Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 21
Filtrar
1.
Entropy (Basel) ; 26(3)2024 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-38539693

RESUMO

We propose and experimentally demonstrate a wireless-channel key distribution scheme based on laser synchronization induced by a common wireless random signal. Two semiconductor lasers are synchronized under injection of the drive signal after electrical-optical conversion and emit irregular outputs that are used to generate shared keys. Our proof-of-concept experiment using a complex drive signal achieved a secure key generation rate of up to 150 Mbit/s with a bit error rate below 3.8 × 10-3. Numerical simulation results show that the proposed scheme has the potential to achieve a distribution distance of several hundred meters. It is believed that common-signal-induced laser synchronization paves the way for high-speed wireless physical-layer key distribution.

2.
Opt Express ; 31(25): 41083-41093, 2023 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-38087516

RESUMO

Common-signal-induced laser synchronization promoted a promising paradigm of high-speed physical key distribution. Constant-amplitude and random-phase (CARP) light was proposed as the common drive signal to enhance security by reducing the correlation between the drive and the laser response in intensity. However, the correlation in light phase is not examined. Here, we numerically reveal that the correlation coefficient of the CARP light phase and the response laser intensity (denoted as CCR-φD) can reach a value close to 0.6. Effects of parameters including optical frequency detuning, and modulation depth and noise bandwidth and transparency carrier density for CARP light generation are investigated in detail. By optimizing the optical frequency, modulation depth, and noise bandwidth, respectively, CCR-φD can be reduced to 0.32, 0.18, and 0.10. In the meantime, CCR-φD can be further reduced through secondary optimizing of parameters. CCR-φD can be further reduced by increasing transparent carrier density provided response laser synchronization is achieved. This work gives a new insight about the laser synchronization induced by common CARP light, and also contributes a suggestion of security improvement for physical key distribution based on laser synchronization.

3.
Opt Express ; 31(22): 35720-35729, 2023 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-38017737

RESUMO

We propose and numerically demonstrate chaos synchronization of two vertical-cavity surface-emitting lasers (VCSELs) induced by common injection of constant-amplitude random-polarization light for physical key distribution. Results show that synchronization is sensitive to polarization rotation of injection light, and synchronization coefficients larger than 0.9 can be achieved as the rotation-degree mismatch is smaller than ±10°. Therefore, polarization rotation degree can serve as a hardware key parameter. Furthermore, each laser's output has no correlation to the constant amplitude of the injected light. Their components with identical polarization state, e.g. x or y polarization of VCSEL, also have low correlation coefficient smaller than 0.2. It is therefore believed that this synchronization scheme can provide a security-enhanced method of physical key distribution.

4.
Opt Express ; 31(26): 42838-42849, 2023 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-38178393

RESUMO

We propose and experimentally demonstrate a physical-layer key distribution scheme using commonly-driven laser synchronization with random modulation of drive light. Two parameter-matched semiconductor lasers injected by a common complex drive light are used as entropy sources for legitimate users. Legitimate users generate their own random signal by randomly time-division multiplexing of two random sequences with a certain duration according to individual control codes, and then independently modulate the drive light. Laser synchronization is achieved during time slots when the modulation sequences of two users are identical, and thus provide highly correlated randomness for extracting random numbers as shared keys. Experimental results show that the random modulation of the drive light reduces the correlation between the drive light and laser outputs. In addition, laser synchronization is sensitive to the modulation delay and then the latter can be used as an additional hardware parameter. These mean that security is enhanced. In addition, the proposed method has a short laser synchronization recovery time of lower than 1.1 ns, meaning a high rate of key distribution. The upper limit of final key rate of 2.55 Gb/s with a criterion of bit error rate of 1.68 × 10-3 is achieved in experiments. Our results provide a promising candidate for protecting the security of optical fiber communication.

5.
Opt Express ; 31(2): 1666-1676, 2023 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-36785197

RESUMO

To guarantee information security from the lowest level of optical networks, it is essential to provide physical layer security in fiber-optic communication systems. However, it is challenging to realize high speed physical secure optical communication based on advanced optical modulation formats and pure commercial hardware components. In this work, we report an experimental demonstration of a high-speed 56 Gb/s PAM4 physical-layer secure optical communication system by employing an electro-optic self-feedback hardware module for temporal self-phase encryption and decryption without consuming any additional encryption channel. An encrypted 56 Gb/s PAM4 confidential signal is successfully decrypted after transmitting over 60 km single-mode fiber. The demonstrated scheme can not only be integrated with existing optical communication networks, but can also be used as a pluggable module, which may provide a promising solution for ultra-high speed physical secure optical communication by combining with advanced multiplexing technology in future.

6.
Opt Lett ; 48(13): 3467-3470, 2023 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-37390157

RESUMO

Optical chaos communication encounters difficulty in high-speed transmission due to the challenge of realizing wideband chaos synchronization. Here, we experimentally demonstrate a wideband chaos synchronization using discrete-mode semiconductor lasers (DMLs) in a master-slave open-loop configuration. The DML can generate wideband chaos with a 10-dB bandwidth of 30 GHz under simple external mirror feedback. By injecting the wideband chaos into a slave DML, an injection-locking chaos synchronization with synchronization coefficient of 0.888 is realized. A parameter range with frequency detuning of -18.75 GHz to approximately 1.25 GHz under strong injection is identified for yielding the wideband synchronization. In addition, we find it more susceptible to achieve the wideband synchronization using the slave DML with lower bias current and smaller relaxation oscillation frequency.

7.
Opt Lett ; 48(4): 1008-1011, 2023 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-36790991

RESUMO

We numerically investigate the effects of probabilistic shaping on the performance improvement of coherent optical chaos communication. Results show that the decryption bit-error ratio (BER) of the 16-ary quadrature amplitude modulation (QAM) signal decreases upon increasing the probabilistic shaping factor. It is predicted that the BER of 10-GBd 16QAM can be decreased by one order of magnitude. On the other hand, for the forward error correction threshold of the BER, the requirement for synchronization quality is no longer strict for successful decryption. This means that probabilistic shaping improves the system's tolerance to residual synchronization error. Thus, the transmission rate can be increased by approximately 30∼60%. The side effect of probabilistic shaping is that the valid masking coefficient range is narrowed.

8.
Opt Lett ; 48(17): 4649-4652, 2023 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-37656577

RESUMO

A millimeter-wave noise generation scheme is proposed in this paper. The scheme is based on a monolithically integrated dual-mode chaotic laser, which consists of a distributed Bragg feedback (DFB) section, a phase section, and an optical amplification section. The output spectrum state of the dual-mode laser can be controlled by adjusting the injection current in the three regions. The monolithically integrated dual-mode chaotic laser has stable chaotic output and can be used as a light source for integrated millimeter-wave noise source. As a feasibility demonstration, a dual-mode chaotic laser with a mode interval of 2.05 nm was generated in the experiment, the optical mixing on a photodetector produced millimeter-wave noise with a center frequency of 259 GHz and a bandwidth of 44 GHz (237-281 GHz), achieving a typical value of excess noise ratio of 47 dB. It has the advantages of high noise source utilization, small noise source volume, and high integration.

9.
Opt Lett ; 48(12): 3331-3334, 2023 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-37319094

RESUMO

Semiconductor lasers with delayed optical feedback are a promising source of optical chaos for practical applications, owing to simple configurations that are easy to integrate and synchronize. However, for traditional semiconductor lasers, the chaos bandwidth is limited by the relaxation frequency to several gigahertz. Here, we propose and experimentally demonstrate that a short-resonant-cavity distributed-feedback (SC-DFB) laser can generate broadband chaos only with simple feedback from an external mirror. The short distributed-feedback resonant cavity not only enhances laser relaxation frequency but also makes the laser mode more susceptible to external feedback. Experiments obtained a laser chaos with 33.6 GHz bandwidth and a spectral flatness of 4.5 dB. The corresponding entropy rate is estimated as more than 33.3 Gbit/s. It is believed that the SC-DFB lasers will promote development of chaos-based secure communication and physical key distribution.


Assuntos
Lasers Semicondutores , Luz , Retroalimentação , Entropia , Desenho de Equipamento
10.
Opt Express ; 30(2): 3148-3156, 2022 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-35209440

RESUMO

A broadband millimeter-wave (MMW) white noise signal generated by optical heterodyning of two Fabry-Perot laser diodes (FP-LDs) subject to optical feedback is demonstrated and employed for fast physical random bit generation with a simple least significant bits (LSBs) retaining method. Firstly, under suitable feedback conditions, two external-cavity feedback FP-LDs can be easily driven into chaotic states. In this process, the optical spectra of multi-longitudinal modes are significantly broadened. Then, two spectral broadening multi-longitudinal chaotic signals are mixed and converted into an MMW white noise signal through the heterodyne beating technique combined with a fast photodetector. With such an approach, a high dimensional broadband chaos with perfect characteristics of MMW white noise (3-dB bandwidth beyond 50 GHz without any time-delay signature) is experimentally achieved. Finally, taking the generated MMW white noise as the entropy source, 640 Gb/s physical random bit generation is realized by directly selecting 4-LSBs at 160 GS/s sampling rate after an 8-bit analog-digital-convertor.

11.
Opt Express ; 30(24): 44004-44017, 2022 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-36523085

RESUMO

A hybrid bilayer black phosphorus (BP) and graphene structure with high sensitivity is proposed for obtaining plasmon-induced transparency (PIT). By means of surface plasmon resonance in the rectangular-ring BP structure and ribbon graphene structure, a PIT effect with high refractive index sensitivity is achieved, and the surface plasmon hybridization between graphene and anisotropic BP is analyzed theoretically. Meanwhile, the PIT effect is quantitatively described using the coupled oscillator model and the strong coherent coupling phenomena are analyzed by adjusting the coupling distance between BP and graphene, the Fermi level of graphene, and the crystal orientation of BP, respectively. The simulation results show that the refractive index sensitivity S = 7.343 THz/RIU has been achieved. More importantly, this is the first report of tunable PIT effects that can produce up to quintuple PIT windows by using the BP and graphene hybrid structure. The high refractive index sensitivity of the quintuple PIT system for each peak is 3.467 THz/RIU, 3.467 THz/RIU, 3.600 THz/RIU, 4.267 THz/RIU, 4.733 THz/RIU and 6.133 THz/RIU, respectively, which can be used for multiple refractive index sensing function.

12.
Opt Express ; 30(23): 42553-42563, 2022 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-36366707

RESUMO

This study proposes a distributed large-curvature sensor based on ring-core few-mode fiber (RC-FMF) and differential pulse-pair Brillouin optical time-domain analysis (DPP-BOTDA). The RC-FMF is adhered to a thin steel substrate and an asymmetric hump shape is reconstructed using the Frenet-Serret algorithm. The proposed curvature sensor demonstrates a larger curvature-sensing range, excellent tolerance to bending-induced optical loss, and increased Brillouin gain coefficient. The proposed sensor also demonstrates longer sensing distance and continuous absolute measurement compared to other sensors. The proposed model can be applied to the end tracking of soft robotics and structural health monitoring of civil infrastructures.

13.
Opt Lett ; 47(3): 541-544, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-35103676

RESUMO

We demonstrate a broadband and flat millimeter-wave (MMW) noise source based on the heterodyne of two Fabry-Perot lasers subject to optical feedback. Different mode intervals between two lasers are designed to generate beat terms at specific frequencies. As a proof-of-concept demonstration, a MMW noise signal with a 3-dB bandwidth of 50 GHz (limited by the measurement bandwidth) and flatness of less than 2.9 dB is experimentally achieved. The physical origination of the broadband flat MMW noise generation is analyzed, and the properties of the MMW signal are characterized. The proposed method has the potential to generate a broadband flat noise signal in the MMW or even the terahertz region.

14.
J Cardiovasc Pharmacol ; 80(4): 609-615, 2022 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-35881902

RESUMO

ABSTRACT: Sestrin2 (Sesn2) is involved in the progression of cardiovascular diseases, such as hypertension and myocardial infarction. This study aimed to examine Sesn2 expression in human calcific aortic valve disease (CAVD) and explore its possible mechanisms by which Sesn2 participates in this process. CAVD and normal aortic valves were collected. Sesn2 expression and sources were examined, and the results showed that Sesn2 expression was increased in aortic valves from patients with CAVD and was mainly secreted by macrophages. Additionally, U937 macrophages were pretreated with si-Sesn2 or cDNA-Sesn2 and further treated with oxidized low-density lipoprotein (ox-LDL); M1 macrophages and their markers were measured, and we found that pretreatment with si-Sesn2 increased ox-LDL-induced M1 macrophage polarization and marker mRNA levels, whereas pretreatment with cDNA-Sesn2 had the opposite effects. In ox-LDL-treated U937 macrophages, oxidative stress levels were increased in the si-Sesn2 pretreatment group and further increased by si-Nrf2 treatment, whereas oxidative stress levels were decreased in the cDNA-Sesn2 pretreatment group and significantly reversed by ML385, a specific Nrf2 inhibitor. The effects of Sesn2 on ox-LDL-induced oxidative stress and the osteogenic differentiation of ox-LDL-induced valvular interstitial cells (VICs) was examined by down-regulating Nrf2 pathway. When U937 macrophages were co-cultured with VICs, downregulation of Sesn2 increased ox-LDL-induced osteogenic differentiation in VICs, whereas overexpression of Sesn2 exerted the opposite effects. Our study suggests that Sesn2 is increased in CAVD aortic valves and may participate in the development of CAVD by regulating oxidative stress via the Nrf2 pathway.


Assuntos
Doenças da Aorta , Estenose da Valva Aórtica , Calcinose , Sestrinas , Doenças da Aorta/metabolismo , Valva Aórtica/metabolismo , Valva Aórtica/patologia , Estenose da Valva Aórtica/metabolismo , Biomarcadores/metabolismo , Calcinose/genética , Células Cultivadas , DNA Complementar/metabolismo , Humanos , Lipoproteínas LDL/metabolismo , Fator 2 Relacionado a NF-E2/genética , Fator 2 Relacionado a NF-E2/metabolismo , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Osteogênese , RNA Mensageiro/metabolismo , Sestrinas/metabolismo
15.
Hum Cell ; 37(4): 972-985, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38656742

RESUMO

Acute coronary artery blockage leads to acute myocardial infarction (AMI). Cardiomyocytes are terminally differentiated cells that rarely divide. Treatments preventing cardiomyocyte loss during AMI have a high therapeutic benefit. Accumulating evidence shows that microRNAs (miRNAs) may play an essential role in cardiovascular diseases. This study aims to explore the biological function and underlying regulatory molecular mechanism of miR-322-5p on myocardial infarction (MI). This study's miR-322-5p is downregulated in MI-injured hearts according to integrative bioinformatics and experimental analyses. In the MI rat model, miR-322-5p overexpression partially eliminated MI-induced changes in myocardial enzymes and oxidative stress markers, improved MI-caused impairment on cardiac functions, inhibited myocardial apoptosis, attenuated MI-caused alterations in TGF-ß, p-Smad2, p-Smad4, and Smad7 protein levels. In oxygen-glucose deprivation (OGD)-injured H9c2 cells, miR-322-5p overexpression partially rescued OGD-inhibited cell viability and attenuated OGD-caused alterations in the TGF-ß/Smad signaling. miR-322-5p directly targeted Smurf2 and inhibited Smurf2 expression. In OGD-injured H9c2 cells, Smurf2 knockdown exerted similar effects to miR-322-5p overexpression upon cell viability and TGF-ß/Smad signaling; moreover, Smurf2 knockdown partially attenuated miR-322-5p inhibition effects on OGD-injured H9c2 cells. In conclusion, miR-322-5p is downregulated in MI rat heart and OGD-stimulated rat cardiomyocytes; the miR-322-5p/Smurf2 axis improves OGD-inhibited cardiomyocyte cell viability and MI-induced cardiac injuries and dysfunction through the TGF-ß/Smad signaling.


Assuntos
MicroRNAs , Infarto do Miocárdio , Miócitos Cardíacos , Transdução de Sinais , Fator de Crescimento Transformador beta , Ubiquitina-Proteína Ligases , MicroRNAs/genética , MicroRNAs/metabolismo , MicroRNAs/fisiologia , Infarto do Miocárdio/genética , Infarto do Miocárdio/metabolismo , Infarto do Miocárdio/patologia , Animais , Transdução de Sinais/genética , Transdução de Sinais/fisiologia , Ubiquitina-Proteína Ligases/genética , Ubiquitina-Proteína Ligases/metabolismo , Ubiquitina-Proteína Ligases/fisiologia , Fator de Crescimento Transformador beta/metabolismo , Ratos , Miócitos Cardíacos/metabolismo , Modelos Animais de Doenças , Proteína Smad2/metabolismo , Proteína Smad2/genética , Expressão Gênica/genética , Masculino , Regulação para Baixo/genética , Ratos Sprague-Dawley , Apoptose/genética , Proteínas Smad/metabolismo , Glucose/metabolismo , Proteína Smad4/metabolismo , Proteína Smad4/genética , Terapia de Alvo Molecular , Proteína Smad7/metabolismo , Proteína Smad7/genética
16.
World J Clin Cases ; 11(33): 8089-8093, 2023 Nov 26.
Artigo em Inglês | MEDLINE | ID: mdl-38075583

RESUMO

BACKGROUND: Dextroversion is defined as the presence of dextrocardia with situs solitus, dextro-loop ventricles, and normally related great arteries. Dextrocardia can pose technical challenges when interventional treatments are required. However, the challenges posed by dextroversion can be amplified due to the disruption of typical anatomical relationships, the unpredictable positioning and boundaries of cardiac structures resulting from the shift, and the pathological processes influencing rotation. CASE SUMMARY: A 73-year-old woman with cardiac dextroversion suffered from a recurrence of atrial fibrillation after her radiofrequency catheter ablation and Despite the cessation of antiarrhythmic medications, there were episodes of sinus pauses and symptomatic bradycardia, with heart rates dropping as low as 28 beats per minute. CONCLUSION: Dextroversion makes the implantation of leadless pacemakers more challenging, and appropriate adjustments in fluoroscope angles may be crucial for intracardiac operations. Additionally, when advancing delivery systems, attention should be paid to rotational direction during valve-crossing procedures; changes in the perspective of posture angle between normal cardiac position and dextroversion can serve as references.

17.
Neural Regen Res ; 18(1): 213-218, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35799545

RESUMO

Neuroinflammation hinders repair of the central nervous system (CNS). Stem cell transplantation is a very promising approach for treatment of CNS injuries. However, it is difficult to select seed cells that can both facilitate nerve regeneration and improve the microenvironment in the CNS. In this study, we isolated multilineage-differentiating stress-enduring (Muse) cells from bone marrow mesenchymal stem cells. We explored the anti-inflammatory effect and mechanism of Muse cells in vitro by coculture of Muse cells with lipopolysaccharide-stimulated microglia. Our results showed that Muse cells effectively reduced the transcription and secretion of tumor necrosis factor α and interleukin-1ß and increased the expression of transforming growth factor-ß and interleukin-10 in microglia. In addition, Muse cells decreased the number of M1 microglia and increased the proportion of M2 microglia in an inflammatory environment more effectively than bone marrow mesenchymal stem cells. We also show that Muse cells inhibited the protein expression of toll-like receptor 4 (TLR4) and myeloid differentiation primary response protein (MyD88) and inhibited the expression of the phosphorylated forms of transcription factor p65, nuclear factor (NF)-κB inhibitor alpha, and p38 mitogen-activated protein kinase (MAPK) in microglia. Therefore, we suggest Muse cells cause antineuroinflammatory effects by inhibition of the TLR4/MyD88/NF-κB and p38 MAPK signaling pathways in microglia. Our results shed light on the function of Muse cells in relation to CNS diseases and provide insight into the selection of seed cells.

18.
Arch Virol ; 157(8): 1463-9, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22566005

RESUMO

A rapid detection assay based on loop-mediated isothermal amplification (LAMP) has been developed for detecting caprine arthritis-encephalitis (CAEV) proviral DNA. The LAMP assay utilized a set of five primers designed against highly conserved sequences located within the p25 gene region. The assay successfully detected CAEV proviral DNA in total DNA extracts originating from cell culture, whole blood samples and separated PBMCs. There was no cross-reaction with the negative control. Amplification was monitored using a Loopamp real-time turbidimeter; turbidity and the corresponding time were recorded. Amplification from CAEV-Shanxi DNA was detected as early as 17 min, with a maximum sensitivity of 0.0001 TCID(50), reached at 32 min. Sixty-eight animal blood samples were tested using AGID, PCR and LAMP assay, and the positive rates were 30.9 %, 33.8 % and 47.1 %, respectively. Whole blood can be used directly, eliminating the need for separation of PBMCs and nucleic acid extraction, reducing the overall procedure time to approximately 80 min. Therefore, the LAMP assay provides a specific and sensitive means for detecting CAEV proviral DNA in a simple, fast, and cost-effective manner and should be useful in eradication programs and epidemiological studies. Furthermore, the LAMP assay can be performed in less-well-equipped laboratories as well as in the field.


Assuntos
Vírus da Artrite-Encefalite Caprina/genética , Vírus da Artrite-Encefalite Caprina/isolamento & purificação , DNA Viral/isolamento & purificação , Doenças das Cabras/diagnóstico , Infecções por Lentivirus/veterinária , Técnicas de Amplificação de Ácido Nucleico/métodos , Provírus/genética , Animais , Células Cultivadas , Cabras/virologia , Infecções por Lentivirus/diagnóstico , Técnicas de Diagnóstico Molecular/métodos , Reação em Cadeia da Polimerase , Sensibilidade e Especificidade , Membrana Sinovial/virologia
19.
Sci Total Environ ; 807(Pt 1): 150764, 2022 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-34624289

RESUMO

Expanding the utilization strategy of waste concrete powder (WCP) is conducive to minimizing the environmental burden caused by construction & demolition wastes (C&DW). In this study, WCP prepared in the laboratory was thermally treated and used to remove As(V) from wastewater. Batch adsorption tests were implemented to explore the influence factors such as modification temperature (0-850 °C), pH (1.00-12.00), dosage (2-50 g/L), co-coexisting ions (SO42-, NO3-, Cl- and PO43-) and temperature (25-45 °C). Various methods including spectroscopic tests, Rietveld refinement and sequential extraction process were employed to examine the mechanisms and their contribution to As(V) removal. Results show that the As(V) removal capacity of WCP was slightly enhanced after treatment at 200 °C, the pseudo-second-order kinetics model and Langmuir model could describe the adsorption process well. The maximum uptake capacity for As(V) calculated by Langmuir model at 25, 35 and 45 °C were 31.89, 25.56 and 17.42 mg/g respectively, and the removal rate reached a maximum of 95.37% (C0 = 100 mg/L). Thermodynamically, the As(V) elimination was exothermic and spontaneous. The ettringite produced by rehydration of WCP proved to be essential for As(V) removal. Electrostatic attraction, precipitation, complexation and ion exchange were identified to be the main mechanisms of As(V) adsorption. This study confirmed the potential of WCP in removing As(V) from wastewater and provided a new insight into the removal mechanisms.


Assuntos
Poluentes Químicos da Água , Purificação da Água , Adsorção , Concentração de Íons de Hidrogênio , Cinética , Pós , Águas Residuárias , Poluentes Químicos da Água/análise
20.
Clin Chim Acta ; 495: 338-344, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31059702

RESUMO

BACKGROUND: Previous study had demonstrated that sestrin2 (Sesn2) expression was increased in human failing heart. Although, the circulating Sesn2 concentrations in patients with chronic heart failure (CHF) remains unknown. This study investigated plasma Sesn2 concentrations in patients with CHF and the role between Sesn2 and the occurrence of major adverse cardiac events. METHODS: A total of 80 control subjects and 220 CHF patients were enrolled and the Sesn2 concentrations of each sample were measured. Additionally, the occurrence of major adverse cardiac events in each CHF patient were followed prospectively for 36 months. RESULTS: Increased plasma Sesn2 concentrations were found in CHF patients and gradually increased from New York Heart Association (NYHA) functional class II to IV. The Sesn2 concentrations were positively correlated with N-terminal B-type natriuretic peptide (NT-pro BNP) but negatively correlated with left ventricular ejection fraction (LVEF) in CHF patients. The ROC curve suggested that Sesn2 had a certain value in predicting major adverse cardiac events during CHF patients, although, the predictive role of Sesn2 is not as good as NT-pro BNP. In addition, the multivariate Cox hazard analysis was performed after the CHF patients were divided into 3 groups (low, middle, and high) base on the plasma Sesn2 concentrations category, and the results showed that both high and middle Sesn2 concentrations increased the incidence of major adverse cardiac events when compared with low Sesn2 group. Furthermore, CHF patients with major adverse cardiac events showed higher Sesn2 concentrations when compared with CHF without major adverse cardiac events. The Kaplan-Meier analysis was performed after the CHF patients were divided into 2 groups according to the median Sesn2 concentrations and the results revealed that patients with high Sesn2 concentrations had a higher risk of major adverse cardiac events compared with those with low Sesn2. CONCLUSIONS: Plasma Sesn2 concentrations were increased in CHF patients and positively correlated with the severity of CHF. Increased Sesn2 concentrations significantly increased the occurrence of major adverse cardiac events and suggested poor outcome in CHF patients.


Assuntos
Doenças Cardiovasculares/etiologia , Insuficiência Cardíaca/sangue , Proteínas Nucleares/sangue , Idoso , Estudos de Casos e Controles , Estudos de Coortes , Feminino , Seguimentos , Insuficiência Cardíaca/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Peptídeo Natriurético Encefálico/sangue , Fragmentos de Peptídeos/sangue , Valor Preditivo dos Testes , Prognóstico , Volume Sistólico
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA