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Among breast cancer patients, metastases are the leading cause of death. Despite decades of effort, little progress has been made to improve the treatment of breast cancer metastases, especially triple-negative breast cancer (TNBC). The extracellular matrix plays an important role in tumour growth and metastasis by causing its deposition, remodelling, and signalling. As we know, the process of fibrosis results in excessive amounts of extracellular matrix being deposited within the cells. So, it will be interesting to study if the use of anti-fibrotic drugs in combination with conventional chemotherapy drugs can produce synergistic antitumor effects. In this study, we assessed the efficacy of Pirfenidone (PFD), an FDA-approved medication for the treatment of idiopathic pulmonary fibrosis, on TNBC cells as well as its anti-tumour effects in xenograft tumour model. PFD inhibited in a dose-dependent manner breast cancer cell proliferation, migration, and invasion, while promoted their apoptosis in vitro. PFD also suppressed TGF-ß-induced activation of Smad signalling pathway and expression level of EMT-inducing transcription factors (e.g. SNAI2, TWIST1, ZEB1) as well as the mesenchymal genes such as VIMENTIN and N-Cadherin. On the contrary, the expression level of epithelial marker gene E-Cadherin was up-regulated in the presence of PFD. In vivo, PFD alone exerted a milder but significant anti-tumour effect than the chemotherapy drug nanoparticle albumin-bound paclitaxel (nab-PTX) did in the breast cancer xenograft mouse model. Interestingly, PFD synergistically boosted the cancer-killing effect of nab-PTX. Furthermore, Our data suggest that PFD suppressed breast cancer metastasis by inhibiting the activity of the TGFß/SMAD pathway.
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Factor de Crecimiento Transformador beta , Neoplasias de la Mama Triple Negativas , Animales , Humanos , Ratones , Línea Celular Tumoral , Movimiento Celular , Transición Epitelial-Mesenquimal , Transducción de Señal , Factor de Crecimiento Transformador beta/metabolismo , Neoplasias de la Mama Triple Negativas/tratamiento farmacológico , Neoplasias de la Mama Triple Negativas/genética , Neoplasias de la Mama Triple Negativas/metabolismo , Proteínas Smad/metabolismoRESUMEN
Bone repair in real time is a challenging medical issue for elderly patients; this is mainly because aged bone marrow mesenchymal stem cells (BMSCs) possess limited osteogenesis potential and repair capacity. In this study, triboelectric stimulation technology is used to achieve bone repair via mechanosensation of Piezo1 by fabricating a wearable pulsed triboelectric nanogenerator (WP-TENG) driven by human body movement. A peak value of 30 µA has the optimal effects to rejuvenate aged BMSCs, enhance their osteogenic differentiation, and promote human umbilical vein endothelial cell tube formation. Further, previous studies demonstrate that triboelectric stimulation of a WP-TENG can reinforce osteogenesis of BMSCs and promote the angiogenesis of human umbilical vein endothelial cells (HUVECs). Mechanistically, aged BMSCs are rejuvenated by triboelectric stimulation via the mechanosensitive ion channel Piezo1. Thus, the osteogenesis potential of BMSCs is enhanced and the tube formation capacity of HUVECs is improved, which is further confirmed by augmented bone repair and regeneration in in vivo investigations. This study provides a potential signal transduction mechanism for rejuvenating aged BMSCs and a theoretical basis for bone regeneration using triboelectric stimulation generated by a WP-TENG.
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Células Madre Mesenquimatosas , Dispositivos Electrónicos Vestibles , Anciano , Células de la Médula Ósea , Diferenciación Celular/fisiología , Células Endoteliales de la Vena Umbilical Humana , Humanos , Canales Iónicos , OsteogénesisRESUMEN
The basolateral amygdala (BLA) is one of the key brain areas involved in aversive learning, especially fear memory formation. Studies of aversive learning in the BLA have largely focused on neuronal function, while the role of BLA astrocytes in aversive learning remains largely unknown. In this study, we manipulated the BLA astrocytes by expressing the Gq-coupled receptor hM3q and discovered that astrocytic Gq modulation during fear conditioning promoted auditorily cued fear memory but did not affect less stressful memory tasks or induce anxiety-like behavior. Moreover, chemogenetic activation of BLA astrocytes during memory retrieval had no effect on fear memory expression. In addition, astrocytic Gq activation increased c-Fos expression in the BLA and the medial prefrontal cortex (mPFC) during fear conditioning, but not in the home cage. Combining these results with retrograde virus tracing, we found that the activity of mPFC-projecting BLA neurons showed significant enhancement after astrocytic Gq activation during fear conditioning. Electrophysiology recordings showed that activating astrocytic Gq in the BLA promoted spike-field coherence and phase locking percentage, not only within the BLA but also between the BLA and the mPFC. Finally, direct chemogenetic activation of mPFC-projecting BLA neurons during fear conditioning enhanced cued fear memory. Taken together, our data suggest that astrocytes in the BLA may contribute to aversive learning by modulating amygdala-mPFC communication.
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Complejo Nuclear Basolateral , Amígdala del Cerebelo/fisiología , Astrocitos , Complejo Nuclear Basolateral/fisiología , Miedo/fisiología , Corteza Prefrontal/fisiologíaRESUMEN
BACKGROUND: The bony fusion of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis has not been explained in detail. We aimed to analyze the efficacy of bony fusion of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis. METHODS: We treated 32 thoracic or thoracolumbar tuberculosis patients by one-stage posterior debridement, allograft bone graft using titanium mesh, posterior instrumentation, and fusion from May 2011 to September 2015. The American Spinal Injury Association neurological classification, visual analog scale, and Oswestry disability index scores were analyzed preoperatively, postoperatively, and at final follow-up. The Cobb angles were recorded to evaluate the kyphosis correction and the loss of correction. The bony fusion was evaluated by X-ray and computed tomography images, and the bony fusion classifications were recorded. RESULTS: All patients had pain relief. The erythrocyte sedimentation rate, C-response protein, and hepatorenal function were normal at final follow-up. The American Spinal Injury Association neurological classification, visual analog scale, and Oswestry disability index scores were improved in all the patients. All patients achieved bone fusion. Twenty-eight patients achieved complete fusion (Grade I), whereas only four patients achieved partial fusion (Grade II). The preoperative Cobb angle was 33.6 ± 9.3°. The Cobb angle was reduced to 10.6 ± 2.6° postoperatively and was found to be 11.4 ± 3.1° at the final follow-up. The mean angle correction was 23.0 ± 8.9°, and the correction rate was 66.2 ± 12.2%. The mean angle lost was 0.8 ± 0.9°, and the lost rate was 5.8 ± 5.4% at the final follow-up. CONCLUSIONS: Allograft bone using titanium mesh in the posterior-only surgical treatment is effective for patients with thoracic and thoracolumbar spinal tuberculosis. It can correct kyphosis, and most patients can achieve complete bony fusion.
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Trasplante Óseo/métodos , Mallas Quirúrgicas , Tuberculosis de la Columna Vertebral/cirugía , Adulto , Anciano , Desbridamiento/métodos , Femenino , Humanos , Cifosis/cirugía , Masculino , Persona de Mediana Edad , Radiografía , Procedimientos de Cirugía Plástica , Estudios Retrospectivos , Fusión Vertebral/métodos , Vértebras Torácicas/cirugía , Titanio , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Adulto JovenRESUMEN
Distributed stochastic optimization (DSO) with local set constraints and coupled inequality constraints over a multiagent network is considered in this article. Usually, such problems are tackled by projected primal-dual methods, which require expensive projection operations when set constraints are complicated. In this context, this article focuses on the Frank-Wolfe (FW) framework, which provides computational simplicity by avoiding expensive projection operations, for solving DSO with local set and coupled inequality constraints. By combining recursive momentum and weighted averaging, this article proposes a distributed stochastic FW primal-dual algorithm (DSFWPD), which is the first stochastic FW solver for DSO problems with coupled constraints. The proposed algorithm achieves zero constraint violation on average with a sublinear decay of the optimality gap over a directed and time-varying network. The efficacy of DSFWPD is demonstrated by several numerical experiments.
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Introduction: This study is a systematic review and meta-analysis that investigates the efficacy of different surgical methods for treating cervical disc herniation or cervical foraminal stenosis. Research question: The research aimed to compare the efficacy of Minimally Invasive Posterior Cervical Foraminotomy (MI-PCF) with anterior approaches, namely Anterior Cervical Discectomy and Fusion (ACDF) and Cervical Disc Arthroplasty (CDA). Material and methods: The study included a comprehensive review of eight articles that compared ACDF and MI-PCF, and four articles that compared CDA to MI-PCF. Results: The results indicated no significant difference in surgical duration, hospital stay, complication rates, and reoperation rates between MI-PCF and ACDF. However, when comparing CDA with MI-PCF, it was found that CDA had a higher complication rate, while MI-PCF had a higher reoperation rate. Discussion and conclusion: Despite these findings, the study recommends MI-PCF as the preferred surgical method for cervical radiculopathy, owing to the advancements in minimally invasive techniques. However, these findings are preliminary, and further research with longer follow-up periods and larger sample sizes is necessary to confirm these findings and to further explore the potential advantages and disadvantages of these surgical methods.
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OBJECTIVE: To provide a basis for the choice of anterior surgery procedures in the treatment of cervical spondylotic myelopathy (CSM) through long-term follow-up. METHODS: A consecutive series of 89 patients with CSM having complete follow-up data were analyzed retrospectively. All patients were treated with anterior cervical discectomy and fusion (ACDF), and anterior cervical corpectomy and fusion (ACCF) from July 2000 to June 2007. The lesions were located in one segment (n = 25), two segments (n = 56), and three segments (n = 8). Preoperative and postoperative, the C2-C7 angle, cervical intervertebral height, radiographic fusion status, result of the adjacent segment degeneration, the Japanese Orthopaedic Association (JOA), and the Short Form 36-item (SF36) questionnaire scores were used to evaluate the efficacy of the surgery. RESULTS: According to the different compression conditions of the 89 cases, different anterior operation procedures were chosen and satisfactory results were achieved, indicating that direct anterior decompressions were thorough and effective. The follow-up period was 60-108 months, and the average was 79.6 months. The 5-year average symptom improvement rate, effectiveness rate, and fineness rate were 78.36 %, 100 % (89/89), and 86.52 % (77/89), respectively. CONCLUSIONS: For CSM with compression coming from the front side, proper anterior decompression based on the specific conditions could directly eliminate the compression. Through long-term follow-up, the effect of decompression became observable.
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Vértebras Cervicales/cirugía , Compresión de la Médula Espinal/etiología , Espondilosis/cirugía , Adulto , Anciano , Femenino , Estudios de Seguimiento , Humanos , Disco Intervertebral/cirugía , Masculino , Persona de Mediana Edad , Procedimientos Ortopédicos/métodos , Fusión VertebralRESUMEN
The purpose of the present study was to observe the structure and functional change of the bone-coating-prosthesis interface in vivo and to evaluate the histocompatibility of self-made prosthetic femoral components in the body and the degree of their bonding with the surrounding bone tissues as well as their stability. Six mature beagle dogs underwent bilateral hip replacement with prosthetic femur components. Three groups were established in terms of different coating of prothesis (four joints in each group): atmosphere (A) plasma-sprayed pure titanium (Ti) prosthetic joint with hydroxyapatite (HA) coating (HA+Ti+A group); vacuum (V) plasma-sprayed pure Ti prosthetic joint with HA coating (HA+Ti+V group); vacuum plasma-sprayed pure Ti prosthetic joint with Ti-HA stepped coating (Ti+HAG+Ti+V group). The hip joints were functionally evaluated, and subjected to X-ray examination, biomechanics inspection, and histological examination. As a result, X-ray imaging revealed all prosthetic joints were in a good location and no dislocation of joint was found. Shear strength of interface was significantly higher in Ti+HAG+Ti+V group than in HA+Ti+V group (P<0.05) and HA+Ti+A group (P<0.05) at 28th week. Histological examination showed the amount of newborn bone in Ti+HAG+Ti+V group was more than in HA+Ti+V group and HA+Ti+A group after 28 weeks. It was suggested that vacuum plasma-sprayed pure Ti prosthetic joint with TI-HA stepped coating could improve the bonding capacity of bone-prosthesis, enhance the stability of prosthesis, and increase the fixion of prosthetic femoral components because of better bone growth. This new type of biological material in prosthetic femoral components holds promises for application in clinical practice.
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Fenómenos Biomecánicos/efectos de los fármacos , Desarrollo Óseo/efectos de los fármacos , Materiales Biocompatibles Revestidos/farmacología , Durapatita/farmacología , Fémur/efectos de los fármacos , Titanio/farmacología , Animales , Fenómenos Biomecánicos/fisiología , Desarrollo Óseo/fisiología , Perros , Fémur/fisiología , Prótesis e Implantes , VacioRESUMEN
This article proposes a distributed stochastic algorithm with variance reduction for general smooth non-convex finite-sum optimization, which has wide applications in signal processing and machine learning communities. In distributed setting, a large number of samples are allocated to multiple agents in the network. Each agent computes local stochastic gradient and communicates with its neighbors to seek for the global optimum. In this article, we develop a modified variance reduction technique to deal with the variance introduced by stochastic gradients. Combining gradient tracking and variance reduction techniques, this article proposes a distributed stochastic algorithm, gradient tracking algorithm with variance reduction (GT-VR), to solve large-scale non-convex finite-sum optimization over multiagent networks. A complete and rigorous proof shows that the GT-VR algorithm converges to the first-order stationary points with O(1/k) convergence rate. In addition, we provide the complexity analysis of the proposed algorithm. Compared with some existing first-order methods, the proposed algorithm has a lower O(PMϵ-1) gradient complexity under some mild condition. By comparing state-of-the-art algorithms and GT-VR in numerical simulations, we verify the efficiency of the proposed algorithm.
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In this article, the distributed cooperative control problem of redundant mobile manipulators is investigated. A novel method is proposed to solve the problem by integrating formation control with constrained optimization, which not only transports the object along a reference trajectory in a distributed manner but also obtains the dexterous joint postures and end-effector displacements under safety constraints for collision avoidance. For the constrained optimization, the cost function and safety constraints are designed to quantify the mobility and manipulability of mobile manipulators, and collision-free working ranges with the object and obstacles, respectively. A discontinuous projected primal-dual algorithm with damping terms is proposed to solve the constrained optimization problem, providing the joint postures and end-effector displacements, which minimize the cost function and satisfy safety constraints. For the formation control, a finite-time control law, guided by end-effector displacements from the primal-dual algorithm, is developed in order to transport the object by establishing a prescribed formation and moving its centroid to track the reference trajectory. The cooperative manipulation is therefore achieved by the proposed method, which is further validated through numerical simulations.
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We report a case of late-onset Schnitzler syndrome successfully treated with Janus-activated kinase (JAK) inhibitors and colchicine. Schnitzler syndrome should be considered for recurrent chronic urticaria when accompanied by fever, fatigue, rapid weight loss, and poor response to antihistamine treatment. Skin biopsy, bone marrow biopsy, and electrophoresis help confirm the diagnosis. Early diagnosis and treatment can lead to complete resolution of symptoms. Besides interleukin (IL)-1 and IL-6 inhibitors, JAK inhibitors and colchicine may be considered as other choices of treatment.
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Síndrome de Schnitzler , Urticaria , Humanos , Síndrome de Schnitzler/diagnóstico , Síndrome de Schnitzler/tratamiento farmacológico , Colchicina/uso terapéutico , Urticaria/diagnóstico , Piperidinas/uso terapéutico , Interleucina-1RESUMEN
This article proposes a distributed optimization design to compute continuous-time algebraic Riccati inequalities (ARIs), where the information of matrices is distributed among agents. We propose a design procedure to tackle the nonlinearity, the inequality, and the coupled information structure of ARI; then, we design a distributed algorithm based on an optimization approach and analyze its convergence properties. The proposed algorithm is able to verify whether ARI is feasible in a distributed way and converges to a solution if ARI is feasible for any initial condition.
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The problem of solving discrete-time Lyapunov equations (DTLEs) is investigated over multiagent network systems, where each agent has access to its local information and communicates with its neighbors. To obtain a solution to DTLE, a distributed algorithm with uncoordinated constant step sizes is proposed over time-varying topologies. The convergence properties and the range of constant step sizes of the proposed algorithm are analyzed. Moreover, a linear convergence rate is proved and the convergence performances over dynamic networks are verified by numerical simulations.
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The nonsmooth finite-sum minimization is a fundamental problem in machine learning. This article develops a distributed stochastic proximal-gradient algorithm with random reshuffling to solve the finite-sum minimization over time-varying multiagent networks. The objective function is a sum of differentiable convex functions and nonsmooth regularization. Each agent in the network updates local variables by local information exchange and cooperates to seek an optimal solution. We prove that local variable estimates generated by the proposed algorithm achieve consensus and are attracted to a neighborhood of the optimal solution with an O((1/T)+(1/âT)) convergence rate, where T is the total number of iterations. Finally, some comparative simulations are provided to verify the convergence performance of the proposed algorithm.
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OBJECTIVE: This retrospective case-control study aimed to evaluate and compare the clinical outcomes of full-endoscopic visualized foraminoplasty and discectomy (FEVFD) with microdiscectomy (MD) for lumbar disc herniation (LDH). METHODS: Data from 198 patients who presented with LDH between January 2016 and December 2017 treated by either FEVFD or MD were retrospectively analyzed. The inclusion criteria were single-level LDH, unilateral radiating leg pain with or without positive Lasegue's sign, and failure of standard conservative treatment for at least 12 weeks. The patients were categorized into an FEVFD group (n = 102) or an MD group (n = 96), according to the surgical procedure performed. Operative time, time in bed after surgery, postoperative hospitalization time, complications, and reoperations were recorded. Visual analog scales (VAS) for leg and back pain, Oswestry Disability index (ODI), 36-Item Short-Form Health Survey physical function (SF36-PF), and bodily pain (SF36-BP) scores were assessed and compared between the two groups. RESULTS: The demographic data and baseline characteristics of the two groups were not significantly different. Operative time for the FEVFD group (73.82 ± 20.73 min) was longer than that for the MD group (64.74 ± 17.37 min) (P = 0.003), and fluoroscopy time for the FEVFD group (1.71 ± 0.58s) was longer than that for the MD group (1.30 ± 0.33s) (P < 0.001). However, time in bed experienced in the FEVFD group (8.51 ± 2.10 h) was less than that in the MD group (9.24 ± 2.01 h) (P = 0.014), and postoperative hospitalization time experienced in the FEVFD group (2.89 ± 0.83d) was also shorter than that in the MD group (4.94 ± 1.35d) (P < 0.001). All patients completed 24 months of follow-up. Postoperative scores at each follow-up for the VAS for leg and back pain, ODI, SF36-PF, and SF36-BP all improved significantly for both groups, as compared to the preoperative data (P < 0.05). The mean preoperative and postoperative scores for the VAS for leg and back pain, ODI, SF36-PF, and SF36-BP were not significantly different between the two groups. According to the modified MacNab criteria, the outcomes of the procedures were rated as excellent or good by 92.16% and 93.75% of the patients in the FEVFD and MD groups, respectively. One patient suffered a nerve root injury during the discectomy, one patient suffered from a dural tear, and two patients suffered from a residual herniation in the FEVFD group. One patient in the MD group suffered from poor wound healing. Moreover, recurrence happened in two cases in the FEVFD group, and in one case in the MD group. CONCLUSION: FEVFD and MD are both reliable techniques for the treatment of symptomatic LDH. FEVFD resulted in a more rapid recovery and equivalent clinical outcomes after 24 months of follow-up.
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Discectomía Percutánea , Desplazamiento del Disco Intervertebral , Estudios de Casos y Controles , Discectomía/efectos adversos , Discectomía/métodos , Discectomía Percutánea/métodos , Endoscopía/métodos , Humanos , Desplazamiento del Disco Intervertebral/diagnóstico por imagen , Desplazamiento del Disco Intervertebral/cirugía , Vértebras Lumbares/diagnóstico por imagen , Vértebras Lumbares/cirugía , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
OBJECTIVE: To compare the clinical outcomes of uniportal and biportal lumbar endoscopic unilateral laminotomy for bilateral decompression (LE-ULBD) in patients with lumbar spinal stenosis. METHODS: A retrospective pair-matched case-control analysis of 72 patients with lumbar spinal stenosis was performed. According to the surgical procedure used, the patients were classified into 2 groups: 1) uniportal LE-ULBD and 2) biportal LE-ULBD. Clinical outcomes were assessed using the visual analog scale score, Oswestry Disability Index score, and Macnab criteria, and the results were compared between the groups. RESULTS: All patients were successfully treated with either uniportal or biportal LE-ULBD. The surgical duration in the biportal LE-ULBD group was significantly shorter than in the uniportal LE-ULBD group (P < 0.001). The time to ambulation and the length of hospitalization in the 2 groups were not significantly different. The visual analog scale and Oswestry Disability Index scores improved significantly after surgery in both groups (P < 0.001). Based on the Macnab criteria, 33 (91.7%) patients in the uniportal LE-ULBD group and 34 (94.4%) patients in the biportal LE-ULBD group were rated as having an excellent or good outcome. Additionally, intraoperative epineurium injury was observed in both the LE-ULBD groups. CONCLUSIONS: Both uniportal and biportal LE-ULBD procedures are safe and effective for treating patients with lumbar spinal stenosis. It is more feasible to decompress the spinal canal during biportal LE-ULBD than during uniportal LE-ULBD.
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Estenosis Espinal , Estudios de Casos y Controles , Descompresión Quirúrgica/métodos , Humanos , Laminectomía/métodos , Vértebras Lumbares/cirugía , Estudios Retrospectivos , Estenosis Espinal/diagnóstico por imagen , Estenosis Espinal/cirugía , Resultado del TratamientoRESUMEN
Advanced oxidation processes (AOPs) based on persulfate (PS) has attracted great attention due to its high efficiency for degradation of organic pollutants. Manganese-based materials have been considered as the desirable catalysts for in-situ chemical oxidation since they are abundant in the earth's crust and environment-friendly. In this study, manganese oxyhydroxide (MnOOH) was used as an activator for PS to degrade p-chloroaniline (PCA) from wastewater. The effects of MnOOH dosage, PS dosage and initial pH on PCA degradation performance were studied. Experimental results showed that PCA degradation efficiency was enhanced by higher MnOOH and PS addition, and the degradation efficiency was slightly inhibited as the initial pH increased from 3 to 9. MnOOH showed excellent stability and reusability when used as the activator of PS. In addition, a comprehensive study was conducted to determine the PS activation mechanism. The results revealed that PS activation by MnOOH followed a nonradical mechanism. No 1O2 was generated, and the main active substance in the reaction was the activated PS molecule on the surface of MnOOH. The hydroxyl group on the catalyst surface acted as a bridge connecting PS and the catalyst, leading to the activation of PS. The intermediates during PCA degradation were also analyzed, and three possible degradation pathways of PCA were proposed. This study expects to deepen the understanding of the PS activation mechanism by manganese oxide, and provides technical support for the practical application of AOPs of manganese-based materials for wastewater treatment.
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Contaminantes Químicos del Agua , Purificación del Agua , Manganeso , Compuestos Orgánicos , Oxidación-Reducción , Sulfatos , Contaminantes Químicos del Agua/análisisRESUMEN
Mechanical stimulation plays a crucial part in the development of intervertebral disc degeneration (IDD). Extracellular matrix (ECM) stiffness, which is a crucial mechanical microenvironment of the nucleus pulposus (NP) tissue, contributes to the pathogenesis of IDD. The mechanosensitive ion channel Piezo1 mediates mechanical transduction. This study purposed to investigate the function of Piezo1 in human NP cells under ECM stiffness. The expression of Piezo1 and the ECM elasticity modulus increased in degenerative NP tissues. Stiff ECM activated the Piezo1 channel and increased intracellular Ca2+ levels. Moreover, the activation of Piezo1 increased intracellular reactive oxygen species (ROS) levels and the expression of GRP78 and CHOP, which contribute to oxidative stress and endoplasmic reticulum (ER) stress. Furthermore, stiff ECM aggravated oxidative stress-induced senescence and apoptosis in human NP cells. Piezo1 inhibition alleviated oxidative stress-induced senescence and apoptosis, caused by the increase in ECM stiffness. Finally, Piezo1 silencing ameliorated IDD in an in vivo rat model and decreased the elasticity modulus of rat NP tissues. In conclusion, we identified the mechanosensitive ion channel Piezo1 in human NP cells as a mechanical transduction mediator for stiff ECM stimulation. Our results provide novel insights into the mechanism of mechanical transduction in NP cells, with potential for treating IDD.
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Apoptosis , Senescencia Celular , Matriz Extracelular/metabolismo , Degeneración del Disco Intervertebral/patología , Canales Iónicos/metabolismo , Mecanotransducción Celular , Estrés Oxidativo , Adolescente , Adulto , Anciano , Animales , Fenómenos Biomecánicos , Progresión de la Enfermedad , Chaperón BiP del Retículo Endoplásmico , Estrés del Retículo Endoplásmico , Femenino , Técnicas de Silenciamiento del Gen , Humanos , Masculino , Persona de Mediana Edad , Modelos Biológicos , Núcleo Pulposo/patología , Ratas Sprague-Dawley , Especies Reactivas de Oxígeno/metabolismo , Regulación hacia Arriba , Adulto JovenRESUMEN
Posterior fixation is superior to anterior fixation in the correction of kyphosis and maintenance of spinal stability for the treatment of thoracic spinal tuberculosis. However, the process of selecting the appropriate spinal fixation method remains controversial, and preoperative biomechanical evaluation has not yet been investigated. In this study, we aimed to analyze the application of the assisted finite element analysis (FEA) and the three-dimensional (3D) printed model for the patient-specific preoperative planning of thoracic spinal tuberculosis. An adult patient with thoracic spinal tuberculosis was included. A finite element model of the T7-T11 thoracic spine segments was reconstructed to analyze the biomechanical effect of four different operative constructs. The von Mises stress values of the implants in the vertical axial load and flexion and extension conditions under a 400-N vertical axial pre-load and a 10-Nâ m moment were calculated and compared. A 3D printed model was used to describe and elucidate the patient's condition and simulate the optimal surgical design. According to the biomechanical evaluation, the patient-specific preoperative surgical design was prepared for implementation. The anterior column, which was reconstructed with titanium alloy mesh and a bone graft with posterior fixation using seven pedicle screws (M+P) and performed at the T7-T11 level, decreased the von Mises stress placed on the right rod, T7 pedicle screw, and T11 pedicle. Moreover, the M+P evaded the left T9 screw without load bearing. The 3D printed model and preoperative surgical simulation enhanced the understanding of the patient's condition and facilitated patient-specific preoperative planning. Good clinical results, including no complication of implants, negligible loss of the Cobb angle, and good bone fusion, were achieved using the M+P surgical design. In conclusion, M+P was recommended as the optimal method for preoperative planning since it enabled the preservation of the normal vertebra and prevented unnecessary internal fixation. Our study indicated that FEA and the assisted 3D printed model are tools that could be extremely useful and effective in the patient-specific preoperative planning for thoracic spinal tuberculosis, which can facilitate preoperative surgical simulation and biomechanical evaluation, as well as improve the understanding of the patient's condition.
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In this study, the effect of ball milling on pyrite (FeS2) promoting arsenic (As) removal by zero-valent iron (Fe0) was investigated. The influences of different mass ratios of ball-milled FeS2/Fe0, the dosage of ball-milled FeS2/Fe0 used and initial pH value were evaluated by batch experiments. The results showed that the ball-milled FeS2/Fe0 system had a higher total As removal efficiency than the mixed FeS2-Fe0 system, ball-milled FeS2 and ball-milled Fe0 systems in equal mass. Higher As removal efficiency in ball-milled FeS2/Fe0 system was primarily related to the accelerated corrosion of Fe0, which was supported by the determination of total Fe2+ release and electrochemical experiments. SEM-EDS and XPS characterizations revealed that there were iron sulfides (Fe(II)-S and Fe(III)-S) produced on the surface of Fe0 in ball-milled FeS2/Fe0, which could facilitate the electron transfer of Fe0 and enhanced the corrosion of it. BET test also indicated that ball-milled FeS2/Fe0 possessed a higher specific surface area than ball-milled Fe0. In addition, the results also showed the optimum mass ratio of FeS2 and Fe0 in ball-milled FeS2/Fe0 to remove As ([As(III)] = 2 mg/L) was 1:1, and the optimum dosage was 0.5 g/L, thereby indicating the optimal As:Fe0 molar ratio was about 1:168. And the removal rate of As by ball-milled FeS2/Fe0 was faster in acidic condition than that in alkaline condition. These findings suggest that Fe0-based arsenic removal efficiency can be enhanced by ball-milling with FeS2, making it more feasible for remediation of arsenic-polluted water.