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1.
Proc Natl Acad Sci U S A ; 120(46): e2307480120, 2023 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-37943835

RESUMO

Ischemic diseases lead to considerable morbidity and mortality, yet conventional clinical treatment strategies for therapeutic angiogenesis fall short of being impactful. Despite the potential of biomaterials to deliver pro-angiogenic molecules at the infarct site to induce angiogenesis, their efficacy has been impeded by aberrant vascular activation and off-target circulation. Here, we present a semisynthetic low-molecular sulfated chitosan oligosaccharide (SCOS) that efficiently induces therapeutic arteriogenesis with a spontaneous generation of collateral circulation and blood reperfusion in rodent models of hind limb ischemia and myocardial infarction. SCOS elicits anti-inflammatory macrophages' (Mφs') differentiation into perivascular Mφs, which in turn directs artery formation via a cell-to-cell communication rather than secretory factor regulation. SCOS-mediated arteriogenesis requires a canonical Notch signaling pathway in Mφs via the glycosylation of protein O-glucosyltransferases 2, which results in promoting arterial differentiation and tissue repair in ischemia. Thus, this highly bioactive oligosaccharide can be harnessed to direct efficiently therapeutic arteriogenesis and perfusion for the treatment of ischemic diseases.


Assuntos
Neovascularização Fisiológica , Sulfatos , Camundongos , Animais , Neovascularização Fisiológica/fisiologia , Sulfatos/metabolismo , Camundongos Knockout , Músculo Esquelético/metabolismo , Isquemia/metabolismo , Macrófagos/metabolismo , Membro Posterior/irrigação sanguínea , Modelos Animais de Doenças
2.
Anal Chem ; 96(6): 2711-2718, 2024 02 13.
Artigo em Inglês | MEDLINE | ID: mdl-38301229

RESUMO

Excessive sulfite usage in food and pharmaceutical production causes respiratory and neurological diseases, underscoring the need for a sensitive and rapid quantification strategy. The portable sensing platform based on a luminescent hydrogel sensor is a powerful tool for the on-site, real-time detection of sulfite ions. However, the lack of recyclability in almost all reaction-based hydrogel sensors increases the application cost. This study constructed a reversible and upconversion nanoprobe combining upconversion nanoparticles (UCNPs) and pararosaniline (PAR) for sulfite detection. The upconversion nanoprobe was further encapsulated in a three-dimensional polyacrylamide hydrogel matrix to create a background-free, reversible hydrogel sensor. The near-infrared excitation of UCNPs avoids the autofluorescence in the hydrogel and real samples. Meanwhile, PAR serves as a specific recognition unit for sulfite ions. After the addition of sulfites, a specific reaction occurs between PAR and sulfites, leading to the recovery of characteristic emission at 540 nm, achieving sensitive detection of sulfite ions. Importantly, this specific reaction is reversible under thermal treatment, allowing the hydrogel sensor to return to its initial state and thus enabling reversible detection of sulfite ions. Furthermore, a portable sensing platform is developed to realize point-of-care, real-time quantitative detection of sulfite ions. The proposed upconversion reversible hydrogel sensor provides a new sensing strategy for the detection of hazardous substances in food and offers new insights into the preparation of reversible, highly sensitive hydrogel sensors.


Assuntos
Hidrogéis , Nanopartículas , Corantes de Rosanilina , Toluidinas , Alimentos , Luminescência , Sulfitos
3.
Med Mycol ; 62(5)2024 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-38710585

RESUMO

Cryptococcus neoformans is the most common cause of fungal meningitis and is associated with a high mortality. The clinical significance of concurrent Epstein-Barr virus (EBV) in the cerebrospinal fluid (CSF) of human immunodeficiency virus (HIV)-negative patients with cryptococcal meningitis (CM) remains unclear. A retrospective cohort study was performed by analyzing CSF samples from 79 HIV-negative Chinese Han patients with confirmed CM. We identified CSF viral DNA in these patients by metagenomic next-generation sequencing (mNGS) and compared 10-week survival rates among those with and without EBV DNA in CSF. Of the 79 CSF samples tested, 44.3% (35/79) had detectable viral DNA in CSF, while 55.7% (44/79) were virus-negative. The most frequent viral pathogen was EBV, which was detected in 22.8% (18/79) patients. The median number of CSF-EBV DNA reads was 4 reads with a range from 1 to 149 reads. The 10-week mortality rates were 22.2% (4/18) in those with positive CSF-EBV and 2.3% (1/44) in those with negative CSF-virus (hazard ratio 8.20, 95% confidence interval [CI] 1.52-81.80; P = 0.014), which remained significant after a multivariate adjustment for the known risk factors of mortality (adjusted hazard ratio 8.15, 95% CI 1.14-92.87; P = 0.037). mNGS can identify viruses that coexist in CSF of HIV-negative patients with CM. EBV DNA is most commonly found together with C. neoformans in CSF and its presence is associated with increased mortality in HIV-negative CM patients.


We retrospectively analyzed CSF samples from 79 HIV-negative Chinese Han patients with confirmed CM. We identified CSF viral DNA by mNGS and compared 10-week survival rates among those with and without EBV DNA. Positive CSF-EBV DNA is associated with the increased mortality in HIV-negative CM patients.


Assuntos
DNA Viral , Infecções por Vírus Epstein-Barr , Herpesvirus Humano 4 , Meningite Criptocócica , Humanos , Meningite Criptocócica/mortalidade , Meningite Criptocócica/líquido cefalorraquidiano , Meningite Criptocócica/microbiologia , Masculino , Feminino , Estudos Retrospectivos , Adulto , Pessoa de Meia-Idade , Herpesvirus Humano 4/genética , Herpesvirus Humano 4/isolamento & purificação , DNA Viral/líquido cefalorraquidiano , DNA Viral/genética , Infecções por Vírus Epstein-Barr/complicações , Infecções por Vírus Epstein-Barr/mortalidade , Infecções por Vírus Epstein-Barr/líquido cefalorraquidiano , Idoso , Líquido Cefalorraquidiano/microbiologia , Líquido Cefalorraquidiano/virologia , Cryptococcus neoformans/genética , Cryptococcus neoformans/isolamento & purificação , Sequenciamento de Nucleotídeos em Larga Escala , Metagenômica , Adulto Jovem , China/epidemiologia , Análise de Sobrevida
4.
Chemistry ; 29(4): e202202669, 2023 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-36251746

RESUMO

Step-scheme (S-scheme) heterojunctions have been extensively studied in photocatalytic carbon dioxide (CO2 ) reduction due to their excellent charge separation and high redox ability. The built-in electric field at the interface of a S-scheme heterojunction serves as the driving force for charge transfer, however, the poor interfacial contact greatly restricts the carrier migration rate. Herein, we synthesized the g-C3 N4 /Bi19 Br3 S27 S-scheme heterostructure through in situ deposition of Bi19 Br3 S27 (BBS) on porous g-C3 N4 (P-CN) nanosheets. The C-S bonds formed at the interface help to enhance the built-in electric field, thereby promoting the charge transfer and separation. As a result, the CO2 reduction reaction performance of 10 %Bi19 Br3 S27 /g-C3 N4 (BBS/P-CN) reaches 32.78 µmol g-1 h-1 , which is 341.4 and 18.7 times higher than that of pure BBS and P-CN, respectively. X-ray photoelectron spectroscopy (XPS) and Fourier transform infrared spectroscopy (FTIR) prove the presence of chemical bonds (C-S) between the P-CN and BBS. The S-scheme charge-transfer mechanism was analyzed via XPS and density functional theory (DFT) calculations. This work provides a new idea for designing heterojunction photocatalysts with interfacial chemical bonds to achieve high charge-transfer and catalytic activity.

5.
Med Mycol ; 61(12)2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-38031335

RESUMO

Although non-human immunodeficiency virus (HIV)-associated cryptococcal meningitis (CM) is a severe disease, there are still some non-HIV CM patients with a low risk of therapeutic failure. Recognizing clinical characteristics of low-risk non-HIV-associated CM may enable clinicians to treat non-HIV-associated CM more reasonably. According to the definition of low-risk non-HIV-associated CM in the 2010 Infectious Diseases Society of America guideline, a total of 220 non-HIV CM patients were divided into two groups (Group 1: 35 low-risk patients and Group 2: 185 non-low-risk patients). Clinical characteristics, treatment, and outcome were compared between the two groups. Compared with non-low-risk patients, low-risk patients had a lower rate of headache (82.9% vs. 95.7%, P = .012), cerebrospinal fluid (CSF) opening pressure (OP) at baseline (CSF OP < 250-mm H2O, 60.0% vs. 32.4%, P = .001), and baseline CSF cryptococcal count (median, 0 vs. 2376, P < .001), higher baseline CSF white blood cell (median, 130 vs. 90, P = .029) and CSF protein (median, 0.87 vs. 0.73, P = .011). Multivariate analysis showed that baseline CSF OP <250-mm H2O (OR: 2.545, 95% CI 1.168, 5.545, P = .019) was independently associated with low-risk for non-HIV-associated CM. The lengths of AMB-d-based induction therapy of low-risk patients (median, 20 days) were shorter (P < .001) than that of non-low-risk patients (median, 38 days). The successful outcome rate of low-risk patients was higher than non-low-risk patients (97.1% vs. 54.6%, P < .001). We demonstrated that non-HIV-associated CM patients with baseline CSF OP < 250-mm H2O were prone to the low-risk status.


This was a retrospective cohort study to find the features of low-risk non-human immunodeficiency virus (HIV)-associated cryptococcal meningitis (CM). We found that non-HIV-associated CM patients with baseline cerebrospinal fluid opening pressure <250-mm H2O were prone to low-risk status.


Assuntos
Cryptococcus , Infecções por HIV , Meningite Criptocócica , Humanos , Meningite Criptocócica/tratamento farmacológico , Meningite Criptocócica/líquido cefalorraquidiano , Meningite Criptocócica/veterinária , Estudos Retrospectivos , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Infecções por HIV/veterinária , Resultado do Tratamento
6.
Eur Neurol ; 86(6): 363-376, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37848007

RESUMO

INTRODUCTION: Many clinical studies reported the coexistence of Alzheimer's disease (AD) and multiple sclerosis (MS), but the common molecular signature between AD and MS remains elusive. The purpose of our study was to explore the genetic linkage between AD and MS through bioinformatic analysis, providing new insights into the shared signatures and possible pathogenesis of two diseases. METHODS: The common differentially expressed genes (DEGs) were determined between AD and MS from datasets obtained from Gene Expression Omnibus (GEO) database. Further, functional and pathway enrichment analysis, protein-protein interaction network construction, and identification of hub genes were carried out. The expression level of hub genes was validated in two other external AD and MS datasets. Transcription factor (TF)-gene interactions and gene-miRNA interactions were performed in NetworkAnalyst. Finally, receiver operating characteristic (ROC) curve analysis was applied to evaluate the predictive value of hub genes. RESULTS: A total of 75 common DEGs were identified between AD and MS. Functional and pathway enrichment analysis emphasized the importance of exocytosis and synaptic vesicle cycle, respectively. Six significant hub genes, including CCL2, CD44, GFAP, NEFM, STXBP1, and TCEAL6, were identified and verified as common hub genes shared by AD and MS. FOXC1 and hsa-mir-16-5p are the most common TF and miRNA in regulating hub genes, respectively. In the ROC curve analysis, all hub genes showed good efficiency in helping distinguish patients from controls. CONCLUSION: Our study first identified a common genetic signature between AD and MS, paving the road for investigating shared mechanism of AD and MS.


Assuntos
Doença de Alzheimer , MicroRNAs , Esclerose Múltipla , Humanos , Doença de Alzheimer/genética , Esclerose Múltipla/genética , MicroRNAs/genética , Biologia Computacional , Bases de Dados Factuais
7.
Mycoses ; 66(11): 1003-1011, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37563970

RESUMO

OBJECTIVE: Information about the seasonal characteristics of human immunodeficiency virus (HIV)-negative cryptococcal meningitis (CM) is quite limited. The aim of this study was to explore the seasonality and meteorological factors of HIV-negative patients with CM. METHODS: We performed a retrospective study of 469 HIV-negative CM patients admitted to the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong Province, China. Their initial onset symptoms of CM occurred from January 2011 to December 2020. The temperature, precipitation, sunlight, humidity and wind speed for the corresponding period and the associated topographic, ecological type and soil type parameters data were collected. The Poisson regression model was used to determine the meteorological factors associated with CM onset. The geographical detector method was used to detect other environmental factors associated with CM onset. RESULTS: CM onset did not showed a seasonal fluctuation, but was strongly associated with mean temperature (ß = .010, p = .028) and mean relative humidity (ß = -.011, p = .006). In the rainy season, only mean wind speed remained significantly associated with CM onset (ß = -.108, p = .041). In the dry season, mean temperature (ß = .014, p = .016), mean relative humidity (ß = -.016, p = .006) and hours of sunlight (ß = -.002, p = .016) were significantly associated with CM onset. Topographic, ecological type and soil type factors did not add explanatory power. CONCLUSIONS: Our findings add the knowledge about the environmental factors of HIV-negative CM. Meteorological factors, especially temperature and humidity, may be the main environmental factors affecting the onset of HIV-negative CM.


Assuntos
Infecções por HIV , Meningite Criptocócica , Humanos , Estudos Retrospectivos , Conceitos Meteorológicos , Temperatura , China/epidemiologia , Solo , Infecções por HIV/complicações , Infecções por HIV/epidemiologia
8.
Ecotoxicol Environ Saf ; 249: 114410, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36516619

RESUMO

Silicosis, a disease characterized by diffuse fibrosis of the lung tissue, is caused by long-term inhalation of free silica (SiO2) dust in the occupational environment and is currently the most serious occupational diseases of pneumoconiosis. Several studies have suggested that alveolar type Ⅱ epithelial cells (AEC Ⅱ) undergo epithelial-mesenchymal transition (EMT) as one of the crucial components of silicosis in lung fibroblasts. A2aR can play a critical regulatory role in fibrosis-related diseases by modulating the Wnt/ß-catenin pathway, but its function in the EMT process of silicosis has not been explained. In this study, an EMT model of A549 cells was established. The results revealed that A2aR expression is reduced in the EMT model. Furthermore, activation of A2aR or suppression of the Wnt/ß-catenin pathway reversed the EMT process, while the opposite result was obtained by inhibiting A2aR. In addition, activation of A2aR in a mouse silicosis model inhibited the Wnt/ß-catenin pathway and ameliorated the extent of silica-induced lung fibrosis in mice. To sum up, we uncovered that A2aR inhibits fibrosis and the EMT process in silicosis by regulating the Wnt/ß-catenin pathway. Our study can provide an experimental basis for elucidating the role of A2aR in the development of silicosis and offer new ideas for further exploration of interventions for silicosis.


Assuntos
Transição Epitelial-Mesenquimal , Fibrose Pulmonar , Receptor A2A de Adenosina , Silicose , beta Catenina , Animais , Camundongos , beta Catenina/genética , beta Catenina/metabolismo , Dióxido de Silício/toxicidade , Silicose/metabolismo , Silicose/patologia , Fibrose Pulmonar/induzido quimicamente , Fibrose Pulmonar/metabolismo , Fibrose Pulmonar/patologia , Via de Sinalização Wnt , Receptor A2A de Adenosina/genética , Receptor A2A de Adenosina/metabolismo , Agonistas do Receptor A2 de Adenosina/farmacologia
9.
Ecotoxicol Environ Saf ; 249: 114392, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36508811

RESUMO

Epithelial-mesenchymal transdifferentiation of alveolar type Ⅱ epithelial cells is a vital source of pulmonary myofibroblasts, and myofibroblasts formation is recognized as an important phase in the pathological process of silicosis. miR-30c-5p has been determined to be relevant in the activation of the epithelial-mesenchymal transition (EMT) in numerous disease processes. However, elucidating the role played by miR-30c-5p in the silicosis-associated EMT process remains a great challenge. In this work, based on the establishment of mouse silicosis and A549 cells EMT models, miR-30c-5p was interfered with in vivo and in vitro models to reveal its effects on EMT and autophagy. Moreover, metastasis-associated lung adenocarcinoma transcript 1 (MALAT1), connective tissue growth factor (CTGF), autophagy-related gene 5 (ATG5), and autophagy were further interfered with in the A549 cells models to uncover the possible molecular mechanism through which miR-30c-5p inhibits silicosis associated EMT. The results demonstrated the targeted binding of miR-30c-5p to CTGF, ATG5, and MALAT1, and showed that miR-30c-5p could prevent EMT in lung epithelial cells by acting on CTGF and ATG5-associated autophagy, thereby inhibiting the silicosis fibrosis process. Furthermore, we also found that lncRNA MALAT1 might competitively absorb miR-30c-5p and affect the EMT of lung epithelial cells. In a word, interfering with miR-30c-5p and its related molecules (MALAT1, CTGF, and ATG5-associated autophagy) may provide a reference point for the application of silicosis intervention-related targets.


Assuntos
Células Epiteliais Alveolares , Proteína 5 Relacionada à Autofagia , Fator de Crescimento do Tecido Conjuntivo , Transição Epitelial-Mesenquimal , MicroRNAs , RNA Longo não Codificante , Silicose , Animais , Camundongos , Células Epiteliais Alveolares/metabolismo , Células Epiteliais Alveolares/patologia , Proteína 5 Relacionada à Autofagia/metabolismo , Fator de Crescimento do Tecido Conjuntivo/genética , Fator de Crescimento do Tecido Conjuntivo/metabolismo , MicroRNAs/genética , MicroRNAs/metabolismo , RNA Longo não Codificante/metabolismo , Dióxido de Silício/toxicidade , Silicose/genética , Silicose/metabolismo
10.
Clin Exp Immunol ; 208(1): 47-59, 2022 05 13.
Artigo em Inglês | MEDLINE | ID: mdl-35560184

RESUMO

Understanding regulatory T-cell (Treg)-mediated tumor tolerance is critical for designing immunotherapy against hepatocellular carcinoma (HCC). In this study, we characterized the expression of insulin-like growth factor type 1 receptor (IGF1R) in intrahepatic Tregs in a chemical-induced mouse HCC model. We found two intrahepatic Treg subsets with differential IGF1R expression: IGF1Rhi Tregs and IGF1Rlo/- Tregs. Functional assays indicated that compared with IGF1Rlo/- Tregs, IGF1Rhi Tregs produced more TGF-ß and IL-10 and were more proliferative in vivo. Furthermore, IGF1Rhi Tregs exhibited higher phosphorylation of the mammalian target of the rapamycin complex 1 (mTORC1) in vivo. However, in vitro stimulation and immunosuppression assay revealed that the immunosuppressive capacity of the two Treg subsets was equivalent, as evidenced by comparable cytokine production and immunosuppressive effect over conventional T cells. The transcriptome sequencing analysis revealed up-regulation of genes that encode proteins essential for glycolysis, oxidative phosphorylation, and electron transport chain in IGF1Rhi Tregs. Consistently, IGF1Rhi Tregs produces more adenosine triphosphate (ATP), lactate, and reactive oxygen species (ROS). Furthermore, malignant cells in the tumor nodules induced IGF1R down-regulation in Tregs at the mRNA level. In summary, we identified the heterogeneity of intrahepatic Tregs in HCC which might play significant roles in tumor immunity.


Assuntos
Carcinoma Hepatocelular , Neoplasias Hepáticas , Receptor IGF Tipo 1 , Linfócitos T Reguladores , Animais , Carcinoma Hepatocelular/metabolismo , Modelos Animais de Doenças , Tolerância Imunológica , Neoplasias Hepáticas/metabolismo , Camundongos , Receptor IGF Tipo 1/genética
11.
J Clin Lab Anal ; 36(1): e24136, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34820903

RESUMO

BACKGROUNDS: Free-wall rupture (FWR) has a high mortality rate. We aimed to find sensitive predictive indicators to identify high-risk FWR patients by exploring the predictive values of neutrophil percentage-to-albumin ratio (NPAR) and monocyte-to-lymphocyte ratio (MLR) on patients with acute myocardial infarction (AMI). METHODS: 76 FWR patients with AMI were collected, and then 228 non-CR patients with AMI were randomly selected (1:3 ratio) in this retrospective study. The independent influencing factors of FWR were evaluated by univariate and multivariate logistic regression analysis. The receiver-operating characteristic (ROC) curve analysis was applied to evaluate the predictive value of NPAR and MLR for FWR. RESULTS: According to the results of multivariate logistic regression analysis, emergency percutaneous coronary intervention (PCI) (OR = 0.27, 95% CI: 0.094-0.751, p = 0.012), angiotensin-converting enzyme inhibitor (ACEI)/angiotensin receptor blocker (ARB) treatment (OR = 0.17, 95% CI: 0.044-0.659, p = 0.010), NPAR (OR = 2.69, 95% CI: 1.031-7.044, p = 0.043), and MLR (OR = 5.99, 95% CI: 2.09-17.168, p = 0.001) were the influencing factors of the FWR patients with AMI, independently. Additionally, the NPAR and MLR were the predictors of FWR patients, with AUC of 0.811 and 0.778, respectively (both p < 0.001). CONCLUSIONS: In summary, the emergency PCI and ACEI/ARB treatment were independent protective factors for FWR patients with AMI, while the increase of MLR and NPAR were independent risk factors. What's more, NPAR and MLR are good indicators for predicting FWR.


Assuntos
Albuminas/análise , Leucócitos/fisiologia , Infarto do Miocárdio , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Inflamação , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/sangue , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/epidemiologia , Infarto do Miocárdio/fisiopatologia , Prognóstico , Estudos Retrospectivos , Ruptura
12.
Chin J Traumatol ; 24(5): 306-310, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34384669

RESUMO

A 19-year-old male patient who suffered from sudden and repeated multiple organ dysfunction syndrome one month after the bar removal procedure of Nuss surgery for pectus excavatum was admitted to our department. With organ function supportive treatment, the etiology was finally identified to be a bone spur located at the inner border of the left costa due to repeated friction between the implanted steel bar and the rib, which damaged the heart repeatedly and induced the consequent acute cardiac tamponade. After operation, the patient was successfully managed and discharged. Follow-ups till three years indicated a good recovery.


Assuntos
Tórax em Funil , Adulto , Tórax em Funil/cirurgia , Humanos , Masculino , Insuficiência de Múltiplos Órgãos/etiologia , Adulto Jovem
13.
J Med Virol ; 92(10): 2067-2073, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32369209

RESUMO

This retrospective study aimed to analysis clinical characteristics and outcomes of cancer patients with novel coronavirus disease-19 (COVID-19). Medical records, laboratory results and radiologic findings of 52 cancer patients with COVID-19 were collected, clinical characteristics and outcomes were summarized. A total of 52 cancer patients with COVID-19 were included. Median age of 52 cancer patients with COVID-19 was 63 years (34-98). Thirty-three (63.5%) patients were mild and 19 (36.5%) were severe/critical. Lung cancer was the most frequent cancer type (10, 19.2%). The common symptoms were as follows: fever (25%), dry cough (17.3%), chest distress (11.5%), and fatigue (9.6%). There were 33 (63.5%) patients had comorbidities, the most common symptom was hypertension (17, 51.5%). Twenty-six (78.8%) patients developed pneumonia on admission. Lymphocytes (0.6 × 109/L) decreased in both mild and severe/critical patients. Median levels of D-dimer, C-reactive protein, procalcitonin, and lactate dehydrogenase were 2.8 mg/L, 70.5 mg/L, 0.3 ng/mL, and 318 U/L, respectively, which increased significantly in severe/critical patients compared with the mild patients. Interleukin-6 (12.6 pg/mL) increased in both mild and severe/critical patients, there was a significant difference between them. Complications were observed in 29 (55.8%) patients, such as liver injury (19, 36.5%), acute respiratory distress syndrome (9, 17.3%), sepsis (8, 15.4%), myocardial injury (8, 15.4%), renal insufficiency (4, 7.7%), and multiple organ dysfunction syndrome (3, 5.8%). Eleven (21.2%) patients with cancer died. The infection rate of severe acute respiratory syndrome coronavirus 2 in patients with cancer was higher than the general population, cancer patients with COVID-19 showed deteriorating conditions and poor outcomes.


Assuntos
COVID-19/fisiopatologia , Doença das Coronárias/fisiopatologia , Diabetes Mellitus/fisiopatologia , Hipertensão/fisiopatologia , Neoplasias/fisiopatologia , Corticosteroides/uso terapêutico , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Antineoplásicos/uso terapêutico , Antivirais/uso terapêutico , COVID-19/diagnóstico por imagem , COVID-19/mortalidade , COVID-19/terapia , China , Comorbidade , Doença das Coronárias/diagnóstico por imagem , Doença das Coronárias/mortalidade , Doença das Coronárias/terapia , Tosse/fisiopatologia , Diabetes Mellitus/diagnóstico por imagem , Diabetes Mellitus/mortalidade , Diabetes Mellitus/terapia , Fadiga/fisiopatologia , Feminino , Febre/fisiopatologia , Humanos , Hipertensão/diagnóstico por imagem , Hipertensão/mortalidade , Hipertensão/terapia , Imunoglobulinas Intravenosas/uso terapêutico , Linfócitos/patologia , Linfócitos/virologia , Masculino , Pessoa de Meia-Idade , Neoplasias/diagnóstico por imagem , Neoplasias/mortalidade , Neoplasias/terapia , Estudos Retrospectivos , Fatores de Risco , SARS-CoV-2/efeitos dos fármacos , SARS-CoV-2/patogenicidade , Índice de Gravidade de Doença , Análise de Sobrevida , Tomografia Computadorizada por Raios X , Resultado do Tratamento
14.
J Med Virol ; 92(11): 2511-2515, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32293741

RESUMO

This retrospective study aimed to analyze the clinical characteristics and complications in death cases with novel coronavirus disease-19 (COVID-19). We collected the medical records of 92 patients with COVID-19, who died in the time period ranging from 6 January 2020 to 25 February 2020, in Renmin Hospital of Wuhan University and summarized the clinical characteristics of complications. There were 91 death cases in which different complications were developed, including acute respiratory distress syndrome (ARDS) (73/91), myocardial injury (31/91), liver injury (15/91), renal insufficiency (14/91), multiple organ dysfunction syndrome (MODS) (14/91), and pneumothorax (1/91). Among these patients, 83 patients had at least one complication. However, one patient who died of recurrent gastrointestinal bleeding was not directly linked to COVID-19. The main complications of deceased patients with COVID-19 were ARDS, myocardial injury, liver injury, renal insufficiency, and MODS.


Assuntos
COVID-19/mortalidade , COVID-19/patologia , Síndrome do Desconforto Respiratório/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/complicações , China , Comorbidade , Feminino , Humanos , Inflamação/patologia , Inflamação/virologia , Masculino , Prontuários Médicos , Pessoa de Meia-Idade , Síndrome do Desconforto Respiratório/mortalidade , Síndrome do Desconforto Respiratório/virologia , Estudos Retrospectivos , Adulto Jovem
15.
Sensors (Basel) ; 20(20)2020 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-33050512

RESUMO

The observability of the scale direction in visual-inertial odometry (VIO) under degenerate motions of intelligent and connected vehicles can be improved by fusing Ackermann error state measurements. However, the relative kinematic error measurement model assumes that the vehicle velocity is constant between two consecutive camera states, which degrades the positioning accuracy. To address this problem, a consistent monocular Ackermann VIO, termed MAVIO, is proposed to combine the vehicle velocity and yaw angular rate error measurements, taking into account the lever arm effect between the vehicle and inertial measurement unit (IMU) coordinates with a tightly coupled filter-based mechanism. The lever arm effect is firstly introduced to improve the reliability for information exchange between the vehicle and IMU coordinates. Then, the process model and monocular visual measurement model are presented. Subsequently, the vehicle velocity and yaw angular rate error measurements are directly used to refine the estimator after visual observation. To obtain a global position for the vehicle, the raw Global Navigation Satellite System (GNSS) error measurement model, termed MAVIO-GNSS, is introduced to further improve the performance of MAVIO. The observability, consistency and positioning accuracy were comprehensively compared using real-world datasets. The experimental results demonstrated that MAVIO not only improved the observability of the VIO scale direction under the degenerate motions of ground vehicles, but also resolved the inconsistency problem of the relative kinematic error measurement model of the vehicle to further improve the positioning accuracy. Moreover, MAVIO-GNSS further improved the vehicle positioning accuracy under a long-distance driving state. The source code is publicly available for the benefit of the robotics community.

16.
Eur J Immunol ; 48(4): 683-695, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29331106

RESUMO

Natural killer cell (NK cell)-based immunotherapy is a promising therapeutic strategy for hepatocellular carcinoma (HCC). However, the molecular mechanisms underlying the regulation of NK cell function in the tumor sites are not completely elucidated. In this study, we identified the enhanced expression of kelch repeat and BTB (POZ) domain containing 2 (Kbtbd2) in intratumoral NK cells in a mouse HCC implantation model as a negative regulator of NK cells. To investigate this interaction, we used a Tet-on inducible expression system to control Kbtbd2 expression in an immortalized mouse NK cell line KIL C.2. With this approach, we found that overexpression of Kbtbd2 reduced KIL C.2 cell proliferation, decreased expression certain of Ly49 receptor family members, and substantially impaired cytotoxic activity of KIL C.2 cells in vitro. Moreover, phosphorylation of mTOR and its target 4E-binding protein 1 was reduced in Kbtbd2-expressing KIL C.2 cells, along with down-regulated phosphorylation of Erk1/2. Adoptively transferred Kbtbd2-expressing KIL C.2 cells exhibited weaker tumoricidal effect on hepatocellular carcinoma cells in the HCC implantation model, in comparison with transferred control KIL C.2 cells. Taken together, our investigation indicates that Kbtbd2 is an inhibitory molecule for the tumoricidal activity of KIL C.2 cells and perhaps intratumoral NK cells.


Assuntos
Carcinoma Hepatocelular/terapia , Imunoterapia/métodos , Células Matadoras Naturais/imunologia , Células Matadoras Naturais/transplante , Neoplasias Hepáticas/terapia , Serina-Treonina Quinases TOR/metabolismo , Complexos Ubiquitina-Proteína Ligase/metabolismo , Proteínas Adaptadoras de Transdução de Sinal , Transferência Adotiva/métodos , Animais , Carcinoma Hepatocelular/imunologia , Carcinoma Hepatocelular/patologia , Proteínas de Transporte/metabolismo , Proteínas de Ciclo Celular , Linhagem Celular , Proliferação de Células , Modelos Animais de Doenças , Fatores de Iniciação em Eucariotos , Neoplasias Hepáticas/imunologia , Neoplasias Hepáticas/patologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos NOD , Fosfoproteínas/metabolismo , Fosforilação , Complexos Ubiquitina-Proteína Ligase/genética
18.
Sensors (Basel) ; 19(21)2019 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-31694304

RESUMO

Visual-Inertial Odometry (VIO) is subjected to additional unobservable directions under the special motions of ground vehicles, resulting in larger pose estimation errors. To address this problem, a tightly-coupled Ackermann visual-inertial odometry (ACK-MSCKF) is proposed to fuse Ackermann error state measurements and the Stereo Multi-State Constraint Kalman Filter (S-MSCKF) with a tightly-coupled filter-based mechanism. In contrast with S-MSCKF, in which the inertial measurement unit (IMU) propagates the vehicle motion and then the propagation is corrected by stereo visual measurements, we successively update the propagation with Ackermann error state measurements and visual measurements after the process model and state augmentation. This way, additional constraints from the Ackermann measurements are exploited to improve the pose estimation accuracy. Both qualitative and quantitative experimental results evaluated under real-world datasets from an Ackermann steering vehicle lead to the following demonstration: ACK-MSCKF can significantly improve the pose estimation accuracy of S-MSCKF under the special motions of autonomous vehicles, and keep accurate and robust pose estimation available under different vehicle driving cycles and environmental conditions. This paper accompanies the source code for the robotics community.

19.
Water Sci Technol ; 75(2): 350-357, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28112662

RESUMO

The adsorption properties of two nanomorphologies of trititanate, nanotubes (TiNT) and plates (TiNP), prepared by the hydrothermal reaction of concentrated NaOH with different phases of TiO2, were examined. It was found that the capacity for both morphologies towards methylene blue (MB), an ideal pollutant, was extremely high, with the TiNP having a capacity of 130 mg/g, higher than the TiNT, whose capacity was 120 mg/g at 10 mg/L MB concentration. At capacity, the well-dispersed powders deposit on the floor of the reaction vessel. The two morphologies had very different structural and adsorption properties. TiNT with high surface area and pore volume exhibited exothermic monolayer adsorption of MB. TiNP with low surface area and pore volume yielded a higher adsorption capacity through endothermic multilayer adsorption governed by pore diffusion. TiNP exhibited a higher negative surface charge of -23 mV, compared to -12 mV for TiNT. The adsorption process appears to be an electrostatic interaction, with the cationic dye attracted more strongly to the nanoplates, resulting in a higher adsorption capacity and different adsorption modes. We believe this simple, low cost production of high capacity nanostructured adsorbent material has potential uses in wastewater treatment.


Assuntos
Azul de Metileno/química , Modelos Químicos , Nanotubos/química , Titânio/química , Adsorção , Cinética
20.
Guang Pu Xue Yu Guang Pu Fen Xi ; 36(8): 2601-6, 2016 Aug.
Artigo em Zh | MEDLINE | ID: mdl-30074372

RESUMO

Optical emission spectroscopy (OES) was used to detect the plasma distribution during the depositing process of diamond films with hot filament chemical vapor deposition (HFCVD) method using acetone as carbon source. The surface and cross section of deposited diamond films were characterized by scanning electron microscopy (SEM) and their quality was tested with Raman spectroscopy. OES results showed that the intensity of active species near the center is higher than that in marginal area in the case of linear array of hot filament. It is because of the higher temperature and stronger cracking ability near the filament. The variety of the characteristic peak intensity in central region is more gently than that of the plasma ball. Thermal radiation decreased when the distance from the hot filament increases, which results in less CH,CO groups cracked from acetone, lower intensity of Hα,Hß excited by hydrogen and higher concentration of C2 group produced by reaction. SEM and Raman results showed that the quality of deposited diamond films deteriorated when the distance between hot filament and substrate varies from 4.5, 5.5 to 6.5 mm, which matches well with OES results.

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