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The effective method for trypsin purification should be established because trypsin has important economic value. In this work, a novel and simple strategy was proposed for fabricating micron-sized magnetic Fe3O4@agarose-benzamidine beads (MABB) with benzamidine as a ligand, which can efficiently and selectively capture trypsin. The micro-sized MABB, with clear spherical core-shell structure and average particle size of 6.6 µm, showed excellent suspension ability and magnetic responsiveness in aqueous solution. The adsorption capacity and selectivity of MABB towards target trypsin were significantly better than those of non-target lysozyme. According to the Langmuir equation, the maximum adsorption capacity of MABB for trypsin was 1946 mg g-1 at 25 °C, and the adsorption should be a physical sorption process. Furthermore, the initial adsorption rate and half equilibrium time of MABB toward trypsin were 787.4 mg g-1 min-1 and 0.71 min, respectively. To prove the practicability, MABB-based magnetic solid-phase extraction (MSPE) was proposed, and the related parameters were optimized in detail to improve the purification efficiency. With Tris-HCl buffer (50 mM, 10 mM CaCl2, pH 8.0) as extraction buffer, Tris-HCl buffer (50 mM, 100 mM CaCl2, pH 8.0) as rinsing buffer, acidic eluent (0.01 M HCl, 0.5 M NaCl, pH 2.0) as eluent buffer and alkaline buffer (1 M Tris-HCl buffer, pH 10.0) as neutralization solution, the MABB-based MSPE was successfully used for trypsin purification from the viscera of grass carp (Ctenopharyngodon idella). The molecular weight of purified trypsin was determined as approximate 23 kDa through sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). The purified trypsin was highly active from 30 °C to 60 °C, with an optimum temperature of 50 °C, and was tolerant to pH variation, exhibiting 85 % of maximum enzyme activity from pH 7.0 to 10.0. The results demonstrated that the proposed MABB-based MSPE could effectively purify trypsin and ensure the biological activity of purified trypsin. Therefore, we believe that the novel MABB could be applicable for efficient purification of trypsin from complex biological systems.
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Engraftment syndrome (ES) is one of the most common complications in the early phase after autologous hematopoietic stem cell transplantation (ASCT), and we aimed to evaluate the incidence and risk factors for ES patients receiving ASCT in the era of plerixafor-based mobilization. A total of 294 were enrolled, and 16.0% (n = 47) experienced ES after ASCT. The main clinical manifestations were fever (100%), diarrhea (78.7%), skin rash (23.4%), and hypoxemia/pulmonary edema (12.8%). Plerixafor-based mobilization was associated with higher counts of CD3+ cells, CD4+ cells, and CD8+ cells in grafts. In univariate analysis of the total cohort, age ≥60 years, receiving ASCT at complete remission (CR), higher number of mononuclear cell (MNC), CD3+ cell counts, CD4+ cells as well as CD8+ cells transfused and plerixafor-based mobilization were associated with ES after ASCT. Multivariate analysis showed that age ≥60 years (P = .0014), receiving ASCT at CR (P = .002), and higher number of MNC transfused (P = .026) were associated with ES in total cohort. In plasma cell disease subgroup, age ≥60 years (P = .013), plerixafor-based mobilization (P = .036), and receiving ASCT at CR (P = .002) were associated with ES. Patients with more risk factors had a higher risk of ES. The 1-year probabilities of relapse, non-relapse mortality, and survival were comparable between patients with and without ES. Thus, plerixafor-based mobilization may influence the composition of T lymphocytes in grafts and increase the risk of ES, particularly in patients with plasma cell disease.
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Efficient separation of deoxyribonucleic acid (DNA) through magnetic nanoparticles (MN) is a widely used biotechnology. Hedgehog-inspired MNs (HMN) possess a high-surface-area due to the distinct burr-like structure of hedgehog, but there is no report about the usage of HMN for DNA extraction. Herein, to improve the selection of MN and illustrate the performance of HMN for DNA separation, HMN and silica-coated Fe3O4 nanoparticles (Fe3O4@SiO2) were fabricated and compared for the high-efficient separation of pathogenic bacteria of DNA. Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) are typical Gram-negative and Gram-positive bacteria and are selected as model pathogenic bacteria. To enhance the extraction efficiency of two kinds of MNs, various parameters, including pretreatment, lysis, binding and elution conditions, have been optimized in detail. In most separation experiments, the DNA yield of HMN was higher than that of Fe3O4@SiO2. Therefore, a HMN-based magnetic solid-phase microextraction (MSPE) and quantitative real-time PCR (qPCR) were integrated and used to detect pathogenic bacteria in real samples. Interestingly, the HMN-based MSPE combined qPCR strategy exhibited high sensitivity with a limit of detection of 2.0 × 101 CFU mL-1 for E. coli and 4.0 × 101 CFU mL-1 for S. aureus in orange juice, and 2.8 × 102 CFU mL-1 for E. coli and 1.1 × 102 CFU mL-1 for S. aureus in milk, respectively. The performance of the proposed strategy was significantly better than that of commercial kit. This work could prove that the novel HMN could be applicable for the efficient separation of DNA from complex biological samples.
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ADN Bacteriano , Escherichia coli , Nanopartículas de Magnetita , Microextracción en Fase Sólida , Staphylococcus aureus , Staphylococcus aureus/aislamiento & purificación , Staphylococcus aureus/química , Escherichia coli/química , Escherichia coli/aislamiento & purificación , Nanopartículas de Magnetita/química , ADN Bacteriano/aislamiento & purificación , ADN Bacteriano/análisis , Microextracción en Fase Sólida/métodos , Dióxido de Silicio/química , Reacción en Cadena en Tiempo Real de la Polimerasa , Límite de Detección , Erizos/microbiologíaRESUMEN
BACKGROUND: Although many studies have reported on the associations between the amount of physical activity (PA) and the transitions of cardiometabolic multimorbidity (CMM), the evidence for PA intensity has not been fully evaluated. OBJECTIVE: This study aimed to explore the impact of PA intensity on the dynamic progression of CMM. METHODS: The prospective cohort of this study using data from the UK Biobank included 359,773 participants aged 37-73 years who were recruited from 22 centers between 2006 and 2010. The diagnoses of CMM, which included the copresence of type 2 diabetes (T2D), ischemic heart disease, and stroke, were obtained from first occurrence fields provided by the UK Biobank, which included data from primary care, hospital inpatient record, self-reported medical condition, and death registers. The PA intensity was assessed by the proportion of vigorous PA (VPA) to moderate to vigorous PA (MVPA). Multistate models were used to evaluate the effect of PA intensity on the dynamic progression of CMM. The first model (model A) included 5 transitions, namely free of cardiometabolic disease (CMD) to first occurrence of CMD (FCMD), free of CMD to death, FCMD to CMM, FCMD to mortality, and CMM to mortality. The other model (model B) used specific CMD, namely T2D, ischemic heart disease, and stroke, instead of FCMD and included 11 transitions in this study. RESULTS: The mean age of the included participants (N=359,773) was 55.82 (SD 8.12) years at baseline, and 54.55% (196,271/359,773) of the participants were female. Compared with the participants with no VPA, participants with intensity levels of >0.75 to <1 for VPA to MVPA had a 13% and 27% lower risk of transition from free of CMD to FCMD (hazard ratio [HR] 0.87, 95% CI 0.83-0.91) and mortality (HR 0.73, 95% CI 0.66-0.79) in model A, respectively. The HR for the participants with no moderate PA was 0.82 (95% CI 0.73-0.92) compared with no VPA. There was a substantially protective effect of higher PA intensity on the transitions from free of CMD to T2D and from T2D to mortality, which reveals the importance of PA intensity for the transitions of T2D. More PA and greater intensity had a synergistic effect on decreasing the risk of the transitions from free of CMD to FCMD and mortality. Male participants, younger adults, adults with a higher BMI, current or previous smokers, and excessive alcohol drinkers could obtain more benefits from higher PA intensity for the lower risk of at least 1 transition from free of CMD, then to CMM, and finally to mortality. CONCLUSIONS: This study suggests that higher PA intensity is an effective measure for preventing CMM and mortality in the early period of CMM development. Relevant interventions related to higher PA intensity should be conducted.
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Diabetes Mellitus Tipo 2 , Isquemia Miocárdica , Accidente Cerebrovascular , Adulto , Humanos , Masculino , Femenino , Persona de Mediana Edad , Estudios Prospectivos , Diabetes Mellitus Tipo 2/epidemiología , Multimorbilidad , Bancos de Muestras Biológicas , Ejercicio Físico , Isquemia Miocárdica/epidemiología , Reino Unido/epidemiologíaRESUMEN
Developing high-performance magnetic particles for the effective separation and purification of target proteins has become an important topic in the area of biomedical research. In this work, a simple and novel strategy was proposed for fabricating magnetic Fe3O4@agarose-iminodiacetic acid-Ni microspheres (MAIN), which can efficiently and selectively isolate histidine-tagged/rich proteins (His-proteins). Based on the thermoreversible sol-gel transition of agarose, basic magnetic agarose microspheres were prepared through the inverse emulsion method, in which the emulsion contained agarose and amine-modified Fe3O4 nanoparticles. The size of the emulsion was controlled by the emulsification of a high-speed shear machine, which improved the specific surface area of MAIN. Subsequently, the amine-modified Fe3O4 nanoparticles were covalently crosslinked with agarose through epichlorohydrin, which could avoid leakage of the magnetic source during use and increase the stability of MAIN. The microsized MAIN exhibited a clearly visible spherical core-shell structure with a diameter range from 3.4 µm to 9.8 µm, and excellent suspension ability in aqueous solution. The maximum adsorption capacity of MAIN for histidine-rich bovine hemoglobin was 1069.2 mg g-1 at 35 °C, which was higher than those of commercialized and most reported magnetic agarose microspheres/nanoparticles. The MAIN showed excellent adsorption ability and selectivity toward His-proteins in a mixture of histidine-rich bovine serum albumin (BSA) and histidine-poor lysozyme (LYZ). When the amount of LYZ was 5-fold higher than that of BSA, the recovery of BSA reached 75.0%. To prove its practicability, MAIN was successfully employed for the enrichment of histidine-tagged RSV-F0 from the cell culture medium supernatant. According to the optimized conditions, MAIN could enrich approximately 0.1 mg of RSV-F0 from 1 mL of complex biological sample. Therefore, we believe that the novel MAIN could be applicable for efficient separation and purification of His-proteins from complex biological systems.
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Histidina , Níquel , Sefarosa , Emulsiones , Albúmina Sérica Bovina , Aminas , Iones , Fenómenos MagnéticosRESUMEN
BACKGROUND: The purpose of this report is to enhance our scientific understanding of the clinicopathologic features of chronic myeloid leukemia (CML) with the e12a3 transcript and to provide insights into potential treatment options for this rare subtype of CML. CASE SUMMARY: We present the case of a 21-year-old Chinese male patient who was diagnosed with chronic myeloid leukemia (CML) with the e12a3 transcript. Biopsy of his left iliac soft tissue mass indicated that he was in the blast crisis phase of CML. The patient was treated with tyrosine kinase inhibitor (TKI) drugs and achieved remission, but relapsed soon after. Despite receiving prognostic chemotherapy, the disease progressed and eventually led to the patient's death. CONCLUSION: To avoid missed diagnosis and misdiagnosis, it is recommended to conduct a thorough clinical evaluation and actively identify the underlying etiology.
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Proteínas de Fusión bcr-abl , Leucemia Mielógena Crónica BCR-ABL Positiva , Masculino , Humanos , Adulto Joven , Adulto , Proteínas de Fusión bcr-abl/genética , Leucemia Mielógena Crónica BCR-ABL Positiva/diagnóstico , Leucemia Mielógena Crónica BCR-ABL Positiva/tratamiento farmacológico , Leucemia Mielógena Crónica BCR-ABL Positiva/genética , Crisis Blástica/genética , Crisis Blástica/tratamiento farmacológico , Pronóstico , Inhibidores de Proteínas QuinasasRESUMEN
Biogas is a promising renewable technology to alleviate energy poverty. Pakistan has a capacity of 5 million bio digesters that can be installed in different farming areas. However, this target has never been achieved because many barriers hamper the biogas industry development. In previous studies, some researchers have indicated these barriers in different geographical contexts: however, these barriers are rarely examined in Pakistan. To fulfill the research gap, this study prioritizes potential barriers. Using a literature review and a modified Delphi technique, we identify 25 sub-barriers and catalog them into 5 main categories. The analytical hierarchy process (AHP) prioritizes the main barriers and sub-barriers based on potential. Grey Technique for Order Preference by Similarity to Ideal Solution (G-TOPSIS) ranks the practical alternatives to combat these barriers. The study findings specify that the "financial barrier" is the top-ranked barrier among the main categories, followed by technical, socio-cultural, institutional and administrative, and environmental barriers. The overall ranking shows that the "high starting price tag" is ranked first among all sub-barriers in all categories. It has been proposed that "appropriate financial incentives" and "promotion of customized technology" would be feasible alternative solutions to combat the issues. Based on the research findings, some policy recommendations were suggested for biogas uptake in Pakistan. This study may assist policymakers, stakeholders, and government institutions in accelerating the potential of biogas energy to alleviate energy poverty in rural areas of Pakistan.
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Proceso de Jerarquía Analítica , Biocombustibles , Pakistán , Pobreza , AgriculturaRESUMEN
We demonstrate for the first time that optical rogue waves (RWs) can be generated using a chaotic semiconductor laser with energy redistribution. Chaotic dynamics are numerically generated using the rate equation model of an optically injected laser. The chaotic emission is then sent to an energy redistribution module (ERM) that consists of a temporal phase modulation and a dispersive propagation. The process enables a temporal energy redistribution of the chaotic emission waveforms, where coherent summation of consecutive laser pulses leads to random generation of giant intensity pulses. Efficient generation of optical RWs are numerically demonstrated by varying the ERM operating parameters in the entire injection parameter space. The effects of the laser spontaneous emission noise on the generation of RWs are further investigated. The RW generation approach offers a relatively high flexibility and tolerance in the choice of ERM parameters according to the simulation results.
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Láseres de Semiconductores , Fenómenos Físicos , Simulación por ComputadorRESUMEN
Energy poverty has gained considerable attention worldwide, adversely affecting income, education, health, and the environment. However, no study has examined the linkages among these dimensions and especially during COVID-19 in the Pakistani perspective. To bridge this research gap, we scrutinized the relationship among these variables to measure the hypotheses. The study analyzed the survey data collected from university students to meet the research objectives. We employed SPSS 26 for statistical description and correlation analysis and AMOS 26 to construct structural equation modeling to test the proposed hypotheses. The findings disclose that COVID-19 pandemic boosts energy poverty in Pakistan. Moreover, energy poverty positively and significantly influences income poverty, health poverty, educational poverty, and environmental poverty. Finally, relevant practical suggestions are provided based on the study findings.
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COVID-19 , Pandemias , Humanos , Pobreza , Renta , EscolaridadRESUMEN
India's demand-supply imbalance electricity market results from the country's rapid population growth and extensive industrialization. Due to increased costs, many residential and commercial customers have difficulty paying their electric bills. Households with lower incomes are confronted with the most severe energy poverty in the entire country. A sustainable and alternative form of energy is required to solve these issues. Solar energy is a sustainable energy choice for India; however, the solar industry faces many issues. One of them is managing end-of-life cycle photovoltaic (PV) waste, as massive deployment of solar energy capacity has resulted in generating large amounts of PV waste, ultimately affecting environmental and human health. Therefore, this research employs "Porter's Five Forces Model" to analyze the factors that significantly impact the competitiveness of India's solar power industry. The inputs for this model consist of semi-structured interviews conducted with experts in the solar power industry on various solar energy-related issues and a critical analysis of the national policy framework using the relevant literature and official statistics. The impact of five significant stakeholders of the solar power industry on solar power generation in India is evaluated: buyers, suppliers, competitors, substitutes, and potential competitors. Research findings indicate the Indian solar power industry's current status, challenges, competition environment, and future estimates. This study will help the government and stakeholders to understand the intrinsic and extrinsic factors affecting the competitiveness of the Indian solar power sector and suggest policy recommendations to formulate procurement strategies that promote sustainable development within the solar industry.
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Energía Solar , Humanos , Industrias , Costos y Análisis de Costo , Desarrollo Sostenible , PolíticasRESUMEN
The biological molecules used in the sandwich detection method have problems such as complex extraction processes, high costs, and uneven quality. Therefore we integrated glycoprotein molecularly controllable-oriented surface imprinted magnetic nanoparticles (GMC-OSIMN) and boric acid functionalized pyrite nanozyme probe (BPNP) to replace the traditional antibody and horseradish peroxidase for sensitive detection of glycoproteins through sandwich detection. In this work, a novel nanozyme functionalized with boric acid was used to label glycoproteins that were captured by GMC-OSIMN. The substrate in the working solution catalyzed by the nanozyme labeled on the protein underwent visible color changes to the naked eye, and the generated signal can be quantitatively detected by a spectrophotometer, and the best color development conditions of the novel nanozyme under the influence of many factors were determined through multi-dimensional investigation. The optimum conditions of sandwich are optimized with ovalbumin (OVA), and it was extended to the detection of transferrin (TRF) and alkaline phosphatase (ALP) in the application. The detection range for TRF was 2.0 × 10-1-1.0 × 104 ng mL-1 with a detection limit of 1.32 × 10-1 ng mL-1, The detection range for ALP was 2.0 × 10-3-1.0 × 102 U L-1 with the detection limit of 1.76 × 10-3 U L-1. This method was subsequently used to detect TRF and ALP levels in 16 liver cancer patients, and the standard deviation of the test results of each patient was less than 5.7%.
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Colorimetría , Polímeros , Humanos , Polímeros/química , Colorimetría/métodos , Glicoproteínas/química , Transferrina/análisis , Fosfatasa Alcalina/metabolismoRESUMEN
The rapid urbanization and industrialization of India have caused a demand-supply gap in the electrical sector, leading to higher electric bills. Lower-income households face the worst energy poverty in the country. Sustainable strategies like corporate social responsibility are the most effective way to combat the energy crisis. This study aims to assess the contribution of corporate social responsibility (CSR) to energy poverty alleviation (EPA) by developing the role of mediating variables such as assessment of renewable energy resource (RER), feasibility of sustainable energy supply (SES), and sustainable energy development (SED). We used hybrid research methodology such as partial least squares structural equation modeling (PLS-SEM) to analyze the collected data from professionals, economic experts, and directors in the country in 2022. The study proved that CSR directly affects energy poverty alleviation. Besides, the findings suggest RER, SES, and SED significantly lead the energy poverty alleviation. The findings of this study will divert the attention of policymakers, stakeholders, and economists toward the corporate social responsibility to mitigate the energy crisis in Indian context. A mediating role of a renewable energy resource (RER) as a value-added contribution to this study can be strengthened more in future research. Based on the results, the study illustrates that CSR acts as a catalyst to alleviate energy poverty.
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Electricidad , Pobreza , Humanos , Recolección de Datos , India , Responsabilidad SocialRESUMEN
Tumor development relies on a complex and aberrant tissue environment in which cancer cells receive the necessary nutrients for growth, survive through immune escape, and acquire mesenchymal properties that mediate invasion and metastasis. Stromal cells and soluble mediators in the tumor microenvironment (TME) exhibit characteristic anti-inflammatory and protumorigenic activities. Ubiquitination, which is an essential and reversible posttranscriptional modification, plays a vital role in modulating the stability, activity and localization of modified proteins through an enzymatic cascade. This review was motivated by accumulating evidence that a series of E3 ligases and deubiquitinases (DUBs) finely target multiple signaling pathways, transcription factors and key enzymes to govern the functions of almost all components of the TME. In this review, we systematically summarize the key substrate proteins involved in the formation of the TME and the E3 ligases and DUBs that recognize these proteins. In addition, several promising techniques for targeted protein degradation by hijacking the intracellular E3 ubiquitin-ligase machinery are introduced.
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Under the background of global warming and climate change, carbon capture, utilization, and storage(CCUS) technology has gradually been recognized by countries around the world as one of the carbon reduction technologies with the most potential. This study described the origin, concept, positioning, and evolution process of CCUS technology in detail and compared the policies, regulations, demonstration projects, and development status of the carbon trading system of CCUS technology at home and abroad. Simultaneously, we systematically summarized the great efforts made by China to promote the development of CCUS technology since China joined the Paris Agreement in 2016, combined with the construction of ecological civilization and the objectives of "carbon peak" and "carbon neutralization." In addition, this study analyzed the existing problems of CCUS technology in China and put forward relevant development suggestions for further promoting the discovery of this technology.
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As the largest developing country, China has recognized the importance of low carbon cities. To date, three batches of low-carbon pilot provinces and cities were presented by the Chinese government from 2010 to 2017. Therefore, the local governments in the pilot group should take effective measures to promote the development of low-carbon cities. However, because of the lack of experience in implementing special policies for low-carbon cities, many local governments have encountered difficulties in promoting the development of low-carbon cities. This study critically analysed various policies promulgated during 2010-2021 by the Chinese local governments. The most relevant programming policies of pilot cities were selected. A multidimensional framework is developed to better understand the policies in facilitating low-carbon city development in China. The results showed that there are 16 factors at both the macro level and the micro level that affect the development of Chinese low-carbon pilot cities. The successful promotion of China's low-carbon cities requires combined efforts from all related stakeholders. In addition, the development of pilot cities is actively promoted by the Chinese national government and linked to other strategic initiatives, such as "peak carbon" by 2030 and "carbon neutral" by 2060. The findings help to better understand the landscape of policy measures of low-carbon city development in China and provide useful references for policy making in other countries.
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BACKGROUND: The co-existence of Waldenström's macroglobulinemia (WM) with internodal marginal zone lymphoma (INMZL) is rare and often associated with poor prognosis. CASE SUMMARY: We present a Chinese female patient who developed secondary light chain amyloidosis due to WM and INMZL and provides opinions on its systemic treatment. A 65-year-old woman was diagnosed with WM 6 years ago and received Bruton tyrosine kinase inhibitor monotherapy for two years. Her INMZL was confirmed due to left cervical lymphadenopathy. The patient presented with oedema in both lower limbs one year ago, and was diagnosed with secondary light chain amyloidosis. Treatment with the BC regimen (rituximab 375 mg/m2 monthly for 6-8 courses, and bendamustine 90 mg/m2 per day × 2, monthly for six courses) was initiated, but not tolerated due to toxic side effects. Bortezomib-based therapy was given for two months, including bortezomib, dexamethasone, and zanubrutinb. Oedema in both lower limbs was relieved and treatment efficacy was evaluated as partial remission. CONCLUSION: A detailed clinical evaluation and active identification of the aetiology are recommended to avoid missed diagnosis and misdiagnosis.
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Molecularly imprinted polymers (MIPs) as artificial receptors have been widely applied in various fields. However, construction of MIPs for precise recognition of glycoprotein still remains a rather challenging task. To overcome this problem, we first fabricated boronate-affinity-oriented and sequential-surface imprinting magnetic nanoparticles (BSIMN) through integrating the boronate-affinity-oriented and sequential surface imprinting. The boronate-affinity-oriented immobilization of glycoprotein template endowed the BSIMN with homogeneous imprinted cavities. In addition, the polydopamine (PDA) imprinted layer was introduced by self-polymerization of dopamine in the first imprinting process, and then the phenylboronic acid (PBA) imprinted layer was introduced by boronate-affinity interaction in the second imprinting process. Surprisingly, the PBA imprinted layer possessed self-healing property due to the presence of pH-dependent boronate-affinity interaction between two imprinted layers. Therefore, the fabricated BSIMN exhibited excellent selectivity toward glycoprotein templates. To quantitatively detect glycoproteins in biological samples, the BSIMN was linked with hydrophilic rhodamine B-loaded/boronic acid-modified graphene oxide (HRBGO), which could selectively label glycoprotein and output amplified signal. In quantitative analysis, target glycoproteins were firstly captured by BSIMN and then specifically labeled by HRBGO; subsequently, the releasing agent was added to release numerous rhodamine B from HRBGO, and the corresponding fluorescence signal was used for further quantitative analysis. The proposed strategy showed ultrahigh sensitivity for ovalbumin, carcinoembryonic antigen and alpha fetoprotein with limit of detection of 4.5 fg mL-1, 3.6 fg mL-1 and 4.2 fg mL-1, respectively, and was successfully applied in determination of these glycoproteins in serum samples.
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Impresión Molecular , Glicoproteínas , Fenómenos Magnéticos , PolimerizacionRESUMEN
Trigeminal neuralgia (TN) due to vertebrobasilar dolichoectasia (VBD) is a rare disease that can be challenging to treat. The objectives of this study are to investigate the characteristics of patients with TN due to VBD and to analyze the efficacy of microvascular decompression (MVD) by the interposition method for treatment of the condition. From 2010 until 2020, the data of 30 patients with TN due to VBD who were treated with MVD by the interposition method were analyzed retrospectively. The characteristics of the patients were compared with those of patients with non-VBD TN (n = 815). Kaplan-Meier survival analysis was performed to determine pain-free survival. The 30 patients (21 males, 9 females; mean age, 63.03 years) accounted for 3.55% of all patients with TN during the study period. In 30 patients, the offending vessel was the basilar artery (BA) in 1 patient, the vertebral artery (VA) in 6 patients, the VA plus the superior cerebellar artery (SCA) in 6 patients, the VA plus the anterior inferior cerebellar artery (AICA) in 12 patients, and the VA + SCA + AICA in 5 patients. Compared to non-VBD TN patients, those with TN due to VBD were significantly more likely to be male, to have TN of the left side, and to have hypertension (all P < 0.001). Mean age at surgery (P = 0.057) and symptom duration (P = 0.308) were comparable between the two groups. All 30 patients had immediate relief of facial pain after MVD and could stop medication. There were no postoperative complications. Over mean follow-up of 76.67 months, 3 patients had recurrence. The mean duration of pain-free survival was 70.77 months. In conclusions, TN due to VBD appears to be more likely in males, in those with hypertension, and to involve the left side. The interposition method performed by experienced and skilled neurosurgeons is a safe and effective treatment for TN due to VBD. Further studies are needed to analyze the associated long-term results and the pain recurrence rate among this special population.
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Hipertensión , Cirugía para Descompresión Microvascular , Neuralgia del Trigémino , Insuficiencia Vertebrobasilar , Femenino , Humanos , Hipertensión/complicaciones , Masculino , Cirugía para Descompresión Microvascular/métodos , Persona de Mediana Edad , Estudios Retrospectivos , Resultado del Tratamiento , Neuralgia del Trigémino/etiología , Neuralgia del Trigémino/cirugía , Insuficiencia Vertebrobasilar/complicaciones , Insuficiencia Vertebrobasilar/cirugíaRESUMEN
Cardiac fibrosis is one of the major pathological characteristics of diabetic cardiomyopathy (DCM). MicroRNAs (miRNAs, miRs) have been identified as key regulators in the progression of cardiac fibrosis. This study aimed to investigate the role of miR-30a-5p in DCM and the underlying mechanism. The rat model of diabetes mellitus (DM) was established by streptozotocin injection, and the rat primary cardiac fibroblasts (CFs) were isolated from cardiac tissue and then treated with high glucose (HG). MTT assay was performed to assess the viability of CFs. Dual-luciferase reporter gene assay was conducted to verify the interaction between miR-30a-5p and Smad2. The expression of miR-30a-5p was downregulated in the myocardial tissues of DM rats and HG-stimulated CFs. Overexpression of miR-30a-5p reduced Smad2 levels and inhibited collagen formation in HG-stimulated CFs and DM rats, as well as decreased the proliferation of CFs induced by HG. Smad2 was a target of miR-30a-5p and its expression was inhibited by miR-30a-5p. Furthermore, the simultaneous overexpression of Smad2 and miR-30a-5p reversed the effect of miR-30a-5p overexpression alone in CFs. Our results indicated that miR-30a-5p reduced Smad2 expression and also induced a decrease in proliferation and collagen formation in DCM.
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Proliferación Celular/genética , Colágeno/metabolismo , Cardiomiopatías Diabéticas/genética , Cardiomiopatías Diabéticas/patología , Fibroblastos/metabolismo , Fibroblastos/patología , Regulación del Desarrollo de la Expresión Génica/genética , Regulación del Desarrollo de la Expresión Génica/fisiología , Expresión Génica , MicroARNs/genética , MicroARNs/fisiología , Animales , Modelos Animales de Enfermedad , Masculino , MicroARNs/metabolismo , Miocardio/citología , Ratas Sprague-Dawley , Proteína Smad2/genética , Proteína Smad2/metabolismoRESUMEN
An asymmetric synthesis of 5-halomethyl pyrazolines and isoxazolines which bear a tertiary stereocenter by catalytic halocyclization of ß,γ-unsaturated hydrazones and ketoximes is described. By using Brønsted acids of anionic chiral Co(III) complexes as catalysts, a variety of chiral 5-halomethyl pyrazolines and isoxazolines were obtained in good yields with high enantioselectivities (up to 99% yield, 97:3 er). Preliminary bioassay results indicated that several isoxazoline derivatives exhibited significant antifungal activities.