Analysis on epidemiological charateristics of chlamydia trachomatis infection in Jiangsu Province,2006-2011

目的了解江苏省2006-2011年生殖道沙眼衣原体感染的流行病学特征,为制定防治生殖道沙眼衣原体感染的策略提供科学依据。方法收集2006-2011年江苏省通过中国疾病预防控制信息系统报告的生殖道沙眼衣原体感染病例资料,并对资料进行流行病学分析。结果 2006-2011年,江苏省生殖道沙眼衣原体感染发病率呈快速上升的趋势,2006年为0.12/10万,2011年为3.15/10万,发病率年均增长速度为92.23%;在报告的5 859例病例中,男女性别比为0.3∶1,各年生殖道沙眼衣原体感染男女性别差异有统计学意义;发病年龄主要集中在20~29岁年龄组,占50.96%;江苏省生殖道沙眼衣原体感染报告病例主要集中在苏南和苏中的较发达城市;主要以家庭及待业者和工人为主。结论江苏省生殖道沙眼衣原体感染发病率快速增长,应加强对生殖道沙眼衣原体的防治,以控制其感染的快速流行。江苏省医学重点人才(RC2011086);江苏省医学重点人才(RC2011087); 江苏省科技项目(Y201029

Role of eNOS / NO signaling pathway in peritubular capillary lesions in renal interstitial fibrosis and the related mechanism in mouse models of unilateral ureteral obstruction

目的探讨内皮型一氧化氮合酶(EndOTHElIAl nITrIC OXIdE SynTHASE,E nOS)和一氧化氮(nITrIC OXIdE,nO)在单侧输尿管梗阻(unIlATErAl urETErAl ObSTruCTIOn,uuO)肾间质纤维化小鼠微血管病变中的作用及机制。方法64只kM小鼠随机分为两组:假手术组n=32只;单侧输尿管梗阻uuO组n=32只。观察4周,每周检测各组小鼠血bun、SCr及一氧化氮,流式细胞计数外周血Cd133+/VEgfr+内皮祖细胞(EndOTHElIAl PrOgEnITOr CEllS,EPCS)、MASSOn染色观察肾组织形态学变化,免疫组化法检测肾间质Cd34+表达计数微血管密度,实时定量PCr检测肾皮质E nOS、VEgf MrnA表达。结果 uuO组血一氧化氮、内皮祖细胞计数、肾间质微血管密度、E nOS、VEgf MrnA表达水平持续下降,在第2、3、4周与对照组差异有统计学意义。一氧化氮水平与肾间质微血管密度呈正相关(r=0.715,P<0.05);E nOS MrnA表达水平与肾间质微血管密度(r=0.624,P<0.05)、内皮祖细胞计数(r=0.375,P<0.05)、VEgf MrnA(r=0.351,P<0.05)呈正相关。结论 E nOS/nO途径参与了uuO小鼠肾间质微血管的调节,其调节涉及对血管舒张功能影响、介导促血管肾脏因子VEgf MrnA表达及动员内皮祖细胞等机制。Objective To investigate the role of eN OS/NO signaling pathway in peritubular capillary lesions of mouse renal interstitial fibrosis with unilateral ureteral obstruction( UUC) and the potential mechanism.Methods Sixtyfour healthy male KM mice were randomly divided into sham operated group( n = 32) and unilateral ureteral obstruction group( n = 32).At each week,serum BUN,Scr and NO were determined and the percentages of CD133+/ VEGFR+endothelial progenitor cells in peripheral blood mononuclear cells were detected by flow cytometry.Morphological changes of the renal tissue were observed using Masson staining.The expression of CD34+cells in the renal interstitium was analyzed by immunohistochemistry to calculate the peritubular capillary density.The expressions of eN os and VEGF mRNA were determined by real-time PCR.Results The expression of blood NO,the percentages of endothelial progenitor cells,peritu-bular capillaries,eN OS mRNA,and VEGF mRNA in the UUO group were significantly decreased compared with those of the sham group at 2,3,and 4 weeks( P < 0.05).NO was positively correlated with peritubular capillaries( r = 0.715,P< 0.05),eN OS mRNA was positively correlated with peritubular capillaries( r = 0.624,P < 0.05),endothelial progenitor cells( r = 0.375,P < 0.05),and VEGF mRNA( r = 0.351,P < 0.05).Conclusions eN OS / NO signaling pathway participates in regulation of peritubular capillary lesions in renal interstitial fibrosis of UUO mice.The mechanism may be partly related to the regulation of vasomotor reflex,the expression of VEGF mRNA and mobilization of endothelial progenitor cells.福建省卫生厅青年科研课题(编号:2010-2-92