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玻璃体黄斑粘连与渗出型老年性黄斑变性

渗出型老年性黄斑变性（AMD）发病机制不明，其发生、发展的病理机制也还不完全清楚。近年研究发现，玻璃体黄斑粘连（VMA）在渗出型AMD中的发生率明显高于萎缩型AMD和正常眼；手术去除VMA对渗出型AMD可起到一定的治疗作用，提示VMA在渗出型AMD发病中可能起着某种重要作用；进一步探讨VMA与渗出型AMD的相互关系，对渗出型AMD发病机制以及新的治疗方法研究可能是另辟蹊径的一个新领域。

Recombined adenovirus mediated delivery of p21 inhibits oxygen-induced retinal neovascularization in mice

Objective To observe the the inhibitory effect of recombined adenovirus mediated delivery of p21 (rAd-p21) on oxygen-induced retinal neovascularization in mice. Methods A total of 56 C57BL/6 mice at the age of seven days were divided into control group, phosphate buffer solution (PBS) group, rAd-p21 group and rAdno purpose gene control (rAd-NC) group, 14 mice in each group. The retinal neovascularization of PBS, rAd-p21and rAd-NC group were induced by oxygen, and received an intravitreal injection 1 mu;l PBS, rAd-p21 and rAd-NC at postnatal day 11, respectively.The rats of control group were not intervened. At postnatal day 17,RNV was determined by retinal flat mounts and retinal section; non-perfusion areas of retina were analyzed by Image-Pro plus 6.0 software; reverse transcription-polymerase chain reaction (RT-PCR) and Western blot was used to measure the mRNA and protein expression of p21 and CDK2. Results Compared with PBS and rAdNC groups, the retinal nonperfusion areas, neovascularization and the numbers of endothelial cell nuclei breaking through the internal limiting membrane in rAd-p21 group were reduced significantly. Nonperfusion areas of retina in rAd-p21 group was less than that in PBS and rAd-NC groups, the difference among these three groups was significantly (F=101.634，P＜0.05). Compared with the other three groups, the level of p21 mRNA and protein in rAd-p21 group increased significantly (F=839.664, 509.817;P＜0.05); the level of CDK2 mRNA and protein in rAd-p21 group decreased significantly (F=301.858, 592.882;P＜0.05). Conclusion rAd-p21can inhibit oxygen-induced retinal neovascularization, up-regulated p21 expression and down-regulated CDK2 expression may be the mechanism.

Recombined adenovirus of p21 inhibit the proliferation of Rhesus retinal vascular endothelial cells in vitro

Objective To observe the inhibitory effect of recombined adenovirus of p21 (rAd-p21) on the proliferation of Rhesus retinal vascular endothelial cell line (RF/6A). Methods RF/6A cells were cultured in vitro which divided into phosphate buffered solution (PBS) group, rAd-p21 transfection group and negative control (NC) group. Plasmid vectors were transfected into RF/6A cells. The expression of p21 mRNA and protein in RF/6A cells were measured by RT-PCR and Western blot respectively. The cell cycle distribution was analyzed by flow cytometry. Endothelial-cell tube formation assay was performed in Matrigel.Results The expression of p21 mRNA and protein in rAd-p21 transfection group were higher than that in PBS and negative control group. The cell cycle distribution showed that the proportion of G0/G1 cells in rAd-p21 transfection group ［(67.45plusmn;11.61) %］ was apparently higher than that in the negative control group ［(41.55plusmn;8.99)%］ and PBS group ［(40.76plusmn;6.66) %］ (F=21.284, P=0.000). The number of endothelialcell tubes in the rAd-p21 transfection group (3.86plusmn;1.21) was apparently less than that in the negative control group (7.62plusmn;2.69) and PBS group (8.25plusmn;3.19) (F=7.138，P=0.004). Conclusions The p21 mRNA and protein can stably express in RF/6A cells after rAd-p21 transfection. RAd-p21 can inhibit the proliferation of RF/6A cells.

p21在氧诱导视网膜新生血管模型小鼠视网膜中的表达