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Repeated blood meals provide essential nutrients for mosquito egg development and routes for pathogen transmission. The target of rapamycin, the TOR pathway, is essential for vitellogenesis. However, its influence on pathogen transmission remains to be elucidated. Here, we show that rapamycin, an inhibitor of the TOR pathway, effectively suppresses Plasmodium berghei infection in Anopheles stephensi. An. stephensi injected with rapamycin or feeding on rapamycin-treated mice showed increased resistance to P. berghei infection. Exposing An. stephensi to a rapamycin-coated surface not only decreased the numbers of both oocysts and sporozoites but also impaired mosquito survival and fecundity. Transcriptome analysis revealed that the inhibitory effect of rapamycin on parasite infection was through the enhanced activation of immune responses, especially the NF-κB transcription factor REL2, a regulator of the immune pathway and complement system. Knockdown of REL2 in rapamycin-treated mosquitoes abrogated the induction of the complement-like proteins TEP1 and SPCLIP1 and abolished rapamycin-mediated refractoriness to Plasmodium infection. Together, these findings demonstrate a key role of the TOR pathway in regulating mosquito immune responses, thereby influencing vector competence.
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Anopheles/efeitos dos fármacos , Imunidade Inata/imunologia , Malária/tratamento farmacológico , Mosquitos Vetores/efeitos dos fármacos , Plasmodium berghei/patogenicidade , Sirolimo/farmacologia , Animais , Anopheles/imunologia , Anopheles/parasitologia , Feminino , Perfilação da Expressão Gênica , Imunidade Inata/efeitos dos fármacos , Imunossupressores/farmacologia , Malária/imunologia , Malária/parasitologia , Malária/transmissão , Camundongos , Camundongos Endogâmicos BALB C , Mosquitos Vetores/imunologia , Mosquitos Vetores/parasitologia , Oocistos/efeitos dos fármacos , Oocistos/crescimento & desenvolvimento , Oocistos/imunologia , Esporozoítos/efeitos dos fármacos , Esporozoítos/crescimento & desenvolvimento , Esporozoítos/imunologiaRESUMO
Developing highly efficient and persistent transition-metal-phosphide (TMP)-based electrocatalysts is critical for the hydrogen evolution reaction (HER) via water splitting in alkaline media. Herein, we constructed a unique heterostructured CoFeP/CoP grown on a nickle foam (NF) via hydrothermal and dipping methods followed by phosphorization at different temperatures for HER. The experimental results exhibit that the HER activity of CoFeP/CoP-400 is accelerated after the construction of heterostructures. The unique heterostructure provides plentiful active sites and a large surface area, which are beneficial for HER in 1.0 M KOH. CoFeP/CoP-400 displays a small overpotential of 78 mV at a current density of 10 mA cm-2 and a smaller Tafel slope of 55.5 mV dec-1. Moreover, CoFeP/CoP-400 shows excellent stability with a long-term operating time of 12 h. This work provides an effective method for the construction of TMPs with heterostructures for promoting energy conversion.
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Metal-organic frameworks (MOFs)-derived metallic oxide compounds exhibit a tunable structure and intriguing activity and have received intensive investigation in recent years. Herein, this work reports metal-organic frameworks (MOFs)-derived cobalt oxide/carbon nanotubes (MWCNTx@Co3O4) composites by calcining the MWCNTx@ZIF-67 precursor in one step. The morphology and structure of the composite were investigated by scanning electron microscope (SEM) and transmission electron microscope (TEM) characterization. The compositions and valence states of the compounds were characterized by X-ray diffraction (XRD) and X-ray photoelectron spectroscopy (XPS). Benefiting from the structurally stable MOFs-derived porous cobalt oxide frameworks and the homogeneous conductive carbon nanotubes, the synthesized MWCNTx@Co3O4 composites display a maximum specific capacitance of 206.89 F·g-1 at 1.0 A·g-1. In addition, the specific capacitance of the MWCNT3@Co3O4//activated carbon (AC) asymmetric capacitor reaches 50 F·g-1, and has an excellent electrochemical performance. These results suggest that the MWCNTx@Co3O4 composites can be a potential candidate for electrochemical energy storage devices.
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BACKGROUND: Opaque bubble layer (OBL), which generates from photo-disruptive procedures on the cornea, has been a common phenomenon during femtosecond laser-assisted refractive surgeries and it would potentially impact eye tracking and flap lifting. And we have observed that an updated flap-making pattern could form less OBL clinically than the traditional pattern, which needed further approval. Thus, the purpose of this study is to prove our observation and investigate the possible risk factors related to the occurrence and type of OBL in laser in situ keratomileusis (LASIK) flaps using the Visumax laser system. METHODS: This prospective study included 167 eyes of 86 patients (mean age: 27.5 ± 6.1 years) undergoing bilateral femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) for myopia/myopic astigmatism by the same surgeon from April 2020 to August 2020. Preoperative data on refraction, central corneal thickness (CCT), and keratometry as well as intraoperative data were included for analysis. A new flap-making pattern creating an offset between flap-cut and side-cut was adopted to compare with the traditional pattern. The operation video of flap formation was analyzed to identify the existence and type of OBL. The area covered by OBL and the ratio of OBL to flap were calculated using Image J software. RESULTS: Among 167 eyes, 54 eyes (32.3%) developed OBLs, consisting of 31 as hard OBL coexisting with soft OBL, and 23 as soft OBL alone. The OBL incidence was significantly reduced in eyes with the new flap-making pattern compared with the traditional pattern (13.8% vs. 52.5%, P < 0.001). Hard OBLs had larger area ratios than soft OBLs (14.3 ± 8.3% vs. 1.1 ± 1.8%, P < 0.001). Univariate analyses revealed that eyes with more myopia, thicker CCT, and traditional flap-making patterns were more likely to develop OBLs. Multivariate analysis further confirmed that more myopia, thicker CCT, and traditional flap-making pattern were risk factors for OBLs. A Larger corneal diameter was associated with a higher incidence of hard OBL when applying the traditional flap-making process. CONCLUSION: More myopia, thicker CCT, and larger corneal diameter were risk factors for OBL development during flap creation, whereas a flap-making pattern with an offset between flap-cut and side-cut could reduce the incidence of OBL.
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Astigmatismo , Ceratomileuse Assistida por Excimer Laser In Situ , Miopia , Adulto , Astigmatismo/epidemiologia , Astigmatismo/etiologia , Astigmatismo/cirurgia , Córnea/cirurgia , Paquimetria Corneana , Substância Própria/cirurgia , Humanos , Ceratomileuse Assistida por Excimer Laser In Situ/efeitos adversos , Ceratomileuse Assistida por Excimer Laser In Situ/métodos , Lasers de Excimer/uso terapêutico , Miopia/etiologia , Miopia/cirurgia , Estudos Prospectivos , Acuidade Visual , Adulto JovemRESUMO
High-energy density supercapacitors have attracted extensive attention due to their electrode structure design. A synergistic effect related to core-shell structure can improve the energy storage capacity and power density of electrode materials. The Ni-foam (NF) substrate coupled with polypyrrole (PPy) conductive coating can serve as an internal/external bicontinuous conductive network. In this work, the distinctive PPy@FeNi2S4@NF and PPy@NiCo2S4@NF materials were prepared by a simple two-step hydrothermal synthesis with a subsequent in situ polymerization method. PPy@FeNi2S4@NF and PPy@NiCo2S4@NF could deliver ultrahigh specific capacitances of 3870.3 and 5771.4 F·g-1 at 1 A·g-1 and marvelous cycling capability performances of 81.39% and 93.02% after 5000 cycles. The asymmetric supercapacitors composed of the prepared materials provided a high-energy density of over 47.2 Wh·kg-1 at 699.9 W·kg-1 power density and 67.11 Wh·kg-1 at 800 W·kg-1 power density. Therefore, the self-assembled core-shell structure can effectively improve the electrochemical performance and will have an effective service in advanced energy-storage devices.
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Polímeros , Pirróis , Condutividade Elétrica , Capacitância Elétrica , EletrodosRESUMO
Peptidoglycan recognition proteins (PGRPs) and commensal microbes mediate pathogen infection outcomes in insect disease vectors. Although PGRP-LD is retained in multiple vectors, its role in host defense remains elusive. Here we report that Anopheles stephensi PGRP-LD protects the vector from malaria parasite infection by regulating gut homeostasis. Specifically, knock down of PGRP-LD (dsLD) increased susceptibility to Plasmodium berghei infection, decreased the abundance of gut microbiota and changed their spatial distribution. This outcome resulted from a change in the structural integrity of the peritrophic matrix (PM), which is a chitinous and proteinaceous barrier that lines the midgut lumen. Reduction of microbiota in dsLD mosquitoes due to the upregulation of immune effectors led to dysregulation of PM genes and PM fragmentation. Elimination of gut microbiota in antibiotic treated mosquitoes (Abx) led to PM loss and increased vectorial competence. Recolonization of Abx mosquitoes with indigenous Enterobacter sp. restored PM integrity and decreased mosquito vectorial capacity. Silencing PGRP-LD in mosquitoes without PM didn't influence their vector competence. Our results indicate that PGPR-LD protects the gut microbiota by preventing hyper-immunity, which in turn promotes PM structurally integrity. The intact PM plays a key role in limiting P. berghei infection.
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Anopheles/parasitologia , Proteínas de Transporte/fisiologia , Quitina/metabolismo , Microbioma Gastrointestinal/fisiologia , Interações Hospedeiro-Parasita , Malária , Animais , Anopheles/genética , Proteínas de Transporte/genética , Técnicas de Silenciamento de Genes , Predisposição Genética para Doença , Homeostase/fisiologia , Interações Hospedeiro-Parasita/genética , Insetos Vetores/parasitologia , Malária/genética , Malária/microbiologia , Malária/parasitologia , Malária/transmissão , Camundongos , Camundongos Endogâmicos BALB C , Plasmodium berghei/patogenicidade , Plasmodium berghei/fisiologiaRESUMO
Activation of peroxydisulfate (PDS) by Fe2+ has been considered as an effective activation method to generate reactive oxygen species (ROS). However, the process is limited for the low production yield of ROS owing to the inefficient Fe3+/Fe2+ cycle. Herein, we demonstrated that Fe2+/PDS system in the presence of molybdenum sulfide (MoS2) was significantly efficient for the degradation of sulfisoxazole (SIX). As a co-catalyst in the Fe2+/PDS system, MoS2 could greatly enhance the Fe3+/Fe2+ cycle by the exposed Mo4+ active sites, which could also improve the PDS decomposition efficiency. As a result, the degradation efficiency of SIX in the MoS2/Fe2+/PDS system could reach to as high as 97.1% within 40 min, which was in distinct comparison with the 45.5% achieved by Fe2+/PDS system without MoS2. Besides, effects of various reaction conditions on SIX degradation were also evaluated during the experiments, including the dosages of MoS2, Fe2+, PDS and initial solution pH and the coexisting inorganic anions. In addition, both of sulfate radicals and hydroxyl radicals were identified as the dominant active species for SIX degradation by the radical scavenging experiments and verified by electron paramagnetic resonance (EPR). This study provides a promising idea for the degradation of organic contaminants in water treatment based on Fe2+/PDS process.
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Sulfisoxazol , Purificação da Água , Aceleração , Molibdênio , OxirreduçãoRESUMO
BACKGROUND Increased endothelial permeability is involved in ventilator-induced lung injury (VILI). Stim1/Orai1 mediates store-operated Ca2+ activation, which modulates endothelial permeability. However, the underlying mechanisms of the Stim1/Orai1 pathway in VILI are poorly understood. MATERIAL AND METHODS Wistar rats were exposed to low tidal volume (7 mL/kg) or high tidal volume (40mL/kg) ventilation. Human Lung Microvascular Endothelial Cells (HULEC) were subjected to 8% or 18% cyclic stretching (CS). BTP2 pretreatment was performed. Lung wet/dry weight ratio, histological changes of lung injury, and bronchoalveolar lavage fluid (BALF) protein were measured. Endothelial permeability and intracellular calcium concentration were evaluated in HULECs. Protein expression was determined by Western blotting. RESULTS High tidal volume mechanical ventilation-induced lung injury (such as severe congestion and hemorrhage) and BTP2 pretreatment protected lungs from injury. The expression of Stim1, Orai1, and PKCα, lung wet/dry weight ratio, and BALF protein level significantly increased in the high tidal volume group compared to the control group and low tidal volume group. Importantly, BTP2 pretreatment alleviated the above-mentioned effects. Compared with exposure to 8% CS, the protein levels of Stim1, Orai1, and PKCα in HULECs significantly increased after exposure to 18% CS for 4 h, whereas BTP2 pretreatment significantly inhibited the increase (P<0.05). BTP2 pretreatment also suppressed increase of endothelial permeability and the intracellular calcium induced by 18% CS (P<0.05). CONCLUSIONS When exposed to high tidal volume or large-magnitude CS, Stim1 and Orai1 expression are upregulated, which further activates calcium-sensitive PKCα and results in calcium overload, endothelial hyperpermeability, and, finally, lung injury.
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Proteínas de Neoplasias/fisiologia , Proteína ORAI1/fisiologia , Molécula 1 de Interação Estromal/fisiologia , Lesão Pulmonar Induzida por Ventilação Mecânica/fisiopatologia , Animais , Cálcio/metabolismo , Linhagem Celular , Células Endoteliais/metabolismo , Células Endoteliais/fisiologia , Humanos , Pulmão/patologia , Masculino , Proteínas de Neoplasias/metabolismo , Proteína ORAI1/metabolismo , Permeabilidade , Ratos , Ratos Wistar , Molécula 1 de Interação Estromal/metabolismo , Volume de Ventilação Pulmonar , Lesão Pulmonar Induzida por Ventilação Mecânica/metabolismoRESUMO
Objective: To investigate the ability of Anopheles stephensi at different ages to transmit Plasmodium berghei and elucidate the possible mechanisms. Methods: To study and compare the susceptability of A. stephensi of different ages to P. berghei, 4-day and 25-day female A. stephensi were fed with P. berghei infected BALB/c mouse blood with parasitaemia 4%-8%. At 8 days after infection, the mosquitoes were dissected and the number of intestinal Plasmodium oocysts was counted under microscope. Difference in the susceptability to Plasmodium infection was analyzed between the two age groups. To study the intestinal bacteria load in A. stephensi, LB plate culture was used to detect the intestinal bacteria in the mosquitoes of the two groups before infection, and real-time quantitative PCR (qPCR) was performed to check the culturable bacteria and the total bacteria load. The expression levels of major immune response effectors cecropinï¼CEC1, CEC3ï¼, defensin (DEF), gambicin (GAM), attacin (ATT), nitric oxide synthase (NOS), dual oxidase (DUOX), and thioester protein 1ï¼TEP1ï¼ in 4-day and 25-day mosquitoes were determined by qPCR. Results: At 8 days after infection, the median of oocyst number in 4-day mosquitoes was 139, which was nearly 46 times of that in 25-day mosquitoes (median, 3)ï¼P<0.01ï¼. There was a significant difference in the intestinal bacteria load between 4-day and 25-day mosquitoes. The results of qPCR showed that the total bacteria load in 25-day mosquitoes was 1.5 times of that in 4-day mosquitoes (P<0.05). By LB plate culture, proliferation of 28 889 colony forming units (cfu) bacteria was found for 25-day mosquitoes, which was 9 times of that for 4-day mosquitoesï¼3 200 cfuï¼ï¼P<0.05ï¼. In addition, the NOS expression level in 25-day mosquitoes was 2.4 times of that in 4-day mosquitoes (P<0.01ï¼, while the expression levels of antimicrobiota peptides ATT, DEF, CEC3, and CEC1 in 25-day mosquitoes were only 27%, 48%, 14%, and 61% of those in 4-day mosquitoes, respectively (P<0.05). The expression levels of GAM, DUOX, TEP1 showed no difference between the two groups. Conclusion: The antimicrobiota peptides in A. stephensi are significantly downregulated with age increase, together with increased intestinal bacteria load and NOS expression, resulting in enhanced resistance to Plasmodium.
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Anopheles , Malária/transmissão , Plasmodium berghei , Envelhecimento , Animais , Feminino , Proteínas de Insetos , Insetos Vetores , Camundongos , Camundongos Endogâmicos BALB C , Oocistos , ParasitemiaRESUMO
INTRODUCTION: Ciprofol, a new candidate drug, is effective and safe for the maintenance of anesthesia in non-cardiothoracic and non-neurological elective surgery. However, few studies have been conducted on general anesthesia using ciprofol in patients undergoing thoracoscopic lobectomy. Therefore, this study aims to observe the effects of ciprofol on hemodynamics and on postoperative recovery in patients undergoing thoracoscopic lobectomy. METHODS AND ANALYSIS: This randomized controlled trial will include 136 patients aged 18-65 years undergoing elective thoracoscopic lobectomy between April 2023 and December 2024. The participants will be randomly assigned to the propofol or ciprofol group. The primary outcome to be assessed is the hemodynamic fluctuation during the induction and maintenance of anesthesia. The secondary outcomes involve quality of anesthesia induction and quality of recovery from anesthesia. The former includes TLOC (time to loss of consciousness), the use of vasoactive agents, the incidence of injection pain, body movement, muscle twitching and coughing during induction of anesthesia. The latter includes TROC (time to recovery of consciousness), post anesthesia care unit (PACU) time, incidence of postoperative nausea and vomiting (PONV), postoperative agitation, intraoperative awareness and quality of recovery (QoR) score. DISCUSSION: A number of clinical trials have confirmed that ciprofol, as a new sedative-hypnotic agent, has advantages of better tolerance, higher sedation satisfaction score, and lower incidence of adverse reactions, especially in reducing the incidence of injection pain. But considering that ciprofol was recently developed, limited data are available regarding its use for general anesthesia. This study aims to investigate the effects of ciprofol on hemodynamics and on postoperative recovery of patients undergoing thoracoscopic lobectomy. The results of this study may provide evidence for the safe application of ciprofol, a new choice of general anesthetic for thoracic surgery. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov (NCT05664386).
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Hemodinâmica , Humanos , Hemodinâmica/efeitos dos fármacos , Pessoa de Meia-Idade , Adulto , Masculino , Feminino , Idoso , Período de Recuperação da Anestesia , Adolescente , Anestesia Geral/métodos , Adulto Jovem , Toracoscopia/métodos , Pneumonectomia/efeitos adversos , Pneumonectomia/métodos , Propofol/administração & dosagemRESUMO
Neutrophils play a critical role in ventilation-induced lung injury. This study was aimed to investigate the characteristics of neutrophils influx in lungs induced by high tidal volume ventilation. Anaesthetized rats were randomly divided into low tidal volume ventilation group (Vt: 7 mL/kg, LV group) or high tidal volume ventilation group (Vt: 42 mL/kg, HV group) (n=40 in each). Rats in each group were ventilated for 0, 60, 90, 120 and 240 min. The wet/dry lung weight ratio (W/D) was measured. The levels of macrophage inflammatory protein-2 (MIP-2) and tumor necrosis factor-α (TNF-α), and the activity of myeloperoxidase (MPO) were detected by enzyme-linked immunosorbent assay (ELISA). The number of neutrophils in bronchoalveolar lavage fluid (BALF) was counted after Wright's staining, and the percentage of netrophils in lung tissues calculated. Histopatholgical examination was used to observe the changes of lung tissues after different ventilations. The results showed that the W/D weight ratio was increased, and the levels of MIP-2 and TNF-α significantly enhanced in HV group at 90, 120 and 240 min. Neutrophils in BALF and the neutrophil percentage in lung tissues were also elevated at 120 and 240 min, which coincided with the enhanced activity of MPO in HV group. The lung injury was significantly related with the ventilation time and the infiltration of neutrophils in lungs in HV group. In conclusion, in ventilation-induced lung injury, neutrophil infiltration is present in a time-dependent manner and associated with the aggravated lung injury. Pulmonary structural damage may be the main reason for ventilation-induced lung injury.
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Lesão Pulmonar/fisiopatologia , Pulmão/fisiopatologia , Infiltração de Neutrófilos/fisiologia , Neutrófilos/fisiologia , Animais , Masculino , Ratos , Ratos Sprague-DawleyRESUMO
Disease-transmitting vectors are living organisms that pass infectious agents from one animal/human to another. The epidemiologically important vectors are usually hematophagous arthropods, including mosquitoes, ticks, triatome bugs, sand flies, and tsetse flies. All of them harbor an endogenous microbiota that functionally complements their host's biology. Different arthropod vectors are ecologically and behaviorally distinct, and as such, their relationships with symbiotic microbes vary. In this review, we summarize the recent discoveries that reveal how bacterial metabolic activities influence development, nutrition, and pathogen defense in mosquitoes, ticks, triatome bugs, and sand flies. These studies provide a foundation for a systematic understanding of vector-microbiota interactions and for the development of integrated approaches to control vector-borne diseases.
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Artrópodes , Microbiota , Carrapatos , Animais , Vetores Artrópodes/microbiologia , Artrópodes/microbiologia , Vetores de Doenças , Humanos , Mosquitos VetoresRESUMO
The mosquito microbiota can influence host physiology and vector competence, but a detailed understanding of these processes is lacking. Here we found that the gut microbiota of Anopheles stephensi, a competent malaria vector, is involved in tryptophan metabolism and is responsible for the catabolism of the peritrophic matrix impairing tryptophan metabolites. Antibiotic elimination of the microbiota led to the accumulation of tryptophan and its metabolites-kynurenine, 3-hydroxykynurenine (3-HK) and xanthurenic acid. Of these metabolites, 3-HK impaired the structure of the peritrophic matrix and promoted Plasmodium berghei infection. Among the major gut microbiota members in A. stephensi, Pseudomonas alcaligenes catabolized 3-HK as revealed by whole-genome sequencing and LC-MS metabolic analysis. The genome of P. alcaligenes encodes kynureninase (KynU) that is responsible for the conversion of 3-HK to 3-hydroxyanthranilic acid. Mutation of KynU resulted in a P. alcaligenes strain that was unable to metabolize 3-HK and unable to protect the peritrophic matrix. Colonization of A. stephensi with KynU-mutated P. alcaligenes failed to protect mosquitoes against parasite infection as compared with mosquitoes colonized with wild-type P. alcaligenes. In summary, this study identifies an unexpected function of mosquito gut microbiota in controlling mosquito tryptophan metabolism, with important implications for vector competence.
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Anopheles , Microbioma Gastrointestinal , Malária , Animais , Anopheles/parasitologia , Malária/parasitologia , Mosquitos Vetores/genética , TriptofanoRESUMO
INTRODUCTION: Previous studies on transoesophageal echocardiography in coronary artery bypass grafting mainly focused on whether to change the surgical plan rather than improve the clinical prognosis. Currently, there are sparse studies on the relationship between transoesophageal echocardiography indicators and the prognosis of patients undergoing coronary artery bypass grafting. The primary aim of this study is to explore the association between transoesophageal echocardiography monitoring indicators the respiratory variability of inferior vena cava diameter, tricuspid annular plane systolic excursion and the incidence of acute kidney injury in coronary artery bypass grafting patients. METHODS AND ANALYSIS: We designed this prospective multicenter cohort study, which included approximately 150 adult patients (≥18 years) undergoing elective coronary artery bypass surgery. Different hospitals will be assessed to obtain information on the prevalence, risk factors, management strategies and outcomes in coronary artery bypass surgery. The cohort will be followed after the coronary artery bypass surgery period, up to 30 days after enrolment. The incidence of postoperative acute kidney injury and baseline data will be presented by descriptive statistics. We will use Freidman inspection and multivariable logistic regression to assess the association between transoesophageal echocardiography monitoring indicators and the incidence of acute kidney injury in coronary artery bypass grafting patients. ETHICS AND DISSEMINATION: The study has been approved by the ethics committee of Shandong Provincial Qianfoshan Hospital, China (approval number: YXLL-KY-2021(067)). This is an observational study that poses no risk to the patients. All participants will obtain informed consent according to the ethics committee before patient enrolment. Funding sources will have no influence on data handling, analyses or writing of the manuscript. The article is planned for submission in an international peer-reviewed journal. TRIAL REGISTRATION NUMBER: NCT05139108.
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Injúria Renal Aguda , Ecocardiografia Transesofagiana , Injúria Renal Aguda/epidemiologia , Injúria Renal Aguda/etiologia , Adulto , Estudos de Coortes , Ponte de Artéria Coronária/efeitos adversos , Ponte de Artéria Coronária/métodos , Ecocardiografia Transesofagiana/efeitos adversos , Ecocardiografia Transesofagiana/métodos , Humanos , Incidência , Estudos Multicêntricos como Assunto , Estudos Observacionais como Assunto , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Estudos Prospectivos , Fatores de RiscoRESUMO
Lung injury caused by cardiopulmonary bypass (CPB) increases the mortality after cardiac surgery. Previous studies have shown that regulatory T cells (Tregs) play a protective role during CPB, but the correlation between Tregs and CPB-induced lung injury remains unclear. Here, we conducted a prospective study about Treg cells in patient receiving CPB. Treg cells were collected from patients before the CPB operation (pre-CPB Tregs), and the effect of pre-CPB Tregs on the occurrence of CPB-induced lung injury was evaluated. Data showed that the baseline level of Treg cells in peripheral blood were lower in patients who developed lung injury after CPB, compared to those who did not develop lung injury after CPB. Function analyses revealed that pre-CPB Tregs from CPB-induced lung injury patients presented decreased ability in suppressing the proliferation and IFN-γ production of CD4 and CD8 T cell. Also, pre-surgery levels of TGF- ß and IL-10 were markedly lower in lung injury patients than in non-lung injury patients. In addition, PD-1 and Tim-3 expression on pre-CPB Tregs were significantly lower in CPB-induced lung injury patients than the CPB patients without lung injury. Above all, we found impaired peripheral Treg responses in CPB-induced lung injury patients, indicating a potential role of Treg cells in the early diagnosis of CPB-induced lung injury.
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Lesão Pulmonar , Linfócitos T Reguladores , Linfócitos T CD8-Positivos , Ponte Cardiopulmonar/efeitos adversos , Humanos , Estudos ProspectivosRESUMO
The title compound, C(16)H(26)ClNO(3) contains one almost planar furan-one ring [maximum deviation of 0.021â (2)â Å for the O atom] with a stereogenic center (S) and one cyclo-hexane ring which displays a chair conformation and has three stereogenic centers [S at the C atom bearing the isopropyl group, R at the C atom attached to the O atom and R at the C atom bearing the methyl group].
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In the title compound, C(12)H(16)N(4) (+)·2C(7)H(4)NO(4) (-), the complete 2,2'-(p-phenyl-ene)bis-(4,5-dihydro-1H-imidazol-3-ium) (bib) dication is generated by crystallographic inversion symmetry. The bib cations reside on crystallographic inversion centers, which coincide with the centroids of the respective benzene rings. In the cation, the imidazole ring adopts an envelop conformation with the flap atom displaced by 0.082â (3)â Å from the plane through the other ring atoms. In the crystal, the cations and anions are linked through inter-molecular N-Hâ¯O hydrogen bonds, forming chains running along the a axis. C-Hâ¯O inter-actions also occur. Weak π-π contacts between the imidazole rings of bib and between the benzene rings of NB [centroid-centroid distances = 3.501â (1) and 3.281â (2)â Å, respectively] may further stabilize the structure.
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In the cation of the title compound, C(12)H(15)N(4) (+)·C(7)H(6)NO(2) (-), the benzene ring makes dihedral angles of 30.51â (9) and 25.64â (9)° with the imidazole and imidazolinium rings, respectively. In the crystal, inter-molecular N-Hâ¯O and N-Hâ¯N hydrogen-bonding inter-actions link the mol-ecules into a three-dimensional network.
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OBJECTIVE: To evaluate the accuracy, uniformity and relevant factors of LASIK flaps created with a mechanical microkeratome Moria II (90, 110 and 130 heads). METHODS: It was a case-control study. Eighty-seven patients underwent LASIK in both eyes using Moria II 90 head (52 eyes, 26 cases), 110 head (58 eyes, 29 cases), or 130 head (64 eyes, 32 cases). One week after surgery, anterior segment optical coherence tomography was performed four times on each eye to measure flap thickness at 20 points in four meridians. The results were assessed for accuracy, uniformity and relevant factors. RESULTS: The central thickness of corneal flaps was (119.23±15.65), (140.42±12.26), and (165.92±17.00) µm by Moria II 90, 110 and 130 heads, respectively. The shape of the corneal flaps in the three groups resembled a concave lens, the central zone was significantly thinner than the paracentral and peripheral zones. The central flap thicknesses were statistically significantly more accurate and regular than the flap in the peripheral zone (F=212.419, P<0.05). The mean difference of right eye (19.58±0.44) µm was higher than that of the left eye (16.55±0.44) µm. The mean difference of knife in-side (21.30±0.55) µm was higher than the knife out-side (14.36±0.64) µm (F=25.341, 44.461; P<0.05). CONCLUSIONS: The central flap thicknesses were more accurate as compared with the expected value. The mean flap thickness in the three groups was not uniform. Variation of the thickness in corneal flaps was greater in thicker flaps. The flap thickness in right eye was greater than that in left eye, according to the surgical sequence between two eyes. The flap thickness of blade in-side was thicker than that of out-side.
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Córnea/diagnóstico por imagem , Ceratomileuse Assistida por Excimer Laser In Situ , Tomografia de Coerência Óptica/instrumentação , Tomografia de Coerência Óptica/métodos , Segmento Anterior do Olho , Estudos de Casos e Controles , Córnea/cirurgia , Humanos , Período Pós-Operatório , Radiografia , Retalhos CirúrgicosRESUMO
BACKGROUND: Malaria remains to be one of the deadliest infectious diseases and imposes substantial financial and social costs in the world. Mosquitoes rely on the immune system to control parasite infection. Peptidoglycan recognition proteins (PGRPs), a family of pattern-recognition receptors (PRR), are responsible for initiating and regulating immune signaling pathways. PGRP-LA is involved in the regulation of immune defense against the Plasmodium parasite, however, the underlying mechanism needs to be further elucidated. METHODS: The spatial and temporal expression patterns of pgrp-la in Anopheles stephensi were analyzed by qPCR. The function of PGRP-LA was examined using a dsRNA-based RNA interference strategy. Western blot and periodic acid schiff (PAS) staining were used to assess the structural integrity of peritrophic matrix (PM). RESULTS: The expression of pgrp-la in An. stephensi was induced in the midgut in response to the rapid proliferating gut microbiota post-blood meal. Knocking down of pgrp-la led to the downregulation of immune effectors that control gut microbiota growth. The decreased expression of these immune genes also facilitated P. berghei infection. However, such dsLA treatment did not influence the structural integrity of PM. When gut microbiota was removed by antibiotic treatment, the regulation of PGRP-LA on immune effectors was abolished and the knock down of pgrp-la failed to increase susceptibility of mosquitoes to parasite infection. CONCLUSIONS: PGRP-LA regulates the immune responses by sensing the dynamics of gut microbiota. A mutual interaction between gut microbiota and PGRP-LA contributes to the immune defense against Plasmodium parasites in An. stephensi.