Molecular and cellular mechanisms of T Cell development

The thymus is central to the establishment of a functioning immune system. Here is the place where T cells mature from hematopoietic progenitors, driven by mutual interactions of stromal cells and the developing thymocytes. As a result, different types of T cells are generated, all of which have been carefully selected for the ability to act in host defense towards non-self and against the potential to mount pathogenic self-reactive autoimmune responses. In this review we summarize our present knowlege on the lineage decisions taking place during this development, the selection processes responsible for shaping the T cell antigen-receptor repertoire, the interactions with the stromal components and the signal transduction pathways which transform the interactions with the thymic microenvironment into cellular responses of survival, proliferation, differentiation and, importantly, also of cell death. Received 12 June 2003; received after revision 22 July 2003; accepted 28 July 2003     

小白鼠饮食失节后糖皮质激素分泌功能的变化

因饮食失节而致脾虚的小白鼠,其血清皮质酮水平明显升高,肾上腺的维生素C含量显著下降,而肾上腺指数呈相应增加;且所有这些症状均是暂时的,可逆的.四君子汤可使症状完全消失.     

Regulation and interactions in the activation of cell-associated plasminogen

The main components in plasminogen activation include plasminogen, tissue plasminogen activator (tPA), urokinase plasminogen activator (uPA), urokinase plasminogen activator receptor (uPAR), and plasminogen activator inhibitors-1 and –2 (PAI-1, PAI-2). These components are subject to extensive regulation and interactions with for example, pericellular adhesion molecules. Although uPA and tPA are quite similar in structure and have common inhibitors and physiological substrates, their physiological roles are distinct. Traditionally, the role of tPA has been in fibrinolysis and that of uPA in cell migration, especially in cancer cells. Recently several targets for tPA/plasmin have been found in neuronal tissues. The functional role of the PAIs is no longer simply to inhibit overexpressed plasminogen activators, and PAI-2 has an unidentified role in the regulation of cell death.Received 2 June 2004; received after revision 30 June 2004; accepted 20 July 2004     

中西医结合治疗溃疡性结肠炎60例临床观察

目的临床观察利用氨基水杨酸制剂、肾上腺糖皮质激素等西药联合中药汤剂治疗溃疡性结肠炎的疗效.方法随机选取110名溃疡性结肠炎患者,治疗组60例,对照组50例.治疗组给予氨基水杨酸制剂、肾上腺糖皮质激素等联合中药汤剂治疗,对照组只给予氨基水杨酸制剂、肾上腺糖皮质激素、免疫抑制剂治疗.结果治疗组总有效率95%,对照组总有效率76%,治疗组有效率明显优于对照组,两组比较具有统计学意义（P〈0.01）.结论中西医结合治疗溃疡性结肠炎能够提高其治疗效果,毒副作用低,可临床推广使用.     

内镜与药物结合对鼻息肉治疗的影响

传统手术及内镜治疗鼻息存在诸多缺点：出血多,复发率高.采用术前1周及术后3天给予强的松口服,术后连续使用丙酸倍氯米松气雾剂喷鼻6个月,明显减少了手术中的出血,缩短了病人住院时间,更重要的是减少了复发.