Biomedical subjects

W Tian

Publications and source records attributed to W Tian.

At least 73 records · Page 4Linked to original sources

PubMed1999

Further evaluation of intensified and increased total dose of cyclophosphamide for the treatment of primary breast cancer: findings from National Surgical Adjuvant Breast and Bowel Project B-25.

PURPOSE: In 1989, the National Surgical Adjuvant Breast and Bowel Project initiated the B-22 trial to determine whether intensifying or intensifying and increasing the total dose of cyclophosphamide in a doxorubicin-cyclophosphamide combination would benefit women with primary breast cancer and positive axillary nodes. B-25 was initiated to determine whether further intensifying and increasing the cyclophosphamide dose would yield more favorable results. PATIENTS AND METHODS: Patients (n = 2,548) were randomly assigned to three groups. The dose and intensity of doxorubicin were similar in all groups. Group 1 received four courses, ie, double the dose and intensity of cyclophosphamide given in the B-22 standard therapy group; group 2 received the same dose of cyclophosphamide as in group 1, administered in two courses (intensified); group 3 received double the dose of cyclophosphamide (intensified and increased) given in group 1. All patients received recombinant human granulocyte colony-stimulating factor. Life-table estimates were used to determine disease-free survival (DFS) and overall survival. RESULTS: No significant difference was observed in DFS (P =.20), distant DFS (P =.31), or survival (P =.76) among the three groups. At 5 years, the DFS in groups 1 and 2 (61% v 64%, respectively; P =. 29) was similar to but slightly lower than that in group 3 (61% v 66%, respectively; P = 08). Survival in group 1 was concordant with that in groups 2 (78% v 77%, respectively; P =.71) and 3 (78% v 79%, respectively; P =.86). Grade 4 toxicity was 20%, 34%, and 49% in groups 1, 2, and 3, respectively. Severe infection and septic episodes increased in group 3. The decrease in the amount and intensity of cyclophosphamide and delays in therapy were greatest in courses 3 and 4 in group 3. The incidence of acute myeloid leukemia increased in all groups. CONCLUSION: Because intensifying and increasing cyclophosphamide two or four times that given in standard clinical practice did not substantively improve outcome, such therapy should be reserved for the clinical trial setting.

Antineoplastic Combined Chemotherapy Protocols↗

PubMed1999

Anatomic variation of the extensor tendons to the ring and little fingers: a cadaver dissection study.

We found an anatomic variation of the extensor digiti minimi (EDM) and extensor digitorum communis (EDC) in a cadaveric dissection. The EDM had three tendon slips; two slips to the little finger and one to the ring finger metacarpophalangeal (MP) joint. The ring finger slip inserted in the extensor hood with the EDC. The EDC had a separate tendon to the little finger extensor hood. The EDM had an additional pulley distal to the extensor retinaculum. The MP joints of the little and ring fingers extended simultaneously upon pulling the EDM or the EDC. The third slip of the EDM could provide an extra donor site and possibly poses a unique clinical presentation.

Aged↗

PubMed1999

[The effects of combined use of multiple growth factors on proliferation and differentiation of human osteoblast-like cells].

Four growth factors PDGF, bFGF, IGF-II and TGF-beta, which is believed to have biological effects on bone cells, were examined in this study. The aim was to assess the effects of combinations of three and four growth factors on the proliferation and differentiation of osteoblast-like cells. The incorporation of 3H-TdR, 3H-Proline of osteoblast-like cells and alkaline phosphatase content of the cells were tested. The results showed the combinations of three and four growth factors stimulated the synthesis of DNA, collagen and ALP of osteoblast-like cells. These four growth factors interacted synergistically. The combinations of three and four growth factors showed stronger promoting effect on osteoblast-like cells, compared with the combinations of two growth factors. These findings suggest that the combined use of growth factors be a potential way of bone defect reconstruction and treatment of human bone disease.

Cell Differentiation↗

PubMed1999

[Analysis of 413 cases of mandibular fractures].

OBJECTIVE: To investigate the characteristics of mandibular fracture. METHODS: 413 patients with mandibular fracture were chosen from patients who received treatment at the department of oral and maxillofacial surgery, College of Stomatology, West China University of Medical Sciences from 1986 to 1995, and a retrospective study was carried out. Chi-square test, t-test and linear regression were used to analyzed age, sex, causes, anatomic site, complicated injury, and treatment of jaw fracture. RESULTS: Fracture of Mandible occurred mainly in male, and during 20 to 29 years old. Mental fracture was common in mandibular fracture, and fracture of central craniofacial bone and craniocerebral injury were often complicated with jaw fracture. CONCLUSION: Mandibular fractures are caused mainly by traffic ever since 1990, and rigid intrafixation is a satisfactory treatment which has been accepted by surgeons.

Accidents, Traffic↗

PubMed1999

[Effects of two growth factors combination on the proliferation and differentiation of human osteoblast-like cells].

OBJECTIVE: To examine the effects of platelet-derived growth factor (PDGF), basic fibroblast growth factor (bFGF), insulin-like growth factor (IGF-II) and type beta transforming growth factor(TGF-beta) which were believed to have biological effects on bone cells on human osteoblast-like cells. METHODS: 3H-TdR, 3H-Proline and alkaline phosphatase of the osteoblast-like cells were tested to study the combinating effects of different growth factors on the proliferation and differentiation of osteoblast-like cells. RESULTS: The combination of different growth factors had promotive effect and synergic interact on proliferation and differentiation of osteoblast-like cells. CONCLUSION: The phenomena indicate that the combination of two growth factors will enhance the biological effects of bone formation.

Cell Differentiation↗

PubMed1999

[Surgical reduction and rigid internal fixation of midface fractures].

OBJECTIVE: To determine the cause, clinical characteristics and treatment of midface fractures. METHODS: A retrospective review of 98 patient records was conducted. Data regarding age, cause of fracture, anatomic site, treatment modalities and clinical results were reviewed. RESULTS: Of the 98 patients, 78.6% were male, with the peak incidence occurring in the age group from 21 to 40 years old. Of the fractures, 32.6% were due to traffic accidents, 24.5% to assaults, and 17.3% to accidental falls. Most patients (87.8%) were treated by open reduction surgery and rigid internal fixation. Only 12.2% of patients were treated by closed reduction fixation. Almost all of the patients regained normal face appearance and functional occlusion. CONCLUSION: Surgical reduction and rigid internal fixation of midface fractures is a satisfactory method of treatment.

Adolescent↗

PubMed1999

[Changes of F-actin in neutrophils under fluid shear stress].

Neutrophils are the main defender in the body, and their physiological characters are associated with functions. Because the environments of neutrophils maturation and storage are different from their function environment, they have to adapt thess changes. Filamentous actin (F-actin), as one of the important cytoskeleton components of neutrophils, has different quantity and distribution under different physiological conditions. Previous researches are all focused on static activation of neutrophils using various stimulants such as formyl-methionyl-leucyl-phenylalanine (f-MLP) and tumor necrosis factor(TNF). In our study, Low-Shear 30 and NXE-1 rheometers were used to provide steady or sinusoidaloscillatory fluid shear stress on separated neutrophils. Fluorescent agent Tritc-Phalloidin was added to label F-actin and the mean fluorescent intensity tested by flow cytometry was used as the indication of F-actin quantity and confocal laser scan microscope was used to detect the distribution of F-actin in neutrophils. We found that F-actin polymerization was significantly decreased under both steady and sinusoidal-oscillatory shear stress when the shear stress was below certain level. The density of the cortex F-actin near cell membrane in cells sheared became thinner than in that without shear stress. f-MLP and TNF both could increase actin polymerization in neutophils due to activation. When neutorphils were activated with f-MLP or TNF under shear stress, the quantity of F-actin in the cells was also decreased, but it was still higher than that in the cells absent of f-MLP or TNF. We concluded that neutrophils had different mechanical properties in different fluid environments. F-actin content and distribution would change according to the shear stress values to play their determinant role in neutrophils mechanical adaptation. The mechanism of actin polymerization in neutrophils for mechanical action is probably different from that for chemoattractants and cytokine activation.

Actins↗

PubMed1999

[Effects of fluid shear stress on neutrophil surface expression of adhesion molecules].

Fluid shear is a physiological and functional environment for circulating neutrophils where various chemoattractants and cytokines have different effects on neutrophils, activating them or evoking inflammation. So far there have been abundant in vitro researches demonstrating that while neutrophils are activated, some adhesion molecules, which are expressed on the surface of neutrophils, are necessary to cell-to-cell adhesion, and the quantity or quality of these molecules will be changed. The above results were all obtained under static fluid which is quite different from physiological condition. Recently, we used Low-Shear 30 to provide steady or sinusoidal-oscillated fluid shear stress on separated neutrophils with or without f-MLP/TNF stimulation. FITC-anti CD18 monoclonal antibody and PE-anti CD62L monoclonal antibody were added to label CD18 and CD62L on neutrophils suface respectively. Flow cytometry was used to quantify surface expression and positive cell percentage of these two adhesion molecules. The results demonstrat that fluid shear stress increases the expression of CD18 significantly and decreases the CD62L positive cell percentage, but it does not influence the CD62L expression on the CD62L positive cells. The effects of the different patterns of fluid shear stress are not much different, f-MLP or TNF can slightly decrease the expression of CD18 and make CD62L shedding respectively. When one of the two activators and the fluid shear stress act together, the expression of the two adherent molecules can be added. This indicates that the mechanical and biochemical stiumlative action can produce different effects through different receptors and different signal transduction pathways. So the mechanical environment should be considered in the research of activation and adhesion of neutrophils.

Adult↗

PubMed1999

[Separation and determination of morphine, pethidine and diazepam by high performance liquid chromatography].

Morphine, penthidine and diazepam in blood were determined by high performance liquid chromatography (HPLC). The HPLC system was consisted of 10 microns particle size C18 column and UV detector set at 254 nm. The mobile phase was V(CH3OH):V(25 mmol/L KH2PO4) = 90:10 with a flow rate of 1.0 mL/min. The average recoveries of morphine, penthidine and diazepam were 93.27%, 90.23% and 93.29% respectively. The linear range was between 0.05-50 mg/L. The detection limit was 0.05 mg/L and CV was less than 6%.

Anti-Anxiety Agents↗

PubMed1999

[Determination of pericarpium papaveris(yingsuqiao) in bottom material of chafing dish by high performance liquid chromatography(HPLC)].

Morphine, codeine and papaverine in bottom material of chafing dish were determined by HPLC. The conditions were as follows: C18 column, mobile phase V(CH3OH):V(25 mmol/L KH2PO4) = 90:10, the flow rate 1 mL/min and the wavelength 254 nm. These three compounds were entirely separated. The blank and positive comtrasts were being done simultaneously. The detection limit was 0.1 mg/L. The experiment showed that this method is sensiuve, accurate and reliable.

Chromatography, High Pressure Liquid↗

PubMed1999

[The effect of age on the regional blood flow of neck of femur in normal Chinese].

This study aimed to assess the effect of age on the regional blood flow of neck of femur in normal Chinese. 133Xe washout method was adopted. The result showed that the femur regional blood flow of normal Chinese decreased slowly with the increase of their age. The relation between age and femur blood flow might be expressed as F = -0.042Y + 9.01(F refers to blood flow, Y refers to age). The average femur regional blood flow of normal Chinese was 7.37 +/- 0.62 ml.(100 g.min)-1 for 21-40 years old. The authors suggest this result can be considered to stand for regional femur blood flow of young healthy adults.

Adolescent↗

PubMed1999

Clinical significance of an extensor tendon anomaly to the little finger--a new finding.

A new anatomical variation of extensor digiti minimi (EDM) was discovered during our anatomical studies. The EDM usually gives one tendon to the little finger to extend the metacarpophalangeal joint (MPJ) independently from the other fingers. The EDM in our cadaver had three tendon slips. It supplied the MPJ of the little finger with two tendon slips. Along with the extensor digitorum communis (EDC), the EDM also had an additional slip to the ring finger MPJ extensor hood apparatus. The little finger also received a separate tendon from EDC.

Finger Injuries↗

PubMed1998

Characterization of a rat Na+-dicarboxylate cotransporter.

The metabolism of Krebs cycle intermediates is of fundamental importance for eukaryotic cells. In the kidney, these intermediates are transported actively into epithelial cells. Because citrate is a potent inhibitor for calcium stone formation, excessive uptake results in nephrolithiasis due to hypocitraturia. We report the cloning and characterization of a rat kidney dicarboxylate transporter (SDCT1). In situ hybridization revealed that SDCT1 mRNA is localized in S3 segments of kidney proximal tubules and in enterocytes lining the intestinal villi. Signals were also detected in lung bronchioli, the epididymis, and liver. When expressed in Xenopus oocytes, SDCT1 mediated electrogenic, sodium-dependent transport of most Krebs cycle intermediates (Km = 20-60 microM), including citrate, succinate, alpha-ketoglutarate, and oxaloacetate. Of note, the acidic amino acids L- and D-glutamate and aspartate were also transported, although with lower affinity (Km = 2-18 mM). Transport of citrate was pH-sensitive. At pH 7.5, the Km for citrate was high (0.64 mM), whereas at pH 5.5, the Km was low (57 microM). This is consistent with the concept that the -2 form of citrate is the transported species. In addition, maximal currents at pH 5.5 were 70% higher than those at pH 7.5, and our data show that the -3 form acts as a competitive inhibitor. Simultaneous measurements of substrate-evoked currents and tracer uptakes under voltage-clamp condition, as well as a thermodynamic approach, gave a Na+ to citrate or a Na+ to succinate stoichiometry of 3 to 1. SDCT1-mediated currents were inhibited by phloretin. This plant glycoside also inhibited the SDCT1-specific sodium leak in the absence of substrate, indicating that at least one Na+ binds to the transporter before the substrate. The data presented provide new insights into the biophysical characteristics and physiological implications of a cloned dicarboxylate transporter.

Animals↗

PubMed1998

A practical synthesis of 3-substituted delta 3,5(6)-steroids as new potential 5 alpha-reductase inhibitor.

A new and practical synthetic approach to 3-substituted delta 3,5(6)-Steroids, as potential 5 alpha-reductase inhibitor, is described. The key step involves Pd-catalyzed coupling reaction of steroid 3-enol 5H-3-oxo-octafluoropentanosulfonates. 3-Phenylacetylenyl substituted delta 3,5(6)-steroid 3g and 3-phosphate substituted delta 3,5(6)-steroid 3f in our synthesized compounds exhibited high 5 alpha-reductase inhibitory activity in vitro assay.

5-alpha Reductase Inhibitors↗

PubMed1998

Influence of IFN-beta1b (Betaferon) on cytokine mRNA profiles in blood mononuclear cells and plasma levels of soluble VCAM-1 in multiple sclerosis.

Inflammatory cell infiltration within the central nervous system (CNS) and upregulation of both pro- and anti-inflammatory cytokines are characteristic for multiple sclerosis (MS). Treatment with interferon-beta 1b (IFN-beta1b) reduces the number and severity of MS relapses. To examine whether treatment with IFN-beta1b affects levels of cytokine mRNA expressing blood mononuclear cells (MNC) we employed in-situ hybridization with synthetic oligonucleotide probes to detect and enumerate IFN-gamma, TNF-alpha, IL-10, TGF-beta and perforin mRNA expressing cells in MS patients before treatment with IFN-beta1b and during treatment for 3-6 weeks and for 3-6 months. Numbers of blood MNC spontaneously expressing TNF-alpha and IL-10 mRNA were lower after 3-6 months of treatment, while numbers of IFN-gamma, TGF-beta and perforin mRNA expressing MNC were not affected by treatment. IFN-beta1b had no influence on levels of MBP-reactive IFN-gamma, TNF-alpha, TGF-beta, IL-10 or perforin mRNA expressing blood MNC determined after 3-6 weeks or 3-6 months of treatment. Parallel measurements of plasma concentrations of soluble vascular cell adhesion molecule-1 (sVCAM-1) revealed elevated levels after 3-6 weeks of treatment and these levels remained higher after 3-6 months of treatment. The results suggest that IFN-beta1b treatment upregulates plasma levels of sVCAM-1, but has little effects on numbers of blood MNC expressing mRNA of the pro- and anti-inflammatory cytokines under study.Copyright Lippincott-Raven Publishers

Journal Article↗

PubMed1998

Detection of Borrelia burgdorferi from ticks (Acari) in Hebei Province, China.

From May 1992 to August 1993, 1,196 ticks were collected by flagging vegetation and from domestic animals in Chengde, Zhangjiakou, Shijiazhuang, and Handan districts of Hebei Province. Of those ticks collected, 954 were Haemaphysalis japonicum Warburton and H. longicornis Neumann, 205 were Ixodes persulcatus Schulze, and 37 were Dermacentor silvarum Olenev. Four strains of Borrelia burgdorferi were isolated from 135 I. persulcatus collected in Weichang and Zhuolu counties. Three of 574 Haemaphysalis spp. (collected in Laishui, Pingshan, and Xinglong counties) were positive for B. burgdorferi by direct immunofluorescent assay. One of 24 H. japonicum and 1 of 1 I. persulcatus (collected in Zhuolu) were positive for B. burgdorferi by polymerase chain reaction. This is the 1st report of a B. burgdorferi isolation from H. japonicum.

Animals↗

PubMed1998

Optic neuritis and cytokines: no relation to MRI abnormalities and oligoclonal bands.

Acute unilateral monosymptomatic optic neuritis (ON) is a common first manifestation of MS if associated with multiple MS-like lesions on brain MRI and oligoclonal IgG bands (OB) in the CSF, whereas ON patients lacking these laboratory abnormalities are considered to have a good prognosis regarding future MS development. Several cytokines involved in immune regulation are upregulated in blood and even more noticeable in CSF in MS. To study a possible relation between cytokine profiles and presence versus absence of MS-like brain MRI lesions and CSF OB, we used in situ hybridization to examine mRNA expression of the proinflammatory interleukin-12 (IL-12), interferon-gamma, and tumor necrosis factor-alpha and the immune response downregulating IL-10, transforming growth factor-beta, and IL-4 in blood and CSF mononuclear cells (MNC) from 59 patients with untreated ON. There were no differences in numbers of MNC in blood or CSF expressing any of the cytokines under study, upon subgrouping the ON patients regarding presence (n = 31) versus absence (n = 28) of MRI lesions, presence (n = 45) versus absence (n = 14) of OB, or duration after onset of ON (<1 month, n = 30, versus >1 month, n = 29). Similarly, no differences were observed for numbers of myelin basic protein-reactive blood MNC expressing any of these cytokines after subgrouping according to these variables. Our findings suggest that the cytokine profile, as examined in this study, is less useful to determine the risk of future development of clinically definite MS in ON patients or as indicator for therapeutic interventions in ON. An upregulation of both pro- and anti-inflammatory cytokines in ON patients seems to be more related to the CNS disease per se, whether limited to the optic nerve or not, than to the inflammatory process characteristic for MS.

Adolescent↗

PubMed1998

[PCR/SSCP used as a complementary method for HLA oligotyping].

Seventy samples randomly selected from Hunan Han nationality normal individuals were typed for HLA DPA1 polymorphism by PCR/SSO with the primers and SSOs. Silver staining PCR/SSCP was also performed on the polymorphic second exon of all samples, which demonstrated the accurate gene frequencies of DPA1*01,02 to be 0.2632 and 0.7327, respectively. Using PCR/SSCP technique, we found that PCR/SSO mistyped a DPA1*01/02 heterozygote as single DPA1*01 gene because of weak hybridization signals. PCR/SSCP also revealed DPA1*02 in Hunan Han population to be composed of a single subtype. The results indicate that PCR/SSCP can be used to clarify the samples with atypical or irregular PCR/SSO hybridization patterns and to analyze the possible polymorphisms outside SSOs sequences. Thus this method may guarantee the accuracy of HLA oligotyping.

Gene Frequency↗