[Evaluation of anticoagulant effect and predicted dose of low molecular weight heparin in hemodialysis by anti-Ⅹa factor activity]

The purpose of this study was to explore the reasonable dose of low molecular weight heparin (LMWH) in hemodialysis (HD) and the strategy of preventing extracorporeal circuit coagulation (ECC). A retrospective case-control study included patients who used LMWH for anticoagulation during maintenance hemodialysis (MHD) in the Hemodialysis Center of Beijing Hospital from December 2020 to January 2021. Basic data such as weight, height, basic kidney disease, dialysis age and anti-Ⅹa factor activity before, during and after dialysis were collected. A total of 46 patients were enrolled in this study, including 5 patients in coagulation group (10.9%) and 41 patients in non-coagulation group (89.1%). The anti-Ⅹa factor activity reached its peak at 0.5 h after the start of HD. The level of anti-Ⅹa factor was incorporated into the receiver operating characteristic curve (ROC curve). The results showed that the area under the ROC curve (AUC) was 0.802 (95% confidence interval: 0.651-0.54, P=0.029), and the cutoff was 0.31 IU/ml (sensitivity 1, specificity 0.683). It is suggested that the body surface area should be used as the basis to estimate the anticoagulant dose of LMWH in HD, and the activity of HD 4 h anti-Ⅹa factor ≤0.31 IU/ml, which is of diagnostic value for ECC. In addition, the results of binary logistic regression analysis showed that dialysis age was an independent risk factor for ECC (OR value 1.319, 95%CI 1.052-1.654, P=0.017). In summary, this study reveals that dialysis age may be a risk factor for ECC and that the activity of HD 4 h anti-Ⅹa factor ≤0.31 IU/ml can be used as a potential diagnostic cut-off point for ECC in HD patients, which provides a scientific basis for monitoring strategies to prevent blood coagulation in HD filters.

A molecularly imprinted polymer monolithic column with dual template and bifunctional monomers for selective extraction and simultaneous determination of eight phenolics from polycarbonate cups

A molecularly imprinted polymer (MIP) monolithic column was prepared in situ in a pipette tip using phenol and bisphenol A as dual templates, 4-vinyl pyridine and β-cyclodextrin as bifunctional monomers. It was used for the selective and simultaneous solid phase extraction of eight phenolics, including phenol, m-cresol, p-tert-butylphenol, bisphenol A, bisphenol B, bisphenol E, bisphenol Z, and bisphenol AP. The MIP monolithic column was characterized by scanning electron microscopy, Fourier transform infrared spectroscopy, thermogravimetric analysis and nitrogen adsorption experiment. The results of selective adsorption experiments showed that the MIP monolithic column can selective recognize the phenolics and have excellent adsorption property. The imprinting factor for bisphenol A can be as high as 4.31, and the maximum adsorption capacity for bisphenol Z can reach 201.66 mg g^-1. Under the optimal extraction conditions, a selective and simultaneous extraction and determination method for eight phenolics was established based on the MIP monolithic column and high-performance liquid chromatography with ultraviolet detection. The linear ranges (LRs) of the eight phenolics were 0.5-200 μg L^-1, the limits of quantification (LOQs) and detection (LODs) were 0.5-2.0 μg L^-1 and 0.15-0.67 μg L^-1. The method was applied to detect the migration quantity of the eight phenolics from polycarbonate cups and had satisfactory recovery. The method has the advantages of simple synthesis, short extraction time, as well as good repeatability and reproducibility, which provides a sensitive and reliable strategy for extracting and detecting phenolics from food contact material.

A Zn-based metal coordination cluster Zn5 used for solid phase microextraction of ten phenolic compounds from water and soil

Exploring coating materials with superior extraction efficiency has always been the pursuit in the field of solid phase microextraction (SPME). Metal coordination clusters with high thermal and chemical stability, abundant functional groups as active adsorption site are the promising coatings. In the study, a Zn₅(H₂Lⁿ)₆(NO₃)₄ (Zn₅, H₃Lⁿ =(1,2-bis-(benzo[d]imidazol-2-yl)-ethenol) cluster coating was prepared and applied for SPME of ten phenols. Zn₅ based SPME fiber exhibited high extraction efficiencies for phenols in headspace (HS) mode, which circumvented the pollution of SPME fiber. The adsorption isotherm and theoretical calculation indicated the adsorption mechanism of phenols on Zn₅ was hydrophobic interaction, H-bond interaction and π-π stacking. Under the optimized extraction conditions, an HS-SPME-GC-MS/MS method was developed for the determination of ten phenols in water and soil samples. For ten phenolic compounds in water and soil samples, the linear ranges were 0.5-5000 ng/L and 0.5-250 ng/g, respectively. The limits of detection (LODs, S/N = 3) were 0.010-1.20 ng/L and 0.0048-0.16 ng/g, respectively. The precisions of single fiber and fiber-to-fiber were lower than 9.0% and 14.1%, respectively. The proposed method was applied for the detection of ten phenolic compounds in various water and soil samples, showing satisfactory recovery (72.1-118.8%). This study delivered a novel and efficient SPME coating material for the extraction of phenols.

Fabrication and application of Zn5 functionalized copolymer monolithic column for pipette tip micro-solid phase extraction of 4 polycyclic aromatic hydrocarbons in edible oil

The contamination of polycyclic aromatic hydrocarbons (PAHs) in edible oil is a health threat. Thus, trace analysis of PAHs is of high necessity. Based on the efficient adsorption of PAHs on Zn₅ metal cluster, a Zn₅ functionalized copolymer monolithic column was rationally designed for pipette tip micro-solid phase extraction (μ-SPE). The modified Zn₅ improved the adsorption selectivity and capacity of the monolith for naphthalene, phenanthrene, fluoranthene and pyrene. Chemical doping and copolymerization stabilized the monolith with a long life. Under optimal extraction conditions, a μ-SPE-high performance liquid chromatography with ultraviolet detector method was established for the detection of 4 PAHs in edible oils. The method yielded detection ranges of 0.15-250 μg L^-1 (R² > 0.997), detection limits of 0.050-1.5 μg L^-1, satisfactory recoveries (86.3-101.5 %), and high precisions (RSDs < 7.9 %). The results indicated that the Zn₅ functionalized copolymer monolithic column was an ideal separation medium for the detection of PAHs residues in edible oils.

Preparation, characterization and application of double yolk–shell structure magnetic molecularly imprinted polymers for extraction of 17β-estradiol

Novel double yolk–shell structure molecularly imprinted polymers were synthesized by surface polymerization with 17β-estradiol as the template, followed by chemical etching.

Simultaneous detection of eight phenols in food contact materials after electrochemical assistance solid-phase microextraction based on amino functionalized carbon nanotube/polypyrrole composite

An electrochemical assistance solid-phase microextraction (EA-SPME) was developed based on amino functionalized multi-walled carbon nanotube/polypyrrole (MWCNTs-NH₂/PPy) composite coating. It was applied for the extraction of eight phenols in food contact material, including 2-chlorophenol, o-cresol, m-cresol, 2,4-dichlorophenol, 4-tert-butylphenol, 4-chlorophenol, 4-tertoctylphenol and alpha-naphthol. MWCNTs-NH₂/PPy coating was characterized by scanning electron microscopy, transmission electron microscope, X-ray energy spectrometer, X-ray diffraction, Fourier transform infrared and thermogravimetric analysis. The adsorption mechanism of phenols on the composite coatings was investigated. The coating modified steel-wire as an extraction fiber has good electroconductibility, reproducibility and long service life. A determination method for the eight phenols was established by EA-SPME coupled with gas chromatography-flame ionization detection. Under the optimal experimental conditions (extraction temperature: 40 °C; extraction time: 30 min; stirring rate: 600 rpm; NaCl concentration: 0.15 g mL^-1; desorption temperature: 250 °C and desorption time: 4 min), the detection linear range was 0.005-50 μg L^-1 (R²>0.99), and the detection limit was 0.001-0.1 μg L^-1 (S/N = 3). For the quintuple analysis of 50 μg L^-1 phenols, the single fiber RSDs were 2.2-12.4%, and the fiber-to-fiber RSDs were 1.9-10.5%. The method was used to detect the migration quantity of the eight phenols from five canned packaging materials, which showed satisfactory recovery 87.3-118.9%.

Magnetic Fe3O4@SiO2@β-cyclodextrin for solid phase extraction of methyl parathion and fenthion in lettuce samples

In this study, magnetic Fe3O4@SiO2@β-cyclodextrin copolymerized microparticles were synthesized and applied for the extraction of methyl parathion and fenthion in lettuce samples followed by HPLC-UV detection. The magnetic β-cyclodextrin copolymerized microparticles were prepared by dispersion polymerization with acryloyl β-cyclodextrin as the functional monomer and ethylene glycol dimethyacrylate as the crosslinker. The composite magnetic microparticles were characterized by Fourier transform infrared spectroscopy, X-ray diffraction, magnetic measurement, and thermogravimetric analysis, and used as the adsorbent of magnetic solid-phase extraction (MSPE) for methyl parathion and fenthion. The extraction conditions including sample pH and ionic strength, desorption solvent type and volume, and adsorption and desorption times were optimized. Under the optimal extraction conditions, an MSPE-HPLC-UV method was developed for the detection of methyl parathion and fenthion in lettuce. Wide linear ranges of 1.0-200 μg kg-1 (R2 = 0.9998) for methyl parathion and 1.5-200 μg kg-1 (R2 = 0.9978) for fenthion were obtained and the limits of detection were 0.3 μg kg-1 for methyl parathion and 0.5 μg kg-1 for fenthion in lettuce, respectively. The proposed method was applied for the determination of methyl parathion and fenthion in lettuce with satisfactory recoveries between 89.2-101.2%, and relative standard deviations were less than 9.1%. Thus, the MSPE-HPLC-UV method has high accuracy and sensitivity for the analysis of methyl parathion and fenthion in lettuce samples.

Proteomics analysis of hip articular cartilage identifies differentially expressed proteins associated with osteonecrosis of the femoral head

OBJECTIVE

The cartilage degeneration that accompanies subchondral bone necrosis plays an important role in the development of osteonecrosis of femoral head (ONFH). To better understand the molecular basis of cartilage degradation in ONFH, we compared the proteomic profiles of ONFH cartilage with that of fracture control.

DESIGN

Hip cartilage samples were collected from 16 ONFH patients and 16 matched controls with femoral neck fracture. Proteomics analysis was conducted using tandem mass tag-based quantitation technique. Gene ontology (GO) analysis, KEGG pathway and protein-protein interaction analysis were used to investigate the functions of the altered proteins and biological pathways. Differentially expressed proteins including alpha-2-HS-glycoprotein (AHSG) and Cytokine-like protein 1 (Cytl1) were validated by Western blot (WB) and immunohistochemistry (IHC).

RESULTS

303 differentially expressed proteins were identified in ONFH cartilage with 72 up-regulated and 231 down-regulated. Collagen turnover, glycosaminoglycan biosynthesis, metabolic pathways, and complement and coagulation cascades were significantly modified in ONFH cartilage. WB and IHC confirmed the increased expression of AHSG and decreased expression of Cytl1 in ONFH cartilage.

CONCLUSIONS

Our results reveal the implication of altered protein expression in the development of ONFH, and provide novel clues for pathogenesis studies of cartilage degradation in ONFH.

Moisture-sensitive metal-organic framework constructed from cobalt and 4-(4-pyridyl) benzoic acid for dispersive solid-phase extraction of polycyclic aromatic hydrocarbons in apple

A moisture-sensitive metal-organic framework Co^II (pybz)₂ ·2DMF was synthesized and applied as the adsorbent of dispersive solid-phase extraction. The structure changed after water treatment due to the fact that two chelate carboxylate groups on the skeleton were transformed to monodentate because of the coordination of water molecules. The material showed good adsorption for fluorene, phenanthrene, fluoranthene, and pyrene in water because of the π-π conjugation and π-complexation effects. Coupled with high-performance liquid chromatography, a dispersive solid-phase extraction method of determining the content of fluorene, phenanthrene, fluoranthene, and pyrene in apple samples was established after optimizing the extraction conditions. Methanol containing 4% acetic acid was used as the effective eluent. The linearities were 0.5-1000 μg/kg for fluorene, phenanthrene and 5-1000 μg/kg for fluoranthene, pyrene. The limits of detection were 0.06-0.6 μg/kg, and the recoveries were 94.4-116.4%. The method has a high sensitivity for the determination of four polycyclic aromatic hydrocarbons in apple samples.

A polythiophene/UiO-66 composite coating for extraction of volatile organic compounds migrated from ion-exchange resins prior to their determination by gas chromatography

A Poly (3,4-ethylenedioxothiophene) (PEDOT)/UiO-66 composite was electrodeposited on an etched stainless-steel wire as head-space solid-phase microextraction (HS-SPME) coating. A robust, well controlled thickness, and uniform coating of metal organic framework composites can be realized by the electrodeposited strategy. The incorporated UiO-66 not only enhanced the uniformity and stability of the composite coating, but also effectively decreased the stacking phenomenon of PEDOT and improved its extraction efficiency, which was over 100 times higher than that of the PEDOT coating without UiO-66. The composite coating was used to enrich seven types of volatile organic compounds (VOCs) in ion-exchange resins, including methyl cyclohexane, benzene, toluene, ortho-xylene, styrene, para-xylene and divinyl-benzene. The results of adsorption isotherm analysis showed that π stacking effect played dominant role between the composite coating and VOCs in the extraction process. The composite coating was characterized by scanning electron microscopy, X-ray diffraction, Fourier transform infrared and thermogravimetric analysis, respectively. A determination method for seven kinds of VOCs was established by HS-SPME coupled with gas chromatography-flame ionization detection (GC-FID). Under the optimal experimental conditions, the detection linear range (LRs) was 0.09-100 ng mL^-1, and the detection limit (LODs) was 0.03-0.06 ng mL^-1 (S/N = 3). The method was applied for the migration detection of VOCs in four types of ion-exchange resin, which showed satisfactory recovery (84.5-117.2%).

Adsorption Behavior of Polycyclic Aromatic Hydrocarbons on Zn-Based Coordination Cluster Zn5: Competition, Synergy, and Mechanism

In this work, adsorption behaviors of pyrene (PYR), fluoranthene (FLT), phenanthrene (PHE), and fluorene (FLU) on the coordination cluster [Zn₅(H₂Lⁿ)₆](NO₃)₄]·8H₂O·2CH₃OH (Zn₅) were studied. The adsorption mechanism and spectrum analyses revealed that the synergistic effect of hydrophobic interaction, π-π stacking, and N-H···π interaction played a crucial role during the adsorption process. The maximum adsorption capacities of PYR, FLT, PHE, and FLU were 406.4, 399.7, 153.7, and 114.3 mg g^-1, respectively, resulting from the Langmuir isotherm model. Quick removal of PYR and FLT was found in kinetic experiments with the adsorption equilibrium being reached within 1 min. Competitive adsorption indicated that the adsorption sites for PYR, FLT, PHE, and FLU on Zn₅ were identical, and synergistic effects also existed in the adsorption process. Therefore, Zn₅ has the potential to be used as an adsorbent in the field of wastewater treatment.

A Selective Joint Determination of Salicylic Acid in Actinidia chinensis Combining a Molecularly Imprinted Monolithic Column and a Graphene Oxide Modified Electrode

A new combination between selective polymer monolith microextraction (PMME) and sensitive differential pulse voltammetry (DPV) was developed for the determination of the phytohormone salicylic acid (SA) in Actinidia chinensis. A molecularly imprinted monolithic column (MIMC) thermally in-situ polymerized in a micropipette tip by using SA as a template, 4-vinyl pyridine (4-VP) as a functional monomer and ethylene glycol dimethacrylate (EGDMA) as a cross-linker in the mixed porogen of toluene and dodecanol, was employed for the microextraction of SA. The prepared MIMC was characterized by a Fourier transform infrared spectrometer (FI-TR), scanning electron microscope (SEM) and thermo gravimetric analysis (TGA). The results confirmed the binary continuous structure of the porous network. The extracted SA was determined by DPV on a graphene oxide (GO) modified electrode. The joint conditions between MIMC and DPV were investigated practically. Under the optimum conditions, SA could be determined selectively and sensitively in a linear range from 0.1 to 60.0 μg g^-1. The limit of detection was 0.03 μg g^-1 and the recoveries were between 86.2 and 105.2%. The proposed joint method was successfully used to determine SA in Actinidia chinensis.

Human β-defensin-3 induces IL-8 release and apoptosis in airway smooth muscle cells

BACKGROUND

Human airway smooth muscle cells (ASMCs) may have a pro-inflammatory role through the release of inflammatory mediators. Increasing evidence indicates that human β-defensins (HBDs) are related to pathogenesis of asthma.

OBJECTIVES

To examine the plasma level of HBD-1, HBD-2 and HBD-3 in asthmatic patients and the expression of their mouse orthologues in the lung tissue of a mouse model of chronic severe asthma. Further to investigate the effect of HBD-3 on the release of the pro-inflammatory cytokine IL-8 and to explore the mechanisms.

METHODS

The plasma levels of HBD-1, HBD-2 and HBD-3 from 34 healthy controls and 25 asthmatic patients were determined by ELISA. The expression of mouse β-defensins MBD-1, MBD-3 and MBD-14 in the lung tissue of asthmatic mice was detected by Western blot. The ASMCs were cultured with HBD-3 for 24 hour, and then the supernatant level of IL-8 was evaluated by ELISA and the cell viability was examined by WST-1 assay. The signalling pathway was investigated with blocking antibodies or pharmacological inhibitors.

RESULTS

The plasma levels of HBD-1 and HBD-3 were elevated in asthmatic patients, and the expression of MBD-14, the mouse orthologue for HBD-3, was increased in asthmatic mice. HBD-3-induced IL-8 production in a CCR6 receptor-specific manner and was dependent on multiple signalling pathways. Moreover, HBD-3-induced cell apoptosis concurrently, which was dependent on the ERK1/2 MAPK pathway. Mitochondrial ROS regulated both HBD-3-induced IL-8 production and cell apoptosis.

CONCLUSIONS AND CLINICAL RELEVANCE

These observations provide clear evidence of an important new mechanism for the promotion of airway inflammation and tissue remodelling with potential relevance for the treatment of asthma.

Complex band structure of topological insulator Bi2Se3

Topological insulators are very interesting from a fundamental point of view, and their unique properties may be useful for electronic and spintronic device applications. From the point of view of applications it is important to understand the decay behavior of carriers injected in the band gap of the topological insulator, which is determined by its complex band structure (CBS). Using first-principles calculations, we investigate the dispersion and symmetry of the complex bands of Bi2Se3 family of three-dimensional topological insulators. We compare the CBS of a band insulator and a topological insulator and follow the CBS evolution in both when the spin-orbit interaction is turned on. We find significant differences in the CBS linked to the topological band structure. In particular, our results demonstrate that the evanescent states in Bi2Se3 are non-trivially complex, i.e. contain both the real and imaginary contributions. This explains quantitatively the oscillatory behavior of the band gap obtained from Bi2Se3 (0 0 0 1) slab calculations.

PKC-Dependent Phosphorylation May Regulate the Ability of Connexin43 to Inhibit DNA Synthesis

Phosphorylation affects several biological functions of connexin43 (Cx43), although its role on Cx43-mediated inhibition of DNA synthesis is not known. Previous studies showed increased Cx43 phosphorylation on serine in response to growth factor stimulation of cardiomyocytes, mediated by protein kinase C-epsilon (PKCepsilon). Here we report that activation of PKCepsilon is also necessary for stimulation of cardiomyocyte DNA synthesis and mitosis. We have investigated the participation of specific serine residues that are putative PKC targets in producing phosphorylated Cx43 species and also in regulating DNA synthesis in cardiomyocytes. Interference with the PKC signaling system and/or the phosphorylation of specific amino-acids of Cx43 may allow regulation of the mitogenic response.

Effects of surfactants on the electroreduction of dioxygen at an acetylene black electrode

An acetylene black electrode modified by an adsorbed cationic surfactant, cetyltrimethylammonium bromide (CTAB), was developed. The influences of various types of surfactants on the electroreduction of O2 were investigated. It was demonstrated that a cationic surfactant, CTAB, on the surface of the electrode could significantly decrease the overpotential of dioxygen reduction, and the reduction peak current of O2 was also remarkably increased. The reduction of O2 at a CTAB modified acetylene black electrode was studied using cyclic voltammetry, chronocoulometry and controlled potential coulometry. The total number of electrons, the exchange current density (j(o)) and the transfer coefficient (alpha) for reduction of O2 at the surface of this modified electrode were determined.

The effect of cetyltrimethyl ammonium bromide on the electrochemical determination of thyroxine

Electrochemical behavior of thyroxine at a polyvinylpyrrolidone modified carbon paste electrode in the presence of cetyltrimethyl ammonium bromide was described. Thyroxine underwent totally irreversible oxidation at this system and a well-defined peak at 0.42 V was obtained. The influence of various surfactants on the oxidation of thyroxine was examined by cyclic voltammetry. Chronocoulometry was also used to investigate the electrode process. In the range 2 x 10(-7) to 9 x 10(-6)mol/l, the thyroxine concentration was linear with the oxidation peak current and a low detection limit of 8 x 10(-8) mol/l was obtained for 5 min accumulation.

Studies on electrochemical properties and scavenge of superoxide anion in aprotic media by using carbon nanotubes powder microelectrode

Multiwall carbon nanotubes (MWCNTs) are filled in the cavity at the tip of a microelectrode to form a carbon nanotubes powder microelectrode (CNTs-PME). CNTs-PME was used to study electrochemical properties of superoxide anion in aprotic media. The reversibility of the oxygen/superoxide anion couple (O(2)/O(2)(.-)) at the different powder microelectrode in different aprotic media was compared by cyclic voltammetry (CV). The result indicated that the nearly reversible redox process of the O(2)/O(2)(.-) couple was obtained at a CNTs-PME. The heterogeneous electron transfer rate constant (k(s)) can be measured by steady-state voltammogram and the result is 4.7 x 10(-3) cm s(-1), suggesting that the electrode reaction is a nearly reversible process as expected. The scavenging activities of bilirubin, alpha-tocopherol (vitamin E), are examined, and the experimental results confirm that alpha-tocopherol is the better scavenger toward O(2)(.-) between them.

Electrocatalytic reduction of chloramphenicol at multiwall carbon nanotube-modified electrodes

A multiwall carbon nanotube-modified glassy carbon (GC) electrode was employed for the investigation of chloramphenicol (CAP) reduction. Carbon nanotube coating can greatly lower the overpotential of the electrochemical reduction of CAP and promote the electrode reaction. CAP undergoes an irreversible reduction process in phosphate buffer by the modified electrode. The reduction peak current (Ip) was significantly increased. Effects of some important factors, including pH, scan rate, and amount of modifier, on the determination of CAP were investigated. In the range of 3 x 10(-7) to 1.2 x 10(-5) M, the reduction peak current (Ip) has a good linear relationship with the concentration of CAP. When the signal-to-noise ratio is 3, the detection limit is 4.5 x 10(-8) M. The relative standard deviation of 10 measurements for 3 x 10(-6) M CAP is 5.3%, suggesting an excellent reproducibility of the modified electrode. Interfering experiments show that the modified electrode has excellent selectivity for the detection of CAP. The modified electrode was used to determine CAP in eyedrops, and the recoveries were approximately 100%.

[Preventive efficiency of IVIgG on nosocomial infection in the children with nephrotic syndrome]

In order to study the preventive efficiency of IVIgG on nosocomial infection(NI), 54 cases of the children with nephrotic syndrome(NS) were randomly divided into 2 groups, test group(n = 22) and control group(n = 32). Routine treatment was adopted to all cases. Besides the routine treatment, the test group was injected with IVIgG(100-300 mg.kg-1.d-1) for 2-3 days. The results showed that the NI rate of test group (13.6%) was significantly lower than that of the control(46.88%) (P < 0.05), and the hospital days of the test group(27.33 +/- 15.51) d was significantly shorter than that of the control(64.50 +/- 18.52) d (P < 0.05). These suggest that IVIgG, as one of the ways to prevent NI, can improve the immune state and effectively prevent the NI in the children with NS.

A prourokinase-RGDS chimera : Construction, expression and characterization

A tetrapeptide, RGDS, was inserted into proUK kringle domain G118-L119 by the construction of a mutant proUK-RGDS gene. The gene was expressed in the baculovirus expression system. Immunoaffinity chromatography was used to purify the chimera and protein with purity over 90% was achieved. The chimera was tested for its platelet membrane binding function and showed a calcium-dependent platelet binding activity. Amidolytic activity of the chimera was tested. The result indicated that specific amidolytic activity of plasmin activated chimera was 62 000 IU/mg, comparable to the previously reported 65 355 IU/mg of plasmin activated natural proUK([1]). Activation of plasminogen by the chimera after plasmin treatment followed Michieal-Menten kinetics, and the Km was 0.97 mumol/L, which was also comparable to 1.64 mumol/L of native urokinase. The chimera also showed intensive ability to inhibit platelet aggregationin vitro. These results indicate that this chimera might be useful as a bifunctional thrombolytic agent.

[Treatment of old femoral neck fracture with implantation of a vascularized fibular graft]

OBJECTIVE

To investigate the healing of old femoral neck fracture treated with transplantation of vascularized fibula graft accompanied with lag screw, and rehabilitation of and precaution against ischemic necrosis of femoral head.

METHOD

Vascularized fibula autograft was transplanted to the anterolateral side of the femoral neck with an internal fixator of lag screw. Fibular artery and vein were anastomosed with lateral circumflex artery and vein.

RESULT

186 of 229 cases subjected to systemic X-ray films and function follow-up (3 to 15 years). The percentage of fracture healing was 93.0% the sulass rate 86.5%.

CONCLUSION

Fibula with blood supply and compressed screw have a combined fixation effect of the old femoral neck fracture. Fibula is solid enough for supporting the femoral head and preventing it from collapse. Vascularized fibular grafting provides blood supply to the affected femoral head and neck, promoting femoral head restoration and reconstruction.

[Effect of +Gz-induced cerebral ischemia on the distribution of nitric oxide synthase in rabbit brain]

In order to study the effect of repeated short termed + Gz -induced cerebral ischemia on rabbit brain, rabbits were exposed to +4.0 Gz for 3 times (with 30 min interval in between) which caused the arterial pressure at eye level dropped to 0 kPa and lasted for 30 s. Changes of distribution of the nitric oxide synthase(NOS) positive neurons in rabbit brain were observed using the NADPH-diaphorase histochemical reaction. The results showed that NOS positive neurons in the parietal cortex, piriform cortex, hippocampus and dentate gyrus increased by 167%, 126%, 321%, 172% (P < 0.01) respectively, immediately after repeated + Gz exposures, as compared with those of controls. It still remained significantly more than that in controls (P < 0.01) 1 h and 6 h after exposure. It suggests that NO may have some effect on the neurons during cerebral ischemia.