Long-term lymphohematopoietic reconstitution by a single CD34-lownegative hematopoietic stem cell
Frequently Asked Questions

Frequently Asked QuestionsWhat is IBS?IBS is a group of symptoms. It is a long-term disorder of gastrointestinal (GI) functioning. It usually involves the large and small bowel/intestine (also called the gut). Learn MoreWhat are the symptoms of IBS?Common IBS symptoms are abdominal pain or discomfort, altered bowel habits (diarrhea and/or constipation), and bloating or a sense of gaseousness. Abdominal pain or discomfort is the key symptom of IBS. It may feel better with a bowel movement. The pain occurs when stool frequency or consistency changes. Symptoms can come and go, and even change, over time. Learn MoreHow is IBS diagnosed?A doctor will diagnosis IBS by asking about your past history and doing a physical examination. In IBS, certain typical symptoms occur. The diagnosis is based on symptoms and in the absence of signs not typical of IBS.The symptom-based Rome diagnostic criteria for IBS emphasize a “positive diagnosis” rather th an exhaustive tests to exclude other diseases. Learn MoreAre there tests to confirm irritable bowel syndrome?There are no tests that confirm the diagnosis of IBS. Laboratory tests, x-rays, and procedures such as colonoscopy are used to rule out other diseases of the bowel. Research is ongoing to find biological markers for IBS. Learn MoreI have been diagnosed with irritable bowel syndrome (IBS), buttests found nothing wrong. Do I need more tests?In IBS, tests are expected to find nothing. In the absence of physical findings, the symptom-based Rome diagnostic criteria have been shown tobe reliable. In addition, a physical exam and limited diagnostic tests help confirm this diagnosis with a high level of confidence. Extensive testing may be reserved for specific situations.What is the Rome Criteria?The Rome Criteria is a classification system that uses specific symptom patterns to identify functional GI disorders, such as IBS. Learn MoreHow common is IBS?Irritable bowel syndrome (IBS) is the most common functional GIdisorder. Worldwide prevalence rates range from 9–23%.What is a “functional” bowel disorder?A functional bowel disorder occurs when there is a problem with the way the bowels work, not their structure. The body's normal activities are impaired involving:• movement of the intestines,• sensitivity of the nerv es of the intestines, or• the way in which the brain controls some of these functions.What does “irritable” mean?Irritable means that the nerve endings in the bowel wall are unusually sensitive.What causes IBS?The cause of IBS is not yet completely understood. In IBS there is an altered pattern of muscle contraction in the colon. There is increased sensitivity within the GI tract. Normal regulation of the communication between the brain and the gut becomes altered. This leads to changes in normal bowel function.Does lactose intolerance cause IBS?Lactose (milk sugar) intolerance can cause similar symptoms to IBS. Lactose intolerance and IBS can occur at the same time in a person. But they are separate conditions which are treated differently. Learn MoreIs IBS a “serious illness”?For many people, IBS causes symptoms that are mild, which do not interfere with daily activities. For others, IBS may severely compromise their quality of life.Is IBS a risk factor for other serious disease?There are no long-term organic complications associated with IBS. People with IBS have no greater need of preventive checkups than other people. Will my IBS symptoms resolve?Each year, approximately 10% of IBS patients get better. This suggests that most people with IBS will eventually get better. But this is not true for every person.Can the menstrual cycle affect irritable bowel symptoms?Gut function does appear to be influenced by changes in the level of female hormones. Symptoms like looser stools and cramping can become worse at certain times of the cycle, particularly at the time of menses. It is reported as more intense in women with IBS, than in healthy women without IBS. Sometimes it's hard to tell whether it's coming from the pelvic organs or from the GI tract. Learn MoreWhat is the relationship of stress to IBS?Stress does not cause IBS. It can influence symptoms. Stress is the body’s normal response to stimuli, or stressors. It has been shown to increase motility and sensation of the colon to a greater degree in IBS patients compared to healthy individuals without IBS.Stress may modify signals between the brain and the intestinal tract. Factors that might normally affect the bowel might then affect it more. The stress factors could be physical, dietary, psychologic, or environmental. A personwith IBS might eat a regular meal and experience a bowel problem. For them, it's an overreaction of the bowel to the stressors. Learn More Doesn’t everyone experience stress in their life?Yes, and stressful events can cause a brief change in bowel habits and even abdominal pain for most people. However, this response in people with IBS is more pronounced on a recurrent or chronic basis.Does diet cause IBS?Diet does not cause IBS. Nevertheless, dietary factors may worsen symptoms in some persons. In IBS the bowel may over-react to stimuli. Even the act of eating, and not a particular food, may aggravate symptomsat times. Learn MoreDo certain foods affect symptoms?This varies from person to person. Certain foods are known to stimulate the gut in general, and in those with IBS eating too much of these might worsen symptoms. Maintaining a food and symptom diary for a minimum of one to two weeks can help identify triggering foods. Learn MoreMy doctor prescribed an antidepressant to treat my IBS. Does that mean I have a psychological disorder?In IBS low-dose antidepressants are useful, not to treat depression, but to reduce pain and also overall symptoms. Doses are much lower than what is used to treat depression. Learn MoreIs IBS a Disability?Depending on the circumstances it is up to each employer, insurer, or governing authority to determine individual disability.The U.S. Social Security Administration (SSA) defines disability as the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months. (SSA Pub. No. 64-039, May 2002) However, the SSA does not recognize irritable bowel syndrome on its Listing of Impairments -- Adults, Section 5, Digestive System.On August 15, 2011, the Department of Veterans Affairs (VA) implemented a “presumptive service connection” when assessing disability benefits in soldiers affected by functional GI disorders (such as IBS) who served in Southwest Asia during the Persian Gulf War.The Veterans Affairs Dept first recognized IBS in the Veterans Education and Benefits Expansion Act of 2001, Public Law 107-103 signed by President Bush on December 27, 2001. Section 202 -- Payment of Compensation for Persian Gulf War Veterans with Certain Chronic Disabilities -- includes this provision: (2) For purposes of this subsection, the term "qualifying chronic disability" means a chronic disability resulting from any of the following (or any combination of any of the following): (B) A medically unexplained chronic multi-symptom illness (such as chronic fatigue syndrome,fibromyalgia, and irritable bowel syndrome) that is defined by a cluster ofsigns or symptoms. The law authorizes funding to expand and increase educational, housing, burial and disability benefits for chronic multi-symptom illnesses to the list of service-connected conditions for Gulf War veterans.。
造血干细胞表面标志物

造血干细胞表面标志物造血干细胞(Hematopoietic stem cells, HSC)是一类成体干细胞,具有干细胞的特性:自我更新和分化潜能。
造血干细胞是一种骨髓来源的多能干细胞,它是血液系统中的“种子”细胞。
造血干细胞(HSCs)在造血过程中形成血系中的所有细胞,包括各种成熟细胞如白细胞、红细胞、血小板等。
在受到适当刺激时还分化为其他非造血组织(如脂肪细胞、心肌细胞、内皮细胞和胰腺细胞)[1]。
造血干细胞具有调节体内平衡、免疫功能、抗微生物、抗炎症等生物学功能。
它在血液病、遗传性血液病和自身免疫性疾病的治疗方面有重要作用。
1. 造血干细胞类型2. 造血干细胞的来源3. 造血干细胞的生物学特性4. HSC和免疫系统5. 人体造血系统层次6. 造血干细胞的细胞表面标志7. HSC的临床应用1. 造血干细胞类型已经定义了两种类型的造血干细胞:能够终生保持自我更新和多谱系分化潜能的长期再生细胞(LTRC);来源于LTRC的短期再生细胞(STRC),虽然它们保持了多能性,但它们表现出更有限的自我更新潜能。
它们重建髓系和/或淋巴系间隔的时间很短,大约6周。
2. 造血干细胞的来源造血干细胞存在于成年人的骨髓中,特别是在骨盆、股骨和胸骨中。
它们也存在于脐带血和少量的外周血中。
2.1 骨髓造血干细胞(HSCs)是一种骨髓来源的多能干细胞。
从骨髓中获取造血干细胞通过外科手术,从两个髂骨后嵴分次采集。
骨髓中每10万个细胞中约有1个是长期造血干细胞(LT-HSC)。
2.2 外周血大部分造血干细胞来源于骨髓,少量的干细胞和祖细胞在血液中循环。
人类造血干细胞的临床移植,可以从外周血中收集供体细胞。
造血干细胞的采集是在粒细胞集落刺激因子(G-CSF)等造血生长因子的作用下,将骨髓中的HSC动员到外周血后,通过分离的方式采集。
2.3 脐带血(UCB)脐带血是造血干细胞和造血祖细胞的丰富来源,它所含不同类型的造血祖细胞的数量大约是成人血液中观察到的数量的10倍。
生物专业常用词汇IBIGCSEAlevel必备biology

生物专业常用词汇IBIGCSEAlevel必备biologyAbsorption 吸收Accommodation 调节Acid Rain 酸雨Acne 粉刺Active site 活性部位Active transport 主动转运Adaptation 适应Additives 添加剂Adenine 腺嘌呤Amylase 淀粉酶Anemia 贫血症Angina 心绞痛Angiosperm 被子植物Anopheles 疟蚊Anorexia 厌食Antagonistic pair 相互拮抗的Anther 花粉囊Antibiotic 抗生素Antibody 抗体Monoclonal 单克隆Antigen 抗原Antiseptic 防腐剂Aorta 主动脉Aphid 蚜虫Coronary Artery 冠状动脉Hepatic Artery 肝动脉Pulmonary Artery 肺动脉Renal Artery 肾动脉Arthritis 关节炎Arthropod 节肢动物Artificial selection 人工选择Athlete’s foot 脚气Atmosphere 大气ATP(Adenosine triphosphate) 三磷酸腺苷Atrium 心房Autotroph 自养生物Axes 轴Axon 轴突Bactericide 杀菌剂Bacteriostatic 抑菌剂Bacterium 细菌Base pair 碱基对Bee 蜜蜂Bicarbonate indicator 碳酸氢盐指示剂Biceps 二头肌Bile 胆汁Biogas 沼气Biological control 生物防治Bioreactor 生物反应器Bladder 膀胱Blind spot 盲点Red blood cell 红细胞white blood cell 白细胞BOD(Biological Oxygen Demand)生物耗氧Caffeine 咖啡因Calcium 钙Cambium 形成层(植)Bladder cancer 膀胱癌Colon cancer 结结肠癌Lung cancer 肺癌Skin cancer 皮肤癌Cap(Diaphragm)子宫帽Capillary 毛细血管Carbohydrate 糖类Carbon cycle 碳循环Carbon dioxide 二氧化碳Carnivore 肉食动物Carrier proteins 转运蛋白Carrier 转运者,载体Carrying capacity 转运能力Cartilage 软骨Catalyst 催化剂Cell division 细胞分裂Cellulose cell wall 植物前卫细胞壁Cellulose 植物纤维Centromere 着丝粒Cerebellum 小脑Cerebral cortex 大脑皮层Cervix 子宫颈CFC(Chlorofluorocarbon 含氯氟烃Chlorophyll 叶绿素Chloroplast 叶绿体Cholesterol 胆固醇Choroid 脉络膜Chromatid 染色单体Chromosome 染色体Ciliary muscle 睫状肌Cirrhosis 肝硬化Clinistix 尿糖试纸cobalt chloride paper 氯化钴试纸coil 避孕环color blindness 色盲combustion 燃烧community 群落cone cell 视锥细胞constipation 便秘consumer 消费者cornea 角膜cotyledon 子叶cuticle 表皮cystic fibrosis 囊性纤维化cytoplasm 细胞质cytosine 胞嘧啶DDT 滴滴涕(杀虫剂的一种)Deamination 去氨基Decomposition 分解腐烂Denaturation 变性denitrification 脱氮作用depression 抑郁diabetes 糖尿病dialysis 透析diaphragm 横膈膜diarrhea 腹泻adequate diet 足量饮食balanced diet 平衡饮食diffusion 扩散digestion 消化diploid 二倍体disease 疾病DNA 脱氧核糖核酸dominant 显性double helix 双螺旋Dow n ’s syndrome 唐氏综合症drugs 药物ecology 生态学ecosystem 生态系统egg 卵细胞embryo 胚胎emphysema 肺气肿endocrine gland 内分泌腺endonuclease 核酸内切酶endosperm 胚乳endothermy 温血状态,体温的生理调节energy 能量environmental resistance 环境的阻力enzyme 酶epidermis 表皮epididymis 附睾eutrophication 富营养作用excretion 排泄,分泌factor-8 因子8 (血友病的凝血因子)fair testing 客观的实验fermentation 发酵fermenter 发酵器fern 蕨类植物fertilization 受精fertilizer 肥料fever 发热fiber 纤维fibrin 纤维蛋白fibrinogen 纤维蛋白质filament 细丝fish farming 养鱼业flaccidity 软弱,枯萎fetus 胚胎food chain 食物链food preservation 食物保存fossil fuel 矿物燃料fruit 果实fungus 真菌,菌类gall bladder 胆囊gamete 配子gene probe 基因探针gene transfer 转基因gene vector 基因载体gene 基因genus 类,属geotropism 向地性global warming 全球变暖glucagon 胰高血糖素glucose 葡萄糖glycogen 糖原gonorrhea 淋病Graafian follicle 格拉夫卵泡,囊状卵泡graphs 线图greenhouse effect 温室效应grey and white matter 灰质和白质guanine 鸟嘌吟gut 消化道,内脏habitat 栖息地hemoglobin 血红蛋白hemophilia 血友病haploid 单倍体的hay fever 花粉热,干草热heat 热度,热量hepatitis 肝炎herbicide 除草剂herbivore 食草类动物heroin 海洛因heterotroph 异养生物heterozygous 咋合的homeostasis 平衡状态,稳态homologous pair 同源染色体对homozygous 纯合子的,同型结合的hormone 荷尔蒙horticulture 园艺human growth hormone 人类生长激素humerus 肱骨humidity 潮湿的,温度Huntingto n’s disease 杭廷顿氏舞蹈病hybridoma 杂交瘤hydrochloric acid 盐酸hyperglycemia 多糖症,高血糖症hypoglycemia 低血糖hypothalamus 丘脑下部hypothermia 体温过低hypothesis 假设active 主动passive 被动natural 天然artificial immunity 人工免疫independent assortment 自由组合,独立分配influenza 流行性感冒insect 昆虫insecticide 杀虫剂insulin 胰岛素iron 铁irradiation 放射,照射IUD(intra-uterine device)子宫内器件joint 关节karyotype 染色体组型key 关键kidney 肾脏kingdom 界,王国kwashiorkor 夸休可尔症,恶性营养不良lacteal 乳汁lactic acid 乳酸large intestine 大肠lead 铅leaf 树叶lens 晶体ligament 韧带ligase 连接酶light 光照limewater 石灰水limiting factor 限制因素Linnaeus 林奈lipase 脂肪酶lipid 脂类liver 肝脏loop of Henle 亨利氏襻louse 虱子LSD 麦角酸二乙基酰胺(致幻药)lung 肺lymphocyte 淋巴细胞lysozyme 溶菌酶magnesium 镁malnutrition 营养不良mammal 哺乳动物mammary gland 乳腺marasmus 消瘦,衰弱medulla 脊髓meiosis 减数分裂Mende l’s law孟德尔遗传定律meninges 脑膜meningitis 脑膜炎menstrual cycle 月经周期menstruation 月经meristem 分裂组织,生长点mesophyll 叶肉metabolism 新陈代谢methane 沼气,甲烷microorganism 微生物micropyle 珠孔mineral ions 矿物离子mitochondria 线粒体mitosis 有丝分裂moss 苔藓mould 霉菌mouth 口腔movement 运动muscle 肌肉mutagen 诱变剂mutation 突变myelin sheath 髓鞘natural selection 自然选择negative feedback 负反馈nephron 肾单位nervous system 神经系统neuron 神经元neurotransmitter 神经递质night blindness 夜盲nitrate 硝酸盐nitrification 硝化作用nitrogen fixation 固氮作用nitrogen cycle 氮循环nitrogen 氮气node of Ranvier 郎飞氏结nucleotide 核苷nucleus 细胞核obesity 肥胖esophagus 食道estrogen 雌激素oil 油optic nerve 视神经osmosis 渗透osteoporosis 骨质疏松ovary 卵巢,子房oviduct 输卵管ovulation ovule 胚珠oxygen debt 氧债oxygen 氧ozone 臭氧painkiller 止痛药pancreas 胰腺parasite 寄生虫pasteurization 巴氏灭菌法pathogen 病原体penicillin 青霉素penis 阴茎pepsin 胃蛋白酶peristalsis 蠕动pest 害虫pesticide 杀虫剂petal 花瓣PH 氢离子浓度phagocyte 吞噬细胞phenotype 显型pheromone 信息素phloem 韧皮部phosphate 磷酸盐photosynthesis 光合作用phototropism 趋光性Pill 口服避孕药pituitary hormones 脑垂体placenta 胎盘pulmonary 肺的radiation 放射radiotherapy 放射治疗radius 镭receptacle 容器,花托recessive 隐性的rectum 直肠reflex action 反射动作reflex arc 反射弧refrigeration 冷藏,制冷rennin 高血压蛋白酶,肾素reptile 爬行动物resistance 抵抗力,阻力respiration 呼吸aerobic respiration 需氧呼吸anaerobic respiration 厌氧呼吸respirometer 呼吸计restriction enzyme 限速酶retina 视网膜rhizobium 根瘤菌ribosome 核糖体rickets 软骨病,佝偻rod cell 视杆细胞root 根root nodule 根瘤roughage 粗粮Salmonella 沙门氏菌属saprotroph 腐生菌schizophrenia 精神分裂症SCP(single cell protein)单细胞蛋白质scrotum 阴囊scurvy 坏血症seed 种子selective breeding 选择育种sepal 萼片sewage 废水,污水sex 性别shiver 颤抖sickle cell anemia 镰状细胞血症skeleton 骨骼skin 皮肤sludge 泥浆,污泥small intestine 小肠smoke 吸烟solvent abuse 溶剂滥用species 种类,类型sperm 精子spermicide 杀精剂sphincter 括约肌spider 蜘蛛spinal cord 脊索sporulation 孢子形成stamen 雄蕊starch 淀粉stem 茎,干sterilization 灭菌,消毒stigma (花的)柱头stomach 胃stomata 口,气孔style 花柱sucrose 蔗糖surrogacy 代理sweating 排汗synapse 突触synovial fluid 骨膜液,关节液tables 表格tendon 腱testis 睾丸testosterone 睾酮,睾丸素thymine 胸腺嘧啶tobacco 烟草tooth decay 龋齿toxin 毒素transcription 转录transgenic organism 转基因生物体translation 翻译,转换transpiration 蒸发,蒸腾作用transplant 移植triceps 三头肌turgidity 肿胀,浮肿typhoid 伤寒ulna 尺骨umbilical cord 脐带unit 单位urea 尿素ureter 输尿管urethra 尿道uterus 子宫vaccine 疫苗vacuole 液泡vagina 阴道,叶鞘valve 心瓣膜variable 变量,变数vas deferens 输精管vascular bundle 维管束vasectomy 输精管切除术vasoconstriction and vasodilation 血管收缩和舒张vegetative propagation 无性繁殖vein 静脉hepatic portal vein 肝门静脉umbilical vein 脐静脉vena cava 腔静脉ventricle 心室vesicle (器官的)囊,泡villus 绒毛vinegar 醋剂,醋virus 病毒vitamins 维生素vulva 女阴water potential 水势能water 水weed killer 除草剂wilting 萎蔫X chromosome X染色体xylem 木质部Y chromosome Y染色体yeast 酵母yellow spot 黄斑zygote 受精卵。
免疫学名词解释

1、Lymphocyte homing(淋巴细胞归巢):The process by which particular subsets of lymphocytes selectively enter and residue in peripheral lymphoid organs. It’s mediated by homing receptor on T lymphocytes and addressin on endothelial cells.2、Lymphocyte recirculation(淋巴细胞再循环):is the process by which lymphocytes continuously move between sites throughout the body through blood and lymphatic vessels, and it’s critical for the initiation and effectors phase of immune response.3、Hapten(半抗原):Substances which can combine with TCR, BCR or Ab, but cannot induce immune response independently.4、Sequential/Linear determinants(顺序型/线性决定簇):are epitopes formed by several adjacent amino acid residues. They exist on the surface or inside of antigen molecules. They are mainly recognized by T cells, but some also can be recognized by B cells.5、Conformational determinants(构象型决定簇):are epitopes formed by amino acid residues that aren’t ina sequence but become spatially juxtaposed in the folded protein. They normally exist on the surface of antigen molecules and can be recognized by B cells or Ab.6、T cell epitope(T细胞表位):Antigen epitopes recognized by T cells(TCR).Features: peptides; sequential determinants; exist in anywhere of Ag; after processed, presented by MHC molecules; 8~23 amino acid residues long.7、TI-Ag/Thymus independent Ag(胸腺依赖性抗原): Ag which can stimulate B cells to produce Ab without the help of T cells and macrophages.8、TD-Ag/Thymus independent Ag(非胸腺依赖性抗原): Ag which can stimulate B cells to produce Ab with the help of T cells.9、Heterophile Ag/Forssman Ag(异嗜抗原): Common Ags shared by different species. They have no specificity of species and play an important role in immunopathology and diagnosis.10、CDR/Complementary determining region(互补决定区): The six HVR of H chain and L chain are brought together to form antigen-binding surface, so HVR is also called CDR.11、Idiotype/Idiotype determinant(独特型/独特型表位): The unique structure located in the V region of Ig ,BCR or TCR which show different immunogenicity due to the different amino acid sequence of HVR or CDR. It’s a unique Ag-specific marker for each Ig in an individual.12、Opsonization(调理作用):refers to the functions of IgG and IgM that after their Fab fragments bind Ag, their Fc fragments bind macrophage to enhance the phagocytosis of macrophage;or the functions of C3b and C4b on the microbe surface that bind to CR1 on the macrophage surface to enhance the phagocytosis of macrophage.13、ADCC/Antibody dependent cell mediated cytoxicity(抗体依赖的细胞介导的毒性作用):It’s a process in which FcR of NK cells, macrophages and monocytes bind to Fc fragment of Ab(IgG,IgA,IgE) coated target cells resulting in lyses of target cells.14、mAb /McAb/Monoclonal Ab (单克隆抗体):Ab produced by single B cell clone or one hybridomas clone and having a single specificity.(Immunized spleen cells(B) hybride with myeloma cells----hybridomas) 15、MAC/Membrane attack complex(攻膜复合体):C5b6789 complex which leads to formation of a hole in the membrane and mediates lysis of target cell.16、CKs/Cytokines(细胞因子):are small polypeptides produced in response to microbes and other Ags secreted by activated immunocytes or some matrix cells that mediate and regulate immune and inflammatory reactions by binding corresponding receptor on cells.17、IFN(干扰素):The CKs produced by human or animal tissue cells or T lymphocytes and NK cells,following the infection of virus and exposure to antigen whose principle function is to inhibit virusreplication or activate macrophage in both innate immunity and adaptive immunity.18、CAMs /Ams/cell adhesion molecules (黏附分子):The cell surface proteins involved in the interaction of cell-cell or cell-extracellular matrix. They play a crucial role in cell interaction, recognition, activation and migration by binding of receptor and ligand.19、CD/cluster of differentiation (分化簇):It is a group of cell surface molecules associated with the development and differentiation of immune cells.20、MHC/major histocompatibility complex(主要组织相容性复合体):A large cluster of linked genes located in some chromosomes of humanity or other mammals that encode major histocompatibility antigen and relate to allograft rejection, immune response and cell-cell recognition.21、HLA/Human leukocyte antigen(人类白细胞抗原):The major histocompatibility antigens for humanity which are associated with histocompatibility and immune response. They are alloantigens which are specific for each individual.22、HLA complex(HLA复合体):The MHC of humanity, a cluster of genes which encode for HLA and related to histocompatibility and immune response.23、MHC restriction(MHC 限制性):In interaction of T cell and APC or target cells, T cells not only recognize specific antigen but also recognize polymorphic residues of MHC molecules.24、PAMP/pathogen associated molecular pattern( 病原相关分子模式): The distinct structures or components that are common for many pathogens ,such as LPS, dsRNA of viruses etc.25、PRR/ pattern recognition receptor (模式识别受体): The receptors on macrophage that can recognize and bind PAMP on some pathogen, injured or apoptotic cells, including mannose receptor, scavenger receptor , toll like receptor etc.26、APC/Antigen presenting cells/Accessory cells/A cells(抗原递呈细胞): A group of cells which can uptake and process antigen and present antigen-MHC-Ⅰ/Ⅱcomplex to T cells, playing an important role in immune response.27、Cross-priming/Cross-presentation (交叉递呈): A mechanism by which a professional APC activates, a naïve CD8 CTL specific for the antigens of a third cell (e.g. a virus-infected or tumor cell)28、ITAM /immunoreceptor tyrosine-based activation motif(免疫受体酪氨酸活化基序): ITAM transduces activation signals from TCR, composing of tyrosine residues separated by around 18 aas. When TCR specially bind to antigen, the tyrosine becomes phosphorylated by the receptor associated tyrosine kinases to transduct active signals.29、TCR complex(TCR复合物): A group of membrane molecules on T cells that can specifically bind to antigen and pass an activation signal into the cell, consisting of TCR(αβ,γδ),CD3 (γε,δε)andδ-δ。
长筒弹力袜与中筒弹力袜在小腿段浅静脉曲张患者中的疗效比较及其对血流动力学的影响研究

中国现代医生2020年11月第58卷第33期•临床研究-长筒弹力袜与屮筒弹力袜在小腿段浅静脉曲张患者屮的疗效比较及其对血流动力学的影响研究甄杰生广东省台山市人民医院肝胆乳腺甲状腺血管外科,广东台山529200[摘要]目的探讨长筒弹力袜与中筒弹力袜在小腿段浅静脉曲张患者中的疗效比较及其对血流动力学的影响研究。
方法选取2015年1月-2019年11月我院收治的小腿段浅静脉曲张患者157例,所有患者均接受大隐静脉高位结扎剥脱术治疗,依据术后使用的医用弹力袜长度不同进行分组,对照组78例,研究组79例,对所有患者的临床资料进行回顾性分析。
对照组应用中筒弹力袜,研究组应用长筒弹力袜。
比较两组临床治疗总有效率及相关血流动力学指标。
结果研究组辅助治疗总有效率为98.7%.,显著高于对照组的89.7%(P<0.05)。
研究组隐股交界远端股静脉的反流时间为(2.6±0.9)s,显著短于对照组的(4.1±0.5)s(P<0.05),研究组股静脉内径为(10.5±0.4)m m,显著低于对照组的(14.4±0.7)mm(P<0.05)。
结论小腿段浅静脉曲张患者在大隐静脉高位结扎剥脱术后使用医用弹力袜,可起到十分显著有效的辅助效果,且长筒弹力袜的辅助效果更加理想,可更为显著地改善患者患肢的血流动力学指标水平。
[关键词]静脉曲张;大隐静脉;弹力袜;血流动力学[中图分类号]R82[文献标识码]B[文章编号]1673-9701渊2020冤33-0123-03Comparative observation on the curative effect of long-barreled compression stockings and middle-barreled compression stockings in patients with superficial varicose veins of the calf and the effect on hemodynamicsZHEN JieshengDeparLmenL of HepaLobiliary,BreasL and Thyroid and Vascular Surgery,People's HospiLal of Taishan CiLy in Guangdong Province,Taishan529200,China[Abstract]Objective To invesLigaLe Lhe comparaLive observaLion on Lhe curaLive effecL of long-barreled compression sLockings and middle-barreled compression sLockings in paLienLs wiLh superficial varicose veins of Lhe calf and Lhe sLudy of Lheir effecLs on hemodynamics.Methods A LoLal of157paLienLs wiLh superficial varicose veins of Lhe calf who were admiLLed Lo our hospiLal from January2015Lo November2019were selecLed.All paLienLs received high saphenous vein ligaLion and sLripping,and were grouped according Lo Lhe lengLh of Lhe medical compression sLockings afLer Lhe operaLion,including78cases in Lhe conLrol group,and79cases in Lhe sLudy group.The clinical daLa of all paLienLs were reLrospecLively analyzed.The conLrol group used middle-barreled compression sLockings,and Lhe sLudy group used long-barreled compression sLockings.The clinical LreaLmenL LoLal efficiency and Lhe relevanL hemodynamic indexes be-Lween Lhe Lwo groups were observed and compared.Results The LoLal effective raLe of adjuvanL Lherapy in Lhe sLudy group was98.7%,which was significanLly higher Lhan89.7%in Lhe conLrol group(P<0.05).The reflux Lime of Lhe disLal femoral vein of Lhe saphenous femoral juncLion in Lhe sLudy group was(2.6±0.9)s,which was significantly shorLer Lhan(4.1±0.5)s of Lhe conLrol group(P<0.05).The inLernal diameLer of Lhe femoral vein in Lhe sLudy group was(10.5±0.4)mm,which was significanLly lower Lhan(14.4±0.7)mm of Lhe conLrol group(P<0.05).Conclusion The use of medical compression sLockings afLer Lhe high ligaLion and sLripping of Lhe greaL saphenous vein in paLienLs wiLh superficial varicose veins of Lhe calf can play a very significanL and effecLive auxiliary effecL,and Lhe long-barreled elasLic sLockings has more ideal auxiliary effecL,which can more significantly improve Lhe hemodynamic index level of Lhe paLienL's affecLed limb.[Key words]Varicose veins;GreaL saphenous vein;Compression sLockings;Hemodynamics•临床研究・中国现代医生2020年11月第58卷第33期下肢浅静脉曲张中最常见的一种就是大隐静脉曲张,主要是指下肢浅静脉发生瓣膜关闭不全,导致静脉中的血液发生反流,瘀滞远端静脉血管[1]。
运动医学词汇(2)

运动医学词汇(2)亨耳 henle , friedrich亨氏环( 肾小管 ) loop of henle ( renal tubule )亨特 hunter , john佛莱明爵士 fleming , sir alexander佛罗瑞爵士 florey , sir howard伸肌( 伸展 ) extensor ( extension )伸肌支带( 手部伸肌 ) extensor retinaculum ( extensor of the hand )伸肌支带( 足部伸肌 ) extensor retinaculum ( extensor of the foot )伸展 extension伸展感受器( 机械性受器) stretch receptor ( mechanoreceptor )低张的( 等张的 ) hypotonic ( isotonic )佝偻病 rickets克里克 crick , francis克列伯氏循环 krebs cycle克列伯斯 krebs , hans免疫反应 immune response免疫系统 immune system免疫法 immunization免疫( 免疫系统 ) immune ( immune system )免疫球蛋白( 抗体 ) immunoglobulin ( antibody )免疫学 immunology利斯特 lister , joseph利维–蒙塔西尼 levi-montalcini , rita卵子 ovum / ova卵子发生( 卵子 ) oogenesis ( ovum )卵母细胞( 卵子 ) oocyte ( ovum )卵巢 ovary卵巢周期 ovarian cycle卵细胞( 卵子 ) egg cell ( ovum )卵裂 cleavage卵圆窗( 内耳 ) oval window ( inner ear )卵磷脂( 磷脂 ) lecithin ( phospholipid )吞噬作用 phagocytosis吞噬细胞 phagocyte吞咽 swallowing呃逆 hiccup / hiccough吸入 inhalation吸入( 气体交换 ) inhale ( gas exchange )吸收 absorption吸气( 吸入 ) inspiration ( inhalation )含氮废物( 排泄 ) nitrogenous waste ( excretion )均衡的饮食( 食物 ) balanced diet ( diet )坐骨( 骨盆带 ) ischium ( pelvic girdle )坐骨神经 sciatic nerve坐骨神经痛 sciatica妊娠 pregnancy尿素( 尿液 ) urea ( urine )尿液 urine尿道( 膀胱 ) urethra ( bladder )尿嘧啶( 盐基 ) uracil ( base )利尿剂( 抗利尿激素 ) diuretic ( antidiuretic hormone ) 尾骨 coccyx尾椎( 尾骨 ) coccygeal vertebra ( coccyx )希波克拉底 hippocrates希斯 his , wilhelm快速动眼睡眠( 睡眠 ) rapid eye movement sleep / rem sleep ( sleep )抗生素( 药物 ) antibiotic ( drug )抗利尿激素 antidiuretic hormone / adh抗原 antigen抗胰岛素 glucagon抗组织胺药物( 枯草热 ) antihistamine drug ( hay fever )抗凝血剂 anticoagulant抗坏血酸( 维生素c ) ascorbic acid ( vitamin c )抗体 antibody抗体间接免疫(体液免液) antibody-mediated immunity ( humoral immunity )扭伤 sprain折射( 调节 ) refracted ( accommodation )杜维 duve , christian de杓状软骨( 喉 ) arytenoid cartilage ( larynx )沙克 salk , jonas狂犬病 rabies肝 liver肝炎 hepatitis肝门静脉( 肝动脉 ) hepatic portal vein ( hepatic artery )肝动脉 hepatic artery肝细胞 hepatocyte肝循环( 肝动脉 ) hepatic circulation ( hepatic artery )肝糖 glycogen肘( 铰金关节 ) elbow ( hinge joint )肛门( 直肠 ) anus ( rectum )肛门内括约肌( 直肠 ) internal anal sphincter ( rectum )肛门外括约肌( 直肠 ) external anal sphincter ( rectum )肛道( 直肠 ) anal canal ( rectum )肚脐( 脐带 ) navel ( umbilical cord )角蛋白( 结构蛋白 ) keratin ( atructural protein ) 角膜 cornea角质层( 表皮 ) cornified layer ( epidermis )贝尔 baer , karl von贝尔那 benard , claude贝尔爵士 bell , sir charles足.脚 foot足部伸肌 extensor of the foot足部屈肌 flexor of the foot足趾( 趾骨 ) toe / digit ( phalanx of the foot )足跟( 跗骨 ) heel ( tarsal )防腐剂 antiseptic乳化( 胆汁 ) emulsify ( bile )乳汁 milk乳房( 泌乳 ) breast ( lactation )乳腺( 泌乳 ) mammary gland ( lactation )乳管( 泌乳 ) milk duct ( lactation )乳酸( 糖解 ) lactic acid ( glycolysis )乳酸酦酵 lactic acid fermentation乳齿 milk teeth乳糖 lactose乳糖梅( 乳糖 ) lactase ( lactose )乳头( 味蕾 ) papilla ( taste bud)乳头( 泌乳 ) nipple ( lactation )乳糜管 lacteal供血者( 输血 ) blood donor ( blood transfusion ) 佩鲁茨 perutz , max侏儒症( 生长激素 ) dwarfism ( growth hormone ) 两手同利的 ambidextrous ( handedness )刺激 stimulus受孕 conception受精 fertilization受器( 感觉神经元 ) receptor ( sensory neuron )受器位置( 激素 ) receptor site ( bormone )味孔( 味蕾 ) taste pore ( taste bud )味道( 味觉 ) flavour ( taste )味蕾 taste bud味觉 taste呼出 exhalation呼出( 气体交换 ) exhale ( gas exchange )呼吸 breathing呼吸 respiration呼吸中枢( 呼吸速率 ) respiratory centre ( breathing rate )呼吸系统 respiratory system呼吸控制 respiratory control呼吸速率 breathing rate呼吸道 respiratory tract呼吸膜 respiratory membrane呼气( 呼出 ) expiration ( exhalation )周围的,末梢的 peripheral周围神经( 神经系统 ) peripheral nerve ( nervous system )周围神经系统( 神经系统) peripheral nervous system ( nervous system )固定巨噬细胞( 单核球 ) fixed macrophage ( monocyte )夜盲 night blindness孟德尔 mendel , gregor屈曲 flexion屈肌( 屈曲 ) flexor ( flexion )屈肌支带( 手部屈肌 ) flexor retinaculum ( flexor of the hand )屈趾长肌( 足部屈肌 ) flexor digitorum longus ( flexor of the foot )屈拇长肌( 足部屈肌 ) flexor hallucis longus ( flexor of the foot ) 屈拇短肌( 对掌拇肌 ) flexor pollicis brevis (opponens pollicis ) 屈指浅肌( 手部屈肌 ) flexor digitorum superficialis ( flexor of the hand )屈趾短肌 flexor digitorum brevis帕金森氏症parkinson’s disease帕雷 pare , ambroise延髓( 脑干 ) medulla oblongata ( brain stem )弧影( 指甲 ) lunula ( nail )性交 sexual intercourse性染色体 sex chromosome性细胞 sex cell性联对偶基因 sex-linked allele性激素 sex hormone拉瓦钖 lavoisier , antoine拉埃内克 laennec , rene theophile拇指( 指骨 ) thumb / first digit ( phalanx of the hand )拇趾( 趾骨 ) big toe ( phalanx of the foot )拇囊肿 bunion抵抗力 resistance放射线照片( 放射线摄影术 ) radiograph ( radiography )放射线摄影术 radiography昏迷( 意识 ) coma ( consciousness )枕骨大孔( 颅 ) foramen magnum ( cranium )枕骨( 颅 ) occipital bone ( cranium )枕骨肌( 额肌 ) occipitalis ( frontalis )果糖( 糖 ) fructose / fruit sugar ( sugar )林德 lind , james杵臼关节 ball-and socket joint泌尿系统 urinary system泌乳 lactation柲乳反射( 泌乳 ) milk let-down reflex ( lactation )波特 pott , percival法布里休斯 fabricius , hieronymus法罗皮欧 fallopio gabriello油 oil治疗( 诊断 ) therapy ( diagnosis )泡( 胞饮作用 ) vesicle ( pinocytosis )泛酸 pantothenic acid炎症 inflammation盲肠 caecum盲点 blind spot直肠 rectum空肠 jejunum肺 lung肺半月瓣( 心瓣膜 ) pulmonary semilunar valve ( heart valve ) 肺泡 alveolus / alveoli肺泡巨噬细胞( 尘细胞 ) alveolar macrophage ( dust cell )肺炎 pneumonia肺活量 vital capacity肺气肿 emphysema肺循环 pulmonary circulation肺叶( 肺 ) lobe ( lung )肥胖 obesity肢带 girdle肱二头肌 biceps brachii肱三头肌 triceps brachii肱肌 brachialis肱骨 humerus肱骨内髁( 尺神经 ) funny bone ( ulnar nerve )肱动脉 brachial artery肱静脉 brachial vein肱桡肌 brachioradialis股二头肌( 腿后腱 ) biceps femoris ( hamstring )股中间肌( 股四头肌) vastus intermedius ( quadriceps femoris )股内侧肌( 股四头肌 ) vastus medialis ( quadriceps femoris ) 股四头肌 quadriceps femoris股外侧肌( 股四头肌 ) vastus lateralis ( quadriceps femoris ) 股直肌( 股四头肌 ) rectus femoris ( quadriceps femoris )股骨 femur股动脉 femoral artery股静脉 femoral vein肩( 杵臼关节 ) shoulder ( ball-and-socket joint )肩胛骨( 胸带 ) shoulderblade / scapula ( pectoral girdle )肩带( 胸带 ) shoulder girdle ( pectoral girdle )虎克 hooke , robert初乳 colostrum初级支气管( 支气管 ) primary bronchus ( bronhus )初级滤泡( 滤泡 ) primary follicle ( follicle )初经,月经初潮 menarche表皮 epidermis表皮山脊 epidermal ridge表皮角层( 指甲 ) cuticle ( nail )表面的 superficial表面活性剂 surfactant表面张力( 表面活性剂 ) surface tension ( surfactant )表现的( 基因型 ) expressed ( genotype )表现型 phenotype近曲小管( 肾小管 ) proximal convoluted tubule ( renal tubule ) 近视 short sight / near sight / myopia近端的 proximal长出( 牙齿 ) erupt ( tooth )长拇趾伸肌( 足部伸肌 ) extensor hallucis longus (extensor of the foot )长趾伸肌( 足部伸肌 ) extensor digitorum longus (extensor of the foot )长期记忆( 记忆 ) long-term memory ( memory )门齿 incisor阿米巴病( 阿米巴痢疾 ) amoebiasis ( amoebic dysentery )阿米巴痢疾 amoebic dysentery阿滋海默症alzheimer’s disease阿尔克迈翁 alcmaeon阿维森纳 avicenna , idn sina附肢( 附肢骨骼 ) appendage ( appendicular skeleton )附肢骨骼 appendicular skeletom青少年期 adolescence青春期 puberty非快速动眼睡眠( 睡眠) non-rapid eye movement sleep / nrem sleep ( sleep)非专一性抵抗力( 抵抗力 ) non-specific resistance ( resistance ) 非传染性疾病 non-infectious非传染病( 传染病) non-communicable disease (communicable disease )保温箱( 早产 ) incubator ( premature birth )保险箱( 避孕用具 ) condom ( contraceptive )促毋状腺激素( 脑下垂体) thyroid-stimulating hormone ( pituitary gland )促甲状腺激素( 脑下垂体 ) thyrotropin ( pituitary gland )促肾上腺皮质激素( 脑下垂体) acth / adrenocorticotrophic hormone ( pituitary gland )促进扩散( 扩散 ) facilitated diffusion ( diffusion )促滤泡成熟激素 follicle-stimulating hormone / fsh冠( 法琅质 ) crown ( enamel )冠状动脉 coronary artery冠状动脉栓塞( 冠状动脉) coronary thrombosis ( coronary artery )冠状循环( 冠状动脉 ) coronary circulation ( coronary artery ) 冠状缝( 骨缝 ) coronal suture ( suture )冠状窦( 冠状动脉 ) coronary sinus ( coronary artery )前半规管( 半规管) anterior semicircular canal ( semicircular canal )前列腺,摄护腺 prostate gland前臼齿 premolar前囟( 囟门 ) anterior fontanelle ( fontanelle )前面的 anterior前庭( 球囊 ) vestibule ( saccule )前脑 forebrain前叶( 脑下垂体 ) anterior lobe ( pituitary gland )前锯肌 serratus anterior前臂( 上肢 ) forearm ( upper extremity )咳嗽 coughing咽 pharynx咽喉( 咽 ) throat ( pharynx )哈氏小管( 骨单元 ) haversian canal ( osteon )哈氏系统( 骨单元 ) haversian system ( osteon )哈弗斯 havers , clopton哈勒 haller , albrecht von哈维 harvery , william垂体神部( 脑下垂体 ) neurohypophysis ( pituitary gland )垂体腺性部( 脑下垂体 ) adenohypophysis ( pituitary gland ) 姿势( 肌肉收缩 ) posture ( muscle contraction )威尔柯夫 virchow , rudolph封闭式骨折( 骨折 ) closed fracture ( fracture )幽门括约肌 pyloric sphincter后天性免疫下全征候群( 爱滋病 ) acquired lmmune deficiency syndrome ( aids )后半规管( 半规管 ) posterior semicircular canal ( semicircular canal )后囟( 囟门 ) posterior fontanelle ( fontanelle )后面的 posterior后叶( 脑下垂体 ) posterior lobe ( pituitary gland )扁平足 flat foot扁桃腺 tonsil拮抗( 对掌拇肌 ) oppose ( opponens pollicis )拮抗组( 骨骼肌 ) antagonistic pair ( skeletal muscle )指甲 nail指纹( 表皮山脊 ) fingerprint ( epidermal ridge )指骨 phalanx / phalanges of the hand指节 knuckle括约肌 sphincter染色分体( 染色体 ) chromatid ( chromosome )染色体 chromosome染色体数( 染色体 ) chromosome number ( chromosome )柔毛( 毛发 ) vellus hair ( hair )枯草热 hay fever柯蒂氏器( 耳蜗 ) organ of corti ( cochlea )柯霍 doch , robert毒素( 病原体 ) toxin ( pathogen )氟 fluorine流行性感冒 influenza / flu流行性腮腺炎 mumps流行( 接触传染病 ) epidemic ( contagious disease )流行病学家( 病理学 ) epidemiologist ( pathology )流产 miscarriage活体组织检查 biopsy洛尔 lower, richard玻璃液 vitreous humour玻璃软骨 hyaline cartilage玻璃体( 玻璃液 ) vitreous body ( vitreous humour )疫苗 vaccine疫苗接种( 疫苗 ) vaccination ( vaccine )眉毛( 眼睑 ) eyebrow ( eyelid )科罗纳 khorana , hai gobind穿孔( 鼓膜 ) perforated ( eardrum )突触 synapse突触小结( 突触 ) synaptic knob ( synapse )突变 mutation红血球 red blood cell / erythrocyte红骨髓( 骨髓 ) red marrow ( bone marrow )红绿色盲( 色盲) red-green colour blindness ( colour blindness )耶尔森 yersin , alexandre胚胎 embryo胚胞 blastocyst胃 stomach胃小凹( 胃液 ) gastric pit ( gastric juice )胃液 gastric juice胃蛋白梅( 胃液 ) pepsin ( gastric juice )胃肠病学 gastroenterology胃肠道( 消化系统 ) gastrointestinal tract ( digestive system ) 胃腺( 胃液 ) gastric gland ( gastric juice )背面的( 后面的 ) dorsal ( posterior )背根( 神经根 ) dorsal root ( nerve root )背阔肌 latissimus dorsi胎毛( 毛发 ) lanugo ( hair)胎儿 fetus胎记( 先天性缺陷 ) birthmark ( birth defeet )胎盘 placenta胞饮作用 pinocytosis胞嘧啶( 盐基 ) cytosine ( base )胞器 organelle致癌物质( 癌症 ) carcinogen ( cancer )苯酮尿症 phenylketonuria / pku虹膜 iris负回馈( 回馈系统 ) negative feedback ( feedback system )迪奥斯科里斯 dioscorides , pedanius重组( 交换 ) recombination (crossing over )降肌( 降肌 ) depressor ( depression )降血钙素( 甲状腺 ) calcitonin ( thyroid gland )降低 depression降低毒性的( 疫苗 ) attenuated ( vaccine )降结肠( 结肠 ) descending colon ( colon )音箱( 喉 ) voice box ( larynx )音调( 听觉 ) pitch ( hearing )风湿症 rheumatism飞沬传递( 传染性疾病) droplet transmission ( infectious disease )食道 oesophagus食管( 食道 ) gullet ( oesophagus )食糜 chyme胜胎( 胺基酸 ) peptide ( amino acid )胜胎键( 胺基酸) peptide linkage / peptide bond ( amino acid )胜胎梅( 小肠 ) peptidase ( small intestine )恒齿 permanent teeth恒定性 homeostasis俯卧的( 旋前肌 ) prone ( pronator )伦琴 roentgen , wilhelm剖腹生产术 caesarian section剖检( 活体组织检查 ) autopsy ( biopsy )原子 atom原生动物( 病原体 ) protozoa ( pathogen )原发性反应( 免疫反应 ) primary response ( immune response ) 唐氏征候群down’s syndrome哮喘 asthma埃因托芬 einthoven , willem夏盖 chargaff , erwin家庭计划( 生育控制 ) family planning ( birth control )射精( 性交 ) ejaculate ( sexual intercourse )展拇短肌( 对掌拇肌) abductor pollicis brevis ( opponens pollicis )差异成长( 发育 ) differential growth ( development )差异性渗透膜 differentially permeable membrane库希奥科病 kwashiorkor库弗氏细胞( 肝细胞 ) kupffer cell ( hepatocyte )库纳 kuhne , wilhelm耻骨( 骨盆带 ) pubis ( pelvic girdle )耻骨肌( 内收长肌 ) pectineus ( adductor longus )恩培多克勒 empedocles捐赠者( 排斥反应 ) donor ( rejection )旅行病 ( 半规管 ) travel sickness ( semicircular canal )朗格汉 langerhans , paul核孔( 核 ) nuclear pore ( nucleus )核型 karyotype核甘酸( 核酸 ) nucleotides ( nucleic acid )核黄素 (维生素b2 ) riboflavin ( vitamin b2 )核磁共振成像 magnetic resonance imaging核磁共振影像mri / magnetic resonance image ( magnetic resonance imaging )核酸 nuclelic acid核膜( 细胞核) nuclear envelope / nuclear membrane ( nucleus )核糖核酸 rna核糖核酸( 核糖核酸 ) ribonucleic acid ( rna )核糖体 ribosome根( 齿质 ) root ( dentine )根管( 髓 ) root canal ( pulp )桑格 sanger , frederick桑椹体 morula柴恩爵士 chain , sir ernst boris格拉夫 graaf , regnier de格拉夫滤泡 graafian follicle ( follicle )栓塞 thrombosis气管 trachea / windpipe气体交换 gas exchange氧 ( 元素 ) oxygen / o2 ( element )氧/ 二氧化碳平衡( 呼吸控制) oxygen / carbon dioxide balance (respiratory control )氧化作用 oxidation氧合血红素( 血红素 ) oxyhaemoglobin ( haemoglobin )氧债 oxygen debt消化 digestion消化系统 digestive system消化道( 消化系统 ) alimentary canal ( digestive system )海桑 alhazen海绵骨 spongy bone浮肋( 胸廓 ) floating rib ( ribcage )特化( 细胞分裂 ) specialized ( cell division )特殊感觉( 感觉 ) special sense ( sense )班廷 banting , sir frederick班那顿 benenden , edouard van疾病 disease病毒 virus致病的,病原的( 细菌 ) pathogenic ( bacteria )病原体 pathogen病理学 pathology病理学家( 病理学 ) pathologist ( pathology )病媒( 传染性疾病 ) vector ( infectious disease )病菌( 细菌 ) germ ( bacteria )病征( 症状 ) sign ( symptom )症状 symptom疼痛 pain痂( 凝固 ) scab ( coagulation )真皮 dermis真肋( 胸廓 ) true ribs ( ribcage )真声带( 声带 ) true vocal cord ( vocal cord )眨眼( 眼睑 ) blink ( eyelid )砧骨( 中耳 ) anvil / incus ( middle car )破伤风 tetanus神经 nerve神经弓( 脊椎骨 ) neural arch ( vertebra )神经元 neuron神经肌肉接合处 neuromuscular junction神经系统 nervous system神经性厌食症( 厌食症 ) anorexia nervosa ( anorexia )神经径 nerve tract神经根 nerve root神经细胞( 神经元 ) nerve cell ( neuron )神经组织 nervous tissue神经传递介质( 突触 ) neurotransmitter ( synapse )神经节( 神经根 ) ganglion ( nerve root )神经胶细胞 glial cell神经冲动 nerve impulse神经( 病 )学 neurology神经纤维( 轴突 ) nerve fibre ( axon )笑肌 risorius纺锤体 spindle素食者 vegetarian纯素食者( 素食者 ) vegan ( vegetarian )缺氧血( 静脉 ) deoxygenated blood ( vein )脂肪 fat脂肪梅( 胰液 ) lipase ( pancreatic juice )脂肪的消化 fat digestion脂肪组织( 结缔组织 ) adipose tissue ( connective tissue ) 脂肪酸( 脂肪 ) fatty acid ( fat )脂溶性维生素 fat-soluble vitamin脂质 lipid胰岛( 胰脏 ) islets of langerhans ( pancreas )胰岛素 insulin胰液 pancreatic juice胰蛋白梅( 胰液 ) trypsin ( pancreatic juice )胰管( 胰脏 ) pancreatic duct ( pancreas )胰淀粉梅( 胰液 ) pancreatic amylase ( pancreat5ic juice ) 胰脏 pancreas胸( 躯干 ) thorax / chest ( trunk )胸大肌 pectoralis major胸肌( 胸大肌) pectoral muscle ( pectoralis major )胸乳( 乳汁 ) breast milk ( milk )胸神经( 脊神经 ) thoracic nerve ( spinal nerve )胸骨 sternum胸骨( 胸骨 ) breastbone ( sternum )胸骨柄( 胸骨 ) manubrium ( sternum )胸骨体( 胸骨 ) sternal body ( sternum )胸带 pectoral girdle胸椎 thoracic vertebra胸腔( 腔 ) thoracic cavity ( cavity )胸腺 thymus gland胸腺嘧啶( 盐基 ) thymine ( base )胸廓 ribcage胸膜 pleura membrane胸膜液( 胸膜 ) pleural fluid ( pleural membrane )胸导管( 淋巴管) thoracic duct ( lymph vessel )胸锁乳突肌 sternocleidomastoid脉络膜( 眼睛 ) choroid ( eye )脉抟 pulse脉抟率( 心跳速率 ) pulse rate ( heart rate )能量 energy脊柱 backbone脊柱( 脊柱 ) spine ( back bone )脊柱( 脊柱 ) vertebral column ( backbone )脊柱胸肌 spinalis thoracis脊柱裂 spina bifida脊神经 spinal nerve脊椎孔( 脊椎骨 ) vertebral foramen ( vertebra ) 脊椎曲线( 脊柱 ) vertebral curve ( backbone ) 脊椎骨 vertebra / vertebrae脊膜( 粒腺体 ) crista /cristae ( mitochondrion ) 脊髓 spinal cord脊髓灰白质炎 poliomyelitis ( polio )蚓状肌 lumbrical muscle衰老( 老化 ) senescence ( ageing )记忆 memory记忆b细胞( b细胞 ) memory b cell ( b cell )记忆t细胞( t细胞 ) memory t cell ( t cell )迷路( 内耳 ) labyrinth ( inner ear )退缩反射 withdrawal reflelx回盲括约肌( 回肠 ) ileocaecal sphincter ( ileum ) 回肠 ileum配子( 性细胞 ) gamete ( sex cell )配子发性( 性细胞 ) gametogenesis ( sex cell ) 阵痛 labour饥饿( 营养 ) hunger ( nutrition )马氏体层( 表皮 ) malpighian layer ( epidermis ) 马尾 cauda equina马尔必奇 malpighi , marcello骨 bone骨小梁( 海绵骨 ) trabecula / trabceulae ( spongy bone ) 骨化 ossification骨母细胞( 骨 ) osteoblast ( bone )骨折 fracture骨板( 骨单元 ) lamella / lamellae ( osteon )骨盆 pelvis骨盆入口( 骨盆 ) pelvic inlet ( pelvis )骨盆带 pelvic girdle骨细胞( 骨 ) osteocyte ( bone )骨单元 osteon骨间肌 interosseus / interossei muscle骨窝( 骨单元 ) lacuna / lacunae ( osteon )骨膜 periosteum骨质疏松症( 骨化 ) osteoporosis ( ossification )骨骼 skeleton骨骼肌 skeletal muscle骨胳学 osteology骨缝 suture骨关节炎( 关节炎 ) osteoarthritis ( srthritis )骨髓 bone marrow骨髓腔( 骨髓 ) medullary cavity ( bone marrow )高血压 hypertension高峰吉丈 takamine , jodichi高基 golgi , camillo高基氏体 golgi body高张的( 等张的 ) hypertonic ( isotonic )胺基( 胺基酸 ) amino group ( amino acid )胺基酸 amino acid。
长期亚低温对比短期亚低温治疗重型颅脑损伤的系统评价_宋向奇

论著(临床研究)长期亚低温对比短期亚低温治疗重型颅脑损伤的系统评价宋向奇,陈通,付爱军,朱军,李建民,金玉兰,肖增兵,王瑞刚[摘要]目的亚低温技术对重型颅脑损伤的脑保护作用与预后改善有着广泛的认可。
文中分析长期亚低温与短期亚低温治疗对重型颅脑损伤患者预后的影响及并发症的情况。
方法按Cochrane 系统评价方法,全面检索Cochrane 协作网、Pubmed 、Embase 、CBM 、CNKI 、万方、维普各数据库对纳入文献的质量进行评估,提取数据后运用RevMan 5.2软件进行Meta 分析。
结果亚低温治疗长期组相对于短期组改善了预后(格拉斯哥预后评分4 5分)[RR=1.37,95%CI (1.14,1.64)],差异有统计学意义(P =0.0006);而在肺炎发生率、心律失常发生率以及应激性溃疡发生率等方向,差异均无统计学意义(P >0.05)。
结论长期亚低温治疗较短期亚低温治疗对重型颅脑损伤患者的预后有改善作用,没有明显增加肺炎、心律失常、应激性溃疡的发生率。
[关键词]亚低温;重型颅脑损伤;颅内压;Meta 分析;系统评价[中图分类号]R651.1[文献标志码]A[文章编号]1008-8199(2014)11-1184-04基金项目:唐山市卫生临床技术研究计划课题(10150204A-20)作者单位:063000唐山,河北联合大学附属医院神经外科(宋向奇、陈通、付爱军、朱军、李建民、肖增兵),重症医学科(王瑞刚);063009唐山,河北联合大学(金玉兰)通讯作者:陈通,E -mail :ct.1973@163.com Comparison of long-term and short-term mild hypothermia on severe traumatic brain injury :a systematic reviewSONG Xiang-qi 1,CHEN Tong 1,FU Ai-jun 1,ZHU Jun 1,LI JIAN-min 1,JIN Yu-lan 2,XIAO Zeng-bing 1,WANG RUI-gang 3(1.Department of Neurosurgery ,the Affiliated Hospital of Hebei United University ,Tangshan 063000,Hebei ,China ;2.Hebei United University ,Tangshan 063009,Hebei ,China ;3.Department of Intensive Care Unit ,the Affiliated Hospital of Hebei United University ,Tangshan 063000,Hebei ,China )[Abstract ]ObjectiveMild hypothermia provides protection for the brain and improves prognosis in the treatment of severetraumatic brain injury ,which is widely acknowledged.The article aimed to analysis the prognosis and complications of long-term and short-term mild hypothermia on patients with severe traumatic brain injury.MethodsAccording to the cochrane systematic reviewmethods ,thorough search was carried out in databases including Cochrane ,Pubmed ,Embase ,CBM ,CNKI ,Wanfang and VIP.Eval-uation was made on the quality of selected documents ,and Revman5.2software was applied for meta analysis after data extraction.ResultsLong-term mild hypothermia achieved improved prognosis compared to short-term mild hypothermia (GOS score 4 5)[RR=1.37,95%CI (1.14,1.64),P =0.0006].No significant difference was found between these two therapies in pneumonia in-cidence (P =0.94),arrhythmia incidence (P =0.54)and stress ulcer incidence (P =0.99).ConclusionIn comparison toshort-term hypothermia therapy ,long-term mild hypothermia therapy improved the prognosis of patients with severe traumatic brain inju-ry without obvious increase in the incidence of pneumonia ,arrhythmia and stress ulcer.[Key words ]Mild hypothermia ;Severe traumatic brain injury ;Intracranial pressure ;Meta analysis ;Systematic review 0引言亚低温治疗颅脑损伤可能的作用机制包括降低血脑屏障和血管壁的通透性、减轻脑水肿、减轻细胞内酸中毒、减少自由基的产生、抑制免疫应答和有害的炎症反应、降低能量和氧的代谢率[1-2]。
肝病常用英文

【原创】一起学习肝病专业英语词汇肝硬化并发症:The complications of liver cirrhosis 核苷类似物:Nucleoside analogues Nucleoside analogs乙肝肝硬化:Hepatitis B cirrhosis 肾功能:renal function肾小球滤过率(GFR ,glomerular filtration rate)指南:guide 亚肝会指南APASL guide 慢加急性肝衰竭:Acute-On-Chronic Liver Failure 长期:over a long period of time;long-term Hemochromatosis :血色沉着病Phlebotomy :放血, 静脉切开放血术Copper Chelator :铜螯合剂Penicillamine :青霉胺Alpha-1 antitrypsin deficiency alpha-1 :抗胰蛋白酶缺陷症Ribavirin :三(氮)唑核苷,病毒唑(抗病毒药)Deferoxamine :去铁胺Pruritus :搔痒症Osteoprosis :骨质疏松症Scleroderma :硬皮病gallbladder distention 胆胀hypochondriac pain[disease] 胁痛[ 病] hepatic insufficiency 肝衰竭hepatic lobule 肝小叶hepatic tumor 肝瘤hepaptosis 肝下垂heparinization 肝素化heparinocyte 肝素细胞hepatalgia 肝痛hepatargia 肝衰竭hepatatrophia 肝萎缩hepatectomy 肝切除术hepatic amebiasis 肝阿米巴病hepatic bile 肝胆汁hepatic cell 肝细胞hepatic cirrhosis 肝硬变hepatic coma 肝性昏迷hepatic cords 肝细胞索hepatic echography肝回波描记术hepatic failure 肝衰竭hepatic fetor 肝病性口臭hepatic insufficiency肝衰竭肝十二指肠吻合术肝小肠吻合术 肝管胃吻合术 肝管空肠吻合术肝样变 肝胚细胞瘤肝癌肝细胞癌肝细胞性黄疸肝脑综合征肝管十二指肠吻合术 肝管肠吻合术 肝管胃吻合术hepatic lobule肝小叶 hepatic tumor 肝瘤 hepatico duodenostomyhepatico enterostomyhepatico gastrostomyhepaticojejunostomyhepaticotomy 肝管切开术hepatitis virus 肝炎病毒hepatization hepatoblastoma hepatocarcinoma hepatocele 肝突出 hepatocellular carcinoma hepatocellularjaundice hepatocerebralsyndrome hepatocholangioduodenostomy hepatocholangioenterostomyhepatocholangiogastrostomy hepatocholangiostomy 胆管造口术hepatocirrhosis 肝硬变 hepatocyte 肝细胞 hepatodynia 肝痛hepatogenous diabetes 肝原性糖尿病hepatogram 肝搏动图hepatography 肝x 线照相术hepatolenticular degeneration 肝豆状核变性hepatolith 肝石hepatolithectomy 肝石切除术hepatolithiasis 肝石病hepatology 肝脏病学hepatoma 肝细胞瘤hepatomegalia 肝大hepatomegaly 肝大hepatomelanosis 肝黑变病hepatomphalocele 脐部肝突出hepatomphalos 脐部肝突出hepatonephritis 肝肾炎hepatopexy 肝固定术hepatorenal syndrome 肝肾综合征hepatorrhagia 肝出血hepatorrhaphy 肝缝术hepatorrhea 肝液溢hepatorrhexis 肝破裂hepatoscintigram 肝闪烁图hepatoscopy 肝检查hepatosis 肝机能障碍hepatosplenography 肝脾x 线照相术hepatosplenomegaly 肝脾大hepatotherapy 肝剂疗法hepatotomy 肝切开术hepatotoxemia 肝性毒血病hepatotoxicity 肝毒性BILIRUBIN - Chemical breakdown product of hemoglobin. Measured specimen by laboratory to assess function of liver.胆红素——血色素化学损坏的产物。
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See discussions, stats, and author profiles for this publication at: https:///publication/14537434 Osawa, M., Hanada, K., Hamada, H. & Nakauchi, H. Long-term lymphohematopoietic reconstitution by a single CD34-low/negative hematopoietic stem cell. Science 273, 242-245Article in Science · August 1996Source: PubMedCITATIONS 1,149READS 3694 authors, including:Ken-ichi HanadaNational Cancer Institute (USA) 45 PUBLICATIONS 3,823 CITATIONSSEE PROFILE Hiromitsu NakauchiStanford University532 PUBLICATIONS 23,918 CITATIONSSEE PROFILEAvailable from: Ken-ichi HanadaRetrieved on: 20 August 2016Copyright © 1996 by the American Association for the Advancement of ScienceVolume 273(5272) 12 July 1996 pp 242-245Long-Term Lymphohematopoietic Reconstitution by a SingleCD34-Low/Negative Hematopoietic Stem Cell[Reports]Osawa, Masatake*; Hanada, Ken-ichi; Hamada, Hirofumi; Nakauchi, Hiromitsu** M. Osawa and H. Nakauchi, Department of Immunology, Institute of Basic Medical Sciences and Center for TsukubaAdvanced Research Alliance, University of Tsukuba, Tsukuba Science-City, Ibaraki 305, Japan.K.-i. Hanada and H. Hamada, Department of Molecular Biotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo 170, Japan.*Present address: KIRIN Pharmaceutical Research Laboratory, Gunma 371, Japan.**To whom correspondence should be addressed.AbstractHematopoietic stem cells (HSCs) supply all blood cells throughout life by making use of their self-renewal and multilineage differentiation capabilities. A monoclonal antibody raised to the mouse homolog of CD34 (mCD34) was used to purify mouse HSCs to near homogeneity. Unlike in humans, primitive adult mouse bone marrow HSCs were detected in the mCD34 low to negative fraction. Injection of a single mCD34lo/–, c-Kit+, Sca-1+, lineage markers negative (Lin–) cell resulted in long-term reconstitution of the lymphohematopoietic system in 21 percent of recipients. Thus, the purified HSC population should enable analysis of the self-renewal and multilineage differentiation of individual HSCs.CD34 is a marker of human HSCs, and all colony-forming activity of human bone marrow (BM) cells is found in the CD34-positive fraction [1]. Clinical transplantation studies that used enriched CD34+ BM cells also indicated the presence of HSCs with long-term BM reconstitution ability within this fraction [2]. After isolation of the human CD34 gene, the mouse homolog (mCD34) was isolated by cross-hybridization [3]. To examine the expression and function of mCD34, we raised a monoclonal antibody (mAb), 49E8 [rat immunoglobulin G2a (IgG2a)], to mCD34 by immunizing rats with a glutathione-S-transferase (GST)-mCD34 fusion protein. This mAb stained BaF3 cells transfected with a full-length mCD34 cDNA but not mock-transfected cells [4]. Murine cell lines such as PA6, NIH 3T3, M1, and DA1, shown by reverse transcriptase-polymerase chain reaction (RT-PCR) to contain mCD34 mRNA, were also stained by this mAb, indicating that 49E8, although specific for a GST-mCD34 fusion protein, could also recognize the native form of mCD34 as expressed on various cell types [4].We next examined adult mouse BM for expression of mCD34. Four-color fluorescence-activated cell sorter (FACS) analysis was done after sequential staining of BM cells with a combination of lineage-specific mAbs to CD4, CD8, B220, Gr-1, Mac-1, and TER119, and then a mixture of mAbs to c-Kit (ACK-2), Ly6A/E (Sca-1), and mCD34 [5]. Monoclonal antibody 49E8 reacted with 2.5 ± 0.5% (mean ± SD) of total BM cells, with most of the positive cells occurring in the Lin– fraction (Figure 1A). More than 90% ofthe c-Kit+ Sca 1+ Lin– cells previously shown to contain primitive HSCs [6] stained brightly with 49E8, whereas the remainder were low to negative (Figure 1B). The frequency of mCD34+ c-Kit+ Sca-1+ Lin– cells and mCD34– c-Kit+ Sca-1+ Lin– cells among total nucleated BM cells was 0.073 ± 0.028% (mean ± SD, n = 5) and 0.004 ± 0.003% (mean ± SD, n = 5), respectively.Figure 1. Flow cytometric analysis of mCD34 expression on murine BM cells. (A) Staining profile of lineage markers versus mCD34 on total BM cells. (B) Expression of mCD34 on c-Kit+ Sca-1+ Lin– cells. A gate was set on c-Kit+ Sca-1+ Lin– cells (left), and the expression of mCD34 on those cells was examined. Fluorescence histogram (right) shows mCD34 staining profile of the gated, stem cell-enriched fraction. Of c-Kit+ Sca-1+ Lin–cells, 92.5% stained brightly with 49E8, and the rest were negative.To determine whether mouse HSCs express mCD34, we sorted subpopulations by FACS and examined their stem cell activity. Within the c-Kit+ Sca-1+ Lin– population, the frequency of interleukin-3 (IL-3)-dependent colony-forming unit culture (CFU-C) per 200 cells was 20.0 ± 3.9% (mean ± SD, n = 8) [7] for mCD34+ cells but only 0.16 ± 0.4% (mean ± SD, n = 8) in the CD34– fraction. Similarly, mCD34+ cells contained 14.1 ± 3.4% (mean ±SD, n = 15) day 12 CFU spleen (CFU-S) per 200 cells, whereas in the mCD34– fraction this value was 1.6 ± 1.7% (mean ± SD, n = 15) [8]. Thus, colony-forming activity was positively correlated with mCD34 expression among c-Kit+ Sca-1+ Lin– cells. When these cells were cultured in the presence of both IL-3 and stem cell factor (SCF), however, 80% of mCD34– c-Kit+ Sca-1+Lin– cells formed large multilineage colonies [7].For in vivo analyses, c-Kit+ Sca-1+ Lin– cells were fractionated into mCD34lo/– (Fr. 1), mCD34lo (Fr. 2), and CD34+ (Fr. 3) subpopulations according to their mCD34 expression by FACS (Figure 2A). Although 100 c-Kit+ Sca-1+ Lin– cells were sufficient to radioprotect a lethally irradiated mouse, injection of 300 cells from either the Fr. 1 or Fr. 3 subpopulation (Figure 2A) alone showed poor radioprotective ability [9]. When cells of both fractions were transplanted together, however, both short-term and long-term engraftment was observed [9]. These results support the hypothesis that there are two vital classes of engrafting cells: committed progenitor cells that provide initial engraftment and HSCs that are responsible for delayed but durable engraftment [10].Figure 2. In vivo analysis of hematopoietic stem cell activity in subpopulations of c-Kit+ Sca-1+ Lin– cells fractionated by mCD34 expression. (A) Separation of c-Kit+ Sca-1+ Lin– cells by the expression level of mCD34. Fluorescence histogram shows anti-mCD34 staining of c-Kit+ Sca-1+ Lin– cells. By FACS analysis, c-Kit+ Sca-1+ Lin– cells were sorted into three subpopulations: mCD34lo/–, mCD34lo, and mCD34+ (Fr. 1, Fr. 2, and Fr. 3, respectively) as indicated by the horizontal lines. (B) Competitive long-term repopulation abilities of isolated subpopulations. Donor (Ly5.1+)-derived cells were detected in the peripheral blood of recipient mice transplanted with 100 Fr. 1 (□) or Fr. 2 cells (∆) or 500 Fr. 3 cells (○). The percentage of donor-derived cells within myeloid cells (Mac-1+ and Gr-1+) and lymphoid cells (Thy-1+ or B220+) was measured at various time points after transplantation. The data are shown as the mean ± SD of three independent experiments with five to eight animals per trial. (C) Expression of mCD34 and HPRT genes within isolated subpopulations was analyzed by RT-PCR. One thousand Fr. 1, Fr. 2, or Fr. 3 cells were sorted and subjected to RT-PCR analysis. RT-PCR-amplified products from mCD34 gene (upper panel) and from HPRT gene as control (lower panel) were electrophoresed, transferred to a nylon membrane, and probed with internal oligonucleotides.To further test this hypothesis, we used a competitive long-term reconstitution (CLTR) analysis of mouse strains congenic for different alleles of the Ly5 antigen on the C57BL/6 background. We determined the HSC activity by measuring long-term multilineage reconstitution of isolated donor (Ly5.1) cells, whereas minimum radioprotection was provided by congenic host (Ly5.2) BM Lin– cells. Cells in the three fractions (Figure 2A) were each examined for CLTR ability [11]. As in Figure 2B, mCD34+ c-Kit+ Sca-1+Lin– cells revealed early but unsustained multilineage hematopoietic reconstitution, indicating that the cellsin this fraction are capable of multilineage differentiation but not of self-renewal (Figure 2B). In contrast, delayed but long-term multilineage reconstitution was observed after transplantation of mCD34lo/– c-Kit+ Sca-1+ Lin– cells (Figure 2B). Thus, radioprotection does not reflect true HSC activity, and primitive HSCs with self-renewal capacity can be clearly separated from (i) IL-3-dependent CFU-C, (ii) day 12 CFU-S, and(iii) the cells that retain multilineage differentiation capacity but have lost self-renewal potential.Using a polyclonal antibody against mCD34, Krause et al. reported that HSCs with the ability to repopulate BM of lethally irradiated mice for 60 days were enriched in the mCD34+ population [12]. This result, however, does not definitively exclude the presence of HSCs in the mCD34– population because Krause et al. [12] did not inject rescue cells along with the mCD34– cells to examine long-term repopulating ability. In addition, their CD34+ fraction could have contained Lin+ cells because they obtained these cellsby single-color cell sorting from total BM mononuclear cells, whereas in our experiments CD34+ cells were Lin–. Thus, HSC activity of the CD34+ cells observed by Krause et al. could have been due to the presenceof Lin+ stem cells reported elsewhere [13].Given, however, that native mCD34 is heavily glycosylated, it was possible that the ability of 49E8to recognize its epitope on cells with HSC activity was blocked by an unusual sugar modification. To rule out this possibility, we examined the cells in three fractions of the c-Kit+ Sca-1+ Lin– cells (Figure 2A) for the presence of mCD34 transcripts. Analysis by RT-PCR revealed a difference in the levels of mCD34 mRNA among these three fractions corresponding to the differences observed with the antibody (Figure 2C) [14]. Thus, on the basis of the expression of mCD34, HSCs are distinguishable from progenitors cells that have multilineage differentiation potential but lack self-renewal capability.We further assessed the purity of HSCs by injecting a graded number of FACS-purified mCD34lo/–c-Kit+ Sca-1+ Lin– cells from Ly5.1 BM cells into lethally irradiated Ly5.2 congenic hosts, along with 500Ly5.2 BM-derived mCD34+ c-Kit+ Sca-1+ Lin– cells to provide short-term (but not long-term) radio-protection (Table 1). Injection of a single mCD34lo/– c-Kit+ Sca-1+ Lin– cell reconstituted the lymphohematopoietic system for more than 3 months in 21% of recipients. Approximately 85% of the cellsof both myeloid and lymphoid lineages in the peripheral blood of the survivors were of donor origin. Furthermore, in the analysis of the recipients of the mCD34lo/– c-Kit+ Sca-1+ Lin– cell, we detected both mCD34lo/– and mCD34+ cells of donor origin in the host's BM, demonstrating the expansion of a mCD34lo/–HSC and differentiation into mCD34+ progenitor cells. Secondary transfer of donor-derived mCD34lo/– c-Kit+ Sca-1+ Lin– cells resulted in repopulation of lethally irradiated congenic host's BM for up to 4 months [9].Table 1. Graded number of CD34lo/– c-Kit+ Sca-1+ Lin– cells (Fr. 1 cells in Figure 2A) isolated from C57BL/6-Ly5.1 mice were injected into lethally irradiated congenic (C57BL/6-Ly5.2) mice, together with 500 CD34+ c-Kit+ Sca-1+ Lin– cells (Fr. 3 cells in Figure 2A) of Ly5.2 origin. At 3 months after transplantation, the percentage of donor (Ly5.1+)-derived myeloid (Mac-1+ and Gr-1+) cells and lymphoid (Thy-1+ and B220+) cells in the peripheral blood of recipient animals was analyzed. The recipients that survived for 3 months and in whose peripheral blood Ly5.1+ cells were detected were scored as reconstituted mice. The results are shown as the mean ± SD.Smith et al. reported a similar experiment in which Thy–1lo Lin– Sca-1+ cells were used [15]. These cells are present in BM at a frequency of 0.02 to 0.05%, suggesting that this population is nearly 10 times less enriched for HSCs than is the mCD34lo/– c-Kit+ Sca-1+ Lin– population, which we find occurs at a frequency of 0.004%. Similarly, these authors observed lymphohematopoietic reconstitution in only 2 (0.7%) out of 280 recipients of single FACS-sorted cells at 8 weeks after transplantation [15]. In our experiment, 21% of the animals reconstituted with a single mCD34 (lo/–) c-Kit+ Sca-1+ Lin– cell maintain lymphohematopoiesis at high levels for more than 3 months. This result suggests a greater purity of HSCs in our population compared with that defined by Thy-1 expression. The representation of HSCs in our population is almost certain to be much higher than 21% because, in our single-cell injection, all the HSCs are unlikely to be successfully transplanted and seeded in a suitable microenvironment.Among nine survivors of the single-cell reconstitution, one mouse died of unknown causes 4 months after transplantation, and six recipients showed a degree of reconstitution such that more than 50% of both myeloid and lymphoid cells in the peripheral blood were derived from the injected donor stem cell throughout our observation period of up to 10 months (Figure 3, A and B). Three recipients showed a decrease in myeloid or lymphoid reconstitution 7 months after transplantation (Figure 3A). The differencein the long-term lymphohematopoietic reconstitution in each individual HSC may suggest a variability in HSCs with respect to self-renewal potential as well as multilineage differentiation potential.Figure 3. Long-termlymphohematopoietic reconstitutionby single mCD34lo/– c-Kit+ Sca-1+Lin– cells. (A) Long-term observationof donor-derived (Ly5.1+) cells in theperipheral blood of recipient micereconstituted with a single mCD34lo/–c-Kit+ Sca-1+ Lin– cell (Table 1).Each data point represents thefrequency of donor-derived cells inthe peripheral blood of an individualrecipient. (B) Analysis oflymphohematopoietic reconstitution10 months after transplantation. Thecells from the peripheral blood werestained with donor-specific Ly5.1-FITC, myeloid-specific PE-Mac-1 andPE-Gr-1, and lymphoidspecific APC-Thy-1 and APC-B220 and analyzedby FACS. A representative analysis isshown in which chimerism is ~82%.Our present observations are in agreement with a recent report showing near normal adulthood hematopoiesis in mCD34 knockout mice [16]. Our findings have potential implications for the prospect of purification and expansion of human HSCs on the basis of CD34 expression as the sole criterion. Several studies, including allogenic and xenogenic transplantation, show the presence of HSCs in the CD34+fraction [2,17]. Human and mouse could differ in the expression of CD34 antigen. However, without an appropriate assay system, phenotypic definition of HSCs should be made only after careful experimental studies.REFERENCES AND NOTES1. C. I. Civin et al., J. Immunol. 133, 157 (1984); C. M. Baum, I. L. Weissman, A. S. Tsukamoto, A. M. Buckle, B. Peault, Proc. Natl. Acad. Sci. U.S.A. 89, 2804 (1992).2. G. E. Tjonnfjord, R. Steen, O. P. Veiby, W. Friedrich, T. Egeland, Blood 84, 3584 (1994); D. B. Kohn et al., Nature Med. 1, 1017 (1995).3. J. Brown, M. F. Greaves, H. V. Molgaard, Int. Immunol. 3, 175 (1991); J. Suda et al., Blood 79, 2288 (1992).4. M. Osawa, K.-i. Hanada, H. Hamada, H. Nakauchi, unpublished results.5. The BM cell suspension was prepared from C57BL/6 mice (8 to 10 weeks old) and stained with biotinylated antibodies to lineage (anti-lineage) markers (Mac-1, Gr-1, B220, CD4, CD8, and TER119), fluorescein isothiocyanate (FITC)-mCD34 (49E8), phycoerythrin (PE)-Sca-1 (E13-161.7; Pharmingen), and allophycocyanin (APC)-c-Kit (ACK-2). Biotinylated antibodies were detected with Texas red-streptavidin (Gibco-BRL). Stained cells were suspended in staining medium [phosphate-buffered saline, 0. 05% NaN3, and 3% fetal bovine serum (FBS)] containing propidium iodide (PI) (1 µg/ml) and analyzed on a FACS Vantage (Becton Dickinson). Residual erythrocytes, debris, doublets, and dead cells were excluded by forward scatter, side scatter, and PI gatings as described [6].6. S. Okada et al., Blood 80, 3044 (1992); M. Osawa et al., J. Immunol. 156, 3207 (1996).7. Bone marrow cells were obtained from the tibias and femurs of C57BL/6 mice. The suspension was overlaid with sodium metrizoate (Nycomed; Oslo, Norway) solution (1.086 g/ml) and centrifuged at 400g for 15 min. The low-density cells were harvested and incubated with biotinylated anti-lineage markers (Mac-1, Gr-1, B220, CD4, CD8, and TER119). Lin+ cells were depleted with streptavidin-conjugated magnetic beads (PerSeptive Diagnostics, Cambridge, MA). The lineage-depleted cell population was then collected and incubated with FITC-anti-mCD34, PE-Sca-1, Texas red-streptavidin, and APC-anti-c-Kit. Stained cells were sorted with a Clone Cyt (Becton Dickinson) apparatus to deposit the required number of cells into 96-well microtiter plates. Two hundred mCD34– or mCD34+ cells within the c-Kit Sca-1+ Lin–population were sorted and subjected to in vitro colony assay. The sorted cells were plated in 1.0% methylcellulose in alpha-medium (Flow Laboratories, North Ryde, Australia) supplemented with 30% FBS, 1% bovine serum albumin (BSA), 2-mercaptoethanol (10–4 mol/liter), and recombinant mouse IL-3 (20 ng/ml) or IL-3 plus stem cell factor (SCF, 20 ng/ml). The colonies that were formed by the stimulation of IL-3 or IL-3 plus SCF were counted after 14 days of incubation at 37o C in a humidified atmosphere of 5% CO2.8. Bone marrow cells were stained and sorted as described [7]. Two hundred mCD34– c-Kit+ Sca-1+ Lin–cells or mCD34+ c-Kit+ Sca-1+ Lin– cells were injected intravenously into lethally irradiated mice [9.5 gray (Gy) total body irradiation]. The spleens were removed on day 12 after injection and fixed in Bouin's solution, and macroscopically visible spleen colonies were counted.9. M. Osawa and H. Nakauchi, data not shown.10. R. J. Jones, J. E. Wagner, P. Celano, M. S. Zicha, S. J. Sharkis, Nature 347, 188 (1990). [Medline Link]11. Bone marrow c-Kit+ Sca-1+ Lin– cells were fractionated according to the extent of mCD34 expression. One hundred Fr. 1 or Fr. 2 cells or 500 Fr. 3 cells (Figure 2A) from Ly5.1 mice were sorted into a well containing 2 X 104 lineage-depleted BM cells from C57BL/6-Ly5.2 mice. In a preliminary experiment, we determined that 2 X 104 lineage-depleted BM cells were the minimum number of cells required for the survival of lethally irradiated recipients and reconstitution of their hematopoiesis. The cells in each well were collected and transferred into lethally irradiated C57BL/6-Ly5.2 mice. Several weeks to months after the transplantation, peripheral blood mononuclear cells were collected from the retro-orbital sinus and stained with FITC-anti-Ly5.1, PE-anti-myeloid (Mac-1 and Gr-1), and APC-anti-lymphoid (Thy1.2 and B220). The proportion of myeloid and lymphoid cells that originated from Ly5.1 cells was estimated by flow cytometry as described [S. Okada et al., Blood 81, 1720 (1993)]12. D. S. Krause et al., Blood 84, 691 (1994).13. M. Onishi et al., ibid. 81, 3217 (1993); J. P. Wineman et al., ibid. 80, 1717 (1992).14. One thousand Fr. 1, Fr. 2, or Fr. 3 cells (Figure 2A) were sorted and lysed in 50 micro liter of Isogen-LS (Nippon Gene, Tokyo). Total RNA was isolated according to the manufacturer's protocol. The first-strand cDNA reaction was carried out with 100 U of Molony murine leukemia virus reverse transcriptase (Gibco-BRL) in 20 mM tris-HCl (pH 8.4), 50 mM KCl, 2.5 mM MgCl2, 0.5 mM deoxynucleoside triphosphate (dNTP), 10 mM DTT, and 0.25 µg of oligo(dT)12-18. For the analysis of mCD34 and hypoxanthine phosphoribosyl transferase (HPRT) gene expression, the following specific primers were used to amplify fragments from one-half of the cDNAs obtained from each of the fractions: mCD34 [5′-ATGCAGGTCCACAGGGACACG-3′ and 5′-CTGTCCTGATAGATCAAGTAG-3′, generating a 221-base pair (bp) fragment]; and HPRT (5′-GCTGGTGAAAAGGACCTCTCG-3′ and 5′-GCAGATGGCCACAGGACTAGA-3′, generating a 258-bp fragment). PCR conditions were as follows: 20 mM tris-HCl (pH 8. 4), 50 mM KCl, 1.5 mM MgCl2, 0.2 mM dNTPs, 2.5 U of Ex Taq (Takara Ohtsu, Japan), and 50 pmol of each primer for 30 cycles (94o C, 30 s; 55o C, 30 s; 72o C, 45 s) followed by 5 min at 72o C in a Perkin-Elmer thermocycler. Each PCR product was electrophoresed through 2% agarose, transferred to a nylon membrane, and hybridized with a biotinylated internal oligonucleotide. Hybridized probes were detected with an ECL system (Amersham Life Sciences) according to the manufacturer's protocol.15. L. G. Smith, I. L. Weissman, S. Heimfeld, Proc. Natl. Acad. Sci. U.S.A. 88, 2788 (1991).16. J. Cheng et al., Blood 87, 479 (1996).17. E. F. Srour et al., ibid. 82, 3333 (1993).18. We thank H. Kodama for discussion, T. Toyoshima for FACS operation, M. Ito for secretarial assistance, and C. Tarlinton for reading the manuscript. Supported by grants from Fujisawa Pharmaceutical, Uehara Memorial Foundation, The Ministry of Education, Science, and Culture, and the Agency for Science and Technology, Japan.Accession Number: 00007529-199607120-00014Copyright© 2000-20002 Ovid Technologies, Inc.Version: rel5.0.0, SourceID 1.6100.1.189。