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find Author "李志杰" 8 results
  • 临床视网膜移植

    视网膜下腔存在有限度的免疫赦免,针对接种抗原可诱导抗原特异 性体液和细胞免疫反应的抑制。同种异体视网膜色素上皮细胞(retinal pigment epitheliu m, RPE)具有一定的免疫原性。在未实施免疫抑制剂的情况下,大部分接受视网膜下腔RPE移 植治疗老年相关性黄斑变性(agerelated macular degeneration, AMD)的患者发生了移 植排斥反应。这些移植细胞是否能改善渗出型AMD的视力预后还需进一步的研究。其手术并发症有:囊样黄斑水肿、黄斑皱褶和孔源性视网膜脱离。与此相反,在接受神经视网膜组织移植的晚期视网膜变性患者在术后长期观察期间未发现显著的排斥反应征象及其严重的并发 症。但是,移植的神经组织能否重建视网膜内神经网络及其治疗效果还有待进一步研究。 (中华眼底病杂志,2001,17:163-165)

    Release date:2016-09-02 06:03 Export PDF Favorites Scan
  • 眼内肿瘤与眼免疫赦免

    眼内肿瘤免疫排斥的主要影响因素有:1.前房微环境阻断细胞 毒T细胞的分化过程;2.肿瘤抗原诱导眼相关免疫偏离;3.房水内存在某些免疫抑制因子,下调免疫反应的许多环节;4.肿瘤细胞的主要组织相容性复合体影响肿瘤浸润淋巴细胞的分化,在某种程度上决定着眼内肿瘤是否受到排斥。进一步阐明眼内肿瘤的免疫调控机制对于眼内肿瘤的防治具有重要意义。 (中华眼底病杂志,2000,16:1-70)

    Release date:2016-09-02 06:05 Export PDF Favorites Scan
  • 自身免疫葡萄膜炎的免疫学机制

    视网膜的自身免疫受中枢耐受、外周耐受和局部免疫赦免三种不同水平的调控。自身反应性T淋巴细胞是自身免疫葡萄膜炎的主要介导细胞。根据分泌细胞因子模式的不同将其分为Th1和Th2两种不同的亚群,这两种细胞分别通过不同的反应形式影响葡萄膜炎的发生和发展。发病过程中非特异性炎症细胞在局部的聚集及其所分泌的介质在局部组织损伤过程中起着非常重要的作用。阐明发病过程的不同环节和发展新型免疫干预策略将是未来的主要研究方向。 (中华眼底病杂志,2001,17:252-254) 

    Release date:2016-09-02 06:03 Export PDF Favorites Scan
  • Establishment of allogenic intraocular melanoma model in mice

    Objective To establish an allogenic intraocular melanoma model and observe its pathological features.Methods Thirty-six kunming mice were devided randomly into 3 groups with 12 ones in each, and allogeneic melanoma cells B16F10(C57BL16) were inoculated into the anterior chamber (AC), vitreous cavity (VC) of right eyes and under the skin (subcutaneous, SC) of the back of right feet of each grup respectively. The incidence of tumor occurance, time of breaking through the eyeball and other general pathologic features of the tumor were observed by slip-lamp biomicroscopy and operating microscopy for continuous 32 days, and the results were statistically analyzed. Pathological examination was given for tumors at last.Results The incidence of tumor occurance in both AC (12/1 2 eyes) and VC group (11/11 eyes) was higher than that in SC group (2/12 feet)(χ2=17.143, P=0 .000;χ2=16.218, P=0.000). The time of eyeball diabrosis was 11-13 days in AC group and 13-32 days in VC group, and there was significant difference between these two groups (Log Rank=18.22, P=0.000). The intraocular melanomas could grow progressively, but reduced and fell off when they broke through eyeball and grew in or bit for a period. The average diameter of the tumor after 32 days after inoculation was (2.27±1.97) mm in AC group,(3.82±1.85) mm in VC group and (0.94±2.27) mm in SC group. There was significant difference between VC and SC group (t=3.322,P=0.003). In pathohistological examination, tumor tissue necrosis could be observed at the center of the subcutaneous melanomas but not in intraocular melanomas.Conclusions Allogeneic intraocular melanoma model is successfully established which is convenient, repeatable, and helpful to studying the mechanism of genesis and development of this tumor. (Chin J Ocul Fundus Dis,2003,19:333-404)

    Release date:2016-09-02 06:00 Export PDF Favorites Scan
  • Induction and maintenance of immune deviation in different intraocular compartment

    Objective To determine whether the vitreous cavity and the subretinal space of different species animals support the induction of immune deviation to soluble antigen and to observe its maintenance time. Methods Bovine serum albumin(BSA)was used as a soluble antigen and inoculated into the anterior chamber(AC),the vitreous cavity(VC)and subretinal space of different animals(rat,rabbit and monkey)respectively.Recipient animals were immunized with BSA and complete Freundrsquo;sadjuvant. Delayed-type hypersensitivity(DTH)was assessed by skin challenge.The maintenance time of deviant immune response was evaluated in the fixed time interval. Results All the animals receiving intraocular antigen inoculation did not display DTH reaction.The maintenance time of immune deviation after inoculation of antigen in different sites is (1)anterior chamber:70 days in rat,90 days in rabbit,320 days in monkey;(2)vitreous cavity:100 days in rat,150 days in rabbit,360 days in monkey;(3)subretinal space:50 days in rat,70 days in rabbit,300 days in monkey. Conclusions The maintenance time of immune deviation varied with different species of animals and different intraocular compartment.The evolution of organisms is synchronous with that of immune system. (Chin J Ocul Fundus Dis, 1999, 15: 170-173)

    Release date:2016-09-02 06:07 Export PDF Favorites Scan
  • Apoptosis of activated lymphocytes induced by retinal pigment epithelial cells in vitro

    Objective To examine the influence of retinal pigment epithelium(RPE) cells on antigen-specific activatedlymphocytes in vitro,and to explore the role of RPE cells in the immune privilege of the eye. Methods Co-culture systems of RPE cells with antigen-specific T lymphocyte lines and resting T lymphocytes were established in vitro.Induction of apoptosis was detected by genomic DNA electrophoresis,DNA in situ end-labelling and flow cytometry. Results RPE cells induced apoptosis in antigen-specific activated T lymphocytes. 24 hours after culture,the signs of apoptosis appeared in lymphocytes co-incubated with RPE cells.As time of co-culture went on,the number of apoptosic cells increased.Quantitative analysis of apoptosic cells showed that apoptosic cells accounted for 5.95% after 24 hours, 9.38% after 48 hours,and 17.95% after 72 hours.In contrast,RPE cells induced few apoptosis in resting T lymphocytes. Conclusions These results suggest that RPE cells possess the ability to induce the apoptosis of invading lymphocytes. This phenomenon serves as a restrain mechanism of immune response and may be of vital importance in the maintenance of immune privilege in posterior segment of eye and in the protection of eye from the damage of immunogenic inflammation. (Chin J Ocul Fundus Dis, 1999, 15: 241-244)

    Release date:2016-09-02 06:07 Export PDF Favorites Scan
  • 大面积游离皮瓣移植术失败原因分析及对策

    Release date:2016-09-01 09:26 Export PDF Favorites Scan
  • EFFECT OF PHARMACOLOGIC DELAY WITH PIOGLITAZONE ON EXTENDED PERFORATOR FLAP SURVIVAL IN A RAT MODEL

    ObjectiveTo investigate the effect of pharmacologic delay with pioglitazone, a peroxisome proliferator-activated receptor γ (PPAR-γ) agonist, on extended perforator flap survival in a rat model. MethodsSeventy male Sprague Dawley rats, weighing 250-300 g, were randomly divided into control group (n=35) and experimental group (n=35). A three-territory flap was made, including two choke zones. Pioglitazone was dissolved in 1.5 mL saline. Oral doses of pioglitazone[10 mg/(kg·d)] was given by gavaged for 5 days in the experimental group, while the same volume of saline was given in the control group at same time point. After 7 days, the flap survival area was measured and angiographic diagnosis was made. The tissue samples were harvested from choke zone Ⅱ for histological study and vascular endothelial growth factor (VEGF) expression detection by immunohistochemical staining. The content of nitric oxide (NO) in choke zones I and Ⅱ was measured at immediate, 1, 3, 5, and 7 days after operation. ResultsThe flap general change of 2 groups was similar. Varying degrees of necrosis occurred with the extension of time in 2 groups. At 7 days after operation, the flap survival rate was 87.73%±3.25% in the experimental group and 76.07%±2.92% in the control group, showing a significant difference (t=-10.338, P=0.000). The number of true anastomosis in choke zones I and Ⅱ was 5.40±1.14 and 3.00±0.71 in the experimental group, and was 3.20±0.84 and 0.80±0.84 in the control group respectively, showing significant differences between the 2 groups (t=-3.479, P=0.008;t=-4.491, P=0.002). The microvessel density and the expression of VEGF in choke zone Ⅱ of experimental group were (33.16±7.73)/mm2 and 4 368.80±458.23, respectively, which were significantly higher than those of control group[(23.29±5.91)/mm2 and 2 241.24±554.43] (t=5.073, P=0.000;t=-14.789, P=0.000). The content of NO in the experimental group were significantly higher than those in the control group at other time points (P<0.05) except for at immediate after operation. ConclusionPharmacologic delay with pioglitazone can improve extended perforator flap viability through increasing ischemia-induced angiogenesis and choke vessels vasodilation in rat models.

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