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  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 185-189,196.
    Objective: To investigate the effect of mesenchymal stem cells (MSC) transplantation on pristane induced pulmonary alveolar hemorrhage in lupus mice and explore the possible mechanism. Methods: Twenty female C57BL/6 (B6) mice at 10 weeks of age were injected with 0.5 mL pristane intraperitoneally and 3 control B6 mice were injected with the same volume of PBS. After one week, mice injected with pristane were randomly divided into two groups and intravenously injected with 1×106 human umbilical cord-derived MSCs or PBS, respectively. After another week of observation, the survival rate and body weight of the two groups were recorded and all mice were sacrificed. The appearance of the lungs was observed and hematoxylin and eosin (HE) staining was performed to assess the severity of pulmonary hemorrhage. Lung single-cell suspensions were prepared by enzymatic digestion. CD4+ and CD8+ T lymphocytes, CD19+ B lymphocytes, CD11b+Gr1+ neutrophils, F4/80+ macrophages and CD206+ macrophages in lungs were detected by flow cytometry. Results: The survival rate of mice in the MSC group was higher than that of the PBS group, but the difference was not statistically significant (P=0.07), and the average body weight in MSC mice was significantly increased (P<0.01) than that in PBS group. The incidences of complete diffuse alveolar hemorrhage and partial diffuse alveolar hemorrhage in the MSC group were lower than that in the PBS group. Compared with the PBS mice, the total number of lung cells in the MSC group was significantly reduced (P<0.01) than that in the PBS group. The number of lung CD4+ T cells in the MSC group showed a decreased tendency, while the numbers of CD8+ T cells and CD19+ B cells were significantly decreased (P<0.05) in the MSC group than that in the PBS group. The absolute numbers of CD11b+Gr1+ neutrophils and F4/80+ macrophages in lungs of MSC treated mice were also markedly reduced (P<0.01 and P<0.05). In addition, the percentage of CD206+ anti-inflammatory macrophages in lungs of pulmonary hemorrhage mice was significantly reduced (P<0.01), while the percentage of CD206+ anti-inflammatory macrophages was significantly increased by MSC transplantation (P<0.01). Conclusion: MSC transplantation can significantly reduce the incidence of pulmonary hemorrhage in lupus-prone mice, which may attributed to the regulation of lung immune cells and the induction of CD206 anti-inflammatory macrophages by MSCs.
    Key words]mesenchymal stem cell; systemic lupus erythematosus; alveolar hemorrhage; macrophage; CD206
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(06): 485-489.
    目的: 利用网络药理学和分子对接技术分析“茵陈-玉竹”药对治疗糖尿病肾病的机制。方法: 通过中药系统药理学数据库及分析平台(TCMSP)、中医药百科全书(ETCM)、中医药分子机制生物信息学注释数据库(BATMAN-TCM)检索“茵陈-玉竹”药对的主要化学成分,通过药物靶点数据库(TTD)、人类在线孟德尔遗传(OMIM)数据库、DisGeNET、GeneCards等数据库收集糖尿病肾病的疾病靶点,进而筛选茵陈、玉竹与糖尿病肾病的交集核心靶点。利用Cytoscape 3.7.2软件构建“化合物-靶点-疾病网络”,同时基于DAVID数据库对靶点进行GO功能富集和KEGG通路富集分析。结果: 获取“茵陈-玉竹”药对主要活性成分31个,作用靶点351个,糖尿病肾病相关基因2 911个,交集基因185个,其中起关键作用的活性成分为槲皮素、滨蒿内酯、莨菪亭、D-香芹酮和异鼠李素;构建可视化PPI网络得到185个节点,851条边,平均度值9.2,获得前列腺素内过氧化物酶2(PTGS2)、核因子κB1(NFKB1)、丝裂原活化蛋白激酶1(MAPK1)、MAPK3、MAPK14等“茵陈-玉竹”药对治疗糖尿病肾病的关键靶点。GO富集分析获得1 181条相关通路,KEGG通路富集获得180条信号通路。结论: “茵陈-玉竹”药对可能通过调控磷脂酰肌醇3激酶苏氨酸蛋白激酶(PI3K-Akt)、MAPK、糖基化终末产物糖基化终产物受体(AGE-RAGE)等信号通路,抑制各种炎症反应与氧化应激,调节异常代谢,从而对糖尿病肾病产生治疗作用。
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 0.
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 271-276.
           外泌体是含有来源细胞内容物的细胞外小囊泡,通过传递蛋白、核酸及脂类等生物活性分子介导细胞间通讯。肿瘤来源的外泌体与肿瘤的耐药性密切相关,环状RNA(circular RNA,circRNA)是一种环形稳定的内源性非编码RNA。近年来,关于外泌体转移circRNA在多种肿瘤耐药发展中的作用研究取得进展。因此,本文总结了外泌体circRNA参与肿瘤发病和耐药机制的研究内容。
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    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 84-92.
     
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    Journal of Jiangsu University(Medicine Edition). 2024, 34(02): 0.
     
  • XU Ting1, ZHANG Ying1, DENG Qiong1, 2, LIANG Hui1, WANG Zhu1, 2
    Journal of Jiangsu University(Medicine Edition). 2024, 34(02): 104-110.
     Objective: To explore the gene expression profiles of Henle-loop cell subset in renal tissue of the calcium oxalate kidney stone rat model. Methods: The rat model of calcium oxalate kidney stone was constructed by ethylene glycol and 1% ammonium chloride. The model was validated by Von Kossa′s staining. Henle-loop cells were identified using single-cell sequencing method. The gene expression profiles of Henle-loop cell subsets in renal tissue of calcium oxalate kidney stone rat model were performed via comparative analysis. The enrichment analysis of differential genes was performed through GO, KEGG, and GSEA bioinformatics tools. Results: Compared with the control group, black or brownish black staining of calcium salt deposition were observed in the kidney tissue of the experimental group rats, indicating the successful construction of the calcium oxalate kidney stone rat model. Single cell sequencing analysis revealed that there was a total of 3 510 differentially expressed genes in the Henle-loop cell subset of the experimental group, of which 880 were upregulated and 2 630 were downregulated. LOC499584, Il7, dual specificity phosphatase 1 (Dusp1), and matrix Gla protein (Mgp) were upregulated most significantly, while HORMA domain containing 2 (Hormad2), LOC361914, Jun dimerization protein 2 (Jdp2), and somatomedinB and thrombospondin type-1 domain-containing protein (Sbspon) were downregulated most significantly. KEGG analysis revealed significant changes in signaling pathways such as oxidative phosphorylation, metabolism pathways, propanoate metabolism, autophagy, lysosome and endocytosis in the experimental group of Henle-loop cells. Conclusion: This study reveals for the first time the gene expression profile characteristics of Henleloop cell subsets in renal tissue of the calcium oxalate kidney stone rat model, providing a molecular basis for the investigation of kidney stone formation and related kidney injury.
     
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 211-215,221.
    Objective: To observe the clinical efficacy of electroacupuncture on hyperandrogenism in patients with polycystic ovary syndrome (PCOS) of kidney deficiency and phlegm dampness. Methods: A total of 68 patients of PCOS with kidney deficiency and phlegm dampness were randomly divided into observation group (34 cases, 2 cases dropped off ) and control group (34 cases, 1 case dropped off). The observation group was treated with electroacupuncture, and the control group was treated with comfort electroacupuncture. The levels of serum testosterone and androstenedione were detected before and 3 months after the intervention, and combined with hairy score, acne score, menstrual status score, biphasic rate of basal body temperature and TCM syndrome score index, the therapeutic effects between the two groups were compared. Results: After 3 months of intervention, the total effective rate of the observation group was better than that of the control group (P<0.01). Compared with the control group, the levels of serum testosterone, androstendione, acne score and menstrual status score in the observation group were significantly decreased (P<0.01), but there was no difference in hirsutism score (P>0.05). Compared with the control group, the biphasic rate of basal body temperature in the observation group was insignificant (P>0.05), after 1 month of intervention. After 2 months of intervention, the observation group was better than the control group, and the difference was statistically significant (P<0.05). After 3 months of intervention, the biphasic rate of basal body temperature in the observation group was significantly higher than the control group (P<0.01). After 3 months of electroacupuncture intervention, the acne score, menstrual status score, serum testosterone and androstendione levels were decreased in the observation group (P<0.05), but there was no significant difference in hirsute score compared with that before intervention (P>0.05). There was no significant difference in hairy score, acne score, menstrual status score, serum testosterone and androstenadione levels in control group after 3 months of placebo electroacupuncture intervention (P>0.05). Conclusion: Electroacupuncture can reduce the levels of serum testosterone and androstenadione, reduce acne score and menstrual condition score, improve biphase ratio of basal body temperature, hyperandrogenemia and clinical symptoms in patients with polycystic ovary syndrome with kidney deficiency and phlegm dampness.
    Key words]acupuncture therapy; electroacupuncture; kidney deficiency and phlegm dampness; polycystic ovary syndrome; hyperandrogenism; clinical efficacy
  • ZHU Yuerong1, CHEN Xingyu2, FENG Jiaoyan2, ZHOU Ben2, FAN Yanrong2
    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 44-51.
     Objective: The ELP-SOD fusion protein was expressed by recombinant E.coli cells, and purified ELP-SOD enzyme with high activity was obtained by three rounds of inverse transition cycling (ITC). ELP-SOD liposomes with long halflife and enzyme activity were prepared by liposome encapsulation technology, which laid a foundation for the application of recombinant human SOD in medical, health care, cosmetics and other fields. Methods: The purity of ELP-SOD was evaluated by SDS-PAGE, Tanon3500 gel imaging system and Image studio software; the enzyme activity of SOD fusion protein was measured using an improved pyrogallol autooxidation method (325 nm method); by adjusting different pH values and temperature gradients, the pH and thermal stability of the fusion protein were assessed; adding Cu2+/Zn2+ increased ELP-SOD enzyme activity; in vivo half-life experiments was simulated using rat plasma; cytotoxicity was evaluated by incubating HUVEC and L929 cells with different concentrations of ELP-SOD in culture media; preparation of ELP-SOD liposomes by thin film hydration method and determination of their encapsulation efficiency; mouse skin in vitro was prepared and in vitro release experiments were conducted using TP-6 transdermal diffusion apparatus. By using Franz diffusion cell the transdermal efficiency of ELP-SOD liposomes was to be investigated in carrying ELP-SOD. Results: The highest expression level of ELPSOD fusion protein was 10 mg/L, with a purity of 978% and an enzyme specific activity of 4 894.5 U/mg; its stability was higher at pH 5.0-8.0 and temperatures below 60 ℃; the access of ELP had a certain extension effect on the half-life of SOD and has good biosafety; the encapsulation efficiency of ELP-SOD liposomes reaches over 80%, which could further prolong the half-life of ELP-SOD, and its transdermal efficiency was significantly higher than that of ELP-SOD. Conclusion: The purification process of ELP-SOD fusion protein was simplified through reversible thermal denaturation technology, and combined with lipid preparation technology, the biological half-life of the enzyme protein was extended and its bioavailability was improved.
     
  • ZHANG Tingting, YU Ming
    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 52-55.
     Objective: To explore the risk factors of stroke-associated pneumonia (SAP) in patients with acute ischemic stroke (AIS) and its clinical significance. Methods: Patients with AIS admitted to the Department of Neurology, Affiliated Hospital of Jiangsu University from February 2021 to June 2022 were selected. According to whether patients had SAP, they were divided into SAP group and nonSAP group. The clinicopathological parameters of the two groups were compared, and the risk factors related to SAP were analyzed by multivariate logistic regression. Receiver operating characteristic (ROC) curve was used to evaluate the value of neutrophil to lymphocyte ratio (NLR) in predicting SAP. Results: Compared with the non-SAP group, patients in the SAP group were older, stayed in hospital longer (P<0.01), had higher NIHSS score, NLR and fasting blood glucose (all P<0.01), had a higher proportion of atrial fibrillation, disturbance of consciousness and dysphagia on admission (P<0.01). Multiple logistic regression analysis showed that age, length of stay, NLR, NIHSS score and dysphagia were independent risk factors for SAP (P<0.05). ROC curve analysis revealed that the area under the curve predicted by NLR for SAP was 0.758 (P<0.05). The optimal cut-off value was 3.962, the sensitivity was 0.699, and the specificity was 0.770. Conclusion: The occurrence of SAP in acute ischemic stroke patients is associated with multiple risk factors, among which high NLR is an independent risk factor and has a certain predictive value for the occurrence of SAP.
     
  • LI Zheng1, LIU Yawen1, CHEN Jiaxi2, WANG Huizhi1, YU Zhengyue1, WANG Shunyu1, GONG Aihua1, XU Min3
    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 1-10.
      Objective: To investigate the role of heterogeneous nuclear ribonucleoprotein A2B1 (hnRNPA2B1) in ferroptosis of pancreatic cancer cells and its potential mechanisms. Methods: Three pancreatic cancer cell lines PaTu8988, MIA-paca2 and PANC1 were treated with different concentrations of Erastin for 3 days. The cell viability was detected by CCK8 method. The half inhibitory concentrations (IC50) of Erastin in three kinds of pancreatic cancer cell lines were calculated and their resistance capabilities to Erastin were compared; qRT-PCR and Western blotting were used to detect the relative expression levels of mRNA and protein of hnRNPA2B1 in pancreatic cancer cells. The differential expression of the hnRNPA2B1 in pancreatic cancer tissues and normal tissues was analyzed by GEPIA, and the survival prognosis of patients with differential expression of hnRNPA2B1 was analyzed from clinical data sets from GEO database. PaTu8988 cells was transfected with sh-Control and sh-hnRNPA2B1 plasmid, respectively, to knock down hnRNPA2B1; PANC1 cells was transfected with Vector and Flag-hnRNPA2B1 plasmid, respectively, to overexpress hnRNPA2B1; and the transfection efficiency was verfied by qRT-PCR and Western blotting, respectively; the effects of knockdown or overexpression of hnRNPA2B1 on the migration and invasion were detected by Transwell assay, and the effects on the proliferation of pancreatic cancer cells were detected by CCK8 assay. The cells in sh-Control, sh-hnRNPA2B1, Vector and Flag-hnRNPA2B1 group were treated with control (0 μmol/L Erastin) and Erastin (IC50 concentration), respectively, then flow cytometry was used to determine the lipid peroxidation level, and colorimetry was used to determine the malindialdehyde (MDA) and tissue iron concentration; in addition to Erastin, the sh-hnRNPA2B1 and Flag-hnRNPA2B1 groups were added with Ferrostatin-1, Necrostatin-1, ZVAD-FMK, respectively, the cells activity was detected by trypan blue dye exclusion. The relative expression levels of RNA and protein of transferrin receptor (TFRC), ferritin heavy chain, glutathione peroxidase 4 and solute carrier family 7 member 11 weredetected by qRT-PCR and Western blotting, respectively. Results: The resistance of three types of pancreatic cancer cells to Erastin from high to low were PaTu8988, MIA-paca2 and PANC1, corresponding Erastin IC50 was 18.020, 15.760 and 2.947 μmol/L, respectively (P<0.05). The relative expression level of hnRNPA2B1 was the highest in PaTu8988 cells, followed by MIA-paca2 cells and the lowest in PANC1 cells (P<0.05), which was the same with Erastin IC50. The expression level of hnRNPA2B1 in pancreatic cancer tissues was significantly higher than that in normol tissues, and the prognosis of patients with higher  expression of hnRNPA2B1 was poor (P<0.05). Down-regulating the expression of hnRNPA2B1, the migration, invasion and proliferation ability of PaTu8988 cells were greatly reduced, while up-regulating was the opposite (P<0-05). Erastin-induced cell death was significantly restored by Ferrostatin-1 not by ZVAD-FMK or Necrostatin-1 (P<0.05); compared with sh-Control group, the level of lipid peroxidation, MDA and iron concentration in sh-hnRNPA2B1 group were significantly increased (P<0.05); compared with Vector group, Flag-hnRNPA2B1 group showed lower level of lipid peroxidation, MDA and ironconcentration (P<0.05). Upregulation of hnRNPA2B1 inhibited the expression of TFRC, while interference with hnRNPA2B1 produced the opposite effect (P<0.05). Conclusion: hnRNPA2B1 could inhibit t he intracelluar accumulation of iron by inhibiting the expression of TFRC, thus promoting the resistance of pancreatic cancer cells to ferroptosis.
     
  • CHEN Shangtong1, CHEN Yueping2, SONG Shilei1, HUANG Chuanhong1
    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 67-73.
     Objective: To investigate the causal relationship between inflammatory bowel disease and osteoporotic fracture by using the two-sample Mendelian randomization (MR) method. Methods: The pooled data from GenomeWide Association Studies (GWAS) were analyzed. Samples from Crohn′s disease and ulcerative colitis were selected for further analysis, where GWAS summary data for Crohn′s disease and ulcerative colitis were obtained from the European IEU database, 20 883 for Crohn′s disease, 47 745 for ulcerative colitis, and GWAS summary data for osteoporotic fractures from the FinnGen database, 173 619. Single nucleotide polymorphisms (SNPs), which are closely associated with Crohn′s disease and ulcerative colitis, were used as instrumental variables (IVs), and the inverse variance weighting method (IVW), the MR-Egger regression method, the Weighted Median method (WME), Simple Mode method and the Weighted Mode method were used to evaluate the causal relationship by means of odds ratio (OR). The Cochran Q heterogeneity test was performed by IVW and MR-Egger method, horizontal pleiotropy analysis by MR_pleiotropy_test function and MR PRESSO pleiotropy test, sensitivity analysis by MR_leaveoneout_plot function, and F values were calculated to evaluate the presence of weak IVs bias. Results: A total of 52 SNPs closely related to Crohn′s disease were obtained as IVs, IVW result [OR(95%CI): 1.12(1.03-1.22), P=0.006], WME result [OR(95%CI) 1.15(1.01-1.32), P=0.02], MREgger results [OR(95%CI) 1.16(0.94-1.44), P=0.15]. Simple Mode results [OR(95%CI): 1.15(0.88-1.50), P=0.28] and Weighted Mode results [OR(95%CI): 1.16(0.97-1.39), P=0.10] suggested a positive causal relationship between Crohn′s disease and osteoporotic fracture. In total, 88 SNPs closely associated with ulcerative colitis were obtained as IVs, IVW result [OR(95%CI) 1.15(1.03-1.28), P=0.009], MREgger result [OR(95%CI): 1.35(1.03-1.75), P=0.02], WME result [OR(95%CI): 1.18(1.01-1.37), P=0.02], Simple Mode result [OR(95%CI): 1.15(0.86-1.55), P=0.32] and Weighted Mode results [OR(95%CI): 1.19(0.96-1.47), P=0.10] suggested a positive causal relationship between ulcerative colitis and osteoporotic fracture. The results of the heterogeneity test in Crohn′s disease-osteoporotic fractures were P=0.55 and P=0.52, respectively, suggesting the absence of heterogeneity. The MR_pleiotropy_test function result was P=0.69, and the MR PRESSO method result was P=0.55, indicating the absence of pleiotropy, and the sensitivity analysis showed stable results. The heterogeneity tests of ulcerative colitis-osteoporotic fractures were P=0.23 and P=0.25, respectively, suggesting the absence of heterogeneity. The MR_pleiotropy_test function result was P=0.20, and the MR PRESSO method result was P=0.24, indicating the absence of pleiotropy, and the sensitivity analysis showed stable results. All F values were greater than 10, suggesting that there was no weak IVs bias. Conclusion: Inflammatory bowel disease may increase the risk of osteoporotic fractures.
     
  • YAN Jie, CHANG Tian, ZHANG Jing, GE Guangrong, CHEN Jiuyuan, HUO Qiang, CHENG Xiu
    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 79-83.
     ]Objective: Preliminarily to construct and evaluate phosphatidylserine (PS)-modified macrophage-derived extracellular vesicles (EVs) nanocarriers (PS-EVs@Que) for delivering quercetin (Que) and study the role of PS-EVs@Que in the treatment of inflammation. Methods: EVs were isolated from macrophages by ultracentrifugation, Que was loaded into EVs by ultrasonication (EVs@Que), and finally PSEVs@Que was prepared by incubating PS into EVs@Que solution, the morphology, particle size, drug loading capacity and encapsulation efficiency of formulations were also evaluated; cellular uptake of EVs and PS-modified EVs were determined by immunofluorescence. Macrophages were treated with LPS, LPS+EVs@Que, LPS+PSEVs@Que and control group respectively, and the expression of iNOS, a marker on the surface of macrophages, were detected by Western Blotting; the expression of inflammatory factors TNF-α and IL-6 were detected by Enzyme-Linked Immunosorbent Assay (ELISA). Results: The prepared PS-EVs@Que presented a circular-like vesicle structure with an average particle size of (118.45±0.97) nm, drug loading capacity of (8.59±0.16)% and encapsulation efficiency of (20.08±0.52)%. The uptake results showed that the modification of PS resulted in better phagocytosis of EVs by macrophages and enhanced the uptake of EVs by macrophages. Macrophage iNOS protein expression reduced in the PS-EVs@Que group compared with other groups (P<0.01), and the expression of inflammatory factors TNF-α and IL-6 were significantly inhibited (P<0.01). Conclusion: In this study, we successfully constructed and evaluated a nanomedicine delivery system, which improved the bioavailability of Que, inhibited the polarization of pro-inflammatory phenotype (M1 type) of macrophages, and reduced the pro-inflammatory factors, providing a reference for novel nanomedicines treatment of inflammatory diseases.
     
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 228-233.
    Objective: To explore the regulation and mechanism of microRNA-27a-3p (miR-27a-3p) on ferroptosis of colorectal cancer cell line HT-29 and SW480. Methods: Colorectal cancer cell lines HT-29 and SW480 were treated with 0, 25 and 5 μmol/L Erastin, respectively. Real-time fluorescence quantitative PCR (qRT-PCR) was used to detect the mRNA expression of solute carrier family 7 member 11 (SLC7A11) in each group and the optimal concentration of Erastin was screened. HT-29 and SW480 cells were divided into siControl group, siSLC7A11-1 group and siSLC7A11-2 group, and transfected with control siRNA, siSLC7A11-1 and siSLC7A11-2, respectively. The cells were co-cultured with 5 μmol/L Erastin for 0, 24, 48 and 72 h to detect the cell proliferation activity and the level of malondialdehyde in the cells at different time points. HT-29 and SW480 cells were divided into miR-NC group, miR-27a-3p group and anti-miR-27a-3p group, respectively, and transfected with miR-NC, miR-27a-3 mimics and miR-27a-3p inhibitors, respectively. The mRNA expression level of SLC7A11 was detected by qRT-PCR, and the luciferase reporter gene assay was used to detect the luciferase activity of SLC7A11 3′UTR sequence (SLC7A11-WT) and mutant sequence (SLC7A11-Mut). The cells were co-cultured with 5 μmol/L Erastin for 0, 24, 48 and 72 h, and the cell proliferation activity was detected at different time points, and the intracellular malondialdehyde level was detected. Results: The mRNA expression of SLC7A11 in colorectal cancer HT-29 and SW480 cells was significantly increased with the increase of Erastin concentration (P<0.01). In colorectal cancer HT-29 and SW480 cells, compared with the siControl group, the cell proliferation activity in siSLC7A11-1 and siSLC7A11-2 groups was significantly increased at 48 h and 72 h (P<0.05), with a significant decrease in malondialdehyde levels (P<0.05). Compared with the miR-NC group, cell proliferation activity in miR-27a-3p group was significantly enhanced (P<0.05), while malondialdehyde levels and luciferase activity of SLC7A11-WT group were significantly decreased (P<0.05 or P<0.01), and luciferase activity of SLC7A11-Mut group showed no significant changes(P>0.05); and the cell viability of anti-miR-27a-3p group was significantly decreased (P<0.01), the level of malondialdehyde and the luciferase activity of SLC7A11-WT were significantly increased (P<0.01), and the luciferase activity of SLC7A11-Mut was not significantly changed (P>0.05). Conclusion: miR-27a-3p may regulate Erastin-induced ferroptosis in colorectal cancer cells by targeting the 3′UTR of SLC7A11 mRNA.
    Key words]colorectal cancer; ferroptosis; miR-27a-3p; solute carriers 7A11
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 242-247,253.
    Objective: To evaluate the effects of histone acetylation mediated by sodium butyrate, trichostatin A (TSA) and adenoviral E1A binding protein of 300 kD (P300) on the expression of a disintegrin and metalloproteinase 33 (ADAM33), one of asthma susceptible genes, in human non-small cell lung cancer A549 cells and human bronchial epithelial BEAS-2B cells. Methods: Human non-small cell lung cancer A549 cells and human bronchial epithelial BEAS-2B cells were divided into sodium butyrate control group (double distilled water treatment) and 1, 2.5, 5 mmol/L sodium butyrate groups, TSA control group (0.1% dimethyl sulfoxide treatment) and 0.2, 0.4, 0.8 μmol/L TSA groups, respectively. BEAS-2B cells were divided into P300 control group (transfected with P300 mutant plasmid) and P300 group (transfected with P300 expressing plasmid). These cells were treated respectively according to the groups. The ADAM33 promoter activity was analyzed by dual luciferase reporter method, the expression of ADAM33 mRNA was detected by quantitative real time-PCR (qRT-PCR), and the expression of ADAM33 protein was detected by Western blotting. Results: In human non-small cell lung cancer A549 cells, compared with the control group, ADAM33 promoter activity was significantly decreased in 1 mmol/L sodium butyrate group and 0.2 μmol/L TSA group (P<0.01). In human bronchial epithelial BEAS-2B cells, compared with the control group, the activity of ADAM33 gene promoter, mRNA and protein expression levels was greatly decreased in 1 mmol/L sodium butyrate group and 0.2 μmol/L TSA group (P<0.05 or P<0.01). There was no significant difference in ADAM33 expression when increasing the concentration of sodium butyrate and TSA. In BEAS-2B cells, compared with the control group, the promoter activity, mRNA and protein expression levels of ADAM33 in P300 group were markedly decreased (P<0.05). Conclusion: Sodium butyrate and TSA decreased ADAM33 expression in human non-small cell lung cancer A549 cells and human bronchial epithelial BEAS-2B cells through histone acetylation, while P300 decreased ADAM33 expression in human bronchial epithelial BEAS-2B cells through histone acetylation.
    [Key words]asthma; a disintegrin and metalloproteinase 33 (ADAM33); sodium butyrate; trichostatin A; human bronchial epithelial BEAS-2B cells
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 234-241.
    Objective: To investigate the effect of exogenous hydrogen sulfide donor GYY4137 on the osteogenic ability of D-galactose (D-Gal)induced senescent bone marrow mesenchymal stem cells (BMSCs) and its potential mechanism. Methods: BMSCs senescence was induced by different concentrations of D-Gal. The cell activity was detected by CCK8 method and the degree of cellular senescence was evaluated by β-galactosidase staining to choose the optimal concentration of D-Gal. After treatment with various concentrations of GYY4137, the effects of GYY4137 on the activity of normal BMSCs and senescent BMSCs were detected, and the optimal concentration of GYY4137 was determined. CON group, GYY4137 group, D-Gal group and D-Gal+GYY4137 group were set up, and β-galactosidase staining was performed on BMSCs in each group after corresponding treatment. The mRNA expression of cellular senescence-related genes (P16, P21, P53) and cellular senescencerelated inflammatory factors (IL-6, IL-8, TNF-α) was detected by qRT-PCR. Osteoblastic induction differentiation was performed on cells in each group. mRNA expressions of osteogenic differentiation-related factors alkaline phosphatase (ALP), osteocalcin (OCN), Runt-related transcription factor 2 (RUNX2) and human bone morphogenetic protein 2 (BMP2) were detected by qRT-PCR. The number of calcium nodules formed was detected by alizarin red staining. ALP was detected by ALP staining. The differentially expressed genes of D-Gal group and D-Gal+GYY4137 group were detected by transcriptome sequencing. According to the sequencing results, the differentially expressed genes were verified by qRT-PCR. After the expression of Wnt10b was inhibited by DKK1, the osteogenic differentiation ability of senescent BMSCs in each group was detected. Results: The optimal induction concentration of D-Gal was 30 g/L, and the optimal intervention concentration of GYY4137 was 10 μmol/L. The β-galactosidase content in D-Gal group was significantly increased. The mRNA expression levels of senescence related genes (P16, P21, P53) and senescence related inflammatory factors (IL-6, IL-8, TNF-α) were significantly increased (P<0.05 or P<0.01), and the above cell senescence related indicators were significantly decreased after GYY4137 intervention (P<0.05 or P<0.01). During osteogenic differentiation, the mRNA expressions of ALP, OCN, RUNX2 and BMP2 in D-Gal+GYY4137 group were significantly higher than those in D-Gal group (P<0.05 or P<0.01). The sequencing results showed that there were significant differences in Wnt10b expression in Wnt/βcatenin signaling pathway, and qRT-PCR results showed that GYY4137 increased the expression of Wnt10b and its downstream gene β-catenin in senescent cells (P<0.05 or P<0.01), which was consistent with the sequencing results. The expression of Wnt10b was inhibited by 100 μg/L DKK1, and the mRNA expressions of ALP, OCN, RUNX2 and BMP2 related to osteogenic differentiation of senescent BMSCs treated with GYY4137 were significantly decreased (P<0.05 or P<0.01). Conclusion: GYY4137 can alleviate the D-Gal-induced senescent process of BMSCs, and may promote osteogenic differentiation of senescent BMSCs through Wnt/β-cantenin signaling pathway.
    [Key words]bone marrow mesenchymal stem cells; cellular senescence; hydrogen sulfide donor; senile osteoporosis; Wnt/β-catenin signaling pathway
  • LI Neng, ZHANG Yehua, KONG Lingling, ZHAO Guangshun, DENG Xiaoyi
    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 61-66.
     Objective: To assess the feasible of Rho/Z value derived from dual-energy computed tomography (DECT) in cervical disc degeneration (CDD) and herniation. Methods: MRI and DECT imaging data of 50 patients with neck back pain were included. All discs were classified on the basis of Pfirrmann grading system. Rho value of nucleus pulposus were measured and the variances in different grades and different disc level were analyzed with one-way ANOVA test. Correlations between Rho value and grades were analyzed with Spearman correlation test. MRI as the reference standard, the sensitivity, specificity, PPV, NPV and accuracy of conventional grayscale CT images and dual-energy color-coded reconstructed images in the detection of cervical disc herniation were compared. Results: The Rho value of nucleus pulposus in cervical intervertebral disc increased with the increase of Pfirrmann grade and decreased with the decrease of segmental position, and the difference was statistically significant (P<0.001). There was a moderate positive correlation between Rho value of nucleus pulposus and Pfirrmann grades (r=0.584, P<0.05). Dual-energy color-coded reconstructed images had higher overall sensitivity (86.7% vs 74.3%), specificity (90.2% vs 79.3%), PPV (96.7% vs 92.3%), NPV (66.9% vs 48.0%) and accuracy (87.5% vs 75.5%) in detecting cervical disc herniation compared conventional grayscale CT images. Conclusions: The color-coded reconstruction image of DECT can significantly improve the diagnostic accuracy of cervical disc herniation, and the Rho value of nucleus pulposus is associated with the degree of intervertebral disc degeneration.
     
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 190-196.
    Objective: To explore the correlation between triglyceride glucose (TyG) index and hyperuricemia (HUA) in patients with systemic lupus erythematosus (SLE). Methods: A retrospective cross-sectional study was conducted on 557 hospitalized SLE patients who were initially treated at Nanjing Drum Tower Hospital. Based on the presence or absence of hyperuricemia,they were divided into the HUA group and the SLE group, and a comparative analysis was performed on clinical data, laboratory indicators, and medication usage between the two groups. Logistic regression, restricted cubic spline, and subgroup analysis were used to evaluate the association between TyG index and hyperuricemia. Additionally, the values of various insulin resistance (IR) metabolic indices in predicting the risk of hyperuricemia in SLE patients were also compared using the area under the receiver operating characteristic curve (ROC). Results: In the HUA group, body mass index, systolic blood pressure, diastolic blood pressure, TyG index, 24 hour urine protein, creatinine, the prevalence of combined hyperlipidemia, and the use of tacrolimus were significantly higher compared to the SLE group. After controlling for confounding factors, binary logistic regression analysis revealed that the risk of developing hyperuricemia in the T3 (≥8.82) group, based on TyG index tertile grouping, was 2.900 times higher than that in the T1 (<8.31) group (95%CI: 1.565-5.371, P<0.05). There was a positive linear correlation between TyG index and the risk of hyperuricemia in SLE patients (P for trend<0.05, P for nonlinearity>0.05). Subgroup analysis further suggested gender and age differences in the association between TyG index and hyperuricemia. ROC curve analysis showed that the area under the curve for predicting the occurrence of hyperuricemia in SLE patients using TyG index,TG/HDL-C ratio, METS-IR, and TyG-BMI were 0.651, 0.656, 0.629, and 0.612, respectively. TyG index and TG/HDL-C had higher predictive values for SLE patients with hyperuricemia. Conclusion: Elevated TyG index is associated with an increased risk of hyperuricemia in SLE patients. As a low-cost and readily available indicator, TyG index may be used to predict the risk of hyperuricemia in patients with SLE.
    Key words]triglyceride glucose index; insulin resistance; hyperuricemia; systemic lupus erythematosus
  • ZHU Haifeng1, CHEN Shu2, LONG Weiguo3, WANG Xu4
    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 19-24.
     Objective: To explore whether one cut domain family member 2 (ONECUT2) transcription factor could be a therapeutic target for 5-FU resistant gastric cancer (GC) relapsed patients. Methods: The Cancer Genome Atlas (TCGA) database was used to analyze the expression level of ONECUT2 in GC patients and GC relapsed patients. Gene set enrichment analyses (GSEA) were performed using STAD patients from TCGA to explore the correlation between ONECUT2 and biological processes related to drug metabolism. CCK-8 cytotoxic assays were performed to evaluate the role of ONECUT2 knockdown or overexpression on 5-FU resistance in gastric cancer cell lines. 30 relapsed GC patients with previously resected tumor samples were recruited to analyze the correlation between ONECUT2 expression level and 5-FU treatment efficacy. Results: According to the results of TCGA data analysis, in GC patients with chemotherapeutic treatment and cancer reoccurrence events, higher ONECUT2 level contributed to shorter disease-free interval. GSEA results suggested that upregulated ONECUT2 was positively correlated with xenobiotic drug metabolism, and which was related to drug resistance in GC patients. ONECUT2 knockdown reduced IC50 value of 5-FU in GC cells in vitro; on the contrast, ONECUT2 overexpression increased IC50 value of 5-FU in GC cells in vitro. The sensitivity of 5-FU treatment was negatively correlated with ONECUT2 mRNA level of tumor samples derived from 30 GC patients who relapsed after surgical resection. Conclusion: Relapsed GC patients had a higher expression of ONECUT2, and higher ONECUT2 expression level was positively related to 5-FU resistance in relapsed GC patients. These results provided a potential therapeutic target for GC treatment.
     
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    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 30-36.
     
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(06): 507-513.
    Objective: To study the effects of di-(2-ethylhexyl) phthalate (DEHP) on embryonic development of zebrafish and its potential molecular mechanism. Methods: Zebrafish embryos were randomly divided into 5 groups: blank control group, dimethyl sulfoxide group, and 8, 40, 200 μg/L DEHP groups, which were exposed to 96 hours post-fertilization (hpf). The mortality rate, hatching rate, malformation rate, heart rate, body length and the number of spontaneous movements of embryos were recorded. The activity of superoxide dismutase (SOD), glutathione catalase (GPx) and malondialdehyde (MDA) content in larvae were measured by enzymatic analysis. Real-time quantitative PCR was used to determine the expression of mRNA related to cell apoptosis, glucose transport, and the synthesis of proteins, fatty acids, and glycogen. Results: (1) Compared with the control group, the embryo/larvae mortality of zebrafish in 8 μg/L DEHP group was significantly increased (P<0.01), and the larvae body length was greatly decreased (P<0.05); in 40 and 200 μg/L DEHP groups, the mortality and malformation rate of zebrafish embryo/larvae were significantly increased (P<0.01), and the hatching rate, heart rate, body length and the number of embryonic autonomous movement were greatly decreased (P<0.05 or P<0.01). (2) Compared with the control group, the activity of GPx in zebrafish larvae in 8 μg/L DEHP group was significantly decreased (P<0.05); the activities of SOD and GPx in zebrafish larvae were significantly decreased and the content of MDA was greatly increased in 40 and 200 μg/L DEHP groups (P<0.01). (3) Compared with the control group, the expression of Pi3k mRNA in glucose transport signaling pathway in 8 μg/L DEHP group was significantly up-regulated (P<0.01); the mRNA expressions of Bax/Bcl-2, Caspase-3 and Ras were greatly up-regulated (P<0.01), and the mRNA expressions of Akt and Pi3k in glucose transport signaling pathway were significantly up-regulated (P<0.01), the mRNA expression of Erk1/2 was greatly down-regulated (P<0.05 or P<0.01), and the mRNA expressions of Mtor, Gsk-3 and GSK-3β in protein, fatty acid and glycogen synthesis signaling pathways were significantly up-regulated (P<0.05 or P<0.01) in 40 and 200 μg/L DEHP groups. Conclusion: DEHP may induce apoptosis, disrupt the expression of metabolism-related mRNA, cause oxidative damage, and thus affect the growth and development of zebrafish embryos, resulting in developmental toxicity.
    Key words]di-(2-ethylhexyl) phthalate; zebrafish embryo; developmental toxicity; mechanism of toxicity
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(06): 469-475.
    Objective: To investigate the effect of human umbilical cord mesenchymal stem cell derived small extracellular vesicles (hucMSC-sEVs) in attenuating the damage of diabetic kidney disease (DKD) in rats. Methods: HucMSCs were isolated and cultured, and hucMSC-sEVs were extracted from the culture media supernatant. The DKD rat model was established by high fat diet combined with injection of streptozocin, rats were randomly divided into control group, DKD group, and hucMSCsEVs group, with 6 rats in each group. The hucMSC-sEVs group received tail vein injection of hucMSC-sEVs 8 weeks after modeling, and kidney tissues were collected at week 24. Renal tissue pathology and fibrotic changes in rats were assessed using HE staining, PAS staining and Sirius Red staining. The expression of apoptosisrelated proteins Bcl-2 and Bax in kidney tissues was evaluated using Western bloting. Additionally, the expression levels of THBS1 and its receptors CD36 and CD47 in rat renal tissues were determined using histochemical staining, immunofluorescence staining, and Western bloting. Results: Compared with the control group, the DKD group exhibited significant pathological changes in the kidneys, such as thickening of the glomerular basement membrane and mesangial proliferation, dilation of renal tubules accompanied by vacuolar degeneration, and marked interstitial fibrosis with infiltration of inflammatory cells. The expression of the apoptosis marker Bax in kidney tissues showed a significant increase (P<0.05), while the expression of the anti-apoptotic marker Bcl-2 exhibited a significant decrease (P<0.01). The expression levels of THBS1 and its receptors CD36 and CD47 were also significantly elevated (P<0.001). In contrast, compared with the DKD group, the hucMSC-sEVs group demonstrated marked alleviation of renal tissue pathological damage and fibrosis. The expression of Bax significantly decreased (P<0.01), while the expression of Bcl-2 significantly increased (P<0.01). Additionally, the expression levels of THBS1 and its receptors CD36 and CD47 in the kidneys were significantly reduced (P<0.001). Conclusion: HucMSC-sEVs can significantly reduce the renal tissue injury in DKD, which may be related to the targeted inhibition of THBS1 expression.
    Key words]human umbilical cord mesenchymal stem cells; small extracellular vesicles; diabetic kidney disease; THBS1
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(06): 476-484.
    Objective: To explore the effect of CXCL14 on pyroptosis of adipocytes and the formation of atherosclerosis in diabetic microenvironment. Methods: ① ApoE-/- mice were intraperitoneally injected with streptozotocin to construct diabetes mellitus, and diabetic ApoE-/- mice were fed with high fat diet for 20 weeks, and the diabetic atherosclerosis model (model group) was constructed, and control mice were only fed on a high-fat diet (AS group); ② Anti-CXCL14 short peptide was injected subcutaneously on the medial hind limb of diabetic mice (anti-CXCL14 group), and control diabetic mice were injected subcutaneously with normal saline only; ③ Adeno-associated virus (AAV) was injected in situ into posterior inguinal subcutaneous adipose tissue in diabetic mice to inhibit gastrointestinal dermatin (GSDMD)mediated pyroptosis, divided into: AAV-shscramble group, AAV-shGSDMD group, anti-CXCL14+AAV-shscramble group, anti-CXCL14+AAV-shGSDMDgroup. After 20 weeks of high-fat diet of the mice, the serum of the mice was collected under anesthesia, and the blood lipid levels (total cholesterol, triglycerides, LDL-C, and HDL-C) of the mice were analyzed by biochemical detection kit. The mice were sacrificed, and the epididymal adipose tissue was scanned by electron microscopy to observe the changes of fat cells. qRT-PCR was used to analyze the changes of pyroptosisrelated factors GSDMD, aspartate proteolytic enzyme-1 (Caspase-1), NLR family pyridine domain protein 3 (NLRP3) inflammasome, interleukin-1β (IL-1β) and inflammatory factor interleukin-6 (IL-6). The mouse aorta was isolated and extracted, and the relative area of atherosclerotic plaques was observed by HE staining and oil red O staining. Results: Compared with the AS group, the hypertrophy and number of adipocytes of adipose tissue in the epididymis in the model group decreased (P<0.01), the size of aorticplaque increased, the levels of total cholesterol, triacylglycerol and LDL-C were significantly increased, and HDL-C was significantly reduced. The levels of pyroptosisrelated factors and IL-6 in adipose tissue of epididymis were significantly increased (P<0.05), indicating that diabetes promoted pyroptosis of AS plaque and adipose tissue in mice. Injection of anti-CXCL14 short peptide could reduce the size of aortic plaque, improve blood lipid levels, and inhibit adipose tissue pyroptosis, which increases the number of fat cells. After GSDMD knockdown, the number of adipocytes increased and the area of aortic plaques decreased. However, after the injection of anti-CXCL14 immune peptide, there was no significant change in atherosclerosis in the AAV-shGSDMDgroup. Conclusion: Anti-CXCL14 can attenuate adipose tissue pyroptosis and alleviate the development of diabetic atherosclerosis.
    Key words]CXCL14; pyroptosis; adipose tissue; atherosclerosis; diabetic microenvironment
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(06): 461-468.
    Objective: To explore the hub genes and potential mechanism of ferroptosis in the development of atherosclerosis (AS) in patients with type 2 diabetes mellitus (T2DM) based on bioinformatics. Methods: The datasets GSE20966 (T2DM) and GSE43292 (AS) were obtained from the GEO database. Differentially expressed genes (DEGs) were identified using the Limma R package. Heatmaps and volcano plots were drawn, and crossanalysis was performed to obtain DEGs associated with the two diseases. GO and KEGG enrichment analysis was performed to explore the biological functions of DEGs. Ferroptosis-related genes (FRGs) obtained from the FerrDb database were crosslinked, and hub genes were screened using LASSO regression and random forest analysis. ROC curves and validation sets GSE76895 (T2DM) and GSE28829 (AS) were used for verification. Finally, the gene-miRNA network was drawn. Results: A total of 606 DEGs were identified related to the T2DM and the AS datasets. Twenty potential genes were obtained by cross-analyzing with FRGs. Cyclin-depedent kinase inhibitors 1A (CDKN1A), poly ADPribose polymerase 8 (PARP8), phosphatidylethanolamine binding protein 1 (PEBP1), and progesterone receptor membrane component 1 (PGRMC1) were hub genes that affected AS in T2DM patients through ferroptosis. The area under the curve (AUC) of the ROC curves in the datasets GSE20966 and GSE43292 of the four genes was all greater than 0.7, which had diagnostic value. PEBP1 and PGRMC1 were significantly down-regulated in the validation sets GSE76895 and GSE28829. In addition, 13 miRNAs were closely associated with 4 hub genes. Conclusion: CDKN1A, PARP8, PEBP1 and PGRMC1 are involved in AS in T2DM patients through ferroptosis and may become new therapeutic targets.
    Key words]ferroptosis; type 2 diabetes mellitus; atherosclerosis; bioinformatics; machine learning
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 197-202.
    作为核因子κB(NF-κB)信号通路中最强有力的抑制因子,肿瘤坏死因子α诱导蛋白3(TNFAIP3)基因及其表达蛋白锌指蛋白A20可能参与系统性红斑狼疮(SLE)的发病机制。本文从TNFAIP3基因特征、TNFAIP3基因及其表达蛋白A20与SLE的相关性、TNFAIP3/A20参与SLE可能的发病机制,以及TNFAIP3/A20作为治疗靶点的潜在可能性进行了综述。
  • NIE Lu1,2, YANG Qifan3, ZHENG Weimiao1,2, XU Qiang1,2
    Journal of Jiangsu University(Medicine Edition). 2024, 34(01): 74-78.
     Objective: To assess the predictive value of systemic inflammatory indicators, including systemic immune-inflammation index (SII), platelet to lymphocyte ratio (PLR), neutrophil to lymphocyte ratio (NLR), lymphocyte to monocyte ratio (LMR), and C-reactive protein (CRP), for the onset of sarcopenia in patients with lower extremity arteriosclerosis obliterans (ASO). Methods: A total of 251 ASO patients from the Wujin Hospital Affiliated with Jiangsu University and the Second People′s Hospital Affiliated with Nanjing Medical University were included in the study. Patients were classified into sarcopenia and non-sarcopenia groups based on the psoas muscle index (PMI) of the third lumbar vertebra. Relevant blood indicators of the patients were collected, and SII, PLR, NLR, and LMR were calculated. Binary Logistic regression analysis was used to identify the risk factors for sarcopenia, and the predictive performance of each indicator was assessed by using the receiver operating characteristic (ROC) curve. Results: Among the 251 ASO patients, there were 98 (39.0%) in the sarcopenia group and 153 (61.0%) in the non-sarcopenia group. Compared with the non-sarcopenia group, the age of patients in the sarcopenia group was significantly increased (P<0.001), and the levels of SII, PLR, NLR and CRP were significantly increased (P<0.01), and the levels of BMI and LMR were significantly decreased (P<0.01). Multivariate Logistic analysis revealed that advanced age, low BMI, elevated SII were independent risk factors for sarcopenia. The ROC curve further confirmed the predictive value of these indicators for sarcopenia, with the area under the curve (AUC) of age, BMI, SII, and combined prediction of 3 indicators for the onset of sarcopenia being 0.674, 0.678, 0.644, and 0.746 respectively (all P<0.001). Conclusion: Age, BMI, and systemic inflammatory indicators such as SII have predictive value for the onset of sarcopenia in ASO patients.
     
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 254-259.
    Objective: To explore the efficacy of calcium polycarbophil combined with polyethylene glycol electrolyte powder (PEG) in bowel preparation before colonoscopy. Methods: A total of 225 patients receiving colonoscopy at the Digestive Endoscopy Center of Shanghai Eighth People′s Hospital, from November 2021 to October 2022 were enrolled in the study. The patients were randomly divided into three groups: 4 L-PEG group, 2 L-PEG+calcium polycarbophil group and 4 L-PEG+calcium polycarbophil group, 75 cases in each group. Aronchick score, Boston bowel preparation scale (BBPS) score, detection rate of polyps, adenomas and other lesions, antifoam effect score, patient tolerance rate, willingness to re-accept, and adverse reaction events were recorded and analysed. Results: Compared with 2 L-PEG+calcium polycarbophil group and 4 L-PEG group, Aroncheck score in 4 L-PEG+calcium polycarbophil group was significantly decreased (P<0.05), and total BBPS score, left half, middle and right half colon scores were significantly increased (all P<0.05). There was no difference in the detection rates of adenoma and polyp among the three groups (all P>0.05). The antifoam effect score of 4 L-PEG + calcium polycarbophil group was better than that of 2 L-PEG+calcium polycarbophil group and 4 L-PEG group (P<0.05). The tolerance rate of 2 L-PEG+calcium polycarbophil group was significantly higher than that of 4 L-PEG group (P=0.001). The proportion of reacceptance willingness of 2 L-PEG+calcium polycarbophil group was higher than that of the other two groups (both P<0.012 5). The proportion of abdominal distension in 2 L-PEG+calcium polycarbophil group was greatly lower than that in the other two groups (P<0.01). There were no significant differences in the comparison of nausea, vomiting, abdominal pain, dizziness and headache among 3 groups (P>0.05). Conclusion: The intestinal cleansing effect of calcium polycarbophil combined with PEG was more effective than that of PEG alone, the combination of 2 L-PEG and calcium polycarbophil had the similar intestinal cleansing effect as that of 4 L-PEG, and had better tolerance, higher willingness to reacceptance, less adverse events.
    [Key words]colonoscopy; intestinal preparation; compound polyethylene glycol electrolyte powder; calcium polycarbophil
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 260-265.
    Objective: To observe the effect of transcutaneous electrical nerve stimulation (TENS) on preventing the formation of previous cesarean scar defect (PCSD). Methods: A total of 151 primary parturients who delivered with cesarean section in the Fourth Affiliated Hospital of Jiangsu University from February 2021 to November 2021 were randomly divided into uterine body sacral tail group (n=51), uterine horn +uterine body sacral tail group (n=50) and control group (n=50). The control group received routine postpartum care; 2 electrodes were applied to the projection site of uterine body surface and the sacral tail 6 hours after cesarean section in the uterine body sacral tail group, and 4 electrodes were applied to the body surface projection of bilateral uterine horns, the projection site of uterine body surface and the sacral tail 6 hours after cesarean section in the uterine horn+ uterine body sacral tail group, and TENS treatment was performed, 20 min per time, once per day, for 3 consecutive days. The uterine size, number of diverticulum formation and size of diverticulum of the three groups were compared at 6 weeks and 6 months after delivery. Results: There was no significant difference in uterine size (uterine length, width and thickness) among the three groups at 6 weeks and 6 months postpartum (P>0.05), but the uterine size of the three groups at 6 months postpartum was significantly smaller than that at 6 weeks postpartum (P<0.01). At 6 weeks and 6 months postpartum, the PCSD formation rate in the uterine body sacral tail group and uterine horn+uterine body sacral tail group was significantly lower than that in the control group (P<0.05), but there was no statistical significance in the PCSD formation rate between the uterine body sacral tail group and the uterine horn+uterine body sacral tail group (P>0.05). There were no significant differences in the changes of diverticulum (diverticulum width, depth and remaining muscle thickness) among the 3 groups at 6 weeks and 6 months postpartum in PCSD patients (P>0.05). Conclusion: The application of TENS 6 hours after cesarean section significantly reduced the formation of PCSD, and there was no significant difference in the effect of reducing the formation of PCSD by using two electrodes or four electrodes.
    [Key words]transcutaneous electrical nerve stimulation; previous cesarean scar defect; cesarean delivery; diverticulum
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(03): 266-270.
    Objective: To investigate the clinical features and the value of transvaginal color Doppler ultrasonography in differentiating uterine submucous myoma from atypical polypoid adenomyoma. Methods: Forty-five patients with uterine submucous myoma and 45 patients with atypical polypoid adenomyoma were selected from the Department of Obstetrics and Gynecology of Anqing Municipal Hospital from August 2019 to August 2022. Clinicopathological parameters of the two group patients
    were collected, and the ultrasonic morphological characteristics and hemodynamic indexes of the patients were detected by Hitachi Ascendus color ultrasonic diagnostic instrument. Receiver operating characteristic (ROC) curve was used to evaluate the diagnostic efficacy of hemodynamic indexes in the two groups. Results: Compared with atypical polypoid adenomyoma group, the incidence of anemia and dysmenorrhea in submucous myoma group was significantly increased, and intrauterine occupation was greatly decreased (P<0.05). The κ values of transvaginal color Doppler ultrasonography for submucosal fibroids and atypical polypoid adenomyomas were 0.762 (P<0.05) and 0.433 (P<0.05), respectively. Ultrasound imaging results showed that compared with atypical polypoid adenomyoma group, the proportions of low echo, uniform echo, regular shape and clear boundary in submucosal fibroids group were significantly increased (P<0.05), blood flow grade Ⅱ-Ⅲ in submucosal fibroids group was markedly increased (P<0.05), and blood flow resistance index was significantly decreased (P<0.05). ROC curve showed that the AUC of blood flow grade and blood flow resistance index for predicting atypical polypoid adenomyoma was 0.852 (95%CI: 0.765-0.921, P<0.001) and 0.861 (95%CI: 0.776-0.932, P<0.001), respectively. Conclusion: Compared with patients with atypical polypoid adenomyoma, patients with uterine submucous myoma had significant differences in clinical symptoms such as anemia, dysmenorrhea, intrauterine occupation and imaging characterization of transvaginal color Doppler ultrasonography. Patients with uterine submucous myoma and atypical polypoid adenomyoma could be distinguished by both clinical symptoms and transvaginal color Doppler ultrasonography.
    [Key words]uterus myoma; endometrial atypical polypoid adenomyoma; clinical features; ultrasonic imaging
  • Journal of Jiangsu University(Medicine Edition). 2024, 34(06): 497-506.
    Objective: To explore intercellular communication-related signaling molecules in tumor microenvironment (TME) of castration-resistant prostate cancer (CRPC) and analyze their relationship with tumor occurrence and development. Methods: The main components of the TME in CRPC was analyzed using singlecell RNA sequencing (scRNA-seq) data (GSE137829) from CRPC patients found in the Gene Expression Omnibus (GEO) database. CellPhoneDB was used to examine interactions between different cells within the microenvironment, with a focus on revealing the connections between cancer-associated fibroblasts (CAFs) and malignant epithelial cells. CellChat was applied to analyze signaling molecules involved in communication between CAFs and malignant epithelial cells. Data from The Cancer Genome Atlas Prostate Adenocarcinoma (TCGA-PRAD) were integrated to identify signaling molecules closely related to the prognosis of CRPC patients. siRNA was used to knock down the expression of the signaling molecule Delta-like canonical Notch ligand 3 (DLL3) in CRPC cells, and the knockdown efficiency was validated by real-time quantitative PCR and Western blotting. The effects of DLL3 on the biological behaviors of CRPC cells, including proliferation, migration, and invasion, were investigated using CCK8 assays, EdU assays, and Transwell assays with Matrigel, respectively. Singlegene differential analysis, overrepresentation analysis (ORA), and gene set enrichment analysis (GSEA) were also performed to identify pathways enriched with DLL3-related differential expression genes. Results: The results of single-cell transcriptomic sequencing indicated that the main cellular components of the TME in CRPC include malignant epithelial cells, CAFs and immune cells. Close communication between CAFs and malignant epithelial cells was mediated by interaction-related signaling molecules, with 63 signaling molecules identified as closely related to the communication between CAFs and malignant epithelial cells. Univariate Cox regression analysis identified key signaling molecules, including tumor necrosis factorrelated ligand superfamily member 12 (TNFSF12) and DLL3, whose transcriptional expression were significantly associated with the prognosis of CRPC patients. Notably, high expression of DLL3 was significantly associated with poor prognosis in CRPC patients. In vitro experimental results demonstrated that knockdown of DLL3 significantly inhibited the growth, proliferation, migration and invasion capabilities of CRPC cells. KEGG and GSEA enrichment analyses indicated that differentially expressed genes related to DLL3 were significantly enriched in metabolic pathways. Conclusion: In the TME, CAFs and malignant epithelial cells communicate closely through intercellular signaling molecules. Among these signaling molecules, the expression of DLL3 is negatively correlated with cancer prognosis and affects the biological behavior of CRPC cells, suggesting that DLL3 may be a key signaling molecule in the malignant progression of human CRPC.
    Key words]castration-resistant prostate cancer; scRNA-seq; tumor microenvironment; cell communication; DLL3