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    Expert review
  • Expert review
    LEI Er-qing
    Abstract ( ) Download PDF ( )   Knowledge map   Save
    The term “junshi yixue” has two meanings in Chinese. One is health care among the military troops and the other is military medical sciences. Another term “weisheng qinwu” also has two meanings in Chinese. One is the administration of military health care and the other is military medical services. Different meanings of these terms have left the Chinese military healthcare providers confused for many years. This article discusses in detail the different meanings of those two terms and draws three conclusions about their relationships.
  • Original articles
  • Original articles
    LIU Zhi-rui, ZHANG Biao, ZHANG Ming-ming, ZHOU Jun-nian, ZHANG Bo-wen, XI Jia-fei, PEI Xue-tao, ZENG Quan, YUE Wen
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    Objective To investigate the effects of damage suppressor gene(Dsup) expression on the biological characteristics of human embryonic stem cells(hESC-H9) by using CRISPR/Cas9 technique to construct stable cell lines with Dsup overexpression. Methods The CRISPR/Cas9 AAVS1 insertion system was constructed. The Dsup sequence was amplified by PCR and inserted into pAAVS1-Donor-GFP-Puro. The constructed pAAVS1-Dsup-GFP-puromycin(Puro) vector and pAAVS1-CRISPR-Cas9 vector were co-transfected into the hESC-H9,and Dsup was inserted into the hESC-H9 AAVS1 site through CRISPR/Cas9-mediated homologous recombination. Puromycin was used for screening while flow cytometry was used to sort GFP,TRA-1-60 and SSEA-4 positive cells. The stable hESC-H9-damage suppressor (Dsup) was obtained and passaged to the ninth generation before Dsup mRNA expression,GFP,cell surface markers (TRA-1-60,SSEA-4) and genes expression (OCT4,SOX2,NANOG) were detected. Furthermore,the proliferation,apoptosis and radiation tolerance of the hESC-H9-Dsup were detected to explore the effects of Dsup on hESC-H9. Results The recombinant plasmid pAAVS1-Dsup-GFP-Puro was successfully constructed. After co-transfection of hESC-H9 with pAAVS1-CRISPR-Cas9 vector,the hESC-H9-Dsup was obtained by drug screening. The Dsup expression did not affect the expressions of TRA-1-60,SSEA-4 or OCT4,SOX2 or NANOG. The proliferation rate of hESC-H9-Dsup was slightly higher than that of hESC-H9-Control/WT. There was no significant difference in apoptosis between hESC-H9-Dsup and hESC-H9-Control/WT. The radiation tolerance ability of hESC-H9-Dsup was markedly higher than that of hESC-H9-Control. Conclusion The hESC-H9-Dsup is successfully constructed,and the Dsup expression has no significant effects on its basic biological characteristics and manifests good radiation tolerance ability,which can contribute to subsequent studies on the influence and the possible application of Dsup to human cells.
  • Original articles
    WANG Di, LIU Xuan
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    Objective To study the effect of p24β 1 expressions on Golgi apparatus in HepG2 cells by changing the expression level of p24β 1. Methods The expression of p24β 1 was knocked down by RNA interference in HepG2 cells(HepG2-KD) before the knockdown efficiency of genes was detected by real time quantitative PCR (qPCR) and Western blotting. Furthermore, p24β 1 genes in two homologous chromosomes were completely knocked out using CRISPR/Cas9 technique (HepG2-KO), which was confirmed by genomic sequencing and Western blotting. The proliferation of HepG2-KO and HepG2 wild type cells was also compared by means of CCK-8 assay and colony-forming assay. Moreover, the distribution and structure of Golgi apparatus in HepG2-KO and HepG2 wild type cells were analyzed and compared via immunofluorescence assay using Golgi marker α-N-acetylgalactosaminyl residues. Results p24β 1-targeted RNA interference decreased p24β 1 expressions. HepG2-KO cell clones with double knockout of p24β 1 genes in two homologous chromosomes were also constructed, which showed no significant impact on cell proliferation compared to HepG2 wild type cells by CCK-8 assay and colony-forming assay.Most importantly, the distribution and structure of Golgi apparatus were significantly changed by p24β 1 knockout. Loosened structure of Golgi apparatus, especially the dispersed lamellar morphology of cis Golgi bodies, was observed in the HepG2-KO cell line. Conclusion In HepG2 cells,p24β 1 plays an important role in stabilizing the structure of Golgi apparatus,suggesting that p24β 1 may facilitate the biological function of Golgi apparatus.
  • Original articles
    ZHU Jun-wen, DU Yi-meng, HUO Nan, XUE Chun-yuan, KANG Xiao-feng, FANG Liao-xin, XU Xiao-jie, ZHANG Qing-yuan
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    Objective To construct recombinant plasmids with different truncated fragments of the actin-binding Rho activating C-terminal like (ABRACL) gene promoter, and to detect their transcriptional activity. Methods A full-length plasmid containing the ABRACL gene promoter was used as the template, and different truncated fragments of the ABRACL promoter were amplified by PCR before being inserted into the pGL3.0-basic vector respectively to construct recombinant plasmids with different truncated fragments of the ABRACL promoter. After being confirmed by double digestion and sequencing results, the recombinant plasmids were transfected into ZR75-1 and A549 cells. The luciferase activity of different truncated fragments of the ABRACL gene promoter was determined by dual luciferase reporter assay. The effect of transcription factor MYB proto-oncogene like 2(B-MYB) on the transcriptional activity of different truncated fragments of the ABRACL promoter was detected. Results Recombinant plasmids containing the ABRACL gene promoter with different truncated fragments were constructed before the luciferase activity was measured by dual-luciferase assay. The results showed that the ABRACL gene promoter -400 bp fragment exhibited a higher activity, and that the transcription factor B-MYB could enhance the activity of the ABRACL gene promoter of -600 bp and -1000 bp fragments. Conclusion The discovery of regions with high transcriptional activities of the ABRACL gene promoter can contribute to studies on the upstream regulatory mechanism of the ABRACL gene.
  • Original articles
    WEI Ze-liang, TU Kai, ZHANG Meng-meng, WANG Xue-jun, CHEN Guo-jiang, FENG Jian-nan, WANG Sheng-qi, SHI Yan-chun, WANG Jing, ZHENG Yuan-qiang
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    Objective To obtain the specific monoclonal antibodies targeting the capsid protein CD2v of African swine fever virus (ASFV) by expressing the N-terminal extracellular domain of CD2v with the eukaryotic expression system. Methods The eukaryotic expression vector (pcDNA3.1-N-CD2v-His) of the extracellular segment of CD2v protein was constructed using the CD2v plasmid pcDNA3.1-CD2v-HA as the template (containing full length of EP402R gene and HA Taq in C-terminal, ASFV-BA71v stain). The recombinant N-CD2v-His protein was obtained through the Expi-293 expression system. After immunization with N-CD2v-His, the specific monoclonal antibodies anti-CD2v were obtained using the hybridoma technique. The functions of the antibodies were then analyzed by enzyme-linked immunosorbent assay (ELISA), Western blotting and indirect immunofluorescence. Results The N-CD2v-His protein gene was constructed into the eukaryotic expression vector, and the recombinant protein was harvested after transfection into Expi-293F cells. SDS-PAGE showed that the N-CD2v-His fusion protein bands appeared highly glycosylation-modified and ladder-shaped. After the mice were immunized with the fusion protein, two monoclonal antibodies with high-affinity were obtained by screening hybridoma cells. The antibodies were found to be able to specifically recognize glycosylated CD2v protein in indirect ELISA, Western blotting and immunofluorescence assays. Conclusion Two specific monoclonal antibodies targeting the extracellular domain of CD2v protein have been prepared, which is expected to facilitate the development of novel detection or treatments of ASFV.
  • Original articles
    DONG Ji, YAO Chuan-fu, XIAO Yi, WANG Hui, WANG Hao-yu, ZHANG Jing, XU Xin-ping, YAO Bin-wei, ZHOU Hong-mei, ZHAO Li, PENG Rui-yun
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    Objective To investigate the effects of long-term exposure to multi-frequency microwaves of S band and X band on the immune function of rats. Methods Ninety-six male Wistar rats were randomly divided into four groups: the sham radiation group (Sham),S-band microwave radiation group (S10),X-band microwave radiation group (X10) and compound radiation group (SX10). The S-band and X-band microwaves at an average power density of 10 mW/cm2 were used for 6 min,1 time/d,and 30 d of continuous radiation,respectively,and the compound group was radiated by S-band microwaves before X-band microwaves. At 6 h,7 d,14 d and 28 d after radiation,peripheral blood cells were analyzed by blood counters. The serum immunoglobulins (IgA,IgM and IgG) and complement (C3 and C4) were detected by ELISA. The concentrations of cytokines (IL-2,IL-4,IL-10,IL-12p70,IL-13,IL-17A,TNF-α and IFN-γ) were detected by the multifunctional liquid chromatography platform. Hematoxylin eosin staining and light microscopy were used to observe the tissue structure of the spleen and thymus. Transmission electron microscopy was used to observe the ultrastructure of the spleen and thymus. Results Compared to the sham group,the number of leukocytes and lymphocytes in the peripheral blood of the SX10 group was decreased significantly at 6 h (P< 0.01 or P< 0.001) and was recovered at 7 d and 14 d after radiation,but there was no significant change in the S10 or X10 groups. The concentrations of IgM and complement C3,C4 in serum were decreased significantly at 6 h (P< 0.05 or P< 0.01) but recovered at 7 d or 14 d after radiation in the SX10 group. The concentrations of IL-2,IL-4,IL-10,IL-12p70,IL-13 and TNF-α were significantly increased in the SX10 group at 6 h (P< 0.05,P< 0.001) but recovered at 7 d after radiation. The nuclei of lymphocytes in the thymus and spleen tissues of rats in each radiation group were fragmented at 6 h and 7 d after radiation before being recovered at 28 d after radiation. At 7 d after radiation,mitochondrial vacuolation and cristae breakage were observed in lymphocytes of thymus and spleen tissues of each radiation group,and lysosomes were seen in X10 and SX10 groups. Conclusion Long-term compound exposure to 10 mW/cm2 S-and X-band microwaves can result in suppression of peripheral blood cells,immunoglobulins and complements,with damage to the structure of the thymus and spleen.
  • Original articles
    CHEN Jian-zheng, CHEN Tao, SU Yu-ting, XU Li-fen, FAN Xue, ZHANG Zuo-ming
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    Objective To study the differences in the dynamic visual acuity (DVA) between subjects with different vision under different simulated flight luminous environments so as to help ensure flight safety. Methods Twenty-four subjects were recruited, six of whom with normal vision were assigned to the 1.0/1.0 group and the rest were randomly divided into 0.8/0.8, 0.6/0.6, and 0.4/0.4 groups (decimal vision), with six subjects in each group. Each subject was tested for DVA by observing the optotype at the speed of 3.0, 4.5, 6.0 and 7.5 km/h in simulated luminous environments of sunlight, oncoming light, backlight, twilight, and on-cloud light. The effects of different luminous environments on the DVA of people with different visual acuities were compared using a three-factor design ANOVA with two repeating measurement factors. Results There was no interaction between the luminous environment, static vision, and movement speed (P> 0.05). There were interactions between the luminous environment and the static vision (P< 0.05) and between the movement speed and the static vision (P< 0.05). There was no interaction between the luminous environment and the movement speed (P> 0.05). Compared with the sunlight environment, subjects in each group had significantly higher DVA in backlight (P< 0.05) and lower DVA in twilight and oncoming luminous environments (P< 0.05). Except for the 0.4/0.4 group, the DVA of other vision groups in the on-cloud light environment was significantly worse than that in the sunlight environment (P< 0.05). Under the same simulated light environment, the DVA of the 1.0/1.0 group was the highest, the DVA of the 0.8/0.8 group was higher than that of the 0.6/0.6 group, and the DVA of the 0.4/0.4 group was the lowest, with statistically significant differences (P< 0.05). For the optotypes of 3.0, 4.5 and 6.0 km/h speeds, the DVA of the 1.0/1.0 group was the highest, the DVA of the 0.8/0.8 group was higher than that of the 0.6/0.6 group, and the DVA of the 0.4/0.4 group was the lowest, with statistically significant differences (P< 0.05). For the optotypes of 7.5 km/h speed, the DVA in the 1.0/1.0 group was significantly higher than that in the low vision groups (P< 0.05), but was worse in the 0.4/0.4 group than that in the 0.8/0.8 group and the 0.6/0.6 group, and the difference was statistically significant (P< 0.05). The DVA of all subjects decreased significantly with the acceleration of the optotypes (P< 0.05). Conclusion The luminous environment and static vision interact in their effect on DVA, as do movement speed and static vision. Nearsighted personnel experience a severe decrease in DVA when observing fast-moving targets in unfavorable light environments such as oncoming light, on-cloud light, and twilight, which deserves attention from flight crews and aviation health protection personnel.[ Key words ]
  • Original articles
    NI Lu-qing, LU Hui, GAO Ming, FAN Xian-peng
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    Objective To analyze in vivo metabolites of isorhamnetin in mice after oral administration using ultra-high performance liquid chromatography coupled with quadrupole/time-of-flight tandem mass spectrometry (UPLC-Q/TOF-MS/MS). Methods Twelve C57BL/6J mice (n=12) were randomly divided into the isorhamnetin group and the vehicle treatment group. Isorhamnetin was reconstituted in carboxymethyl cellulose sodium suspension (0.5%), and administrated at 100 mg/ (kg·d) by oral administration. Meanwhile, the same amount of carboxymethyl cellulose sodium solution (0.5%) free of isorhamnetin was given to the vehicle group. The feces, urine, blood and bile of mice were collected and separated on different C18 columns with gradient 0.1% aqueous formic acid solution-acetonitrile as the mobile phase. The temperature of the column and the autosampler was set at 30°C and 4°C respectively. In the negative ESI mode, each sample was scanned from m/z 50 to 1700. Results After the administration of isorhamnetin, 1 parent compound and 25 metabolites were identified, which were respectively distributed in the feces (19), urine (15), blood (5) and bile (2) of mice. Conclusion Isorhamnetin can induce hydroxylation, dehydroxylation, glycosylation, deglycosylation, sulfation, methylation, acetylation, hydrogenation and glucuronidation in mice. The consequent metabolites may be the potentially effective compounds of isorhamnetin.
  • Original articles
    LI Fan, HAN Yao, LI Hao, JIANG Ya-xuan, SUN Yan-song, LI Lin
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    Objective To establish a homogeneous electrochemical biosensor based on the CRISPR-Cas13a system for detection of pathogenic microorganism nucleic acid. Methods The target nucleic acid was amplified by reverse transcription recombinase-aided amplification (RT-RAA) technology. After in vitro transcription(IVT),A CRISPR homogeneous electrochemical biosensor was constructed by activating the trans-cleavage activity of Cas13a protein for single-stranded RNA and cleaving the reporter RNA labeled with methylene blue (MB). The biosensor was optimized by selecting the length of oligonucleotides on the reporter RNA before the biosensor's detection performance was verified by detecting nucleic acid substances of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and human immunodeficiency virus type 1 (HIV-1). Results A homogeneous electrochemical biosensor based on the CRISPR-Cas13a system and RT-RAA isothermal amplification technology was established. Using the corresponding amplification primers and crRNA,the method could stably detect 102 copies/μl of SARS-CoV-2 RNA and HIV-1 RNA,but did not cross-react with other pathogens. Conclusion The homogeneous electrochemical biosensor based on the CRISPR-Cas13a system has the advantages of simple preparation,high sensitivity,good specificity and universality,and provides a new feasible scheme for point-of-care testing (POCT) of pathogenic microorganisms.
  • Original articles
    ZHAO Xu-peng, ZHANG Kun, ZHU Bao-liang, XU Wei-gang
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    Objective To construct a single microbubble cell contact technology that can facilitate studies on mechanisms of bubble-induced cell injury. Method The single microbubble preparation needle was made of a special glass microneedle connected to a microsyringe. Individual cells were contacted with single microbubbles of varying intensities via the three-dimensional mobile manipulation of the micromanipulator before the reactions were observed using a microscopic imaging system. The feasibility of this technique was verified by observing the effect of bubble contact on the intracellular Ca2+ level of endothelial cells. Results Single microbubbles of controllable sizes could be stably prepared under the liquid surface and individual cells could be contacted for different numbers of times or durations using a micromanipulator. The functional changes of the subjects could be recorded in real time by means of phase contrast fluorescence microscopy or other electronic imaging systems. Increases of the intracellular Ca2+ levels in endothelial cells in human umbilical veins caused by bubble contact were observed through this technique. Conclusion This technology meets the requirements of single microbubble cell contact research.
  • Reviews
  • Reviews
    XU Zhen-hua, LIU Shui-rong, XU Dong-gang, JIANG Xiao-xia
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    Mild traumatic brain injury (mTBI) is a common multiple disease especially in the military,where combatants are prone to mTBI during military training or operations,but there is a lack of guidelines for rapid diagnosis and decision on evacuation. Physical diagnosis,neuroimaging,laboratory biomarker detection,electrophysiological techniques and fast and portable diagnostic techniques are widely used in mTBI diagnosis. Some advanced products have been put on the market,and some methods are quite promising.
  • Reviews
    QI Lin-song, YU Dong-rui, YAO Lu, ZHANG Qiao-yue, CHEN Wei, WANG Quan, LIU Yong
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    RCLE by femtosecond laser has the advantages of fast postoperative recovery and less trauma, and its effectiveness, safety and predictability have been confirmed by domestic and foreign studies. It has better corneal biomechanical stability and facilitates dry eye recovery. Femtosecond laser can theoretically shorten the postoperative recovery time of visual outcomes in military pilots, which will help them return to flight training and tasks.
  • Reviews
    HONG Jian, LIAN Yi-han, WANG Hai-li
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    Proprioceptors are distributed in skeletal muscles and joints to sense the body's speed of motion, rate change, posture maintenance and other proprioceptive signals, which can transform mechanical force signals into electrical ones and transmit information to central nerves via afferent nerves. This paper takes proprioception-muscle spindles as an example to analyze the possible ion channels in proprioception-muscle spindles and the molecular mechanism by which muscle spindles transform mechanical force signals into electrical signals, providing molecular biological data for electrophysiological research on proprioception, development of related drugs and clinical treatment.
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