目的 通過復制人肝癌細胞株HepG2裸鼠皮下移植瘤模型，觀察綠茶提取物表沒食子兒茶素沒食子酸酯（EGCG）干預對HepG2移植瘤新生血管生成的影響。 方法 瘤體接種復制HepG2移植瘤模型，荷瘤裸鼠20只隨機分組，實驗組給予EGCG溶液每日20 mg/（kg·只），腹腔注射3周，對照組給予等量滅菌注射用水3周，末次用藥24 h，后處死裸鼠，剝離移植瘤。常規病理切片觀察移植瘤組織結構；逆轉錄-聚合酶鏈式反應和免疫組織化學法檢測移植瘤缺氧誘導因子-1α（HIF-1α）、血管內皮生長因子（VEGF）mRNA及蛋白表達，并通過檢測CD34表達計數瘤組織微血管密度（MVD）。 結果 組織病理學觀察實驗組移植瘤見大量壞死區，瘤體內血管數量明顯少于對照組；實驗組HIF-1α、VEGF mRNA及蛋白表達水平比對照組均明顯下調（P＜0.05），實驗組MVD比對照組明顯下降（P＜0.05）。 結論 EGCG可抑制荷瘤裸鼠HepG2移植瘤新生血管生成。
【Abstract】 Objective To survey the prevalence and risk factors of chronic obstructive pulmonary disease ( COPD) , and establish database for community intervention of COPD.Methods A cluster-randomsampling survey was carried out. The population aged over 40 years old in eight communities of Chengdu were investigated from August 2007 to August 2009 using the standard protocol and questionnaire. The spirometry was performed for each participant. Results A total of 4315 residents were enrolled in this survey and 3687 case reports were analyzed, including 1529 males and 2148 females, with an average age of 60. 35 ±13. 21 years old. Total prevalence of COPD was 9. 6% . The prevalence of COPD in the males was significantly higher than that in the females ( 14. 0% vs. 6. 4%, P lt;0. 01) . The prevalence of COPD increased with the age. The major risk factors were cigarettes smoking ( OR = 3. 012, 95% CI 2. 390-3. 797, P lt; 0. 01) and indoor cooking smoking ( OR = 2. 546, 95% CI 1. 734-3. 425, P lt; 0. 01) . Conclusion The prevalence of COPD in Chengdu city is significantly higher than average level of the whole country, which warrant moreattention to better prevention and treatment of COPD in communities.
Objective To survey the prevalence of coexisting chronic obstructive pulmonary disease ( COPD) and chronic heart failure in Chengdu communities. Methods A cross-sectional study was performed in the population aged over 40 years in eight communities of Chengdu city. The subjects were selected by stratified cluster random sampling. Using the same protocol and questionnaire, all participants underwent medical history taking, physical examination and spirometry. Results Of 354 participating patients with a diagnosis of COPD, 74 ( 20. 90% ) cases were complicated with chronic heart failure. The prevalence of chronic heart failure in COPD in male was significantly higher than that in female ( 22. 69%vs. 18. 12% , P lt; 0. 05) . The major causes of chronic heart failure were hypertension ( 31. 64% ) , ischaemic heart disease ( 18. 93% ) , chronic pulonary heart disease ( 17. 51% ) and diabetes ( 11. 86% ) .Conclusions The prevalence of coexisting COPD and chronic heart failure in Chengdu city is significantly higher than the average level of the whole country, which warrant more attention in prevention and treatment of COPD in communities.