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31 July 2025, Volume 22 Issue 4
Pancreatic Ductal Infusion of gRNA Carried by Adeno-Associated Viruses for β-Cell Adra2a Gene Editing #br# #br#
ZHANG Xin, WANG Xinxin, LYU Tingting, HAN Xiao, ZHU Yunxia
2025, 22(4):  305-310.  doi:10.3870/j.issn.1672-8009.2025.04.001
Abstract ( 16 )   PDF (6060KB) ( 8 )  
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Objective This study aims to utilize the CRISPR / Cas9 system to achieve β-cell specific gene knockout in the pancreas through adeno-associated virus ( AAV8 ) carrying guide RNA ( gRNA ) targeting the Adra2a gene. Methods  RIP2 ( rat insulin Ⅱ promoter ) -Cre; Cas9KI / + mice were used to achieve β-cell-specific gene editing. In this model, the RIP2 promoter drives Cre recombinase expression selectively in pancreatic β cells, resulting in targeted activation of Cas9 in these cells. To enable efficient editing of the Adra2a gene, adeno-associated virus serotype 8, a low-immunogenic vector, was used to deliver gene-specific guide RNAs. AAV8 particles carrying gRNAs targeting Adra2a were injected via the pancreatic duct, enabling precise geneknockout in β cells. Results   Successful β-cell-specific gene knockout was achieved in the pancreas, confirmed by tissue analysis, PCR, and protein expression analysis. GFP expression was observed in the pancreas, and the targeted gene was successfully disrupted in β cells. Conclusion  The use of AAV carrying gRNA in the RIP2-Cre; Cas9KI / + mouse model provides an effective method for β-cell-specific gene knockout, offering a valuable tool for future studies of islet gene function.
Identification and Validation of Pathogenic Variants in FBN1 Gene for 7 Patients with Marfan Syndrome #br# #br#
GUO Chen#, MAO Tiantian#, NA Heya, XU Hongen, TIAN Yongan, ZHOU Yuyang, CHANG Xin, LIU Danhua, GAO Chengshan
2025, 22(4):  311-318.  doi:10.3870/j.issn.1672-8009.2025.04.002
Abstract ( 14 )   PDF (4852KB) ( 4 )  
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Objective Seven patients with Marfan syndrome (MFS) were screened for pathogenic variants in the fibrinogen-1 (FBN1) gene to explore the relationship between MFS and FBN1 gene mutations. Methods Genomic DNA was extracted from the peripheral blood of 7 patients andthen subjected to whole-exome sequencing. The candidate variants were validated, and their pathogenicity was interpreted. Results FBN1 (NM_ 000138. 5) gene variants were found in all sevenpatients, including 5 previously reported variants [ c. 367T > C ( p. Cys123Arg), c. 2093C > T(p. Pro698Leu), c. 7532 G > A (p. Cys2511Tyr), c. 6815 A > G (p. Tyr2272Cys), (c. 7279T > C(p. Cys2427Arg)], 1 novel variant [ c. 316C > T ( p. Gln106Ter)], and 1 first reported variant in Chinese [c. 6354C> T (p. Ile2118 = )] . According to the ACMG guidelines, six variants of above were classified as pathogenic / likely pathogenic, and one variant was classified as a variant of uncertain significance. Conclusion The identification of novel pathogenic variants in the FBN1 gene expands the known mutational spectrum and provides insights into the genetic basis of MFS, which is crucial for clinical diagnosis and patient management.


Effect of Linc279227 on Renal Injury in Diabetes Nephropathy Mice via PINK1 / Parkin Mediated Mitochondrial Autophagy #br#
SHEN Qun, WANG Limin, DENG Wei, XIONG Wen, XIE Hongwu
2025, 22(4):  319-324.  doi:10.3870/j.issn.1672-8009.2025.04.003
Abstract ( 10 )   PDF (2780KB) ( 1 )  
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Objective To explore the effect and mechanism of TONCS _ 00279227(Linc279227) on renal injury in diabetes nephropathy mice. Methods Mice were divided into aControl group and a Model group. After successful modeling of db / db mice in the Model group, the mice kidney tissues were taken. qRT-PCR was used to detect the expression levels of Linc279227, PINK1, and Parkin in mice kidney tissues. Western blotting was used to detect the protein expression levels of LC3-Ⅱ , P62, PINK1, and Parkin in mice kidney tissues. Mouse renal podocyte MPC5 cells were divided into 3 groups: Vector group, Linc27922 group, and Linc27922 group. CCK8 and flow cytometry were used to detect cell proliferation and apoptosis. Western blotting was used to detect the expression levels of LC3-Ⅱ , P62, PINK1, and Parkin proteins in eachgroup of cells. Results Compared with those in the Control group, the expression levels of Linc279227 and P62 protein in the renal tissues of the model group mice were significantly upregulated (P< 0. 01), while the expression levels of PINK1 and Parkin mRNA and proteins and the LC3-Ⅱ protein were significantly downregulated (P < 0. 01) . Compared with those in the Vectorgroup, the mRNA and protein expression levels of PINK1 and Parkin and the protein expression level of LC3-Ⅱ in MPC5 cells of the Linc279227 group were significantly downregulated (P < 0. 01), and the expression level of P62 was significantly upregulated (P < 0. 01) . Compared with those inthe Linc279227 group, the LC3-Ⅱ expression level of MPC5 cells in the Linc27922 + FCCP group wasupregulated (P < 0. 01), the expression level of P62 was significantly downregulated (P < 0. 01), the cell proliferation ability was significantly increased (P<0. 05), and the cell apoptosis was significantly reduced (P < 0. 01) . Conclusion Linc279227 can mediate mitochondrial autophagy of nephropodocytes by regulating the PINK1 / Parkin pathway to affect renal injury in diabetes nephropathy mice.

MCL1 Promotes Drug Resistance of Acute T Lymphoblastic Leukemia Cells to Venetoclax by Regulating GSK3β/ Wnt / β-Catenin Axis #br#
MA Lina, HAO Jianping, ZHANG Rui, Dilinazi Abulaiti, ZHAO Fang, JIANG Ming
2025, 22(4):  325-331.  doi:10.3870/j.issn.1672-8009.2025.04.004
Abstract ( 11 )   PDF (3474KB) ( 3 )  
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Objective To investigate the molecular mechanism by which myeloid cell leukemiafactor 1 ( MCL1) promotes the resistance of acute T lymphoblastic leukemia ( T-ALL) cells tovenetoclax. Methods T-ALL parental cell line Jurkat and T-ALL venetoclax-resistant cell line Jurkat / VEN were cultured, and small interfering RNA targeting MCL1 (si-MCL1) and negative control (si-NC) were transfected into Jurkat / VEN cells. RT-qPCR and Western blotting were used to detect the expression level of MCL1 in transfected cells to verify the transfection effect. The expression levels of GSK3β, phosphorylated GSK3β ( p-GSK3β), β-catenin, c-Myc, and cyclin D1 were detected by Western blotting. Jurkat / VEN cells were divided into 4 groups: control group, siNC group, si-MCL1 group, si-MCL1 + CHIR-99021 group. The CCK-8 method was used to detect the survival rate of Jurkat / VEN cells in each group under different concentrations (0, 100, 200, 300, 400, 500 nmol / L) of venetoclax, the colony formation assay was used to detect the numberof colonies formed in each group, and the flow cytometry was used to detect the apoptosisrate. Results Compared with those in the Jurkat cells, the protein expression level of MCL1 in theJurkat / VEN cells was increased (P < 0. 05), the expression level of GSK3β was decreased (P <0. 05), and the expression levels of p-GSK3β, β-catenin, c-Myc and Cyclin D1 were increased(P < 0. 05) . Compared with those in the control group and si-NC group, the mRNA and proteinexpression levels of MCL1 were decreased in the si-MCL1 group (P < 0. 05), the expression levelof GSK3β was increased (P < 0. 05), and the expression levels of p-GSK3β, β-catenin, c-Mycand Cyclin D1 proteins were decreased (P< 0. 05) . Compared with those in the control group andsi-NC group, the survival rate after venetoclax treatment and the value of IC50 were decreased in thesi-MCL1 group (P< 0. 05), the number of colonies was decreased (P< 0. 05), and the apoptosisrate was increased (P< 0. 05) . Compared with those in the si-MCL1 group, the survival rate aftervenetoclax treatment and the value of IC50 were increased in the si-MCL1 + CHIR-99021 group (P<0. 05), the number of colonies was increased (P < 0. 05), and the apoptosis rate was decreased(P< 0. 05) . Conclusion Interference in MCL1 expression can reduce the drug resistance ofJurkat / VEN cells to venetoclax, which may be achieved by blocking the GSK-3β / Wnt / β-cateninsignaling axis.

c-Myc / miR-27b-3p Promote Multiple Myeloma Cell Survival by Upregulating Bcl-2 #br#
XUE Qin, TIAN Xinwei, WANG Jing, ZHENG Qili, Aibiba Abudula
2025, 22(4):  332-338.  doi:10.3870/j.issn.1672-8009.2025.04.005
Abstract ( 10 )   PDF (1893KB) ( 3 )  
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Objective To explore the molecular mechanisms of c-Myc / miR-27b-3p / Bcl-2 axison promoting multiple myeloma ( MM) cell survival. Methods The relative expression levels ofMM-related genes and microRNAs (miRNAs) were measured in human MM cell lines RPMI8226 and U266 cells by using qPCR analysis. TargetScan and dual-luciferase gene reporter assay were used to predict and verify the targeting relationship between miR-27b-3p and Bcl-2, respectively. The primary MM cells were isolated from 14 patients with MM recruited from the Fifth Affiliated Hospital of Xinjiang Medical University. The mRNA expression levels of c-Myc, Bcl-2, and the expression level of miR-27b-3p in primary MM cells were detected by qPCR. Pearson correlation analysis was used to analyze the relationship among their expression levels. Adenovirus vectors with c-Myc or Bcl-2 overexpression ( Bcl-2 OE, c-Myc OE), or miR-27b-3p inhibitor ( miR-27b-3p inhibitor) were constructed and transfected into the BMSCs. The expression levels of p-STAT3, STAT3,p-JAK2, and JAK2 in BMSCs were detected by Western blotting. Results Compared with those in the BMSCs, the mRNA expression levels of c-Myc and Bcl-2 were upregulated in the RPMI8226cells and the U266 cells (P < 0. 01), and miR-27b-3p was downregulated in the RPMI8226 cells and the U266 cells (P< 0. 01). Dual-luciferase gene reporter assay results showed that miR-27b-3p was directly targeted to the Bcl-2 3′-UTR. qPCR and Pearson correlation analysis showed that therelative expression levels of c-Myc mRNA and miR-27b-3p, miR-27b-3p and Bcl-2 mRNA werelinearly and negatively correlated (P< 0. 01), while the relative expression levels of c-Myc mRNA and Bcl-2 mRNA were linearly and positively correlated ( P < 0. 01). Compared with those in theBMSCs group, the expression levels of p-STAT3, STAT3, p-JAK2, and JAK2 in the BMSCs + cMyc OE group, the BMSCs + miR-27b-3p inhibitor group, and the BMSCs + Bcl-2 OE group wereall increased (P< 0. 05). Conclusion c-Myc upregulation and miR-27b-3p inhibition activated theBcl-2 to promote cell survival in MM.

Effect and Mechanism of miR-200a-3p on Hypoxic-ischemic Brain Damage in Neonatal Rats #br#
REN Hua, HAO Qiang, GUO Li, ZHENG Suhua, WEI Lei
2025, 22(4):  339-345.  doi:10.3870/j.issn.1672-8009.2025.04.006
Abstract ( 10 )   PDF (3700KB) ( 2 )  
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Objective To explore the effect of microRNA-200 a-3 p ( miR-200a-3p) on hypoxic-ischemic brain damage (HIBD) in neonatal rats. Methods Sixty neonatal SD rats were divided into 4 groups: sham operation group, HIBD group, miR-200a-3p antagomir group, and NCantagomir group, 15 cases in each group. The rat neonatal HIBD model was constructed. The expression level of miR-200a-3p in the hippocampus was detected by quantitative PCR. The nerve functionand brain water content were evaluated. The pathological changes and apoptosis of the hippocampal tissues were observed by HE staining and TUNEL staining. The levels of oxidative stress, inflammatory factors, and the expression levels of apoptosis-related proteins were detected by ELISA andWestern blotting. Results Compared with those in the sham operation group, the expression levelof miR-200a-3p in the hippocampus, the score of nerve function, the brain water content, the apoptosis rate of brain cells, the levels of MDA, IL-6, IL-1β, TNF-α and the expression level ofCleaved-Caspase-3 were increased (P < 0. 05), while the levels of SOD, CAT, Bcl-2 / Bax, BDNF and TrkB were decreased in the HIBD group (P < 0. 05) . Compared with those in the NC-antagomir group, the expression level of miR-200a-3p in the hippocampus, the score of nerve function, the brain water content, the apoptosis rate of brain cells, the levels of MDA, IL-6, IL-1β,TNF-α and the expression level of Cleaved-Caspase-3 were decreased (P < 0. 05), while the levels of SOD, CAT, Bcl-2 / Bax, BDNF and TrkB were increased in the miR-200a-3p antagomir group (P < 0. 05 ) . Conclusion InhibitingmiR-200a-3pcan reduce nerve injury in neonatal rats with HIBD, which may be related to the inhibition of apoptosis and oxidative stress, and the regulation of BDNF / TrkB pathway.


Effect of miR-181c on Cardiopulmonary Function Rehabilitation in Mice Undergoing Lung Transplantation by Targeting MICU1 #br#
Buaijier Aili, Mierguli Aimaite, LI Chunli, DUAN Pingxiu, LI Jinxian
2025, 22(4):  346-353.  doi:10.3870/j.issn.1672-8009.2025.04.007
Abstract ( 10 )   PDF (3319KB) ( 5 )  
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Objective To investigate how miR-181c influences cardiopulmonary recovery afterlung transplantation in mice by targeting mitochondrial calcium uniporter 1 (MICU1) . Methods Fifty-four adult male C57BL / 6 mice were randomly assigned to six groups (n = 9 each): Normalgroup, Lung Transplantation group, Lung Transplantation + inhibitor-NC group, Lung Transplantation + miR-181c-inhibitor group, Lung Transplantation + miR-181c-inhibitor + si-NC group, andLung Transplantation + miR-181c-inhibitor + si-MICU1 group. The Normal group underwent anesthesia and thoracotomy only; the other groups received autologous left lung orthotopic transplantation,followed by weekly tail-vein injections (0. 2 mL) of saline or 10 nmol / mL inhibitor / siRNA for 60days. qRT-PCR and Western blotting were use to detect miR-181c and MICU1 mRNA and protein expression levels. Dual-luciferase gene reporter assay was performed to verify the targeting relationship between miR-181c and MICU1. Pulmonary pathology was assessed by hematoxylin-eosin (HE) staining. Pulmonary function was assessed using a small animal pulmonary function test system [0. 15 s forced expiratory volume as a percentage of forced vital capacity ( FEV0. 15 / FVC), peak expiratory flow (PEF), maximum ventilation volume ( MVV), diffusing capacity of the lung for carbon monoxide ( DLCO), and residual volume ( RV)] . Cardiac function was detected using small animal ultrasound imaging technology [ left ventricular ejection fraction ( LVEF), left ventricular fractional shortening (LVFS), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter ( LVESD), left ventricular end-diastolic volume ( LVEDV), and left ventricular end-systolic volume (LVESV)] . Results The expression level of miR-181c was elevated and that of MICU1 was reduced in the Lung transplantation group versus those in the Normalgroup (P< 0. 05), with a significant negative correlation (r = - 0. 378, P = 4. 21 × 10 - 4 ) . miR- 181c mimic suppressed MICU1-3′ UTR-WT luciferase activity ( P < 0. 05 ) but not 3′ UTRMUT. Inhibition of miR-181c expression restored MICU1 expression, and reduced lung lesions, and improved FEV0. 15 / FVC, PEF, MVV, DLCO, LVEF, LVFS, and decreased RV, LVESD, LVEDV, LVESV ( all P < 0. 05) . These gains were abolished by co-silencing MICU1 and miR-181c (P< 0. 05) . Conclusion miR-181c impairs cardiopulmonary recovery after lung transplantation bytargeting MICU1. miR-181c inhibition enhances post-transplant function.

Effect of miR-107 and ITGA2 on Apoptosis of Pulmonary Artery Smooth Muscle Cells in Pulmonary Arterial Hypertension #br#
WU Fengping, SHI Zongmin, ZHANG Yuanmei
2025, 22(4):  354-360.  doi:10.3870/j.issn.1672-8009.2025.04.008
Abstract ( 11 )   PDF (2600KB) ( 2 )  
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Objective: To investigate the effect of miR-107 and integrin alpha 2 (ITGA2) onpulmonary artery smooth muscle cells ( PASMCs) in pulmonary arterial hypertension ( PAH).Methods Pulmonary artery smooth muscle cells (PASMCs) were cultured under normal and hypoxic conditions. qRT-PCR was applied to detect the expression levels of miR-107 and ITGA2 in the cells. Flow cytometry was used to determine cell cycle and apoptosis. The targeting relationship between miR-107 and ITGA2 was verified by luciferase reporter gene assay. PASMCs were transfected with si-NC and si-miR-107 and cultured under hypoxic conditions, and were divided into the si-NC group and the si-miR-107 group. The expression levels of miR-107 and ITGA2, the cell cycle, and apoptosis were examined. Thirty C57BL / 6 mice were divided into 3 groups: control group, model group, and si-miR-107 treatment group, with the latter two groups injected with si-NC and si-miR- 107 after inducing a PAH model through hypoxia, respectively. The right ventricular hypertrophy in dex (RVHI), right ventricular systolic pressure ( RVSP), and mean pulmonary arterial pressure (mPAP) were measured. The expression levels of miR-107 and ITGA2, and phosphorylated histone H2AX (γH2AX) protein in the mouse lung tissues were detected by qRT-PCR and Western blotting. Results Compared with those of cells in the normal group, the expression level of miR-107 inthe hypoxic group cells was increased, the ITGA2 expression level was decreased, the proportion of cells in the G 1 phase was increased, the proportion of cells in the S phase was decreased, and the apoptosis rate was increased. miR-107 targeted ITGA2. Compared with those in the si-NC group, the expression level of miR-107 in the si-miR-107 group was decreased, the ITGA2 expression level was increased, the proportion of cells in the G1 phase was decreased, the proportion of cells in the S phase was increased, and the apoptosis rate was decreased. In the mice experiments, compared with those in the control group, the values of RVHI, RVSP, and mPAP, the expression level of miR-107 and γH2AX protein was increased, and the ITGA2 expression level was decreased in the model group. Compared with those in the model group, the values of RVHI, RVSP, and mPAP, the expression levels of miR-107 and γH2AX protein were decreased in the si-miR-107 treatmentgroup, while the expression level of ITGA2 was increased. Conclusion miR-107 affects PAH byinhibiting the cell cycle and promoting the apoptosis of PASMCs through ITGA2.

Tanshinone Ⅱ A Regulates Proliferation, Invasion, and Migration of Colon Cancer SW480 Cells by Targeting miR-143 via MALAT1 #br#
LI Peng, DU Rui, XIE Fuping, LI Jintao, WANG Jie
2025, 22(4):  361-367.  doi:10.3870/j.issn.1672-8009.2025.04.009
Abstract ( 10 )   PDF (4820KB) ( 2 )  
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Objective To investigate the effect of tanshinone Ⅱ A on proliferation, invasionand migration of colon cancer SW480 cells by targeting miR-143 via metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) . Methods SW480 cells were treated with 0, 10, 20, and40 μmol / L of tanshinone Ⅱ A, and were randomly divided into 4 groups: Control group, tanshinone Ⅱ A low-, medium-, and high-dose groups. CCK8 assay was used to detect cellproliferation. Wound-healing and Transwell assay were used to detect the number of migrated and invaded cells. The expression levels of MALAT1 and miR-143 mRNA were detected by RT-PCR. Theluciferase gene reporter assay was used to verify the targeting relationship between MALAT1 andmiR-143. SW480 cells treated with tanshinone Ⅱ A (40 μmol / L) were transfected with pcDNA MALAT1 and miR-143 mimic separately or combined, and were randomly divided into 5 groups:Control group, PCDNA 3. 1 group, pcDNA-MALAT1 group, MALAT1 + mimic NC group, and MALAT1 + miR-143 mimic group. The proliferation, invasion, and migration of cells in the abovegroups were detected. Results Compared with those in the Control group, the cell proliferation,number of invaded cells, wound-healing rate, and MALAT1 mRNA expression level in the tanshinone Ⅱ A medium-dose and high-dose groups were significantly decreased ( P < 0. 05), and the miR-143 mRNA expression level was significantly increased (P< 0. 05) . MALAT1 has a targetingrelationship with miR-143. Compared with those in the pcDNA-MALAT1 group, the cell proliferation, number of invaded cells, and wound-healing rate in the MALAT1 + miR-143 mimic groupwere significantly decreased (P< 0. 05) . Conclusion Tanshinone Ⅱ A exerts its anti-colon cancer effect through theMALAT1 / miR-143 axis.

Effect of circCSE1L on the Metastatic Activity of Non-small Cell Lung Cancer NCI-H1299 Cells by Regulating MiR-16-5p #br#
LIU Ying, ZHANG Yong, LI Qiubo, HUANG Nian
2025, 22(4):  368-373.  doi:10.3870/j.issn.1672-8009.2025.04.010
Abstract ( 8 )   PDF (4200KB) ( 4 )  
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Objective To investigate the effect of circCSE1L on the metastatic activity of nonsmall cell lung cancer NCI-H1299 cells by regulating miR-16-5p. Methods The expression level ofmiR-16-5p and circCSE1L in cancer tissues and adjacent tissues of patients with non-small cell lung cancer was analyzed by real-time quantitative PCR. NCI-H1299 cells were divided into 4 groups: si NC group, si CSE1L group, miR NC group, and miR-16-5p mimic group. The proliferation activity of cells was analyzed by MTT assay. The invasion and migration abilities of cells were analyzed by Transwell assay and wound-healing assay. The apoptosis rate of cells was analyzed by flow cytometry. Luciferase reporter gene assay was used to analyze the targeting relationship between circCSE1L and miR-16-5p in NCI-H1299 cells. Results Compared with those in the adjacent tissues, circCSE1L was highly expressed in the NSCLC tissues, while miR-16-5p was lowly expressed in the NSCLC tissues. Compared with those in the si NC group, the cell proliferation activity, invasion and migration abilities in the si CSE1L group were decreased, and the apoptosis rate was increased. Compared with those in the miR NC group, the cell proliferation activity, invasion and migration abilities of in the miR-16-5p mimic group were decreased, and the apoptosis rate was increased. The luciferase activity was decreased after transfection with miR-16-5p mimic in the CSE1LWT group compared with that in the miR NC group. Conclusion circCSE1L was highly expressedin NSCLC, while miR-16-5p was lowly expressed. circCSE1L affects the proliferation, migration, and invasion of non-small cell lung cancer NCI-H1299 cells by inhibiting the expression of miR-16- 5p, and promotes the apoptosis of non-small cell lung cancer cells.

Predictive Value of Serum ZO-1, Occludin, Claudin-1 Combined with APACHEⅡ Score in Hypertriglyceridemia-induced Severe Acute Pancreatitis Complicated with Acute Kidney Injury #br#
XU Jingjing, CHEN Jiaping, XU Lingqi, LIN Ying, HUANG Hao
2025, 22(4):  374-378.  doi:10.3870/j.issn.1672-8009.2025.04.011
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Objective To investigate the predictive value of serum tight junction protein zonulaoccludens 1 (ZO-1), occludin, claudin-1, combined with acute physiology and chronic health evaluation Ⅱ ( APACHE Ⅱ ) score on hypertriglyceridemia-induced severe acute pancreatitis(HTG-SAP) complicated with acute kidney injury (AKI) . Methods A total of 96 patients withHTG-SAP admitted from January 2021 to March 2024 were retrospectively studied and divided intoAKI group (n = 38 ) and non-AKI group ( n = 58 ) according to whether they had concurrentAKI. Differences in clinical data and serum ZO-1, occludin, and claudin-1 levels were compared between the two groups. Factors with statistically significant differences were screened as independent variables for logistic regression analysis, and a prediction model was constructed. The predictive value of each index on HTG-SAP complicated AKI was analyzed by the receiver operating characteristiccurve. Results The APACHEⅡ score, systemic inflammatory response syndrome score, triglyceride, serum creatinine and blood urea nitrogen levels in the AKI group were higher than those in thenon-AKI group, and serum ZO-1, occludin, and claudin-1 levels were lower than those in the nonAKI group, the differences were statistically significant ( P < 0. 05) . Logistic regression analysisshowed that the increased of APACHEⅡ score (OR = 1. 781, 95 % CI: 1. 065-2. 981), and thedecreased levels of serum ZO-1 (0. 956, 95 % CI: 0. 918-0. 995), occludin (0. 967, 95 % CI:0. 941-0. 995) and claudin-1 ( 0. 193, 95 % CI: 0. 049-0. 752 ) were risk factors for AKI inHTG-SAP patients (P< 0. 05) . The area under the curve of APACHEⅡ score and serum ZO-1, occludin, claudin-1 alone and combined models in predicting AKI in HTG-SAP patients were 0. 821(95 % CI: 0. 740-0. 902), 0. 852 (95 % CI: 0. 740-0. 902), 0. 877 (95 % CI: 0. 807-0. 947),0. 936 (95 % CI: 0. 891-0. 981), 0. 998 (95 % CI: 0. 993-1. 000), respectively. Conclusion  The decrease of serum tight junction proteins ZO-1, occludin, and claudin-1 and the increase of APACHEⅡ score are the risk factors of AKI in HTG-SAP patients. Establishing a prediction model according to these four indexes has good value in predicting AKI in HTG-SAP patients.

Preventive Health Examination of Employees: Examination of Salmonella and Shigella by Quantitative Real-time PCR #br#
LI Ying, LI Ruonan, SUN Nan
2025, 22(4):  379-382.  doi:10.3870/j.issn.1672-8009.2025.04.012
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Objective To investigate the use of quantitative real-time PCR as an alternative tothe screening plate culture method for the detection of salmonella and shigella in pre-employmenthealth examinations, comparing the two methods in terms of detection rate, cost, and duration oftesting. Methods Compare the screening test results of salmonella and shigella detection using thebacterial screening plate culture method in 10 100 cases in 2023 with the screening test results ofsalmonella and shigella detection using the quantitative real-time PCR method in 9 842 cases in2024. Results Quantitative real-time PCR method demonstrated a high level of screening power(91 / 9 842 in 2024 vs. 0 / 10 100 in 2023) with a lower total cost (4. 4 yuan / sample in 2004 vs. 6. 9 yuan / sample in 2023) . In addition, quantitative real-time PCR can be implemented without increasing the testing duration and is easy to carry out. Conclusion Quantitative real-time PCR can be usedas a screening test for salmonella and shigella detection in pre-employment health examinations.
Causal Effects and Immune Cell Mediators between Gut Microbiota and Risk of Acute Glomerulonephritis: A Mendelian Randomization Study #br#
LUO Jiamei, GUO Jing, CHEN Shasha, ZHANG Yong
2025, 22(4):  383-391.  doi:10.3870/j.issn.1672-8009.2025.04.013
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Objective To investigate whether immune cells mediate the causal relationship between the gut microbiota and acute glomerulonephritis ( AGN) through Mendelian randomization(MR) analysis. Methods A two-sample bidirectional MR approach was employed to assess thecausal effect of gut microbiota on AGN. Additionally, a two-step MR strategy was applied to identify potential immune cells mediating this effect. Data from genome-wide association studies ( GWAS) encompassing 473 gut microbial taxa, 731 immune cell traits, and AGN outcomes were included. The primary analysis utilized inverse variance weighted ( IVW) randomization, supported by MR-Egger, weighted median, simple mode, and weighted mode analyses. Sensitivity checks included Cochran’s Q test, MR-PRESSO test, MR-Egger regression intercept, and leave-one-out analysis. Results Fourteen gut microbial taxa and 27 immune cell types were identified as causallyassociated with AGN. Mediation analysis highlighted that 12 immune cell types mediated the relationship between 9 gut microbial taxa and AGN risk. Notably, Barnesiellaceae and Holdemania werefound to promote AGN risk through 4 immune cell mediators. Additionally, BAFF-R on IgD + CD38 - unsw mem (unswitched memory B cells) mediated the protective effect of Lactobacillus B on AGN, with a mediation effect of 2. 9 % and a mediating proportion of - 7. 50 % . Hydrogenoanaerobacterium exerted its protective effect on AGN risk via HSC AC and CD25 on CD4 Treg, mediating proportions of 10. 60 % and 7. 50 % , respectively. Conclusion This study delineates acomplex network involving gut microbiota, immune cells, and AGN, reflecting multifaceted pathophysiological interactions. The identified causal links and mediating pathways underscore potential therapeutic targets, providing a theoretical foundation for interventions aimed at modulating gut microbiota and immune responses to manage AGN.

Research Progress on Regulatory T cells in Hepatic Inflammatory Injury #br#
ZHANG Yuting, LIU Liangming
2025, 22(4):  392-398.  doi:10.3870/j.issn.1672-8009.2025.04.014
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Regulatory T cells ( Tregs) play multifaceted roles in hepatic inflammatory injury. On one hand, Tregs can migrate to inflamed hepatic tissues via chemokine-mediated chemotaxis, exerting immunosuppressive functions and promoting tissue repair. On the other hand, during the fibrotic process induced by inflammatory injury, the interactions between Tregs and other immune cells can counteract fibrogenesis. This review focuses on the classification and functions of Tregs, their specific roles in hepatic inflammatory injury diseases, and the underlying mechanisms mediating their actions in hepatic inflammation and injury, to elucidate the intricate mechanisms by which Tregs modulate hepatic inflammatory injury and further clarify the complexity of hepatic immune cell interactions.
Effect of High-risk Human Papillomavirus L1 and L2 Proteins on Autophagy in Cervical Cancer #br#
GAO Xun, WANG Zhilian
2025, 22(4):  399-402.  doi:10.3870/j.issn.1672-8009.2025.04.015
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Autophagy is a self-consumption mechanism used by cells to maintain homeostasis inthe body. Some findings suggest that high-risk human papillomavirus (HR-HPV) promotes cervical carcinogenesis by acting on host cell autophagy. HR-HPV can integrate the viral genome into the host DNA, which in turn infects the host cell. HR-HPV L1 and L2 proteins assist viral entry into cells and inhibit the autophagic process by activating the PI3K / AKT / mTOR signalling pathway through interactions with cell-surface receptors on the membrane of the target cell, resulting in the uninterrupted transport of viral particles into the cell. At the end stage of viral infection, HR-HPV L1 and L2 proteins are expressed in the cytoplasm and translocate to the nucleus, assisting viral evasion of immune surveillance by affecting autophagy. Although HPV prophylactic vaccines against HR-HPV L1 and L2 proteins are available, clarifying the specific regulation of autophagy in cervical cancer by HR-HPV L1 and L2 proteins may expand new ideas for cervical cancer prevention and treatment.
Research Progress on Resistance Mechanisms of Helicobacter pylori to Clarithromycin #br#
WANG Yinfeng, CHEN Changxi, LI Hongliang
2025, 22(4):  403-408.  doi:10.3870/j.issn.1672-8009.2025.04.016
Abstract ( 9 )   PDF (724KB) ( 4 )  
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Helicobacter pylori (HP) is a major pathogen responsible for various gastrointestinaldiseases, and its eradication plays a critical role in preventing gastric cancer. The resistance of HP to clarithromycin has become a key issue affecting its eradication. This article reviews the main molecular mechanisms of HP resistance to clarithromycin, aiming to provide a theoretical foundation for optimizing treatment strategies and future antimicrobial research.
Influenza Virus Induces Degradation of Interferon Signaling Pathway Proteins to Promote Its Own Proliferation #br#
HE Chenmei, FAN Shao, XIA Chuan
2025, 22(4):  409-414.  doi:10.3870/j.issn.1672-8009.2025.04.017
Abstract ( 7 )   PDF (3484KB) ( 1 )  
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Influenza, also known as the flu, is an acute respiratory infectious disease causedby the influenza virus. It has a high incidence rate and can lead to patient mortality. To create a suitable environment for replication and proliferation, the influenza virus engages in complex interactions with the host, including the regulation of host cell gene expression and various signaling pathways by the virus. The type I interferon signaling pathway, as the first line of defense against viral infections, is an important component of the host’s antiviral innate immunity. Meanwhile, type Ⅱ and type Ⅲ interferon systems also influence viral replication through different mechanisms. Literature reports that influenza virus can induce degradation of related cellular proteins to evade the host’s antiviral immune response. This article focuses on the regulation of the interferon system by influenza virus, discussing the molecular mechanisms and biological significance of how the virus promotes ubiquitination and degradation of proteins related to typeⅠ , Ⅱ , and Ⅲ interferon pathways. Understanding how influenza virus antagonizes interferon-mediated antiviral responses is conducive to the development of new anti-influenza therapies by targeting host factors.