血管紧张素转换酶与抑制肽结合模式的分子动力学研究

应用分子模拟方法研究了血管紧张素转换酶(Angiotensin-converting enzyme,ACE)C端结构域(C-domain)与两种抑制肽(RIGLF/AHEPVK)的结合机制,预测了两个体系的结合模式,提出在C-domain-RIGLF中His353,Asp377,Asp453,Phe457,His513,Tyr523和Phe527为RIGLF主要结合残基,而在C-domainAHEPVK中Gln281,His353,Ser355,Glu384,Lys511,His513和Tyr523等残基起关键作用.应用结合自由能计算比较了两个体系的结合能力,结果表明,RIGLF和AHEPVK均与C-domain活性位点残基存在较强作用,且AHEPVK对C-domain的结合能力较强,与实验结果一致.     

我国首台高速3D内窥OCT影像系统研制成功

由中科院西安光学精密机械研究所研发的国内首台高速3D内窥OCT影像系统成功问世。该设备使用自主研发的微型光纤探头，可深人心脏病患者血管栓塞处进行光学相干断层（OCT）扫描，获得栓塞处清晰的3D内窥影像。利用该影像技术可帮助医生在心脏手术中对支架安放位置精确定位，并可帮助医生实现对病变血管形态及心脏支架置人状况进行离线直接观察，其成像速度及分辨率都远超现有的血管超声（IVUS）和心脏X光（DSA）技术，对于有效预防支架再狭窄和血栓支架的形成、实现心肌梗死的早期筛查和有效预防以及研究和评价心脏支架安全陛有革命性意义。     

脉劝流条件下血管壁的应力分布

为了分析血液-血管耦合运动所产生血液脉动压力载荷对血管壁应力分布的影响,利用线性化的血液-血管耦合运动方程的Womersley解,导得血液脉动压力载荷下的血管壁Green应变,同时利用Fung的血管壁应变能密度函数,导得相应血管壁应力分布的一般表达式.数值结果表明,在脉动流条件下,当考虑血液-血管耦合运动时,血管壁中周向应力最大,轴向应力居中,径向应力最小;血管壁的残余应力将明显减小血管内壁的应力集中;脉动压力载荷将导致血管壁周向应力在一个心动周期中随时间的脉动,而且随着Womersley数α和血管轴向约束参数K～＊的增大,血管壁周向应力的脉动将明显加剧,提示在分析动脉重建时必须计及血液-血管耦合运动对血管壁应力分布的影响.     

磁共振血管成像在颈动脉狭窄检查中的对比研究

目的研究在颈动脉狭窄检查中采取磁共振血管成像的诊断价值。方法回顾性分析惠州市中心人民医院自2015年12月至2016年12月期间收治的39例颈动脉狭窄患者所有资料,将减影血管造影检查结果作为金标准实行磁共振血管成像检查,分析狭窄检测敏感性、准确性以及特异性。结果磁共振血管成像检查狭窄检测敏感性、准确性以及特异性发生率分别为97.43%、92.31%、94.87%。结论将磁共振血管成像应用在检查颈动脉狭窄中具有显著效果,可以提升准确符合率,值得广泛应用与研究。     

心脏与血管的相互影响

心脏与血管的相互影响早就引起生理学家们的兴趣，但其在临床医学上的广泛应用则是近几年的事．这主要归功于两大生物力学成就，一是应甩泵功能曲线和时变弹性元描述心脏功能，另一是应用输入阻抗来描述血管功能．本文系统地总结和评述了２０多年来国际上关于心脏与血管相互影响的研究发展概况．     

利用血管生成模型计算实体肿瘤内的血液动力学

肿瘤血管生成(Tumor-induced Angiogenesis)是指在实体肿瘤细胞诱导下毛细血管的生长以及肿瘤中血液微循环的建立。肿瘤内血液、组织液等流体流动在肿瘤药物输运过程中扮演着重要作用,而这些流动受到肿瘤内微血管网络结构的直接影响。目前要获得精确的肿瘤内外的毛细血管拓扑结构存在一定困难,因此给肿瘤内的血液动力学研究带来困难。本文根据肿瘤内外的复杂生理特性,建立肿瘤内外血管生成的二维离散模型,在获得相对真实的毛细血管网络拓扑结构基础上对肿瘤内的血液动力学进行初步计算,数值计算的结果加深了对肿瘤的复杂生理特性的理解,同时也给肿瘤内的药物输运给予一定的提示。     

Bifurcation of flow and mass transport in a curved blood vessel

A numerical analysis of flow and concentration fields of macromolecules in a, slightly curved blood vessel was carried out. Based on these results, the effect of the bifurcation of a flow on the mass transport in a curved blood vessel was discussed. The macromolecules turned out to be easier to deposit in the inner part of the curved blood vessel near the critical Dean number. Once the Dean number is higher than the critical number, the bifurcation of the flow appears. This bifurcation can prevent macromolecules from concentrating in the inner part of the curved blood vessel. This result is helpful for understanding the possible correlations between the blood dynamics and atherosclerosis. The project supported by National Natural Science Foundation of China (10002003), JSPS Postdoctoral Fellowship for Foreign Researcher and Foundation for University Teachers, the Ministry of Education     

Adhesion behavior of endothelial progenitor cells to endothelial cells in simple shear flow

The adhesion of endothelial progenitor cells(EPCs) on endothelial cells(ECs) is one of the critical physiological processes for the regenesis of vascular vessels and the prevention of serious cardiovascular diseases.Here,the rolling and adhesion behavior of EPCs on ECs was studied numerically.A two-dimensional numerical model was developed based on the immersed boundary method for simulating the rolling and adhesion of cells in a channel flow.The binding force arising from the catch bond of a receptor and ligand pair was modeled with stochastic Monte Carlo method and Hookean spring model.The effect of tumor necrosis factor alpha(TNF-α) on the expression of the number of adhesion molecules in ECs was analyzed experimentally.A flow chamber system with CCD camera was set up to observe the top view of the rolling of EPCs on the substrate cultivated with ECs.Numerical results prove that the adhesion of EPC on ECs is closely related to membrane stiff-ness of the cell and shear rate of the flow.It also suggests that the adhesion force between EPC and EC by P-selectin glycoprotein ligand-1 only is not strong enough to bond the cell onto vessel walls unless contributions of other catch bond are considered.Experimental results demonstrate that TNF-α enhanced the expressions of VCAM,ICAM,P-selectin and E-selectin in ECs,which supports the numerical results that the rolling velocity of EPC on TNF-α treated EC substrate decreases obviously compared with its velocity on the untreated one.It is found that because the adhesion is affected by both the rolling velocity and the deformability of the cell,an optimal stiffness of EPC may exist at a given shear rate of flow for achieving maximum adhesion rates.     

心动周期性多普勒波形的平均方法

许多临床上有用的多普勒小以形都是随时产是变化的，但又近似于周期心动周期的周期信号。为准确估计这些多普靳波形，并提取主同灵敏度的特征参数，有必要对它们按心吉期进行平均。