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1.
Mol Cancer Res ; 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39352512

RESUMEN

Gram-negative micro-flora dysbiosis occurs in multiple digestive tumors and is found to be the dominant micro-flora in esophageal squamous cell carcinoma (ESCC) micro-environment. The continuous stimulation of G- bacterium metabolites may cause tumorigenesis and reshape the micro-immune environment in ESCC. However, the mechanism of G- bacilli causing immune evasion in ESCC remains underexplored. We identified CC Chemokine receptor 1 (CCR1) as a tumor-indicating gene in ESCC. Interestingly, expression levels of CCR1 and PD-L1 were mutually up regulated after G- bacilli metabolites lipopolysaccharide (LPS) stimulation. Firstly, we found CCR1 high expression level to be associated with poor overall survival in ESCC. Importantly, we found that high level expression of CCR1 up-regulated PD-L1 expression by activating MAPK phosphorylation in ESCC and induced tumor malignant behavior. Finally, we found that T cells exhaustion and cytotoxicity suppression were associated with CCR1 expression in ESCC, which were decreased after CCR1 inhibiting. Our work identifies CCR1 as a potential immune check point regulator of PD-L1 and may cause T cell exhaustion and cytotoxicity suppression in ESCC micro-environment and highlights the potential value of CCR1 as therapeutic target of immunotherapy. Implications: The esophageal microbial environment and its metabolites significantly affect the outcome of immunotherapy for ESCC.

2.
Pediatr Hematol Oncol ; : 1-13, 2024 Oct 03.
Artículo en Inglés | MEDLINE | ID: mdl-39360430

RESUMEN

Measurable residual disease (MRD) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is an independent risk factor for relapse in patients with acute lymphoblastic leukemia (ALL). This study aimed to assess the efficacy, safety, and immune reconstitution of chimeric antigen receptor T-cell (CAR-T) therapy in patients with molecular relapse after allo-HSCT. Eleven patients with molecular relapse of B-cell-ALL who underwent CAR-T therapy after allo-HSCT were enrolled. The rate of MRD negativity after a month of CAR-T infusion was 81.8%. Patients who bridged to second-HSCT after CAR-T therapy (n = 3) showed a trend of higher 3-year leukemia-free survival and 3-year overall survival than those who did not (n = 8; 100% vs. 75.0%; 95% CI, 45.0-104.9%; p = 0.370). No treatment-related mortalities were observed. Among patients who did not bridge to second-HSCT and remained in complete remission until the last follow-up (n = 6), five of them had not recovered normal immunoglobulin concentrations with a median follow-up of 43 months. CAR-T therapy may be a safe and effective treatment strategy to improve survival after allo-HSCT; however, the problem of prolonged hypogammaglobulinemia in patients who do not bridge to second-HSCT is worth noting.

3.
Haematologica ; 2024 Oct 03.
Artículo en Inglés | MEDLINE | ID: mdl-39363872

RESUMEN

This study aimed to demonstrate the clinical outcomes of granulocyte colony-stimulating factor (G-CSF)/antithymocyte globulin (ATG), posttransplantation cyclophosphamide (PTCy) and PTCy combined with lowdose ATG (PTCy with ATGlow)-based haploidentical transplantation protocols in patients with haematologic malignancies. The comparisons were conducted via propensity score matching (PSM) analysis to balance the basic characteristics among different groups and were based on the transplantation data reported to the Chinese Bone Marrow Transplantation Registry Group (CBMTRG) from January 2020 to December 2022. For each patient in the PTCy or PTCy with ATGlow group, patients (at a 1:2 ratio) from the GCSF/ ATG group were selected. In total, the PTCy group (n=122) was matched with G-CSF/ATG Group 1 (n=230), and the PTCy+ATGlow group (n=123) was matched with G-CSF/ATG Group 2 (n=226). Compared with those in the PTCy group, the incidences of 28-day neutrophil engraftment (P=0.005), 100- day platelet engraftment (P=0.002), median time to neutrophil engraftment (P.

4.
Front Cardiovasc Med ; 11: 1436764, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39350967

RESUMEN

Ischemic heart disease refers to the imbalance between the supply and demand of myocardial blood; it has various causes and results in a class of clinical diseases characterized by myocardial ischemia (MI). In recent years, the incidence of cardiovascular disease has become higher and higher, and the number of patients with ischemic heart disease has also increased year by year. Traditional treatment methods include drug therapy and surgical treatment, both of which have limitations. The former maybe develop risks of drug resistance and has more significant side effects, while the latter may damage blood vessels and risk infection. At this stage, a new cell-free treatment method needs to be explored. Many research results have shown that exosomes from different cell sources can protect the ischemic myocardium via intercellular action methods, such as promoting angiogenesis, inhibiting myocardial fibrosis, apoptosis and pyroptosis, and providing a new basis for the treatment of MI. In this review, we briefly introduce the formation and consequences of myocardial ischemia and the biology of exosomes, and then focus on the role and mechanism of exosomes from different sources in MI. We also discuss the role and mechanism of exosomes pretreated with Chinese and Western medicines on myocardial ischemia. We also discuss the potential of exosomes as diagnostic markers and therapeutic drug for MI.

5.
J Transl Med ; 22(1): 883, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39354613

RESUMEN

Single-cell technology depicts integrated tumor profiles including both tumor cells and tumor microenvironments, which theoretically enables more robust diagnosis than traditional diagnostic standards based on only pathology. However, the inherent challenges of single-cell RNA sequencing (scRNA-seq) data, such as high dimensionality, low signal-to-noise ratio (SNR), sparse and non-Euclidean nature, pose significant obstacles for traditional diagnostic approaches. The diagnostic value of single-cell technology has been largely unexplored despite the potential advantages. Here, we present a graph neural network-based framework tailored for molecular diagnosis of primary liver tumors using scRNA-seq data. Our approach capitalizes on the biological plausibility inherent in the intercellular communication networks within tumor samples. By integrating pathway activation features within cell clusters and modeling unidirectional inter-cellular communication, we achieve robust discrimination between malignant tumors (including hepatocellular carcinoma, HCC, and intrahepatic cholangiocarcinoma, iCCA) and benign tumors (focal nodular hyperplasia, FNH) by scRNA data of all tissue cells and immunocytes only. The efficacy to distinguish iCCA from HCC was further validated on public datasets. Through extending the application of high-throughput scRNA-seq data into diagnosis approaches focusing on integrated tumor microenvironment profiles rather than a few tumor markers, this framework also sheds light on minimal-invasive diagnostic methods based on migrating/circulating immunocytes.


Asunto(s)
Neoplasias Hepáticas , Redes Neurales de la Computación , Análisis de la Célula Individual , Humanos , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/genética , Neoplasias Hepáticas/patología , Análisis de la Célula Individual/métodos , ARN/metabolismo , Carcinoma Hepatocelular/diagnóstico , Carcinoma Hepatocelular/genética , Carcinoma Hepatocelular/patología , Análisis de Secuencia de ARN
6.
Artículo en Inglés | MEDLINE | ID: mdl-39380467

RESUMEN

The neuromorphic vision system that utilizes spikes as information carriers is crucial for the formation of spiking neural networks. Here, we present a bioinspired flexible artificial spiking photoreceptor (ASP), which is realized by using a single VO2 Mott memristor that can simultaneously sense and encode the stimulus light into spikes. The ASP has high spike-encoded photosensitivity and ultrawide photosensing range (405-808 nm) with good endurance (>7 × 107) and high flexibility (bending radius ∼5 mm). Then, we put forward an all-spike electronic retina architecture that comprises one layer of ASPs and one layer of artificial optical nerves (AONs) to process the spike information. Each AON consists of a single Mott memristor connected in series with a neuro-transistor that is a multiple-input floating-gate MOS transistor. Simulation results demonstrate that the all-spike electronic retina can successfully segment images with high Shannon entropy, thus laying the foundation for the development of a spike-based neuromorphic vision system.

7.
Cell J ; 26(8): 473-486, 2024 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-39380478

RESUMEN

OBJECTIVE: Polycystic ovary syndrome (PCOS) is one of the most important causes of infertility, irregular menstrual cycles, and anovulation in women. The current study aimed to investigate the therapeutic effects of Althaea officinalis L. (A. officinale) extract on PCOS in rats. MATERIALS AND METHODS: In this experimental study, 70 rats in 7 groups (n=10/group) were studied for three weeks as follows; healthy control (HC), patient (PCOS), metformin (PCOS+MET), A. officinale treatment (PCOS+250 and 500 mg/kg A. officinale) and synergistic (PCOS+MET+250 and 500 mg/kg A. officinale) groups. Luteinizing hormone (LH), folliclestimulating hormone (FSH), progesterone (P) and testosterone (T) levels as well as inflammatory cytokines were measured. Total antioxidant capacity and lipid peroxidation levels were analyzed in ovarian tissue. The expression of GLUT-4, AKT, PI3K, PTEN genes and Ki-67 was assessed by real-time polymerase chain reaction (PCR) and immunohistochemistry, respectively. RESULTS: A. officinale alone and especially in combination with MET moderated inflammatory and antioxidant parameters compared to the PCOS and MET groups. A. officinale in synergistic groups increased the apoptosis of granulosa cells by activating the PI3K/AKT pathway, resulting in a rise in the number of Ki-67 positive cells (P<0.05). Furthermore, following A. officinale treatment the LH/FSH rate decreased and FSH and P increased (P<0.05). Also, A. officinale extract could effectively normalize estrus cycle duration close to the normal group. CONCLUSION: The extract of A. officinale, in combination with metformin, can enhance the hypothalamic-pituitaryovary (HPO) axis with synergistic anti-inflammatory and antioxidant effects. Additionally, the extract showed apoptotic effect on cystic granulosa cells.

8.
Bioinformatics ; 2024 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-39392404

RESUMEN

MOTIVATION: Target discovery is a crucial step in drug development, as it directly affects the success rate of clinical trials. Knowledge graphs (KGs) offer unique advantages in processing complex biological data and inferring new relationships. Existing biomedical KGs primarily focus on tasks such as drug repositioning and drug-target interactions, leaving a gap in the construction of KGs tailored for target discovery. RESULTS: We established a comprehensive biomedical KG focusing on target discovery, termed TarKG, by integrating seven existing biomedical KGs, nine public databases, and traditional Chinese medicine knowledge databases. TarKG consists of 1,143,313 entities and 32,806,467 relations across 15 entity categories and 171 relation types, all centered around three core entity types: Disease, Gene, Compound. TarKG provides specialized knowledges for the core entities including chemical structures, protein sequences or text descriptions. By using different KG embedding algorithms, we assessed the knowledge completion capabilities of TarKG, particularly for disease-target link prediction. In case studies, we further examined TarKG's ability to predict potential protein targets for Alzheimer's disease (AD) and to identify diseases potentially associated with the metallo-deubiquitinase CSN5, using literature analysis for validation. Furthermore, we provided a user-friendly web server (https://tarkg.ddtmlab.org) that enables users to perform knowledge retrieval and relation inference using TarKG. AVAILABILITY: TarKG is accessible at https://tarkg.ddtmlab.org. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

9.
Sci Rep ; 14(1): 23510, 2024 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-39379485

RESUMEN

Salt efflorescence is one of the major hazards to cultural heritages, masonries, and highways etc. It is now generally accepted that damages caused by salt efflorescence are mainly due to continuous cycles of salt crystallization/dissolution or hydration/dehydration in confined spaces. The position where salt efflorescence occurs and its type are closely related to the degree of damages caused by salt efflorescence. It is known that water is the key environmental factor determining the salt crystallization position. But influence of the correlation between water supply and evaporation on the position of salt crystallization is still not clearly understood. In this work, a set of experiments are designed to investigate salt efflorescence in porous matrix. It is found that the types and positions of salt efflorescence have little to do with nucleation, but are mainly governed by crystal growth, which is controlled by the rates of water evaporation, water and salt supply, capillary forces and surface properties of the porous matrices.

10.
Nat Commun ; 15(1): 8681, 2024 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-39375328

RESUMEN

Selective separation of 137Cs is significant for the sustainable development of nuclear energy and environmental protection, due to its strong radioactivity and long half-life. However, selective capture of 137Cs+ from radioactive liquid waste is challenging due to strong coulomb interactions between the adsorbents and high-valency metal ions. Herein, we propose a strategy to resolve this issue and achieve specific Cs+ ion recognition and separation by modulating the stacking modes of layered perovskites. We demonstrate that among niobate-based perovskites, ALaNb2O7 (A = Cs, H, K, and Li), HLaNb2O7 shows an outstanding selectivity for Cs+ even in the presence of a large amount of competing Mn+ ions (Mn+ = K+, Ca2+, Mg2+, Sr2+, Eu3+, and Zr4+) owing to its suitable void fraction and space shape, brought by the stacking mode of layers. The Cs+ capture mechanism is directly elucidated at molecular level by single-crystal structural analyses and density functional theory calculations. This work not only provides key insights in the design and property optimization of perovskite-type materials for radiocesium separation, but also paves the way for the development of efficient inorganic materials for radionuclides remediation.

11.
Nat Commun ; 15(1): 8727, 2024 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-39379410

RESUMEN

Water is essential to the formation of intracontinental granites, but its origin remains elusive. Here we address this scientific problem by analyzing D/H isotopes of apatites, hydrous minerals in Jurassic and Early Cretaceous granites and basalts from eastern North China Craton, where water was previously interpreted as derived from subducting slab. Results reveal extremely low δD values in pristine Early Cretaceous granitic (-203‰ to -127‰) and basaltic (-197‰ to -107‰) apatites, contrasting with relatively high δD values (-137‰ to -47‰) in Jurassic granites. Given the depth-dependent D/H isotopic fractionation during slab dehydration and high-water contents in coeval primitive mafic magmas, the Early Cretaceous magma water is attributed to the stagnant slab within the mantle transition zone. Secular change in the depth of water aligns with steepening of subducting Paleo-Pacific plate from Jurassic to Early Cretaceous, demonstrating the potential of apatite H isotopes in tracing water origin in granites and basalts.

12.
BMC Cancer ; 24(1): 1241, 2024 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-39379833

RESUMEN

BACKGROUND & AIMS: The benefit of postoperative adjuvant transcatheter arterial chemoembolization (pTACE) for patients with hepatocellular carcinoma (HCC), especially those with Child-Pugh (CP) B, remains controversial. This study aimed to assess the survival benefit of pTACE for HCC patients with CP B. METHODS: Data from 297 HCC patients with CP B7 or B8 were analyzed, dividing them into groups with and without pTACE (70, 23.6% vs. 227, 76.4%). Propensity score matching (PSM) was used to control for confounding bias, and competing-risk regression was applied to address bias from non-cancer-specific death (NCSD). RESULTS: Preliminary findings suggest that pTACE did not increase the incidence of severe complications in HCC patients with CP B7 or B8. Survival analysis indicated that the group receiving pTACE had better overall survival and recurrence-free survival than the group without pTACE after PSM. Furthermore, competitive risk analysis revealed that pTACE was an independent prognostic factor associated with reduced cancer-specific death incidence (subdistribution hazard ratio [SHR] 0.644, 95%CI: 0.378-0.784, P = 0.011) and recurrence (SHR 0.635, 95% CI: 0.379-0.855, P = 0.001). Importantly, pTACE did not increase NCSD. Subgroup analysis corroborated these results. CONCLUSION: Adjuvant TACE demonstrates the potential to significantly enhance the long-term prognosis of HCC patients with CP B7 or B8 following hepatectomy, particularly those with multiple tumors, large tumor size, macrovascular or microvascular invasion, and narrow resection margin. Hence, pTACE should be considered for patients at high risk of recurrence following thorough evaluation.


Asunto(s)
Carcinoma Hepatocelular , Quimioembolización Terapéutica , Hepatectomía , Neoplasias Hepáticas , Humanos , Carcinoma Hepatocelular/terapia , Carcinoma Hepatocelular/mortalidad , Carcinoma Hepatocelular/cirugía , Carcinoma Hepatocelular/patología , Neoplasias Hepáticas/mortalidad , Neoplasias Hepáticas/terapia , Neoplasias Hepáticas/cirugía , Neoplasias Hepáticas/patología , Masculino , Quimioembolización Terapéutica/métodos , Femenino , Persona de Mediana Edad , Anciano , Puntaje de Propensión , Recurrencia Local de Neoplasia/epidemiología , Pronóstico , Estudios Retrospectivos , Adulto , Resultado del Tratamiento , Quimioterapia Adyuvante/métodos
13.
Mater Horiz ; 2024 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-39392274

RESUMEN

Carbamazepine, recognized as one of the most prevalent pharmaceuticals, has attracted considerable attention due to its potential impact on ecosystems and human health. In response, this work synthesized and characterized a novel environmentally friendly and cost-effective organic semiconductor photocatalyst PM6:Y6:ITCPTC loaded with coconut shell charcoal, and then investigated its performance for photocatalytic removal. Remarkably, carbamazepine demonstrated a photodegradation efficiency exceeding 99% within a mere 20 minutes of exposure to one sunlight intensity, and also showed good effectiveness under a low light intensity of 50 W. The catalyst exhibited exceptional reusability and stability, maintaining degradation efficiency between 95-99% over 25 cycles. The high photocatalytic activity of PM6:Y6:ITCPTC is primarily attributed to the incorporation of the third component (named ITCPTC), which enhances exciton dissociation and carrier transfer, generating superoxide radicals, electrons, and holes. Furthermore, the plausible degradation pathway of carbamazepine was proposed based on the measured intermediates and density functional theory calculations.

14.
Cell Death Dis ; 15(10): 742, 2024 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-39394197

RESUMEN

Resistance to gemcitabine in pancreatic ductal adenocarcinoma (PDAC) leads to ineffective chemotherapy and, consequently, delayed treatment, thereby contributing to poor prognosis. Glycolysis is an important intrinsic reason for gemcitabine resistance as it competitively inhibits gemcitabine activity by promoting deoxycytidine triphosphate accumulation in PDAC. However, biomarkers are lacking to determine which patients can benefit significantly from glycolysis inhibition under the treatment of gemcitabine activity, and a comprehensive understanding of the molecular mechanisms that promote glycolysis in PDAC will contribute to the development of a strategy to sensitize gemcitabine chemotherapy. In this study, we aimed to identify a biomarker that can robustly indicate the intrinsic resistance of PDAC to gemcitabine and guide chemotherapy sensitization strategies. After establishing gemcitabine-resistant cell lines in our laboratory and collecting pancreatic cancer and adjacent normal tissues from gemcitabine-treated patients, we observed that circRNA hsa_circ_0008383 (namely cNEK6) was highly expressed in the peripheral blood and tumor tissues of patients and xenografts with gemcitabine-resistant PDAC. cNEK6 enhanced resistance to gemcitabine by promoting glycolysis in PDAC. Specifically, cNEK6 prevented K48 ubiquitination of small ribonucleoprotein peptide A from the BTRC, a ubiquitin E3 ligase; thus, the accumulated SNRPA stopped PP2Ac translation by binding to its G-quadruplexes in 5' UTR of mRNA. mTORC1 pathway was aberrantly phosphorylated and activated owing to the absence of PP2Ac. The expression level of cNEK6 in the peripheral blood and tumor tissues correlated significantly and positively with the activation of the mTORC1 pathway and degree of glycolysis. Hence, the therapeutic effect of gemcitabine is limited in patients with high cNEK6 levels, and in combination with the mTORC1 inhibitor, rapamycin, can enhance sensitivity to gemcitabine chemotherapy.


Asunto(s)
Carcinoma Ductal Pancreático , Desoxicitidina , Resistencia a Antineoplásicos , Gemcitabina , Glucólisis , Diana Mecanicista del Complejo 1 de la Rapamicina , Neoplasias Pancreáticas , Desoxicitidina/análogos & derivados , Desoxicitidina/farmacología , Desoxicitidina/uso terapéutico , Humanos , Carcinoma Ductal Pancreático/tratamiento farmacológico , Carcinoma Ductal Pancreático/metabolismo , Carcinoma Ductal Pancreático/genética , Carcinoma Ductal Pancreático/patología , Glucólisis/efectos de los fármacos , Diana Mecanicista del Complejo 1 de la Rapamicina/metabolismo , Resistencia a Antineoplásicos/efectos de los fármacos , Resistencia a Antineoplásicos/genética , Neoplasias Pancreáticas/tratamiento farmacológico , Neoplasias Pancreáticas/metabolismo , Neoplasias Pancreáticas/patología , Neoplasias Pancreáticas/genética , Animales , Ratones , Línea Celular Tumoral , Ratones Desnudos , Femenino , Pirofosfatasas/metabolismo , Pirofosfatasas/genética , Masculino , Ratones Endogámicos BALB C , Persona de Mediana Edad , Transducción de Señal/efectos de los fármacos
15.
Artículo en Inglés | MEDLINE | ID: mdl-39402188

RESUMEN

We evaluated the safety and efficacy of a novel protocol for haploidentical stem cell transplantation (haplo-SCT) in 312 patients with hematologic malignancies. The protocol evolved from the Beijing platform replacing ATG with ATLG; adding Fludarabine and removing cytarabine and Simustine. GVHD prophylaxis combined Basiliximab and low-dose cyclophosphamide post-transplant; overall, the conditioning duration was shortened. Median times to neutrophil and platelet recovery were both 11 days. Graft rejection occurred in 0.96% of patients. Cumulative incidences of grades II-IV and III-IV acute GVHD by day 200 were 35.3% and 8.9%, respectively. Probabilities of total and extensive chronic GVHD at 2 years were 40.7% and 14.7%. CMV viremia was observed in 35.6% of patients, with a 1.9% 100-day CMV pneumonia incidence and no CMV-related mortality. Cumulative incidences of non-relapse mortality at 100 days, 1 year, and 2 years were 2.9, 4.4, and 6.6%. The 4-year OS, RFS, and GRFS rates were 78.9, 70.7, and 47.3%. Older recipient age was associated with higher NRM, while positive pre-transplant MRD predicted worse OS, RFS, and higher relapse incidence. Our novel protocol for haplo-SCT is associated with low infection rates and acceptable risks of graft failure, severe GVHD, and mortality, representing a safe and effective haploidentical transplantation strategy.

16.
Cancer Lett ; : 217290, 2024 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-39396705

RESUMEN

Although it is an effective treatment for acute myeloid leukemia (AML), chemotherapy leads to myelosuppression and poor hematopoietic reconstruction. Hematopoiesis is regulated by bone marrow (BM) endothelial cells (ECs), and BM ECs are dysfunctional in acute leukemia patients with poor hematopoietic reconstitution after allogenic hematopoietic stem cell transplantation. Thus, it is crucial to explore the underlying mechanism of EC impairment and establish strategies for targeted therapy. TGF-ß signaling was found to be upregulated in ECs from AML patients in complete remission (CR ECs) and led to CR EC damage. Administration of a TGF-ß inhibitor rescued the dysfunction of ECs caused by TGF-ß1 expression in vitro, especially their hematopoiesis-supporting ability. Moreover, inhibition of TGF-ß expression repaired the BM EC damage triggered by chemotherapy in both AML patients in vitro and in an AML-CR murine model, and restored normal hematopoiesis without promoting AML progression. Mechanistically, our data reveal alterations in the transcriptomic pattern of damaged BM ECs, accompanied by the overexpression of downstream molecules TGF-ßRI, pSmad2/3, and functional genes related to adhesion, angiogenesis suppression and pro-apoptosis. Collectively, our findings reveal for the first time that the activation of TGF-ß signaling leads to BM EC dysfunction and poor hematopoietic reconstitution. Targeting TGF-ß represents a potential therapeutic strategy to promote multilineage hematopoiesis, thereby benefiting more cancer patients who suffer from myelosuppression after chemotherapy.

17.
J Matern Fetal Neonatal Med ; 37(1): 2413855, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39396881

RESUMEN

BACKGROUND: This study investigates the effects of administering intravenous esketamine at a dose of 0.25 mg/kg to pregnant patients receiving epidural anesthesia for emergency cesarean section on both maternal and neonatal outcomes. METHODS: Medical records of pregnant patients transitioning from labor analgesia to epidural anesthesia for emergency cesarean sections between January 2020 and December 2022 were analyzed. The patients were categorized based on whether they received esketamine infusions during the incision-to-delivery interval. The variables compared between the groups included hemodynamic parameters, perioperative and postoperative adverse reactions, and neonatal outcomes (gender, weight, Apgar scores at 1 and 5 min, need for neonatal intensive care, and umbilical artery/vein blood gas analysis). RESULTS: For maternal outcomes, the systolic blood pressure (SBP) in the esketamine group showed a significant increase at 5 and 10 min' post-administration, and the diastolic blood pressure (DBP) significantly increased at 5 min, compared to the control group (p < 0.01). No significant differences were observed in heart rate (HR) and oxygen saturation (SpO2) at any time point (p > 0.05). The esketamine group experienced a significant rise in the incidence of arrhythmias, dizziness, and nystagmus during the perioperative period, a notable decrease in hypotension incidence, and an increase in postoperative nausea and dizziness. Regarding neonatal outcomes, there were no significant differences in gender, weight, Apgar scores ≤7 at 1 and 5 min, and the need for neonatal intensive care. However, the pH level in the umbilical artery blood of the esketamine group was significantly higher. The levels of PCO2 and PO2 in umbilical artery and venous blood did not show significant differences between the groups. CONCLUSIONS: In pregnant women undergoing emergency cesarean section, intravenous administration of 0.25 mg/kg esketamine is correlated with favorable maternal and neonatal outcomes.


Asunto(s)
Cesárea , Ketamina , Humanos , Femenino , Embarazo , Ketamina/administración & dosificación , Estudios Retrospectivos , Adulto , Recién Nacido , Anestesia Obstétrica/métodos , Anestesia Obstétrica/efectos adversos , Anestesia Epidural/métodos , Infusiones Intravenosas , Puntaje de Apgar , Resultado del Embarazo/epidemiología , Administración Intravenosa
18.
Sci Rep ; 14(1): 23875, 2024 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-39396061

RESUMEN

Against the backdrop of promoting green, low-carbon, and high-quality development, this paper aims to promote efficient recycling of waste electrical and electronic equipment (WEEE) in rural China. In this paper, considering the integrated development of urban and rural areas and the standardization of industrial recycling system, under the joint action of the extension of producer responsibility and "dual regulation" of supply and marketing cooperatives, the evolutionary game model and system dynamics model of three-level recycling network of farmers, supply and marketing cooperatives and retailers are established. The mechanism of the participants to promote the recycling of WEEE in rural areas is discussed and the strategic choices and interactive relationships of various entities in the evolutionary process were used to analyze through the evolutionary game method. Meanwhile, using the theory of system dynamics, the main influencing factors of different evolution stages and the dynamic change process of the system are analyzed. The results show that: (1) supply and marketing cooperatives, retailers, and farmers can initially tend to participate in and supervise the recycling of WEEE; however, (2) they can finally achieve strong supervision, actively undertake and participate in the recycling and stabilization stable strategy of rural WEEE depends on their benefits and cost of expenditure expenditures are reasonable. (3) The strategic choice of supply and marketing cooperatives has the most significant impact on the strategic choice of retailers and the strategic choice of retailers has the most significant impact on the strategic choice of farmers.

19.
Plants (Basel) ; 13(19)2024 Sep 29.
Artículo en Inglés | MEDLINE | ID: mdl-39409598

RESUMEN

Natural rubber produced by the rubber tree is a vital industrial raw material globally. Seven SCAMP gene family members were identified in the rubber tree, and the phylogenetic tree classified HbSCAMPs into three subfamilies. Significant differences were observed among HbSCAMPs in terms of gene length, number of exons, and composition of conserved motifs. The expansion of HbSCAMPs in the rubber tree genome is associated with segmental duplications. The high expression of HbSCAMP1-6 in petioles and HbSCAMP7 in stem tips, along with their distinct responses to drought, salt, and wound stresses, indicates their crucial roles in substance transport and stress adaptation. Transgenic poplar experiments demonstrated that overexpression of HbSCAMP3 significantly promotes plant height growth, with localization in the tobacco plasma membrane, suggesting its involvement in regulating plant growth through membrane transport processes. These findings enhance the understanding of HbSCAMPs in rubber trees and provide new insights into how plants finely tune gene family members to adapt to environmental changes.

20.
Curr Microbiol ; 81(11): 396, 2024 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-39375231

RESUMEN

Strain DM2021935T representing a novel Acinetobacter species was isolated from a spoiled bath lotion in Guangdong, China. Based on 16S rRNA gene phylogenetic analysis, strain DM2021935T was closely related to 'Acinetobacter thutiue' VNH17T, Acinetobacter junii CIP 64.5 T, and Acinetobacter tibetensis Y-23 T. Cells of strain DM2021935T were Gram-stain-negative, non-spore-forming, strictly aerobic, catalase-positive, oxidase-negative, α-hemolytic, and non-motile. Strain DM2021935T exhibited growth in 1-3% (w/v) NaCl at temperatures ranging from 4 to 37 °C and tolerated pH levels from 6.0 to 8.0. The predominant fatty acids in strain DM2021935T are C12:0, C16:0, C18:1 ω9c, and summed feature 3. Polar lipid profiles included glycolipids, phospholipids, phosphatidylethanolamine, and phosphatidyl-N-methylethanolamine. The identified respiratory quinones were ubiquinone Q-8 and Q-9. The genomic size of DM2021935T comprised 4.15 Mb, consisting of one chromosome (3,827,633 bp) and two plasmids (241,357 and 83,010 bp). The G + C content was 41.8%. The average nucleotide identity, average amino acid identity, and digital DNA-DNA hybridization values between strain DM2021935T and phylogenetically related type strains were below the species delineation thresholds (72.2-95.4, 53.1-87.0, and 20.4-66.4%, respectively). AntiSMASH analysis identified four gene clusters: non-ribosomal peptide synthetase, non-alpha poly-amino group acids, YcaO cyclodehydratase, and aryl polyene biosynthesis. Based on genotypic data, strain DM2021935T represents a novel species within the genus Acinetobacter. The proposed name for the novel species is Acinetobacter corruptisaponis sp. nov. (type strain DM2021935T = KCTC 92772 T = GDMCC 1.3703 T).


Asunto(s)
Acinetobacter , Técnicas de Tipificación Bacteriana , Composición de Base , ADN Bacteriano , Ácidos Grasos , Filogenia , ARN Ribosómico 16S , Acinetobacter/genética , Acinetobacter/clasificación , Acinetobacter/aislamiento & purificación , ARN Ribosómico 16S/genética , Ácidos Grasos/química , ADN Bacteriano/genética , China , Genoma Bacteriano , Análisis de Secuencia de ADN , Fosfolípidos/análisis
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