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1.
Heliyon ; 10(10): e30969, 2024 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-38813202

RESUMO

Snake venoms, comprising a complex array of protein-rich components, an important part of which are snake venom metalloproteinases (SVMPs). These SVMPs, which are predominantly isolated from viperid venoms, are integral to the pathology of snakebites. However, SVMPs derived from elapid venoms have not been extensively explored, and only a handful of SVMPs have been characterized to date. Atrase A, a nonhemorrhagic P-III class metalloproteinase from Naja atra venom, exhibits weak proteolytic activity against fibrinogen in vitro but has pronounced anticoagulant effects in vivo. This contrast spurred investigations into its anticoagulant mechanisms. Research findings indicate that atrase A notably extends the activated partial thromboplastin time, diminishes fibrinogen levels, and impedes platelet aggregation. The anticoagulant action of atrase A primarily involves inhibiting coagulation factor VIII and activating the endogenous fibrinolytic system, which in turn lowers fibrinogen levels. Additionally, its effect on platelet aggregation further contributes to its anticoagulant profile. This study unveils a novel anticoagulant mechanism of atrase A, significantly enriching the understanding of the roles of cobra venom metalloproteinases in snake venom. Furthermore, these findings underscore the potential of atrase A as a novel anticoagulant drug, offering insights into the functional evolutions of cobra venom metalloproteinases.

2.
Sensors (Basel) ; 24(9)2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-38732979

RESUMO

Accurate measurement of coal gas permeability helps prevent coal gas safety accidents effectively. To predict permeability more accurately, we propose the IDBO-BPNN coal body gas permeability prediction model. This model combines the Improved Dung Beetle algorithm (IDBO) with the BP neural network (BPNN). First, the Sine chaotic mapping, Osprey optimization algorithm, and adaptive T-distribution dynamic selection strategy are integrated to enhance the DBO algorithm and improve its global search capability. Then, IDBO is utilized to optimize the weights and thresholds in BPNN to enhance its prediction accuracy and mitigate the risk of overfitting to some extent. Secondly, based on the influencing factors of gas permeability, effective stress, gas pressure, temperature, and compressive strength, they are chosen as the coupling indicators. The SPSS 27 software is used to analyze the correlation among the indicators using the Pearson correlation coefficient matrix. Additionally, the Kernel Principal Component Analysis (KPCA) is employed to extract the original data. Then, the original data is divided into principal component data for the model input. The prediction results of the IDBO-BPNN model are compared with those of the PSO-BPNN, PSO-LSSVM, PSO-SVM, MPA-BPNN, WOA-SVM, BES-SVM, and DPO-BPNN models. This comparison assesses the capability of KPCA to enhance the accuracy of model predictions and the performance of the IDBO-BPNN model. Finally, the IDBO-BPNN model is tested using data from a coal mine in Shanxi. The results indicate that the predicted outcome closely aligns with the actual value, confirming the reliability and stability of the model. Therefore, the IDBO-BPNN model is better suited for predicting coal gas permeability in academic research writing.

3.
Bioorg Med Chem ; 107: 117760, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38762978

RESUMO

Oncolytic peptides represented potential novel candidates for anticancer treatments especially drug-resistant cancer cell lines. One of the most promising and extensively studied is LTX-315, which is considered as the first in class oncolytic peptide and has entered phase I/II clinical trials. Nevertheless, the shortcomings including poor proteolytic stability, moderate anticancer durability and high synthesis costs may hinder the widespread clinical applications of LTX-315. In order to reduce the synthesis costs, as well as develop derivatives possessing both high protease-stability and durable anticancer efficiency, twenty LTX-315-based derived-peptides were designed and efficiently synthesized. Especially, through solid-phase S-alkylation, as well as the optimized peptide cleavage condition, the derived peptides could be prepared with drastically reduced synthesis cost. The in vitro anticancer efficiency, serum stability, anticancer durability, anti-migration activity, and hemolysis effect were systematically investigated. It was found that derived peptide MS-13 exhibited comparable anticancer efficiency and durability to those of LTX-315. Strikingly, the D-type peptide MS-20, which is the enantiomer of MS-13, was demonstrated to possess significantly high proteolytic stability and sustained anticancer durability. In general, the cost-effective synthesis and stability-guided structural optimizations were conducted on LTX-315, affording the highly hydrolysis resistant MS-20 which possessed durable anticancer activity. Meanwhile, this study also provided a reliable reference for the future optimization of anticancer peptides through the solid-phase S-alkylation and L-type to D-type amino acid substitutions.

4.
J Nanobiotechnology ; 22(1): 275, 2024 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-38778401

RESUMO

BACKGROUND: Acute gouty is caused by the excessive accumulation of Monosodium Urate (MSU) crystals within various parts of the body, which leads to a deterioration of the local microenvironment. This degradation is marked by elevated levels of uric acid (UA), increased reactive oxygen species (ROS) production, hypoxic conditions, an upsurge in pro-inflammatory mediators, and mitochondrial dysfunction. RESULTS: In this study, we developed a multifunctional nanoparticle of polydopamine-platinum (PDA@Pt) to combat acute gout by leveraging mild hyperthermia to synergistically enhance UA degradation and anti-inflammatory effect. Herein, PDA acts as a foundational template that facilitates the growth of a Pt shell on the surface of its nanospheres, leading to the formation of the PDA@Pt nanomedicine. Within this therapeutic agent, the Pt nanoparticle catalyzes the decomposition of UA and actively breaks down endogenous hydrogen peroxide (H2O2) to produce O2, which helps to alleviate hypoxic conditions. Concurrently, the PDA component possesses exceptional capacity for ROS scavenging. Most significantly, Both PDA and Pt shell exhibit absorption in the Near-Infrared-II (NIR-II) region, which not only endow PDA@Pt with superior photothermal conversion efficiency for effective photothermal therapy (PTT) but also substantially enhances the nanomedicine's capacity for UA degradation, O2 production and ROS scavenging enzymatic activities. This photothermally-enhanced approach effectively facilitates the repair of mitochondrial damage and downregulates the NF-κB signaling pathway to inhibit the expression of pro-inflammatory cytokines. CONCLUSIONS: The multifunctional nanomedicine PDA@Pt exhibits exceptional efficacy in UA reduction and anti-inflammatory effects, presenting a promising potential therapeutic strategy for the management of acute gout.


Assuntos
Gota , Indóis , Polímeros , Espécies Reativas de Oxigênio , Ácido Úrico , Gota/tratamento farmacológico , Gota/metabolismo , Gota/terapia , Espécies Reativas de Oxigênio/metabolismo , Animais , Camundongos , Polímeros/química , Indóis/química , Indóis/farmacologia , Nanopartículas/química , Platina/química , Platina/farmacologia , Platina/uso terapêutico , Humanos , Peróxido de Hidrogênio/metabolismo , Hipertermia Induzida/métodos , Células RAW 264.7 , Terapia Fototérmica/métodos , Anti-Inflamatórios/farmacologia , Anti-Inflamatórios/química , Anti-Inflamatórios/uso terapêutico , Masculino
5.
Zhongguo Shi Yan Xue Ye Xue Za Zhi ; 32(2): 546-555, 2024 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-38660865

RESUMO

OBJECTIVE: To explore the role of NK cells in allogeneic hematopoietic stem cell micro-transplantation(MST) in the treatment of patients with acute myeloid leukemia(AML). METHODS: Data from 93 AML patients treated with MST at our center from 2013-2018 were retrospectively analyzed. The induction regimen was anthracycline and cytarabine combined with peripheral blood stem cells transplantation mobilization by granulocyte colony stimulating factor (GPBSC), followed by 2-4 courses of intensive treatment with medium to high doses of cytarabine combined with GPBSC after achieving complete remission (CR). The therapeutic effects of one and two courses of MST induction therapy on 42 patients who did not reach CR before transplantation were evaluated. Cox proportional hazards regression analysis was used to analyze the impact of donor NK cell dose and KIR genotype, including KIR ligand mismatch, 2DS1, haplotype, and HLA-Cw ligands on survival prognosis of patients. RESULTS: Forty-two patients received MST induction therapy, and the CR rate was 57.1% after 1 course and 73.7% after 2 courses. Multivariate analysis showed that, medium and high doses of NK cells was significantly associated with improved disease-free survival (DFS) of patients (HR=0.27, P =0.005; HR=0.21, P =0.001), and high doses of NK cells was significantly associated with improved overall survival (OS) of patients (HR=0.15, P =0.000). Donor 2DS1 positive significantly increases OS of patients (HR=0.25, P =0.011). For high-risk patients under 60 years old, patients of the donor-recipient KIR ligand mismatch group had longer DFS compared to the nonmismatch group (P =0.036); donor 2DS1 positive significantly prolonged OS of patients (P =0.009). CONCLUSION: NK cell dose, KIR ligand mismatch and 2DS1 influence the therapeutic effect of MST, improve the survival of AML patients.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Células Matadoras Naturais , Leucemia Mieloide Aguda , Transplante Homólogo , Humanos , Leucemia Mieloide Aguda/terapia , Estudos Retrospectivos , Citarabina , Intervalo Livre de Doença , Masculino , Feminino , Prognóstico , Indução de Remissão , Fator Estimulador de Colônias de Granulócitos , Adulto , Pessoa de Meia-Idade
6.
Front Nutr ; 11: 1349006, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38559777

RESUMO

Aim: This meta-analysis was conducted to investigate the impact of saffron supplementation on the glycemic outcomes in patients with diabetes. Methods: Eight electronic databases were systematically searched from inception to March 31, 2023. RCTs of patients with diabetes receiving saffron compared with placebo which reported glycemic control outcomes were identified. WMD and 95% CIs were pooled using fixed-effects or random-effects models, depending on the significance of heterogeneity. Results: Out of the 837 citations screened, ten RCTs were included in the systematic review and meta-analysis. A total of 562 participants were enrolled, with 292 assigned to the intervention group and 270 to the control group. Saffron was administered at a dose of 5 mg/day to 1 g/day. Compared with placebo, saffron supplementation significantly reduced FPG (WMD = -8.42 mg/dL; 95% CI: -13.37, -3.47; p = 0.001) and HbA1c (WMD = -0.22%; 95% CI: -0.33, -0.10; p < 0.001). However, there was no significant effect on insulin levels, QUICKI and HOMA-IR. Conclusion: Saffron is effective for patients with diabetes in terms of FPG and HbA1c, therefore, it appears to be a promising adjuvant for the glycemic control of DM. However, the overall methodological quality of the identified studies is heterogeneous, limiting the interpretation of the benefit of saffron in diabetes. More long-term follow-up, well-designed and large-scale clinical trials are warranted to draw definitive conclusions. Systematic review registration: The protocol of review was registered in International Prospective Register of Systematic Reviews (PROSPERO) (ID: CRD42023426353).

7.
Bioorg Chem ; 147: 107356, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38604021

RESUMO

Developing "turn on" fluorescent probes was desirable for the detection of the effective anticoagulant agent heparin in clinical applications. Through combining the aggregation induced emission (AIE) fluorogen tetraphenylethene (TPE) and heparin specific binding peptide AG73, the promising "turn on" fluorescent probe TPE-1 has been developed. Nevertheless, although TPE-1 could achieve the sensitive and selective detection of heparin, the low proteolytic stability and undesirable poor solubility may limit its widespread applications. In this study, seven TPE-1 derived fluorescent probes were rationally designed, efficiently synthesized and evaluated. The stability and water solubility were systematically estimated. Especially, to achieve real-time monitoring of proteolytic stability, the novel Abz/Dnp-based "turn on" probes that employ the internally quenched fluorescent (IQF) mechanism were designed and synthesized. Moreover, the detection ability of synthetic fluorescent probes for heparin were systematically evaluated. Importantly, the performance of d-type peptide fluorescent probe XH-6 indicated that d-type amino acid substitutions could significantly improve the proteolytic stability without compromising its ability of heparin sensing, and attaching solubilizing tag 2-(2-aminoethoxy) ethoxy) acid (AEEA) could greatly enhance the solubility. Collectively, this study not only established practical strategies to improve both the water solubility and proteolytic stability of "turn on" fluorescent probes for heparin sensing, but also provided valuable references for the subsequent development of enzymatic hydrolysis-resistant d-type peptides based fluorescent probes.


Assuntos
Corantes Fluorescentes , Heparina , Peptídeos , Corantes Fluorescentes/química , Corantes Fluorescentes/síntese química , Heparina/análise , Heparina/química , Peptídeos/química , Peptídeos/síntese química , Estrutura Molecular , Humanos , Espectrometria de Fluorescência
8.
Microb Biotechnol ; 17(3): e14435, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38465781

RESUMO

The use of microbial inoculant is a promising strategy to improve plant health, but their efficiency often faces challenges due to difficulties in successful microbial colonization in soil environments. To this end, the application of biostimulation products derived from microbes is expected to resolve these barriers via direct interactions with plants or soil pathogens. However, their effectiveness and mechanisms for promoting plant growth and disease resistance remain elusive. In this study, we showed that root irrigation with the extracts of Streptomyces ahygroscopicus strain 769 (S769) solid fermentation products significantly reduced watermelon Fusarium wilt disease incidence by 30% and increased the plant biomass by 150% at a fruiting stage in a continuous cropping field. S769 treatment led to substantial changes in both bacterial and fungal community compositions, and induced a highly interconnected microbial association network in the rhizosphere. The root transcriptome analysis further suggested that S769 treatment significantly improved the expression of the MAPK signalling pathway, plant hormone signal transduction and plant-pathogen interactions, particular those genes related to PR-1 and ethylene, as well as genes associated with auxin production and reception. Together, our study provides mechanistic and empirical evidences for the biostimulation products benefiting plant health through coordinating plant and rhizosphere microbiome interaction.


Assuntos
Citrullus , Fusarium , Microbiota , Citrullus/genética , Citrullus/microbiologia , Rizosfera , Transcriptoma , Doenças das Plantas/prevenção & controle , Doenças das Plantas/microbiologia , Microbiologia do Solo , Solo , Raízes de Plantas/microbiologia
9.
Int Immunopharmacol ; 131: 111802, 2024 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-38467082

RESUMO

Acute lung injury (ALI) is an acute respiratory-related progressive disorder, which lacks specific pharmacotherapy. Icariin (ICA) has been shown to be effective in treating ALI. However, the targets and pharmacological mechanisms underlying the effects of ICA in the treatment of ALI are relatively lacking. Based on network pharmacology and molecular docking analyses, the gene functions and potential target pathways of ICA in the treatment of ALI were determined. In addition, the underlying mechanisms of ICA were verified by immunohistochemistry, immunofluorescence, quantitative Real-time PCR, and Western blot in LPS-induced ALI mice. The biological processes targeted by ICA in the treatment of ALI included the pathological changes, inflammatory response, and cell signal transduction. Network pharmacology, molecular docking, and in vivo experimental results revealed that ICA inhibited the complement C5a-C5aR1 axis, TLR4 mediated NF-κB, MAPK, and JAK2-STAT3 signaling pathways related gene and protein expressions, and decreased inflammatory cytokine, chemokine, adhesion molecule expressions, and mitochondrial apoptosis in LPS-induced ALI.


Assuntos
Lesão Pulmonar Aguda , Complemento C5a , Flavonoides , Lipopolissacarídeos , Receptores de Complemento , Animais , Camundongos , Lesão Pulmonar Aguda/tratamento farmacológico , Lesão Pulmonar Aguda/metabolismo , Complemento C5a/metabolismo , Flavonoides/uso terapêutico , Lipopolissacarídeos/farmacologia , Pulmão/patologia , Simulação de Acoplamento Molecular , NF-kappa B/metabolismo , Transdução de Sinais , Receptor 4 Toll-Like/metabolismo , Receptores de Complemento/metabolismo
10.
Chin J Integr Med ; 30(3): 195-202, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38374490

RESUMO

OBJECTIVE: To evaluate the effect and safety of foot baths with Tangbi Waixi Decoction (TW) in treating patients with diabetic peripheral neuropathy (DPN). METHODS: It is a multicenter double-blinded randomized controlled trial. Participants with DPN were recruited between November 18, 2016 and May 30, 2018 from 8 hospitals in China. All patients received basic treatments for glycemic management. Patients received foot baths with TW herbal granules either 66.9 g (intervention group) or 6.69 g (control group) for 30 min once a day for 2 weeks and followed by a 2-week rest, as a therapeutic course. If the Toronto Clinical Scoring System total score (TCSS-TS) ⩾6 points, the patients received a total of 3 therapeutic courses (for 12 weeks) and were followed up for 12 weeks. The primary outcome was change in TCSS-TS score at 12 and 24 weeks. Secondary outcomes included changes in bilateral motor nerve conduction velocity (MNCV) and sensory nerve conduction velocity (SNCV) of the median and common peroneal nerve. Safety was also assessed. RESULTS: Totally 632 patients were enrolled, and 317 and 315 were randomized to the intervention and control groups, respectively. After the 12-week intervention, patients in both groups showed significant declines in TCSSTS scores, and significant increases in MNCV and SNCV of the median and common peroneal nerves compared with pre-treatment (P<0.05). The reduction of TCSS-TS score at 12 weeks and the increase of SNCV of median nerve at 24 weeks in the control group were greater than those in the intervention group (P<0.05). The number of adverse events did not differ significantly between groups (P>0.05), and no serious adverse event was related with treatment. CONCLUSION: Treatment of TW foot baths was safe and significantly benefitted patients with DPN. A low dose of TW appeared to be more effective than a high dose. (Registry No. ChiCTR-IOR-16009331).


Assuntos
Diabetes Mellitus , Neuropatias Diabéticas , Plantas Medicinais , Humanos , Neuropatias Diabéticas/tratamento farmacológico , Banhos , Método Duplo-Cego , Extratos Vegetais/uso terapêutico
11.
Cell Tissue Bank ; 25(2): 663-676, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38383908

RESUMO

To investigate the efficacy of mesenchymal stromal cells in the treatment of type 1 diabetes. Articles about the effects of mesenchymal stromal cells for T1D were retrieved in PubMed, Web of Science, Embase, and the Cochrane Library databases up to July 2023. Additional relevant studies were manually searched through citations. HbA1c, FBG, PBG, insulin requirement and C-peptide were assessed. The risk of bias was evaluated with the ROB 2.0 and ROBINS-I tools. Six RCTs and eight nRCTs were included. Of the 14 studies included, two evaluated BM-MSCs, three evaluated UC-MSCs, five evaluated AHSCT, two evaluated CB-SCs, and two evaluated UC-SCs plus aBM-MNCs. At the end of follow-up, ten studies found that mesenchymal stromal cells improved glycemic outcomes in T1D, while the remaining four studies showed no significant improvement. Findings support the positive impacts observed from utilizing mesenchymal stromal cells in individuals with T1D. However, the overall methodological quality of the identified studies and findings is heterogeneous, limiting the interpretation of the therapeutic benefits of mesenchymal stromal cells in T1D. Methodically rigorous research is needed to further increase credibility.


Assuntos
Diabetes Mellitus Tipo 1 , Transplante de Células-Tronco Mesenquimais , Células-Tronco Mesenquimais , Diabetes Mellitus Tipo 1/terapia , Humanos , Células-Tronco Mesenquimais/citologia , Resultado do Tratamento , Glicemia/metabolismo
12.
RSC Adv ; 14(7): 4587-4590, 2024 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-38318618

RESUMO

A facile method was developed for the selective thioetherification of uracils using sulfonyl hydrazide as the thioetherification reagent. This method offers advantages such as avoiding the use of additives and expensive metal catalysts, and providing good to excellent yields of various uracil thioethers. Experimental studies have demonstrated that the reaction follows a free radical pathway. Notably, the reaction can be carried out without solvent.

13.
Int J Biol Sci ; 20(4): 1413-1435, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38385085

RESUMO

Caspase-11 detection of intracellular lipopolysaccharide mediates non-canonical pyroptosis, which could result in inflammatory damage and organ lesions in various diseases such as sepsis. Our research found that lactate from the microenvironment of acetaminophen-induced acute liver injury increased Caspase-11 levels, enhanced gasdermin D activation and accelerated macrophage pyroptosis, which lead to exacerbation of liver injury. Further experiments unveiled that lactate inhibits Caspase-11 ubiquitination by reducing its binding to NEDD4, a negative regulator of Caspase-11. We also identified that lactates regulated NEDD4 K33 lactylation, which inhibits protein interactions between Caspase-11 and NEDD4. Moreover, restraining lactylation reduces non-canonical pyroptosis in macrophages and ameliorates liver injury. Our work links lactate to the exquisite regulation of the non-canonical inflammasome, and provides a basis for targeting lactylation signaling to combat Caspase-11-mediated non-canonical pyroptosis and acetaminophen-induced liver injury.


Assuntos
Doença Hepática Crônica Induzida por Substâncias e Drogas , Piroptose , Humanos , Acetaminofen/toxicidade , Caspases Iniciadoras/metabolismo , Caspases/metabolismo , Ácido Láctico
14.
Sci Rep ; 14(1): 4551, 2024 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-38402302

RESUMO

The proposed study presents an enhanced combination weighting cloud model for accurate assessment of coal and gas outburst risks. Firstly, a comprehensive evaluation index system for coal and gas outburst risks is established, consisting of primary indicators such as coal rock properties and secondary indicators including 13 factors. Secondly, the improved Analytic Hierarchy Process (IAHP) based on the 3-scale method and the improved CRITIC based on indicator correlation weight determination method are employed to determine subjective and objective weights of evaluation indicators respectively. Additionally, the Lagrange multiplier method is introduced to fuse these weights in order to obtain optimal weights. Subsequently, a prominent danger assessment model is developed based on cloud theory. Finally, using a mine in Hebei Province as an example, the results obtained from IAHP combined with improved CRITIC weighting method are compared with those from traditional AHP method and AHP-CRITIC combination weighting method. The findings demonstrate that among all methods considered, IAHP combined with improved CRITIC exhibits superior performance in terms of distribution expectation Ex, entropy value En, and super entropy He within cloud digital features; thus indicating that the risk level of coal and gas outbursts in this particular mine can be classified as general risk. These evaluation results align well with actual observations thereby validating the effectiveness of this approach. Consequently, this constructed model enables rapid yet accurate determination of coal and gas outburst risks within mines.

15.
J Med Chem ; 67(5): 3885-3908, 2024 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-38278140

RESUMO

Oncolytic peptides represent promising novel candidates for anticancer treatments. In our efforts to develop oncolytic peptides possessing both high protease stability and durable anticancer efficiency, three rounds of optimization were conducted on the first-in-class oncolytic peptide LTX-315. The robust synthetic method, in vitro and in vivo anticancer activity, and anticancer mechanism were investigated. The D-type peptides represented by FXY-12 possessed significantly improved proteolytic stability and sustained anticancer efficiency. Strikingly, the novel hybrid peptide FXY-30, containing one FXY-12 and two camptothecin moieties, exhibited the most potent in vitro and in vivo anticancer activities. The mechanism explorations indicated that FXY-30 exhibited rapid membranolytic effects and induced severe DNA double-strand breaks to trigger cell apoptosis. Collectively, this study not only established robust strategies to improve the stability and anticancer potential of oncolytic peptides but also provided valuable references for the future development of D-type peptides-based hybrid anticancer chemotherapeutics.


Assuntos
Antineoplásicos , Antineoplásicos/farmacologia , Oligopeptídeos/farmacologia , Peptídeos/farmacologia , Apoptose , Peptídeo Hidrolases , Linhagem Celular Tumoral
16.
BMC Pulm Med ; 24(1): 62, 2024 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-38287299

RESUMO

BACKGROUND: Lung ultrasound (LUS) score could quantitatively reflect the lung aeration, which has been well applied in critically ill patients. The aim of the systematic review and meta-analysis was to evaluate the association between LUS score at admission and the risk of in-hospital mortality of adults with acute respiratory distress syndrome (ARDS). METHODS: Toachieve the objective of this meta-analysis, we conducted a thorough search of PubMed, Embase, Cochrane Library, and the Web of Science to identify relevant observational studies with longitudinal follow-up. We employed random-effects models to combine the outcomes, considering the potential influence of heterogeneity. RESULTS: Thirteen cohort studies with 1,022 hospitalized patients with ARDS were included. Among them, 343 patients (33.6%) died during hospitalization. The pooled results suggested that the LUS score at admission was higher in non-survivors as compared to survivors (standardized mean difference = 0.73, 95% confidence interval [CI]: 0.55 to 0.91, p < 0.001; I2 = 25%). Moreover, a high LUS score at admission was associated with a higher risk of in-hospital mortality of patients with ARDS (risk ratio: 1.44, 95% CI: 1.14 to 1.81, p = 0.002; I2 = 46%). Subgroup analyses showed consistent results in studies with LUS score analyzed with 12 or 16 lung regions, and in studies reporting mortality during ICU or within 1-month hospitalization. CONCLUSION: Our findings suggest that a high LUS score at admission may be associated with a high risk of in-hospital mortality of patients with ARDS.


Assuntos
Pulmão , Síndrome do Desconforto Respiratório , Adulto , Humanos , Mortalidade Hospitalar , Prognóstico , Pulmão/diagnóstico por imagem , Síndrome do Desconforto Respiratório/diagnóstico por imagem , Estudos de Coortes , Ultrassonografia/métodos , Estudos Observacionais como Assunto
17.
Sci Rep ; 14(1): 5, 2024 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-38168106

RESUMO

The feasibility and accuracy of the risk prediction of gas extraction borehole spontaneous combustion is improved to avoid the occurrence of spontaneous combustion in the gas extraction borehole. A gas extraction borehole spontaneous combustion risk prediction model (PSO-BPNN model) coupling the PSO algorithm with BP neural network is established through improving the connection weight and threshold values of BP neural network by the particle swarm optimization (PSO) algorithm. The prediction results of the PSO-BPNN model are compared and analyzed with that of the BP neural network model (BPNN model), GA-BPNN model, SSA-BPNN model and MPA-BPNN model. The results showed as follows: the average relative error of the PSO-BPNN model was 4.38%; the average absolute error was 0.0678; the root mean square error was 0.0934; and the determination coefficient was 0.9874. Compared with the BPNN model, the average relative error, average absolute error and root mean square error decreased by 9.35%, 0.1707 and 0.2056 respectively; and the determination coefficient increased by 0.1169. Compared with the GA-BPNN model, the average relative error, average absolute error and root mean square error decreased by 3.19%, 0.0602 and 0.0821 respectively; and the determination coefficient increased by 0.0320. Compared with the SSA-BPNN model, the average relative error, average absolute error and root mean square error decreased by 5.70%, 0.0820 and 0.1100 respectively; and the determination coefficient increased by 0.0474. Compared with the MPA-BPNN model, the average relative error, average absolute error and root mean square error decreased by 3.50%, 0.0861 and 0.1125 respectively; and the determination coefficient increased by 0.0488, proving that the PSO-BPNN model is more accurate than the BPNN model, GA-BPNN model, SSA-BPNN model and MPA-BPNN model as for prediction. When the PSO-BPNN model was applied to three extraction boreholes A, B, and C in a coal mine of Shanxi, the prediction results were better than the BPNN model, GA-BPNN model, SSA-BPNN model and MPA-BPNN model, proving the accuracy and stability of the PSO-BPNN model in predicting risk of borehole spontaneous combustion in other mine.

19.
Heliyon ; 9(11): e22124, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38045157

RESUMO

Objectives: To study the characteristics of intestinal microbiota at different stages of Mycobacterium tuberculosis infection. Methods: Fecal samples of 19 active tuberculosis (ATB) patients, 21 latent tuberculosis infection (LTBI) individuals, and 20 healthy controls (HC) were collected. Gut microbiota of all the participants were analyzed by 16S rDNA sequencing. Clinical information of ATB patients was also collected and analyzed. Results: Both ATB and LTBI groups showed significant decreases in microbial diversity and decline of Clostridia. For ATB patients, bacteria within phylum Proteobacteria increased. While for LTBI individuals, genera Prevotella and Rosburia enriched. The abundance of Faecalibacterium, Clostridia and Gammaproteobacteria has the potential to diagnose ATB, with the area under the curve (AUC) of 0.808, 0.784 and 0.717. And Prevotella and Rosburia has the potential to diagnose LTBI, with the AUC of 0.689 and 0.689. Notably, in ATB patients, the relative abundance of Blautia was negatively correlated with the proportions of peripheral T cells and CD8+T cells. And serum direct bilirubin was positively correlated with Bacteroidales, while negatively correlated with Clostridiales in ATB patients. Conclusions: The specifically changed bacteria are promising markers for ATB and LTBI diagnosis. Some gut bacteria contribute to anti-MTB immunity through interactions with T cells and bilirubin.

20.
Small ; : e2307337, 2023 Dec 28.
Artigo em Inglês | MEDLINE | ID: mdl-38152926

RESUMO

Nanostructures formed from the self-assembly of amino acids are promising materials in many fields, especially for biomedical applications. However, their low stability resulting from the weak noncovalent interactions between the amino acid building blocks limits their use. In this work, nanoparticles co-assembled by fluorenylmethoxycarbonyl (Fmoc)-protected tyrosine (Fmoc-Tyr-OH) and tryptophan (Fmoc-Trp-OH) are crosslinked by ultraviolet (UV) light irradiation. Two methods are investigated to induce the dimerization of tyrosine, irradiating at 254 nm or at 365 nm in the presence of riboflavin as a photo-initiator. For the crosslinking performed at 254 nm, both Fmoc-Tyr-OH and Fmoc-Trp-OH generate dimers. In contrast, only Fmoc-Tyr-OH participates in the riboflavin-mediated dimerization under irradiation at 365 nm. The participation of both amino acids in forming the dimers leads to more stable crosslinked nanoparticles, allowing also to perform further chemical modifications for cancer applications. The anticancer drug doxorubicin (Dox) is adsorbed onto the crosslinked nanoparticles, subsequently coated by a tannic acid-iron complex, endowing the nanoparticles with glutathione-responsiveness and photothermal properties, allowing to control the release of Dox. A remarkable anticancer efficiency is obtained in vitro and in vivo in tumor-bearing mice thanks to the combined chemo- and photothermal treatment.

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