pathogenesis of this disease, which can help us understand a way of molecular biology for the occurrence of rheumatoid arthritis.

    中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

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    Prednisolone inhibites osteoblast apoptosis induced by transforming growth factor beta activated kinase 1
    Zhang Wen1, Zhang Lei1, Ren Shouzhong1, Liu Risheng2
    2019, 23 (23):  3630-3635.  doi: 10.3969/j.issn.2095-4344.1306
    Abstract ( 319 )   PDF (2090KB) ( 128 )   Save

    BACKGROUND: Transforming growth factor beta activated kinase 1 (TAK1) has been shown to play important roles in development of bone and joint and bone morphology signal transduction, and is related to osteoarthritis.
    OBJECTIVE: To explore the influence of prednisolone on osteoblast apoptosis induced by inhibiting TAK1 expression.
    METHODS: M3T3-E1 osteoblasts were cultured and passaged. The third generation of cells were divided into three groups: control group (normal group), negative transfection + prednisolone group, and TAK1 siRNA transfection + prednisolone group. The changes of osteoblast differentiation ability were evaluated by alkaline phosphatase staining and calcium nodule staining. Intracellular phosphorylation (p)-TAK1, and TAK1, phosphorylated c-jun amino, terminal kinase (p-JNK), and JNK protein expression levels were detected by western blot assay. MTT assay was used for M3T3-E1 cell proliferation. Flow cytometry was used to detect the cell cycle and apoptosis.
    RESULTS AND CONCLUSION: (1) Alkaline phosphatase staining showed that the number of stained cells in the TAK1 siRNA transfection + prednisolone group was least, followed by negative transfection + prednisolone group, and most in the control group. Calcium nodule staining showed that the number of intracellular calcium nodules in the negative transfection + prednisolone and TAK1 siRNA transfection + prednisolone groups decreased compared with the control group, especially the TAK1 siRNA transfection + prednisolone group. (2) Fluorescence microscope showed that the cells in the negative transfection + prednisolone group were broken and the morphology changed. The number of broken cells in the TAK1 siRNA transfection + prednisolone group increased significantly. (3) Western blot assay showed that the expression levels of p-TAK1 and p-JNK protein decreased gradually (P < 0.05). (4) MTT assay showed that TAK1 siRNA transfection + prednisolone group had highest cell inhibition rate (P < 0.05). Within 12 to 48 hours, the cell inhibition rate was on a rise, and then decreased at 72 hours. (5) The results of flow cytometry showed that the proportion of G2 phase cells in the TAK1 siRNA transfection + prednisolone group was higher than that in the other two groups, and the proportion of S phase cells was lower than that in the other two groups (P < 0.05). (6) The apoptosis rate in the TAK1 siRNA transfection + prednisolone group was higher than that in the other two groups (P < 0.05). (7) These results suggest that silencing TAK1 expression can increase the apoptosis of osteoblasts induced by prednisolone, which may be related to JNK signaling pathway.

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    Transmembrane protein 208 affects autophagy and mitochondrial function in chondrocytes
    Li Xiang, Meng Zhichao, Jiao Yang, Yu Bingxiao, Talatibaike•Maimaitijuma, Cao Yongping
    2019, 23 (23):  3636-3642.  doi: 10.3969/j.issn.2095-4344.1228
    Abstract ( 391 )   PDF (2875KB) ( 149 )   Save

    BACKGROUND: Decreased level of autophagy in chondrocytes is an important mechanism of osteoarthritis. The autophagy inhibitory gene transmembrane protein 208 is elevated in late-stage osteoarthritis cartilage, and this gene may promote the development of osteoarthritis by inhibiting autophagy of chondrocytes.
    OBJECTIVE: To investigate the effects of chondrocyte transmembrane protein 208 gene on autophagy and mitochondrial function in osteoarthritis model in vitro.
    METHODS: The cartilage tissue was from the discarded cartilage of patients undergoing knee arthroplasty. The mild lesion cartilage on non-weight-bearing face (Outerbridge I-II grade) was as early-term group, and the severe lesion cartilage on heavy-weight surface (Outerbridge III-IV grade) was as the late-term group. The content of transmembrane protein 208 in different cartilage tissues was detected. The study was in accordance with the ethical criteria of Peking University First Hospital, and the cartilage donors and their family members signed an informed consent form. Passage 4 normal human chondrocytes were obtained and then stimulated by interleukin-1β to establish the in vitro osteoarthritis. The chondrocytes were pretreated by autophagy activator rapamycin or autophagy inhibitor 3MA, followed by interleukin-1β added for 12, 24 and 48 hours to observe the morphology of chondrocytes. The content of transmembrane protein 208 gene was detected by real-time PCR. Western blot assay was used to detect autophagy-associated protein light chain proteins 3B and P62 to evaluate autophagy levels. The apoptosis of chondrocytes was detected by Annexin V-FITC method. Mitochondrial damage was assessed by fluorescent detection with MitoSOX Red dye and JC-1 dye.
    RESULTS AND CONCLUSION: (1) The expression of transmembrane protein 208 was significantly increased in severe osteoarthritis cartilage. (2) After stimulation with interleukin-1β for 12, 24 and 48 hours, the expression level of transmembrane protein 208 in chondrocytes decreased initially, and then increased. The level of autophagy rose initially and then fell. The apoptotic level gradually increased, and mitochondrial damage gradually became severe. (3) Rapamycin could significantly reduce the expression of transmembrane protein 208, increase the level of autophagy, and reduce the apoptosis and mitochondrial damage in chondrocytes after interleukin-1β stimulation. (4) To conclude, transmembrane protein 208 inhibits autophagy in chondrocytes, and increased expression of this gene may lead to increased damage of chondrocytes under stress.

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    Effects of curcumin post-conditioning on the balance of matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 in a rat model of renal injury induced by limb ischemia/reperfusion
    Zou Haibo, Sun Xiaofeng
    2019, 23 (23):  3643-3648.  doi: 10.3969/j.issn.2095-4344.1309
    Abstract ( 324 )   PDF (2301KB) ( 130 )   Save

    BACKGROUND: Curcumin preconditioning can alleviate renal injury induced by limb ischemia/reperfusion, but whether curcumin preconditioning has protective effect on renal injury and its mechanisms are still poorly studied.
    OBJECTIVE: To investigate the effects of the balance of matrix metalloproteinase-9/tissue inhibitor of metalloproteinase-1 when curcumin post-conditioning towards renal injury induced by limb ischemia/reperfusion in rats.
    METHODS: Eighty adult male Sprague-Dawley rats were provided by Laboratory Center of China Medical University, and the study was approved by the Laboratory Animal Ethics Committee of Affiliated Central Hospital of Shenyang Medical College. The rats were randomly divided into four groups (n=20/group) using a random number table: sham, ischemia/reperfusion, curcumin post-conditioning and dexamethasone groups. Limb ischemia was induced by occlusion of bilateral femoral arteries of rats except for sham group for 4 hours, followed by reperfusion for 4 hours. At 4 hours after ischemia, 200 mg/kg curcumin and 1.5 mg/kg dexamethasone was immediately injected by intraperitoneal pathway into curcumin post-conditioning and dexamethasone groups, respectively. The same volume of normal saline was injected into the rats in the other two groups. Arteries blood samples were taken at 4 hours of reperfusion for examining biochemical indexes such as creatinine and blood urea nitrogen. Kidney was removed to detect the level of malondialdehyde. Hematoxylin-eosin staining was used to detect pathological changes and semi-quantitative score of renal tubulointerstitia. The expression levels of matrix metalloproteinase-9, tissue inhibitor of metalloproteinase-1 and nuclear factor-κB p65 mRNA were detected by western blot assay and RT-PCR, respectively. The levels of tumor necrosis factor-α and interleukin-1β in lung tissue were detected by ELISA.
    RESULTS AND CONCLUSION: (1) Compared with sham group, the levels of creatinine, blood urea nitrogen and malondialdehyde in the ischemia/reperfusion group were significantly increased (P < 0.05). Hematoxylin-eosin staining showed obvious dilatation of renal tubules, tubular pattern, and disappearance of brush border and infiltration of inflammatory cells in renal interstitium in the lesion field. Semi-quantitative score of renal tubulointerstitia increased (P < 0.05). The expression levels of matrix metalloproteinase-9, nuclear factor-κB p65 mRNA and matrix metalloproteinase-9/ tissue inhibitor of metalloproteinase-1 were increased (P < 0.05). The release of tumor necrosis factor and interleukin-1 was increased (P < 0.05). (2) Compared with the ischemia/reperfusion group, the levels of creatinine, blood urea nitrogen and malondialdehyde in the curcumin post-conditioning group were significantly decreased (P < 0.05). Hematoxylin-eosin staining showed obvious dilatation of renal tubules, tubular pattern, and disappearance of brush border and infiltration of inflammatory cells in renal interstitium in the lesion field. Semi-quantitative score of renal tubulointerstitia decreased (P < 0.05). The expression levels of matrix metalloproteinase-9, nuclear factor-κB p65 mRNA and matrix metalloproteinase-9/ tissue inhibitor of metalloproteinase-1 were decreased (P < 0.05). The release of tumor necrosis factor and interleukin-1 was decreased (P < 0.05). (3) There was no significant difference in each index between curcumin post-conditioning and dexamethasone groups. (4) In summary, curcumin post-treatment can reduce the renal injury induced by limb ischemia/reperfusion injury in rats, which may be related to the reduction of matrix metalloproteinase-9/tissue inhibitor of metalloproteinase-1.

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    Histomorphology of bone bridge formation after epiphyseal injury observed by three staining methods
    Pan Yuancheng, Zhang Xinzhao, Chen Shunyou
    2019, 23 (23):  3649-3653.  doi: 10.3969/j.issn.2095-4344.1308
    Abstract ( 631 )   PDF (3024KB) ( 157 )   Save

    BACKGROUND: Existing evidence has shown that combined usage of various staining methods contributes to exploring the morphological performance of bone and cartilage diseases. Histomorphology of bone bridge formation after epiphyseal injury using various staining methods is rarely reported.
    OBJECTIVE: To observe the histomorphology of bone bridge formation after epiphyseal injury by hematoxylin-eosin staining, safranin O-fast green staining and Masson staining.
    METHODS: Forty Sprague-Dawley rats were provided by the Laboratory Animal Center of Fujian University of Traditional Chinese Medicine, and the study was approved by the Laboratory Ethics Committee of Fujian University of Traditional Chinese Medicine. The rats were randomly divided into model (proximal tibia epiphyseal injury model) and control groups (n=20/group). X-ray was conducted at 1, 7 and 28 days after modeling, and MRI was scanned at 7 and 28 days after modeling. The tibia damage tissues were removed under anesthesia at 1, 7, 14, and 28 days after modeling. Hematoxylin-eosin staining, safranin O-fast green staining and Masson staining were performed to observe the histomorphology of the growth plate damage area at postoperative different time points.
    RESULTS AND CONCLUSION: (1) X-ray films: at 1 day after modeling, the tibial metaphysis injury and widening growth plate space surrounding the perichondrium were observed. On day 7, periosteal reaction in the injured metaphysis was obvious. On day 28, periosteal reaction disappeared, and the space between metaphysis and growth plate returned to be normal. MRI T2WI at 28 days after modeling showed that epiphyseal plate became obscure and a blank line low signal was observed, suggesting bone bridge formation. (2) At 1 day after modeling, all staining methods revealed blood vessels, especially Masson staining. On day 7, the morphological changes of chondrocytes in the injury region were more obvious in hematoxylin-eosin staining compared with the safranin O-fast green staining and Masson staining. On day 14, under safranin O-fast green staining, the growth plate was clearly contrasted with the bone bridge, while unossified fibrous vascular tissue in the bone bridge can be observed by Masson staining. On day 28, hematoxylin-eosin staining showed obvious periodic morphological changes of chondrocytes. Safranin O-fast green staining showed clear morphology of bone bridge and growth plate, and the compressive change of the growth plate in the damaged area clearly. (3) These results indicate that the combined application of the three staining methods can comprehensively and objectively explore the histomorphological manifestations of the bone bridge formation after epiphyseal injury.

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    Efficacy of different scraping protocols in the intervention of rat models of lumbar disc herniation based on urine metabolomics 
    Ding Huan1, Chen Lihong1, Chen Yujing1, Yue Rongzhao1, Yang Min1, Xu Guihua2
    2019, 23 (23):  3654-3659.  doi: 10.3969/j.issn.2095-4344.1307
    Abstract ( 313 )   PDF (1173KB) ( 207 )   Save

    BACKGROUND: Scraping has been extensively applied in the treatment of lumbar disc herniation, and the underlying mechanism was explored by metabolomics.
    OBJECTIVE: To investigate the changes of endogenous metabolites in urine of rats with lumbar disc herniation and its mechanism of action by gas chromatography-mass spectrometry metabolomics method, and to analyze the difference in efficacy of different scraping schemes, in order to standardize the scraping therapy, and provide reference and basis for clinical application.
    METHODS: Forty-eight male Sprague-Dawley rats were randomly divided into blank, model and scraping groups (passing the sputum, acupuncture, sputum, and acupoint groups) (n=8 per group). The rat model of lumbar disc herniation was replicated by autologous nucleus pulposus transplantation. From the 5th day of modeling, the scraping group was intervened with different scraping schemes, once every other day, totally nine times. The study was approved by the Experimental Animal Ethics Committee of Nanjing University of Traditional Chinese Medicine in January 2017. 
    RESULTS AND CONCLUSION: (1) Compared with before modeling, the mechanical pain threshold in the scraping and the model groups after modeling was decreased (P < 0.01). (2) A total of 15 potential biomarkers and 6 metabolic pathways were obtained after screening. After scraping, the content of 3-(3-hydroxyphenyl)propionic acid, aspartic acid and glutamic acid decreased, and the content of glycine, citric acid and cyclic adenosine increased, by adjusting alanine, aspartic acid and glutamine. The acid metabolism pathway was anti-inflammatory with analgesic, glycine, serine and threonine metabolism, glyoxylic acid and dicarboxylic acid metabolism, and a tricarboxylic acid cycle. (3) To conclude, the effect of regulating metabolites in the sputum group is better than that in the other three groups, which is presumed to be the best cure plan.

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    Changes of phosphoinositide 3-kinase-protein kinase B signaling pathway in skeletal muscle of type 2 diabetes rat models after 8-week aerobic exercise
    Zhao Dalin1, Li Jing1, Ma Tie1, Gao Haining1, Liu Haopeng1, Zhang Shicheng1, Xu Sitong1, Xiao Jiayu1, Li Yiran1, Yan Shengnan1, Chang Bo1, 2
    2019, 23 (23):  3660-3666.  doi: 10.3969/j.issn.2095-4344.1310
    Abstract ( 348 )   PDF (1193KB) ( 104 )   Save

    BACKGROUND: Abnormal phosphoinositide 3-kinase and protein kinase B occurs in insulin signaling transduction of type 2 diabetes, and improvement in insulin sensitivity post-exercise has been shown to be related to the increased protein expression and activity in insulin signaling transduction.
    OBJECTIVE: To investigate the effect of 8-week aerobic exercise on the phosphoinositide 3-kinase-protein kinase B signaling pathway in type 2 diabetic skeletal muscle of middle-aged rat models.
    METHODS: Seventy-five 10 month-old female Sprague-Dawley rats were provided by Chengdu Dashuo Experimental Animal Co., Ltd., and the study was approved by the Research Ethics Committee of Shenyang Sport University, approval number: 2015006. The rats were randomized into five groups: normal control group (common diet), diabetes control 1 group (8-week high fat diet prior to injection of 35 mg/kg streptozotocin; continue to give high fat feed to 16 weeks), diabetes exercise 1 group (8-week high fat diet prior to injection of 35 mg/kg streptozotocin+ aerobic exercise; continue to give high fat feed to 16 weeks), diabetes control 2 group (16-week high fat diet prior to injection of 35 mg/kg streptozotocin), and diabetes exercise 1 group (16-week high fat diet prior to injection of 35 mg/kg streptozotocin+ aerobic exercise). The aerobic exercise was undergone at the 9th week. The blood lipid, blood glucose, insulin and gastrocnemius phosphoinositide 3-kinase-protein kinase B expression levels were tested after 8 weeks of exercise.
    RESULTS AND CONCLUSION: (1) Both high-fat and high-fat diets at 8 and 16 weeks combined with low-dose streptozotocin could induce the decrease of phosphoinositide 3-kinase and protein kinase B protein expression in the rat skeletal muscle, and impaired phosphoinositide 3-kinase-protein kinase B signal transduction caused lipid and glucose metabolism disorders, decreased insulin sensitivity, and induced type 2 diabetes. (2) Compared with the diabetes control groups, the body mass in the aerobic exercise groups was on a rise, fat mass and body fat rate were on a descent, triacylglycerol, total cholesterol, free fatty acid and low density lipoprotein were significantly decreased, fasting blood-glucose and fasting insulin levels were significantly decreased, and activities of phosphoinositide 3-kinase and protein kinase B were significantly increased. (3) These results indicate that exercise intervention before and after inducing diabetes can reverse/enhance the phosphoinositide 3-kinase-protein kinase B phosphorylation level in skeletal muscle, increase insulin sensitivity, improve lipid metabolism and disorder of glucose metabolism, and ultimately effectively improve and prevent the occurrence and development of type 2 diabetes.

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    Repeated transient ischemia inhibits denervated gastrocnemius atrophy in rat models of sciatic nerve injury 
    Zhou Xiaobin1, Wang Dong2, Lin Pengzhao1, Gao Weijing1, Ji Yanlin1, Qi Huan3, Li Jing4, Zhou Junlin2
    2019, 23 (23):  3667-3672.  doi: 10.3969/j.issn.2095-4344.1311
    Abstract ( 458 )   PDF (2345KB) ( 100 )   Save

    BACKGROUND: Preliminary study has shown that repeated transient ischemia may induce muscle ischemia tolerance to enrich target organs.
    OBJECTIVE: To investigate the inhibitory effect of repeated transient ischemia on atrophy of denervated gastrocnemius muscle cells in a rat model of sciatic nerve injury.
    METHODS: Sixty Sprague-Dawley rats aged 8 weeks were provided by Beijing Weitong Lihua Animal Technology Co., Ltd., and the study was approved by the Laboratory Animal Ethics Committee of Capital Medical University, approval number: AEEI-2017-055. The rats were randomly divided into control group (sciatic nerve injury model), experimental group (sciatic nerve injury model plus 3x(10-minute ischemia/10-minute reperfusion) and sham group [3x(10-minute ischemia/10-minute reperfusion)]. The wet mass maintenance rate of gastrocnemius, hematoxylin-eosin staining of gastrocnemius, electrophysiology of sciatic nerve, and content of vascular endothelial growth factor in gastrocnemius detected by ELISA were compared among groups at 2 and 4 weeks. 
    RESULTS AND CONCLUSION: (1) Electrophysiology showed that neither experimental nor control groups presented action potential or latency at 4 weeks. (2) The wet mass maintenance rate of gastrocnemius in the experimental group was significantly increased compared with the control group (P < 0.05), and the sham group was significantly superior to the experimental and control groups (P < 0.01). (3) The cross-sectional area of gastrocnemius fibers in the experimental group was significantly decreased compared with the control group (P < 0.05). (4) The content of vascular endothelial growth factor in gastrocnemius detected by ELISA in the experimental and sham groups was significantly higher than that in the control group (P < 0.05). (5) These results suggest that within 4 weeks of nerve injury, the repeated transient ischemia can effectively improve the expression of endogenous vascular endothelial growth factor in gastrocnemius, thus inhibiting its atrophy.

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    Trend similarity of PI3K/AKT and MEK/ERK signaling pathways related protein expression in the hypertrophic scar of Bama pigs and human 
    Li Chenchen1, 2, Liu Baimei1, 2, Liu Yang1, 2, Lü Ying1, 2, Cui Pudong1, 2, An Meiwen1, 2
    2019, 23 (23):  3673-3679.  doi: 10.3969/j.issn.2095-4344.1312
    Abstract ( 375 )   PDF (3101KB) ( 128 )   Save

    BACKGROUND: Etiology, time, subjects and treatment methods of hypertrophic scar are issues of concern and difficulties. Phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT) and mitogen-activated protein kinase (MEK)/ extracellular signal-regulated kinase1/2 (ERK1/2) signaling pathways and downstream factors have been shown to play an important role in cell proliferation and apoptosis, invasion and migration, angiogenesis and fibrosis.
    OBJECTIVE: To explore the feasibility of Bama pig as an animal model of hypertrophic scar by analyzing the expression and distribution of PI3K/AKT and MEK/ERK signaling pathways related proteins in the hypertrophic scar model of human and Bama pigs.
    METHODS: Human samples were from the Department of Plastic of Tisco General Hospital Shanxi Burn Treatment Center, and the pig skin samples were form the previous Bama pig model of scar established by our group. All patients signed the informed consents, and the study was approved by the Laboratory Animal Ethics Committee of Tisco General Hospital. The human samples were divided into normal skin, hypertrophic scar and mature scar groups. The Bama pig models of scar were divided into 0 day (control group), 14-, 30-, 60-, 90-, and 120-day groups. Immunohistochemistry was used to detect the expressions of PI3K, AKT, MEK, ERK and vascular endothelial growth factor proteins in the human and pig skin tissues. 
    RESULTS AND CONCLUSION: (1) The expression of PI3K, AKT, MEK, ERK, and VEGF protein in the normal skin tissue of animal model of scar was negative, and positive in pathological scar. The average absorbance value showed significant difference compared with the normal skin tissues (P < 0.01). (2) The expression of the five proteins peaked at 30-60 days after injury, and then decreased gradually to the normal level, which was similar to the trend in human skin scar tissue. (3) To conclude, the protein expression level related to PI3K/AKT and MEK/ERK signaling pathways in Bama pig skin is similar to human skin, which provides evidence for using Bama pig as animal model to study the mechanism of scar formation.

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    Effects of the intervention of Wnt/beta-catenin signaling pathway on skin tissue fibrosis and epithelial-mesenchymal transition in mouse models of scleroderma
    Liu Jinjuan1, Yang Hongfa2, Li Yongjian1, Chen Yanming1
    2019, 23 (23):  3680-3685.  doi: 10.3969/j.issn.2095-4344.1313
    Abstract ( 471 )   PDF (2238KB) ( 121 )   Save

    BACKGROUND: Wnt/β-catenin signaling pathway has been shown to play an important role in the occurrence and development of systemic sclerosis, but the whether inhibiting Wnt/β-catenin can improve sclerosis is little reported.
    OBJECTIVE: To explore the effect of inhibition of Wnt/β-catenin signaling pathway on skin tissue fibrosis and epithelial-mesenchymal transition in mice with scleroderma.
    METHODS: Twenty-four BALB/c female mice were provided by Changsha Tianqin Biotechnology Co., Ltd., and the study was approved by the Experimental Animal Ethics Committee of University of South China. The mice were randomly divided into three groups: control group, model group and intervention group. Bleomycin was injected into the dorsal area of mice to establish the model of scleroderma. The control mice were subcutaneously injected with normal saline; the model mice were subcutaneously injected with 500 mg/L bleomycin, Mice of the intervention group were subcutaneously injected with 500 mg/L bleomycin and intraperitoneally injected with 5 mg/kg IGC-001 (Wnt/β-catenin signaling pathway inhibitor) at the same time, once daily, for 4 consecutive weeks. All mice were decapitated and the dorsal area skin of injection region was collected. Hematoxylin-eosin staining and Masson staining were used to observe the pathological changes of skin lesions, collagen fiber distribution and dermal thickness. The content of hydroxyproline in skin tissues was detected by hydrolysis method. The protein expression levels of β-catenin, type I collagen, fibronectin, α- smooth muscle actin, E-cadherin, vimentin and N-cadherin in skin tissues were detected by western blot assay.
    RESULTS AND CONCLUSION: (1) After 4 weeks of continuous subcutaneous injection of bleomycin, the dermal thickness and collagen fibers in the skin tissues of model mice were significantly increased, while that in the intervention group were significantly decreased. (2) Compared with the control group, the hydroxyproline content and the protein expression levels of type I collagen, fibronectin, α-smooth muscle actin, vimentin, N-cadherin and β-catenin were significantly increased in the skin tissues of model group (all P < 0.05), and the protein expression of E-cadherin protein was significantly decreased (P < 0.05). Compared with the model group, the hydroxyproline content and the protein expression levels of type I collagen, fibronectin, α-smooth muscle actin, vimentin, N-cadherin were significantly decreased (P < 0.05), the protein expression level of E-cadherin protein was significantly increased (P < 0.05), while there was no significant change in the expression of β-catenin (P > 0.05). (3) To conclude, inhibition of Wnt/β-catenin signaling pathway may improve skin fibrosis in mice with scleroderma, and its mechanism may be related to inhibition of epithelial-mesenchymal transition in skin tissue.

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    Evaluation of the cardiopulmonary endurance: cardiopulmonary exercise test versus 6-minute two-step test 
    Fan Chaoqun1, Xu Kai2, Nie Mingjian1, Xu Wenfeng1, Wang Mei1
    2019, 23 (23):  3686-3691.  doi: 10.3969/j.issn.2095-4344.1314
    Abstract ( 701 )   PDF (861KB) ( 437 )   Save

    BACKGROUND: Cardiopulmonary exercise test plays an important role in the evaluation of cardiopulmonary function, but it needs strict laboratory environment, expensive equipment and professional testers. The test requires a maximum tolerance level of the subject, which is more risky.
    OBJECTIVE: To evaluate the consistency of cardiopulmonary endurance by comparing the maximum oxygen uptake of the cardiopulmonary exercise test with the 6-minute two-step test.
    METHODS: The study was approved by the Ethics Committee of Beijing Sport University. Sixty-seven volunteers were randomly enrolled and signed the informed consents. The maximal oxygen uptake was measured directly in the cardiopulmonary exercise test according to the BRUCE protocol. A week later, the same group of subjects underwent a 6-minute two-step test and indirectly estimated their maximum oxygen uptake using the reckoning equation. The maximum oxygen uptake of the two test methods was compared and analyzed.
    RESULTS AND CONCLUSION: (1) The maximum oxygen uptake calculated by 6-minute two-step test was less than that calculated by cardiopulmonary exercise test. (2) There was a positive correlation between the maximum oxygen uptake of by 6-minute two-step test and the cardiopulmonary exercise test (r=0.861, P < 0.01). (3) There was a high correlation and consistency between the two methods (r=0.868, P < 0.01). (4) Therefore, 6-minute two-step test may be used as a sub-maximal load to estimate the level of cardiopulmonary endurance effectively.

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    Adiponectin levels in plasma and periodontal tissue of mouse models of diabetic periodontitis treated by adiponectin 
    Yang Na1, Bao Pingping2, Lei Tao2
    2019, 23 (23):  3692-3697.  doi: 10.3969/j.issn.2095-4344.1315
    Abstract ( 428 )   PDF (984KB) ( 260 )   Save

    BACKGROUND: Low level of adiponectin plays a significant role in the occurrence and development of periodontitis and diabetes mellitus.
    OBJECTIVE: To investigate the therapeutic effect of adiponectin injection on diabetic periodontitis model mice and its mechanism.
    METHODS: Sixty 8-week old Kunming mice (provided by Beijing Weitong Lihua Animal Experimental Technology Co., Ltd.) were randomly divided into three groups: control group, model group and adiponectin group. The mice in the model and adiponectin groups received intraperitoneal injection of streptozotin to establish a mouse model of diabetes mellitus, and then the periodontitis model was established by applying the combined bacterial fluid to the ligation site. The mice in the control and model groups received intraperitoneal injection of 1 mL normal saline once daily, while adiponectin group received intraperitoneal injection of 15 μg/kg adiponectin once daily, for 6 consecutive weeks. The three experimental groups of mice were treated for 6 weeks, after which physiological and biochemical indicators were tested. The levels of adiponectin in serum and periodontal tissue, the blood sugar and plasma insulin levels were then detected by ELISA. The depth of periodontal examination and the vertical absorption of alveolar bone were observed. The pathological changes of periodontal tissue were detected by hematoxylin-eosin staining. The changes of apoptosis level of gingival epithelial cells were detected by TUNEL method. The expression levels of RAGE and reactive oxygen species mRNA and protein were detected by RT-PCR and western blot assay.
    RESULTS AND CONCLUSION: (1) The levels of adiponectin in serum and periodontal tissue in the adiponectin group were significantly higher than those in the control and model groups (P < 0.05). (2) The blood sugar level in the adiponectin group was significantly lower than that in the model group (P < 0.05) and the serum insulin level was significantly increased (P < 0.05). (3) The depth of periodontal examination and vertical absorption of alveolar bone were decreased significantly in the adiponectin group compared with the model group, and the apoptotic rate of gingival epithelial cells was decreased significantly. (4) The expression levels of RAGE and reactive oxygen species mRNA and protein in the adiponectin group were significantly lower than those in the model group (P < 0.05). (5) These results suggest that adiponectin can improve the adiponectin level in periodontal tissue and plasma in the diabetic periodontitis model mice and can significantly improve the blood sugar status, and reduce the pathological changes of periodontal tissue and the apoptosis of periodontal cells possibly via regulating RAGE-ROS signaling pathway.

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    Establishment and identification of a mouse model of vascular endothelial cell knockout DEPTOR gene
    Ding Yan, Meng Biying, Xiang Guangda
    2019, 23 (23):  3698-3704.  doi: 10.3969/j.issn.2095-4344.1316
    Abstract ( 522 )   PDF (931KB) ( 97 )   Save

    BACKGROUND: There are few studies on DEPTOR and vascular diseases, and no studies have been found in animals. Therefore, the establishment of a new mouse model of vascular endothelial specific knockout DEPTOR is important for studying the relationship between DEPTOR and vascular diseases.
    OBJECTIVE: To establish and identify a mouse model of vascular endothelial cell knockout DEPTOR gene.
    METHODS: Cre mice and DEPTORflox/+ mice were purchased from the Jackson Laboratory, and C57 mice were provided by Huazhong University of Science and Technology. The study was approved by the Animal Ethic Committee of General Hospital of Middle Theater Command of Chinese PLA, approval number: 20120034. Five DEPTORflox/+male mice were selected to mate with 10 DEPTORflox/+ female mice, and 35 F1 progeny mice with genotype of EPTORflox/flox and DEPTORflox/+ were obtained and mated with 8 vascular endothelial cells specifically expressing Tek recombinase Cre mice. Finally 65 mice with genotypes of Tek-Cre+ x DEPTORflox/flox and DEPTORflox/flox progeny were obtained. The DEPTORflox and Cre genotypes were identified by PCR, and the body length and body mass of Tek-Cre+ x DEPTORflox/flox mice and DEPTORflox/flox mice at 2 months were recorded. The expression of DEPTOR protein in the mouse liver tissues was detected by western blot assay, and immunofluorescence was used to detect the expression of DEPTOR in the mouse vascular endothelial cells.
    RESULTS AND CONCLUSION: (1) There were 25 Tek-Cre+ x DEPTORflox/flox  mice and 40 DEPTORflox/flox mice, with the body length of (18.61±1.14) and (18.65±1.40) cm, respectively, and body mass of (25.84±1.99) and (25.06±2.15) g, respectively (both P > 0.05). (2) The relative expression level of DEPTOR protein in the Tek-Cre+ x DEPTORflox/flox mice and DEPTORflox/flox mice was 0.28±0.02 and 0.82±0.04, respectively (P < 0.05). (3) The number of DEPTOR-positive cell in vascular endothelial cells was 73.67±2.87 and 10.33±1.54, respectively (P < 0.05). (4) The results indicate that DEPTOR gene is successfully knocked out in Tek-Cre+ x DEPTORflox/flox mice. The homozygous mouse model of vascular endothelial cell knockout DEPTOR gene is successfully constructed and identified by genotype and protein tissue level.

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    Role of myofibroblasts in the development of mouse intrahepatic bile ducts 
    Yang Junjun1, Li Dewei2, Wang Wei2, Feng Yuan1
    2019, 23 (23):  3705-3709.  doi: 10.3969/j.issn.2095-4344.1317
    Abstract ( 393 )   PDF (755KB) ( 105 )   Save

    BACKGROUND: Existing evidence has shown that myofibroblasts can promote hepatic progenitor cells to differentiate into bile duct cells. But, the role of myofibroblasts in the development of bile duct in vivo remains unclear.
    OBJECTIVE: To investigate the developmental features of intrahepatic bile duct in mice and role of myofibroblasts in the development of bile duct.
    METHODS: C57 mice, SPF grade were proved by the Laboratory Animal Center of Chongqing Medical University, and the study was approved by the Ethics Committee of Experimental Animal Ethics of Chongqing Medical University, approval number: 2017-182. The mice in gestational day 14.5 and 16.5, postnatal 0 and 10 days (P0, P10) mice were selected. After anesthesia, the liver was removed from fetal mice of embryonic day 14.5 and 16.5 (E14.5, E16.5) and P0 and P10 mice. The expression levels of α smooth muscle actin, Sox9 and cytokeratin 19 in liver were examined by immunocytochemical method.
    RESULTS AND CONCLUSION: (1) In the fetal liver of E14.5 mice, myofibroblasts positive for α smooth muscle actin were main located around the portal vein, which was adjacent to the bile duct cells positive for Sox9, and single layered ring called ductal plate formed. (2) In the fetal liver of E16.5 mice, the ductal plate positive for cytokeratin 19, which neared the myofibroblasts positive for α smooth muscle actin, became focally bilayered. (3) In the liver of P0 mice, the cholangiocytes positive for cytokeratin 19 formed bile ducts, which were surrounded by myofibroblasts positive for α smooth muscle actin. (4) In the liver of P10 mice, the bile duct expanded further, and cholangiocytes that could not form bile duct surrounding the portal vein disappeared. The bile duct was encircled by myofibroblasts positive for α smooth muscle actin, and a well-formed hepatic artery was found near the bile duct. (5) The developmental characteristics of intrahepatic bile ducts are systematic displayed. Myofibroblasts positive for α smooth muscle actin are closely related to intrahepatic bile duct development, and play critical role.

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    Susceptibility of ankylosing spondylitis early-onset hip ankylosis and human leukocyte antigen-B27 subtypes 
    Xiong Chunxiang1, 2, Wei Xiaochun3, Yin Dong2, Huang Yu2, Du Chang2, Mo Bingfeng2
    2019, 23 (23):  3710-3715.  doi: 10.3969/j.issn.2095-4344.1318
    Abstract ( 432 )   PDF (787KB) ( 161 )   Save

    BACKGROUND: Preliminary study has shown that positive for human leukocyte antigen-B27 is closely related to ankylosing spondylitis early-onset hip ankylosis.
    OBJECTIVE: To study the susceptibility of ankylosing spondylitis early-onset hip ankylosis and human leukocyte antigen-B27 gene subtype, and to explore the role of human leukocyte antigen-B27 gene subtype in the pathogenesis of ankylosing spondylitis early-onset hip ankylosis.
    METHODS: Three hundred cases of ankylosing spondylitis with early-onset hip ankylosis and 300 cases of ankylosing spondylitis without early-onset hip ankylosis were collected. The study was approved by the Ethics Committee of the People’s Hospital of Guangxi Zhuang Autonomous Region, and all the participants and their guardians signed the informed consents. A case-control study was conducted, and the cases of ankylosing spondylitis with early-onset hip ankylosis were confirmed by radiological examinations (hip MRI, CT, pelvic X-ray film) within 5 years. The general condition and clinical manifestation of the subjects were collected. The 2 mL venous blood of each subject was collected for detecting the 29 human leukocyte antigen-B27 genotypes by PCR-SSP high resolution technique. The constituent ratio of human leukocyte antigen-B27 gene subtypes was calculated and relative risk was analyzed.
    RESULTS AND CONCLUSION: (1) The total positive rate of human leukocyte antigen-B27 detection in the two groups was 93.67% (562 cases), 99.33% in the ankylosing spondylitis with early-onset hip ankylosis group, and 88.59% in ankylosing spondylitis without early-onset hip ankylosis. (2) Six of the 29 types of human leukocyte antigen-B27 subtypes were found, which were B*2702, B*2703, B*2704, B*2705, B*2706 and B*2713. The two groups were mainly B*2704 and B*2705 subtypes. The proportion of B*2704 subtypes in the ankylosing spondylitis without early-onset hip ankylosis group was highest (P < 0.01). The highest proportion in the ankylosing spondylitis with early-onset hip ankylosis group was B*2705 (P < 0.01). (3) B*2705 subtype was associated with the risk of ankylosing spondylitis early-onset hip ankylosis (OR=1.896, 95%CI: 1.221-3.218). (4) In summary, the main subtypes of ankylosing spondylitis patients are B*2704 and B*2705, and the B*2705 subtype is a susceptible gene that causes early-onset hip ankylosis in ankylosing spondylitis patients. The subtype of B*2705 can be used as an important reference index for early diagnosis of ankylosing spondylitis early-onset hip ankylosis.

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    Value of erythrocyte distribution width, fibrinogen and D-dimer in predicting the occurrence and development risk of diabetic foot 
    Huang Yongqing, Shen Jie, Yuan Sijie, Pan Daoyan
    2019, 23 (23):  3716-3721.  doi: 10.3969/j.issn.2095-4344.1319
    Abstract ( 402 )   PDF (845KB) ( 73 )   Save

    BACKGROUND: Thrombosis-related indexes red blood cell distribution width, fibrinogen and D-dimer may be the important markers of predicting the occurrence and development of diabetic foot.
    OBJECTIVE: To investigate the clinical value of red blood cell distribution width, fibrinogen and D-dimer in predicting the occurrence and development risk of diabetic foot.
    METHODS: Eighty-one patients with diabetic foot and 82 patients with type 2 diabetes mellitus, and 67 healthy people were enrolled to conduct respective case-control analysis. The study was in accordance with the ethical guidance of the Third Affiliated Hospital of Southern Medical University. All patients and their relatives signed the informed consents. The red blood cell distribution width, fibrinogen, and D-dimer were compared among groups. The related risk factors of diabetic foot were analyzed by logistic regression. The best cut-off points, sensitivity and specificity of red blood cell distribution width, fibrinogen and D-dimer for predicting the occurrence of diabetic foot were obtained by receiver operating characteristic curve. The correlation of red blood cell distribution width, fibrinogen and D-dimer was analyzed by Spearman correlation analysis.
    RESULTS AND CONCLUSION: (1) The red blood cell distribution width, fibrinogen and D-dimer in the diabetic foot group were significantly higher than those in the type 2 diabetes mellitus group and healthy group (P=0.000). (2) Binary logistic regression analysis indicated that elevated fibrinogen was an independent risk factor for diabetic foot (OR=4.253, P=0.046). The correlation coefficients of red blood cell distribution width, fibrinogen, and D-dimer with diabetic foot were 0.616, 0.724 and 0.797, respectively (all P < 0.001). (3) Receiver operating characteristic curve analysis showed that the cut-off points of red blood cell distribution width, fibrinogen and D-dimer for predicting the occurrence of diabetic foot were 40%, 3 g/L and 329 mg/L, with sensitivity of 77.78%, 72.73%, 93.33% and specificity of 71.95%, 92.98% and 88.24%, respectively. (4) To conclude, red blood cell distribution width, fibrinogen and D-dimer have certain clinical significance in predicting the occurrence and development risk of diabetic foot.

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    Factors influencing physical health of college students analyzed by random forest model: questionnaires of 568 students from Tongji University 
    Feng Min1, Feng Hui1, Zhang Yiyu2, Wang Lejun1
    2019, 23 (23):  3722-3728.  doi: 10.3969/j.issn.2095-4344.1229
    Abstract ( 672 )   PDF (1036KB) ( 216 )   Save

    BACKGROUND: Factors affecting physique of college students are various, factors correlate with each other directly or indirectly, and many hidden factors are neglected usually. There are many studies summarizing the influencing factors, but the influence at different dimensions is little reported.
    OBJECTIVE: To analyze the influencing factors of physical health of college students with random forest model. 
    METHODS: Totally 568 college students from Tongji University were surveyed using questionnaires, including Godin Leisure-Time Exercise Questionnaire, expectancy-value, achievement goal, theory of planned behavior, health related quality of life, sedentary behavior, simplified depression CES-D, Pittsburgh sleep quality index, and diet (self-made) and combine with physical fitness test scores, such as height, body mass, lung capacity, sit and reach, 1-minute sit-up (female), pull-up (male), 50 and 800-m (female) and 1 000-m standing broad jump. Firstly, we reduced dimensions of influence factors using random forest model. Then, the correlation among the dimensionality reduction variable was analyzed by Pearson relativity to find the important influence factor and their interactions.
    RESULTS AND CONCLUSION: (1) Sports motivation was a very important factor to influence college fitness health. (2) Psychosocial factor of health related quality of life was a very important factor to influence college psychological health. (3) Physical activity every week influenced directly fitness and psychological health. (4) The cost (included in Expectancy-value theory) factor was usually ignored, and the intention factor influence directly perceived behavior control. (5) In summary, sports motivation is the most important factor to affect body fitness, especially inner motivation. The study on cost needs to be studied in depth. The depressive tendency ratio is becoming high in college students, and mental health intervention cannot be ignored. Interventions can be made through health related quality of life and physical activity every week.

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    Energy and substrate consumption characteristics of different intermittent forms of high-intensity interval training 
    Li Shuoqi1, Wang Cong1, Zhang Tiantian2, Wang Mengjun1, Zhu Xiangui1
    2019, 23 (23):  3729-3733.  doi: 10.3969/j.issn.2095-4344.1320
    Abstract ( 462 )   PDF (774KB) ( 78 )   Save

    BACKGROUND: Compared with the moderate-intensity continuous movement, high-intensity interval training is more time-sensitive and effective for reducing abdominal fat.
    OBJECTIVE: To investigate the effects of different forms of high-intensity interval training at the same intensity and time on energy expenditure and substrate metabolism in obese young women from the perspective of energy metabolism.
    METHODS: The gas metabolism of seven obese young women in two different intermittent forms of high-intensity intermittent exercise was analyzed by gas metabolism analyzer. The subjects underwent thrice test: maximal oxygen uptake, 90%VO2peak at low-frequency high-intensity interval training (low-frequency group), and 90%VO2peak at high-frequency high-intensity interval training (high-frequency group). Exercise was performed once every 1 week and early follicle was avoided. The study was approved by the Ethics Committee of Sports Institute of Hebei Normal University. The subjects participated in the study voluntarily, and signed the informed consent.
    RESULTS AND CONCLUSION: (1) The blood lactate concentration, glycolysis energy supply and anaerobic glycolysis energy supply after exercise in the high-frequency group were significantly lower than those in the low-frequency group (all P < 0.01). (2) The fat energy supply, sugar energy supply and total energy expenditure during exercise in the high-frequency group were significantly lower than those in the low-frequency group (P < 0.05 or P < 0.01). The sugar energy supply at interval time in the high-frequency group was significantly higher than that in the low-frequency group (P < 0.05), and the fat energy supply and total energy expenditure in the high-frequency group were significantly higher than those in the low-frequency group (P < 0.01). (3) The fat energy supply at convalescent period in the high-frequency group was significantly lower than that in the low-frequency group (P < 0.05), and the total fat energy supply in the high-frequency group was significantly higher than that in the low-frequency group (P < 0.05). (4) These results indicate that intermittent frequency changes during high-intensity interval training can reduce the accumulation of blood lactic acid, promote the mobilization and oxidation of fat, and change the ratio of glycolipid energy supply under the same energy consumption.

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    Feasibility of laboratory-related indicators in predicting clinical outcome of liver failure
    Chen Jun, Tang Jing, Chen Buyu
    2019, 23 (23):  3734-3738.  doi: 10.3969/j.issn.2095-4344.1321
    Abstract ( 392 )   PDF (819KB) ( 119 )   Save

    BACKGROUND: End-stage liver disease model has been extensively applied due to little affected by subjective factors, and existing evidence shows that it has no obvious advantage in assessing the prognosis of live failure.
    OBJECTIVE: To investigate the application value of laboratory-related indicators in predicting clinical outcome of liver failure.
    METHODS: One hundred and seventy-nine patients with liver failure admitted at the Department of Gastroenterology, the First Affiliated Hospital of Hainan Medical University were selected, including 142 males and 37 females, with a mean age of (38.6±7.9) years. The study was approved by the Ethics Committee of the First Affiliated Hospital of Hainan Medical University, and all patients and their families signed the informed consents. According to the stage of liver failure, the patients were divided into three groups: early-, middle- and end-stage groups. The patients were divided into the survival group and the death group based on 8-week prognosis following the admission. The laboratory-related indicators was collected and compared. Risk factors influencing the clinical outcomes were selected and the correlation between the staging and indicators were analyzed using logistic multivariate regression analysis. Receiver operating characteristic curve was used to analyze the predictive ability of risk factors for clinical outcomes.
    RESULTS AND CONCLUSION: (1) The total bilirubin, international normalized ratio and urea nitrogen in the survival group were significantly lower than those in the death group. Alpha fetoprotein, albumin, fibrinogen and cholinesterase in the survival group were significantly higher than those in the death group (all P < 0.05). (2) Logistic regression analysis showed that international normalized ratio, albumin, alpha fetoprotein, and cholinesterase had an impact on the clinical outcome of liver failure. Further analysis found that cholinesterase and alpha fetoprotein were the first two indicators influencing clinical outcome of liver failure based on the OR value. (3) The serum markers of cholinesterase, alpha fetoprotein and albumin in the early-, middle- and late-stages showed a downward trend, while the international normalized ratio showed an upward trend (all P < 0.05). Pairwise comparison was performed between the levels of cholinesterase, alpha fetoprotein, international normalized ratio and albumin in different stages, and the differences were significant (P < 0.05). Stages were negatively correlated with cholinesterase, alpha fetoprotein and albumin (all P < 0.001). International normalized ratio was positively correlated with the stage (r=0.548, P < 0.001). (4) The area under the receiver operating characteristic curve: the best diagnostic point for alpha fetoprotein was 141.51 μg/L, with a sensitivity of 97.6% and a specificity of 64.9%. The best diagnostic point for cholinesterase was 3.89 kU/L, with a sensitivity of 90.7%, and a specificity of 59.8%. Alpha fetoprotein combined with cholinesterase predicted the clinical outcome of liver failure, with an area under the receiver operating characteristic curve of 0.872, a specificity of 84.5%, and a sensitivity of 76.8%. (5) These results imply that cholinesterase and alpha fetoprotein can be used to predict the clinical outcomes of patients with liver failure. The combination of the two can be more accurate.

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    Regulation of osteoclasts derived coupling factors sphingosine-1-phosphate and platelet-derived growth factor-BB on osteoblasts
    Liu Hui1, 2, Chen Huihong2, Liao Hongbing1
    2019, 23 (23):  3739-3745.  doi: 10.3969/j.issn.2095-4344.1322
    Abstract ( 291 )   PDF (809KB) ( 60 )   Save

    BACKGROUND: Maintenance of bone homeostasis greatly depends on the communication of the signals between osteoclasts and osteoblasts, as well as the coupling between bone resorption and bone formation, which is essential for maintaining the balance of bone anabolism. Osteoclasts are found to secrete anabolic signals independent of bone resorption to stimulate new bone formation.
    OBJECTIVE: To review the regulation of osteoclasts derived coupling factors sphingosine-1-phosphate and platelet-derived growth factor-BB on osteoblasts.
    METHODS: The keywords of “osteoclast, osteoblast, coupling factors, sphingosine-1-phosphate (S1P), platelet-derived growth factor (PDGF), bone remodeling, migrate, chemotaxis, bone formation” in Chinese and English were used to search the CNKI and PubMed databases. Literatures related to the regulation of osteoclasts derived coupling factors sphingosine-1-phosphate and platelet-derived growth factor-BB on osteoblasts were included initially and then 62 eligible articles were included based on inclusion criteria for review.
    RESULTS AND CONCLUSION: (1) Osteoclasts derived coupling factors sphingosine-1-phosphate and platelet-derived growth factor-BB guide the migration of osteoblasts to the resorptive lacunae. (2) They promote the survival of osteoblasts, osteogenic differentiation, and promote the formation of new bone to fill the bone defect.

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    Visualization analysis of problems worthy of attention in the field of tendinopathy by CiteSpace software
    Liao Yaxian1, He Benxiang1, Wang Chun1, He Zongqi2
    2019, 23 (23):  3746-3753.  doi: 10.3969/j.issn.2095-4344.1323
    Abstract ( 378 )   PDF (1046KB) ( 187 )   Save

    BACKGROUND: Tendinopathy is a commonly seen disease in sports injury. CiteSpace software was invented by Professor Chaomei Chen from Drexel University using JAVA for visualization analysis of literature. It is characterized by co-occurrence network and co-citation networks of literature, and predicting and analyzing the research frontier and developing tendency of the field.
    OBJECTIVE: To investigate the current research situation, research focus and frontier in the past decade by bibliometric, co-citation, co-occurrence and visual analysis of the literatures on tendinopathy, so as to provide new ideas and directions for tendinopathy-related scientific research and clinical practice.
    METHODS: Based on the articles related to tendonitis searched in Web of Science database, country, institute, author, journal, category, literature and key words were analyzed by CiteSpaceV software, and the related visual maps were drawn.
    RESULTS AND CONCLUSION: The research on tendonitis is on the rise in general. Europe, America and Australia play a central role in this field, mainly universities, including several cooperative groups headed by Professors Maffulli N, Cook J and Alfredson H. included in specialist journals such as orthopedics and sports medicine, involving a wide range of disciplines, intersecting and intersecting, including orthopedics, sports science, surgery, rehabilitation and other disciplines. Biotherapy, rehabilitation treatment and the mechanisms of action and pathogenesis are hotspots and research trend.

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    Dextrose prolotherapy induces the proliferation of new cells to repair soft tissue and to alleviate pain: current status and problems
    Yang Dan, Zhou Jing
    2019, 23 (23):  3754-3759.  doi: 10.3969/j.issn.2095-4344.1324
    Abstract ( 884 )   PDF (794KB) ( 231 )   Save

    BACKGROUND: Dextrose prolotherapy is a pain management method that injects a proliferation agent to induce the proliferation of new cells to repair soft tissue at the site where the tendon and ligament are attached to the bone tissue. Due to its low price and high safety, clinical applications are gradually increasing.
    OBJECTIVE: To summarize the concept of hyperosmotic glucose hyperplasia therapy, current mechanism research, clinical research, matters needing attention, contraindications, side effects and adverse reactions.
    METHODS: Keywords of “hypertonic glucose, dextrose prolotherapy and proliferation therapy” in English and Chinese were used in PubMed, Embase, The Cochrane Library, CNKI, VIP and WanFang databases. The articles related to the characteristics, generation and development of hypertonic glucose hyperplasia therapy were retrieved and summarized.
    RESULTS AND CONCLUSION: Related cell studies and animal experiments have investigated the role of hypertonic glucose in promoting cartilage repair, profibrosis, and neurovascular effects. Clinical studies have shown that dextrose prolotherapy can treat many types of soft tissue injury and pain-like diseases, but the current experimental research mechanism is relatively simple, clinical trials are heterogeneous, and the follow-up time is short, so a lot of scientific studies on experimental mechanism still need to be carried out to clarify its specific mechanisms. High-quality, high homogeneity, long-term follow-up randomized controlled trials should be conducted to verify the clinical efficacy of dextrose prolotherapy.

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    Molecular mechanism of quercetin in the treatment of traumatic brain injury: its feasibility of clinical application
    Huang Chao1, Huang Qinghua2, You Di3, Guo Wenlai1, Qu Wenrui1, Zhu Zhe1, Li Rui1
    2019, 23 (23):  3760-3766.  doi: 10.3969/j.issn.2095-4344.1325
    Abstract ( 545 )   PDF (831KB) ( 99 )   Save

    BACKGROUND: Traumatic brain injury has pathological changes such as ischemia and hypoxia, which are similar to ischemic brain damage. Quercetin has been shown to hold significant effect in the treatment of traumatic brain injury.
    OBJECTIVE: To review the research status and prospects of quercetin in the treatment of traumatic brain injury.
    METHODS: Databases of WanFang, CNKI and PubMed were searched for the articles published from 1900 to December 2018. The keywords were “quercetin and brain injury; quercetin and traumatic brain injury; quercetin and oxidation reaction; quercetin and neurons apoptosis; quercetin and inflammatory factor; traumatic brain injury and oxidation reaction; traumatic brain injury and apoptosis; traumatic brain injury and inflammatory factor; quercetin and biosafety” in Chinese and English, respectively. The reports and reviews on the role of quercetin in traumatic brain injury were included.
    RESULTS AND CONCLUSION: Quercetin can regulate antioxidant enzymes in oxidative stress to eliminate reactive oxygen species, improve the energy metabolism of mitochondria by promoting the biosynthesis of mitochondria themselves, and further protect mitochondria in neurons. Quercetin can also inhibit the activity and transport of phosphokinase C, antagonize the influx of sodium ions, thus inhibiting the release of histamine, prostaglandins and other inflammatory mediators, and alleviate inflammation. After treatment with quercetin, the autophagy and apoptosis of neurons can be weakened by activating PI3K/Akt signaling pathway and inhibiting ERK1/2 signaling pathway, and the neurological deficit and cognitive function can be improved. In animal safety evaluation test, the safety of quercetin can be considered to be high in a reasonable dose range. Quercetin has a significant therapeutic effect on traumatic brain injury, which is related to its scavenging oxygen free radicals, protecting mitochondria, antagonizing inflammatory reaction and reducing neuronal apoptosis. The potential molecular mechanism and clinical application of quercetin in the treatment of traumatic brain injury still need to be studied in depth.

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    Transdermal continuous oxygen therapy repairs diabetic foot ulcer: a systematic review 
    Yang Qi, Zhang Yonghong, Lu Yanjun
    2019, 23 (23):  3767-3772.  doi: 10.3969/j.issn.2095-4344.1261
    Abstract ( 321 )   PDF (824KB) ( 157 )   Save

    BACKGROUND: Transdermal continuous oxygen therapy is a new and painless method for treating diabetic foot ulcer. The conclusions of existing studies on whether it can accelerate the repair of diabetic foot ulcer are still not unified, and it needs systematic evaluation.
    OBJECTIVE: To systematically evaluate the efficacy and safety of transdermal continuous oxygen therapy in the management of diabetic foot ulcer.
    METHODS: We systematically searched PubMed, EMBASE, Cochrane library, ClinicalKey, CNKI, WanFang, and VIP databases for randomized controlled trials on assessing the efficacy of transdermal continuous oxygen therapy (trial group) and placebo/blank control (control group) in diabetic foot ulcer. Meta-analysis was conducted on RevMan 5.3 software.
    RESULTS AND CONCLUSION: Four randomized controlled trials involving 311 patients were included. The meta-analysis results suggested that the proportion of complete ulcer healing in the trial group was higher than that in the control group, but the difference was insignificant [RR=1.73, 95%CI (0.91, 3.30), P=0.10]. The incidence of adverse events [RR=0.63, 95%CI (0.41, 0.98), P=0.04] and the incidence of new foot infection [RR=0.47, 95%CI (0.26, 0.85), P=0.01] in the trial group were lower than those in the control group. These results indicate that transdermal continuous oxygen therapy has high safety and can reduce the incidence of infection to some extent, but the current evidence does not show that it can obviously increase the healing rate of diabetic foot ulcer.

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