Monocyte-Derived Macrophages Aggravate Cardiac Dysfunction After Ischemic Stroke in Mice.

BACKGROUND: Cardiac damage induced by ischemic stroke, such as arrhythmia, cardiac dysfunction, and even cardiac arrest, is referred to as cerebral-cardiac syndrome (CCS). Cardiac macrophages are reported to be closely associated with stroke-induced cardiac damage. However, the role of macrophage subsets in CCS is still unclear due to their heterogeneity. Sympathetic nerves play a significant role in regulating macrophages in cardiovascular disease. However, the role of macrophage subsets and sympathetic nerves in CCS is still unclear. METHODS AND RESULTS: In this study, a middle cerebral artery occlusion mouse model was used to simulate ischemic stroke. ECG and echocardiography were used to assess cardiac function. We used Cx3cr1GFPCcr2RFP mice and NLRP3-deficient mice in combination with Smart-seq2 RNA sequencing to confirm the role of macrophage subsets in CCS. We demonstrated that ischemic stroke-induced cardiac damage is characterized by severe cardiac dysfunction and robust infiltration of monocyte-derived macrophages into the heart. Subsequently, we identified that cardiac monocyte-derived macrophages displayed a proinflammatory profile. We also observed that cardiac dysfunction was rescued in ischemic stroke mice by blocking macrophage infiltration using a CCR2 antagonist and NLRP3-deficient mice. In addition, a cardiac sympathetic nerve retrograde tracer and a sympathectomy method were used to explore the relationship between sympathetic nerves and cardiac macrophages. We found that cardiac sympathetic nerves are significantly activated after ischemic stroke, which contributes to the infiltration of monocyte-derived macrophages and subsequent cardiac dysfunction. CONCLUSIONS: Our findings suggest a potential pathogenesis of CCS involving the cardiac sympathetic nerve-monocyte-derived macrophage axis.

Cellulose-based biomass composite films for plastic replacement: Synergistic UV shielding, antibacterial and antioxidant properties.

With the gradual increase in environmental awareness and the growing demand for food safety, sustainable and environmentally friendly cellulose-based materials have become a promising alternative to petroleum-based plastics. However, in practice, packaging materials prepared from cellulose-based materials still have some unsatisfactory properties, such as monofunctionality, low transparency, and lack of UV shielding, antibacterial or antioxidant properties. Herein, a novel synthetic strategy is proposed in this paper, specifically, tannic acid (TA), a green natural extract with antibacterial and antioxidant properties, is used as a plasticizer and cross-linker, and oxidized cellulose nanocellulose (TOCN) modified with folic acid (FA) grafting is blended with TA, and cellulose-based biomass thin films with ultraviolet (UV) shielding, antibacterial, and antioxidant properties have been successfully prepared by using a simple vacuum-assisted filtration. The experimental results showed that the films could completely block ultraviolet light at wavelengths of 200-400 nm while providing 81.47 % transparency in the visible spectrum, while the introduction of TA conferred excellent antibacterial and antioxidant capabilities with antioxidant activity of up to 95 %, and also resulted in films with excellent mechanical properties. Therefore, this work provides ideas for the design and manufacture of competitive biomass green packaging materials, laying the foundation for future applications in food packaging.

Preparation of sustainable oxidized nanocellulose films with high UV shielding effect, high transparency and high strength.

UV protection has become crucial as increasing environmental pollution has led to the destruction of the ozone layer, which has a weakened ability to block UV rays. In this paper, we successfully prepared cellulose-based biomass films with high UV shielding effect, high transparency and high tensile strength by graft-modifying oxidized cellulose nanocellulose (TOCN) with folic acid (FA) and borrowing vacuum-assisted filtration. The films had tunable UV shielding properties depending on the amount of FA added. When the FA addition was 20 % (V/V), the film showed 0 % transmittance in the UV region (200-400 nm) and 90.61 % transmittance in the visible region (600 nm), while the tensile strength was up to 150.04 MPa. This study provides a new integrated process for the value-added utilization of nanocellulose and a new route for the production of functional biomass packaging materials. The film is expected to be applied in the field of food packaging with UV shielding.

Role of galectin-3 in cardiac dysfunction induced by subarachnoid hemorrhage.

Subarachnoid hemorrhage (SAH) is a severe acute cerebrovascular event that not only impairs the central nervous system but also negatively affects various other organs, including the heart. The underlying mechanisms, however, remain unclear. In this study, we discovered that mice with SAH exhibited significant cardiac injuries, such as extended QT and QTc intervals, cardiac fibrosis, and reduced cardiac ejection fractions. This phenomenon was accompanied by increased galectin-3 expression in the cardiac ventricle and can be reversed by galectin-3 inhibitor TD139. Interestingly, we also observed increased co-expression of galectin-3 in macrophage within the heart tissue of SAH mice. Additionally, when macrophage activation was suppressed using the beta-blocker propranolol, cardiac function improved, and galectin-3 expression in the cardiac tissue decreased. Collectively, our findings offer new insights into the role of galectin-3 in SAH-related cardiac dysfunction and suggest a macrophage-galectin-3 axis as a potential therapeutic strategy.

A flexible and stretchable photonic crystal sensor for biosensing and tactile sensing.

Biosensing and tactile sensing are considered to be essential functions for intelligent diagnostic medical robot. In this paper, biosensing and tactile sensing had been demonstrated with a single photonic crystal structure. The flexible and stretchable photonic crystal structure consists of PDMS as the flexible substrate and TiO2 as the guided layer, and the nanograting structure was realized by nanoreplica molding. For biosensing experiment, a sensitivity of 93 nm/RIU is verified with ambient environment RI variance simulation results. For tactile sensing experiment, the highest resolution for strain sensing is 0.1%, and the minimum detected scale of the grating period variation is 0.1 nm. The TiO2/PDMS structure based flexible and stretchable photonic crystal sensor demonstrates highly sensitivity and potentially cost effective for biosensing and tactile sensing, and it is promising in the area of intelligent diagnostic medical robot.

Effect of Structural Optimization of Scrubbing Cooling Rings on Vertical Falling Film Flow Characteristics.

In order to study the influence of the structural optimization of the scrubbing cooling ring in the scrubbing cooling chamber on the flow characteristics of the vertical falling film, the flow characteristics of the turbulent falling film in the rising section of the development region at different internal platform heights of the scrubbing cooling ring and a high Reynolds number were studied by FLUENT software. First, the correctness of the model was verified by the maximum error of simulation and experimental results of no more than 9.836%. Then, the distribution of liquid film thickness (δ), velocity (V), and turbulence intensity (I z) at 0° of the tube in the axial direction x = 0-500 mm were calculated and obtained when the platform height (H) was 0-30 mm and the liquid film Reynolds number (Re l) = 1.1541 × 104-3.4623 × 104. The results showed that δ in the entrance region increased sharply due to the "jet" effect with solid wall constraints formed by the structure of the water inlet pipe and the scrubbing cooling ring. On the contrary, the liquid film in the fully developed region showed a stable fluctuation trend due to the weakening of the "jet" effect. When H = 30 mm, the change of δ was relatively stable and the change of I z was small, indicating that this platform height is conducive to the stable and uniform distribution of the liquid film. In addition, when Re l < 1.1541 × 104, the liquid film was unstable due to the low flow rate and insufficient cohesion of the liquid film, but V increased slightly. In addition, with the increase of Re l, δ did not change significantly along the axial direction, that is, the Plateau-Rayleigh hindered the growth of δ. Finally, the empirical formula for δ applicable to Re l = 1.1541 × 104-3.4623 × 104 at the axial fixed position was fitted for the first time.

Isoflurane Attenuates Cerebral Ischaemia-Reperfusion Injury via the TLR4-NLRP3 Signalling Pathway in Diabetic Mice.

Ischaemic stroke is a severe disease worldwide. Restoration of blood flow after ischaemic stroke leads to cerebral ischaemia-reperfusion injury (CIRI). Various operations, such as cardiac surgery with deep hypothermic circulatory arrest, predictably cause cerebral ischaemia. Diabetes is related to the occurrence of perioperative stroke and exacerbates neurological impairment after stroke. Therefore, the choice of anaesthetic drugs has certain clinical significance for patients with diabetes. Isoflurane (ISO) exerts neuroprotective and anti-neuroinflammatory effects in patients without diabetes. However, the role of ISO in cerebral ischaemia in the context of diabetes is still unknown. Toll-like receptor 4 (TLR4) and NOD-like receptor pyrin domain-containing protein 3 (NLRP3) inflammasome activation play important roles in microglia-mediated neuroinflammatory injury. In this study, we treated a diabetic middle cerebral artery occlusion mouse model with ISO. We found that diabetes exacerbated cerebral ischaemia damage and that ISO exerted neuroprotective effects in diabetic mice. Then, we found that ISO decreased TLR4-NLRP3 inflammasome activation in microglia and the excessive autophagy induced by CIRI in diabetic mice. The TLR4-specific agonist CRX-527 reversed the neuroprotective effects of ISO. In summary, our study indicated that ISO exerts neuroprotective effects against the neuroinflammation and autophagy observed during diabetic stroke via the TLR4-NLRP3 signalling pathway.

Are Ionic Liquids Suitable for Suppressing Coal Spontaneous Combustion?

Due to the reported fact that the active functional groups in coal can be dissolved and destroyed by ionic liquids, it is expected that the spontaneous combustion of coal can be affected from a thermodynamic perspective. However, ionic liquids with different thermal stabilities have distinct influences on coal combustion. Here, the thermal stability of long-flame coal in the presence of five pure ionic liquids ([Bmim][BF4], [Bmim][Ac], [Bmim][NO3], [Hoemim][BF4], and [Pmim][BF4]) was analyzed by thermogravimetric analysis, and the flammability of the raw coal, pure ionic liquids, and coal-IL mixtures (mass ratio of 1:1) were tested using a cone calorimeter according to the indexes of the time to ignition (TTI), mass loss rate (MLR), heat release rate (HRR), total heat release rate (THR), specific extinction area (SEA), and CO production. It is shown that the TTIs of mixtures containing coal-[Bmim][BF4], coal-[Hoemim][BF4], and coal-[Pmim][BF4] are relatively long, and the MLR, HRR, THR, and SEA values are relatively low, indicating that these fluorine-containing ionic liquids have a better flame-retardant effect than the other two fluorine-free ones, which may be ascribed to their similar role to halogen inhibitors. In addition, the endothermic process of [Bmim][BF4], [Hoemim][BF4], and [Pmim][BF4] can reduce the temperature of the coal surface and delay the ignition time of coal. In contrast, the TTI of coal-[Bmim][NO3] and coal-[Bmim][Ac] mixtures is much shorter than that of coal alone, and the MLR, HRR, and THR values are larger. This may be caused by the poor thermal stability of the two nonfluorine ionic liquids that began to decompose and release heat prior to coal, providing a large amount of heat for the low-temperature oxidation of coal and thus accelerating coal oxidation and combustion. Although the F-containing ionic liquids show the ability to inhibit spontaneous combustion of coal to some extent, their organic cations are potentially combustible and release large amounts of heat, smoke, and CO under high temperatures.

Nomogram for prediction of fatal outcome in patients with severe COVID-19: a multicenter study.

BACKGROUND: To develop an effective model of predicting fatal outcomes in the severe coronavirus disease 2019 (COVID-19) patients. METHODS: Between February 20, 2020 and April 4, 2020, consecutive confirmed 2541 COVID-19 patients from three designated hospitals were enrolled in this study. All patients received chest computed tomography (CT) and serological examinations at admission. Laboratory tests included routine blood tests, liver function, renal function, coagulation profile, C-reactive protein (CRP), procalcitonin (PCT), interleukin-6 (IL-6), and arterial blood gas. The SaO2 was measured using pulse oxygen saturation in room air at resting status. Independent high-risk factors associated with death were analyzed using Cox proportional hazard model. A prognostic nomogram was constructed to predict the survival of severe COVID-19 patients. RESULTS: There were 124 severe patients in the training cohort, and there were 71 and 76 severe patients in the two independent validation cohorts, respectively. Multivariate Cox analysis indicated that age ≥ 70 years (HR = 1.184, 95% CI 1.061-1.321), panting (breathing rate ≥ 30/min) (HR = 3.300, 95% CI 2.509-6.286), lymphocyte count < 1.0 × 109/L (HR = 2.283, 95% CI 1.779-3.267), and interleukin-6 (IL-6) >  10 pg/ml (HR = 3.029, 95% CI 1.567-7.116) were independent high-risk factors associated with fatal outcome. We developed the nomogram for identifying survival of severe COVID-19 patients in the training cohort (AUC = 0.900, 95% CI 0.841-0.960, sensitivity 95.5%, specificity 77.5%); in validation cohort 1 (AUC = 0.811, 95% CI 0.763-0.961, sensitivity 77.3%, specificity 73.5%); in validation cohort 2 (AUC = 0.862, 95% CI 0.698-0.924, sensitivity 92.9%, specificity 64.5%). The calibration curve for probability of death indicated a good consistence between prediction by the nomogram and the actual observation. The prognosis of severe COVID-19 patients with high levels of IL-6 receiving tocilizumab were better than that of those patients without tocilizumab both in the training and validation cohorts, but without difference (P = 0.105 for training cohort, P = 0.133 for validation cohort 1, and P = 0.210 for validation cohort 2). CONCLUSIONS: This nomogram could help clinicians to identify severe patients who have high risk of death, and to develop more appropriate treatment strategies to reduce the mortality of severe patients. Tocilizumab may improve the prognosis of severe COVID-19 patients with high levels of IL-6.

Gentiopicroside protects neurons from astrocyte-mediated inflammatory injuries by inhibition of nuclear factor-κB and mitogen-activated protein kinase signaling pathways.

The effects of gentiopicroside (Gent), an active component derived from the traditional Chinese medicine Gentiana macrophylla, on lipopolysaccharide-induced astrocyte activation and subsequent neuronal damage were investigated. Gent significantly inhibited the release of tumor necrosis factor-α, interleukin-1ß, nitric oxide, and prostaglandin E, as well as expressions of inducible nitric oxide synthase and cyclooxygenase-2 in lipopolysaccharide-induced primary astrocytes. Furthermore, Gent relieved neurotoxicity from astrocyte-mediated inflammatory injury. Mechanism studies indicated that Gent significantly suppressed nuclear factor-κB nuclear translocation and down-regulated c-Jun-N-terminal kinase/stress-activated protein kinase mitogen-activated protein kinase phosphorylation levels with little influence on elevated p-p38 levels. Taken together, our findings suggested Gent could prevent the neurotoxicity related to astrocyte-mediated inflammatory injury by inhibition of nuclear factor-κB and mitogen-activated protein kinase signaling pathways. The study also indicated that neuronal injury could be prevented by promptly modulating inflammatory responses of astrocytes.

Early enforced mobilization after liver resection: A prospective randomized controlled trial.

OBJECTIVE: This randomized controlled study investigated the feasibility of early ambulation after liver resection and the effect of the amount of activity on postoperative recovery. METHODS: A total of 120 patients who underwent liver resection were randomly divided into two groups for the comparative analysis of the following factors: amount of activity, pain control, sleeping state, perioperative gastrointestinal function recovery, incidence of complications and postoperative hospital stay. RESULTS: Compared with the control group, patients undergoing liver resection performing early postoperative ambulation had faster gastrointestinal function recovery (First exhaust time 2.2 ±â€¯1.4 vs. 3.3 ±â€¯2.3 p < 0.01; First flatus time 2.3 ±â€¯1.7 vs. 3.1 ±â€¯2.5 p = 0.04) and shorter postoperative hospital stays (6.6 ±â€¯2.3 vs. 7.7 ±â€¯2.1 p = 0.01), with statistically significant differences. There was no significant difference in the incidence of postoperative complications between the two groups (p > 0.05). CONCLUSION: Early ambulation after liver resection is safe and feasible. It can reduce the patient's pain and economic burden, increase the patient's comfort, reduce the nursing workload, achieve rapid recovery, and improve patient satisfaction.