类风湿关节炎患者血浆置换治疗前后微量元素铜的变化

应用原子吸收分光光度法，对１５例类风湿关节炎（ＲＡ）患者血浆置换前后微量元素铜的变化进行了测定。结果表明，血浆置换后患者的血铜水平显著下降，提示血浆置换治疗ＲＡ存在铜元素的机制。     

The influence of alpha1-acid glycoprotein on collagenase-3 activity in early rheumatoid arthritis

The concentration and glycosylation of alpha(1)-acid glycoprotein (AGP) alter significantly during inflammation. A definitive physiological role for AGP remains elusive and is the subject of extensive investigation. This study investigated the influence of AGP on the activity of collagenase-3, an important mediator of cartilage destruction in rheumatoid arthritis. AGP was isolated from normal and rheumatoid plasma. Fucosylation was determined by high pH anion-exchange chromatography; sialylation was assessed following enzymatic digest. Rheumatoid AGP displayed elevated fucosylation and sialylation compared with normal. The influence of each sample on collagenase-3 activity was measured fluorometrically. AGP influenced collagenase-3 catalysis and collagen binding, with catalytic activity correlating with fucosylation. Rheumatoid AGP exhibited less efficient inhibition than normal plasma AGP. It is hypothesized that AGP within rheumatoid synovial fluid may be inadequate to prevent excessive cartilage destruction and hence may exacerbate the disease process.     

Liquid chromatographic method for the simultaneous determination of sulphasalazine and its main metabolites in biological fluids

Summary An HPLC procedure was developed for the simultaneous determination of salicylazosulphapyridine, and its main metabolites 5-aminosalicylic acid and sulphapyridine, in human serum and synovial fluid. The analytical procedure consisted of a single ion-pair extraction step for an Extrelut column with methylene chloride. The investigated compounds and the added sulphadimidine internal standard were eluated from a Hypersil-MOS reversed-phase column by stepwise gradient; mobile phase was methanol-0.01 M potassium dihydrogenphosphate (3:7, 0.0–2.0 min and 8:2, 2.1–6.5 min).     

八角枫对佐剂性关节炎大鼠的治疗作用及毒性

文章通过考察八角枫醇提物、八角枫总碱对佐剂性关节炎(AA)大鼠的治疗作用及毒性,研究八角枫治疗关节炎的有效部位;分别采用足容积法和5级评分法测定大鼠足肿胀度及关节炎指数(AI),采用HE染色法观察大鼠关节和肝脏组织的形态学变化,并作血清常规检测。结果表明,八角枫醇提物、八角枫总碱可明显减轻AA大鼠的足肿胀度,降低其关节炎指数,改善关节的病理学变化。实验证明了八角枫醇提物对AA大鼠的治疗作用较好,且对肝脏无明显毒性。     

甲氨喋呤联合来氟米特治疗活动性类风湿关节炎疗效观察

目的评价甲氨喋呤(MTX)联合来氟米特(LEF)及单用MTX治疗类风湿关节炎(RA)的疗效和安全性。方法90例患者随机分为两组:甲氨蝶呤联合来氟米特组(45例),甲氨蝶呤每周定量口服7.5 mg～10 mg 1次,来氟米特20 mg每日1次;单用甲氨蝶呤组(45例),甲氨蝶呤每周10 mg～15 mg 1次,疗程分别为12周及24周。以ACR20为主要评价指标,ACR50、关节疼痛指数、关节肿胀数目、晨僵时间、患者对疼痛的评价(VAS)、患者对疾病活动性的总体评价(VAS)、医生对疾病活动的总体评价(VAS)、健康评估问卷(HAQ)、血沉(ESR)、C反应蛋白(CRP)具体观察指标为次要评价指标。结果联合用药组ACR20及各具体观察指标与单药组比较差异有显著性(P<0.05);ACR50联合用药组高于单药组,但无统计学差异(P>0.05)。两组之间不良反应发生率差异无统计学意义。结论MTX联合LEF治疗能显著改善RA症状、体征和实验室炎性指标,疗效优于单用MTX;两者联合治疗安全性耐受性好,与单用MTX相比并不增加不良反应的发生率。     

类风湿关节炎灭活滑膜液单个核细胞对非灭活滑膜液单个核细胞分泌IL-10水平的影响

目的观察类风湿关节炎灭活滑膜液单个核细胞对非灭活滑膜液单个核细胞分泌IL-10水平的影响。方法抽取类风湿关节炎(RA)患者关节液,分离关节液单个核细胞,分为对照组:2×10~6的非灭活单个核细胞,培养条件为37℃,5%CO_2孵育箱培养48h;实验组:细胞数为2×10~6个非灭活单个核细胞与甲醛灭活后的单个核细胞按1:10混合培养.用ELISA法测定培养上清中IL-10的水平.结果实验组较对照组IL-10水平明显升高(P<0.01).结论灭活滑膜液单个核细胞对非灭活滑膜液单个核细胞IL-10分泌有促进作用,提示未经克隆选择的RA滑膜液混合细胞可能具有诱导分泌IL-10CD_4调节性T细胞的生成作用.     

The requirement of natural killer T-cells in tolerogenic APCs-mediated suppression of collagen-induced arthritis

TGF-β-induced tolerogenic-antigen presenting cells (Tol-APCs) could induce suppression of autoimmune diseases such as collagen-induced arthritis (CIA) and allergic asthma. In contrast, many studies have shown that NKT cells are involved in the pathogenesis of Th1-mediated autoimmune joint inflammation and Th2-mediated allergic pulmonary inflammation. In this study, we investigated the effect of CD1d-restricted NKT cells in the Tol-APCs-mediated suppression of autoimmune disease using a murine CIA model. When CIA-induced mice were treated with Tol-APCs obtained from CD1d^+/- or CD1d^-/- mice, unlike CD1d^+/- APCs, CD1d^-/- Tol-APCs failed to suppress CIA. More specifically, CD1d^-/- Tol-APCs failed to suppress the production of inflammatory cytokines and the induction of Th2 responses by antigen-specific CD4 T cells both in vitro and in vivo. Our results demonstrate that the presence of CD1d-restricted NKT cells is critical for the induction of Tol-APCs-mediated suppression of CIA.     

系列疗法治疗老年肩周炎临床研究

从１９８９至１９９７年,运用系列疗法治疗肩周炎１０６例（１０８肩）,男４０例,女６６岁,平均年龄５２８岁。治疗分两步。第一步：用纯中医药新疗法治疗５０例（５０肩）,同时用西医药治疗５６例（５８肩）作对照。随访３周表明两组无治疗病例,有效病例分别只占１６％与７１％。第二步：针对第一步无效按随机原则再分别分成两部分（组）,每部分各３６例。第一部分采取仅麻醉下手法松解加关节囊内液压扩张疗法,而同时运用第二部分采用中西医新型综合疗法,并以第一部分作为对照。同样,治疗施实连续三周随防,并运用第一步同样疗效观察指标进行评价。结果表明,第一部分优良率为６６７％,而第二部分优良率占１００％,因此,运用中西医综合疗法治疗肩老炎是一种简便、安全、有效的治疗方法,值得推广与应用     

简化太极拳运动中股四头肌角变化的研究

通过对研究简化太极拳运动中股四头肌角的变化的研究,分别计算24个动作末和起势始姿势中Q角的差数,作为太极拳运动中动作Q角的变化值。练习简化太极拳中Q角增大明显。可见,简化太极拳有助于保持或增强股四头肌肌力和下肢的活动功能,可能对风湿性关节炎患者的治疗起到积极的作用。     

CD305分子在类风湿关节炎滑膜成纤维细胞中的表达

目的：研究CD305分子在类风湿关节炎滑膜中的表达。方法：通过免疫组织化学染色方法分别检测CD305分子在类风湿关节炎（Rheumatoid arthritis,RA）、骨性关节炎（Osteoarthritis,OA）和正常创伤患者滑膜中的分布规律。结果：在RA组,CD305分子在所有患者滑膜组织中均有表达。在OA组,CD305分子在部分患者滑膜组织中表达。而在正常患者中,CD305分子在大部分滑膜组织中不表达,仅在部分样本边缘处有少量表达。结论：CD305分子在RA患者滑膜组织中表达高于正常创伤患者,且主要在里衬层（lining layer）滑膜成纤维细胞(fibroblast-like synoviocytes, FLS) 上高表达。