RESUMO
Hypertension is usually accompanied by elevated sympathetic tonicity, but how sympathetic hyperactivity is triggered is not clear. Recent advances revealed that microglia-centered neuroinflammation contributes to sympathetic excitation in hypertension. In this study, we performed a temporospatial analysis of microglia at both morphological and transcriptomic levels and found that microglia in the hypothalamic paraventricular nucleus (PVN), a sympathetic center, were early responders to hypertensive challenges. Vasculature analyses revealed that the PVN was characterized by high capillary density, thin vessel diameter, and complex vascular topology relative to other brain regions. As such, the PVN was susceptible to the penetration of ATP released from the vasculature in response to hemodynamic disturbance after blood pressure increase. Mechanistically, ATP ligation to microglial P2Y12 receptor was responsible for microglial inflammatory activation and the eventual sympathetic overflow. Together, these findings identified a distinct vasculature pattern rendering vulnerability of PVN pre-sympathetic neurons to hypertension-associated microglia-mediated inflammatory insults.
RESUMO
Although many studies have addressed the regulatory circuits affecting neuronal activities, local non-synaptic mechanisms that determine neuronal excitability remain unclear. Here, we found that microglia prevented overactivation of pre-sympathetic neurons in the hypothalamic paraventricular nucleus (PVN) at steady state. Microglia constitutively released platelet-derived growth factor (PDGF) B, which signaled via PDGFRα on neuronal cells and promoted their expression of Kv4.3, a key subunit that conducts potassium currents. Ablation of microglia, conditional deletion of microglial PDGFB, or suppression of neuronal PDGFRα expression in the PVN elevated the excitability of pre-sympathetic neurons and sympathetic outflow, resulting in a profound autonomic dysfunction. Disruption of the PDGFBMG-Kv4.3Neuron pathway predisposed mice to develop hypertension, whereas central supplementation of exogenous PDGFB suppressed pressor response when mice were under hypertensive insult. Our results point to a non-immune action of resident microglia in maintaining the balance of sympathetic outflow, which is important in preventing cardiovascular diseases.
Assuntos
Hipertensão , Microglia , Animais , Hipertensão/metabolismo , Camundongos , Neurônios/fisiologia , Potássio/metabolismo , Proteínas Proto-Oncogênicas c-sis/metabolismo , Receptor alfa de Fator de Crescimento Derivado de Plaquetas/metabolismoRESUMO
Pericyte is an indispensable cellular constituent of blood-brain barrier (BBB) and its homeostasis heavily rely on PDGFB-PDGFRß signaling. However, the primary cellular sources of PDGFB in the central nervous system (CNS) are unclear. Microglia is not considered a component of BBB and its role in maintaining BBB integrity in steady state is controversial. In this study, by analyzing transcriptomic data and performing in situ hybridization, we revealed a transition of the primary central PDGFB producers from endothelial cells in newborns to microglia in adults. Acute loss of microglial PDGFB profoundly impaired BBB integrity in adult but not newborn mice, and thus, adult mice deficient of microglial PDGFB could not survive from a sublethal endotoxin challenge due to rampant microhemorrhages in the CNS. In contrast, acute abrogation of endothelial PDGFB had minimal effects on the BBB of adult mice but led to a severe impairment of CNS vasculature in the neonates. Moreover, we found that microglia would respond to a variety of BBB insults by upregulating PDGFB expression. These findings underscore the physiological importance of the microglia-derived PDGFB to the BBB integrity of adult mice both in steady state and under injury.
Assuntos
Barreira Hematoencefálica , Microglia , Animais , Camundongos , Barreira Hematoencefálica/metabolismo , Sistema Nervoso Central/metabolismo , Células Endoteliais/metabolismo , Microglia/metabolismo , Proteínas Proto-Oncogênicas c-sis/metabolismoRESUMO
Reperfusion injury, which is distinct from ischaemic injury, occurs when blood flow is restored in previously ischaemic brain tissue, further compromising neurons and other cells and worsening the injury. There is currently a lack of pharmaceutical agents and therapeutic interventions that specifically mitigate cerebral ischaemia/reperfusion (I/R) injury. Ginsenoside Rg1 (Rg1), a protopanaxatriol-type saponin isolated from Panax ginseng C. A. Meyer, has been found to protect against cerebral I/R injury, but its intricate protective mechanisms remain to be elucidated. Numerous studies have shown that autophagy plays a crucial role in protecting brain tissue during the I/R process and is emerging as a promising therapeutic strategy for effective treatment. In this study, we investigated whether Rg1 protected against I/R damage in vitro and in vivo by regulating autophagy. Both MCAO and OGD/R models were established. SK-N-AS and SH-SY5Y cells were subjected to OGD followed by reperfusion with Rg1 (4-32 µM). MCAO mice were injected with Rg1 (30 mg·kg-1·d-1. i.p.) for 3 days before and on the day of surgery. Rg1 treatment significantly mitigated ischaemia/reperfusion injury both in vitro and in vivo. Furthermore, we demonstrated that the induction of autophagy contributed to I/R injury, which was effectively inhibited by Rg1 in both in vitro and in vivo models of cerebral I/R injury. Rg1 inhibited autophagy through multiple steps, including impeding autophagy initiation, inducing lysosomal dysfunction and inhibiting cathepsin enzyme activities. We revealed that mTOR activation was pivotal in mediating the inhibitory effect of Rg1 on autophagy. Treatment with Torin-1, an autophagy inducer and mTOR-specific inhibitor, significantly reversed the impact of Rg1 on autophagy, decreasing its protective efficacy against I/R injury both in vitro and in vivo. In conclusion, our results suggest that Rg1 may serve as a promising drug candidate against cerebral I/R injury by inhibiting autophagy through activation of mTOR signalling.
RESUMO
INTRODUCTION: This study aimed to evaluate the relationship between 2-h post-load minus fasting plasma glucose (2hPG-FPG) and 1-year clinical outcomes, such as death, stroke recurrence, and modified Rankin Scale (mRS) ≥2-3 among acute ischemic stroke (AIS) patients without diabetes mellitus (DM) history. METHODS: 1,214 AIS patients without DM history, obtained from ACROSS-China, were divided into 4 quartiles, based on 2hPG-FPG measurements obtained 14 days post-admission. Four models were constructed using multivariate Cox and logistic regression analyses, based on the inclusion of age, gender, trial of ORG 10172 in acute stroke treatment, NIH Stroke Scale scores (model 1), plus 10 other clinical parameters (model 2), plus newly diagnosed DM (NDDM) post-admission (model 3), plus 2hPG and FPG (model 4). Associations found from those 4 models between 2hPG-FPG and 1-year clinical outcomes were confirmed via stratification, multiplicative interaction, sensitivity, and restricted cubic spline analyses. RESULTS: The highest quartile of 2hPG-FPG, after adjusting for variables, such as stroke severity (model 2), was independently associated with death, stroke recurrence, and mRS ≥2-3 (odds ratio [OR] = 3.95, 2.96, 4.15, and 4.83, respectively, all p < 0.0001). Increased 2hPG-FPG remained independently associated with mRS ≥2-3 in models 3-4, as well as increased mRS ≥2 under stratification analyses among both non-NDDM and NDDM patients. CONCLUSION: 2hPG-FPG is a relatively specific indicator of poorer 1-year clinical prognoses among AIS patients, independent of NDDM, 2hPG, and FPG post-hospital admission. Therefore, the oral glucose tolerance test could be a useful approach for detecting a higher likelihood for developing poorer prognoses among patients without DM history.
Assuntos
Diabetes Mellitus Tipo 2 , Diabetes Mellitus , AVC Isquêmico , Acidente Vascular Cerebral , Humanos , Glicemia , Diabetes Mellitus/diagnóstico , AVC Isquêmico/diagnóstico , AVC Isquêmico/terapia , Prognóstico , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/terapiaRESUMO
A 42-year-old woman with reversible splenial lesion syndrome (RESLES) and rectal adenocarcinoma presented with sudden-onset delirium after the sixth cycle of her chemotherapy drug, oral tegafur-uracil (300 mg/m/day, days 1-14, with treatment cycle repeated every 21 days). Accompanied by the anti-CV2 antibody, paraphasia, and a loss of bimanual coordination, the patient's etiology and clinical manifestations of RESLES are unlike those of other reported cases of RESLES. Tegafur-uracil is an oral fluoropyrimidine that has a similar effect to 5-fluorouracil as an adjuvant treatment for colorectal cancer. The possibility that the toxicity of chemotherapeutic drugs may play a role in the pathogenesis of cytotoxic edema in the splenium of the corpus callosum and extracallosal white matter should be investigated further.
Assuntos
Adenocarcinoma/complicações , Antimetabólitos Antineoplásicos/efeitos adversos , Encefalopatias/induzido quimicamente , Neoplasias Retais/complicações , Tegafur/efeitos adversos , Adenocarcinoma/patologia , Adulto , Antimetabólitos Antineoplásicos/farmacologia , Feminino , Humanos , Neoplasias Retais/patologia , Síndrome , Tegafur/farmacologiaRESUMO
The atmospheric bulk depositional fluxes of 210Pb were measured at a station on the Adriatic coast, Croatia over 4 years period from March 2017 to December 2020. The monthly depositional fluxes followed oceanic deposition patterns with a lower flux between 0.0735 and 16.9 Bq m-2 month-1. The volume-weighted activities were 0.000514 and 1.35 Bq L-1 and decreased with increasing precipitation. A clear seasonal trend was observed with higher depositional flux in autumn and minimum value in the winter season. The average annual bulk depositional flux and volume-weighted activities of 210Pb were 73.8 Bq m-2 y-1 and 0.119 Bq L-1 respectively. The precipitation normalized enrichment factor (α) indicates higher depositional fluxes of 210Pb during summer and spring than desired value according to the amount of precipitation. We found that the 210Pb depositional fluxes in the coastal stations are lower due to 210Pb-depleted oceanic air masses and increase with the amount of precipitation.
Assuntos
Poluentes Radioativos do Ar , Radioisótopos de Chumbo , Radioisótopos de Chumbo/análise , Chumbo , Croácia , Berílio/análise , Poluentes Radioativos do Ar/análise , Estações do Ano , Monitoramento AmbientalRESUMO
Background: We compared the efficacy and safety of endovascular therapy (EVT), intravenous (IV) thrombolysis and conservative treatment in M2 segment occlusion stroke based on a real-world database. Methods: We retrospectively analyzed the database of admitted patients with M2 segment occlusion between January 2018 and December 2020. The patients who were eligible for reperfusion treatment were assigned to EVT, IV thrombolysis or conservative treatment according to the exact management proceeding. The primary outcome was a score of 0 and 1 on the modified Rankin scale (mRS) at 90 days. The odds ratio (OR) for the primary outcome was adjusted for age, baseline National Institute of Health Stroke Scale score, and door-to-treatment time. The secondary outcomes were based on a mRS score from 0 to 2 at 90 days and the safety outcomes including symptomatic intracranial hemorrhage, and all-cause mortality. The data were analyzed by the logistical regression model, including baseline adjustments. Results: A total of 109 patients were included. Among them, 42 (38.5%) patients received EVT, 45 (42.5%) received IV thrombolysis and 22 (20.8%) received conservative treatment. The primary outcome based on a mRS score of 0 and 1, occurred in 66.7% of patients in the EVT group and 40% in the IV thrombolysis group (adjusted OR, 1.79; 95% confidence interval [CI], 1.19-2.68; P = 0.01). Symptomatic intracranial hemorrhage occurred in 1 patient (2.3%) in the EVT group and in 2 patients (4.4%) in the IV thrombolysis group (adjusted OR = 0.71, 95% CI: 0.13-4.07). Conclusion: EVT showed better functional outcomes than IV thrombolysis and conservative treatment in moderate to severe acute stoke patients with M2 occlusion. There was no significant difference in the three groups concerning the incidence of symptomatic intracranial hemorrhage.
RESUMO
Objective: This study analyzed the impact of the improved stroke green channel process on the delay of intravenous thrombolysis in patients with acute cerebral infarction under coronavirus disease 2019 (COVID-19) prevention and control measures. Methods: We included 57 patients from the stroke center of the Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine before the improvement of the stroke green channel process (March-July 2019), as well as 94 patients during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak (March-July 2020) and 68 patients during the Omicron variant outbreak (March-July 2022) after the improvement of stroke green channel process. The door-to-needle time (DNT), door-to-imaging time (DIT), and door-to-test completion time were compared among the three groups. We analyzed the impact of this process improvement in the emergency green channel during the pandemic on the delay of intravenous thrombolysis. Results: This study included a total of 229 patients with acute cerebral infarction who went through the green channel for intravenous thrombolysis (57 in the pre-pandemic group, 94 in the SARS-CoV-2 outbreak group, and 68 in the Omicron outbreak group). The percentages of patients undergoing intravenous thrombolysis in the pre-pandemic, SARS-CoV-2 outbreak, and Omicron outbreak groups differed significantly (19.32%, 22.27%, and 28.94%, respectively, P = 0.029). Compared to the pre-pandemic group, the National Institutes of Health Stroke Scale (NIHSS) score at admission was significantly higher in the Omicron outbreak group (7.71 ± 7.36 in the Omicron outbreak group vs. 5.00 ± 4.52 in the pre-pandemic group) (P = 0.026) but not in the SARS-CoV-2 outbreak group (4.79 ± 5.94 in the SARS-CoV-2 outbreak group vs. 5.00 ± 4.52 in the pre-pandemic group, P = 0.970). Significantly higher proportions of patients undergoing emergency intravenous thrombolysis came to the hospital by ambulance in the SARS-CoV-2 and Omicron outbreak groups compared to the pre-pandemic group (38.6% in the pre-pandemic group, 51.1% in the SARS-CoV-2 outbreak group, and 82.4% in the Omicron outbreak group, P < 0.001). Compared to the pre-pandemic group, the DIT was significantly higher in the SARS-CoV-2 outbreak group (22.42 ± 7.62 min in the SARS-CoV-2 outbreak group vs. 18.91 ± 8.23 min in the pre-pandemic group, P =0.031) but not the Omicron outbreak group (20.35 ± 10.38 min in the Omicron outbreak group vs. 18.91 ± 8.23 min in the pre-pandemic group, P = 0.543). The door-to-test completion time was significantly longer in the SARS-CoV-2 and Omicron outbreak groups compared to that in the pre-pandemic group (78.37 ± 25.17 min in the SARS-CoV-2 outbreak group, 92.60 ± 25.82 min in the Omicron outbreak group vs. 65.11 ± 22.35 min in the pre-pandemic group, P < 0.001); however, the DNT in the SARS-CoV-2 and Omicron outbreak groups did not differ significantly from those in the pre-pandemic group (both P > 0.05). Conclusion: During the two periods of the COVID-19 outbreak (SARS-CoV-2 and Omicron), after the improvement of the green channel for intravenous thrombolysis, there might be some delay in in-hospital DIT during the SARS-CoV-2 outbreak, however, the in-hospital delay indicator DNT for intravenous thrombolysis were not affected.
RESUMO
Background: Polymorphisms of the apolipoprotein E (APOE) gene are related to the efficacy of statin therapy. The biological functions of the APOE subtypes determine the metabolism of blood plasma lipids and the progression of atherosclerosis. This study aimed to explore the impact of APOE gene polymorphisms on the effect of atorvastatin on lipid regulation and plaque stabilization. Methods: The study was a prospective cohort study that consecutively included patients with acute ischemic stroke (AIS) in the Department of Neurology, Shanghai Tenth People's Hospital, from December 2018 to December 2019. The patients were divided into E2, E3, and E4 groups according to their APOE genotype. Atorvastatin (20 mg) was administrated to all patients. Changes in blood lipid levels over 3 months and plaque size and stability over 12 months were analyzed. Results: We enrolled 253 consecutive patients with AIS, of whom, 136 had carotid atherosclerotic plaques. Two patients with genotype E2/E4 were excluded. There were 30 patients in the E2 group (12.0%), 191 patients in the E3 group (76.0%), and 30 patients in the E4 group (12.0%). The lowest percentage reduction in low-density lipoprotein cholesterol (LDL-C) was observed in the E4 group (41.2%), while the highest percentage reduction was observed in the E2 group (17.6%). The plaques in the E2 group showed slower progression, while those in the E4 group showed more rapid progression. Conclusion: APOE gene polymorphisms affect the biological functions of atorvastatin. Compared to the ε3 or ε4 allele, the ε2 allele exerted a greater lipid-lowering effect on LDL-C levels, enhanced the ability of atorvastatin to stabilize carotid artery plaques, and slowed carotid artery plaque progression.
RESUMO
Dark carbon fixation (DCF) contributes approximately 0.77 Pg C y-1 to oceanic primary production and the global carbon budget. It is estimated that nearly half of the DCF in marine sediments occurs in estuarine and coastal regions, but the environmental factors controlling DCF and the microorganisms responsible for its production remain under exploration. In this study, we investigated DCF rates and the active chemoautotrophic microorganisms in intertidal sediments of the Yangtze Estuary, using 14C-labeling and DNA-stable isotope probing (DNA-SIP) techniques. The measured DCF rates ranged from 0.27 to 3.37 mmol C m-2 day-1 in intertidal surface sediments. The rates of DCF were closely related to sediment sulfide content, demonstrating that the availability of reductive substrates may be the dominant factor controlling DCF in the intertidal sediments. A significant positive correlation was also observed between the DCF rates and abundance of the cbbM gene. DNA-stable isotope probing (DNA-SIP) results further confirmed that cbbM-harboring bacteria, rather than cbbL-harboring bacteria, played a dominant role in DCF in intertidal sediments. Phylogenetic analysis showed that the predominant cbbM-harboring bacteria were affiliated with Burkholderia, including Sulfuricella denitrificans, Sulfuriferula, Acidihalobacter, Thiobacillus, and Sulfurivermis fontis. Moreover, metagenome analyses indicated that most of the potential dark-carbon-fixing bacteria detected in intertidal sediments also harbor genes for sulfur oxidation, denitrification, or dissimilatory nitrate reduction to ammonium (DNRA), indicating that these chemoautotrophic microorganisms may play important roles in coupled carbon, nitrogen, and sulfur cycles. These results shed light on the ecological importance and the underlying mechanisms of the DCF process driven by chemoautotrophic microorganisms in intertidal wetlands.
Assuntos
Bactérias , Ciclo do Carbono , Bactérias/genética , Carbono , DNA , Sedimentos Geológicos/química , Nitratos/análise , Nitrogênio , Filogenia , EnxofreRESUMO
Particle-reactive radionuclides are useful for tracing sediment dynamics in marginal seas. We collected a suite of surface sediment samples in May 2014 from the Bohai Sea (BS) and Northern Yellow Sea (NYS) to observe the spatial distribution of Plutonium (Pu) isotopes and 210Pb activities. 239+240Pu activities ranged from 0.001 to 0.288 and 0.040-0.269 Bq kg-1 in BS and NYS surface sediments, respectively. 210Pbex shows a significant correlation with 239+240Pu (r = 0.84, p < 0.01) that suggested these two nuclides were scavenged to the same grade. 240Pu/239Pu atom ratios in BS (0.173-0.256) and NYS (0.196-0.275) were slightly higher than the global fallout value of 0.18 and lower than the Pacific Proving Ground (PPG) value of 0.36, indicating that some fraction of Pu originating from the PPG was capable of being transported to the BS and NYS. Mass balance results showed that 41% of 239+240Pu (8.9 × 109 Bq yr-1) and 18% of 210Pb (2.4 × 1012 Bq yr-1) in the NYS originated in the oceanic input. In the BS, 63% of 210Pb originated from atmospheric deposition and 84% of 239+240Pu originated from riverine input. Using Pu and 210Pb as tracers, we estimate that (1.8-2.6) × 108 t yr-1 and (3.6-3.8) × 108 t yr-1 of sedimentary particles could be transported from the BS to the NYS and from the NYS to the Southern Yellow Sea, respectively. Furthermore, the 226Ra/238U activity ratio distribution suggested that sedimentary particles derived from the Yellow River could be transported to the middle of the BS and coastal areas of the NYS.
Assuntos
Radioisótopos de Chumbo/análise , Plutônio/análise , Monitoramento de Radiação , Poluentes Radioativos da Água/análise , Sedimentos Geológicos , Oceanos e Mares , RiosRESUMO
90Sr is useful for tracing water mass movement in oceans. We collected a suit of seawater samples from the East China Sea (ECS) in the May 2011 to investigate the spatial and vertical distribution of 90Sr and to understand its transportation and fate. To understand the sources and transportation of 90Sr more clearly, published 137Cs data from the same cruise were used to obtain the 90Sr/137Cs activity ratios. The results showed that 90Sr activities were controlled by the circulation system of the ECS, with high values in coastal regions and low values in oceanic waters. The plume with a high 90Sr/137Cs ratio showed that in late spring, the Changjiang Diluted Water could flow southeastward and extend to 126-127° E, which is farther than the previously known value of 124° E. The high 90Sr/137Cs ratios (1.35 ± 0.62) and a long effective half-life of 90Sr (20.0 ± 0.3 y) in the ECS surface water revealed that 90Sr is surplus in comparison with 137Cs. However, historical variations in the 90Sr/137Cs ratio seem to preclude the simple explanation that riverine input causes a 90Sr surplus in the ECS. Groundwater discharge with a high 90Sr but very low 137Cs may be a new potential source. However, it is difficult to quantify the contribution of groundwater discharge at present, and more detailed studies are required in this regard. Additionally, we compiled 90Sr and 137Cs water column inventory data in the western North Pacific and found that the cumulative fallout onto the ocean was different from that on land in the 20-40° N band.
RESUMO
This study aimed to investigate the antibacterial efficiency and synergistic mechanisms of novel formulated eugenol-casein-lysozyme nanoparticles (ECL-NPs) against gram-positive bacteria. We obtained optimized ECL-NPs 151.9 nm in size and with an entrapment efficiency of 92.2%. ECL-NPs exhibited a satisfactory slow-release pattern, excellent storage stability (for 180 days at 4 °C), and freeze-drying stability. The synergy of low-dose lysozyme significantly enhanced the inhibitory efficiency of eugenol-casein nanoparticles against Staphylococcus aureus and Bacillus sp. by 5.83-fold and 5.53-fold, respectively; this resulted in a much lower minimum inhibitory concentration (3.75-fold and 4.16-fold) and minimum bacterial concentration (2.92-fold and 1.70-fold) values. Scanning electron microscopy clearly demonstrated that the entire cell morphological structure was broken into pieces after exposure to ECL-NPs. Furthermore, 100% microbial inhibition was observed in fresh fruits treated with ECL-NPs for 15 days. These findings suggest that ECL-NPs have an excellent potential for use in food industry against gram-positive bacteria.
Assuntos
Antibacterianos/farmacologia , Caseínas/química , Eugenol/química , Bactérias Gram-Positivas/efeitos dos fármacos , Muramidase/química , Anti-Infecciosos , Bacillus/efeitos dos fármacos , Testes de Sensibilidade Microbiana , Nanopartículas/química , Staphylococcus aureus/efeitos dos fármacosRESUMO
BACKGROUND: It is hard to differentiate transient symptoms associated with infarction (TSI) from transient ischemic stroke (TIA) without MRI in the early onset. However, they have distinct clinical outcomes and respond differently to therapeutics. Therefore, we aimed to develop a risk prediction model based on the clinical features to identify TSI. METHODS: We enrolled 230 consecutive patients with transient neurologic deficit in the Department of Neurology, Tongji University Affiliated Tenth People's Hospital from March 2014 to October 2019. All the patients were assigned into TIA group (DWI-negative) or TSI group (DWI-positive) based on MRI conducted within five days of onset. We summarized the clinical characteristics of TSI by univariate and multivariate analyses. And then, we developed and validated a nomogram to identify TSI by the logistic regression equation. RESULTS: Of the 230 patients, 41.3% were diagnosed with TSI. According to the multivariate analysis, four independent risk factors, including smoking history, low-density lipoprotein cholesterol, brain natriuretic peptide precursor, and ABCD3 score, were incorporated into a nomogram. We developed a predictive model named ABCD3-SLOPE. The calibration curve showed good agreement between nomogram prediction and observation. The concordance index (C-index) of the nomogram for TSI prediction was 0.77 (95% confidence interval, 0.70-0.83), and it was well-calibrated. CONCLUSIONS: Smoking history, low-density lipoprotein cholesterol, brain natriuretic peptide precursor, and ABCD3 score were reliable risk factors for TSI. ABCD3-SLOPE was a potential tool to quantify the likelihood of TSI.
Assuntos
Infarto Encefálico , Ataque Isquêmico Transitório , Idoso , Infarto Encefálico/complicações , Infarto Encefálico/epidemiologia , Feminino , Humanos , Ataque Isquêmico Transitório/diagnóstico , Ataque Isquêmico Transitório/epidemiologia , Ataque Isquêmico Transitório/etiologia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Nomogramas , Estudos Retrospectivos , Fatores de RiscoRESUMO
OBJECTIVE: To investigate effects of different intervention time points of early rehabilitation on patients with acute ischemic stroke. METHODS: We enrolled patients diagnosed with acute ischemic stroke in our hospital's rehabilitation ward from November 2013 to December 2015. Patients were randomly assigned to an ultraearly rehabilitation program (started within 72 hours of onset) or an early rehabilitation program (started from 72 hours to 7 days after onset). The efficacy was assessed by the NIH Stroke Scale (NIHSS) International, Barthel Index, and Fugl-Meyer Assessment at one and three months after rehabilitation. Data were analyzed by variance analysis of two-factor repeated measurement. Covariance analysis was used to adjust confounding factors for the determination of statistical differences. RESULTS: 41 patients were enrolled in the ultraearly rehabilitation group, while 45 patients were in the early rehabilitation group. There were no differences between the two groups at baseline data. Compared with the early rehabilitation group, patients in the ultraearly rehabilitation group have significantly improved NIHSS score, BMI score, and FMA score at one month and three months (P < 0.001). After adjusting for confounding factors (gender, age, severity of NIHSS score, location of stroke, hypertension, diabetes, atrial fibrillation, and coronary heart disease), the significant difference still existed between the two groups at one month and three months (P < 0.001). CONCLUSION: Our study indicated a higher efficacy in the ultraearly rehabilitation group than the early rehabilitation group. The result suggests an important practical significance in favor of the clinical treatment of stroke.
Assuntos
Isquemia Encefálica/reabilitação , AVC Isquêmico/reabilitação , Reabilitação do Acidente Vascular Cerebral/métodos , Idoso , Avaliação da Deficiência , Feminino , Humanos , Masculino , Tempo para o Tratamento/estatística & dados numéricos , Resultado do TratamentoRESUMO
Mosses can be used as biological monitors to study metal pollution and the depositional fluxes of radionuclides. In this study, we analysed the concentrations of radionuclides (210Pb (210Pbex), 7Be, 137Cs, 40K, 238U, 226Ra, 228Ra and 228Th) and metals (Fe, Zn, Cu, Al, Pb, Cd, Cr, Ni, V and Mn) in moss and soil samples from two different regions. The metal concentrations were higher in mainland China than in the Arctic region, and this is likely associated with the comparatively lower rates of industrial production and human activity in the Arctic region. Principal component analysis and correlation results revealed two radionuclides sources types in mosses, i.e., soil (40K, 238U, 226Ra, 228Ra and 228Ra) and atmospheric (210Pb (210Pbex), 7Be 137Cs). Clustering and correlation analyses showed that different sources such as traffic (suspended dust), fossil fuels, dry and wet deposition (atmosphere and rainfall), and soil contributed to metal accumulation in mosses. The correlation between radionuclides and metals supported these observations, confirmed the accuracy of our results, and suggests that radionuclides are useful for identifying the source of metals in moss samples. The concentration ratios (CR) values of the radionuclides and the bioaccumulation factor (BCF) and enrichment factor (EF) values of metals in mosses helped identify the most environmentally sensitive moss, i.e., BS (Bryum paradoxum), which can be used for screening and monitoring radionuclides and metal pollution in urban atmospheres. These results support the use of analysing radionuclides in mosses to identify metal sources, and the potential use of mosses can to determine the atmospheric deposition fluxes of radionuclides.
Assuntos
Briófitas , Metais Pesados , Biomarcadores Ambientais , Monitoramento Ambiental , Humanos , Metais Pesados/análise , SoloRESUMO
210Po and 210Pb are well-known tracer pairs for some biomass and chemical processes in the marine system. In this study, 210Po and 210Pb were analyzed in surface seawater collected from the East China Sea (ECS), in atmospheric deposition, and in riverine input water collected along the ECS coast. The atmospheric fallouts of 210Po and 210Pb were higher in the dry season, due to the arrival of storm dust from the northwestern region of China. In the riverine input water, the particulate 210Po and 210Pb dominated (corresponding to 33-94% and 50-92% of the total, respectively), especially during the flood season. In the surface seawaters, the percentage of particulate 210Po (17-85%) was generally greater than that of 210Pb (10-76%). Additionally, in the Changjiang Estuary, log Kd(Po) and log Kd(Pb) were negatively correlated with log suspended particulate matter (SPM) (R = 0.71, P = 0.013 for Po, R = 0.67, P = 0.019 for Pb). 210Pb showed a stronger "particle effect" than 210Po when SPM <1.00 mg L-1, and vice versa when SPM >1.00 mg L-1. The deficit of 210Po relative to 210Pb gradually decreased from the Changjiang Diluted Water, to the Shelf Merged Water and the Taiwan Warm Current Water. The mass balance of 210Po and 210Pb in the water column of the estuary indicated that the Changjiang River was the dominating input source (providing 91% and 88% of the 210Po and 210Pb, respectively); meanwhile, the shelf export was the dominating output source (accounting for 68% and 78% of the 210Po and 210Pb, respectively).
Assuntos
Chumbo , Polônio , Monitoramento de Radiação , Poluentes Radioativos da Água , China , Monitoramento Ambiental , Chumbo/análise , Material Particulado , Polônio/análise , Rios , Taiwan , Poluentes Radioativos da Água/análiseRESUMO
BACKGROUND: Patients with temporal lobe epilepsy (TLE) usually suffer from cognitive deficits and recurrent seizures. Brivaracetam (BRV) is a novel anti-epileptic drug (AEDs) recently used for the treatment of partial seizures with or without secondary generalization. Different from other AEDs, BRV has some favorable properties on synaptic plasticity. However, the underlying mechanisms remain elusive. OBJECTIVE: The aim of this study was to explore the neuroprotective mechanism of BRV on synaptic plasticity in experimental TLE rats. METHODS: The effect of chronic treatment with BRV (10 mg/kg) was assessed on Pilocarpine induced TLE model through measurement of the field excitatory postsynaptic potentials (fEPSPs) in vivo. Differentially expressed synaptic vesicle protein 2A (SV2A) were identified with immunoblot. Then, fast phosphorylation of synaptosomal-associated protein 25 (SNAP-25) during long-term potentiation (LTP) induction was performed to investigate the potential roles of BRV on synaptic plasticity in the TLE model. RESULTS: An increased level of SV2A accompanied by a depressed LTP in the hippocampus was shown in epileptic rats. Furthermore, BRV treatment continued for more than 30 days improved the over-expression of SV2A and reversed the synaptic dysfunction in epileptic rats. Additionally, BRV treatment alleviates the abnormal SNAP-25 phosphorylation at Ser187 during LTP induction in epileptic ones, which is relevant to the modulation of synaptic vesicles exocytosis and voltagegated calcium channels. CONCLUSION: BRV treatment ameliorated the over-expression of SV2A in the hippocampus and rescued the synaptic dysfunction in epileptic rats. These results identify the neuroprotective effect of BRV on TLE model.
Assuntos
Anticonvulsivantes/uso terapêutico , Epilepsia do Lobo Temporal/tratamento farmacológico , Hipocampo/efeitos dos fármacos , Potenciação de Longa Duração/efeitos dos fármacos , Glicoproteínas de Membrana/antagonistas & inibidores , Proteínas do Tecido Nervoso/antagonistas & inibidores , Pirrolidinonas/uso terapêutico , Animais , Anticonvulsivantes/farmacologia , Doença Crônica , Epilepsia do Lobo Temporal/genética , Epilepsia do Lobo Temporal/metabolismo , Expressão Gênica , Hipocampo/fisiologia , Potenciação de Longa Duração/fisiologia , Masculino , Glicoproteínas de Membrana/biossíntese , Glicoproteínas de Membrana/genética , Proteínas do Tecido Nervoso/biossíntese , Proteínas do Tecido Nervoso/genética , Fármacos Neuroprotetores/farmacologia , Fármacos Neuroprotetores/uso terapêutico , Pirrolidinonas/farmacologia , Ratos , Ratos Sprague-DawleyRESUMO
The spatial distributions of mercury (Hg) and zinc (Zn) concentration and the isotopic composition of plutonium (Pu) were investigated in surface sediments and sediment cores collected from the Southern Yellow Sea (SYS) during May 2014. The variation of the 240Pu/239Pu atom ratio (0.18-0.31) in the surface sediments of the SYS clearly indicated a signal of close-in fallout input from the Pacific Proving Ground (PPG). The buried 239+240Pu in the sediment of the SYS was estimated to be (4.7 ± 0.5) × 1010 Bq y-1 during the period from 2011 to 2014, of which â¼33% (1.5 × 1010 Bq y-1) was derived from the PPG by long-range transport via ocean currents (e.g., the North Equatorial Current and Kuroshio Current). The concentrations of Hg and Zn varied from 0.003 to 0.067 mg kg-1 and from 43.9 to 137 mg kg-1, respectively, and exhibited positive correlations with the 239+240Pu activity both in the surface sediments (0-1 cm) and upper layers (7 cm) of the sediment cores. Therefore, by using Pu as a tracer, we estimated that the oceanic input contributed 2.0 tons y-1 of Hg and 1.0 × 103 tons y-1 of Zn to the SYS sediments between 2011 and 2014, which accounted for 33% and 3% of total buried Hg and Zn, respectively. These findings indicate that environmental pollution control should also consider the oceanic contribution of some pollutants. The results of the present work help to elucidate the biogeochemical cycling of trace metals in marginal seas, and are helpful for managing environmental pollution in marine environments.