Influence of genetic variants on remifentanil sensitivity in Chinese women.

WHAT IS KNOWN AND OBJECTIVE: Significant individual differences have been observed in pain sensitivity and analgesic effect of opioids. Previous studies have shown that genetic factors contributed to analgesics requirement obviously. Therefore, we investigated the role of genetic polymorphisms in the sensitivity to the analgesic effect of remifentanil in this study. METHODS: One hundred thirty-seven patients undergoing gynaecological surgery were observed. Before procedures, we measured the basal pain threshold of each patient, including the pressure pain threshold and pressure pain tolerance threshold. Subsequently, patients received a continuous remifentanil infusion for 15 min at a constant rate of 0.2 µg/(kg min). The pain thresholds were measured again after the remifentanil infusion. Moreover, respiratory depression was estimated using oxygen saturation during infusion. DNA was extracted from peripheral venous blood and genotyped using SNaPshot technology. RESULTS AND DISCUSSION: Polymorphisms were found in genes associated with the individual variation in analgesia. Participants carrying OPRM1 rs9397685 AA, ADRB1 rs1801253 CC, and GCH1 rs8007267 CC polymorphisms showed higher sensitivity to analgesic effect induced by remifentanil, and the participants carrying the OPRD1 rs2234918 TT showed lower sensitivity to remifentanil-related respiratory depression. Moreover, individual susceptibility to remifentanil increases with age. WHAT IS NEW AND CONCLUSION: Gene variation in OPRM1 rs9397685 AA, ADRB1 rs1801253 CC, GCH1 rs8007267 CC, and OPRD1 rs2234918 TT were related to the conspicuous interindividual differences in the analgesia and respiratory depression of remifentanil, mainly by affecting the target protein receptors and relative metabolic enzymes.

Study on Interference Connection Based on Shape Recovery of NiTiNb Shape Memory Alloy.

Interference connection is an effective method for improving the fatigue life of bolt connections. In this paper, a new method of interference connection was designed based on the shape memory effect of shape memory alloy. Using the method of numerical simulation, a finite element model was established to analyze the stress-strain rule of the bolt and the hole wall under different interference fit sizes. The results show that the stress concentration is formed at the orifice of the connecting plate. When the interference fit size is less than 1%, the connection hole has elastic deformation. When the interference fit size is 1.5%, the hole wall has plastic deformation. When the interference fit size is 2.5%, the maximum stress on the connecting plate is close to the tensile limit of the material. If the interference fit size continues to increase, the strength of the connection structure will be damaged. The connection experiments with different interference fit size were designed, and the interference force was calculated by the pull-out force. The experimental results were compared with the numerical simulation results. The change trend of the interference force with the interference fit size is consistent, which verifies the rationality of the finite element simulation.