一氧化碳作业人员血脂水平的调查

目地:探讨一氧化碳对作业人员血脂水平的影响.方法:以168例一氧化碳作业人员为观察组及97例非接触工人为对照组,分别检测其血脂水平.结果:发现一氧化碳接触组与对照组的甘油三酯水平有显著性差别(P<0.05),低密度脂蛋白水平也显著高于对照组(P<0.01).结论:一氧化碳对作业人员的血脂水平具有一定影响,尤以对低密度脂蛋白影响最为显著,提示应加强对一氧化碳作业人员的心血管系统的监测.     

Prenatal diagnosis of X-linked mental retardation with fragile (X) using fetoscopy and fetal blood sampling

Pure fetal blood, (uncontaminated with maternal blood), was obtained from two male fetuses at risk for X-linked mental retardation with fragile(X) at Xq27–28 by direct vision fetoscopy and fetal blood sampling. Both were shown to have this fragile site on the X chromosome while nine other fetal blood samples from pregnancies at risk for other X-linked diseases, or haemoglobinopathies did not show fragile sites at Xq27–28, and a blood sample from an abortus showed only 1 fragile site in 95 mitoses. Both pregnancies were terminated, cultures established from fetal tissues, and the diagnosis confirmed in each case. The problems of demonstrating the fragile site in tissues other than fetal blood in these pregnancies (such as amniotic fluid cells or fibroblasts from fetal tissues) are discussed.     

Embryonic and fetal globins are expressed in adult erythroid progenitor cells and in erythroid cell cultures

The understanding of human hemoglobin ontogeny during development is of biological and clinical importance. Molecular and immunocytological techniques were used to study the expression of embryonic zeta (ζ), epsilon (ε), and fetal gamma (γ) globin genes in newborn cord blood, peripheral blood from men, pregnant and non-pregnant women, and in vitro mononuclear cell cultures. We have shown that embryonic and fetal globin mRNA and peptides are expressed in cultured erythroid cells and in circulating blood cells from newborns, adult non-pregnant women and from men. The findings suggest that during erythroid cell differentiation in newborns and adults, there is a transient recapitulation of sequential globin chain expression as found during embryonic and fetal development. Furthermore, these findings underscore the need for caution in using embryonic and fetal globin chains as markers to identify erythroid cells of fetal origin in maternal circulation for prenatal diagnosis. Copyright © 2001 John Wiley & Sons, Ltd.     

Bioaccumulation of metals in human blood in industrially contaminated area

The consumption of contaminated food crops, meat and milk has significantly increased the concentrations of trace metals in human blood as compared to the control area.     

Erythroid-specific antibodies enhance detection of fetal nucleated erythrocytes in maternal blood

Fetal nucleated erythrocytes (NRBC) in maternal blood are a non-invasive source of fetal DNA for prenatal genetic screening. We compared the effectiveness of three monoclonal antibodies for the separation of fetal cells from maternal blood by flow sorting. Mononuclear blood cells from 49 healthy pregnant women were incubated with antibody to CD 71, CD 36, and/or glycophorin A (GPA), employed singly or in combination with each other. These monoclonal antibodies recognize surface antigens on haematopoietic precursor cells. Successful isolation of fetal cells was defined as detection of Y chromosomal sequences in maternal blood from women carrying male fetuses, with absence of Y sequences when female fetuses were carried. Thus, gender prediction accuracy was used as a measure of fetal cell separation. Using anti-CD 71 to isolate fetal cells, gender prediction was 57 per cent correct; with anti-CD 36, it was 88 per cent correct. Anti-GPA, an erythrocyte-specific antigen, used alone or in combination with anti-CD 71 or 36, improved gender prediction to 100 per cent. We conclude that antibody to GPA improves the retrieval of fetal NRBC from maternal blood, permitting genetic analysis by the polymerase chain reaction.     

Free Energy Reduction by Molecular Interface Crossing: Novel Mechanism for the Transport of Material Across the Interface of Nanoscale Droplets Induced by Competing Intermolecular Forces for Application in Perfluorocarbon Blood Substitutes

 Perfluorocarbons (PFCs) are inert liquids which can dissolve – and release – approximately 50 times more oxygen than blood plasma. Oxygen carriers based on PFCs are easy to produce, free of biological components, and more rigorously sterilizable than blood. PFCs injected into the body are eliminated by expiration through the lungs. Before reaching the lungs, PFCs accumulate in storage organs such as liver and spleen. In these organs nanoscale PFC droplets reduce their free energy by unifying to microscopic drops, thus indirectly lowering the rate of their expiration. The model of free energy reduction by molecular interface crossing (FERMIC), a novel emulsion breaking mechanism derived from first principles as presented here, leads to a better understanding of the structure formation processes relevant in perfluorocarbons (PFCs) in vivo. Received: 11 November 1998 / Accepted in revised form: 18 February 1999     

Detection and isolation of fetal cells from maternal blood using the flourescence-activated cell sorter (FACS)

The presence of fetal cells in the maternal circulation during pregnancy has been suggested by repeated observations of small numbers of cells containing Y chromatin or a Y chromosome in the blood of pregnant women. With the fluorescence-activitated cell sorter (FACS), we have used antibodies to a paternal cell surface (HLA) antigen, not present in the mother, to select fetal cells from the lymphocyte fractions of a series of maternal blood samples, collected as early as 15 weeks of gestation. These sorted cells have been examined for a second paternal genetic marker, Y chromatin. Y chromatin-containing cells were found among the sorted cells from prenatal maternal blood specimens in 8 pregnancies subsequently producing male infants whose lymphocytes reacted with the same antibodies to paternal antigen used for sorting with the FACS. In each of 17 pregnancies resulting in male infants who failed to inherit the antigen detected by the antibodies used for cell sorting, Y chromatin-containing cells were not found prenatally. The use of two paternal genetic markers, a cell surface antigen and nuclear Y chromatin, to identify fetal cells in maternal blood permits us to conclude that these cells are present in the mother's circulation, as early as 15 weeks gestation. Further development of the techniques reported here could lead to widespread screening of maternal blood samples during pregnancy for detection of fetal genetic abnormalities.     

Intrauterine growth retardation and fetal transverse cerebellar diameter

In 103 small-for-gestational age (SGA) fetuses, the transverse cerebellar diameter (TCD), abdominal circumference (AC), head circumference (HC), and femur length (FL) were measured and their ratios calculated. In addition, umbilical venous blood samples were obtained by cordocentesis for measurements of fetal blood pH and erythroblast count. Compared with the AC, HC, and FL, the TCD was relatively mildly reduced. However, in the 28 fetuses with TCD >2 SDs (standard deviations) below the normal mean, the degrees of growth retardation, acidaemia, and erythroblastosis were more severe, and the incidence of perinatal death was higher than in the group with a normal sized TCD. Although in the group with TCD >2 SDs below the normal mean the TCD/AC ratio was increased, in the most severely growth-retarded fetuses this ratio was usually within the normal range. Thus, in intrauterine growth retardation (IUGR), cerebellar size is reduced in proportion to the severity of the disease and therefore the TCD cannot be used to obtain reliable information on the gestational age of small fetuses and the TCD/AC ratio does not provide reliable information as to whether or not fetuses are growth-retarded.     

Analysis of the Henze precipitate from the blood cells of the ascidian<Emphasis Type="Italic"> Phallusia mammillata</Emphasis>

The Henze precipitate, a peculiar blue-green microparticulate obtained by lysis of the blood cells of the ascidian Phallusia mammillata (Protochordata), was investigated with atomic force microscopy (AFM), scanning electron microscopy (SEM) and X-ray microanalysis. The precipitate was collected from the Henze solution, an unstable red-brown product obtained by treating blood with distilled water, whose degradation yields a characteristic blue-green product. The microparticulates measured 50–100 µm in diameter and appeared irregular in shape. SEM examination showed smooth, roughly round boundaries. The microparticulate surface examined with AFM appeared as an irregular matrix formed by 70–320-nm-wide mammillate composites, including and embedding small (500–800 nm wide) crystal-like multilayered formations. X- ray analysis showed that the elements present in these same precipitates were mainly C, Si, Al and O. The microparticulate composition appeared close to those of natural waxes or lacquers, embedding amorphous silicates and/or other Si–Al components. The unusual occurrence of Si in ascidian blood and its role are discussed.     

Isolating fetal cells in maternal circulation for prenatal diagnosis

Fetal cells unequivocally exist in and can be isolated from maternal blood. Erythroblasts, trophoblasts, granulocytes and lymphocytes have all been isolated by various density gradient and flow sorting techniques. Chromosomal abnormalities detected on isolated fetal cells include trisomy 21, trisomy 18, Klinefelter syndrome (47,XXY) and 47,XYY. Polymerase chain reaction (PCR) technology has enabled the detection of fetal sex, Mendelian disorders (e.g. β-globin mutations), HLA polymorphisms, and fetal Rhesus (D) blood type. The fetal cell type that has generated the most success is the nucleated erythrocyte; however, trophoblasts, lymphocytes and granulocytes are also considered to be present in maternal blood. Fetal cells circulate in maternal blood during the first and second trimesters, and their detection is probably not affected by Rh or ABO maternal-fetal incompatibilities. Emphasis is now directed toward determining the most practical and efficacious manner for this technique to be applied to prenatal genetic diagnosis. Only upon completion of clinical evaluations could it be considered appropriate to offer this technology as an alternative to conventional invasive and non-invasive methods of prenatal cytogenetic diagnosis.     

Measurement of inhibin A: a modification to an enzyme-linked immunosorbent assay

Inhibin A is a useful prenatal marker of Down syndrome. Currently, the available enzyme-linked immunosorbent assays (ELISAs) for inhibin A are based upon the same paired monoclonal antibodies. In the present study we have confirmed for one of those ELISAs that short-term sample storage as whole blood leads to a significant decline in detectable inhibin A and that this is most likely due to erythrocyte catalase interference with a critical oxidation step in the assay. While this interference can be eliminated by heating the samples pre-assay, this process is labour intensive. In the present study we have demonstrated that the addition of 3-amino-1,2,4-triazole (AT), a catalase ‘suicide’ inhibitor, also prevents the decline of inhibin A levels in samples stored as whole blood. We suggest that the addition of AT to samples prior to assay is a simple modification to the inhibin A ELISA that affords optimum performance. Copyright © 2001 John Wiley & Sons, Ltd.     

Fetal nucleated red blood cells from CVS washings: an aid to development of first trimester non-invasive prenatal diagnosis

Fetal nucleated red blood cells (n-rbc) occur in the maternal circulation from 7 weeks of pregnancy. The enrichment of these cells from maternal blood will depend upon their stage of differentiation, which changes during development. We characterised the fetal n-rbc from chorionic villus sample (CVS) washings and used them to model first trimester non-invasive prenatal diagnosis. The ratio of ε- to γ-globin-producing cells declined rapidly from 10 to 13 weeks, as did the ratio of nucleated to non-nucleated rbc. By 13 weeks the great majority of cells containing γ- or ε-globin are anucleate. The fetal n-rbc were highly variable in size and density and sedimented over a wide density range with a high proportion (>80%) at a density overlapping with that of maternal rbc. We have devised an enrichment procedure using Orskoff lysis to differentially lyse the maternal cells followed by density centrifugation and separation using magnetic beads. This simple protocol allowed recovery of 70% (69±22%) of fetal cells when added at approximately 10 fetal cells/ml maternal blood. When 1 fetal cell/ml millilitre maternal blood was added (total volume 10 ml) the recovery was more variable but remained at approximately 70% (72±47%), with at least one fetal cell recovered in all cases. Copyright © 2001 John Wiley & Sons, Ltd.     

东大湖养鱼场水质遗传毒理的检测研究

本文报道了利用蚕豆根尖微核技术和鱼周血有核红细胞微核技术检测东大潮5个渔场的水质污染情况。结果为：各渔场蚕豆根尖MCN‰与对照（自来水）存在显著差异（F＞F(0．01)，P＜0．01），根据污染指数划分：A、B两渔场为重污染，C、D为中度污染，E为轻污染。各渔场鱼周血有核红细胞MCN‰与无明显污染源水体（柏录）存在着显著性差异（F＞F(0．01)，P＜0．01）。两种方法检测结果呈一致性，污染程度为A≈B＞C≈D＞E。微核率变化主要受污染源性质及位置的影响。将两种遗传毒性检测方法与化学方法检测相配合．能全面、准确、快速地监测水体污染状况，具有广泛的应用前景。     

热污染对金鲫鱼组织内四种酶活性的影响

在实验室模拟条件下,研究了热污染对金鲫鱼(Carasslusauratus)肝脏、肾脏与血清中的谷丙转氨酶(GPT)、谷草转氨酶(GOT)和过氧化氢酶(CAT)活性及脑中乙酰胆碱酯酶(AChE)活性的影响.结果表明,金鲫鱼肝脏和血清中的GOT、肝脏和肾脏中的CAT以及脑中的AChE活性均可以用作其组织细胞因热污染受胁迫及损伤的生物标志物,金鲫鱼可作为热污染环境下的指示生物.同时分析热污染时各种酶活性的变化表明,酶活性的改变是鱼体对环境增温产生的一种应激机制,用以减小危害;若超过其耐受范围,这一机制则被破坏,而使机体受损.     

Prenatal ultrasound diagnosis of congenital heart disease associated with intrauterine growth retardation. A report of 2 cases

Two fetuses with extreme growth retardation (IUGR) of 31 and 34 weeks gestation were studied using a combination of two dimensional echocardiography (2DE), pulse wave Doppler (PWD) and differential measurement of the instantaneous vessel diameter techniques. The first fetus was diagnosed as having univentricular heart or possible double outlet right ventricle (DORV). Descending aorta blood flow was reduced as was indexing for weight. The second fetus was diagnosed as having univentricular heart with periodic bigeminal and trigeminal rhythm. Descending aorta blood flow was measured on two occasions and was reduced both times. Indexing for weight was within normal limits the first time and showed gross reduction on the second occasion prior to fetal demise. Fetal death occurred in both cases at 34 weeks gestation. Cardiovascular evaluation in fetuses with IUGR is useful as the detection of severe congenital cardiac abnormalities may substantially alter the management of these pregnancies, in particular caesarean section may be avoided when the prognosis for the fetus is considered hopeless.     

室内环境与高龄者血压的关联性——以大连市供暖季为例

对中国大连市供暖季住宅室内环境与高龄者血压的关联性进行了调查研究，具体包括住宅热湿环境（温度、相对湿度）、化学污染（CO₂、CO、甲醛和TVOC）、物理污染（PM_2.5）和生物污染（附着真菌）与高龄者血压的关联性.研究表明，城市和农村住宅供热方式不同是导致住宅室内热环境舒适度差异的主要原因.在大连农村，处于室外的厕所与室内形成的大温差使得农村高龄者患心血管疾病的诱发风险比城市更高.城市高龄者的平均血压比农村低且波动小.城市住宅室内温湿度与血压均存在关联（P<0.01），农村室内温湿度对血压的影响程度不如城市明显.另外，室内空气质量参数并未发现与血压存在显著关联.     

五氯酚钠与二英对人外周血淋巴细胞的影响

将五氯酚钠(Na-PCP)与二(噁)英(2,3,7,8-TCDD)作为受试物,观察了人外周血淋巴细胞的彗星率和微核率.结果显示:Na-PCP与二噁英各质量浓度组的彗星率与微核率均比阴性对照组有明显的增高(P＜0.001),而且随着质量浓度的增加而增高,呈明显的剂量-效应关系;阴性对照组与助溶剂对照组没有明显差异(P＞0.05);Na-PCP与二(噁)英(2,3,7,8-TCDD)会对人外周血淋巴细胞的DNA造成损伤,而且随着质量浓度的增加,其对DNA的损伤将更加严重;Na-PCP对人外周血淋巴细胞造成的损伤为联合毒性所致.      

PM10短期暴露对人群空腹血糖和血脂的影响

为探析PM₁₀短期暴露对不同糖代谢水平人群空腹血糖和血脂的影响,以“金昌队列”为研究平台,收集金昌市2011~2017年污染物数据及气象数据.采用近邻模型完成个体PM₁₀暴露评估.运用广义估计方程分析PM₁₀对血糖和血脂指标的影响.采用广义相加混合模型绘制暴露-反应关系曲线.结果表明,PM₁₀浓度每增加一个四分位数间距,空腹血糖(FPG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)分别升高0.58mg/dL (95% CI:0.35,0.82)、0.38mg/dL (95% CI:0.25,0.52)、0.44mg/dL (95% CI:0.31,0.57)和0.34mg/dL (95% CI:0.29,0.40),甘油三酯(TG)降低0.67mg/dl (95% CI:-0.86,-0.47).随着PM₁₀浓度升高,FPG、TC、LDL-C和HDL-C均呈上升趋势,TG呈下降趋势.PM₁₀对男性、年龄≥60岁者血糖和血脂指标影响更显著.因此,PM₁₀与不同糖代谢状态人群血糖和血脂水平异常密切相关,男性和老年人应加强自身防护.     

Altered fetal cardiac flow patterns in pure red cell anaemia (the Blackfan-Diamond syndrome)

In a case of fetal anaemia due to pure red cell anaemia (Blackfan-Diamond syndrome), two-dimensional fetal Doppler echocardiography revealed an altered blood flow velocity pattern with entire incorporation of the atrial contraction component in the early passive filling phase of the right ventricle. Intracardiac blood velocities were increased, whereas cardiac output was only moderately increased. The fetal heart rate was normal. It is concluded that in fetal anaemia the compensatory mechanisms are limited and restricted to an increase in stroke volume. The hypothesis that chronic fetal anaemia is associated with ‘high output cardiac failure’ corresponds well with the present findings. The technique described may prove to be useful in the early diagnosis of fetal anaemia.     

An investigation of methods for enriching trophoblast from maternal blood

Trophoblast deportation is known to occur in normal human pregnancy, but it is not yet clear whether these cells routinely enter the maternal peripheral circulation and are available as a source of fetal DNA for non-invasive prenatal diagnosis of genetic disorders. To resolve this issue requires an efficient method of enriching trophoblast from maternal blood combined with a means to confirm its identity. Five different techniques were tested on ten retroplacental blood samples to determine the most sensitive and operator-efficient method. Lysis of red cells alone gave the best recovery of trophoblast but had to be discounted, together with Ficoll density gradient centrifugation, due to the very low purity and the excessive time required. Fluorescence-activated cell sorting (FACS) of pre-enriched trophoblast resulted in the lowest recovery rate (8 per cent) despite a 3250-fold enrichment and a very high purity. Immunomagnetic beads (Dynabeads) coated with anti-CD 16 antibody proved to be the best method for the subsequent immunocytochemical characterization of deported trophoblast. However, IO beads coated with anti-CD45 antibody may be more useful for isolating trophoblast for prenatal diagnosis due to the high purity, enrichment (32-fold), and recovery rate (78 per cent) obtained with this method.