Histological alterations of intestinal villi in chickens__ fed dried Bacillus subtilis var. natto

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结直肠锯齿状病变:从组织学形态到分子机制的研究进展

结直肠锯齿状病变:从组织学形态到分子机制的研究进展

结直肠锯齿状病变:从组织学形态到分子机制的研究进展*高素明1王琳1#梁美彦2李丽1#山西医科大学第三医院(山西白求恩医院山西医学科学院同济山西医院)病理科1(030032)山西大学物理电子工程学院2摘要结直肠锯齿状病变是一组上皮呈锯齿状结构的息肉/腺瘤,包括增生性息肉、无蒂锯齿状病变、无蒂锯齿状病变伴异型增生、传统锯齿状腺瘤和未分类的锯齿状腺瘤。

无蒂锯齿状病变和传统锯齿状腺瘤是锯齿状病变发展为结直肠癌的前驱病变。

锯齿状病变的特征是遗传(BRAF 或KRAS 基因突变)和表观遗传(CpG 岛甲基化表型)的改变,协同驱动结直肠黏膜发生息肉、腺瘤,并恶性转化为结直肠癌。

锯齿状病变的复杂性使其诊断困难,易漏诊且恶变率高。

本文从内镜特征、病理特征、分子学进展等方面对结直肠锯齿状病变的研究进展作一综述。

关键词结直肠肿瘤;锯齿状病变;无蒂锯齿状病变;腺瘤Colorectal Serrated Lesions:Advances in Research From Histological Morphology to Molecular Mechanism GAO Suming 1,WANG Lin 1,LIANG Meiyan 2,LI Li 1.1Department of Gastroenterology,Third Hospital of Shanxi Medical University,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,Taiyuan (030032);2College of Physics and Electronic Engineering,Shanxi University,TaiyuanCo⁃correspondence to:LI Li,Email:****************;WANG Lin,Email:136****************AbstractColorectal serrated lesions are a group of polyps/adenomas with serrated architecture,includinghyperplastic polyp,sessile serrated lesion and sessile serrated lesion with dysplasia,traditional serrated adenoma,and unclassified serrated adenoma.Sessile serrated lesion and traditional serrated adenoma are precursors of serrated lesions progressing to colorectal cancer.Serrated lesions are characterized by genetic (BRAF or KRAS gene mutations)and epigenetic (CpG island methylator phenotype)alterations that synergistically drive colorectal mucosa to develop polyps or adenomas,and with malignant transformation into colorectal cancer.The complexity of serrated lesion makes it difficult to diagnose,easy to miss diagnosis and has a high malignant rate.This article reviewed the advances in research on colorectalserrated lesions from the aspects of endoscopic,pathological and molecular features.Key wordsColorectal Neoplasms;Serrated Lesions;Sessile Serrated Lesions;AdenomaDOI :10.3969/j.issn.1008⁃7125.2023.05.009*基金项目:山西省基础研究计划青年科学研究项目(202103021223411)#本文共同通信作者:李丽,Email:****************;王琳,Email:136****************结直肠癌(colorectal cancer )作为全球第三大常见恶性肿瘤和第二大癌症,2020年的发病例数约190万,死亡例数约90万[1]。

中医药防治帕金森病研究进展

中医药防治帕金森病研究进展

中医药防治帕金森病研究进展帕金森病(Parkinson’s disease,PD)又称震颤麻痹,是一种好发于中老年人群的中枢神经系统退行性疾病,其标志性病理变化是中脑黑质多巴胺(dopamine,DA)能神经元变性缺失。

该病临床症状主要表现为静止性震颤、肌肉强直、运动迟缓等。

同时,患者还会伴有精神障碍、睡眠障碍等非运动障碍,严重影响了患者的生活质量[1]。

根据流行病学调查,帕金森病在老年人群中患病率随年龄增长而增加[2]。

随着世界人口老龄化的不断发展,帕金森病患病人数在未来或将长期增长并保持在高水平状态[3]。

目前,帕金森病的发病机制尚未明确,西医主要采用以复方左旋多巴为代表的药物治疗,缓解帕金森病运动症状,但其对帕金森病的治疗效果有限,且长期使用会减低其临床治疗效果并产生诸多不良反应,如“开关”现象、剂末恶化、异动症等[4]。

近年来,越来越多的研究发现,中医药在抗氧化应激等方面可发挥防治帕金森病的作用[5],且因为具有疗效持久、毒副作用较小的优势,中医药在某些条件下可取代复方左旋多巴制剂[6]。

本文将对近年来中医药在抗氧化应激、改善线粒体功能、抑制细胞凋亡及减轻神经炎症四个方面防治帕金森病的实验研究进展进行综述。

1.中医药抗氧化应激作用机体遭受刺激时,体内会产生过多的活性氧,引起氧化系统与抗氧化系统的失衡,从而出现应激损伤状态,该状态称为氧化应激作用。

研究发现DA代谢过程中会产生高活性氧,使DA能神经元存在较高的氧化应激水平,且衰老时体内的抗氧化防御体系活性降低。

高氧化应激水平与低活性抗氧化防御体系共同造成神经元损伤甚至死亡,因而氧化应激机制在PD发病过程中发挥着重要作用[7]。

已有多项临床研究证实,PD患者脑内处在氧化应激状态[8]。

陈浩[9]等研究发现,枸杞多糖可使PD小鼠SOD、GSH-Px以及CAT活性明显升高,MDA明显降低,可以缓解黑质DA能神经元的丢失情况,提示枸杞多糖对PD小鼠中脑的氧化应激具有缓解作用。

胶质瘤的分类标准

胶质瘤的分类标准

胶质瘤的分类标准Gliomas are a type of brain tumor that originate from brain cells called glial cells. These tumors can be categorized based on their histological characteristics, which include the presence of certain cell types, growth patterns, and genetic alterations. The classification system commonly used for gliomas is the World Health Organization (WHO) grading system. This system assigns a grade to each tumor based on its aggressiveness and likelihood of growing rapidly. Gliomas are classified into four grades, with Grade I being the least aggressive and Grade IV being the most aggressive.胶质瘤是一种起源于脑细胞称为胶质细胞的脑肿瘤。

这些肿瘤可以根据其组织学特征进行分类,包括特定细胞类型的存在、生长模式和遗传变异。

常用于胶质瘤分类的系统是世界卫生组织(WHO)分级系统。

该系统根据肿瘤的侵略性和快速生长的可能性为每个肿瘤分配一个等级。

胶质瘤被分为四个级别,其中第一级是最不侵略的,第四级是最具侵略性的。

Grade I gliomas, also known as pilocytic astrocytomas, are slow-growing tumors that are typically benign. These tumors are commonly found in children and young adults and have a lowchance of spreading to surrounding tissue. Grade I gliomas are often successfully treated with surgery alone and have a good prognosis. They are characterized by their distinct appearance under the microscope, with long, hair-like projections and cystic spaces.第一级别的胶质瘤,也被称为乙状胶质细胞瘤,是一种生长缓慢的肿瘤,通常是良性的。

生物文献汇报

生物文献汇报
The larvae exposed to the secondary metabolites of Fraction F 6 not only developed slower, but also produced smaller pupae at each treatment concentration. As pupal duration increased in response to increasing treatment concentrations, the mean pupal weight was significantly reduced; Decreases in pupal weight often result in lower eggs.
Discussion
The fraction F6 obtain eight compounds, Octacosane was shown to have toxicity to Culex quinquefasciatus; Ascorbic acid has been reported to cause slower growth and increased mortality against S. litura; Hexacosane exhibits oviposition deterrence against red spider mites; and so on.
litura and effects of active fractions on gut histological alterations in the S. litura. ✓ Ecotoxicological evaluation of active fraction and chemical pesticides against E.fetida.

谷氨酸功能异常与阿尔茨海默病

谷氨酸功能异常与阿尔茨海默病

Glutamate Dysfunction and AlzheimerZHANG ShuaiDepartment of Pharmacology【ABSTRACTa multi-factorial induced complicated neurodegenerative disease. Glutamate dysfunction wasinvolved in AD and glutamate excitotoxicity is one of the most important pathogenesis of AD.The function of glutamate fluctuates during the development from normal cognition to ADincrease the difficulty of intervention study. The aim of this review is to discuss the relationship between glutamate dysfunction and AD. By discussing the physiological and pathological function of glutamate【KEY WORDS谷氨酸是中枢神经系统内重要的兴奋性神经递由突触前神经元合成和储存,放入突触间隙,与突触后膜上的谷氨酸受体结合并发。

谷氨酸作为神经递质,1 谷氨酸合成,释放及重吸收功能与AD1.1 谷氨酸合成,释放及重吸收的生理过程动物体内谷氨酸的来源有两种,一种源于葡萄糖代谢:葡萄糖经无氧糖酵解生成丙酮酸,之后丙酮酸进入线粒体经氧化脱羧生成乙酰辅酶A并进入三羧酸循环,经一系列步骤合成α-酮戊二酸,α-酮戊二酸在谷氨酸脱氢酶的作用下产生谷氨酸,这类谷氨酸被认为主要起代谢作用,与蛋白质的合成等相关;第二种来源的谷氨酸则主要作为兴奋性神经递质存在,通过谷氨酸-谷氨酰胺循环由谷氨酰胺通过谷氨酰胺酶催化脱氨基形成[9],谷氨酰胺酶由于可以被磷酸盐刺激激活而被称为磷酸活化谷氨酰胺酶(phosphate activated glutaminase,PAG),催化谷氨酰胺水解生成谷氨酸和氨[10]。

非小细胞肺癌组织中AKT1、PDCD4蛋白表达变化及意义

非小细胞肺癌组织中AKT1、PDCD4蛋白表达变化及意义

非小细胞肺癌组织中AKT1、PDCD4蛋白表达变化及意义王嘉;吕艳超;许浩然;韩双双;朱振龙【摘要】目的观察非小细胞肺癌(NSCLC)组织中丝/苏氨酸蛋白激酶1(AKT1)和程序性细胞死亡因子4(PD-CD4)蛋白表达变化,并探讨其临床意义.方法收集65例NSCLC患者的手术切除肿瘤组织为NSCLC组,30例受检者的正常肺泡组织为肺泡对照组,30例受检者的正常支气管断端组织为支气管对照组.用免疫组化法检测三组标本中的AKT1、PDCD4,并分析NSCLC组二者表达与肿瘤临床病理参数的关系.结果与支气管对照组和肺泡对照组相比,NSCLC组AKT1表达升高,PDCD4表达降低,P均<0.05.NSCLC组AKT1表达与NSCLC分化程度、淋巴结转移及TNM分期有关(P均<0.05),与患者的性别、年龄和肿瘤的大小、组织学类型无关;NSCLC 组中PDCD4表达与NSCLC组织学类型有关(P<0.05),与患者的性别、年龄和肿瘤的大小、分化程度、淋巴结转移及TNM分期无关;AKT1和PDCD4在肺腺癌组织中表达呈负相关(r=-0.436,P=0.021),在肺鳞癌组织中无关(r=-0.012,P=0.931).结论 NSCLC组织中AKT1表达升高、PDCD4表达降低,联合检测两者有助于NSCLC的诊治和预后判断.%Objective To observe the expression changes of AKT1 and programmed cell death receptor 4 ( PDCD4 ) in tissues of non-small-cell lung cancer ( NSCLC) and to investigate its clinical significance.Methods We selected 65 cases of NSCLC tissues ( NSCLC group) , 30 cases of normal alveolar tissues ( alveolar group) and 30 cases of bronchial stump tissues ( bronchial group) .The expression of AKT1 and PDCD4 in the three groups was detected by immunohisto-chemistry, and we analyzed its relationship with the clinical and pathological data in the NSCLC group.Results Com-pared with the alveolar group and bronchialgroup, the expression of AKT1 was increased while the expression of PDCD4 was decreased in the NSCLC group (all P<0.05).In the NSCLC group, the expression of AKT1 was related with tumor differentiation, lymph node metastasis and TNM staging (all P<0.05), but was not related with gender, age, tumor size and histological type;the expression of PDCD4 was related with tumor histological type (P<0.05), but was not related with gender, age, tumor size, differentiation, lymph node metastasis and TNM staging.The expression of AKT1 and PD-CD4 in the lung adenocarcinoma tissues was negatively correlated (r=-0.436, P=0.021), but was not related with each other in the lung squamous-cell carcinoma tissues (r=-0.012,P=0.931).Conclusion The expression of AKT1 was increased and PDCD4 was decreased in NSCLC tissues, and the combined detection of them contributed to the diagno-sis, treatment and prognosis of NSCLC.【期刊名称】《山东医药》【年(卷),期】2016(056)006【总页数】3页(P16-18)【关键词】非小细胞肺癌;肺泡;支气管;丝/苏氨酸蛋白激酶1;程序性细胞死亡因子4【作者】王嘉;吕艳超;许浩然;韩双双;朱振龙【作者单位】河北医科大学第一医院,石家庄050031;保定市第一中心医院总院;承德市中心医院;河北医科大学第一医院,石家庄050031;河北医科大学第一医院,石家庄050031【正文语种】中文【中图分类】R734.2肺癌的发生机制尚未完全阐明,目前认为与多种癌基因激活和抑癌基因失活有关[1]。

高血压合并高脂血症大鼠模型的实验研究

高血压合并高脂血症大鼠模型的实验研究

高血压合并高脂血症大鼠模型的实验研究赵胜楠;何黎黎;李自强;王发展;宋相容;张智【摘要】目的利用高脂饲料饲喂自发性高血压大鼠(SHR),构建高血压合并高脂血症大鼠模型,并对其心肾损伤进行评价,为高血压合并高脂血症治疗药物的评价提供药效学动物模型及相关方法参考.方法选取3周龄SHR随机分为空白对照组、模型组;同时选用同周龄正常血压的Wistar-Kyoto(WKY)大鼠作为模型对照组.空白对照组和模型对照组饲喂普通维持饲料,模型组饲喂高脂饲料,诱导SHR产生高血压合并高脂血症.造模期间定时测定各组大鼠的血压、体重,造模终点测定大鼠血压、血脂及体重后处死,收集心脏及肾脏组织并检测其纤维化损伤.结果 SHR高脂饲料饲喂23周后,血脂水平紊乱明显;心肾器官呈现明显的病理学改变:心肌细胞肥厚明显,肾组织小叶间动脉血管壁显著性重构,且心、肾组织严重纤维化.结论 SHR饲喂高脂饲料23周后可成功获得高血压合并高脂血症大鼠模型,其心脏及肾脏靶器官均呈现出明显的病理学改变,与人类高血压合并高脂血症临床表现较相似,有望广泛用作治疗高血压合并高脂血症的药物、或改善该类合并症心肾系统损伤的治疗药物的药效学评价模型.%Objective To develop an ideal hypertension combined hyperlipidemia(HP/HL)rat model by feeding spontaneously hypertensive rats(SHRs)with high fat diet, and to evaluate the pathological changes in target organs including heart and kidney. Methods Twenty 3-week old male SHRs were randomly divided into two groups: normal fat control group(SHR-NC)and high fat group(SHR-HF). Moreover,ten 3-week old male Wistar-Kyoto rats(WKY)were taken as the model control group(WKY-NC). The rats in SHR-HF group were fed with high-fat diet to induce HP/HL, while rats of WKY-NC and SHR-NC groups were fed with normal diet. Thesystolic blood pressure(SBP)and body weight were measured every week. At the end of the experiment, the rats were sacrificed to take serum samples for blood lipid analysis including high density lipoprotein(HDL-C), low density lipoprotein(LDL-C), total cholesterol(TC)and triglyceride(TG). Heart and kidney tissue samples were collected to examine the pathological changes using HE and Masson staining. Results Compared with the SHR-NC group, the SHRs fed with high-fat diet for 23 weeks presented significant increase of blood pressure and TC, TG, LDL-C, and decrease of HDL-C. The HP/HL rat model showed pathological changes in the HP/HL target organs, heart and kidney. Renal tissues were severely damaged and showed a large area of fibrosis. Besides, left ventricular hypertrophy and myocardial fibrosis were also observed. Conclusions A HP/HL rat model is successfully constructed by feeding SHRs with high-fat diet for 23 weeks. Most importantly,this model exhibits progressive renal and cardiac alterations, similar to those of patients with HP/HL. This HP/HL rat model may become widely used for evaluation of HP/HL therapeutic drugs.【期刊名称】《中国比较医学杂志》【年(卷),期】2018(028)002【总页数】8页(P33-39,89)【关键词】高血压;高脂血症;自发性高血压大鼠;心脏功能;肾脏功能【作者】赵胜楠;何黎黎;李自强;王发展;宋相容;张智【作者单位】西南民族大学,成都 610041;西南民族大学,成都 610041;四川大学华西医院生物治疗国家重点实验室,成都 610041;四川大学华西医院生物治疗国家重点实验室,成都 610041;四川大学华西医院生物治疗国家重点实验室,成都 610041;四川大学华西医院生物治疗国家重点实验室,成都 610041;四川理工学院,四川自贡643000【正文语种】中文【中图分类】R-33近年来,随着生活水平的不断提高和人口老龄化日益严重,心血管疾病的发病率呈上升趋势[1],高血压与血脂异常是目前公认的两大可控制的心血管疾病的重要危险因素[2-3]。

萎缩、变性及坏死

萎缩、变性及坏死
Poison, Toxins: alcohol, infections, organic solvents etc. fat is found nearest the afferent blood supply (portal venue and hepatic arteriole).
肝 体 积 增 大 , 表 面 光 滑 , 呈 淡 黄 色
Intracellular hyaline:
Restorative droplets: Renal tubules with phagolysosomes filled with plasma protein during proteinuria.
Mallory alcoholic bodies: liver cytoplasmic aggregates of fragmented fine filaments and tubules, derived from hepatocyte cytoskeleton.
Later stages: hydropic degeneration——clear vacuoles in the cytoplasm Progressive dilatation of the swollen cell
E.M. features: watery fluid in the dilated mitochondria and endoplasmic reticulum.
Liver: Since this organ plays a central role in fat metabolism, the accumulation of fat in toxic conditions can be very considerable, fatty distribution varies with the cause, e. g. :

芽孢杆菌对蛋鸡生产性能及鸡蛋品质影响的研究进展

芽孢杆菌对蛋鸡生产性能及鸡蛋品质影响的研究进展

芽孢杆菌对蛋鸡生产性能及鸡蛋品质影响的研究进展摘要:芽孢杆菌因为其耐高温、抗力性强、易储存等特性,且具有拮抗致病微生物,调节肠道菌群平衡,促进饲料消化吸收等功能,近年来被广泛应用为动物肠道微生态调节剂。

在之前的研究中,以猪的报道最多,鸡的报道有限,对蛋鸡的应用研究更少。

本文综述了芽孢杆菌对蛋鸡生产性能、鸡蛋品质以及蛋营养成分的影响,为绿色健康畜禽产品的生产提供一些依据和参考。

关键词:芽孢杆菌;蛋鸡;鸡蛋;随着人们生活水平的改善和提高,天然、营养、健康的畜产品越来越受大众关注,微生态制剂因其绿色、高效、安全,逐步应用于动物生产实践中。

蛋鸡饲料中使用益生菌具有提高蛋鸡生产性能、改善蛋品质、提高蛋营养成分的功效。

我国农业部2006年第658号饲料添加剂品种目录公告中规定作为饲料添加剂使用的微生物有16种,其中包括两种芽孢杆菌:地衣芽孢杆菌(Bacillus licheniformis)和枯草芽孢杆菌(Bacillus subtilis)。

1饲料中添加芽孢杆菌对蛋鸡生产性能的影响饲料中添加芽孢杆菌可有效提高产蛋率和日产蛋量,延长产蛋高峰期。

王敏奇等(2008)研究表明饲料中添加枯草芽孢杆菌使绍兴鸭产蛋率提高了3.93%(P<0.05)。

辛娜等(2011)报道,蛋鸡日粮中添加芽孢杆菌制剂使产蛋率提高1.44%(P>0.05)。

李俊波等(2009)对45周龄尼克粉蛋鸡日粮添加500mg/kg 枯草芽孢制剂饲养28d,发现有降低死陶率的趋势,延长蛋鸡使用寿命。

饲料中添加芽孢杆菌能提高饲料转化率。

Hotten等(1998)报道,芽孢杆菌可在动物体内产生多种消化酶,其中包括细胞外蛋白酶、金属蛋白酶、中性蛋白酶、α-淀粉酶、脂肪酶,同时还具有降解植物性饲料中复杂碳水化合物的酶,如果聚糖酶、β-葡聚糖酶、环糊精葡萄糖基转移酶、碱性纤维素酶、植酸酶等,其中很多酶是禽类在体内不能合成的酶。

Ashmead等(1985)指出矿物质,例如钙、磷酸盐的吸收需要在低pH值条件下,酸性环境有利于矿物质的吸收利用。

樱花素通过拮抗肠上皮细胞凋亡减轻小鼠克罗恩病样结肠炎与调控TLR4信号有关

樱花素通过拮抗肠上皮细胞凋亡减轻小鼠克罗恩病样结肠炎与调控TLR4信号有关

樱花素通过拮抗肠上皮细胞凋亡减轻小鼠克罗恩病样结肠炎与调控TLR4信号有关*赵雅静1, 张文静2, 张诺2, 徐梦宇1, 杨子3, 张小凤1△(1炎症相关性疾病基础与转化研究安徽省重点实验室,安徽 蚌埠 233004;2蚌埠医学院第一附属医院检验科,安徽 蚌埠 233004;3蚌埠医学院第一附属医院胃肠外科,安徽 蚌埠 233004)[摘要] 目的:明确樱花素(SK )对2,4,6-三硝基苯磺酸(TNBS )诱导的小鼠克罗恩病(CD )样结肠炎的作用及可能的分子机制。

方法:将24只C57BL/6J 小鼠随机分为对照(control )组、模型组(TNBS 组)和SK (20 mg ·kg −1·d −1)干预组,每组8只。

采用疾病活动度指数(DAI )、体质量变化评估各组小鼠肠炎症状。

以结肠长度、炎症评分及肠黏膜炎症介质肿瘤坏死因子α(TNF -α)、白细胞介素6(IL -6)、IL -17A 和IL -1β水平评估结肠炎症程度。

通过测量外周血4 kD 异硫氰酸荧光素-葡聚糖(FD4)和肠型脂肪酸结合蛋白(I -FABP )水平、跨上皮电阻(TEER )及肠道细菌移位率评估小鼠肠屏障功能。

采用GO 功能富集分析和KEGG 通路富集分析预测SK 可能的作用途径和机制,并用动物实验进行验证。

结果:SK 干预组小鼠DAI 评分和体质量显著低于TNBS 组,但高于control 组(P <0.05)。

SK 干预组小鼠结肠缩短,组织学炎症评分和肠黏膜TNF -α、IL -6、IL -17A 和IL -1β水平较TNBS 组显著降低,但仍高于con⁃trol 组(P <0.05)。

SK 干预组小鼠外周血FD4和I -FABP 水平显著低于TNBS 组,但仍高于干预组(P <0.05),而TEER 值则相反(P <0.05)。

SK 干预组小鼠肠道细菌移位到肝脏、脾脏及肠系膜淋巴结的比例显著低于TNBS 组,但仍高于control 组(P <0.05)。

人星状病毒综述

人星状病毒综述

Human AstrovirusesAlbert Bosch,Rosa M.Pintó,Susana GuixEnteric Virus Laboratory,Department of Microbiology and Institute of Nutrition and Food Safety,University of Barcelona,Barcelona,SpainSUMMARY.................................................................................................................................................1048INTRODUCTION ...........................................................................................................................................1048BASIC VIROLOGY .........................................................................................................................................1049Virion Structure and Assembly..........................................................................................................................1049Genome Organization ..................................................................................................................................1050General Overview of the HAstV Replicative Cycle.......................................................................................................1051Cell Binding and Entry ..................................................................................................................................1051Translation/Replication .................................................................................................................................1051Expression of Structural Proteins,Virion Assembly,and Cell Release....................................................................................1054PATHOLOGY,PATHOGENESIS,AND HOST RESPONSE ..................................................................................................1054Clinical Disease Correlates ..............................................................................................................................1054Histopathological Changes .............................................................................................................................1055Mechanisms of Pathogenesis and Induction of Diarrhea ...............................................................................................1056Host Immune Responses and Control of Infection......................................................................................................1056TAXONOMY,EVOLUTION,AND EMERGENCE ............................................................................................................1057Human Astroviruses.....................................................................................................................................1059Nonhuman Astroviruses ................................................................................................................................1060EPIDEMIOLOGY ...........................................................................................................................................1060HAstV Transmission.....................................................................................................................................1060Age,Geographic,and Temporal Distribution...........................................................................................................1061Molecular Epidemiology of HAstV ......................................................................................................................1063LABORATORY DIAGNOSTICS .............................................................................................................................1063Early Developments:Electron Microscopy and Immunological Assays .................................................................................1063Molecular Assays........................................................................................................................................1064PREVENTION AND TREATMENT ..........................................................................................................................1065CONCLUSIONS ............................................................................................................................................1065ACKNOWLEDGMENTS ....................................................................................................................................1065REFERENCES ...............................................................................................................................................1065AUTHOR BIOS (1074)SUMMARY Human astroviruses (HAtVs)are positive-sense single-stranded RNA viruses that were discovered in 1975.Astroviruses infecting other species,particularly mammalian and avian,were identified and classified into the genera Mamastrovirus and Avastrovirus .Through next-generation sequencing,many new astroviruses in-fecting different species,including humans,have been described,and the Astroviridae family shows a high diversity and zoonotic potential.Three divergent groups of HAstVs are recognized:the classic (MAstV 1),HAstV-MLB (MAstV 6),and HAstV-VA/HMO (MAstV 8and MAstV 9)groups.Classic HAstVs contain 8sero-types and account for 2to 9%of all acute nonbacterial gastroen-teritis in children worldwide.Infections are usually self-limiting but can also spread systemically and cause severe infections in immunocompromised patients.The other groups have also been identified in children with gastroenteritis,but extraintestinal pa-thologies have been suggested for them as well.Classic HAstVs may be grown in cells,allowing the study of their cell cycle,which is similar to that of caliciviruses.The continuous emergence of new astroviruses with a potential zoonotic transmission highlights the need to gain insights on their biology in order to prevent future health threats.This review focuses on the basic virology,patho-genesis,host response,epidemiology,diagnostic assays,and pre-vention strategies for HAstVs.INTRODUCTIONUsing electron microscopy (EM),Appleton and Higgins re-ported in 1975the occurrence of 28-to 30-nm particles in stools of children suffering from vomiting and mild diarrhea (1).The same year,Madeley and Cosgrove used the term astrovirus (AstV)to describe the small round viruses with a characteristic star-like appearance (“astron”means star in Greek)found in the feces of hospitalized infants with gastroenteritis (2).These parti-cles were placed together with other viruses with a smooth entire edge within the category of “small round viruses”(SRVs),which differed from the “small round structured viruses”(SRSVs)that grouped particles with a rough,hairy,or irregular edge,such as caliciviruses (3).The genomic and subgenomic organization of AstV and its polyprotein processing led to the proposal of the new family As-troviridae ,separated from the families Picornaviridae and Calici-viridae ,within the positive-sense single-stranded RNA (ssRNA)viruses (4).In 1995,the International Committee for the Taxon-Address correspondence to Albert Bosch,abosch@.Copyright ©2014,American Society for Microbiology.All Rights Reserved.doi:10.1128/CMR.00013-141048Clinical Microbiology Reviews p.1048–1074October 2014Volume 27Number 4on March 17, 2015 by MICHIGAN STATE UNIVERSITY/Downloaded fromomy of Viruses(ICTV)definitively established the Astroviridae family in their sixth report(5).Table1depicts the main charac-teristics of the Astroviridae family.Initially,the Astroviridae family consisted of a single genus, Astrovirus,based on virion morphology(5).However,later on, two genera were established based on their hosts of origin: Mamastrovirus(MAstV)and Avastrovirus(AAstV),infecting mammalian and avian species,respectively.Although initially de-tected in children’s stool,AstVs have been found in the feces of a wide variety of mammalian species,i.e.,cats(6),cattle(7),deer (8),dogs(9),mice(10),rats(11),pigs(12),sheep(13),mink(14), bats(15),cheetahs(16),rabbits(17),and even sea lions and dol-phins(18),as well as in avian species,i.e.,turkeys(19),chickens (20),ducks(21),pigeons(22),and guinea fowl(23)and other wild aquatic birds(24).Very recently,the complete picture of the AstVfield has dra-matically changed with the discovery after metagenomic surveil-lance studies of a variety of highly divergent novel AstVs able to infect different animal species,including humans,which are un-related to the previously described8serotypes of HAstVs,now termed classic HAstV(25–29).Thefirst novel HAstVs were iden-tified in2008in pediatric stool specimens in Melbourne,Australia (26).They were termed HAstV-MLB,and so far several MLB-related strains(named MLB1,MLB2,and MLB3)have been de-tected in different parts of the world(27,30,31).In2009,a second group of novel HAstVs was described in samples from children with diarrhea in Virginia(VA)(28)and in Nigeria,Pakistan,and Nepal(HMO,referring to human,mink,and ovine-like astrovi-ruses)(29).In this review,the term HAstV-VA/HMO will be used to refer to this group.So far,up to four VA/HMO strains have been described(27,31).Thus,a single host species may be suscep-tible to be infected by different AstVs(15,32).Altogether,the number of AstVs associated with human infections has almost doubled in the last few years.The present review focuses on HAstVs within the genus Mamastrovirus,which according to molecular surveillance data are one of the most important causes of pediatric acute gastroen-teritis,after rotaviruses and arguably caliciviruses(33–36).BASIC VIROLOGYVirion Structure and AssemblyThe AstV virion is an icosahedral nonenveloped particle with a smooth margin and a distinctivefive-or six-pointed star identi-fied on the surface of some(around10%)virions(Fig.1).Particles are assembled from the VP90precursor protein(approximately 90kDa),which is further processed by cellular caspases to gener-ate the VP70protein,losing an acidic C-terminal domain(37). Particles composed of the70-kDa protein are immature and re-quire trypsin cleavages,which occur extracellularly through a rather complicated pathway producing highly infectious particles with capsid proteins of32to34,27to29,and25to26kDa(VP34, VP27/29,and VP25/26)(38).VP34is derived from the highly conserved N-terminal region of the polyprotein and builds up the capsid shell,while VP27/29and VP25/26are both derived from the variable C-terminal domain with a different N terminus and form the dimeric spikes(39,40)(see below).Transmission EM observation reveals that viruses shed in stool are28to30nm in diameter,while viruses produced in cell mono-layers are larger,with an external diameter of41nm,and distinct protruding spikes but without the characteristic star-like appear-ance(41).This surface star-like shape could,however,be observed after alkaline treatment of the particles.There is evidence that particle diameter could vary according to the source of the virus and sample processing for the preparation of EM suspensions. Recent cryo-electron microscopy studies of immature(VP70) and mature(processed protein)particles of cell-adapted HAstV have revealed a number of distinctive features that provide insight on AstV structure and polyprotein processing(42).The cryo-EM reconstructions show a capsid shell of35nm organized as Tϭ3 FIG1Human astrovirus particles observed by transmission immunoelectron microscopy in feces negatively stained with phosphotungstic acid.Bar,50nm.TABLE1Main characteristics of the Astroviridae familyCharacteristicVirion structureIcosahedral particles,28–41nm in diamNonenvelopedDistinctivefive-or six-pointed star-like shape under the electronmicroscope in about10%of the virionsGenomeA single molecule of infectious,positive-sense ssRNA,6.4–7.7kb,with apoly(A)tailThree ORFs:ORF1a and ORF1b at the5=end encoding the nonstructuralproteins and ORF2at the3=end encoding the structural proteinsVPg protein linked to the5=endA ribosomal frameshifting signal present between ORF1a and ORF1bLack of a helicase domainReplicative cycleStructural proteins are expressed from anϳ2.8-kb subgenomic RNAHuman Astroviruses1049 on March 17, 2015 by MICHIGAN STATE UNIVERSITY / Downloaded fromicosahedral symmetry assembled from180protein subunits and decorated with either30(mature particles)or90(immature particles)globular dimeric spikes,resulting in a total diameter of 44nm.The crystal structure of the AstV spike without its C-terminal end has been elucidated(40).Remarkably,the shape,size,and architecture of the AstV spike show a notable similarity with those of hepatitis E virus,the only member of the recently established Hepeviridae family(43).Despite the advances in the determination of virion structure, the AstV protein composition,which is critical to determine virus specific infectivity(38,44),remains to be clearly defined. Genome OrganizationThe AstV genome is a positive-sense ssRNA molecule of around 6.8(6.2to7.8)kb,excluding the polyadenylated tail at the3=end (45).A VPg protein is covalently linked to the5=end of the ge-nome(46).The genome contains three open reading frames (ORFs),named from the5=end to the3=end ORF1a,ORF1b,and ORF2.ORF1a and ORF1b encode the nonstructural proteins (nsPs)involved in RNA transcription and replication,while ORF2 encodes the structural proteins,which are expressed from a sub-genomic RNA(Fig.2)(4,47).In the classic HAstVs and in other mammalian AstVs,a new ORF,termed ORFX,overlapping the5=end of ORF2in theϩ1reading frame,has been described(48).It has been suggested that ORFX could be translated through a leak-ing scanning mechanism.The translation product of this ORFX has not yet been experimentally confirmed.The AstV RNA is infectious and upon transfection produces infectious virus progeny(49).Infectious particles may also be ob-tained after in vitro transcription of a full-length cDNA clone of the HAstV genome and transfection into permissive cells(49,50). During the replicative cycle,a positive-sense single-stranded sub-genomic RNA corresponding to around2.8kb of the3=end of genomic RNA is produced in infected cells,coding for the virion structural proteins(51).Regarding genome organization,two untranslated regions (UTR)s,the5=UTR and the3=UTR,of11to85and80to85bases, respectively,are located at the ends of the AstV genome.No inter-nal ribosome entry site(IRES)has so far been described in AstV. This element is present at the5=ends of the genomes of other positive ssRNA viruses belonging to the families Picornaviridae (52)and Flaviviridae(53)but is absent in the family Caliciviridae (54).Besides the poly(A)tail consisting of around30adenines,a highly conserved secondary element is present at the3=end of the AstV genome.This secondary structure motif,termed the stem-loop II motif,is present in the genomes of classic HAstVs,HAstV-FIG2Genome organization and polyprotein products of human astrovirus.(A)Genomic and subgenomic RNA organization,with open reading frames(ORFs) ORF1a,ORF1b,ORF2,and putative ORFX represented as boxes.Nucleotide sequences represent highly conserved sequences located in the ribosomal frameshift (RFS)signal and upstream of the initiation site of subgenomic RNA transcription.Putative RNA secondary structures conserved in the RFS and in the3=end of the genome are depicted.(B)Characteristic motifs of the HAstV polyprotein products.HEL,putative helicase domain;TM,transmembrane domain;CC, coiled-coil domain;PRO,protease domain;VPg,coding region for a VPg protein;HVR,hypervariable region;NLS,putative nuclear localization signal;DD, putative death domain;RdRp,RNA dependent-RNA polymerase motif.The ORF2-encoded structural polyprotein(VP90)consists of conserved regions(shell and P1domains),a variable region containing the P2domain(capsid spikes),and an acidic C-terminal region which is cleaved by cellular caspases to result in the VP70precursor.Particles containing VP70are further cleaved by trypsin to yield the VP34,VP27/29,and VP25/26proteins.Bosch et al. Clinical Microbiology Reviews on March 17, 2015 by MICHIGAN STATE UNIVERSITY / Downloaded fromVA/HMO,and cat,ovine,porcine,and avian AstVs,but it is only partially conserved in the genome of HAstV-MLB(55–57).Inter-estingly this structure is also found at the3=ends of the genomes of some members of coronaviruses,noroviruses,and rhinoviruses (56,58).This stem-loop II motif appears to be conserved at both the nucleotide sequence and RNA structure levels,indicating a strong evolutionary selection for its conservation.Although its function is yet to be determined,it has been suggested that it could provide stability to the secondary structure of RNA and interact with viral and cellular proteins essential for genome replication (56).The lengths of ORF1a,ORF1b,and ORF2vary depending on the AstV strain.This variation is largely dependent on the inser-tions and deletions present at the3=end of ORF1a(59,60).Like-wise,the overlapping regions of the different ORFs also vary in length depending on the AstV strain.In mammalian AstVs the overlapping region of ORF1a and ORF1b ranges from10to148 nucleotides(nt),while the overlap is only12to45nt long in avian AstVs(61).A ribosomal frameshifting signal(RFS),essential for the translation of the RNA-dependent RNA polymerase(RdRp) encoded in ORF1b,is present precisely in this overlapping region (62,63).The RFS has been found in all AstVs except in a newly described chicken astrovirus,in which ORF1b has its own start codon(64).The overlap found between ORF1b and ORF2may also vary in length or be nonexistent,as occurs in duck AstV(65).A highly conserved sequence that could be part of the promoter for subgenomic RNA synthesis is located in this region(Fig.2) (13).ORF1a encodes a putative helicase domain(HEL),several transmembrane(TM)and coiled-coil(CC)domains,the protease domain(PRO),a VPg,a hypervariable region(HVR),a nuclear localization signal(NLS),and a putative death domain(DD). ORF1b encodes the RNA dependent-RNA polymerase(RdRp). ORF2contains the region coding for the shell proteins,a P1do-main of unknown function,a variable region containing the P2 domain which includes the spike proteins,and an additional acidic domain at the C terminus(Fig.2).General Overview of the HAstV Replicative CycleThe following sections dealing with the replicative cycle of HAstVs essentially refers to the so-called classic HAstVs.The HAstV replication cycle shares many common features with the rep-lication cycle of members of the Caliciviridae family(Fig.3).After cell entry and uncoating,the two main nonstructural polypro-teins,nsP1a(ϳ102kDa)and nsP1a1b(ϳ160kDa),are translated from the VPg-linked genomic RNA.Nonstructural polyprotein nsP1a1b is expressed thanks to the RFS that exists between ORF1a and ORF1b(62,63).Cleavage of these polyproteins results in the individual nonstructural proteins required for genome replica-tion,which takes place in replication complexes assembled in close association with intracellular membranes.This process re-sults in the formation of both genomic and subgenomic RNAs, which are produced in large quantities to ensure the production of high yields of structural proteins.After encapsidation and matu-ration,virions are released from the cell.While it is known that both genomic and subgenomic RNAs are encapsidated into viri-ons of animal caliciviruses(66),it is yet to be elucidated whether a similar process occurs in AstVs.Cell Binding and EntryThe main cellular receptor for HAstVs still remains unknown,but the susceptibilities of different cell lines to HAstV infection differ depending on the serotype(67),suggesting that these viruses could take advantage of having more than one attachment or re-ceptor molecules,some of which may be of a polysaccharide na-ture and common to all HAstVs(40).Besides revealing a close relationship with hepatitis E virus,determination of the structure of the HAstV dimeric surface spikes has identified a putative re-ceptor binding site that is conserved in all HAstV serotypes and which would recognize a polysaccharide molecule(40).In the same study,it was noted that dextran sulfate,heparin sulfate,and particularly heparin could partially block the infectivity of HAstVs,while sialic acid did not seem to take part in the virus-cell recognition event.Thus,as has been hypothesized for other re-lated viruses such as noroviruses,a carbohydrate molecule may act as cellular receptor or at least as an initial recognition factor on the cell surface.Interestingly,binding of HAstVs to in vitro-differen-tiated intestinal epithelial cell monolayers results in an increase in cell barrier permeability,and this phenomenon occurs indepen-dently of viral replication(68).Whether these changes are re-quired for the viruses to reach putative receptors present in the basolateral membrane or whether they are a consequence of the activation of cellular signaling pathways after initial binding is still uncertain.Subsequent steps of the life cycle have been recently studied on the highly permissive CaCo-2cells(69),confirming previous ob-servations on HEK293cells(70)which indicated that HAstVs use a clathrin-mediated endocytosis pathway as the viral entry mech-anism.Drugs that inhibit clathrin-mediated endocytosis and actin filament polymerization,as well as those that reduce the presence of cholesterol in the cell membrane,decrease the infectivity of the virus(69).Furthermore,entry also depends on the acidification and maturation of endosomes where membrane permeabilization and RNA uncoating would occur.Overall,it has been estimated that while the half time of virus binding to the cell surface is about 10min,virus uncoating takes around130min(69).Cellular signaling pathways activated after HAstV initial infec-tion have been analyzed using specific drug inhibitors,and it is known that interaction of HAstVs with cells results in the activa-tion of the extracellular signal-regulated kinase(ERK1/2)and the phosphoinositide3-kinase(PI3K)pathways,both being required for effective entry and establishment of a productive infection(71, 72).It seems that the PI3K-mediated cascade would act indepen-dently or downstream of that mediated by ERK1/2(72).Finally,it has also been observed that activation of the ERK1/2pathway does not require binding of infectious viruses and can be achieved after binding of inactivated viruses and/or virus-like particles(71).Al-though it is clear that ERK1/2pathway activation is required for a productive HAstV infection and it has been speculated that ERK could phosphorylate the HAstV RdRp or other nonstructural pro-teins,the function of activated ERK still remains unknown,and it may apply an indirect mechanism.Translation/ReplicationThe VPg protein linked to the HAstV genome plays an essential role in infectivity following viral RNA uncoating.Removal of the VPg protein by proteolytic treatment of viral RNA completely abolishes infectivity(46),indicating that the VPg protein may playHuman Astroviruses1051 on March 17, 2015 by MICHIGAN STATE UNIVERSITY / Downloaded fromFIG3Replication of human astroviruses.After binding to one or more cellular receptors,virus uptake occurs via clathrin-dependent endocytosis.A drop in the pH leads to viral uncoating.Two main nonstructural polyproteins,nsP1a and nsP1a1b,are translated from the VPg-linked genomic RNA and further cleaved by viral and cellular proteases,resulting in mature nonstructural proteins(nsPs),which are required for genome replication.Replication complexes assemble in close association with intracellular membranes.The nsP1a/4protein or one of its precursors,which would include the VPg domain,may interact with the RdRp protein and contribute to the regulation of the synthesis of negative-and positive-sense RNA strands as well as of subgenomic RNA.The phosphorylation status of the nsP1a/4protein may contribute to this regulation step.Subgenomic RNAs are produced in large quantities and are used for the expression of capsid proteins.The structural VP90polyprotein initially assembles into immature virions in association with intracellular membranes.Several cellular caspases further cleave these VP90polyproteins once they have dissociated from membranes,resulting in VP70immature viral capsids.Release of VP70particles into the medium seems to occur without cell lysis,and virions mature extracellularly by the action of trypsin. Clinical Microbiology Reviews on March 17, 2015 by MICHIGAN STATE UNIVERSITY / Downloaded froma role in the recruitment of cellular translation initiation factors, analogous to what has been described for caliciviruses(73).The genome is then translated,giving rise to nsP1a1b and nsP1a poly-proteins,which are then cleaved by the viral serine protease(in nsP1a)as well as some cellular proteases,resulting in the individ-ual nonstructural proteins(Fig.4).The crystal structure of the viral protease has been resolved,showing properties of trypsin-like enzymes with a catalytic Asp-His-Ser triad typical of the serine proteases(74).The cleavage process of the virus nonstructural polyproteins is rather unknown.None of the processing products has been con-firmed by N-terminal sequencing,and studies performed in dif-ferent experimental systems with a variety of classic HAstVs re-ported different intermediate andfinal products(75–79).It appears,however,that proteolytic processing of polyproteins nsP1a1b(around160kDa)produces the nsP1b protein(RdRp) (around57kDa)and the nsP1a protein(around102kDa),which is subsequently cleaved to yield several mature products(Fig.4). Several putative transmembrane domains that could help in driv-ing and anchoring the nonstructural replication complexes on cellular membranes have been identified in the nsP1a polypro-teins(13,62).Four potential cleavage sites have been proposed in the nsP1a protein,specifically between residues Ala174and His175, between Val409and Ala410,between Glu567and Thr568,and be-tween Glu654and Ile655.Although discrepancies exist in regard to the exact cleavage sites,it seems clear that a viral protease would be responsible for all proposed proteolytic cleavages except for the one between Ala174and His175,yielding at least four proteins, nsP1a/1to-4(75,77,78,80).It has been shown that some of the resulting nonstructural proteins are posttranslationally modified by phosphorylation mechanisms(81,82),and these modifications may modulate the interaction among them.Whether the proteo-lytic processing of these nonstructural polyproteins takes place before or after anchoring to intracellular membranes is still un-known,but large membrane rearrangements are observed in HAstV-infected cells both in vitro(82,83)and in vivo(84).Since both viral nonstructural proteins and viral RNA have been found colocalizing with the endoplasmic reticulum and an endoplasmic reticulum retention signal has been predicted at the end of nsP1a (82),it is believed that endoplasmic reticulum-derived intracellu-lar membranes would be the cellular site for HAstV genome rep-lication.The HAstV genome replication process has not been character-ized in detail and is inferred from those of other positive-sense RNA viruses.Thus,a full-length negative-sense genomic RNA would be synthesized and used as a template for the production of both positive-sense genomic RNA and positive-sense subgenomic RNA,but the existence of a negative-sense subgenomic RNA tem-plate cannot be completely ruled out.Regarding the kinetics of this process,Jang et al.(85)observed that de novo synthesis of positive-sense RNAs occurs almost instantly following negative-sense RNA synthesis.They also estimated the total amount of HAstV negative-sense RNA synthesized in cells as nearly0.7to 4.0%of that of the HAstV positive-sense RNA.Many other aspects of the HAstV genome replication process,such as the role of the VPg protein as a primer for initiation of RNA strands,have not been addressed yet.Involvement of cellular host proteins in the process and the mechanisms used by the virus to switch between replication and transcription are other issues that remain to be elucidated.The expression of one of the nonstructural proteinsFIG4Putative processing of the astrovirus nonstructural proteins expressed from ORF1a and ORF1b.HEL,putative helicase domain;CC,coiled-coil domain; TM,transmembrane domain;PRO,protease domain;VPg,viral protein genome-linked coding region;HVR,hypervariable region;RdRp,RNA-dependent RNA polymerase motif;P,posttranslational phosphorylation.Triangles depict proteolytic cleavage sites described in the literature(75,77,78,80).Human Astroviruses 1053 on March 17, 2015 by MICHIGAN STATE UNIVERSITY / Downloaded from。

玉米蛋白粉、DDGS、玉米胚芽中呕吐毒素的增长速度研究

玉米蛋白粉、DDGS、玉米胚芽中呕吐毒素的增长速度研究

玉米蛋白粉、DDGS、玉米胚芽中呕吐毒素的增长速度研究张莹莹【摘要】为研究不同饲料原料中呕吐毒素(脱氧雪腐镰刀菌西醇)在常温和低温干燥条件下的增长速度,选取同质量的玉米蛋白粉、DDGS、玉米胚芽进行相关试验.试验时间为42 d,每个样品共称取60 g,平均分为3组,每组两个重复,在低温干燥的条件下,每周测量1次,记录每组培养皿中的呕吐毒素的含量,且控制外界条件相同.试验结果表明,在低温干燥的状态下,玉米蛋白粉、DDGS、玉米胚芽中的呕吐毒素随着时间的增加几乎不生长繁殖;在常温的条件下玉米蛋白粉、DDGS、玉米胚芽随着时间的增加,呕吐毒素快速增长,且增长速度也不相同.【期刊名称】《饲料博览》【年(卷),期】2016(000)007【总页数】3页(P37-39)【关键词】玉米蛋白粉;DDGS;玉米胚芽;呕吐毒素;增长速度【作者】张莹莹【作者单位】沈阳工学院生命工程学院,辽宁抚顺113122【正文语种】中文【中图分类】S816.8;S859.871.1 对免疫功能的影响研究表明,呕吐毒素(DON)可能会对免疫系统有很大的影响,并且会对胚胎有一定的毒性及致畸作用,很可能会有遗传毒性,但是没有致癌、致突变作用。

DON对人和动物危害较大,各国普遍重视呕吐毒素的危害性[1-4]。

呕吐毒素污染饲料以及谷物的情况也是相当普遍的[5-6]。

呕吐毒素对免疫功能的影响也受到了医学工作者的重视。

且试验研究表明,不同种类的动物对DON的敏感程度以及耐受力也是不同的,敏感程度的顺序是猪>小鼠>大鼠>家禽和反刍动物。

1.2 对细胞的毒性DON对原核细胞、真核细胞、植物细胞等均具有很强的毒性作用,并且是通过不同的方式对原核细胞产生毒性作用,渗透亚细胞磷脂双层;与细胞膜的相互作用;自由基介导的脂质过氧化作用。

DON对生长较快的细胞均有很强的毒性作用,而且可以抑制蛋白质的合成。

DON对细胞的毒性通过3种方式,抑制猪的卵母细胞成熟、使猪子宫内膜细胞减少、一些细胞出现了线粒体肿胀、细胞膜破裂和细胞浆空泡化等细胞死亡的表现。

胃食管反流病的研究进展

胃食管反流病的研究进展
以下三个类型¨J。
2.1
GERD)是一种常见的慢性疾病,严重影响人们的生活 质量,近年来有关GERD的认识、发病机制、诊治方面 均有较大进展,需要我们不断学习,并在实践中应用及 提高。

定义
非糜烂性胃食管反流病(non—erosive
GERD,
1934年,美国胃肠病学家winkelstein首次将烧 心与反流导致的食管炎联系起来[1],从而逐渐建立了 GERD这一概念。近几十年来,人们对GERD的认识 有了重大的突破。2006年来自北美洲、南美洲、亚洲、 欧洲及澳洲的18个国家和地区的44位专家通过历时 2年的反复讨论,制定了胃食管反流病的最新定 义——蒙特利尔定义,认为GERD是一种由胃、十二 指肠内容物反流人食管引起症状和/或并发症的疾病, 其典型症状是烧心与反流。食管并发症有食管糜烂、 狭窄、Barrett食管和食管腺癌[2]。新定义认为典型的 烧心和反流症状如果使患者感到不适,就可以诊断 GERD,而无需依赖其它的检查手段。
4诊断流程
4.1有典型症状:烧心,反流+内镜所见+食管Ph 值监测可确诊。24h食管Ph监测有食管过度反流的 客观证据,一直被认为是诊断GERD的“金标准”。纤 维内镜+食管粘膜活检可作为诊断EE的金标准,目 前多采用洛杉矶分级法[6]。目前尚无诊断NERD的 金标准,高分辨率内镜联用24h非卧床Ph监测及质 子泵抑制剂(PPl)诊断性治疗,有助于NERD的诊断。 4.2对无报警症状患者进行PPI诊断性治疗。2004 年,亚太地区有关GERD的共识中提到,在初始治疗

朴)

75
万方数据
2009年4月
河北北方学院学报(医学版)
第2期
下段正常的复层鳞状上皮被化生的单层柱状上皮所替 代的一种病理现象,可伴或不伴肠化。其粘膜受累长 度达到或超过3cm的称为长段Barrett食管(10ng—

甲状腺木乃伊结节的病理基础及超声研究进展

甲状腺木乃伊结节的病理基础及超声研究进展
MNs多表现为实 性 低 或 极 低 回 声,其 原 因 可 能 是 结 节 内 部 坏 死 、纤 维 化 及 囊 液 吸 收/浓 缩 所 致 。 [2,7,15-16,28] 在 固 缩 过程中,结节内部的 界 面 效 应、纤 维 化 和 钙 化 等 可 导 致 其 后 方 回 声 衰 减 ,难 以 与 甲 状 腺 乳 头 状 癌 (PTC)鉴 别 。 2.3 形态和边缘
“双边征”是由 KO 等[1]于 2012 年 首 次 提 出 的 MNs特 殊征 象,2016 年 LACOUT 等[7]首 次 予 以 详 细 解 释 和 介 绍。 它是 MNs与微小 PTC 鉴别中最具有提示意义的征 象,准 确 度 高 达 85%[1,7,47-48]。TAN 等 对 [50] 193 例 MNs 和 109 例 PTC 对照研究发 现,该 征 象 对 甲 状 腺 良 恶 性 结 节 的 诊 断 特 异 度 为 99.9% 。
血 管 、周 围 组 织 受 压 或 浸 润 等 有 关[7,46]。TAN 等 研 [49] 究 表 明,19.7% 的 MNs和 37.6% 的 PTC 可 以 发 现 晕 征。 因 此, 晕征不能鉴别良恶性结节。
MNs与 PTC 的鉴别是高频超 声 诊 断 的 难 点,需 要 注 意 以下3点。①MNs和 PTC 的声像 图 特 征 交 叉 颇 多,当 发 现 可疑 MNs时,应 首 先 询 问 既 往 病 史,若 没 有 确 切 病 史 的 支 持,MNs的诊断应慎重。②对于 囊 变 出 血、乙 醇 硬 化 或 射 频 消融等介入性治疗 的 结 节,应 充 分 解 释 和 提 示,避 免 后 续 因 为结节发生木乃伊化而误诊。③FNA 检 查 后 1~3 周 内,由 于穿刺造成的结节内出血,可 能 出 现 “双 边 征”等 酷 似 MNs 的 征 象 ,应 警 惕 。

基于MRI影像组学列线图预测脑膜瘤术后脑水肿分级的价值

基于MRI影像组学列线图预测脑膜瘤术后脑水肿分级的价值

26·中国CT和MRI杂志 2023年08月 第21卷 第08期 总第166期【通讯作者】石士奎,男,主任医师,主要研究方向:影像诊断学。

E-mail:****************The Value of MRI Radiomics Nomogram in·27CHINESE JOURNAL OF CT AND MRI, AUG. 2023, Vol.21, No.08 Total No.166表1 脑膜瘤患者的一般临床资料比较参数 训练组 验证组 轻度 重度 χ2/t P 轻度 重度 χ2/t P 年龄(岁) 57.03±9.37 55.21±11.81 0.94 0.35 58.47±11.30 55.05±11.25 1.07 0.29性别 男 18 13 0.45 0.83 6 7 1.16 0.28女 53 35 24 14 高血压 + 12 21 10.30 <0.01 3 7 4.27 0.04- 59 27 27 14 糖尿病 + 10 5 0.35 0.55 2 4 1.82 0.18- 61 43 28 17 术前水肿 + 9 26 23.75 <0.01 3 16 23.15 <0.01- 62 22 27 5 肿瘤长径(cm) 2.60±1.16 3.83±1.27 -5.58 <0.01 2.65±1.08 3.75±1.17 -3.43 <0.01肿瘤位置 + 46 22 4.20 0.04 23 9 6.04 0.01- 25 26 7 12注:将脑膜瘤的位置分为大脑的凸面和深面,其中0表示凸面,1表示深面。

术后采用德国 Siemens 公司产 Emotion 64排CT扫描仪行CT检查。

以听眦线为基线行颅脑横断面扫描。

检查参数:管电压110kV,管电流150mA,层厚0.625mm,层距5mm。

肠道与人类免疫缺陷病毒感染相关认识

肠道与人类免疫缺陷病毒感染相关认识

•综述•肠道与人类免疫缺陷病毒感染相关认识马秀霞孟鹏飞K2'3,桑锋宋夕元2'\丁雪2'李亮平徐立然r河南中医药大学,郑州450046; 2河南中医药大学第一附属医院,郑州450000;3河南省病毒性疾病中医药防治重点实验室,郑州45_)摘要:艾滋病(A I D S)作为危害人类健康的公共卫生问题,B前发病和死亡形势依然严峻,肠道作为人类免疫缺陷病毒(H丨V)感染的主要靶器官和病毒复制的场所,在A I D S的发病和疾病进程中起到了一定的作用。

肠道菌群失衡、菌群易位、肠道黏膜屏障损伤、肠道免疫功能受损等一系列肠道变化跟H I V的感染关系密切,研究表明可以通过调节肠道菌群治疗H I V感染。

为了更好的认识肠道与A I D S的关系,文章从肠道菌群紊乱、菌群易位、肠道黏膜屏障和肠道免疫等方面论述.以便对A I D S与肠道的关系进行深人了解;同时对前期通过肠道菌群治疗H I V感染情况进行论述,为H I V感染防治提供依据和思路。

关键词:艾滋病病毒感染;肠道菌群;肠道黏膜;肠道免疫;菌群易位基金资助:国家“十三五”科技重大专项(N o.2017Z X10205502 ),国家自然科学基金项目(N o.U1604287),河南省科技攻关项目(N o.182102310264 ),河南省中医管理局国家中医临床研究基地专项(N〇.20I7J D Z X001),河南省中医药科学研究专项(N o.20丨9A Z B009, N o.2019A Z B0丨1),河南省首批青苗人才培养项目[N o•豫中医科教(2018 ) 16号]Understanding of the relationship between intestinal tract and HIV infectionMA Xiu-xia12'3,MENG Peng-fei1'2'1,SANG Feng2\ SONG Xi-yuan2\ DING Xue2'3,LI Liang-p i n g"X U Li-ran1'2'3('Henan University of Chinese Medicine,Z h e n g z h o u450046, Chi n a;:T h e First Affiliated Hospital ofH e n a n University of Chinese Medicine,Z h e n g z h o u450000, C h i n a;^Henan K e y Laboratory ofViral Diseases Prevention and Treatment of Chinese Medicine,Zhengzhou450000, China)Abstract;A s a public health problem that endangers h u m a n health,the situation of morbidity and mortality i s s t i l l severe.T h e intestinal tract,as the main target organ of A I D S infection and the site of virus replication,plays a certain role inthe pathogenesis and course of A I D S.A series of intestinal changes such as intestinal flora imbalance,micrbiota translocation,intestinal mucosal barrier d a m a g e and intestinal i m m u n e function impairment are closely related to H I V infection.Studies haves h o w n that H I V infection can be treated by regulating intestinal flora.In order to better understand the relationship between theintestinal tract and A I D S,this paper discussed from the aspects of intestinal flora disorders,micrbiota translocation,intestinalmucosal barrier and intestinal i m m u n i t y,so as to have an in-depth understanding of the relationship between A I D S and theintestinal tract.At the s a m e time,the treatment of H I V infection by intestinal flora in the early stage was discussed to provide abasis and ideas for the prevention and treatment of H I V infection.Key words:H I V infection;Intestinal flora;Intestinal m u c o s a;Intestinal immunity;Micrbiota translocationFu n d in g: N a t ional S c i e n c e a n d T e c h n o l o g y M a j o r Project du r i n g the‘13th F i v e-y e a r’Plan Period (N〇.2017Z X10205502), National Natural Science Foundational of China(N o.U1604287), H e n a n Science and Technology Project(N o.182102310264), Special Project of National Clinical Research Base of Traditional Chinese Medicine of H e n a n ProvincialAdministration of Traditional Chinese Medicine (N〇.2017J D Z X001), Special Project of H e n a n Provincial Scientific Researchof Traditional Chinese Medicine(N〇.2019A Z B009, N〇.2019A Z B011),T h e First Batch of Beanstalk Talents Training Project ofH e n a n Province[N o.(2018) 16]通信作者:徐立然,河南省郑州市金水区人民路19号河南中医药大学第一附属医院艾滋病临床研究中心,邮编:45_E-mail:xuliran666@艾滋病(acquirwl imniunodrfiriency s y n d r o m e,A I D S)是人类免疫缺陷病毒(h u m a n iramunodeficienr.y virus,H I V)感染机体后,引起的一种以机体免疫功能受损,出现反复机会感染、恶性肿瘤、中枢神经系统退行性变为特点的临床综合征111艾滋病ft发现以来在全球传播截至2018年9月底,我国报告存活H I V/A1D S者849 602例,报告死亡262 442例,虽然艾滋病呈低流行态势,但其发病和病死率依然较高|21。

食管肿瘤研究现状英文综述范文

食管肿瘤研究现状英文综述范文

食管肿瘤研究现状英文综述范文Esophageal cancer is a serious and often deadly form of cancer that affects the esophagus the tube that connects the throat to the stomach It is the 6th most common cause of cancer-related deaths worldwide with an overall 5-year survival rate of only around 20 Despite advances in treatment options the prognosis for patients with esophageal cancer remains poor particularly for those diagnosed at later stages of the disease Early detection and improved understanding of the underlying biology and risk factors for esophageal cancer are crucial for developing more effective prevention and treatment strategiesOne of the major challenges in esophageal cancer research is the significant heterogeneity of the disease Esophageal cancer can be broadly classified into two main histological subtypes adenocarcinoma and squamous cell carcinoma which have distinct epidemiological risk factors clinical characteristics and molecular profiles Adenocarcinoma is more common in developed countries and is typically associated with gastroesophageal reflux disease and Barrett's esophagus a precancerous condition characterized by thereplacement of normal esophageal lining with specialized intestinal-type epithelium Squamous cell carcinoma on the other hand is more prevalent in developing countries and is often linked to lifestyle factors such as smoking and heavy alcohol consumption Understanding the unique features of these subtypes is essential for tailoring treatment approaches and improving patient outcomesRecent advances in genomic technologies have significantly expanded our knowledge of the molecular landscape of esophageal cancer Studies utilizing next-generation sequencing have identified numerous recurrent genetic alterations in esophageal tumors including mutations in genes involved in cell cycle regulation TP53 CDKN2A PI3K/AKT/mTOR signaling ERBB2 and chromatin remodeling ARID1A ARID2 These findings have not only provided insights into the underlying biology of the disease but have also identified potential therapeutic targets for personalized treatment strategies For example the identification of HER2 amplification in a subset of esophageal adenocarcinomas has led to the development of HER2-targeted therapies such as trastuzumab which have shown promising results in clinical trialsIn addition to genetic alterations epigenetic changes such as DNA methylation and histone modifications have also been implicated in esophageal carcinogenesis Aberrant DNA methylation patterns have been observed in esophageal tumors and have been associated withsilencing of tumor suppressor genes and activation of oncogenes Histone modifications have also been shown to play a role in the regulation of gene expression in esophageal cancer cells and may contribute to the development and progression of the diseaseAnother area of active research in esophageal cancer is the role of the tumor microenvironment in disease pathogenesis and response to therapy The esophageal tumor microenvironment is characterized by a complex interplay between cancer cells and various stromal components including immune cells blood vessels and extracellular matrix proteins Studies have shown that the tumor microenvironment can significantly influence tumor growth invasion and metastasis as well as the response to treatment Targeting specific components of the tumor microenvironment such as immune checkpoint inhibitors or antiangiogenic agents has emerged as a promising therapeutic strategy for esophageal cancerRisk factors for esophageal cancer have also been extensively studied Established risk factors include gastroesophageal reflux disease obesity tobacco smoking and heavy alcohol consumption Chronic inflammation associated with these risk factors can lead to the development of precancerous lesions such as Barrett's esophagus which significantly increase the risk of developing esophageal adenocarcinoma Understanding the underlying mechanisms by which these risk factors contribute to esophageal carcinogenesis iscrucial for developing effective prevention strategiesIn addition to traditional risk factors emerging evidence suggests that dietary and lifestyle factors may also play a role in esophageal cancer development For example several studies have reported an inverse association between the consumption of fruits and vegetables and the risk of esophageal cancer This may be attributed to the high content of antioxidants and other bioactive compounds in these foods which can potentially inhibit the development and progression of esophageal tumorsDespite the significant progress that has been made in understanding the molecular and cellular mechanisms underlying esophageal cancer significant challenges remain in improving patient outcomes The heterogeneous nature of the disease the late stage at which most patients are diagnosed and the limited efficacy of current treatment modalities all contribute to the poor prognosis of esophageal cancer patients Ongoing research efforts are focused on developing more sensitive and specific biomarkers for early detection identifying novel therapeutic targets and exploring combination treatment strategies to improve clinical outcomes for patients with this devastating disease。

2020-2022_年济南市历下区大肠癌结肠镜筛查结果分析

2020-2022_年济南市历下区大肠癌结肠镜筛查结果分析

[16]王蕾,王海丽,常明秀,等.孕前及孕早期母体因素与子代复杂先天性心脏病的相关性研究[J].现代预防医学,2020,47(4):739-742.[17]中华医学会围产医学分会,《中华围产医学杂志》编辑委员会. 孕产妇流感防治专家共识[J].中华围产医学杂志,2019,22(2):73-78.[18] FLOREA A,SY L S,ACKERSON B K,et al.Investigatingtetanus,diphtheria,acellular pertussis vaccination duringpregnancy and risk of congenital anomalies[J].Infect Dis Ther,2023,12(2):411-423.[19]任姝颖,刘颖,滕晓宇.中国母亲MTHFR 基因C677T 多态性与子代先天性心脏病关系的Meta 分析[J].中国妇幼保健,2020,35(10):1946-1949.[20]张瑞苹.叶酸代谢产物及关键酶基因多态性与神经管缺陷的相关性[D].天津:天津医科大学,2018.(收稿日期:2023-04-10) (本文编辑:何玉勤)①济南市历下区人民医院 山东 济南 250000通信作者:朱红2020-2022年济南市历下区大肠癌结肠镜筛查结果分析甄云飞① 潘要执① 牛静① 朱红①【摘要】 目的:分析2020-2022年济南市历下区大肠癌结肠镜筛查结果。

方法:对济南市历下区40~70岁居民行自愿结肠镜筛查,并对检出的肠道病变进行病理活检。

结果:2020-2022年共8 046人参与大肠癌结肠镜筛查,检出息肉、腺瘤、癌等肠道病变3 906例,检出率为48.55%,其中非腺瘤性良性病变1 508例(38.61%),非进展期腺瘤1 891例(48.41%),进展期腺瘤485例(12.42%),大肠癌22例(0.56%)。

男性大肠癌检出率是女性的4.41倍(P <0.001)。

环磷酰胺致小鼠生精障碍作用研究

环磷酰胺致小鼠生精障碍作用研究

环磷酰胺致小鼠生精障碍作用研究陈指龙;张晓春;薛立群;杨青【摘要】为探讨不同剂量环磷酰胺作用不同时间后诱导小鼠生精障碍的作用,将80只雄性ICR系小鼠随机分成20、40、80 mg/kg体重环磷酰胺(CTX)处理组和生理盐水对照组,腹腔注射5d,每2d称重1次,2周和4周后分批检测睾丸指数、附睾指数、精子数和精子畸形率,并结合HE染色检测睾丸组织结构变化.结果显示,作用2周时,高剂量的CTX显著影响体重增长,而中低剂量组只有处理后短时间体重降低明显;睾丸的生精指数变化均不显著,但其组织结构发生不同程度的病理变化.作用4周时,只有高剂量组对体重产生显著的作用;生精指数包括睾丸指数、精子数以及精子畸形率,3个组与对照相比均表现出明显差异;睾丸发生病理学病变的程度随剂量的增加而更加明显.采用40 mg/kg CTX腹腔注射5d,作用4周后能建立较为理想的小鼠生精障碍模型.【期刊名称】《动物医学进展》【年(卷),期】2017(038)005【总页数】5页(P34-38)【关键词】环磷酰胺;生精障碍;睾丸;小鼠【作者】陈指龙;张晓春;薛立群;杨青【作者单位】湖南农业大学动物医学院,湖南长沙410128;湖南农业大学动物医学院,湖南长沙410128;湖南农业大学动物医学院,湖南长沙410128;湖南农业大学动物医学院,湖南长沙410128【正文语种】中文【中图分类】S857.22环磷酰胺(cyclophosphamide,CTX)作为一种免疫抑制药物,它对睾丸的形态和精子的生成有一定损害,近年来已被广泛用于构建小鼠生精障碍模型,但在使用剂量和作用时间方面还需更多地探究。

环磷酰胺是一种细胞毒性药物,在体外无生物活性,其毒性主要表现在对活化增殖细胞的影响。

研究发现环磷酰胺对人的生殖和动物繁殖均有影响,不仅对生育力有明显损害,对生殖系统也有潜在致畸危险,它能杀死有丝分裂和进入循环周期的细胞;也具有较强的免疫抑制作用,主要体现在细胞免疫和体液免疫上[1-2]。

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Comparative Biochemistry and Physiology Part A 133(2002)95–1041095-6433/02/$-see front matter ᮊ2002Elsevier Science Inc.All rights reserved.PII:S1095-6433Ž02.00121-6Histological alterations of intestinal villi in chickens fed driedBacillus subtilis var.nattoMongkol Samanya,Koh-en Yamauchi*Laboratory of Animal Science,Faculty of Agriculture,Kagawa University,Miki-cho,Kagawa-ken 761-0795,JapanReceived 5February 2002;received in revised form 10April 2002;accepted 15April 2002AbstractTwo experiments were conducted.In experiment 1,chickens were fed dried Bacillus subtilis var.natto for 3or 28days.Growth performance and internal organs were not different from controls,but feed efficiency tended to be improved in the 28-day feeding.In these birds,blood ammonia concentration was decreased (P -0.05).Blood glucose concentration,and amylase and lipase activity in the intestinal content were not significantly different among dietary groups.These results suggest that the B.subtilis natto depressed ammonia concentration.In experiment 2,chickens were fed dietary B.subtilis natto for 28days.These birds had a tendency to display greater growth performance and intestinal histologies,such as villus height,cell area and cell mitosis,than the controls.Flat cell outline on the duodenal villus surface in controls developed large,protruded cell clusters and cell protuberances after feeding of dietary B.subtilis natto .These results indicate that intestinal function was activated by the depressed blood ammonia concentration in the body of the chicken.The present results may suggest that the B.subtilis natto has the potential to be a beneficial microorganism in chickens.ᮊ2002Elsevier Science Inc.All rights reserved.Keywords:Layer chickens;Bacillus subtilis var.natto ;Probiotic;Ammonia;Villus histology;Light microscope;Electron microscope1.IntroductionIn the poultry industry,antibiotics are in wide-spread use to prevent poultry pathogens and dis-ease so as to improve meat and egg production.However,continued use of dietary antibiotics has resulted in common problems,such as the devel-opment of drug-resistant bacteria (Sorum and Sun-de,2001),imbalance of normal microflora (Andremont,2000)and drug residues in the bird body (Burgat,1991).As a result of these problems,it has become necessary to develop alternatives using beneficial microorganisms.A probiotic is a live microbial feed supplement that beneficially affects the host animal by improving its intestinal microbial balance (Fuller,1989),and is recom-mended as an effective alternative to antibiotics*Corresponding author.Tel.y fax:q 81-87-891-3053.E-mail address:yamauchi@ag.kagawa-u.ac.jp (K.Yamauchi ).(Sissons,1989;Tournut,1989).After feedings of probiotics,improvements in growth performance and feed efficiency have been reported in turkeys (Jiraphocakul et al.,1990)and in broiler chicks (Santoso et al.,1995;Cavazzoni et al.,1998).In addition,improved egg mass,egg weight and egg size in layers (Nahashon et al.,1994),as well as suppressed cholesterol in cocks (Endo et al.,1999)and in broilers (Santoso et al.,1995),have also been reported.However,the effects of dietary probiotics on histological alterations to intestinal villi are still unclear.Natto is a traditional Japanese health food made by fermenting boiled soybeans in rice straw containing probiotics (Tamura,1989;Tonouti et al.,2000).Bacillus subtilis var.natto (Ashiuchi et al.,1998)cultured from natto is a Gram-positive spore-forming bacterium.Although there have been a few investigations of the effects of B.subtilis in poultry (Jiraphocakul et al.,1990;Santoso et al.,1995,2001),little information is96M.Samanya,K.Yamauchi /Comparative Biochemistry and Physiology Part A 133(2002)95–104Table 1Composition of dried B.subtilis natto Nutrient Composition (%)Crude protein 52Crude fat 0.5Crude fiber 4.5Ash 6.5Water7Table 2Composition of the basal diet Ingredients and nutrients Composition (%)Ground corn q milo 64Soybean meal 19Fish meal 6Rice bran3Concentrate mixture a 8Crude protein 17Crude fat 3Crude fiber 6Ash 12.5Calcium 2.6Phosphorus 0.55ME (kcal y kg )2800Provided the following per kg of diet:vitamin A,8000IU;avitamin D ,1500IU;vitamin E,7.5mg;vitamin K ,1mg;33vitamin B ,1.05mg;vitamin B ,5mg;vitamin B ,3.75mg;126vitamin B ,0.0045mg;biotin,0.15mg;folic acid,0.375mg;12pantothenate,3mg;niacin,20mg;choline,3150mg;iodine,0.4mg;manganese,75mg;iron,180mg;and zinc,52.5mg.available on the effects of B.subtilis natto on nutrient metabolism and histological alterations to intestinal villi in chickens.We performed two experiments:in experiment 1,growth performance,internal organs and nutrient metabolism,such as ammonia and amylase,were examined in adult male chickens fed dietary B.subtilis natto .In experiment 2,growth performance and intestinal villus histological alterations were studied.2.Materials and methods2.1.Experiment 1:animals,housing and experi-mental designAdult male white leghorn chickens (Gallus gal-lus domesticus )(Julia strain )were fed dried B.subtilis natto (Table 1;Bacillus subtilis Natto Powder-710,Kitamura Co Ltd,Aichi,Japan )at ᭨0,0.5,1and 3%levels to the basal mash diet (Table 2;Nippon Formula Feed Manufacturing Co Ltd,Kanagawa,Japan ).The B.subtilis natto cul-ture contained approximately 1=10–1=10810microorganisms y g.Birds were placed into individ-ual cages in a controlled environment with a 14-h light photoperiod (06:00–20:00h )at a mean environmental temperature of 218C.Birds were given ad libitum access to water and each diet for 3or 28days.Each dietary group for the 3-and 28-day feeding periods had five and seven birds,respectively.Feed intake and body weight gain were measured at the end of the feeding experi-ment for the 3-day period,and weekly for the 28-day period.At the end of each experimental feeding period,blood was collected between 09:00and 11:00h from the basilic vein on the wing of five birds from each group for each feeding period.The blood samples were then centrifuged at 2000=g at 48C for 15min.Blood serum was then kept at y 208C until used.In the case of the 28-day feeding period,internal organs were col-lected to observe the gross anatomical changes to internal organs.Intestinal contents (digesta )were collected by massaging the tract from the jejunum to the ileum,and were immediately placed on ice and stored at y 208C until used.2.2.Gross anatomical protocol for internal organs After decapitation,the gizzard,pancreas,liver,heart,kidney,separate intestinal parts and ceca were collected.The empty weight of the organs was recorded.2.3.Ammonia and glucose in bloodVenous blood was used for ammonia analysis,and serum,separated from the blood by centrifu-gation,was used for glucose analysis.Ammonia and glucose were spectrophotometrically analyzed with commercial kits (Wako Pure Chemical Indus-tries,Tokyo,Japan ).2.4.Amylase and lipase in the intestinal contents The intestinal digesta samples were diluted 10-fold (w y v )in 2mM sodium phosphate buffer (pH 7.0)containing 6mM NaCl and homogenized for 1min,followed by sonication for 1min.The sample was then centrifuged at 19000=g for 20min at 48C.To prevent possible enzyme degra-97 M.Samanya,K.Yamauchi/Comparative Biochemistry and Physiology Part A133(2002)95–104dation,the supernatants from digesta were kept on ice throughout the preparation.Supernatants were stored at y208C for enzyme assay.Amylase was analyzed by a spectrophotometric assay with a commercial kit(Wako Pure Chemical Industries, Tokyo,Japan),and lipase with kits from Dainippon Pharmaceutical Co Ltd(Osaka,Japan)and Maru-ko Seiyaku Co Ltd(Nagoya,Japan).When the amylase activity of samples was too high,2mM sodium phosphate buffer(pH7.0)containing6 mM sodium chloride was added to dilute the samples.2.5.Experiment2:animals,housing and experi-mental designAdult male white leghorn chickens were ran-domly divided into four groups of13birds each, as follows:dietary addition of dried B.subtilis natto to basal mash diet at was carried out at levels of0,0.2,0.5and1%.Birds were placed into individual cages in a controlled environment with a14-h light photoperiod(06:00–20:00h)at a mean temperature of158C.Birds were given ad libitum access to water and each diet for4weeks. Feed intake and body weight gain were measured every week.This experiment was performed according to the humane care guidelines provided by the Kagawa Medical School.2.6.Tissue samplingAt the end of each experimental period,four birds from each group were randomly killed by decapitation under light anesthesia with diethyl ether.A mixture of3%glutaraldehyde and4% paraformaldehyde fixative solution in0.1M cacod-ylate buffer(pH7.4)was injected into the intes-tinal lumen of the middle part of each intestinal segment.Whole small intestine was removed and put into the same fixative solution:the intestinal segment from the gizzard to pancreatic and bile duct as duodenum,jejunum from the duct to Meckel’s diverticulum,and ileum from the diver-ticulum to the ileo-cecal-colonic junction.The tissue samples were taken from the middle part of each intestinal segment.A2-cm length of duode-num was excised for scanning electron microscopic observations and placed in the same fixative solu-tion described above.Another2-cm length of each intestinal segment was excised for light microscop-ic observations and kept in Bouin’s solution.Light microscopic samples were taken immediately prox-imal to the section collected for scanning electron microscopic.2.7.Light microscopyThe fixed samples were embedded in paraplast. Transverse sections were cut into5-m m samples, and every10th section was collected.After stain-ing with hematoxylin–eosin,the following values were measured using a Nikon Cosmozone1S image analyzer(Nikon).2.7.1.Measurement of villus heightFor villus height measurement,10villi having the lamina propria were selected per section.The villus length was measured from the villus tip to the bottom,not including the intestinal crypt.An average of these10villi per section was expressed as a mean villus height for each section.A total of eight sections were counted per bird.Then,an average of these eight sections per bird was expressed as a mean villus height for each bird. Finally,these four mean villus heights from four birds were expressed as a mean villus height for one treatment group.2.7.2.Measurement of absorptive epithelial cell areaFor measurement of a single cell area on a5-m m transverse section,the epithelial cell layer was randomly measured in the middle part of the villi, then the number of cell nuclei within this measured epithelial cell layer was counted.Finally,the area of the epithelial cell layer was divided by the number of cell nuclei to give an epithelial cell area.Two cell areas for each transverse section were calculated.An average of these two cell areas per section was expressed as a mean for each section.A total of eight sections were counted per bird.Then,an average of these eight sections per bird was expressed as a mean cell area for each bird.Finally,these four mean cell areas from four birds were expressed as a mean cell area for one treatment group.2.7.3.Measurement of cell mitosis in the crypt For measurement of the number of cell mitoses in the crypt,all cell mitoses observed in one transverse section were measured.A total of cell mitosis numbers were counted from five different98M.Samanya,K.Yamauchi/Comparative Biochemistry and Physiology Part A133(2002)95–104Table3Feed intake,body weight gain and feed efficiency in chickens fed dietary dried B.subtilis natto at0,0.5,1and3%levels for3(n s 5)and28days(n s7)(mean"S.E.)Parameter Level of B.subtilis natto0%0.5%1%3%Fed for3daysFeed intake(g)177.5"15.41174.3"7.35187.3"13.25171.4"8.21 Body weight gain(g)23.0"4.6323.0"4.3523.8"3.1420.0"4.47 Feed efficiency0.12"0.0220.13"0.0220.13"0.0150.12"0.009 Fed for28daysFeed intake(g)1908.7"36.71944.1"47.61903.4"491929.4"45 Body weight gain(g)150.0"13.78163.3"18.6148.6"12.0164.3"12.5 Feed efficiency0.073"0.0070.083"0.0080.075"0.0050.085"0.006sections for each bird,and these five values were used to calculate the mean cell mitosis for one bird.Finally,four mean cell mitoses from four birds were expressed as the mean cell mitosis for one treatment group.2.8.Scanning electron microscopyThe samples were longitudinally slit at the non-mesenteric side along the entire length,and intes-tinal contents were washed away with0.01M phosphate-buffered saline,pH7.4.Tissue samples were pinned flat to prevent curling within the same fixative used above at room temperature for1h.A block was cut into a4=7-mm squares and2fixed for a further1h.The pieces were rinsed with10mM sodium cacodylate buffer(pH7.4) and post-fixed with1%osmium tetroxide in ice-cold buffer for2h.The specimens were dried in a critical-point drying apparatus(Hitachi HCP-1, Japan)using liquid carbon dioxide as the medium. The dried specimens were coated with platinum (RMC-Eiko RE vacuum coater,Japan)and exam-ined with a scanning electron microscope(Hitachi S-800,Japan)at8kV.Morphological alterations of the villus tip surface were compared among groups.2.9.Statistical analysisThe average of all parameters for each bird from each treatment group was analyzed across all treatment groups by ANOV A analysis with a Dun-can’s multiple range test(S TAT V IEW program; Abacus Concepts Inc).Differences at P-0.05 were considered as significant.3.Results3.1.Experiment1:growth performanceTable3shows feed intake and body weight gain of chickens fed dietary B.subtilis natto at0,0.5, 1and3%levels for3or28days.Growth perform-ance was not different amongst the groups,except that feed efficiency in all chickens fed dietary B. subtilis natto for28days tended to be improved.3.2.Gross anatomical observations of internal organsWet weight of gizzard,pancreas,liver,heart, kidney,each intestinal part and ceca was not different among groups of chickens fed dietary B. subtilis natto at0,0.5,1and3%levels for28 days(Table4).3.3.Determination of ammonia and glucose in bloodTable5shows ammonia and glucose concentra-tions in blood of chickens fed dietary B.subtilis natto at0,0.5,1and3%levels for3or28days. In the case of the3-day dietary period,ammonia concentration in the blood tended to be depressed in all groups fed B.subtilis natto compared to concentrations found in the0%group;even the ammonia level in the0.5%B.subtilis natto-fed group was lower than the0%group(P-0.05). The concentration of glucose did not differ from one group to another.In the case of the28-day dietary period,the ammonia concentration in blood was depressed in all dietary B.subtilis natto groups compared to levels in the0%group(P-0.05).99M.Samanya,K.Yamauchi /Comparative Biochemistry and Physiology Part A 133(2002)95–104Table 4Wet weight of internal organs in chickens fed dietary dried B.subtilis natto at 0,0.5,1and 3%levels for 28days (mean "S.E.;n s 7)Internal organLevel of B.subtilis natto 0%0.5%1%3%Gizzard (g )24.19"1.0226.78"0.9828.60"1.6425.20"0.75Pancreas (g ) 2.54"0.17 2.67"0.06 2.84"0.22 2.51"0.12Liver (g )27.24"1.3026.73"0.9229.97"1.8227.51"0.65Heart (g )11.59"0.3711.30"0.4012.93"1.2310.90"0.22Kidney (g ) 3.16"0.36 3.37"0.26 3.82"0.56 3.48"0.17Duodenum (g )7.23"0.397.84"0.457.80"0.647.29"0.31Jejunum (g )12.20"0.7913.83"0.4214.69"1.0313.10"0.50Ileum (g )7.36"0.437.87"0.479.09"0.777.51"0.30Ceca (g )4.00"0.143.94"0.274.74"0.493.61"0.17Table 5Ammonia and glucose concentration in the blood (n s 5),and amylase and lipase activity in the intestinal content (n s 7)of chickens fed dietary dried B.subtilis natto at 0,0.5,1and 3%levels for 3and 28days (mean "S.E.)ParameterLevel of B.subtilis natto 0%0.5%1%3%Fed for 3daysAmmonia (m g y dl )401.7"9.2a 345.1"5.4b 362.9"21.3ab 359.7"12.2ab Glucose (mg y dl )213.2"5.2217.2"7.2221.7"2.8212.8"2.7Fed for 28daysAmmonia (m g y dl )424.5"16a 368.1"3b 341.6"16.1b 347.7"7.3b Glucose (mg y dl )218.9"3.6217.5"7.5218.5"5.6228.4"5.1Amylase (IU )353.6"17.6375.4"42363.9"29.9388.2"18.5Lipase (IU )99.1"21.8108.4"24.299.1"19.2115.4"25.9Means within each grouping with different letter designations differ (P -0.05).a bThe concentration of glucose in serum was not altered in any group.3.4.Determination of amylase and lipase in intes-tinal digestaAmylase and lipase activity in the intestinal digesta was not significantly different among groups fed dietary B.subtilis natto at 0,0.5,1and 3%levels for 28days (Table 5).3.5.Experiment 2:growth performanceTable 6shows feed intake,body weight gain and feed efficiency in chickens fed 0,0.2,0.5and 1%dietary B.subtilis natto for 28days.Growth performance tended to be higher in the 0.2and 0.5%groups than the 0%group.3.6.Intestinal villus height,cell area and cell mitosisFig.1shows intestinal villus height,cell area and cell mitosis in each intestinal segment in chickens fed 0,0.2,0.5and 1%dietary B.subtilis natto .All parameters in all intestinal parts showed a tendency to be higher in all chickens fed dietary B.subtilis natto than in the 0%pared to the 0%dietary B.subtilis natto group,villus height of the duodenum in the 0.2%group and the ileum in the 1%group were higher (P -0.05).Cell area of the duodenum in the 0.2and 0.5%groups,the jejunum in all groups,and the ileum in the 0.5and 1%groups was broader (P -0.05).Cell mitosis of the jejunum in the 0.5%group was increased (P -0.05).Amongst dietary groups,a significant difference was not observed.100M.Samanya,K.Yamauchi /Comparative Biochemistry and Physiology Part A 133(2002)95–104Table6Feed intake,body weight gain and feed efficiency in chickens fed dietary dried B.subtilis natto at 0,0.2,0.5and 1%levels for 28days (mean "S.E.;n s 13)ParameterLevel of B.subtilis natto 0%0.2%0.5%1%Feed intake (g )2190"73.792208"44.972279"113.92279"113.9Body weight gain (g )144.3"13.57164.7"12.94174.6"18.72148.3"13.08Feed efficiency0.066"0.0060.075"0.0060.075"0.0070.067"0.005Fig.1.Intestinal villus height,cell area and cell mitosis number in each intestinal segment of chickens fed dietary dried B.subtilis natto at 0,0.2,0.5,and 1%levels (mean "S.E.;n s 4).All parameters tended to be activated in all dietary groups.Means within ab each grouping with different letter designations differ (P -0.05).3.7.Villus tip surfaceFig.2illustrates the duodenal villus tip surface of chickens fed dietary B.subtilis natto at (a )0,(b )0.2,(c )0.5and (d )1%levels.The flat cell outline in the 0%group (arrows in a )developed cell protuberances (arrows in b ),and large pro-truded cell clusters (stars in b )were frequently observed in the 0.2%group.In the 0.5%group,cell clusters (stars in c )became smaller,but cell protuberances remained (arrows in c ).However,in the 1%group,cell clusters disappeared,and only cell protuberances were found (arrows in d ).4.DiscussionThe improved growth performance of domestic fowl fed probiotics (Jiraphocakul et al.,1990;Santoso et al.,1995;Cavazzoni et al.,1998)is thought to be induced by the total effects of probiotic action,including the maintenance of normal intestinal microflora,increased digestive enzyme activity and decreased ammonia produc-tion (Jin et al.,1997,2000).The histological changes in chicken intestines reported herein pro-vide new information regarding the potential for using probiotics in chicken feed.101M.Samanya,K.Yamauchi /Comparative Biochemistry and Physiology Part A 133(2002)95–104Fig.2.Duodenal villus tip surface of chickens fed dietary dried B.subtilis natto at (a )0,(b )0.2,(c )0.5and (d )1%.Arrows indicate cell protuberances;stars indicate protruded cell clusters.It is evident that only flat cell outlines (arrows in a )are present in the 0%group,cell protuberances (arrows in b )and large,protruded cell clusters (stars in b )in the 0.2%group,cell protuberances (arrows in c )and small,protruded cell clusters (stars in c )in the 0.5%group,and only cell protuberances (arrows in d )in the 1%group.Scale bar (23m m )is common to all pictures (300=).In experiment 1,blood ammonia concentration was depressed in chickens fed 0.5%dietary B.subtilis natto for 3days,and in all dietary groups for 28days.It has been reported that uric acid produced in the chicken liver is partially excreted into the intestine and hydrolyzed into ammonia by microbial urease (Wrong,1981;Karasawa et al.,1988).In addition,urease-producing bacteria are known to inhibit chicken growth (Lev et al.,1957)and the ammonia produced by these bacteria is toxic to chickens (Visek,1978).Dietary probiotics have been shown to suppress the growth of urease-producing bacteria (Yeo and Kim,1997)and have subsequently been shown to reduce ammonia lev-els in chicken ceca (Endo and Nakano,1999;Endo et al.,1999).The present results suggest that B.subtilis natto is also an effective microorganism for suppressing ammonia production.In addition,the results may mean that B.subtilis natto would be beneficial for improving chicken health.In experiment 1,we found depressed ammonia levels in the blood after feeding dietary B.subtilis natto .The effects of dietary B.subtilis natto on the histological stimulation of intestinal villi were102M.Samanya,K.Yamauchi/Comparative Biochemistry and Physiology Part A133(2002)95–104observed in experiment 2.We think that thedepressed blood ammonia concentration may sig-nificantly relate to a decrease in ammonia concen-tration in the intestine after feeding a probiotic.Reduced blood ammonia concentrations indicatedincreased fixation of ammonia in the intestinallumen of pigs fed probiotics(Scheuermann,1993).Yeo and Kim(1997)reported that ammonia pro-duced in the intestine could enter the blood stream.Decreased ammonia concentration in small intes-tinal content was found in pigs fed Bacillus cereus(Kirchgessner et al.,1993)and in ceca of chicken fed probiotics(Endo and Nakano,1999;Endo etal.,1999).Ammonia is known to be toxic to villushistology,and reduces gastric mucosal DNA syn-thesis(Warzecha et al.,2000)and cell proliferation(Rabkin et al.,1993).The activated cell mitosis observed here in chickens fed dietary B.subtilis natto might be induced by depression of ammonia production.In addition,ammonia was reported to cause histological damage,loss of mucus and DNA in the colon(Lin and Visek,1991),histological damage in the gastric mucosa(Murakami et al., 1990)and acute gastric lesions(Warzecha et al., 2000).Such histological damage was not observed in the present B.subtilis natto-fed birds showing depressed levels of ammonia.As intestinal epithe-lial cells originating in the crypt migrate along the villus surface upward to the villus tip,and are extruded into the intestinal lumen within48to96 h(Imondi and Bird,1966;Potten,1998),the longer villi are induced by activated cell mitosis, and no mucosal damage would result due to the depressed ammonia concentration.This corre-sponds with the long villi in the ileum of chicks and turkeys treated with Lactobacillus reuteri (Dunham et al.,1993),and probiotics have been shown to induce gut epithelial-cell proliferation in rats(Ichikawa et al.,1999).In addition,long villi were induced in the jejunum and ileum of turkeys fed dietary amylase(Ritz et al.,1995).Amylase is secreted by Bacillus subtilis(Hao et al.,1989; Haddaoui et al.,1999;Duran-Paramo et al.,2000). Amylase genes were also cloned in B.subtilis natto(Emori et al.,1990).It is not clear at present if the high villi observed here were induced by amylase,but it would appear to be related to amylase.Caspary(1992)has described that increased villus height suggests an increased sur-face area capable of greater absorption of available nutrients.It is understood that greater villus height and numerous cell mitoses in the intestine are indicators that the function of the intestinal villi isactivated(Langhout et al.,1999;Yasar and Forbes,1999;Shamoto and Yamauchi,2000).These factssuggest that the villus function might be activatedafter feeding dietary B.subtilis natto.Activated cell mitosis under the light micro-scope corresponds with large protruded cell clus-ters and cell protuberances on the villus tip surfaceunder the depressed ammonia condition of chick-ens fed dietary B.subtilis natto.Cell clusters andprotuberances appear to have occurred due toactivation of the cell mitosis rate more so than thecell extrusion rate;this has resulted in an accu-mulation of cells on the villus tip.Furthermore,although ammonia was closely associated withmucosal histological damage,lesions and loss(Linand Visek,1991;Warzecha et al.,2000),celldamage was not found on the villus surface.Thisalso suggests that cell accumulation on the villustip showing no damage or loss was due to thedepression of ammonia production.These cellprotuberances have been morphologically demon-strated as displaying activated function in theepithelial cells(Shamoto and Yamauchi,2000;Tarachai and Yamauchi,2000;Samanya andYamauchi,2001),which suggests that the functionof absorptive epithelial cells might be activated inthe depressed ammonia condition of chickens feddietary B.subtilis natto.After being fed dietary B.subtilis,an increasein body weight gain and improved feed efficiencyhave been reported in heavy meat-type poultry,such as turkeys(Jiraphocakul et al.,1990)andbroiler chicks(Santoso et al.,1995,2001).Yeoand Kim(1997)reported that daily body weightgain was increased only in the early life stage ofbroiler chicks,but was not different during thesecond3-week period after feeding the dietaryprobiotics.In addition,in laying pullets(Nahashonet al.,1994)and young layer pullets(Nahashon etal.,1996)fed Lactobacillus,these diets improvedbody weight gain.In contrast,Goodling et al.(1987)described no increase in egg production or feed efficiency.In the layer cocks fed dietary B.subtilis natto in the present work,a significant improvement in growth performance could not beobtained,although feed efficiency tended to beslightly elevated in the0.2and0.5%groups.Thereason for this ineffectiveness of B.subtilis nattomay be attributed to the fact that adult male layerswere used,because these birds do not require asmuch metabolic energy.However,slightly103 M.Samanya,K.Yamauchi/Comparative Biochemistry and Physiology Part A133(2002)95–104improved feed efficiency in the0.2and0.5% dietary groups suggests that B.subtilis natto may be a useful microorganism in adult layer cocks, and might induce a tendency towards improved growth performance in adult male layers.In conclusion,B.subtilis natto depresses ammo-nia concentration in blood,resulting in an activa-tion of intestinal function.This suggests that B. subtilis natto has potential to be a useful micro-organism in chickens.ReferencesAndremont,A.,2000.Consequences of antibiotic therapy to the intestinal ecosystem.Ann.Fr.Anesth.Reanim.19, 395–402.Ashiuchi,M.,Tani,K.,Soda,K.,Misono,H.,1998.Properties of glutamate racemase from Bacillus subtilis IFO3336 producing poly-gamma-glutamate.J.Biochem.123, 1156–1163.Burgat,V.,1991.Residues of drugs of veterinary use in food. 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