Objective: To compare the intraoperative signal-to-noise ratio (SNR), reproducibility and rapidity of popliteal fossa (PF), optimized P37, standard P37 and P31 potentials. Methods: Raw sweeps and 11 averages doubling ...Objective: To compare the intraoperative signal-to-noise ratio (SNR), reproducibility and rapidity of popliteal fossa (PF), optimized P37, standard P37 and P31 potentials. Methods: Raw sweeps and 11 averages doubling sweep number from 2 to 2048 were compared in 37 patients undergoing scoliosis surgery. Optimized (highest amplitude or SNR) P37 derivations were Cz-CPc (22), CPz-CPc (27), Pz-CPc (7), iCPi-CPc (8), CPi-CPc (1), Cz-Pz (2)orPz-FPz (3), and in two patients with non-decussation, Cz-CPi (1) or CPz-CPi (3). Standard P37 and P31 derivations were CPz-FPz and FPz-C5S. Signal amplitude was measured in 2048 sweep averages; peak noise was measured in raw sweeps and ±averages; SNR was amplitude/noise. Visual superimposability and < 20-30%amplitude variation determined reproducibility. Sweeps to reproducibility determined rapidity. Results: The SNR order was PFoptimized P37 > standard P37 > P31. Mean optimized P37 SNR advantages over the standard P37 and P31 were 2.1:1 and 4.9:1. SNR had powerful non-linear correlations to reproducibility and rapidity. Median sweeps to reproducibility were PF: 2, optimized P37: 128, standard P37: 512 and P31: 1024. EEG noise was greatest in FPz derivations. Burst-suppression increased scalp potential SNR and rapidity. Conclusions: Optimized P37 and PF recordings are most rapidly reproducible due to superior SNRs and are recommended. FPz should be avoided. Burst-suppression may be desirable. Significance: CPz-FPz and FPz-C5S should no longer be standard.展开更多
High mycoplasmal infection ratio in gastric cancer tissues suggests a possible association between my-coplasma infection and tumorigenesis. Because TNF-a plays an important role in carcinogenesis caused by microbes in...High mycoplasmal infection ratio in gastric cancer tissues suggests a possible association between my-coplasma infection and tumorigenesis. Because TNF-a plays an important role in carcinogenesis caused by microbes in-fection and P37 is a major immunogen of mycoplasma hy-orhinis (M. hyor.), investigating whether P37 could induceexpression and secretion of TNF-a will be very significant to elucidate the possible molecular mechanism of gastric car-cinogenesis involved with M. hyor. At the present study, we cloned full gene of p37 by PCR and mutated the 7 codes of TGA into TGG firstly, then expressed the P37 protein suc-cessfully with pGEX-4T-1 vector in E. coli, which was veri-fied with Western blot. By RT-PCR and sensitive L929 cell toxic assay, we found that P37 protein could induce expres-sion and secretion of TNF-a from human peripheral bloodmononuclear cells, and the inducing activity of P37 could be dramatically blocked by McAb PD4. These results suggestthat the induction of TNF-a secretion by P37 probably plays an important role in diseases caused by M. hyor. infectionand needs to be further investigated.展开更多
文摘Objective: To compare the intraoperative signal-to-noise ratio (SNR), reproducibility and rapidity of popliteal fossa (PF), optimized P37, standard P37 and P31 potentials. Methods: Raw sweeps and 11 averages doubling sweep number from 2 to 2048 were compared in 37 patients undergoing scoliosis surgery. Optimized (highest amplitude or SNR) P37 derivations were Cz-CPc (22), CPz-CPc (27), Pz-CPc (7), iCPi-CPc (8), CPi-CPc (1), Cz-Pz (2)orPz-FPz (3), and in two patients with non-decussation, Cz-CPi (1) or CPz-CPi (3). Standard P37 and P31 derivations were CPz-FPz and FPz-C5S. Signal amplitude was measured in 2048 sweep averages; peak noise was measured in raw sweeps and ±averages; SNR was amplitude/noise. Visual superimposability and < 20-30%amplitude variation determined reproducibility. Sweeps to reproducibility determined rapidity. Results: The SNR order was PFoptimized P37 > standard P37 > P31. Mean optimized P37 SNR advantages over the standard P37 and P31 were 2.1:1 and 4.9:1. SNR had powerful non-linear correlations to reproducibility and rapidity. Median sweeps to reproducibility were PF: 2, optimized P37: 128, standard P37: 512 and P31: 1024. EEG noise was greatest in FPz derivations. Burst-suppression increased scalp potential SNR and rapidity. Conclusions: Optimized P37 and PF recordings are most rapidly reproducible due to superior SNRs and are recommended. FPz should be avoided. Burst-suppression may be desirable. Significance: CPz-FPz and FPz-C5S should no longer be standard.
基金supported by the National Natural Science Foundation of China(Grant No.30130190)Beijing Natural Science Foudation(Grant No.7012007)and Cancer Center of Peking University.
文摘High mycoplasmal infection ratio in gastric cancer tissues suggests a possible association between my-coplasma infection and tumorigenesis. Because TNF-a plays an important role in carcinogenesis caused by microbes in-fection and P37 is a major immunogen of mycoplasma hy-orhinis (M. hyor.), investigating whether P37 could induceexpression and secretion of TNF-a will be very significant to elucidate the possible molecular mechanism of gastric car-cinogenesis involved with M. hyor. At the present study, we cloned full gene of p37 by PCR and mutated the 7 codes of TGA into TGG firstly, then expressed the P37 protein suc-cessfully with pGEX-4T-1 vector in E. coli, which was veri-fied with Western blot. By RT-PCR and sensitive L929 cell toxic assay, we found that P37 protein could induce expres-sion and secretion of TNF-a from human peripheral bloodmononuclear cells, and the inducing activity of P37 could be dramatically blocked by McAb PD4. These results suggestthat the induction of TNF-a secretion by P37 probably plays an important role in diseases caused by M. hyor. infectionand needs to be further investigated.
