Expression and influence of KATP in umbilical artery smooth muscle cells of patients with hypertensive disorders of pregnancy.

The objective of this study is to investigate the expression and influence of adenosine triphosphate-sensitive potassium channel (KATP) in human umbilical arterial smooth muscle cells (HUASMCs) of patients with hypertensive disorders of pregnancy (HDP). Western blotting was used to detect the protein expression levels of KATP inwardly rectifying potassium channel (Kir)6.1 and sulphonylurea receptor (SUR)2B subunits in HUASMCs from patients with normal parturients (NP), gestational hypertension (GH), chronic hypertension (CH), preeclampsia (PE) and chronic hypertension with superimposed preeclampsia (CHSP), respectively. There was no significant difference in the protein expression of Kir6.1 subunit in NP group, GH group, CH group, PE group and CHSP group (P > 0.05). The protein expression of SUR2B subunit was gradually decreased in NP group, GH group, CH group, PE group and CHSP group, with statistically significant difference among the groups (P < 0.05). The altered expression level of KATP SUR2B subunit may be involved in the pathogenesis of HDP. The severity of HDP may be related to the degree of decrease of SUR2B subunit.

Experimental Study and Analytical Modeling on Properties of Freeze-Thaw Durability of Coal Gangue Pervious Concrete.

To assess the freeze-thaw (F-T) durability of coal gangue pervious concrete (CGPC) in different F-T cycle media (water, 3.5 wt% NaCl solution), experimental studies on 36 groups of cube specimens and 6 groups of prismatic specimens were carried out, with designed porosity, F-T cycling media, and F-T failure times as variables. The changes in apparent morphology, mass, compressive behavior, relative dynamic elastic modulus, and permeability coefficient have been analyzed in detail. To predict the compressive strength after F-T cycles, a GM (1,1) model based on the grey system theory was developed and further improved into a more accurate grey residual-Markov model. The results reported that the cement slurry and coal gangue aggregates (CGAs) on the specimen surface continued to fall off as F-T cycles increased, and, finally, the weak point was fractured. Meanwhile, the decrease in compressive behavior and relative dynamic elastic modulus was gentle in the early phase of F-T cycles, and they gradually became faster in the later stage, showing a parabolic downward trend. The permeability coefficient increased gradually. When F-T failure occurred, specimen mass dropped precipitously. The F-T failure of CGPC was more likely to occur in 3.5 wt% NaCl solution, and the F-T failure times of samples were 25 times earlier than that of water. This study lays the foundation for an engineering application and provides a basis for the large-scale utilization of CGPC.

Degradation Mechanism of Coal Gangue Concrete Suffering from Sulfate Attack in the Mine Environment.

Recycling coal gangue as aggregate to produce concrete in situ is the most effective way to solve the problem of deposited coal gangue in mines. Nevertheless, the mine environment underground is rich in sulfate ions, posing a threat to the durability of coal gangue concrete (CGC). Hence, the degradation process of sulfate-attacked CGC is investigated. A series of tests is performed to evaluate its variation law of mass, dynamic elastic modulus, compressive strength and sulfate ion distribution. Meanwhile, the microstructure and phases of sulfate-attacked CGC are identified by scanning electron microscopy, X-ray diffraction and thermogravimetric analysis. The results indicate that the residual compressive strength ratio of CGC is higher than that of normal concrete after a 240 d sulfate attack, implying a superior sulfate resistance for CGC. Additionally, the higher the sulfate concentration, the more severe the degradation. Except for the secondary hydration of CGC itself, the diffused sulfate ions also react with Ca(OH)2, forming gypsum and ettringite; this plays a positive role in filling the pores at the early stage, whereas, at the later stage, the generated micro-cracks are detrimental to the performance of CGC. In particular, the proposed sulfate corrosion model elucidates the degradation mechanism of CGC exposed to a sulfate-rich environment.

Quality of Life and Its Association with Androgenetic Alopecia Patients in Shanghai: A Cross-Sectional Study.

Background: Health-related quality of life (HRQoL) of androgenetic alopecia patients has become increasingly important, but the influencing factors associated with the different domains are poorly understood. Objective: This study aimed to investigate the influencing factors in HRQoL of androgenetic alopecia patients and identify its strongly associated domains. Patients and Methods: We enrolled 170 androgenetic alopecia patients. HRQoL was measured using the World Health Organization Quality of Life Brief Version (WHO-BREF), and Hairdex. Results: HRQoL was significantly impaired in patients <30 years, (WHO-BREF: P=0.022, Hairdex: P=0.004), less educated (WHO-BREF: P=0.021, Hairdex: P=0.003), single patients (Hairdex: P=0.023), and urban residence (Hairdex: P=0.043). By domains, those <30 years were impaired by physical health (P=0.038) and psychological (P=0.030) by WHO-BREF, and symptoms (P=0.002) and emotions (P=0.002) by Hairdex. Singles were impaired by symptoms (P=0.020), and emotions (P=0.009) by Hairdex. Less-educated individuals had impaired all domains in the WHO-BREF and Hairdex, except for physical health. Women had impaired symptoms (P=0.013) and stigmatization (P=0.041) in Hairdex. Conclusion: Androgenetic alopecia is associated with significantly reduced HRQoL in young, less educated, and single patients. Dermatologists should inquire about Quality of Life and appropriately support androgenetic alopecia patients.

CPX Targeting DJ-1 Triggers ROS-induced Cell Death and Protective Autophagy in Colorectal Cancer.

Rationale: Colorectal cancer (CRC) is one of the most common cancers worldwide. Ciclopirox olamine (CPX) has recently been identified to be a promising anticancer candidate; however, novel activities and detailed mechanisms remain to be uncovered. Methods: The cytotoxic potential of CPX towards CRC cells was examined in vitro and in vivo. The global gene expression pattern, ROS levels, mitochondrial function, autophagy, apoptosis, etc. were determined between control and CPX-treated CRC cells. Results: We found that CPX inhibited CRC growth by inhibiting proliferation and inducing apoptosis both in vitro and in vivo. The anti-cancer effects of CPX involved the downregulation of DJ-1, and overexpression of DJ-1 could reverse the cytotoxic effect of CPX on CRC cells. The loss of DJ-1 resulted in mitochondrial dysfunction and ROS accumulation, thus leading to CRC growth inhibition. The cytoprotective autophagy was provoked simultaneously, and blocking autophagy pharmacologically or genetically could further enhance the anti-cancer efficacy of CPX. Conclusion: Our study demonstrates that DJ-1 loss-induced ROS accumulation plays a pivotal role in CPX-mediated CRC inhibition, providing a further understanding for CRC treatment via modulating compensatory protective autophagy.

Using femtosecond laser to create customized corneal flaps for patients with low and moderate refractive error differing in corneal thickness.

This study is designed to evaluate the visual outcomes, accuracy, and predictability of corneal flaps with different thicknesses created by 60-kHz femtosecond laser according to different corneal thicknesses in the patients with low and moderate refractive error. A total of 182 eyes were divided according to the central corneal thickness (470 µm-499 µm in Group A, 500 µm-549 µm in Group B, and 550 µm-599 µm in Group C) and underwent femtosecond laser-assisted LASIK for a target corneal flap thickness (100 µm for Group A, 110 µm for Group B, and 120 µm for Group C). Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and refractive status were examined. The flap thickness of each eye was measured by anterior segment optical coherence tomography (AS-OCT) on 30 points at 1-month follow-up to assess the accuracy and predictability. Postoperatively, at least 75% of eyes had a UDVA of 20/16 or better, less than 2% of eyes lost one line, over 30% of eyes gained one or more lines in CDVA, at least 95% of eyes had astigmatism of less than 0.25 D, all eyes achieved a correction within ± 1.00 D from the target spherical equivalent refraction. The visual and refractive outcomes did not differ significantly in all groups (P >0.05). The mean flap thickness was 100.36 ± 4.32 µm (range: 95-113 µm) in Group A, 111.64 ± 3.62 µm (range: 108-125 µm) in Group B, and 122.32 ± 2.88 µm (range: 112-128 µm) in Group C. The difference at each measured point among the three groups was significant (P < 0.05). The accuracy and predictability were satisfactory in all three groups. In conclusion, this customized treatment yielded satisfactory clinical outcomes with accurate and predictable flap thickness for patients with low and moderate refractive error.

[Therapeutic effect of phacoemulsification for closed-angle glaucoma].

OBJECTIVE: To investigate the therapeutic effect of phacoemulsification for primary closed-angle glaucoma complicated with cataract. METHODS: Phacoemulsification with posterior chamber foldable intraocular lens implantation was performed in 55 cases (58 eyes) of acute or chronic primary closed-angle glaucoma complicated with cataract. The changes of visual acuity, intraocular pressure, central anterior chamber depth and anterior chamber angle were observed after operation and the patients were followed up for 6 months. RESULTS: Compared with those before operation, the postoperative best corrected visual acuity and anterior chamber depth were improved, the intraocular pressure was reduced, and the closed chamber angle was partially reopened. CONCLUSION: Phacoemulsification with posterior chamber foldable intraocular lens implantation not only improves the visual acuity but also controls the intraocular pressure, and can be a valuable method for treating primary closed-angle glaucoma with cataract.