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

2026 Volume 50 Issue 1   Published: 25 January 2026
  
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    Original articles
  • Original articles
    WANG Xiaoya, LIU Jiaonan, LIU Zemin, DONG Ji, PENG Ruiyun, ZHAO Li
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    Objective To explore the neuroprotective effects of nicotinamide riboside against microwave radiation-induced brain injury in mice. Methods Mice were subjected to whole-body uniform microwave radiation (at a central frequency of 2.856 GHz,and average power density of 20 mW/cm² for 30 min). After radiation,the mice received intraperitoneal injections of nicotinamide riboside chloride at doses of 250,500,or 1000 mg/(kg·d). Behavioral performance was assessed using the open field test (OFT) and elevated plus maze (EPM). Histopathological changes in the cortex (CTX),hippocampus (HPC),and hypothalamus (HT) were detected via hematoxylin-eosin (HE) staining. Levels of such pro-inflammatory cytokines as tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) in the CTX,HPC,and HT were measured using enzyme-linked immunosorbent assay (ELISA). Proteomic analysis was performed to assess changes in protein expressions in the CTX. Results After microwave exposure,the exploratory behavior of mice was reduced,and the entries into the central zone and open arms were decreased (P<0.05). Neuronal injuries were increased,and the levels of TNF-α and IL-6 were elevated (P<0.05). Proteomic analysis indicated that differentially expressed proteins were mostly enriched through oxidative phosphorylation related pathways. NR interventions significantly ameliorated these alterations,as evidenced by increased exploratory behavior,reduced neuronal injury,decreased inflammatory cytokine levels (P<0.05),and the reversal of expressions of dysregulated proteins,including zinc finger AN1-type domain-containing protein 5 (Zfand5). Conclusion NR can alleviate brain injury and associated behavioral and neuroinflammatory alterations in mice induced by microwave radiation,which might involve the zfands and other key molecules.
  • Original articles
    DUAN Jingyao, WANG Jingya, NI Han, HE Dujuan, LI Yunfeng, DAI Wei
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    Objective To investigate the effects and possible mechanisms of YL-0919 (a novel class 1.1 antidepressant drug with an original chemical structure, independently developed by our research institute)in the treatment of post-traumatic stress disorder (PTSD) and cognitive impairment in a mouse model of inescapable footshock (IFS). Methods Highly selective sigma-1 receptor antagonist BD-1047 was intraperitoneally injected to verify the target of YL-0919: (1) Mice were randomly divided into the control group, IFS+vehiclegroup, IFS+YL-0919 (2.5 mg/kg)+vehicle group, and IFS+YL-0919+BD-1047 (2.0 or 4.0 mg/kg) groups. The plantar surface of the mice was subjected to two consecutive days of electric shockto establish an IFS model. Mice in the IFS+YL-0919+vehicle group and the IFS+YL-0919+BD-1047 group were orally administeredwith YL-0919 (2.5 mg/kg) twice daily while those in theBD-1047 group (2.0 or 4.0 mg/kg)were administered intraperitoneally once daily, starting two days before YL-0919 administration. One hour after drug administration on the seventh day, the rapid anti-PTSD effect of YL-0919 was evaluated via behavioral experiments. (2)Fluoxetine (Flx) was used as a positive control drug. Mice were randomly divided into the control group, IFS+vehicle group, IFS+YL-0919 (2.5 mg/kg)+vehicle group, IFS+YL-0919+BD-1047 (2.0 mg/kg) group, and IFS+Flx (10.0 mg/kg)+vehicle group. Twenty-four hours after drug administration on the fifth day, the rapid anti-PTSD effect of YL-0919 was assessed via behavioral experiments. (3) Western blot was used to detect the expression levels of synaptic plasticity protein PSD95, AMPA-type glutamate receptor subunit-1 (GluA1), and brain-derived neurotrophic factor (BDNF) in the prefrontal cortex of mice. Results (1) Compared with the control group, there was an increase in freezing time and asignificant decrease in recognition indexes in the IFS model group (P<0.05). Compared with the IFS group, these changes were significantly reversed by YL-0919 (2.5 mg/kg) (P<0.05). In contrast, Flx (10.0 mg/kg) did not mitigate the behavior after 5 days of continuous administration, but14 days of administration of Flx (10.0 mg/kg) showed a significant anti-PTSD effect but failed to significantly improve cognitive deficits in the IFS model mice, suggesting that YL-0919 could exert rapid anti-PTSD effect and improve cognitive function compared to Flx. Compared with the IFS+YL-0919+vehicle group, the anti-PTSD and pro-cognitive effects of YL-0919 were blocked by BD-1047 (2.0 or 4.0 mg/kg). (2) Compared with the control group, the expression levels of PSD95, BDNF, and GluA1 proteins in the prefrontal cortex of mice were significantly reduced in the IFS model group (P<0.05), but were significantly increased in the IFS+YL-0919 (2.5 mg/kg, administration for 5 days) group compared with the IFS model group (P<0.05). Compared with the IFS+YL-0919 +vehicle group, the increased expression levels of PSD95, BDNF, and GluA1 proteins induced by YL-0919 were blocked after BD-1047 (2.0 mg/kg) administration. Compared with the IFS model group, the expression levels of PSD95, BDNF, and GluA1 proteins in the prefrontal cortex of mice in the IFS+Flx (10 mg/kg, administration for 5 days) group did not change significantly. Conclusion YL-0919 can exert rapid anti-PTSD effects and relieve cognitive impairment in the IFS model, and the mechanism of the action may be related to the activation of sigma-1 receptors to regulate synaptic plasticity and BDNF expression in the prefrontal cortex.
  • Original articles
    ZHANG Xiangsong, WANG Xuan, CAO Yannan, WANG Yunfang, YAN Jun
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    Objective To elucidate the spatiotemporal dynamics of Kupffer cells (KCs) in acetaminophen (APAP)-induced acute drug-induced liver injury and their regulatory mechanisms governing regional hepatocyte regeneration. Methods A Clec4f-iCre & Rosa26-tdTomato lineage-tracing mouse model was established to specifically label KCs. Acute liver injury was induced via intraperitoneal injection of acetaminophen (APAP, 400 mg/kg). Liver tissues and blood samples were collected at 0,1,2,3 and 7 days post-APAP administration. Histopathological examinations (H&E staining, TUNEL assay for apoptosis detection), serum biochemical analyses (ALT and AST), and immunofluorescence staining were employed to find out about the spatiotemporal migration patterns of KCs, their phenotypic transition, and spatiotemporal correlations between KC dynamics and hepatocyte regeneration. Results On day 1 (D1) post-APAP injury, extensive hepatocyte necrosis and apoptosis were observed in the pericentral (PC) zone, accompanied by a reduction in KCs count and their migration from the periphery toward the necrotic core. From D2 onward, repair started, with the necrotic area progressively decreasing. By D3, inflammatory cell infiltration was pronounced in the PC zone, concurrent with a peak in hepatocyte proliferation (Ki67+ cells: approximately 22%, P<0.05). During repair, monocytes (CD11b+ IBA-1-) differentiated into monocyte-derived macrophages (CD11b+ IBA-1+), which synergistically promoted the regeneration of cytochrome P450 2E1(CYP2E1+) hepatocytes in the pericentral zone. By D7, the hepatic lobular architecture was largely restored, indicating the completion of reconstruction of metabolic zonation. Conclusion KCs can regulate hepatocyte regeneration through spatiotemporal dynamics and phenotypic transitions of monocyte-derived macrophages. These findings underscore the pivotal role of macrophage spatiotemporal reprogramming in liver injury repair and may provide data for developing macrophage-targeted therapeutic interventions in hepatic injury.
  • Original articles
    XIE Ting, LIU Minghui, CHEN Dayong, ZHOU Dongsheng, YIN Zhe
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    Objective To study the structural and genetic environment of the plasmid pNY1464-1, which co-carries tmexCD2-toprJ2 and blaIMP-26 in Klebsiella aerogenes. Methods The bacterial strain was identified using 16S rDNA. After third-generation sequencing, the species was verified via average nucleotide identity (ANI) analysis of whole-genome sequences. Antimicrobial susceptibility testing was conducted using the VITEK 2 Compact system to determine the minimum inhibitory concentration (MIC). By analyzing the whole-genome sequence data from such databases as the National Center for Biotechnology Information (NCBI) and the Comprehensive Antibiotic Resistance Database (CARD), we conducted detailed annotation and comparative genomics analysis to determine the plasmid structure and the genetic environment of antibiotic resistance genes. Results This plasmid, pNY1464-1, co-carrying tmexCD2-toprJ2 and blaIMP-26 in Klebsiella aerogenes, was identified as an IncHI5-type plasmid.Compared to the conserved region of the IncHI5-type plasmid, this plasmid had a complete tra1 region, but the tra2 region was interrupted by an IS5.pNY1464-1 contained a range of accessory module regions, including insertion sequences IS5, ISKpn21, and ISKpn37, transposons Tn6381 and Tn6778, a variant of Tn6855, and a novel transposon Tn7678.Among these, Tn6855 carried tmexCD2-toprJ2, while Tn7678 carried resistance genes including blaIMP-26, arr3, dfrA27, and aadA16. Conclusion The plasmid pNY1464-1, which co-carries tmexCD2-toprJ2 and blaIMP-26, is identified in Klebsiella aerogenes. This plasmid harbors multiple mobile genetic elements (MGE) containing antibiotic resistance genes (ARG), which may facilitate the horizontal transfer of ARG across bacterial species.
  • Original articles
    ZHOU Xinyu, ZHAO Yue, CHEN Tianjiao, ZHOU Shuqing, LI Haibei, SHI Danyang, YANG Dong, ZHAO Laien, JIN Min, YANG Zhongwei, WANG Cheng
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    Objective To develop a new hemostatic material that is both highly efficient and cost-effective using mica and agarose as raw materials. Methods A porous mica-agarose composite gel sponge was prepared via direct cross-linking, followed by freeze-drying. The microstructure was characterized by scanning electron microscopy (SEM). The influence of the mica content on pore size, water absorption, and volumetric swelling ratio was investigated. Hemostatic performance was assessed by measuring the hemolysis rate and blood clotting index, along with a mouse tail-amputation model. Results The prepared sponge exhibited a uniformly porous structure. Both water absorption and the volumetric swelling ratio increased with the mica content. However, excessive mica led to reduced stability of the pore structure. Biological evaluations revealed a hemolysis rate below 5% and a coagulation index of approximately 30%, suggesting favorable biocompatibility and effective hemostatic performance. Conclusion A composite hemostatic gel sponge based on mica and agarose has been developed, which promises wide applications in clinical hemostasis.
  • Original articles
    SHU Peilin, CHEN Yuzhi, CHANG Chen, CHU Zongtang, LI Bingting, ZHAO Lian, ZHOU Hong, WANG Ying
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    Objective To optimize an oxygen dissociation analysis (ODA) technology in order to evaluate the oxygen release capacity of hemoglobin-based oxygen carriers (HBOCs) rapidly and accurately. Methods The ODA procedures and statistical approach were optimized. In the course of preparation,HBOCs samples were oxygenated with air for 10 cycles (5 min/cycle ) to reach oxygen saturation. During the testing,N2 was used at a rate of 20 L/min with a duration of 50 cycles to ensure utter deoxygenation. For statistical analysis,the oxygen release ratio and oxygen release capacity of HBOCs were calculated by using natural hemoglobin (Hb) as the benchmark. After method optimization,the coefficient of variation (CV) decreased from 0.10 to 0.03. The calculation of the oxygen release rate was introduced,and results were positively correlated with P50,which was often used to represent the oxygen-carrying/release ability. Additionally,a semi-quantitative method was adopted to evaluate the Bohr effect to distinguish between acid- and base-Bohr effects. Results After method optimization,the high-throughput ODA could quantify HBOCs’ oxygen release capacity more rapidly and more accurately by measuring the oxygen release ratio,oxygen release rate and semiquantitative Bohr effect.Conclusion The high-throughput ODA is optimized and is applicable to evaluating HBOC’s oxygen release capacity in vitro,which can facilitate HBOCs development.
  • Original articles
    XU Li, ZHANG Na
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    The term “prehospital” is increasingly used in military medicine and military medical service. This article is intended to explore the concept from both military-civilian and Chinese-foreign military perspectives before its range of applications within military medical service in China is summarized.Prehospital emergency care, which involves emergency treatment at the site and during evacuation, applies to peace-time emergency treatment by military medical institutions and hospitals at each level.However, in war time, its applications should be restricted to first aid and related medical treatment institutions. It is recommended that prehospital emergency care be distinguished from combat casualty care.
  • Reviews
  • Reviews
    LI He, LING Cong, LIANG Fangwai, WU Shengbo, ZHAO Jun
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    Deep vein thrombosis caused by high altitudes has a high fatality and has become a health concern among military personnel at high altitudes. This review summarizes the research progress in the mechanism,prevention,diagnosis and treatment related to deep vein thrombosis at high altitudes in hopes of enhancing the awareness of frontline health care providers about this disease,providing tips for targeted prevention and treatment,and better safeguarding the health of military personnel at high altitudes.
  • Reviews
    KONG Deyu, XU Hao, LIU Xi, YANG Qian
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    Modern warfare poses a severe challenge to medical support so that portable, efficient, and real-time battlefield diagnostic technologies are needed desperately. This review focuses on wearable ultrasound devices by summarizing their applicability and developments in military medical support. This article analyzes the advantages unique to flexible transducers, portable acquisition of data, and wireless communication as well as ways in which such technologies revolutionize the immediate diagnosis of combat injuries (such as craniocerebral and thoracoabdominal trauma and fractures) and daily health monitoring (including musculoskeletal injuries and cardiovascular assessments). The article also offers insights into the critical challenges facing imaging quality, data processing, and energy supply endurance in order to clarify the significant implications of this device for enhancing the timeliness of battlefield casualty care, optimizing the allocation of medical resources, and safeguarding soldiers’ health. Furthermore, this study points to the need for intensified research and development of hardware design and intelligent algorithms to accelerate the related applications in military medicine.
  • Reviews
    CHEN Yue, LONG Qian, JIANG Xiaoxia, MA Hui, QIAO Xin
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    Depression is a common mental disorder, the pathogenesis of which involves such factors as the imbalance of the monoamine system, neuroinflammation, and oxidative stress. Depression has been found to be associated with dysfunction in the blood-brain barrier (BBB). In recent years, cannabidiol (CBD) has attracted extensive attention due to its remarkable antidepressant activity and neuroprotective properties. Of particular interest is the possibility that CBD may combat depression by repairing BBB damage and thereby improving the homeostasis of the central nervous system. Based on recent research findings, this article explores the antidepressant mechanisms of CBD, the BBB damage in depression, and the protective effects of CBD on the BBB. It is expected to provide references for subsequent studies on the mechanisms of BBB damage in depression and the discovery of new antidepressant targets.
  • Reviews
    HAN Songyang, LI Jiaxin, KANG Lin, GAO Shan, WANG Jing, WANG Jinglin, XIN Wenwen
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    This review summarizes the analytical and detection methods of saxitoxin and aconitine by liquid chromato-graphy-tandem mass spectrometry (LC-MS/MS).This review elaborates on the selection strategies of crude extraction and solid-phase extraction method for the two small-molecule toxins,as well as the effects of chromatographic column,mobile phase and buffer on the detection performance in LC-MS/MS analysis. Finally,this review offers insightful outlooks on the prospective research directions for the pretreatment of these two toxins.
  • Reviews
    DONG Xiaopei, ZHANG Shaohua
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    Leptomeningeal metastases(LM)in breast cancer patients are rare,but are usually accompanied by severe symptoms and a very poor prognosis. So far,MRI of the brain and/or spinal cord and cytological examination of cerebrospinal fluid (CSF) are the two primary methods used to diagnose LM. However,the sensitivity of either technique is limited, leading to a long diagnostic process,and delaying treatment. Traditional chemotherapy and targeted therapies used to treat systemic diseases are hampered by the blood-brain barrier. Similarly,the efficacy of intrathecal therapy and radiotherapy is controversial. This review summarized advances in the diagnosis and therapies of LM in breast cancer,in the hopes of providing a reference for clinical practice.
  • Short report
  • Short report
    CHEN Lanhui, ZOU Shirong, LI Yihang, HAN Jingmei, ZHANG Xian, WANG Rui
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