Anti-epileptic/pro-epileptic effects of sodium channel modulators from Buthus martensii Karsch.

The East Asian scorpion Buthus martensii Karsch (BmK) is one of the classical traditional Chinese medicines for treating epilepsy for over a thousand years. Neurotoxins purified from BmK venom are considered as the main active ingredients, acting on membrane ion channels. Voltage-gated sodium channels (VGSCs) play a crucial role in the occurrence of epilepsy, which make them become important drug targets for epilepsy. Long chain toxins of BmK, composed of 60-70 amino acid residues, could specifically recognize VGSCs. Among them, α-like neurotoxins, binding to the receptor site-3 of VGSC, induce epilepsy in rodents and can be used to establish seizure models. The ß or ß-like neurotoxins, binding to the receptor site-4 of VGSC, have significant anticonvulsant effects in epileptic models. This review aims to illuminate the anticonvulsant/convulsant effects of BmK polypeptides by acting on VGSCs, and provide potential frameworks for the anti-epileptic drug-design.

Modulatory effects of bufalin, an active ingredient from toad venom on voltage-gated sodium channels.

Chan-su (toad venom) has been used as an analgesic agent in China from ancient to modern times. Bufalin, a non-peptide toxin extracted from toad venom, is considered as one of the analgesic components. The molecular mechanism underlying the anti-nociceptive effects of bufalin remains unclear so far. In this study, we investigated the pharmacological effects of bufalin on pain-related ion channels as well as animal models through patch clamping, calcium imaging and animal behavior observation. Using the whole-cell recording, bufalin caused remarkable suppressive effect on the peak currents of Nav channels (voltage gated sodium channels, VGSCs) of dorsal root ganglion neuroblastomas (ND7-23 cell) in a dose-dependent manner. Bufalin facilitated the voltage-dependent activation and induced a negative shift on the fast inactivation of VGSCs. The recovery kinetics of VGSCs were significantly slowed and the recovery proportion were reduced after administering bufalin. However, bufalin prompted no significant effect not only on Kv4.2, Kv4.3 and BK channels heterologously expressed in HEK293T cells, but also on the capsaicin and allyl isothiocyanate induced Ca2+ influx. What's more, bufalin could observably relieve formalin-induced spontaneous flinching and licking response as well as carrageenan-induced thermal and mechanical hyperalgesia in dose-dependent manner in agreement with the results of in vitro experiments. The present results imply that the remarkable anti-nociceptive effects produced by bufalin are probably ascribed to its specific regulation on Nav channels. Bufalin inhibits the Nav channels in a dose-dependent manner, which will provide references for the optimal dose selection of analgesia drugs.

Mg2+-Channel-Inspired Nanopores for Mg2+/Li+ Separation: The Effect of Coordination on the Ionic Hydration Microstructures.

The separation behaviors of Mg2+ and Li+ were investigated using molecular dynamics. Two functionalized graphene nanopore models (i.e., co_5 and coo_5) inspired by the characteristic structural features of Mg2+ channels were used. Both nanopores exhibited a higher preference to Mg2+ than to Li+, and the selectivity ratios were higher for coo_5 than for co_5 under all the studied transmembrane voltages. An evaluation of the effect of coordination on the ionic hydration microstructures for both nanopores showed that the positioning of the modified groups could better fit a hydrated Mg2+ than a hydrated Li+, as if Mg2+ was not dehydrated according to hydrogen bond analysis of the ionic hydration shells. This condition led to a lower resistance for Mg2+ than for Li+ when traveling through the nanopores. Moreover, a distinct increase in hydrogen bonds occurred with coo_5 compared with co_5 for hydrated Li+, which made it more difficult for Li+ to pass through coo_5. Thus, a higher Mg2+/Li+ selectivity was found in for coo_5 than for co_5. These findings provide some design principles for developing artificial Mg2+ channels, which have potential applications as Mg2+ sensors and novel devices for Mg2+/Li+ separation.

Effect of Adsorbed Alcohol Layers on the Behavior of Water Molecules Confined in a Graphene Nanoslit: A Molecular Dynamics Study.

With the rapid development of a two-dimensional (2D) nanomaterial, the confined liquid binary mixture has attracted increasing attention, which has significant potential in membrane separation. Alcohol/water is one of the most common systems in liquid-liquid separation. As one of the most focused systems, recent studies have found that ethanol molecules were preferentially adsorbed on the inner surface of the pore wall and formed an adsorbed ethanol layer under 2D nanoconfinement. To evaluate the effect of the alcohol adsorption layer on the mobility of water molecules, molecular simulations were performed to investigate four types of alcohol/water binary mixtures confined under a 20 Å graphene slit. Residence times of the water molecules covering the alcohol layer were in the order of methanol/water < ethanol/water < 1-propanol/water < 1-butanol/water. Detailed microstructural analysis of the hydrogen bonding (H-bond) network elucidated the underlying mechanism on the molecular scale in which a small average number of H-bonds between the preferentially adsorbed alcohol molecules and the surrounding water molecules could induce a small degree of damage to the H-bond network of the water molecules covering the alcohol layer, resulting in the long residence time of the water molecules.

Molecular Dynamics Study of Mg2+/Li+ Separation via Biomimetic Graphene-Based Nanopores: The Role of Dehydration in Second Shell.

Residual Mg2+ reduces the performance of lithium-ion batteries. However, separating Mg2+ and Li+ is difficult because of their similar ionic properties. Inspired by the high selectivity of biological Mg2+ channels, this work utilizes atomistic simulations to investigate the ability of graphene-based nanopores with diameters of 0.789, 1.024, and 1.501 nm to separate Mg2+ and Li+ under a series of transmembrane voltages. We analyzed the spatial distribution of molecules in the nanopores' vicinity, structure properties of ionic hydration, and potential of mean force of ions traveling through the nanopores. Separation was mainly caused by the difference in dehydration between the second hydration shells of Mg2+ and Li+. When ions traveled through nanopores, Li+ had to overcome a greater energy barrier than Mg2+ because it had to shed more water molecules and break more hydrogen bonds in the second hydration shell compared with Mg2+. Moreover, the ionic Coulomb blockade of Mg2+ occurred near the pore mouth, impeding Li+ transport and increasing selectivity when the pore diameter decreased to subnanometer.

In in vivo evaluation of the anti-inflammatory and analgesic activities of compound Muniziqi granule in experimental animal models.

BACKGROUND: Compound Muniziqi granule (MNZQ), a traditional Uighur medicinal preparation, comprises 13 species of medicinal plants. MNZQ is traditionally used for regulating body immunity, modulating inflammation and pain, detoxification, and inhibiting tumor growth. This study aims to scientifically evaluate the anti-inflammatory and analgesic activities of MNZQ, support its clinical use and further research with scientific evidence. METHODS: The analgesic activity of MNZQ was evaluated using hot plate test and acetic acid-induced abdominal writhing test. Acute inflammation was evaluated using xylene-induced ear edema and carrageenan-induced paw edema models, while chronic inflammation was evaluated using cotton pellet-induced granuloma model. RESULTS: MNZQ exerted analgesic activities with a significant dose-dependent increase in latency in the hot plate test. The percentage inhibition suggested that MNZQ exhibited analgesic activities in the central nervous system. Meanwhile, MNZQ at 0.8, 2.4, and 7.2 g/kg strongly inhibited the acetic acid-induced writhing response by 25.22% (p < 0.01), 44.60% (p < 0.001), and 49.41% (p < 0.001), respectively. MNZQ also exerted analgesic activities in the peripheral nervous system. Moreover, MNZQ was demonstrated a significant anti-inflammatory effect against xylene-induced edema in a dose-dependent manner. The percentage inhibition was 22.24% (p < 0.01) at the highest dosage of 7.2 g/kg. MNZQ at 1.62 and 4.86 g/kg significantly reduced carrageenan-induced rat hind paw edema by 82.43% and 84.32% (p < 0.001), respectively, 1 h after injecting carrageenan, and the inhibitory effect lasted for 5 h. MNZQ also exerted a significant anti-inflammatory effect against cotton pellet-induced granuloma formation. MNZQ at 1.62 and 4.86 g/kg could inhibit granuloma formation by 17.07% and 17.60%, respectively, whereas the percentage inhibition of diclofenac was 33.12%. CONCLUSIONS: The results obtained suggest that MNZQ possesses potential anti-inflammatory and analgesic activities. This study provides a scientific basis for the use of MNZQ in alleviating pain and treating inflammatory disorders.

TAT-Modified Martentoxin Displays Intravenous Antiseizure Activities.

Epilepsy is a chronic disease of brain dysfunction, which arises from imbalance between excitatory and inhibitory activities in neural circuits. Previously, we reported that peptide Martentoxin (MarTX), from scorpion Buthus martensii Karsch, displayed antiseizure activities by specifically inhibiting BK(α + ß4) channel currents. Injection of MarTX into the hippocampal region of mice significantly alleviated convulsive seizures. However, intravenous injection of MarTX had no antiepileptic efficacy due to the blood-brain barrier (BBB). To address this, here, we designed cell-penetrating peptide TAT-modified MarTX, in which the linker containing three glycines was put between TAT and the N-terminus of MarTX (forming MTX-N-TAT) or between TAT and the C-terminus of MarTX (forming MTX-C-TAT), respectively. We prepared them in a large amount through Escherichia coli overexpression system and then probed their antiseizure activities. Our results indicated that intravenous injection of MTX-C-TAT showed significant therapeutic efficacy of antiseizure. It increased seizure latency, reduced the total seizure duration and the number of seizures at stages 3, 4, and 5, inhibited hippocampal neuronal hyperexcitability, and exhibited neuroprotective effects on hippocampal neurons. These studies implied that MTX-C-TAT displayed intravenous antiseizure activities properly through crossing BBB and would be a potential antiepileptic drug in the future.

Accurate prediction of solvent flux in sub-1-nm slit-pore nanosheet membranes.

Nanosheet-based membranes have shown enormous potential for energy-efficient molecular transport and separation applications, but designing these membranes for specific separations remains a great challenge due to the lack of good understanding of fluid transport mechanisms in complex nanochannels. We synthesized reduced MXene/graphene hetero-channel membranes with sub-1-nm pores for experimental measurements and theoretical modeling of their structures and fluid transport rates. Our experiments showed that upon complete rejection of salt and organic dyes, these membranes with subnanometer channels exhibit remarkably high solvent fluxes, and their solvent transport behavior is very different from their homo-structured counterparts. We proposed a subcontinuum flow model that enables accurate prediction of solvent flux in sub-1-nm slit-pore membranes by building a direct relationship between the solvent molecule-channel wall interaction and flux from the confined physical properties of a liquid and the structural parameters of the membranes. This work provides a basis for the rational design of nanosheet-based membranes for advanced separation and emerging nanofluidics.

Simple physical approach to reducing frictional and adhesive forces on a TiO2 surface via creating heterogeneous nanopores.

A simple physical strategy to reduce the frictional and adhesive forces on TiO(2) films was proposed by constructing mesoporous TiO(2) films with heterogeneously distributed nanopores on the film surfaces. In comparison, TiO(2) films with densely packed nanoparticles were also prepared. The crystal structure and morphology of the films were characterized with Raman spectroscopy, field emission scanning electron microscopy (FESEM), and atomic force microscopy (AFM). It was found that the TiO(2)(B) phase exists in the mesoporuos TiO(2) films but not in the densely packed films. The existence of TiO(2)(B) plays a significant role in creating and maintaining the nanopores in the mesoporous TiO(2) films. The frictional and adhesive forces were measured on both films using AFM. The mesoporous films exhibit two typical adhesion forces of around 3 and 12 nN in the force distribution profile whereas the densely packed films show only one around 12 nN. The frictional coefficients were 2.6 × 10(-3) and 6.7 × 10(-2) for the mesoporous and densely packed TiO(2) films, respectively. A model based on the atomic structures of a thin film of water molecules adsorbed on TiO(2) surfaces leading to hydrophobic effects was proposed to understand the lower frictional and adhesive forces observed on the mesoporous TiO(2) films. This simple physical approach to reducing the frictional and adhesive forces on TiO(2) films could have broad applications to a variety of surface coatings.

Molecular behavior of water in TiO2 nano-slits with varying coverages of carbon: a molecular dynamics simulation study.

It is well known that titanium dioxide (TiO(2)) is biocompatible and environmentally friendly. Consequently, TiO(2) is widely applied in many fields, such as implant materials, photocatalysis, pigments, cosmetic additives, etc. Mesoporous TiO(2) finds many industrial applications, because of its high surface area and stable structure. However, the strong interaction between TiO(2) and water molecules sometimes limits its application to solution environments. Our previous computational work showed that changes to the surface chemistry of TiO(2) can affect the hydrogen bond network of water molecules on the TiO(2) surface, and so influence the diffusion of water in the slits. Thus, a carbon-modified TiO(2) surface could be an alternative way to avoid this limitation. In this work, a slit pore model with a modified TiO(2) surface (pore widths 1.2 nm, 1.6 nm and 2.0 nm) with varying carbon coverages (0%, 7%, 47%, 53%, 93% and 100%) was presented. Molecular dynamics (MD) simulations were then performed to investigate the sorption and diffusion of water in these slits. Simulation results showed that the interfacial water molecules on bare TiO(2) regions were little affected by the neighboring carbon, and they have the same properties as those on bare TiO(2) surfaces. However, the diffusion of water molecules in the center of the slit was enhanced on increase of carbon coverage, because the carbon layer broke the hydrogen bond network between the interfacial water molecules and those on the bare TiO(2) surface. It was found that in the slits (>1.2 nm) fully covered by carbon the diffusion coefficients of water are larger than that of bulk water. Moreover, large pore sizes caused an increase in the mobility of water molecules in carbon-modified TiO(2), in agreement with previous experimental work.

DFT study of coverage-depended adsorption of NH3 on TiO2-B (100) surface.

A previous study showed that TiO(2)-B (100) surface is very unique. It is characterised by high activity and a loose structure. In this study, we studied the adsorption of ammonia on TiO(2)-B (100) surface at coverages ranging from 1/6 ML to 1 ML using ab initio density functional calculations. We also investigated the adsorption of an isolated ammonia molecule on TiO(2)-B (001) surface to compare the different activities of TiO(2)-B (100) and (001) surfaces towards NH(3). The results showed that the TiO(2)-B (100) surface is more reactive towards NH(3) molecule than TiO(2)-B (001) surface, and the Lewis acid site on TiO(2)-B (100) surface is more acidic. The decrease rate of the average molecular adsorption energy of NH(3) with coverage on TiO(2)-B (100) surface is substantially lower than that on a rutile (011) surface above 1/2 ML coverage due to the open structure of TiO(2)-B (100) surface. The average molecular adsorption energy shows a linear dependence on the coverage of y = 111.0 - 36.3x on TiO(2)-B (100) surface. The possibility of NH(3) molecule onto the Ti(5c) site is nearly equal to forming a dimer with adsorbed NH(3) on TiO(2)-B (100) surface at 5/6 ML coverage.

Photodynamic effect of mesoporous material: titanium dioxide whiskers on SMMC-7721 cells.

In this report, we have fabricated a novel nanomaterial, titanium dioxide whiskers (TiO2Whs), and evaluate its photodynamic characters on Rhodamine B, where TiO2Whs exhibit better photocatalytic activity than titanium dioxide nanoparticles (TiO2NPs). After testing the biocompatibility, we further investigated the effects of TiO2Whs on human hepatocarcinoma cells (SMMC-7721 cells) under UV illumination from cell level, concentration-dependent effect level, time-dependent effect level, and finally genomic apoptosis level. Our results showed that TiO2Whs possess more obviously photo-killing effect on cancer cells compared with that of TiO2NPs. These studies implied that the novel nanomaterial, TiO2Whs, could be utilized as a promising biomedical agent and would have enormous potential application in photodynamic therapy for cancer treatment in the future.

Aerobic Physical Exercise as a Non-medical Intervention for Brain Dysfunction: State of the Art and Beyond.

Brain disorders, including stroke, Alzheimer's disease, depression, and chronic pain, are difficult to effectively treat. These major brain disorders have high incidence and mortality rates in the general population, and seriously affect not only the patient's quality of life, but also increases the burden of social medical care. Aerobic physical exercise is considered an effective adjuvant therapy for preventing and treating major brain disorders. Although the underlying regulatory mechanisms are still unknown, systemic processes may be involved. Here, this review aimed to reveal that aerobic physical exercise improved depression and several brain functions, including cognitive functions, and provided chronic pain relief. We concluded that aerobic physical exercise helps to maintain the regulatory mechanisms of brain homeostasis through anti-inflammatory mechanisms and enhanced synaptic plasticity and inhibition of hippocampal atrophy and neuronal apoptosis. In addition, we also discussed the cross-system mechanisms of aerobic exercise in regulating imbalances in brain function, such as the "bone-brain axis." Furthermore, our findings provide a scientific basis for the clinical application of aerobic physical exercise in the fight against brain disorders.

Atomic force microscopy probing interactions and microstructures of ionic liquids at solid surfaces.

Ionic liquids (ILs) are room temperature molten salts that possess preeminent physicochemical properties and have shown great potential in many applications. However, the use of ILs in surface-dependent processes, e.g. energy storage, is hindered by the lack of a systematic understanding of the IL interfacial microstructure. ILs on the solid surface display rich ordering, arising from coulombic, van der Waals, solvophobic interactions, etc., all giving near-surface ILs distinct microstructures. Therefore, it is highly important to clarify the interactions of ILs with solid surfaces at the nanoscale to understand the microstructure and mechanism, providing quantitative structure-property relationships. Atomic force microscopy (AFM) opens a surface-sensitive way to probe the interaction force of ILs with solid surfaces in the layers from sub-nanometers to micrometers. Herein, this review showcases the recent progress of AFM in probing interactions and microstructures of ILs at solid interfaces, and the influence of IL characteristics, surface properties and external stimuli is thereafter discussed. Finally, a summary and perspectives are established, in which, the necessities of the quantification of IL-solid interactions at the molecular level, the development of in situ techniques closely coupled with AFM for probing IL-solid interfaces, and the combination of experiments and simulations are argued.

Low-intensity exercise combined with sodium valproate attenuates kainic acid-induced seizures and associated co-morbidities by inhibiting NF-κB signaling in mice.

Sodium valproate (VPA) is a broad-spectrum anticonvulsant that is effective both in adults and children suffering from epilepsy, but it causes psychiatric and behavioral side effects in patients with epilepsy. In addition, 30% of patients with epilepsy develop resistance to VPA. At present, regular physical exercise has shown many benefits and has become an effective complementary therapy for various brain diseases, including epilepsy. Therefore, we wondered whether VPA combined with exercise would be more effective in the treatment of seizures and associated co-morbidities. Here, we used a mouse model with kainic acid (KA)-induced epilepsy to compare the seizure status and the levels of related co-morbidities, such as cognition, depression, anxiety, and movement disorders, in each group using animal behavioral experiment and local field potential recordings. Subsequently, we investigated the mechanism behind this phenomenon by immunological means. Our results showed that low-intensity exercise combined with VPA reduced seizures and associated co-morbidities. This phenomenon seems to be related to the Toll-like receptor 4, activation of the nuclear factor kappa B (NF-κB), and release of interleukin 1ß (IL-1ß), tumor necrosis factor α (TNF-α), and IL-6. In brief, low-intensity exercise combined with VPA enhanced the downregulation of NF-κB-related inflammatory response, thereby alleviating the seizures, and associated co-morbidities.

[Characteristics of crustaceans community structure and its relationship with environmental factors in Dachenyang Spawning Ground Reserve, China.] / å¤§é™ˆæ´‹äº§åµåœºä¿æŠ¤åŒºç”²å£³ç±»ç¾¤è½ç»“æž„ç‰¹å¾åŠå ¶ä¸ŽçŽ¯å¢ƒå› å­çš„å ³ç³».

To elucidate the characteristics of fishery resources structure in the Dachenyang Spaw-ning Ground Reserve, the index of relative importance (IRI), biodiversity index and canonical correspondence analysis (CCA) were used to explore the relationship between crustaceans community and marine environment based on the bottom trawl survey data collected from April and November in 2018. A total of 38 crustaceans species were recorded, belonged to 25 genera in 14 families. The dominant species were Oratosquilla oratoria, Portunus trituberculatus, Charybdis bimaculata, and Parapenaeopsis hardwickii. The resource density of crustaceans was generally high in depths below 50 m in spring and in depths above 50 m in autumn. The density in the southern area was higher than nouthern area. The Margalef species richness index (D), Shannon diversity index (H) and Pielou evenness index (J) of crustaceans in spring was higher than that in autumn. The H of crustaceans in depths above 50 m was the highest. Based on cluster analysis and non-matrix multidimentional scaling analysis, the crustaceans could be classified into three groups in spring and four groups in autumn. The differences in crustacean community structure in spring were more significant than in autumn. The results of canonical correspondence analysis (CCA) showed that water depth, bottom temperature, salinity and dissolved oxygen were the main environmental factors affecting species composition and spatial structure of crustaceans in the surveyed area.

Glycosylation of ß1 subunit plays a pivotal role in the toxin sensitivity and activation of BK channels.

BACKGROUND: The accessory ß1 subunits, regulating the pharmacological and biophysical properties of BK channels, always undergo post-translational modifications, especially glycosylation. To date, it remains elusive whether the glycosylation contributes to the regulation of BK channels by ß1 subunits. METHODS: Herein, we combined the electrophysiological approach with molecular mutations and biochemical manipulation to investigate the function roles of N-glycosylation in ß1 subunits. RESULTS: The results show that deglycosylation of ß1 subunits through double-site mutations (ß1 N80A/N142A or ß1 N80Q/N142Q) could significantly increase the inhibitory potency of iberiotoxin, a specific BK channel blocker. The deglycosylated channels also have a different sensitivity to martentoxin, another BK channel modulator with some remarkable effects as reported before. On the contrary to enhancing effects of martentoxin on glycosylated BK channels under the presence of cytoplasmic Ca2+, deglycosylated channels were not affected by the toxin. However, the deglycosylated channels were surprisingly inhibited by martentoxin under the absence of cytoplasmic Ca2+, while the glycosylated channels were not inhibited under this same condition. In addition, wild type BK (α+ß1) channels treated with PNGase F also showed the same trend of pharmacological results to the mutants. Similar to this modulation of glycosylation on BK channel pharmacology, the deglycosylated forms of the channels were activated at a faster speed than the glycosylated ones. However, the V1/2 and slope were not changed by the glycosylation. CONCLUSION: The present study reveals that glycosylation is an indispensable determinant of the modulation of ß1-subunit on BK channel pharmacology and its activation. The loss of glycosylation of ß1 subunits could lead to the dysfunction of BK channel, resulting in a pathological state.

Molecular Mechanisms of Epileptic Encephalopathy Caused by KCNMA1 Loss-of-Function Mutations.

The gene kcnma1 encodes the α-subunit of high-conductance calcium- and voltage-dependent K+ (BK) potassium channel. With the development of generation gene sequencing technology, many KCNMA1 mutants have been identified and are more closely related to generalized epilepsy and paroxysmal dyskinesia. Here, we performed a genetic screen of 26 patients with febrile seizures and identified a novel mutation of KCNMA1 (E155Q). Electrophysiological characterization of different KCNMA1 mutants in HEK 293T cells, the previously-reported R458T and E884K variants (not yet determined), as well as the newly-found E155Q variant, revealed that the current density amplitude of all the above variants was significantly smaller than that of the wild-type (WT) channel. All the above variants caused a positive shift of the I-V curve and played a role through the loss-of-function (LOF) mechanism. Moreover, the ß4 subunit slowed down the activation of the E155Q mutant. Then, we used kcnma1 knockout (BK KO) mice as the overall animal model of LOF mutants. It was found that BK KO mice had spontaneous epilepsy, motor impairment, autophagic dysfunction, abnormal electroencephalogram (EEG) signals, as well as possible anxiety and cognitive impairment. In addition, we performed transcriptomic analysis on the hippocampus and cortex of BK KO and WT mice. We identified many differentially expressed genes (DEGs). Eight dysregulated genes [i.e., (Gfap and Grm3 associated with astrocyte activation) (Alpl and Nlrp10 associated with neuroinflammation) (Efna5 and Reln associated with epilepsy) (Cdkn1a and Nr4a1 associated with autophagy)] were validated by RT-PCR, which showed a high concordance with transcriptomic analysis. Calcium imaging results suggested that BK might regulate the autophagy pathway from TRPML1. In conclusion, our study indicated that newly-found point E155Q resulted in a novel loss-of-function variant and the dysregulation of gene expression, especially astrocyte activation, neuroinflammation and autophagy, might be the molecular mechanism of BK-LOF meditated epilepsy.

Molecular dynamics simulation study of ionic hydration in negatively charged single-walled carbon nanotubes.

Molecular dynamics simulation is applied to study the surface charge effects on the hydration of Na+ and K+ confined in pristine and negatively charged carbon nanotubes (CNTs). The CNTs are modified through negative charges. The structural characteristics of the coordination shells of Na+ and K+ including the ion-oxygen radial distribution functions (RDFs), the coordination numbers and the orientation distributions of the water molecules are studied. The simulation results show that the orientation distributions of the water molecules in the first coordination shell of K+ are more sensitive to the wall charge than those of Na+. The electric field effects produced by the wall charge dominate in the CNTs with large diameter. On contrary, in the narrow CNTs, the confinement effects dominate.

Comparison of efficacy between sequential ventilation and conventional invasive mechanical ventilation in the treatment of pulmonary hypertension complicated with respiratory failure.

OBJECTIVE: Pulmonary hypertension (PAH) is a serious progressive and fatal pulmonary disease characterized by elevated pulmonary artery pressure. Mechanical sequential ventilation has been gradually applied in the treatment of patients with PAH complicated with RF, which can effectively reduce the incidence of VAP and better promote the recovery of respiratory function. This study is aimed to determine the efficacy of sequential ventilation and conventional invasive mechanical ventilation in the treatment of pulmonary hypertension (PAH) complicated with respiratory failure (RF). METHODS: A total of 198 patients with both PAH and RF admitted to our hospital were enrolled. Among them, 102 patients were treated with sequential ventilation as a study group (stu group), and 96 patients were treated with conventional invasive mechanical ventilation as a control group (con group). Then the two groups were compared in efficacy and related indexes before and after treatment. RESULTS: The stu group experienced significantly shorter invasive ventilation time, total mechanical ventilation time, and hospitalization time than the con group (all P<0.05), and showed a significantly lower complication rate than the con group (P<0.05). The reintubation rate, weaning failure rate, and ventilator-associated pneumonia (VAP) rate of the stu group were all significantly lower than those of the con group (all P<0.05), and the stu group showed significantly higher pondus hydrogenii (pH) and arterial partial pressure of oxygen (PaO2) and significantly lower arterial carbondioxide partial pressure (PaCO2) than the con group after treatment (all P<0.05). Additionally, after treatment, the level of brain natriuretic peptide (BNP) and pulmonary artery pressure in both groups declined significantly (P<0.05), and the decline of them in the stu group was more significant than that in the con group (P<0.05). Moreover, after treatment, endothelin (ET) and angiotensin II (Ang II) in both groups declined significantly, and the decline of them in the stu group was also more significant than that in the con group (P<0.05). CONCLUSION: Compared with conventional invasive mechanical ventilation, sequential ventilation can effectively minimize the treatment time of patients with PAH complicated with RF, reduce the incidences of adverse events and complications in them, and significantly improve the blood gas analysis indexes and BNP in them, so it is worthy of clinical promotion.