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Tim-3 mRNA expression in peripheral blood lymphocytes from asthmatic patients

Xiaoxia LU, Weikun HU, Shengdao XIONG, Guopeng XU, Fen LAN

《医学前沿（英文）》 2009年 第3卷 第2期   页码 187-190 doi: 10.1007/s11684-009-0033-6

摘要： The study aimed to detect the expression of the Th1-specific cell surface protein T cell Ig and mucin domain-containing molecule-3 (Tim-3) mRNA in peripheral blood lymphocytes isolated from asthmatic patients and to examine the correlation among Tim-3 mRNA, interleukin-4 (IL-4), interferon-γ (IFN-γ) level, and FEV1/FVC (force expiratory volume in one second/forced vital capacity) to explore the role of Tim-3 in the development and progression of asthmatic inflammation. Tim-3 mRNA expression was detected by reverse transcription polymerase chain reaction (RT-PCR). The IL-4 and IFN-γ levels were determined by using enzyme-linked immunosorbent assay (ELISA). The correlation among Tim-3 mRNA, IL-4, IFN-γ level, and pulmonary ventilatory capacity was analyzed. The expression of Tim-3 mRNA in patients with acute asthma exacerbation was 0.39±0.06, significantly higher than that in patients at the remission stage and controls (0.18±0.05 and 0.07±0.03, <0.05). The level of IL-4 in patients with acute asthma exacerbation was 68.42±10.54, significantly higher than that in the patients at the remission stage and controls (41.83±9.37 and 32.75±8.16, <0.05). The level of IL-4 in patients in remission was significantly higher than that in controls ( <0.05). The level of IFN-γ in patients with acute asthma exacerbation was 65.74±7.85, significantly lower than that in patients in remission and the control group (120.84±11.62 and 139.65±13.47, <0.05). The level of IFN-γ in patients in asthma remission was significantly lower than that in controls ( <0.05). Tim-3 mRNA expression was positively correlated with the level of IL-4 ( =0.68, <0.05) and negatively with the level of IFN-γ and pulmonary ventilatory capacity ( =-0.85, =-0.76, both <0.01). The increased expression of Tim-3 mRNA in peripheral blood lymphocytes might be involved in the development and progression of asthmatic inflammation.

关键词： asthma     airway inflammation     peripheral blood lymphocyte     Tim-3    

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Autologous peripheral hematopoietic stem-cell transplantation in a patient with refractory pemphigus

SUN Ledong, SUN Jing, ZENG Kang, MENG Fanyi, DIAO Youtao, XU Dan, HUANG Liang, ZHAO Jie, Liu Qifa

《医学前沿（英文）》 2008年 第2卷 第2期   页码 191-194 doi: 10.1007/s11684-008-0036-8

摘要： The aim of this study is to explore the effectiveness of autologous peripheral hematopoietic stem-cell transplantation in the treatment of refractory pemphigus. A 35-year-old male patient presented with a 4-year history of recurrent bullae on his trunk and extremities. The diagnosis of pemphigus was made on the basis of the clinical, histologic and immunofluorescence findings. The patient had shown resistance to conventional therapy with glucocorticoid and immunosuppressive agents. Two months before admission, he complained of hip joint pain. X-ray and CT scan revealed aseptic necrosis of the femoral head. Stem-cell mobilization was achieved by treatment with cyclophosphamide, granulocyte colony-stimulating factor (G-CSF) and rituximab. Peripheral blood stem cells were collected via leukapheresis and cryopreserved for later use. Immunoablation was accomplished by using cyclophosphamide (200 mg/kg; divided into 50 mg/kg on days -5, -4, -3, and -2), antithymocyte globulin (ATG; 10 mg/kg; divided into 2.5 mg/kg on days -6, -5, -4, and -3), and rituximab (1200 mg/d; divided into 600 mg/d on days 0 and 7). Autologous peripheral hematopoietic stem cell transplantation was followed by reconstitution of the immune system which was monitored by flow cytometry. The glucocorticoid was withdrawn immediately after transplantation. The pemphigus titer turned negative 6 weeks after transplantation and remained negative. The patient was in complete drug-free remission with no evidence of residual clinical or serological activity of pemphigus during 1 year of follow-up. The patient’s response suggests that autologous peripheral hematopoietic stem cell transplantation may be a potential “cure” for refractory pemphigus. However, further studies are needed to evaluate the risk-benefit ratio of this approach in patients with pemphigus showing resistance to conventional therapy.

关键词： serological activity     leukapheresis     peripheral hematopoietic     cyclophosphamide     resistance    

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Transcriptomic basis of neutrophil ratio variation induced by poly I:C stimulation in porcine peripheral

Haiyan WANG, Qiaoxia ZHANG, Lilin YIN, Xiangdong LIU, Shuhong ZHAO, Mengjin ZHU, Changchun LI

《农业科学与工程前沿（英文）》 2017年 第4卷 第3期   页码 342-352 doi: 10.15302/J-FASE-2017162

摘要： Neutrophils are vital components of defense mechanisms against invading pathogens and are closely linked with the individual antiviral capacity of pigs and other mammals. Neutrophilia is a well-known clinical characteristic of viral and bacterial infections. Using Affymetrix porcine genome microarrays, we investigated the gene expression profiles associated with neutrophil variation in porcine peripheral blood before and after polyriboinosinic-polyribocytidylic acid stimulation. Transcriptomic analysis showed 796 differentially expressed genes (DEGs) in extreme response (ER) pigs and 192 DEGs in moderate response (MR) pigs. Most DEGs were related to immune responses, included , , , , , , , and . Gene ontology analysis indicated that the DEGs of both ER and MR pigs were involved in common biological processes, such as cell proliferation, growth regulation, immune response, inflammatory response and cell activation. The ER and MR groups also showed differences in DEGs involved in biological processes. DEGs involved in cell division and cell cycle were specifically found in the ER pigs, whereas DEGs involved in cell migration were specifically found in the MR pigs. The study provides a basic understanding of the molecular basis for the antiviral capacity of pigs and other mammals.

关键词： neutrophil     peripheral blood     pig     poly I:C     transcriptome    

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Impact of HBV replication in peripheral blood mononuclear cell on HBV intrauterine transmission

null

《医学前沿（英文）》 2017年 第11卷 第4期   页码 548-553 doi: 10.1007/s11684-017-0597-5

摘要：

This study determined the effect of hepatitis B virus (HBV) replication in peripheral blood mononuclear cell (PBMC) from HBsAg-positive mothers on HBV intrauterine transmission. A total of 150 HBsAg-positive mothers and their neonates were recruited in this study. Within 24 h after birth, HBV serological markers, serum HBV DNA, PBMC HBV relaxed circular DNA (rcDNA), and covalently closed circular DNA (cccDNA) were measured in the HBsAg-positive mothers and their neonates before passive-active immune prophylaxis. The relationship between HBV replication in PBMC and HBV intrauterine transmission was examined through Chi-square test and logistic regression. The rate of HBV intrauterine transmission was 8.00% (12/150) in the 150 neonates born to HBsAg-positive mothers. The positivities of PBMC HBV rcDNA and cccDNA in the HBsAg-positive mothers were 36.67% (55/150) and 10% (15/150), respectively. Maternal PBMC HBV cccDNA was a risk factor of HBV intrauterine transmission (OR= 6.003, 95% CI: 1.249–28.855). Maternal serum HBeAg was a risk factor of PBMC HBV rcDNA (OR= 3.896, 95% CI: 1.929–7.876) and PBMC HBV cccDNA (OR= 3.74, 95% CI: 1.186–11.793) in the HBsAg-positive mothers. Administration of hepatitis B immune globulin was a protective factor of PBMC HBV cccDNA (OR= 0.312, 95% CI: 0.102–0.954) during pregnancy. The positivity of PBMC HBV rcDNA was related to that of cccDNA in the HBsAg-positive mothers (c2=5.087, P= 0.024). This study suggests that PBMC is a reservoir of HBV and an extrahepatic site for virus replication and plays a critical role in HBV intrauterine transmission.

关键词： PBMC     HBV cccDNA     HBV rcDNA     HBV intrauterine transmission    

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大鼠周围神经诱发脑皮层电位时空图——一种研究脑对周围神经反应模式的新方法 Article

殷晓峰, 邓玖旭, 陈博, 金博, 谷馨怡, 齐志丹, 冷坤鹏, 姜保国

《工程（英文）》 2022年 第14卷 第7期   页码 147-155 doi: 10.1016/j.eng.2021.04.018

摘要：

将大脑作为一个整体，观察周围神经受到刺激后大脑反应的动态过程，是深入了解脑功能的基础，也是一个科学难题。本研究发展了一种新型大鼠脑皮层诱发电位微创正交记录方法，结果显示，在该方法下，刺激大鼠正中神经、尺神经和桡神经及其分支，首次获得了可重复、具有不同波形特点、可辨别的脑皮层诱发电位图谱，并将其时空变化规律以可视化的方式呈现出来。此外本研究也记录了正中神经离断4个月后，大鼠脑皮层诱发电位的变化。结果表明，大脑皮层对周围神经刺激的反应具有精确和可重复的时空顺序。本实验方法和波形图谱可作为测试平台用于探索周围神经系统和脑中枢神经系统之间的整体功能交互与动态重塑的时相机制。

关键词： 周围神经     大脑     诱发皮层电位     时空     图谱    

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Fludarabine and intravenous busulfan conditioning with post-transplantation cyclophosphamide for allogeneic peripheral

Ling Wang, Lining Wang, Xing Fan, Wei Tang, Jiong Hu

《医学前沿（英文）》 2021年 第15卷 第1期   页码 108-115 doi: 10.1007/s11684-019-0730-8

摘要： Post-transplantation cyclophosphamide (PT-Cy) alone or in combination with other immunosuppressive drugs has emerged as a promising strategy in the setting of allogeneic hematopoietic stem cell transplantation. Improved survival rate was reported in lymphoid malignancies following PT-Cy strategy compared with myeloid disease in non-myeloablative bone marrow transplant setting. Thus, we aimed to evaluate the safety and efficacy of PT-Cy combined with cyclosporine as graft-versus-host disease (GVHD) prophylaxis after myeloablative conditioning and T cell-replete peripheral stem cell transplantation in lymphoid malignancies. This single-arm phase II clinical trial (NCT01435447) involving 31 adult patients was conducted from January 2013 to June 2018. The donor-type neutrophil engraftment rate was 100%, and the overall incidence of grade II to IV and grade III to IV acute GVHD was 39% and 24%, respectively. The cumulative incidence rates of chronic GVHD (35%), including moderate to severe forms (10%), were reduced compared with those of the historical group ( =0.03 and =0.04, respectively). With a median follow-up of 18 months, the estimated 2-year overall and event-free survival was 64.8% (95% confidence interval: 47.8%–86.7%) and 58.4% (95% CI: 41.9%–81.7%), respectively. The 2-year cumulative incidence rate of relapse was 19.5% (95% CI: 9.0%–35.8%), whereas the non-relapse mortality rate was 21.8% (95% CI: 11.3%–38.1%). These results demonstrated the feasibility of PT-Cy as GVHD prophylaxis in this clinical setting. This strategy could significantly reduce the incidence of chronic GVHD and its moderate to severe forms but not of acute GVHD and results in similar survival outcomes compared with the historical group. A prospective study with additional patients is warranted to confirm the role of PT-Cy in lymphoid malignancy.

关键词： post-transplantation cyclophosphamide     allogeneic hematopoietic stem cell transplantation     lymphoid malignancies    

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Inhibition of TNF-alpha secretion from peripheral blood monocular cells by triptolid is associated with

Xiu-Liang TAO MM, Sheng-Hao TU MD, Ri-Bo XIONG MM, Yong-Hong HU BM,

《医学前沿（英文）》 2010年 第4卷 第2期   页码 220-224 doi: 10.1007/s11684-010-0025-6

摘要： This study examined the inhibitory effect of triptolid (TP) on tumor necrosis factor-α (TNF-α) secreted from peripheral blood monocular cells (PBMCs) and the association of the inhibitory effect with TNF-α-308 gene polymorphisms in rheumatoid arthritis (RA) patients. Gene polymorphism at A-G site 308 in the promoter region of TNF-α gene was detected in 42 RA patients by using allele specific polymerase chain reaction (AS-PCR) assay. PBMCs were harvested from these patients and treated first with lipopolysaccharides (LPS) and then with different doses of TP (1, 5.4 and 15 ng/mL). The TNF-α level in the supernatants was measured by enzyme-linked immunosorbent assay (ELISA). The results showed that TNF-α level in the supernatants of TP (1 ng/mL)-treated PBMCs was decreased by 3.80% and 4.91%, respectively, in the patients with AA and AG genotypes, when compared with those treated with LPS alone (>0.05). Moreover, the TNF-α level in the patients with GG genotype was reduced by 20.74% (<0.05). When PBMCs were treated with TP at 5.4 ng/mL, TNF-α levels in the patients with AA, AG, and GG genotypes were decreased by 20.42%, 34.73%, and 41.69%, respectively (<0.05). The TNF-α level was slightly higher in the PBMCs treated with 15 ng/mL of TP than those in the two TP groups in the patients carrying AA, AG, and GG genotypes (>0.05). It was concluded that gene polymorphism at TNF-α-308 sites may relate to the secretion of TNF-α in RA patients. TP has different inhibitory effects on the secretion of TNF-α in the patients harboring different genotypes, which may be one of the reasons for individual variation in response to TP.

关键词： arthritis     rheumatoid     molonuclear cells     tumor necrosis factor     gene polymorphisms     triptolid    

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使用串行外设接口协议的混沌数字加密系统及其dsPIC实现 None

Rodrigo MÉNDEZ-RAMÍREZ, Adrian ARELLANO-DELGADO, César CRUZ-HERNÁNDEZ, Fausto ABUNDIZ-PÉREZ, Rigoberto MARTÍNEZ-CLARK

《信息与电子工程前沿（英文）》 2018年 第19卷 第2期   页码 165-179 doi: 10.1631/FITEE.1601346

摘要： 串行外设接口（serial peripheral interface，SPI）协议被ES和集成电路制造商广泛应用于有线和无线通信等领域。

关键词： 混沌系统；统计测试；嵌入式系统；dsPIC微控制器；串行外设接口（SPI）协议    

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Photoinduced dichroism and surface-relief-gratings of hyperbranched azo polymers synthesized by azo-coupling reaction

CHE Pengchao, HE Yaning, WANG Xiaogong

《化学科学与工程前沿（英文）》 2007年 第1卷 第4期   页码 360-364 doi: 10.1007/s11705-007-0065-x

摘要： This article reports the synthesis and photoresponsive properties of a hyperbranched azo polymer containing electron donor-acceptor type azo chromophores both in backbone and peripheral positions. For the synthesis, a hyperbranched azo precursor polymer was synthesized by step-growth polymerization of an AB monomer, bis[2-(-ethylanilino)ethyl] 5-aminoisophthalate, through azo-coupling reaction. The hyperbranched precursor polymer was then reacted with the diazonium salt from 4-cyanoaniline to introduce donor-acceptor azo chromophores in the peripheral groups. The resulting azo polymers were characterized by the spectroscopic methods and thermal analysis. The photoinduced dichroism of the hyperbranched polymer was studied and its orientation order parameter was estimated to be 0.063. Thin films of the hyperbranched azo polymers were used to fabricate surface-relief-gratings (SRGs) by exposing them to an interference pattern of Ar laser beam at modest intensities (150 mW/cm). The azo chromophores introduced by post-azo-coupling reaction at the para-positions of the peripheral azobenzenes shows a significant effect on the SRG inscription rate. The hyperbranched azo polymers can potentially be used for applications such as reversible optical data storage, photoswitch, sensors, and other photo-driven devices.

关键词： inscription     4-cyanoaniline     orientation     peripheral     photoswitch    

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Ultra-precision ductile grinding of BK7 using super abrasive diamond wheel

ZHAO Qingliang, Brinksmeier Ekkard, Riemer Oltmann, Rickens Kai

《机械工程前沿（英文）》 2007年 第2卷 第3期   页码 350-355 doi: 10.1007/s11465-007-0061-3

摘要： In this paper, a novel conditioning technique using copper bonded diamond grinding wheels of 91 yD grain size and electrolytic in-process dressing (ELID) is first developed to precisely and effectively condition a nickel-electroplated monolayer coarse-grained diamond grinding wheel of 151 μm grain size. Under optimised conditioning parameters, the super abrasive diamond wheel was well conditioned in terms of a minimized run-out error and flattened diamond grain surfaces of constant peripheral envelope. The conditioning force was monitored by a force transducer, while the modified wheel surface status was in-situ monitored by a coaxial optical distance measurement system. Finally, the grinding experiment on BK7 was conducted using the well-conditioned wheel with the corresponding surface morphology and subsurface damage measured by atomic force microscope (AFM) and scanning electric microscope (SEM), respectively. The experimental result shows that the newly developed conditioning technique is applicable and feasible to ductile grinding optical glass featuring nano scale surface roughness, indicating the potential of super abrasive diamond wheels in ductile machining brittle materials.

关键词： ELID     peripheral     electrolytic in-process     nickel-electroplated monolayer     measurement    

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Susceptibility of male and female Japanese medaka (

Nannan LIU, Mei MA, Yiping XU, Jinmiao ZHA, Kaifeng RAO, Zijian WANG

《环境科学与工程前沿（英文）》 2013年 第7卷 第1期   页码 77-84 doi: 10.1007/s11783-012-0466-z

摘要： 2,4,6-trichlorophenol (2,4,6-TCP) is a widespread probable human carcinogen and has been proven to have genotoxicity in assays. However, little genotoxicity information and no micronuclei induction data for 2,4,6-TCP is available from tests, especially for sex-specific differences. Following a preliminary test, a piscine peripheral erythrocyte micronucleus assay was conducted on medaka ( ) after a 28-day exposure to 2,4,6-TCP. In the present study, the mean micronuclei (MNC) frequencies of all of the groups increased in a dose-dependent manner, which indicated the potential genotoxicity of 2,4,6-TCP. Moreover, males were found to be more susceptible compared with females after a 28-day exposure to 2,4,6-TCP in all of the dosed groups above 10 μg·L . This is the first report on the potential of micronuclei induction and a sex-susceptible effect in the peripheral erythrocytes of mature fish after 2,4,6-TCP exposure.

关键词： 2     4     6-trichlorophenol     genotoxicity     Japanese medaka     piscine micronucleus test in peripheral erythrocytes     gender difference    

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外周血免疫特征预测肝内胆管癌患者化疗敏感性 Article

吴彤, 杨应成, 郑博, 施学兵, 李炜, 马文聪, 王珊, 李祉萱, 朱妍静, 吴建民, 汪凯婷, 赵燕, 伍睿, 隋成军, 莘似韵, 吴璇, 陈磊, 袁振刚, 王红阳

《工程（英文）》 2021年 第7卷 第10期   页码 1381-1393 doi: 10.1016/j.eng.2021.01.014

摘要：

肝内胆管癌（ICC）是第二常见肝癌。化疗仍然是晚期ICC患者的主要治疗方法，但是化疗敏感性因人而异。在本研究中，我们使用飞行时间质谱仪（CyTOF）在单细胞水平上建立ICC患者在化疗前、化疗中和化疗后指定时间点外周血单核细胞（PBMC）的免疫谱；应用多重免疫荧光染色展现某些特定免疫亚群的空间分布；使用组织微阵列（TMA）评估患者预后。本研究共招募了20名接受吉西他滨（GEM）治疗的ICC患者，其中8例对化疗反应良好（R），12例无反应（NR）。我们观察到化疗后患者PBMC组成发生了巨大变化，比如CD4/CD8 双阳性T细胞（DPT）水平增加。治疗前CD4+CD45RO+CXCR3+T细胞水平较高的患者对化疗反应良好。我们的研究确定了T细胞亚群的百分比与患者化疗反应性之间存在正相关关系，这表明通过评估PBMC中细胞亚群的比例来预测ICC患者化疗反应性是可行的。

关键词： 肝内胆管癌     吉西他滨     化疗敏感性     外周血单核细胞    

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Prokaryotic expression and purification of fusion protein HSP70-EGFP and its application in the study of dendritic cells internalization antigen

QU Ping, SUI Yanfang, MA Jiahai, CHEN Guangsheng, LIU Libing, CHEN Jiankang, LIU Fang'e

《医学前沿（英文）》 2008年 第2卷 第1期   页码 82-86 doi: 10.1007/s11684-008-0015-0

摘要： To study the endocytic activity of dendritic cells (DCs) by obtaining fusion protein HSP70-EGFP as exogenous antigen and loading it with DCs derived from human peripheral blood. Fusion protein HSP70-EGFP was prokaryotically expressed, isolated and purified. DCs were isolated and cultured from human peripheral blood. The DCs were divided into 3 groups in the endocytic experiment. There were 10 DCs in each group. Group 1 and 2 were respectively incubated for 30 min. with HSP70-EGFP and EGFP. Group 3 was incubated with HSP70 for 30 min, and then incubated for 30 min. with HSP70-EGFP. Subsequently, 3 groups were placed in an incubator at 37°C for 0.5, 1, 2 and 24 h. Flow cytometry (FCM) was adopted to detect the amount of DCs with EGFP inside. IL-12 Eli-spot was adopted to detect the amount of DCs which secreted IL-12. There were 5 types in the experiment: LPS, inactive LPS, HSP70-EGFP, EGFP and no antigen. Fusion protein HSP70-EGFP was successfully obtained and its molecular weight was 97 000. It accounted for 35.32% of the total protein. Under irradiation of an ultraviolet lamp, the protein solution sent out viridescent fluorescence. The result detected by FCM indicated that after incubation for 0.5 h at 37°C, the positive rate in group 1 was 63%, while the other 2 groups were negative. After incubation for 1, 2 and 24 h at 37°C, the positive rates in the 3 groups were above 80%. The IL-12 Eli-spot examination shows that with HSP70-EGFP being loaded, the amount of DCs secreting IL-12 was 134.09 ± 31.78/10 cells, a little lower than that of DCs with LPS loaded (with the average point of 156.36 ± 15.73). There was no significant difference between the 2 groups ( < 0.01). By contrast, both of them were significantly higher than inactive LPS-(33.78 ± 1.40)/10 cells and EGFP-loaded (23.13 ± 4.57)/10 cells DC groups in the amount of DCs secreting IL-12 ( < 0.01). The results suggest that receptor-mediated phagocytosis plays a main role in the preliminary stage of DCs internalizing HSP70-EGFP. With increasing incubation time, pinocytosis begins to dominate. HSP70-EGFP may promote DCs to secret cell factor IL-12.

关键词： significant difference     irradiation     peripheral     preliminary     EGFP    

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心肌远程调节及其临床相关性：现在一起来！ Review

Kristin Luther,Yang Song,Yang Wang,Xiaoping Ren,W. Keith Jones

《工程（英文）》 2015年 第1卷 第4期   页码 490-499 doi: 10.15302/J-ENG-2015117

摘要：

急性心肌梗死(AMI) 是世界上致死和致残的主要病因。及时再灌注法是AMI的标准疗法，能够缩小梗死面积，提高患者存活率和改善预后。然而，25 %的患者在患心肌梗死(Ml) 后会进一步发展成为心力衰竭(HF)，且其中50%的患者会在5年内死亡。由于梗死面积是预断病人病情( 包括HF的形成) 的主要指标，因此，改善心肌的治疗方法具有极大的应用前景。 在过去30年中，研究者已发现多种能够刺激内源性心肌保护通道的刺激物，这些刺激物能在缺血预适应(IPC)和缺血后适应以及心肌缺血情况下启动保护机制。当在心肌缺血发生前、发生期间或发生后即刻使用刺激物，在远离心脏的血管床中发生的短暂、可逆性局部缺血就会即刻引发心肌保护机制——这种现象被分别称为远程缺血预适应，远程缺血期适应和远程缺血后适应。尽管目前的研究尚未完全阐明远程缺血预适应(RIPC) 的作用机制，但RIPC与IPC在机制上有很多共同之处。RIPC的发现使研究转向了远程非缺血刺激的应用，包括神经刺激( 脊髓刺激和迷走神经刺激) 以及电针(EA)。笔者与其他研究人员发现并阐述了非缺血现象的机制，并将其定义为远程创伤预适 应(RPCT)。通过刺激皮肤感觉神经来启动RPCT，这与穴位处神经刺激和EA既有相似性又有一定差异性。笔者在此次研究中还发现，可通过采用腹中线电刺激(与EA疗法相似) 来模拟RPCT，而且作为预适应刺激和后适应刺激( 在应用再灌注法时)，这种激活心肌保护机制的模式是非常有效的。通过对这些心肌保护现象的研究，学术界对心肌保护机制形成了一种全面且综 合的理解，而且在过去的5~10 年期间, 这种理解变得逐渐清晰，即无论是缺血性刺激诱导还是非缺血性刺激诱导，其机制均相似。通过对文献中多种数据的综合考虑，我们认为所有的这些心肌保护“适应”现象均表示心肌保护机制的启动是从心肌适 应网(含有特定介质和心肌细胞生存感受器) 的不同切入点进行的，该切入点包括NF-κB、Stat3/5、蛋白激酶C、舒缓激肽和mitoKATP 通道。神经系统传导通路可能代表了一种激活心脏和其他器官适应的新机制。研究表明，由于IPC和RIPC存在一定风险并且无法应用于某些患者，所以它们很难被转化为临床应用。因此，近期又新兴了一种神经刺激和痛感刺激的应用，这是一种激活心肌适应的潜在的非缺血性无创方法。作为引起心脏保护作用众多方法之一的后适应重点强调了临床相关性，这种临床相关性有助于在现有成熟的药物与电子疗法中加速新的治疗方向的突破。

关键词： 远程心肌保护     心肌适应     非缺血性适应     末端疼痛性刺激     神经和分子机制     临床可行性     电子疗法    

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