Objective Heparin-induced thrombocytopenia(HIT)is a complication characterized by thrombocytopenia,hemorrhage and/or thrombosis,which is caused by initial or repeated application of unfractionated heparin(UFH)and low-...Objective Heparin-induced thrombocytopenia(HIT)is a complication characterized by thrombocytopenia,hemorrhage and/or thrombosis,which is caused by initial or repeated application of unfractionated heparin(UFH)and low-molecular-weight heparin(LMWH).This study aims to summarize the clinical features of HIT in patients undergoing cardiac surgery.展开更多
Background The pathogenesis of diabetic nephropathy (DN) is a complex pathophysiological process.Its precise mechanism is not fully known. In recent years it has been recognized that synthesis of various extracelluar ...Background The pathogenesis of diabetic nephropathy (DN) is a complex pathophysiological process.Its precise mechanism is not fully known. In recent years it has been recognized that synthesis of various extracelluar matrix (ECM) components may increase, and that degradation of ECM may decrease in DN. It was reported heparin could inhibit mesangial cells proliferation in vitro. The main aim of this study is to explore whether heparin inhibits proliferation of mesangial cells grown in high glucose concentration and to measure the effect of heparin on matrix metalloproteinases (MMPs) expression in mesangial cells. Methods The medium contained either low glucose (5 mmol/L) or high glucose (25 mmol/L). The concentrations of heparin in the culture medium were 0, 25, 50,100, 200 or 400 μg/mL. A metabolic (WST-1) assay was used to measure mesangial cell proliferation and Western blot analysis was used to measure MMPs expression of mesangial cells. Results Normal human mesangial cell (NHMC) proliferation was higher in high glucose (HG) medium than in low glucose (LG) medium. They showed a 1.93 fold expansion after 72 h in high glucose in contrast to a 1.63 fold expansion in low glucose. In the presence of heparin, mesangial cells proliferation was inhibited, which was more obvious at high glucose concentrations than at low glucose concentrations. In high glucose, with heparin concentration of 50, 100, 200 and 400 μg/mL, the mesangial cells showed a 0. 61 fold, 0.52 fold, 0.52 fold and 0.41 fold reductions in cell number compared to cells grown without heparin. In low glucose, only concentrations of 200 μg/mL and 400 μg/mL showed reduction in cell number, namely 0.54 fold and 0.45 fold, when compared to cells grown without heparin. In Western blot analysis,MMP1, MMP2, MMP3 and MMP9 was expressed by mesangial cells expressed in both high and low glucose concentrations, which was more prominent in high glucose medium. Incubation of heparin further increased expression of MMP1, MMP2, MMP3 and MMP9. Conclusions This study suggests that glucose can accelerate mesangial cell proliferation while heparin can reduce proliferation, being more obvious at high glucose concentrations. Higher glucose concentrations led to increased MMP expression, which may take part in the regulation of mesangial matrix synthesis and degradation. Addition of heparin resulted in a corresponding increase in MMP expression, most notably at high glucose concentrations, indicating a potentially renoprotective role in DN.展开更多
Utilizing a reliable, reproducible arterial inversiongraft thrombosis model, comparison of intraarterial VSwith intravenous heparin delivery in maintaining micro-vascular patency has been finished, concentrated on the...Utilizing a reliable, reproducible arterial inversiongraft thrombosis model, comparison of intraarterial VSwith intravenous heparin delivery in maintaining micro-vascular patency has been finished, concentrated on thestudy of the effective mechanism of heparin. Vesselpatency, complication rate and representative electromi-croscopy section of the AIG were studied. Patency inthe intraarterial group is 90% (26/29) as compared to50% (12/26) in the intravenous delivery group(P【0.05).Scanning electromicroscopy showed a significant absenceof dense fibrin deposition and decrease in the numberof aggregated platelets in the intra-arterial perfusedAIG. The results of the present study indicate that thesmall dose of heparin through the artery is still effectivein maintaining the vessel pateney. Furthermore, in alarge, carefully controlled series, the complication ratewas low.展开更多
Objective This work is designed to fabricate a new low density lipoprotein(LDL)absorbent through a mussel-inspired approach and to evaluate the blood compatibility and adsorption clearance,capacity and selectivity of ...Objective This work is designed to fabricate a new low density lipoprotein(LDL)absorbent through a mussel-inspired approach and to evaluate the blood compatibility and adsorption clearance,capacity and selectivity of this technique in vitro.Methods Heparin immobilized cellulose(HeTaCe)hydrogels were fabricated through a mussel-inspired approach.Fourier transform infrared spectroscopy,X-ray photoelectron spectroscopy,thermo gravimetric analysis were used to characterize the chemical compositions of the hydrogels.展开更多
A new spectrophotometric method for the determination of trace heparin has been studied. The method was based on the discoloration reaction between heparin and bisphenylnaphthylmethane dyes such as victoria blue 4R(VB...A new spectrophotometric method for the determination of trace heparin has been studied. The method was based on the discoloration reaction between heparin and bisphenylnaphthylmethane dyes such as victoria blue 4R(VB4R), victoria blue B(VBB) and night blue(NB) in weak acid medium. The reduction in absorbance was directly proportional to the concentration of heparin. The linear ranges of heparin were from 0 to 2.4 μg/mL for all systems. The molar absorptivities( ε ) of the three systems were between 2.11×10 6 and 2.66×10 6 L·mol -1 ·cm -1 and the sensitivity of VB4R system was the highest. Taking VB4R system for an example, the effects of some coexisting substances on the determination of heparin have been investigated and the results showed that the method had a good selectivity. The method has been applied to determination of the heparin samples with satisfactory results.展开更多
文摘Objective Heparin-induced thrombocytopenia(HIT)is a complication characterized by thrombocytopenia,hemorrhage and/or thrombosis,which is caused by initial or repeated application of unfractionated heparin(UFH)and low-molecular-weight heparin(LMWH).This study aims to summarize the clinical features of HIT in patients undergoing cardiac surgery.
文摘Background The pathogenesis of diabetic nephropathy (DN) is a complex pathophysiological process.Its precise mechanism is not fully known. In recent years it has been recognized that synthesis of various extracelluar matrix (ECM) components may increase, and that degradation of ECM may decrease in DN. It was reported heparin could inhibit mesangial cells proliferation in vitro. The main aim of this study is to explore whether heparin inhibits proliferation of mesangial cells grown in high glucose concentration and to measure the effect of heparin on matrix metalloproteinases (MMPs) expression in mesangial cells. Methods The medium contained either low glucose (5 mmol/L) or high glucose (25 mmol/L). The concentrations of heparin in the culture medium were 0, 25, 50,100, 200 or 400 μg/mL. A metabolic (WST-1) assay was used to measure mesangial cell proliferation and Western blot analysis was used to measure MMPs expression of mesangial cells. Results Normal human mesangial cell (NHMC) proliferation was higher in high glucose (HG) medium than in low glucose (LG) medium. They showed a 1.93 fold expansion after 72 h in high glucose in contrast to a 1.63 fold expansion in low glucose. In the presence of heparin, mesangial cells proliferation was inhibited, which was more obvious at high glucose concentrations than at low glucose concentrations. In high glucose, with heparin concentration of 50, 100, 200 and 400 μg/mL, the mesangial cells showed a 0. 61 fold, 0.52 fold, 0.52 fold and 0.41 fold reductions in cell number compared to cells grown without heparin. In low glucose, only concentrations of 200 μg/mL and 400 μg/mL showed reduction in cell number, namely 0.54 fold and 0.45 fold, when compared to cells grown without heparin. In Western blot analysis,MMP1, MMP2, MMP3 and MMP9 was expressed by mesangial cells expressed in both high and low glucose concentrations, which was more prominent in high glucose medium. Incubation of heparin further increased expression of MMP1, MMP2, MMP3 and MMP9. Conclusions This study suggests that glucose can accelerate mesangial cell proliferation while heparin can reduce proliferation, being more obvious at high glucose concentrations. Higher glucose concentrations led to increased MMP expression, which may take part in the regulation of mesangial matrix synthesis and degradation. Addition of heparin resulted in a corresponding increase in MMP expression, most notably at high glucose concentrations, indicating a potentially renoprotective role in DN.
文摘Utilizing a reliable, reproducible arterial inversiongraft thrombosis model, comparison of intraarterial VSwith intravenous heparin delivery in maintaining micro-vascular patency has been finished, concentrated on thestudy of the effective mechanism of heparin. Vesselpatency, complication rate and representative electromi-croscopy section of the AIG were studied. Patency inthe intraarterial group is 90% (26/29) as compared to50% (12/26) in the intravenous delivery group(P【0.05).Scanning electromicroscopy showed a significant absenceof dense fibrin deposition and decrease in the numberof aggregated platelets in the intra-arterial perfusedAIG. The results of the present study indicate that thesmall dose of heparin through the artery is still effectivein maintaining the vessel pateney. Furthermore, in alarge, carefully controlled series, the complication ratewas low.
文摘Objective This work is designed to fabricate a new low density lipoprotein(LDL)absorbent through a mussel-inspired approach and to evaluate the blood compatibility and adsorption clearance,capacity and selectivity of this technique in vitro.Methods Heparin immobilized cellulose(HeTaCe)hydrogels were fabricated through a mussel-inspired approach.Fourier transform infrared spectroscopy,X-ray photoelectron spectroscopy,thermo gravimetric analysis were used to characterize the chemical compositions of the hydrogels.
文摘A new spectrophotometric method for the determination of trace heparin has been studied. The method was based on the discoloration reaction between heparin and bisphenylnaphthylmethane dyes such as victoria blue 4R(VB4R), victoria blue B(VBB) and night blue(NB) in weak acid medium. The reduction in absorbance was directly proportional to the concentration of heparin. The linear ranges of heparin were from 0 to 2.4 μg/mL for all systems. The molar absorptivities( ε ) of the three systems were between 2.11×10 6 and 2.66×10 6 L·mol -1 ·cm -1 and the sensitivity of VB4R system was the highest. Taking VB4R system for an example, the effects of some coexisting substances on the determination of heparin have been investigated and the results showed that the method had a good selectivity. The method has been applied to determination of the heparin samples with satisfactory results.
