PET心肌灌注显像剂

由于PET在心肌灌注显像方面具有高分辨率、高灵敏度、低组织衰减和心肌血流定量等优势而使得PET心肌灌注显像剂的研究日益受到关注。本文介绍了目前已经应用于临床的PET心肌灌注显像剂的情况,分别综述了 ¹⁸F 标记和其他正电子核素标记的PET心肌灌注显像剂的研究进展,重点讨论了几种亲脂性阳离子类和线粒体复合物Ⅰ(MC-Ⅰ)抑制剂类 ¹⁸F 标记心肌灌注显像剂,特别是近年取得突破性进展的MC-Ⅰ抑制剂类心肌灌注显像剂(如BMS-747158-02和[¹⁸F]FP1OP),介绍了各类PET心肌灌注显像剂的生物性能、心肌摄取机制,对其优缺点进行比较,并对PET心肌灌注显像剂的应用前景进行了展望。     

A two-dimensional CVIB imaging system with a speckle tracking algorithm

Quantitative ultrasound tissue characterization based on integrated backscatter (IB) has shown great potential in detecting myocardial ischemia. The magnitude of the cyclic variation in IB (CVIB) has been considered one promising parameter in assessing regional myocardial contractile performance. This lab has previously developed a novel ultrasonic fusion imaging method based on CVIB. However, the major problem for clinical applications of this technique is that the myocardial tissue could not be tracked effectively without cardiologist’s intervention. This paper introduced a speckle tracking method into the CVIB-weighted imaging system, called speckle tracking algorithm with adaptive window size (STAWAWS), to track myocardial tissue particle automatically. This method provides a way to obtain the particle’s positions frame by frame in a series of B-mode images. Then using the RF signals according to the particle’s positions the IB curve can be calculated to produce CVIB value. The method was applied on the experimental and clinical data cases’s analysis. The results of dog’s data processing showed that this method could eliminate the misunderstanding of myocardial ischemia especially near the endocardium. The results of clinical data suggested that this method had clinical significance in detecting ischemic myocardium. Though the CVIB-weighted images obtained by the use of this auto-tracking method can improve the accuracy of detecting myocardial ischemia, it is not real-time analysis and the clinical data cases are not sufficient. Further clinical validation is still needed in the future’ work.     

Elevations of diffusion anisotropy are associated with hyper-acute stroke: a serial imaging study

Diffusion tensor imaging (DTI) studies of human ischemic stroke within 24 h of symptom onset have reported variable findings of changes in diffusion anisotropy. Serial DTI within 24 h may clarify these heterogeneous results. We characterized longitudinal changes of diffusion anisotropy by analyzing discrete ischemic white matter (WM) and gray matter (GM) regions during the hyperacute (2.5-7 h) and acute (21.5-29 h) scanning phases of ischemic stroke onset in 13 patients. Mean diffusivity (MD), fractional anisotropy (FA) and T2-weighted signal intensity were measured for deep and subcortical WM and deep and cortical GM areas in lesions outlined by a > or =30% decrease in MD. Average reductions of approximately 40% in relative (r) MD were observed in all four brain regions during both the hyperacute and acute phases post stroke. Overall, 9 of 13 patients within 7 h post symptom onset showed elevated FA in at least one of the four tissues, and within the same cohort, 11 of 13 patients showed reduced FA in at least one of the ischemic WM and GM regions at 21.5-29 h after stroke. The fractional anisotropy in the lesion relative to the contralateral side (rFA, mean+/-S.D.) was significantly elevated in some patients in the deep WM (1.10+/-0.11, n=4), subcortical WM (1.13+/-0.14, n=4), deep GM (1.07+/-0.06, n=1) and cortical GM (1.22+/-0.13, n=5) hyperacutely (< or =7 h); however, reductions of rFA at approximately 24 h post stroke were more consistent (rFA= 0.85+/-0.12).     

心电图结合中性粒细胞/淋巴细胞比值对急性前壁心肌梗死患者PCI术后预后的预测价值

本文分析心电图结合中性粒细胞/淋巴细胞比值(NLR)对急性前壁心肌梗死患者PCI术后预后的预测价值.选取行PCI术的急性前壁AMI患者180例,观察其心电图和NLR水平变化,并应用Cox回归分析心电图变化、NLR水平高低与预后的相关性.180例患者不良心血管事件发生率为17.78％;NLR水平＞3人数有113人;存在有...     

白桦液及白桦液复方清除自由基防止沙土鼠脑缺血再灌注氧化损伤的研究

本文用化学发光体系检测白桦液及其复方的清除活性氧自由基的功能。用羟胺法测实验动物化及脑组织的SOD活性,硫代巴比妥酸法测定MDA含量,细胞化学发光法测PMN细胞的免疫功能,化学发光法测脑组织的自发发光,直接法检测GSH-PX活性,氰高铁Hb法测Hb浓度,放免法测血浆TXB2的含量。结果表明,白桦液及其复方在离体体系中有清除O2-、OH-、H2O2的作用,在沙土鼠胞缺点再灌注模型中,可提高血和脑组织的SOD、GSH-PX活性,增强PMN细胞的免疫功能,降低血浆和脑组织LPO,TXB2及Hb浓度。本研究首次发现白桦液及其复方有抗氧化功能。     

大鼠脑缺血边缘区代谢物1H-MRS的研究

目的 利用不同的局灶性脑缺血模型，评价急性缺血后磁共振质子波谱（¹H-MRS）测定缺血后边缘区脑组织代谢和生物能量变化的时空规律. 为判定急性缺血预 后，进行有效的溶栓治疗提供有价值的生物化学信息. 方法 健康Sprague-Dawly大鼠9只，雌雄不拘，随机分为两组. A组（4只），自体血栓栓塞1 h；B组（5只），线栓法栓塞1 h. 分别 于栓塞后30、40、50、60 min进行¹HMRS检查，相对含量分析兴趣区（regio ns of interest, ROIs）氮-乙酰天门冬氨酸（NAA）、胆碱（Cho）和乳酸（Lac）等代谢产物的变化. 结果 以NAA、Cho、Lac与磷酸肌酸和肌酸（PCr+Cr）的谱峰积 分面积比值为判断标准，上述各代谢产物在兴趣区内于缺血后1 h内逐渐下降. 其中缺血后60 min，Cho/ （P Cr+Cr）、NAA/（PCr+Cr）及Lac/（PCr+Cr）的比值与缺血后50 min的比值统计学有显著性 差异（P<0.05）. 结论 ¹H-MRS技术为研究急性缺血性卒中后脑细胞代谢、生化能量状态提供了一个无创性、直接性、综合性的研究工具.     

Protein array for assist diagnosis of acute myocardial infarction

A nanogold probe immunoassay for cardiac troponin I (cTnI) combining the concepts of the one-step dual monoclonal antibody “sandwich” principle, the low density protein array, and silver enhancement on the gold particle is described. Two main substrates, namely the capture antibody (IgG1) coated supporting nitrocellulose membrane and the colloidal gold-labeled detection antibody (cAu–IgG2), were prepared before the detection. The detection procedure involved two steps, i.e. immunoreaction and silver amplification. The assay needs only small amounts of serum samples of patients. The detection results could be easily imaged with a simple flatbed scanner or even the naked eye. The whole detection procedure of the assay could be fulfilled within 40 min (much faster than the routine enzyme-linked immunosorbent assay (ELISA) that takes usually at least 3 h for a turnaround test). The detection limit of cTnI was found to be 1 ng/ml. The detecting results of cTnI in serum samples were similar to those detected by ELISA.     

Myocardial infarction patients show altered lipoprotein properties and functions when compared with stable angina pectoris patients

Several parameters and risk factors were compared between Korean male myocardial infarction (MI) patients (n = 10) and angina pectoris (AP) patients (n = 17) to search unique biomarkers for myocardial infarction (MI) in lipoprotein level. Individual serum and lipoprotein fractions (VLDL, LDL, HDL₂, HDL₃) were isolated and analyzed by lipid and protein determination and enzyme assay. The MI group was found to have a 25 and 30% higher serum cholesterol and triacylglycerol (TG) level than the AP group, respectively, however, their body mass index (BMI), LDL-cholesterol (C), HDL-C, and glucose levels fell within the normal range. MI patients were found to have an approximately two-fold higher level of serum IL-6 and an 18% lower serum apoA-I level than that of the AP group. LDL and HDL₂ fraction of the MI group were more enriched with TG than those of AP group. The increased TG was correlated well with the increased level of apoC-III in the same fraction. Cholesteryl ester transfer protein (CETP) activity and protein level were greatly increased in MI patients in the LDL and HDL₃ fractions. MI patients showed more severely oxidized LDL fraction than patients in the AP group, as well as the weakest antioxidant ability of serum. Conclusively, MI patients were found to have unique serum and lipoprotein characteristics including increased IL-6 and TG in serum, with CETP and apoC-III in the LDL and HDL fractions, as well as severely impaired antioxidant ability of HDL.     

Development of a myoglobin impedimetric immunosensor based on mixed self-assembled monolayer onto gold

Immunosensors rely on antibody-antigen binding with a range of possible detection methodologies. In this study, electrochemical impedance spectroscopy was used to monitor the sensor surface assembly and recognition of the analyte (myoglobin). Myoglobin is rapidly released into the circulatory system after an acute myocardial infarction and rapidly rising levels make it the first biochemical marker of myocardial damage. The immunosensor fabrication steps comprised the steps of (a) formation of mixed self-assembled monolayers (mSAM) on gold electrodes using a mixture of biotinyl-phospholipid and mer captohexadecanoic acid; (b) neutravidin functionalisation and (c) attachment of biotinyl anti-myoglobin antibodies. A range of analyte concentration (10⁻¹²–10⁻⁶ M) was successfully detected in phosphate buffered saline and in serum concentration ranging from 10% (v/v) to 100% (v/v) serum. Quartz crystal microbalance and atomic force microscopy studies were carried out to study each step of fabrication to elucidate binding characteristics and surface topography. Correspondence: Morsaline Billah, Institute of Membrane and Systems Biology, Garstang Building, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, United Kingdom