Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 215
Filtrar
Más filtros

Banco de datos
País/Región como asunto
Tipo del documento
Intervalo de año de publicación
1.
Nature ; 600(7888): 279-284, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34837071

RESUMEN

Confocal microscopy1 remains a major workhorse in biomedical optical microscopy owing to its reliability and flexibility in imaging various samples, but suffers from substantial point spread function anisotropy, diffraction-limited resolution, depth-dependent degradation in scattering samples and volumetric bleaching2. Here we address these problems, enhancing confocal microscopy performance from the sub-micrometre to millimetre spatial scale and the millisecond to hour temporal scale, improving both lateral and axial resolution more than twofold while simultaneously reducing phototoxicity. We achieve these gains using an integrated, four-pronged approach: (1) developing compact line scanners that enable sensitive, rapid, diffraction-limited imaging over large areas; (2) combining line-scanning with multiview imaging, developing reconstruction algorithms that improve resolution isotropy and recover signal otherwise lost to scattering; (3) adapting techniques from structured illumination microscopy, achieving super-resolution imaging in densely labelled, thick samples; (4) synergizing deep learning with these advances, further improving imaging speed, resolution and duration. We demonstrate these capabilities on more than 20 distinct fixed and live samples, including protein distributions in single cells; nuclei and developing neurons in Caenorhabditis elegans embryos, larvae and adults; myoblasts in imaginal disks of Drosophila wings; and mouse renal, oesophageal, cardiac and brain tissues.


Asunto(s)
Aprendizaje Profundo , Microscopía Confocal/métodos , Microscopía Confocal/normas , Animales , Caenorhabditis elegans/citología , Caenorhabditis elegans/embriología , Caenorhabditis elegans/crecimiento & desarrollo , Línea Celular Tumoral , Drosophila melanogaster/citología , Drosophila melanogaster/crecimiento & desarrollo , Humanos , Discos Imaginales/citología , Ratones , Mioblastos/citología , Especificidad de Órganos , Análisis de la Célula Individual , Fijación del Tejido
2.
J Immunol ; 212(11): 1609-1620, 2024 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-38768409

RESUMEN

In individuals diagnosed with AIDS, the primary method of sustained suppression of HIV-1 replication is antiretroviral therapy, which systematically increases CD4+ T cell levels and restores immune function. However, there is still a subset of 10-40% of people living with HIV who not only fail to reach normal CD4+ T cell counts but also experience severe immune dysfunction. These individuals are referred to as immunological nonresponders (INRs). INRs have a higher susceptibility to opportunistic infections and non-AIDS-related illnesses, resulting in increased morbidity and mortality rates. Therefore, it is crucial to gain new insights into the primary mechanisms of immune reconstitution failure to enable early and effective treatment for individuals at risk. This review provides an overview of the dynamics of key lymphocyte subpopulations, the main molecular mechanisms of INRs, clinical diagnosis, and intervention strategies during immune reconstitution failure, primarily from a multiomics perspective.


Asunto(s)
Infecciones por VIH , VIH-1 , Reconstitución Inmune , Humanos , VIH-1/inmunología , Infecciones por VIH/inmunología , Infecciones por VIH/tratamiento farmacológico , Reconstitución Inmune/inmunología , Subgrupos Linfocitarios/inmunología , Linfocitos T CD4-Positivos/inmunología
3.
Circulation ; 149(16): 1258-1267, 2024 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-38406848

RESUMEN

BACKGROUND: Postprocedural anticoagulation (PPA) is frequently administered after primary percutaneous coronary intervention in ST-segment-elevation myocardial infarction, although no conclusive data support this practice. METHODS: The RIGHT trial (Comparison of Anticoagulation Prolongation vs no Anticoagulation in STEMI Patients After Primary PCI) was an investigator-initiated, multicenter, randomized, double-blind, placebo-controlled, superiority trial conducted at 53 centers in China. Patients with ST-segment-elevation myocardial infarction undergoing primary percutaneous coronary intervention were randomly assigned by center to receive low-dose PPA or matching placebo for at least 48 hours. Before trial initiation, each center selected 1 of 3 PPA regimens (40 mg of enoxaparin once daily subcutaneously; 10 U·kg·h of unfractionated heparin intravenously, adjusted to maintain activated clotting time between 150 and 220 seconds; or 0.2 mg·kg·h of bivalirudin intravenously). The primary efficacy objective was to demonstrate superiority of PPA to reduce the primary efficacy end point of all-cause death, nonfatal myocardial infarction, nonfatal stroke, stent thrombosis (definite), or urgent revascularization (any vessel) within 30 days. The key secondary objective was to evaluate the effect of each specific anticoagulation regimen (enoxaparin, unfractionated heparin, or bivalirudin) on the primary efficacy end point. The primary safety end point was Bleeding Academic Research Consortium 3 to 5 bleeding at 30 days. RESULTS: Between January 10, 2019, and September 18, 2021, a total of 2989 patients were randomized. The primary efficacy end point occurred in 37 patients (2.5%) in both the PPA and placebo groups (hazard ratio, 1.00 [95% CI, 0.63 to 1.57]). The incidence of Bleeding Academic Research Consortium 3 to 5 bleeding did not differ between the PPA and placebo groups (8 [0.5%] vs 11 [0.7%] patients; hazard ratio, 0.74 [95% CI, 0.30 to 1.83]). CONCLUSIONS: Routine PPA after primary percutaneous coronary intervention was safe but did not reduce 30-day ischemic events. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT03664180.


Asunto(s)
Infarto del Miocardio , Intervención Coronaria Percutánea , Infarto del Miocardio con Elevación del ST , Humanos , Anticoagulantes/efectos adversos , Enoxaparina/efectos adversos , Hemorragia/inducido químicamente , Hemorragia/tratamiento farmacológico , Heparina/efectos adversos , Infarto del Miocardio/tratamiento farmacológico , Recurrencia Local de Neoplasia/tratamiento farmacológico , Fragmentos de Péptidos/efectos adversos , Intervención Coronaria Percutánea/efectos adversos , Proteínas Recombinantes , Infarto del Miocardio con Elevación del ST/tratamiento farmacológico , Resultado del Tratamiento
4.
Lancet ; 404(10449): 245-255, 2024 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-38945140

RESUMEN

BACKGROUND: Uncertainty exists about whether lowering systolic blood pressure to less than 120 mm Hg is superior to that of less than 140 mm Hg, particularly in patients with diabetes and patients with previous stroke. METHODS: In this open-label, blinded-outcome, randomised controlled trial, participants with high cardiovascular risk were enrolled from 116 hospitals or communities in China. We used minimised randomisation to assign participants to intensive treatment targeting standard office systolic blood pressure of less than 120 mm Hg or standard treatment targeting less than 140 mm Hg. The primary outcome was a composite of myocardial infarction, revascularisation, hospitalisation for heart failure, stroke, or death from cardiovascular causes, assessed by the intention-to-treat principle. This trial was registered with ClinicalTrials.gov, NCT04030234. FINDINGS: Between Sept 17, 2019, and July 13, 2020, 11 255 participants (4359 with diabetes and 3022 with previous stroke) were assigned to intensive treatment (n=5624) or standard treatment (n=5631). Their mean age was 64·6 years (SD 7·1). The mean systolic blood pressure throughout the follow-up (except the first 3 months of titration) was 119·1 mm Hg (SD 11·1) in the intensive treatment group and 134·8 mm Hg (10·5) in the standard treatment group. During a median of 3·4 years of follow-up, the primary outcome event occurred in 547 (9·7%) participants in the intensive treatment group and 623 (11·1%) in the standard treatment group (hazard ratio [HR] 0·88, 95% CI 0·78-0·99; p=0·028). There was no heterogeneity of effects by diabetes status, duration of diabetes, or history of stroke. Serious adverse events of syncope occurred more frequently in the intensive treatment group (24 [0·4%] of 5624) than in standard treatment group (eight [0·1%] of 5631; HR 3·00, 95% CI 1·35-6·68). There was no significant between-group difference in the serious adverse events of hypotension, electrolyte abnormality, injurious fall, or acute kidney injury. INTERPRETATION: For hypertensive patients at high cardiovascular risk, regardless of the status of diabetes or history of stroke, the treatment strategy of targeting systolic blood pressure of less than 120 mm Hg, as compared with that of less than 140 mm Hg, prevents major vascular events, with minor excess risk. FUNDING: The Ministry of Science and Technology of China and Fuwai Hospital. TRANSLATION: For the Mandarin translation of the abstract see Supplementary Materials section.


Asunto(s)
Antihipertensivos , Presión Sanguínea , Hipertensión , Accidente Cerebrovascular , Humanos , Masculino , Persona de Mediana Edad , Femenino , Accidente Cerebrovascular/prevención & control , Anciano , Antihipertensivos/uso terapéutico , Hipertensión/tratamiento farmacológico , Hipertensión/complicaciones , China/epidemiología , Diabetes Mellitus , Enfermedades Cardiovasculares/prevención & control , Factores de Riesgo de Enfermedad Cardiaca , Infarto del Miocardio , Resultado del Tratamiento
5.
Nat Methods ; 19(11): 1427-1437, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-36316563

RESUMEN

We present Richardson-Lucy network (RLN), a fast and lightweight deep learning method for three-dimensional fluorescence microscopy deconvolution. RLN combines the traditional Richardson-Lucy iteration with a fully convolutional network structure, establishing a connection to the image formation process and thereby improving network performance. Containing only roughly 16,000 parameters, RLN enables four- to 50-fold faster processing than purely data-driven networks with many more parameters. By visual and quantitative analysis, we show that RLN provides better deconvolution, better generalizability and fewer artifacts than other networks, especially along the axial dimension. RLN outperforms classic Richardson-Lucy deconvolution on volumes contaminated with severe out of focus fluorescence or noise and provides four- to sixfold faster reconstructions of large, cleared-tissue datasets than classic multi-view pipelines. We demonstrate RLN's performance on cells, tissues and embryos imaged with widefield-, light-sheet-, confocal- and super-resolution microscopy.


Asunto(s)
Algoritmos , Aprendizaje Profundo , Artefactos , Microscopía Fluorescente , Procesamiento de Imagen Asistido por Computador/métodos
6.
Nat Mater ; 23(1): 147-157, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37872423

RESUMEN

During wound healing and surgical implantation, the body establishes a delicate balance between immune activation to fight off infection and clear debris and immune tolerance to control reactivity against self-tissue. Nonetheless, how such a balance is achieved is not well understood. Here we describe that pro-regenerative biomaterials for muscle injury treatment promote the proliferation of a BATF3-dependent CD103+XCR1+CD206+CD301b+ dendritic cell population associated with cross-presentation and self-tolerance. Upregulation of E-cadherin, the ligand for CD103, and XCL-1 in injured tissue suggests a mechanism for cell recruitment to trauma. Muscle injury recruited natural killer cells that produced Xcl1 when stimulated with fragmented extracellular matrix. Without cross-presenting cells, T-cell activation increases, pro-regenerative macrophage polarization decreases and there are alterations in myogenesis, adipogenesis, fibrosis and increased muscle calcification. These results, previously observed in cancer progression, suggest a fundamental mechanism of immune regulation in trauma and material implantation with implications for both short- and long-term injury recovery.


Asunto(s)
Materiales Biocompatibles , Células Dendríticas , Materiales Biocompatibles/farmacología
7.
J Immunol ; 210(10): 1589-1597, 2023 05 15.
Artículo en Inglés | MEDLINE | ID: mdl-37000474

RESUMEN

Dendritic cells (DC) play important roles in balancing immunity and tolerance, in which ß-catenin signaling plays an important role, yet the underlying mechanisms remain elusive. In this study, we investigated the functions of the tumor suppressor adenomatous polyposis coli (APC), also a key component of the ß-catenin upstream destruction complex in DC. APC depletion in DC does not alter DC and T cell homeostasis under resting conditions. However, APC deficiency in DC leads to attenuated antitumor immunity in mice, which exhibit fewer CD8+ T cells and more Foxp3+ regulatory T cells in tumor and draining lymph nodes. Loss of APC in DC does not affect the expression levels of costimulatory molecules. However, APC-deficient DC produce more IL-10 and exhibit a higher ability of inducing regulatory T cells but a lower ability of priming CD8+ T cells, both of which can be reversed by IL-10 inhibition. Lastly, ß-catenin depletion in APC-deficient DC rescues their antitumor immunity and reverses elevated IL-10 production. Taken together, our results identify that APC drives DC tolerance via the ß-catenin/IL-10 axis.


Asunto(s)
Poliposis Adenomatosa del Colon , beta Catenina , Ratones , Animales , beta Catenina/metabolismo , Cateninas , Interleucina-10 , Poliposis Adenomatosa del Colon/metabolismo , Células Dendríticas , Proteína de la Poliposis Adenomatosa del Colon/metabolismo
8.
Nano Lett ; 24(15): 4400-4407, 2024 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-38568187

RESUMEN

We developed a magnesium/sodium (Mg/Na) hybrid battery using a hierarchical disk-whisker FeSe2 architecture (HD-FeSe2) as the cathode material and a modified dual-ion electrolyte. The polarizable Se2- anion reduced the Mg2+ migration barrier, and the 3D configuration possessed a large surface area, which facilitated both Mg2+/Na+ cation diffusion and electron transport. The dual-ion salts with NaTFSI in ether reduced the Mg plating/stripping overvoltage in a symmetric cell. The hybrid battery exhibited an energy density of 260.9 Wh kg-1 and a power density of 600.8 W kg-1 at 0.2 A g-1. It showed a capacity retention of 154 mAh g-1 and a Coulombic efficiency of over 99.5% under 1.0 A g-1 after 800 long cycles. The battery also displayed outstanding temperature tolerance. The findings of 3D architecture as cathode material and hybrid electrolyte provide a pathway to design a highly reliable Mg/Na hybrid battery.

9.
Am Heart J ; 273: 90-101, 2024 07.
Artículo en Inglés | MEDLINE | ID: mdl-38575049

RESUMEN

BACKGROUND: Hypertension management in China is suboptimal with high prevalence and low control rate due to various barriers, including lack of self-management awareness of patients and inadequate capacity of physicians. Digital therapeutic interventions including mobile health and computational device algorithms such as clinical decision support systems (CDSS) are scalable with the potential to improve blood pressure (BP) management and strengthen the healthcare system in resource-constrained areas, yet their effectiveness remains to be tested. The aim of this report is to describe the protocol of the Comprehensive intelligent Hypertension managEment SyStem (CHESS) evaluation study assessing the effect of a multifaceted hypertension management system for supporting patients and physicians on BP lowering in primary care settings. MATERIALS AND METHODS: The CHESS evaluation study is a parallel-group, cluster-randomized controlled trial conducted in primary care settings in China. Forty-one primary care sites from 3 counties of China are randomly assigned to either the usual care or the intervention group with the implementation of the CHESS system, more than 1,600 patients aged 35 to 80 years with uncontrolled hypertension and access to a smartphone by themselves or relatives are recruited into the study and followed up for 12 months. In the intervention group, participants receive patient-tailored reminders and alerts via messages or intelligent voice calls triggered by uploaded home blood pressure monitoring data and participants' characteristics, while physicians receive guideline-based prescription instructions according to updated individual data from each visit, and administrators receive auto-renewed feedback of hypertension management performance from the data analysis platform. The multiple components of the CHESS system can work synergistically and have undergone rigorous development and pilot evaluation using a theory-informed approach. The primary outcome is the mean change in 24-hour ambulatory systolic BP from baseline to 12 months. DISCUSSION: The CHESS trial will provide evidence and novel insight into the effectiveness and feasibility of an implementation strategy using a comprehensive digital BP management system for reducing hypertension burden in primary care settings. TRIAL REGISTRATION: https://www. CLINICALTRIALS: gov, NCT05605418.


Asunto(s)
Hipertensión , Atención Primaria de Salud , Humanos , Hipertensión/terapia , Hipertensión/tratamiento farmacológico , Persona de Mediana Edad , Masculino , Femenino , China/epidemiología , Adulto , Anciano , Sistemas de Apoyo a Decisiones Clínicas , Telemedicina , Teléfono Inteligente , Anciano de 80 o más Años , Monitoreo Ambulatorio de la Presión Arterial/métodos , Sistemas Recordatorios
10.
Nat Methods ; 18(6): 678-687, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-34059829

RESUMEN

We demonstrate residual channel attention networks (RCAN) for the restoration and enhancement of volumetric time-lapse (four-dimensional) fluorescence microscopy data. First we modify RCAN to handle image volumes, showing that our network enables denoising competitive with three other state-of-the-art neural networks. We use RCAN to restore noisy four-dimensional super-resolution data, enabling image capture of over tens of thousands of images (thousands of volumes) without apparent photobleaching. Second, using simulations we show that RCAN enables resolution enhancement equivalent to, or better than, other networks. Third, we exploit RCAN for denoising and resolution improvement in confocal microscopy, enabling ~2.5-fold lateral resolution enhancement using stimulated emission depletion microscopy ground truth. Fourth, we develop methods to improve spatial resolution in structured illumination microscopy using expansion microscopy data as ground truth, achieving improvements of ~1.9-fold laterally and ~3.6-fold axially. Finally, we characterize the limits of denoising and resolution enhancement, suggesting practical benchmarks for evaluation and further enhancement of network performance.


Asunto(s)
Microscopía Fluorescente/métodos , Algoritmos , Aprendizaje Profundo , Procesamiento de Imagen Asistido por Computador
11.
Opt Express ; 32(5): 8415-8424, 2024 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-38439497

RESUMEN

Mask optimization, a compensation method for the thick mask effect and the optical proximity effect in projection lithography, is essential for advanced EUV-enabled production nodes. However, owing to high computation costs and the absence of gradient calculations, it is challenging to optimize EUV masks under rigorous consideration of the thick mask effect. In this work, a linearized EUV mask optimization method based on the adjoint method is proposed to provide fast and effective optimizations. The adjoint method is introduced to calculate the gradient of the EUV mask model. Additionally, a linearized gradient is proposed to quickly compensate for wafer pattern distortion caused by the prominent thick mask effect. Two examples of the EUV mask optimization implemented with a two-step strategy were provided, from which it was observed that the linearized gradient can improve the efficiency by about 40% in the coarse optimization step. The proposed method is promising for accurate full-chip EUV mask optimization.

12.
Cancer Cell Int ; 24(1): 164, 2024 May 10.
Artículo en Inglés | MEDLINE | ID: mdl-38730293

RESUMEN

Kidney Clear Cell Carcinoma (KIRC), the predominant form of kidney cancer, exhibits a diverse therapeutic response to Immune Checkpoint Inhibitors (ICIs), highlighting the need for predictive models of ICI efficacy. Our study has constructed a prognostic model based on 13 types of Programmed Cell Death (PCD), which are intertwined with tumor progression and the immune microenvironment. Validated by analyses of comprehensive datasets, this model identifies seven key PCD genes that delineate two subtypes with distinct immune profiles and sensitivities to anti-PD-1 therapy. The high-PCD group demonstrates a more immune-suppressive environment, while the low-PCD group shows better responses to PD-1 treatment. In particular, TOP2A emerged as crucial, with its inhibition markedly reducing KIRC cell growth and mobility. These findings underscore the relevance of PCDs in predicting KIRC outcomes and immunotherapy response, with implications for enhancing clinical decision-making.

13.
Org Biomol Chem ; 22(21): 4254-4263, 2024 May 29.
Artículo en Inglés | MEDLINE | ID: mdl-38738921

RESUMEN

Construction of axially chiral arylpyrazoles represents an attractive challenge due to the relatively low rotational barrier of biaryl structures containing five-membered heterocycles. This work describes the catalytic asymmetric construction of axially chiral arylpyrazoles using 5-aminopyrazoles and naphthoquinone derivatives. The chiral axis could be formed through a central-to-axial chirality relay step of the chiral phosphoric acid-catalyzed arylation reaction, which features excellent yields and enantioselectivities with a broad substrate scope under mild reaction conditions.

14.
Environ Res ; 260: 119616, 2024 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-39013527

RESUMEN

Land use changes driven by human activities significantly impact biodiversity in plateau regions. However, current research is largely confined to identifying correlations between various factors and both habitat quality and degradation, overlooking the nonlinear relationships between them. To address this gap, we applied the PLUS-INVEST model to investigate the spatial effects of land-use changes on habitat quality and degradation patterns across the Tibetan Plateau during the 21st century. By employing a geographic detector, we determined the contribution rates of disturbance factors to habitat quality and degradation, and established constraint lines and threshold ranges between these factors. The findings reveal that: (1) The PLUS model demonstrates an exceptional performance in land-use simulation, with an overall accuracy of 0.8465. (2) The high-quality habitat area exhibits a declining trend, while the habitat degradation index steadily rises from 2000 to 2100, indicating a significant loss of biodiversity within the region. Habitat quality displays a spatial distribution pattern characterized by higher values in the south and lower values in the north, with areas in proximity to road threat sources experiencing more pronounced habitat degradation. (3) NDVI emerges as the most influential factor in promoting habitat quality, while the interaction of NDVI_Temperature exerts the greatest influence on spatial heterogeneity. The distance to resident emerges as the primary disturbance factor contributing to habitat degradation, with the interaction strength of GI_Resident being the most significant contributor. (4) Threshold intervals for ANPP, NDVI, precipitation, temperature, and distance to resident of optimal habitat quality and most severe degradation. This provides a novel scientific approach for designating areas for targeted conservation and intensive management restoration.

15.
Nutr Metab Cardiovasc Dis ; 34(7): 1660-1669, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38555240

RESUMEN

BACKGROUND AND AIMS: Personalized antihypertensive drug selection is essential for optimizing hypertension management. The study aimed to develop a machine learning (ML) model to predict individual blood pressure (BP) responses to different antihypertensive medications. METHODS AND RESULTS: We used data from a pragmatic, cluster-randomized trial on hypertension management in China. Each patient's multiple visit records were included, and two consecutive visits were paired as the index and subsequent visits. The least absolute shrinkage and selection operator method was used to select index visit variables for predicting subsequent BP. The dataset was randomly divided into training and test sets in a 7:3 ratio. Model performance was evaluated using mean absolute error (MAE) and R-square in the test set. A total of 19,013 hypertension management visit records (6282 patients) were included. The mean age of the study population was 63.9 years, and 2657 (42.3%) were females. A total of 12 phenotypical features (age, sex, smoking within seven days, body mass index, waist circumference, index visit systolic BP, diastolic BP, heart rate, comorbidities of diabetes, dyslipidemia, coronary heart disease, and stroke), together with currently taking any prescribed antihypertensive medication regimens and visits time interval were selected to build the model. The Extreme Gradient Boost model performed best among all candidate algorithms, with an MAE of 8.57 mmHg and an R2 = 0.28 in the test set. CONCLUSION: The ML techniques exhibit significant potential for predicting individual responses to antihypertensive treatments, thereby aiding clinicians in achieving optimal BP control safely and efficiently. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03636334. Registered July 3, 2018, https://clinicaltrials.gov/study/NCT03636334.


Asunto(s)
Antihipertensivos , Presión Sanguínea , Toma de Decisiones Clínicas , Técnicas de Apoyo para la Decisión , Hipertensión , Aprendizaje Automático , Valor Predictivo de las Pruebas , Humanos , Antihipertensivos/uso terapéutico , Antihipertensivos/efectos adversos , Femenino , Masculino , Hipertensión/tratamiento farmacológico , Hipertensión/fisiopatología , Hipertensión/diagnóstico , Persona de Mediana Edad , Presión Sanguínea/efectos de los fármacos , Anciano , China/epidemiología , Resultado del Tratamiento , Medicina de Precisión , Ensayos Clínicos Controlados Aleatorios como Asunto , Factores de Riesgo
16.
Nutr Metab Cardiovasc Dis ; 34(6): 1399-1406, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38402001

RESUMEN

BACKGROUND AND AIM: Left ventricular hypertrophy (LVH) has been shown to be associated with the occurrence of atrial fibrillation (AF). However, the predictive value of the LVH phenotype for incident AF remains uncertain. This study aimed to investigate the predictive value of LVH phenotype for incident AF. METHODS AND RESULTS: This study utilized the Multi-Ethnic Study of Atherosclerosis (MESA) data. LVH was defined by cardiac magnetic resonance measured LV mass index. Isolated LVH was determined as LVH without elevated cardiac biomarker and malignant LVH was determined as LVH with at least 1 elevated biomarker. Receiver-operating characteristic (ROC) analysis was performed to calculate areas under the curves (AUC) for predicting AF. A total of 4983 community-dwelling participants were included, with a mean age of 61.5 years. 279 (5.6 %) had isolated LVH, and 222 (4.5 %) had malignant LVH. During a median follow-up of 8.5 years, 272 incident AF was observed. Compared to participants without LVH and elevated cardiac biomarkers, those with isolated LVH (HR, 1.82; 95 % CI, 1.03-3.20) and malignant LVH (HR, 4.13; 95 % CI, 2.77-6.16) had a higher risk of incident AF. Malignant LVH carried a 1.5-fold increased risk of AF compared to isolated LVH (HR: 2.48, 95 % CI: 1.30-4.73). Including the LVH phenotype in the CHARGE-AF model improved model discrimination (AUC increase: 0.03, p < 0.001). CONCLUSIONS: The risks of AF incidence varied across LVH phenotypes. Malignant LVH carried the highest risk among LVH phenotypes. LVH phenotype provides incremental predictive value over the variables included in the CHARGE-AF model.


Asunto(s)
Fibrilación Atrial , Hipertrofia Ventricular Izquierda , Fenotipo , Valor Predictivo de las Pruebas , Humanos , Fibrilación Atrial/diagnóstico , Fibrilación Atrial/epidemiología , Fibrilación Atrial/etnología , Fibrilación Atrial/fisiopatología , Hipertrofia Ventricular Izquierda/diagnóstico por imagen , Hipertrofia Ventricular Izquierda/epidemiología , Hipertrofia Ventricular Izquierda/etnología , Hipertrofia Ventricular Izquierda/fisiopatología , Masculino , Femenino , Anciano , Persona de Mediana Edad , Incidencia , Medición de Riesgo , Factores de Riesgo , Estados Unidos/epidemiología , Anciano de 80 o más Años , Pronóstico , Factores de Tiempo , Función Ventricular Izquierda , Biomarcadores/sangre , Estudios Prospectivos
17.
Ecotoxicol Environ Saf ; 278: 116452, 2024 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-38744066

RESUMEN

The aim of this research was to examine the correlation between the exposure to bisphenol analogues (BPs), such as bisphenol A (BPA), bisphenol F (BPF), and bisphenol S (BPS), and the risk of developing systemic lupus erythematosus (SLE). Ultra performance liquid chromatography/tandem mass spectrometry (UPLC-MS/MS) was utilized to measure the levels of BPA, BPF, and BPS in the urine of 168 female participants diagnosed with SLE and 175 female participants who were deemed healthy controls. Logistic regression models were utilized to assess the connections between levels of bisphenol and the risk of SLE. The findings indicated that levels of BPA and BPF in the urine of individuals with SLE were markedly elevated compared to those in the control group. Higher exposure to BPA and BPF exhibited positive dose-response relationships with increased SLE risk. No significant associations were identified between BPS and the risk of SLE. These findings suggest exposure to BPA and BPF may be implicated as novel environmental triggers in the development of autoimmunity such as SLE. The significantly increased levels of these bisphenol analogues detected in SLE patients versus healthy controls, along with the associations between higher exposures and elevated SLE risk, which offers crucial hints for comprehending how endocrine-disrupting substances contribute to the genesis of autoimmune illnesses. Further research using robust longitudinal assessments of bisphenol analogue exposures is warranted to corroborate these epidemiological findings. Overall, this study highlights potential environmental risk factors for SLE while calling for additional investigation into the impact of bisphenol exposures on autoimmunity development.


Asunto(s)
Compuestos de Bencidrilo , Lupus Eritematoso Sistémico , Fenoles , Sulfonas , Lupus Eritematoso Sistémico/inducido químicamente , Fenoles/orina , Humanos , Compuestos de Bencidrilo/orina , Femenino , Adulto , Exposición a Riesgos Ambientales/estadística & datos numéricos , Espectrometría de Masas en Tándem , Contaminantes Ambientales , Persona de Mediana Edad , Disruptores Endocrinos , Autoinmunidad/efectos de los fármacos , Estudios de Casos y Controles , Adulto Joven
18.
Reprod Domest Anim ; 59(5): e14567, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38798178

RESUMEN

In this study, Holstein dairy cows raised in Ningxia were selected as the research object. Mammary epithelial cells (BMECs) were extracted from the milk of eight Holstein cows with significantly different milk fat expression rates and transcribed for sequencing. Bioinformatics analysis was used to analyse the correlation of fat milk percentage, and the critical miR-2285f regulating milk fat was screened out. The target gene binding sites were predicted, and 293T cells and mammary epithelial cells were used as miRNA and target gene models for functional verification in vitro. The tissue difference of miR-2285f Holstein cows was quantitatively analysed by transfecting miR-2285f mimic and inhibitor. Assay (dual luciferase reporter gene assay) and quantitative real-time PCR (quantitative real-time PCR, qRT-PCR), triglyceride (TAG) detection, oil red O detection of lipid droplets, Western Blot assay, Edu and Flow cytometry, The molecular regulatory effects of miR-2285f and target gene MAP2K2 on milk fat metabolism of Holstein dairy cows were studied. The wild-type vector and mutant vector of map2k2-3'utr were constructed, and double luciferase reporting experiments were conducted to verify that MAP2K2 was one of the target genes of miR-2285f. According to qRT-PCR and Western Blot analysis, miR-2285f mainly regulates the expression of MAP2K2 protein in BMECs at the translation level. Bta-miR-2285f can promote cell proliferation and slow cell apoptosis by regulating MAP2K2. Bta-miR-2285f can promote triglyceride (TAG) and lipid droplet accumulation in mammary epithelial cells by targeting MAP2K2. Bta-miR-2285f can regulate protein levels of fat milk marker gene PPARG by targeting MAP2K2. In conclusion, miR-2285f can target the expression of the MAP2K2 gene, promote the proliferation of dairy mammary epithelial cells, inhibit cell apoptosis and regulate the milk fat metabolism in dairy mammary epithelial cells. The results of this study revealed the function of miR-2285f in regulating the differential expression of fat milk in Holstein dairy cows at the cellular level. They provided a theoretical and experimental basis for analysing the regulation network of milk fat synthesis of Holstein dairy cows and the molecular breeding of dairy cows.


Asunto(s)
Células Epiteliales , Glándulas Mamarias Animales , MicroARNs , Leche , Animales , Bovinos , MicroARNs/metabolismo , MicroARNs/genética , Femenino , Leche/química , Glándulas Mamarias Animales/metabolismo , Células Epiteliales/metabolismo , MAP Quinasa Quinasa Quinasa 2/metabolismo , MAP Quinasa Quinasa Quinasa 2/genética , Metabolismo de los Lípidos , Triglicéridos/metabolismo , Apoptosis , Humanos , Regulación de la Expresión Génica , Proliferación Celular
19.
Plant Dis ; : PDIS09231880RE, 2024 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-37858967

RESUMEN

The fungus Coleosporium zanthoxyli causes leaf rust in Chinese pepper (Zanthoxylum armatum). To investigate the control effect of elicitor treatment on leaf rust in this species, the impact of salicylic acid (SA) on the spores and growth of C. zanthoxyli and the induced resistance to leaf rust by Z. armatum were analyzed, and the possible defense mechanisms involved in SA induction were evaluated. The results showed that SA had no effect on C. zanthoxyli spore germination and growth; however, rust resistance was induced in Z. armatum. The optimal SA treatment concentration was 0.4 mg/ml, and the relative cure effect reached 44.56%. SA-induced disease resistance was evident for up to 10 days, while the optimal induction interval was 48 h after stimulation. Consistent with the induced resistance, H2O2, total protein, total phenol, and lignin concentrations and polyphenol oxidase (PPO), peroxidase (POD), phenylalanine ammonia lyase (PAL), superoxide dismutase (SOD), and catalase (CAT) activities were significantly increased with the SA treatment, whereas the malondialdehyde content was significantly decreased. In addition, exogenous SA promoted defense-related enzyme activities, including those of POD, CAT, and PAL, and increased H2O2, lignin, and endogenous SA contents. Furthermore, SA induced the expression of SA signaling pathway genes such as ZaPR1 and ZaNPR1, and silencing ZaPR1 enhanced the sensitivity of Z. armatum to leaf rust. Our results demonstrated that 0.4 mg/ml SA priming increased the activities of CAT, POD, and PAL, elevated the contents of H2O2, lignin, and endogenous SA, and upregulated the expression of the SA-related gene ZaPR1, thereby enhancing the resistance of Z. armatum to leaf rust.

20.
J Environ Manage ; 352: 120101, 2024 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-38228047

RESUMEN

Sustainable development faces the crucial challenge of safeguarding water-related ecosystem services, particularly in arid regions. However, scale-dependent interactions and their influencing factors remain unclear. This study addresses this local gap on the regional level by focusing on ecologically vulnerable mountain areas, employing a comprehensive quantitative and spatial analysis approach, utilizing Spearman coefficient, trade-off/synergy index, and trade-off/synergy criterion, to examine water-related ecosystem services interactions across scales in arid area. Additionally, a Geographical detector was used to identify dominant natural and human activity factors. Finally, we determined ecologically optimal and worst areas and proposed spatial planning and management recommendations for ecological protection and restoration. Key results indicate that: (1) From 1995 to 2015, water yield and nutrient delivery ratio exhibited a declining trend, while soil retention showed an increasing trend, with the weakest nutrient delivery ratio function in the reserve. (2) At the grid scale, there were 2 trade-offs among water-related ecosystem services in 1995, which decreased to 1 trade-off in 2005 and 2015. The synergistic was most prominent near Qinghai Lake, while the trade-off was most obvious in the western mountainous areas. Conversely, the county scale demonstrated synergy. (3) NDVI, slope, and precipitation dominantly influence the spatial heterogeneity patterns of soil retention_water yield, soil retention_nutrient delivery ratio, and water yield_nutrient delivery ratio, respectively, with natural factors outweighing human activities in impacting water-related ecosystem services. This study contributes to the improvement and optimization of ecological environment management decisions.


Asunto(s)
Conservación de los Recursos Naturales , Ecosistema , Humanos , Agua , Desarrollo Sostenible , Suelo , China
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA