月刊,1956年创刊
主管:军事医学科学院
主办:军事医学科学院
主编:张学敏
编辑部主任:刘术
原刊名:军事医学科学院院刊
编辑出版:《军事医学》编辑部
ISSN 1674-9960
CN 11-5950/R
邮发代号:82-757

Latest issue

2025 Volume 49 Issue 3   Published: 25 March 2025
  
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    Original articles
  • Original articles
    WANG Fei, LI Yuchang, ZHANG Sen, CHEN Yuehong, JIANG Tao, MAO Shuhong, KANG Xiaoping
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    Objective To develop nanobodies with broad-spectrum reactivity, specificity, and high sensitivity that can be used for detecting multiple subtypes of influenza A virus, and to establish a nanobody-based enzyme-linked immunosorbent assay(ELISA) method. Methods Gene sequences of twelve nanobodies against influenza A virus were retrieved from the National Center for Biotechnology Information (NCBI) and nanobody databases.The nanoantibodies were prepared using molecular biological techniques including gene synthesis and recombinant expression. The binding activity, specificity, sensitivity, and affinity of these nanobodies were determined by ELISA screening and Gator affinity analysis. A double-antibody sandwich ELISA assay was established by combining the selected nanobody with a traditional mouse monoclonal antibody. Results Twelve nanobodies were expressed and purified. Two nanobodies capable of binding to multiple subtypes of influenza virus including H1, H3, H5, H7, and H9 were obtained and designated as VHH54 and KV108. Both nanobodies showed no cross-reactivity with other respiratory virus antigens. Furthermore, the KV108 nanobody exhibited the highest binding affinity, with a dissociation constant of 5.94×; 10-9 mol/L for the influenza virus nucleoprotein (NP), and the lowest detection concentration for the NP antigen reached 0.00064 μg/mL. The double-antibody sandwich ELISA,using a combination of KV108 and a mouse monoclonal antibody, could sensitively detect the five common subtypes of influenza A virus (H1N1, H3N2,H5N1, H7N9, and H9N2). The lowest detection limit reached 110-403 PFU/mL, which was higher than that of the commercial colloidal gold kitfor influenza virus detection. Conclusion This study has identified a nanobody KV108, which is capable of binding to multiple subtypes of influenza virus, and established a nanobody-based ELISA method that can detect multiple subtypes of influenza A virus. This study can facilitate the development of nanobody-based influenza detection technologies.
  • Original articles
    HU Liang, LÜ Lin, TANG Xuan, WANG Sihan, YU Zuyin, LI Yanhua
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    Objective To establish a human intestinal organ-on-a-chip model using a multi-array chip array to simulate the microphysiological structure of the human intestine and to investigate the impact of ionizing radiation on radiation-induced damage to human intestinal cells. Methods Caco-2 and human umbilical vein endothelial cells (HUVECs) were co-cultured in an organ chip. The cells were subjected to fluid shear stress via a precision shaker. After 7 days of dynamic culture,the morphological structure of intestinal epithelial cells and venous endothelial cells within the intestinal organ chip was examined using phase contrast microscopy,immunofluorescence staining,and confocal microscopy for three-dimensional (3D) imaging. γ-H2AX and TUNEL immunofluorescence staining were employed to assess DNA damage and apoptosis in intestinal epithelial cells two days post-irradiation. Villin immunofluorescence staining was used to evaluate villus height three days post-irradiation. EdU incorporation assay and Ki67 immunofluorescence staining were conducted to observe the effects of ionizing radiation on the proliferation of intestinal epithelial cells. Results After 7 days of dynamic culture,phase contrast microscopy and immunofluorescence staining combined with confocal 3D imaging revealed that the upper intestinal epithelial cells in the middle compartment of the chip formed a 3D intestinal villus structure,while the vascular endothelial cells in the lower compartment developed a vascular network structure. The chip was subsequently irradiated by 10 Gy X-ray. Immunofluorescence staining results indicated that the mean fluorescence intensity of γ-H2AX and TUNEL in the irradiated group was significantly higher than in the non-irradiated group 2 days after irradiation (P<; 0.01),and that the proportion of EDU+ and Ki67+ cells in the irradiated group was significantly lower than in the non-irradiated group three days after irradiation (P<; 0.05). Conclusion Caco-2 cells and HUVECs co-culture on an organ chip can generate the biomimetic structure of human intestinal villus. Ionizing radiation has been found to shorten intestinal villus,increase DNA damage and apoptosis in intestinal epithelial cells,and inhibit the proliferation of these cells.
  • Original articles
    ZHAO Caiyun, HE Song, JIN Yiguang, BO Xiaochen
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    Objective To develop a new model for predicting compound toxicity and exploring related toxicity mechanisms using transcriptomic data and gene ontology knowledge. Methods Using the TOXRIC database, two toxicity-related datasets were constructed and a Tox VNN model was established that incorporated gene ontology knowledge to evaluate compound toxicity and identify key biological processes. Results Tox VNN demonstrated good predictability.The identification of important biological processes related to CYP enzyme activity and p53 pathway stress response provided insights into the toxicity mechanisms. Conclusion The Tox VNN,which integrates data and knowledge,can not only ensure high predictability,but also effectively identify important biological processes related to toxicity. This model offers a new approach to predicting and understanding compound toxicity in drug safety evaluation.
  • Original articles
    CAI Mingze, LI Hao, YU Yan, SHEN Wei, WU Haitao
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    Objective To investigate the role of the piriformcortex in regulating attentional behavior in mice. Methods Adult male C57BL/6J mice were subjected to a 5-choice serial reaction time task (5-CSRTT). Immunofluorescence staining was performed to detect expressions of cellular FBJ murine osteosarcoma viral oncogene homolog protein (c-Fos) in the piriform cortex. The changes of attentional behavior in the 5-CSRTT test were explored following either stereotactic injection of diphtheria toxin A virus to specifically damage piriform cortex neurons or chemogenetical inhibition of the neuronal activity inthe piriform cortex. Results It was found that the expression of c-Fos in the 5-CSRTT-tested mice was significantly increased compared to the control.Both lesion and chemogenetic inhibition of piriform cortex neuronsreduced the accuracy of attention,but omission rates and premature responses remained unaffected in the 5-CSRTT test. Conclusion Piriform cortex neuronsmay play a critical role in modulating attentional processes in mice.
  • Original articles
    MI Na, WANG Weifeng, CHENG Xiang, ZHANG Ying, YUE Xiangpei, ZHAO Yifan, YANG Junli, ZHU Lingling
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    Objective To investigate the protective effect of Gynostemma pentaphyllum on memory of individuals rapidly ascending to high altitudes. Methods Twenty-one healthy subjects were randomly divided into a G. pentaphyllum food group (n=12) and a control group (n=9). The first group consumed G. pentaphyllum food for seven consecutive days while the control group received placebos. Both groups ascended from the plains to an altitude of 3600 m. Memory function was assessed using the matching memory and sequential memory tests of a cognitive evaluation system on day 1 and day 7 on the plains,and at 24 and 48 h after ascending to the high altitude. Scores of acute mountain sickness symptoms were also recorded. Results After 24 h of stay at the high altitude,the score of headache of the G. pentaphyllum food group was significantly lower than that of the control group(P<; 0.05). Cognitive test results showed that the matching memory accuracy and sequential memory accuracy of the control group at 24 and 48 h were significantly lower than those on the plains(P<; 0.05). In contrast,the G.pentaphyllum food group performed significantly better than the control group in these metrics(P<; 0.05). Conclusion Regular consumption of G. pentaphyllum food can effectively alleviate headache symptoms in individuals rapidly ascending to high altitudes and mitigate the decline in working memory,short-term memory,and memory spans caused by acute hypoxic exposure.
  • Original articles
    YUE Chunyan, PENG Yi, DONG Luling
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    Objective To study the relationships between Helicobacter pylori (Hp) infection and the occurrence of osteoporosis via Meta-analysis. Methods Two researchers independently retrieved related literature related to the association between Hp infection and osteoporosis and published in such databases as PubMed, EMBASE and Cochrane Library, China Science and Technology Journal Database, China National Knowledge Infrastructure (CNKI), and Wanfang Database as of February 2024. STATA 11.0 software was used for Meta-analysis before the combined OR value and its 95%CI were calculated. Results Twenty-four studies involving 24 936 participants were included in the study. Meta-analysis showed that Hp infection was significantly associated with the risk of osteoporosis (OR:1.52,95%CI:1.17-1.99). Those infected with the CagA-positive Hp strain were more likely to develop osteoporosis (OR:2.42,95%CI:1.32-4.43). Hp infection was significantly associated with decreased bone mass(OR=1.32,95%CI:1.08-1.62),but the decrease of bone mineral density in Hp-positive patients was not significant compared with Hp negative controls. Conclusion Infection with Hp, particularly the CagA-positive strain, has been associated with an increased risk of osteoporosis. The bone health of Hp-positive patients deserves more attention.
  • Original articles
    WANG Xuanze, LI Jiangyu, ZHENG Xiangwen, XIAO Yu, MAO Huajian, ZHAO Dongsheng
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    Objective To develop a system for retrieving information from clinical records of Traditional Chinese Medicine (TCM) based on generative large language models(LLMs). Methods Applicational needs of the system were analyzed, and entity types to be retrieved were identified. The functions, workflows, and architecture of the system were designed by combining the automatic retrieval capabilities of LLMs with human-in-the-loop (HITL). The software was developed using such frameworks as vLLM and Node.js. Interaction of multiple commercial/open source LLMs was implemented using OpenAI-compatible interfaces. The quality of information retrieved from LLMs was enhanced by prompt engineering. Results This system supported task allocation, automatic retrieval of structured information, and manual review. To evaluate its performance, the moonshot-v1-8k model was used to retrieve clinical records of TCM before manual edition was performed. Combining large language model pre-annotation with meticulous annotator edits improved accuracy by 26.6% compared to the BERT-BiLSTM-CRF model, and enhanced extraction efficiency by 1.6-fold relative to purely manual methods. Conclusion General generative LLMs can retrieve a wide range of entity information from TCM records with high accuracy and scalability. The design and implementation of this system approach may provide a useful reference for developing other biomedical information retrieval systems.
  • Original articles
    SHU Chi, LEI Yan, HOU Jie, XU Li
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    Objective To explore an assessment model for multi-level integrated training in health service based on advanced intelligent trauma simulators in order to innovate health service training. Methods An assessment model for multi-level integrated training that involved advanced trauma simulators was adopted to assess chains of treatment and rescue that were composed of multi-hierarchy medical institutions. The assessment focused on trauma emergency response capabilities at each level and the overall therapeutic effect. Results In terms of capabilities for treatment and rescue, group B was the best one, followed by group C and group A. As for the overall therapeutic effect,group A was outstanding, followed by group B and group C. Based on the priorities of combat casualty care, the final results of assessment were as follows: group A was the best one, followed by group B and group C. Conclusion The analysis of processes and outcomes of assessment reveals the edge of this model, as evidenced by the continuity of treatment and rescue, integrity of overall effectiveness, and adaptability of this assessment model.
  • Reviews
  • Reviews
    PAN Junmiao, WANG Hui, ZHANG Ke, PENG Ruiyun
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    With the development of technology, humans are increasingly exposed to radio frequency electromagnetic fields. Previous studies have shown that radio frequency radiation could affect public health, but there was no consensus on whether radio frequency radiation affected human cognitive function, and most experimental results were not reproducible. Based on literature currently available, this paper reviews the measurement and control methods of public exposure and laboratory exposure to radio frequency electromagnetic fields, and the effects of long term and short term electromagnetic radiation on cognitive function and neural activity of the human brain. The existing problems are summarized, prospects are predicted, and recommendations are given as to how the influence of radio frequency electromagnetic fields on cognitive function should be studied in the future.
  • Reviews
    HE Dujuan, ZHANG Meikui, NI Han, DUAN Jingyao, ZHANG Liming
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    Anxiety and fear,as common symptoms of psychiatric disorders,remain inadequately understood in terms of their pathogenesis. Changes in immune inflammation are considered to play a significant role in both the pathological and physiological processes associated with these mental illnesses. In recent years,it has been demonstrated that stress can regulate immune inflammation through multiple pathways,including the regulation of the autonomic nervous system,the hypothalamic-pituitary-adrenal axis,indoleamine 2,3-dioxygenase and its metabolite kynurenine,and the gut-brain axis. These pathways are implicated in the onset and treatment of anxiety and fear-related mental illnesses. This article focuses on the relationships between anxiety and fear-related mental illnesses and immune inflammatory responses.
  • Reviews
    RENQING Zhaxi, YANG Hao, WANG Rui, LIANG Ya′nan, CHAI Ruiqing, ZHANG Peiran,ZHANG Tongmei, ZHAO Xingcheng
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    Hypoxia inducible factors (HIFs) are core molecules that enable the body to adapt to hypoxia environments. By sensing changes in intracellular oxygen pressure,HIFs regulate gene expression related to hypoxia adaptation,thereby enhancing the body's hypoxia tolerance at cellular,tissue and organ levels. On the other hand,HIFs promote the generation of red blood cells,angiogenesis,and regulate the body's energy metabolism,thereby improving its hypoxia tolerance. The enhancement of hypoxia tolerance is of great significance for the prevention and treatment of hypoxia-related diseases,upgrading of athletes' performance,enhancement of workers' efficiency at high-altitudes,and the improvement of individuals' quality of life. This article reviews the relationships between HIFs and hypoxia tolerance as well as related mechanisms in order to provide strategies for enhancing hypoxia tolerance in the body.
  • Short report
  • Short report
    LI Dan, XIN Wei, YUAN Ningning, REN Liyuan, LI Jiaqi, GAO Le
    Abstract ( ) Download PDF ( )   Knowledge map   Save
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