目的 探讨miR-22-3p与Snail1的靶向关系,及其对人肝癌SMMC-7721细胞的迁移和侵袭的影响.方法 用实时荧光定量聚合酶链反应法检测人正常肝细胞株LO2及4种肝癌细胞株中miR-22-3p及Snail1的相对表达水平并分析二者相关性.将细胞分为miR-22-3p对照组(miR-NC)、miR-22-3p模拟物组(miR-22-3p mimics)、Snail1空载体组(pLV-NC)、Snail1过表达组(pLV-Snail1)和miR-22-3 p mimics+pLV-Snail1组.用划痕实验和Transwell小室分别检测5组细胞的迁移和侵袭能力,用Western blot检测Snail1和上皮-间质转化相关蛋白的表达.结果 在4种肝癌细胞株中,miR-22-3 p和Snail1表达呈显著负相关性(r=-0.966,P<0.05).miR-NC组、miR-22-3 p mimics组、pLV-NC组、pLV-Snail1组和miR-22-3 p mimics+pLV-Snail1组细胞划痕愈合率分别为(39.00±2.16)%,(11.67±2.05)%,(38.00±2.16)%,(72.33±4.11)%和(20.34±2.41)%,侵袭细胞数分别为(132.00±6.68),(47.00±6.16),(136.67±7.41),(205.33±6.60)和(73.67±4.50)个,Snail1蛋白相对表达量分别为(0.39±0.05),(0.15±0.03),(0.37±0.05),(0.88±0.06)和(0.24±0.02),上皮型钙黏蛋白相对表达量分别为(0.24±0.03),(0.84±0.06),(0.23±0.03),(0.18±0.02)和(0.34±0.04),神经型钙黏蛋白相对表达量分别为(0.52±0.03),(0.15±0.05),(0.51±0.03),(0.92±0.05)和(0.35±0.03),波形蛋白相对表达量分别为(0.45±0.05),(0.14±0.02),(0.43±0.04),(0.84±0.05)和(0.31±0.03).miR-22-3p mimics组与miR-NC组、pLV-Snail1组与pLV-NC组或miR-22-3p mimics组、pLV-Snail1组与miR-22-3p mimics+pLV-Snail1组的上述指标比较,差异均有统计学意义(P<0.05或P<0.01).结论 miR-22-3p能够通过靶向调控Snail1表达,进而抑制人肝癌SMMC-7721细胞的迁移和侵袭.
Objective To investigate the application of choledochofiberscope in cholelithiasis.Methods Clinical data of 327 gallstone patients who had undergone choledochofiberscope treatment during and after surgical interventions were analyzed.Results 262 cases had undergone open surgery,the average postoperative stay was(11±2) days,the rate of residual stones was 14.12% down to 2.67% after postoperative choledochoscopy and remove of stones.Corresponding results was(4±1) days,4.61% down to 0,in 65 cases who had undergong laparoscopic with common bile duct exploration extraction of stones(LCBDE),none had been converted to open surgery.All cases avoided reoperation so far.Conclusions Choledochofiberscope treatment both during and after surgical interventions is uesful in diagnosis,surgical decision-making and the reduction the rate of residual stones.Conventional application of choledochofiberscope in cholelithiasis should be advocated.
目的 探讨脾切除术后发热的原因及诊治措施.方法 回顾性分析我科自2002年2月~2009年2月行脾切除术后发热的68例患者的临床资料.结果 发热主要原因与术后感染、门静脉及脾静脉血栓形成及脾热有关.结论 减少并及时处理上述情况可以较好的防治脾切除术后发热的发生.