Rosiglitazone attenuates hypoxia-induced renal cell apoptosis by inhibiting NF-κB signaling pathway in a PPARγ-dependent manner.

BACKGROUND: In recent years, peroxisome proliferator-activated receptor γ (PPARγ) has been found to be closely associated with hypoxia renal disease. The aim of this study was to investigate the relationship between rosiglitazone and mitochondrial apoptosis in renal tissue and its associated mechanisms. METHODS: Twenty-four male Sprague-Dawley rats were randomly divided into three groups (n = 8 in each): normal control group, hypoxia injury group (equal volume of 0.9% saline), and PPARγ agonist group (Rosiglitazone, 10 mg/kg · d, intraperitoneally). The hypoxia injury group and PPARγ agonist group were placed in a hypoxia chamber and the simulated altitude was set at 7,000 m for 7 days. Blood and kidney samples were collected after 7 days. The quantitative real-time polymerase chain reaction and Western blot methods were used to determine the expression of PPARγ, nuclear factor kappa-B (NF-κB), B-cell lymphoma-2 (Bcl-2), and Bax. RESULTS: The results showed that compared with the normal control group, the renal tissue of rats after hypoxia was severely damaged, as shown by massive renal tubular epithelial cell degeneration and detachment, and renal tubular dilation. The NF-κB protein expression significantly increased, the Bcl-2 protein and mRNA expression significantly decreased, and Bax protein and mRNA expression significantly increased (p < .05 for all). Renal injury was much less severe in the PPARγ agonist group compared to the hypoxia injury group. CONCLUSIONS: Rosiglitazone can alleviate hypoxia renal injury, with the possible mechanism involving attenuation of apoptosis by inhibiting the activation of the NF-κB signaling pathway in a PPARγ-dependent manner and increasing Bcl-2 and decreasing Bax expression.

Lithium-Sulfur Batteries under Lean Electrolyte Conditions: Challenges and Opportunities.

The development of energy-storage devices has received increasing attention as a transformative technology to realize a low-carbon economy and sustainable energy supply. Lithium-sulfur (Li-S) batteries are considered to be one of the most promising next-generation energy-storage devices due to their ultrahigh energy density. Despite the extraordinary progress in the last few years, the actual energy density of Li-S batteries is still far from satisfactory to meet the demand for practical applications. Considering the sulfur electrochemistry is highly dependent on solid-liquid-solid multi-phase conversion, the electrolyte amount plays a primary role in the practical performances of Li-S cells. Therefore, a lean electrolyte volume with low electrolyte/sulfur ratio is essential for practical Li-S batteries, yet under these conditions it is highly challenging to achieve acceptable electrochemical performances regarding sulfur kinetics, discharge capacity, Coulombic efficiency, and cycling stability especially for high-sulfur-loading cathodes. In this Review, the impact of the electrolyte/sulfur ratio on the actual energy density and the economic cost of Li-S batteries is addressed. Challenges and recent progress are presented in terms of the sulfur electrochemical processes: the dissolution-precipitation conversion and the solid-solid multi-phasic transition. Finally, prospects of future lean-electrolyte Li-S battery design and engineering are discussed.

Activating Inert Metallic Compounds for High-Rate Lithium-Sulfur Batteries Through In Situ Etching of Extrinsic Metal.

Surface reactions constitute the foundation of various energy conversion/storage technologies, such as the lithium-sulfur (Li-S) batteries. To expedite surface reactions for high-rate battery applications demands in-depth understanding of reaction kinetics and rational catalyst design. Now an in situ extrinsic-metal etching strategy is used to activate an inert monometal nitride of hexagonal Ni3 N through iron-incorporated cubic Ni3 FeN. In situ etched Ni3 FeN regulates polysulfide-involving surface reactions at high rates. Electron microscopy was used to unveil the mechanism of in situ catalyst transformation. The Li-S batteries modified with Ni3 FeN exhibited superb rate capability, remarkable cycling stability at a high sulfur loading of 4.8 mg cm-2 , and lean-electrolyte operability. This work opens up the exploration of multimetallic alloys and compounds as kinetic regulators for high-rate Li-S batteries and also elucidates catalytic surface reactions and the role of defect chemistry.

Hypobaric Hypoxia Aggravates Renal Injury by Inducing the Formation of Neutrophil Extracellular Traps through the NF-κB Signaling Pathway.

OBJECTIVE: The hypersensitivity of the kidney makes it susceptible to hypoxia injury. The involvement of neutrophil extracellular traps (NETs) in renal injury resulting from hypobaric hypoxia (HH) has not been reported. In this study, we aimed to investigate the expression of NETs in renal injury induced by HH and the possible underlying mechanism. METHODS: A total of 24 SD male rats were divided into three groups (n=8 each): normal control group, hypoxia group and hypoxia+pyrrolidine dithiocarbamate (PDTC) group. Rats in hypoxia group and hypoxia+PDTC group were placed in animal chambers with HH which was caused by simulating the altitude at 7000 meters (oxygen partial pressure about 6.9 kPa) for 7 days. PDTC was administered at a dose of 100 mg/kg intraperitoneally once daily for 7 days. Pathological changes of the rat renal tissues were observed under a light microscope; the levels of serum creatinine (SCr), blood urea nitrogen (BUN), cell-free DNA (cf-DNA) and reactive oxygen species (ROS) were measured; the expression levels of myeloperoxidase (MPO), citrullinated histone H3 (cit-H3), B-cell lymphoma 2 (Bcl-2), Bax, nuclear factor kappa B (NF-κB) p65 and phospho-NF-κB p65 (p-NF-κB p65) in rat renal tissues were detected by qRT-qPCR and Western blotting; the localization of NF-κB p65 expression in rat renal tissues was observed by immunofluorescence staining and the expression changes of NETs in rat renal tissues were detected by multiplex fluorescence immunohistochemical staining. RESULTS: After hypoxia, the expression of NF-κB protein in renal tissues was significantly increased, the levels of SCr, BUN, cf-DNA and ROS in serum were significantly increased, the formation of NETs in renal tissues was significantly increased, and a large number of tubular dilatation and lymphocyte infiltration were observed in renal tissues. When PDTC was used to inhibit NF-κB activation, NETs formation in renal tissue was significantly decreased, the expression level of Bcl-2 in renal tissues was significantly increased, the expression level of Bax was significantly decreased, and renal injury was significantly alleviated. CONCLUSION: HH induces the formation of NETs through the NF-κB signaling pathway, and it promotes apoptosis and aggravates renal injury by decreasing Bcl-2 and increasing Bax expression.

Shielding Polysulfide Intermediates by an Organosulfur-Containing Solid Electrolyte Interphase on the Lithium Anode in Lithium-Sulfur Batteries.

The lithium-sulfur (Li-S) battery is regarded as a promising high-energy-density battery system, in which the dissolution-precipitation redox reactions of the S cathode are critical. However, soluble Li polysulfides (LiPSs), as the indispensable intermediates, easily diffuse to the Li anode and react with the Li metal severely, thus depleting the active materials and inducing the rapid failure of the battery, especially under practical conditions. Herein, an organosulfur-containing solid electrolyte interphase (SEI) is tailored for the stabilizaiton of the Li anode in Li-S batteries by employing 3,5-bis(trifluoromethyl)thiophenol as an electrolyte additive. The organosulfur-containing SEI protects the Li anode from the detrimental reactions with LiPSs and decreases its corrosion. Under practical conditions with a high-loading S cathode (4.5 mgS cm-2 ), a low electrolyte/S ratio (5.0 µL mgS -1 ), and an ultrathin Li anode (50 µm), a Li-S battery delivers 82 cycles with an organosulfur-containing SEI in comparison to 42 cycles with a routine SEI. This work provokes the vital insights into the role of the organic components of SEI in the protection of the Li anode in practical Li-S batteries.

[Stiletto needle combined with massotherapy for pain in patients with knee osteoarthritis].

OBJECTIVE: To compare the clinical effect between Stiletto needle combined with massotherapy and articular injection of sodium hyaluronate for pain in patients with knee osteoarthritis (KOA). METHODS: A total of 156 patients with KOA were randomly divided into an observation group and a control group, 78 cases in each group. The patients in the observation group were treated with Stiletto needle (once a week) combined with massotherapy (twice a week); the patients in the control group were treated with articular injection of sodium hyaluronate (once a week). The treatment period were 5 weeks in total. The visual analogue scale (VAS) score, local tenderness value, knee joint activity and Lysholm knee joint score were recorded before treatment, 3 weeks and 5 weeks of treatment. RESULTS: Compared before treatment, the VAS score, local tenderness value, knee joint activity and Lysholm knee joint score in the two groups were improved 5 weeks of treatment (P<0.05). After 5 weeks of treatment, The local tenderness value and Lysholm knee joint score in the observation group were significantly improved compared with the control group (P<0.05), but the knee joint activity in the control group was superior to that in the observation group (P<0.05). CONCLUSION: The Stiletto needle combined with massotherapy are superior to articular injection of sodium hyaluronate in relieving pain and improving knee joint function in patients with early-to-moderate KOA, but its effect on joint activity is inferior to sodium hyaluronate.

Mononuclear and trinuclear DyIII SMMs with Schiff-base ligands modified by nitro-groups: first triangular complex with a N-N pathway.

Using two Schiff-base ligands containing an electron-withdrawing group (NO2), we obtained two mononuclear and two trinuclear complexes with the general formula [Dy(hni)(NO3)(DMF)2]·DMF (1·DMF), [Dy(hni)2(H2O)2]·NO3·EtOH (2·NO3·EtOH), [Dy3(hnc)3(DMF)6] (3) and [Gd3(hnc)3(DMF)6] (4) (H-hni: 2-(hydroxyl-3-methoxy-5-nitrophenyl)methylene(isonictino)hydrazine and H3-hnc: 1,5-bis(2-hydroxy-3-methoxy-5-nitrobenzylidene)carbonohydrazide). Four complexes were confirmed by infrared spectroscopy and single-crystal X-ray diffraction. The crystal structure of complex 3 reveals that the modified Schiff-base ligand provides two different tridentate coordination pockets (ONN and ONO) to encapsulate DyIII with a unique N-N pathway. The magnetic properties of all four complexes have been investigated using dc and ac susceptibility measurements. The frequency-dependent ac susceptibility is indicative of single-molecule magnetic behavior without and/or with an optimum dc field with a relaxation barrier Ueff = 34 K (400 Oe), 19 K (0 Oe) and 80 K (0 Oe) for complexes 1, 2 and 3, respectively.

[Study on clinical anatomy of calcaneal fractures and its applications].

OBJECTIVE: To observe and analyze the intraoperative state of calcaneal fractures, and summarize the law of displacement after calcaneal fractures, so as to guide fracture reduction and fixation. METHODS: From March 2002 to March 2009, among 572 patients with calcaneal fractures, 427 patients were male and 145 patients were female, ranging in age from 17 to 73 years, averaged 37 years. The patients were injured from falling or road accidents, and all the patients were closed fracture. The 189 patients with complete clinical data were treated with reduction and fixation through the lateral approach after observation of displacement type of the fractures. RESULTS: Among 189 patients,the fractures were found at the lower part of the articular surface in all patients, which was hillock point of calcaneus; the fractures were found at the Gissans Corner in 134 patients, and the type include cross-sectional fracture or oblique fracture; the fractures were found at calcaneal tubercle in 118 patients, and the fractures were divided into two parts from top to bottom; the fractures were found at the distal part of calcaneus only in 67 patients. CONCLUSION: Calcaneal fractures show clear law of dislocation. Preoperative and intra-operative detailed analysis and evaluation, as well as reduction and fixation according to certain sequences can insure to get better operative effects.

[Problems and solutions of plate internal fixation for the treatment of calcaneal fractures].

OBJECTIVE: To retrospective analysis operating procedures and results of calcaneal fractures treated with plate fixation, identify problems and propose measures to reduce surgical complications. METHODS: From June 2008 to April 2009, 156 patients were reviewed, including 121 males and 35 females, ranging in age from 18 to 59 years, with an average of 41 years. Thirty-two patients had bilateral calcaneal fractures. Twenty-three patients were surgically treated on both calcaneus at the same time. Total 179 calcaneus were treated with operation. The operation records of all patients were analyzed in order to find the problems and deficiencies. RESULTS: Among 179 calcaneal fractures, 31 feet (17.3%) had postoperative wound problems: wound infection and non-healing were found in 26 feet (14.5%), skin flap necrosis in 5 feet (2.8%). There were a lot of problems of plate internal fixation for the treatment of calcaneal fractures, including operation design, operative technique, as well as fracture reduction and fixation. CONCLUSION: The following methods are the only way to avoid operative complications for the treatment of calcaneal fractures: improved surgical technique, minimally invasive operation, simple and effective internal fixation.