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1.
Small ; 19(19): e2207383, 2023 May.
Article in English | MEDLINE | ID: mdl-36775909

ABSTRACT

Mixing in microfluidic channels is dominated by diffusion owing to the absence of chaotic flow. However, high-efficiency microscale mixing over short distances is desired for the development of lab-on-chip systems. Here, enhanced mixing in microchannels achieved using magnetic nonspherical particles (MNSPs), is reported. Benefiting from the nonspherical shape of the MNSPs, secondary vortices exhibiting cyclical characteristics appear in microchannels when the MNSPs rotate under an external magnetic field. Increasing the rotation rate enlarges the secondary vortices, expanding the mixing zone and enhancing the mixing, resulting in a mixing efficiency exceeding 0.9 at Re of 0.069-0.69. Complementary micro-particle image velocimetry (µPIV) for flow field analysis clarifies the mixing mechanism. In addition, a chaotic vortex area is generated in the presence of two MNSPs, which shortens the distance required for achieving an appropriate mixing efficiency. This study demonstrates the potential of employing MNSPs as efficient mixers in lab-on-chip devices.

2.
Retina ; 43(12): 2075-2079, 2023 Dec 01.
Article in English | MEDLINE | ID: mdl-35174805

ABSTRACT

PURPOSE: We present a new technique that allows an intraocular lens to be explanted through the small incisions used in modern cataract surgery. METHODS AND RESULTS: The intraocular lens optic is cut into three connected pieces at the 1-mm-wide end with scissors. Then, with the stabilizing counterforce provided by a pair of vitreoretinal forceps through a paracentesis, the middle piece is removed first, followed by the two side pieces connected with haptics flipped over at the connected part. These two parts overlap each other when passing through the incision, eventually resulting in the explantation of the intraocular lens, as an intact piece. CONCLUSION: We believe this method provides a simple and effective way to remove intraocular lens through very small incisions, which could also reduce complications and hasten patient's recovery.


Subject(s)
Cataract Extraction , Lenses, Intraocular , Humans , Reoperation , Device Removal/methods , Eye
3.
Int Ophthalmol ; 42(9): 2871-2879, 2022 Sep.
Article in English | MEDLINE | ID: mdl-35419635

ABSTRACT

PURPOSE: To investigate the clinical features and surgical outcomes in infants with glaucoma secondary to a special anterior-anterior type of persistent fetal vasculature (AAPFV). METHODS: This study retrospectively reviewed the medical records of infants who underwent of the synechialysis, pupilloplasty, with or without lensectomy and limbal vitrectomy due to AAPFV and with at least 6 months of postoperative follow-up. RESULTS: Eleven patients were included. The median age at surgery was 4.0 months (interquartile range: 7 months). The mean follow-up was 21.0 ± 11.3 months. All patients achieved a normal anterior chamber, improved pupillary configuration, and normal intraocular pressure (IOP), except one that developed phthisis bulbi at the last visit. A total of 81.8% (9/11) eyes exhibited improved corneal transparency. Histopathologic findings of four pupillary membranous specimens under light microscopy showed similar components compared with PFV. Two eyes developed postoperative complications, including retinal detachment and hyphema, requiring additional surgeries. Postoperative visual acuity changed from no light perception to light perception in 6/9 patients. CONCLUSIONS: AAPFV is a special type of PFV with a potential for secondary glaucoma. Surgery treatment may offer better vision with improved cosmetic outcomes and a better controlled IOP. TRIAL REGISTRATION: The study was approved by the local institutional review board (IRB) (Approval No. XHEC-D-2021-043, Ethical Committee of Xin Hua Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China).


Subject(s)
Glaucoma , Persistent Hyperplastic Primary Vitreous , China , Humans , Infant , Intraocular Pressure , Postoperative Complications , Retrospective Studies , Vitrectomy
4.
Phys Chem Chem Phys ; 23(17): 10164-10173, 2021 May 07.
Article in English | MEDLINE | ID: mdl-33951125

ABSTRACT

Parameterizing an effective water model is a challenging issue because of the difficulty in maintaining a comprehensive balance among the diverse physical properties of water with a limited number of parameters. The advancement in machine learning provides a promising path to search for a reliable set of parameters. Based on the TIP4P water model, hence, about 6000 molecular dynamics (MD) simulations for pure water at 1 atm and in the range of 273-373 K are conducted here as the training data. The back-propagation (BP) neural network is then utilized to construct an efficient mapping between the model parameters and four crucial physical properties of water, including the density, vaporization enthalpy, self-diffusion coefficient and viscosity. Without additional time-consuming MD simulations, this mapping operation could result in sufficient and accurate data for high-population genetic algorithm (GA) to optimize the model parameters as much as possible. Based on the proposed parameterizing strategy, TIP4P-BG (a conventional four-site water model) and TIP4P-BGT (an advanced model with temperature-dependent parameters) are established. Both the water models exhibit excellent performance with a reasonable balance among the four crucial physical properties. The relevant mean absolute percentage errors are 3.53% and 3.08%, respectively. Further calculations on the temperature of maximum density, isothermal compressibility, thermal expansion coefficient, radial distribution function and surface tension are also performed and the resulting values are in good agreement with the experimental values. Through this water modeling example, the potential of the proposed data-driven machine learning procedure has been demonstrated for parameterizing a MD-based material model.

5.
BMC Ophthalmol ; 21(1): 341, 2021 Sep 22.
Article in English | MEDLINE | ID: mdl-34551738

ABSTRACT

BACKGROUND: The purpose of this study was to implement and evaluate a deep learning (DL) approach for automatically detecting shallow anterior chamber depth (ACD) from two-dimensional (2D) overview anterior segment photographs. METHODS: We trained a DL model using a dataset of anterior segment photographs collected from Shanghai Aier Eye Hospital from June 2018 to December 2019. A Pentacam HR system was used to capture a 2D overview eye image and measure the ACD. Shallow ACD was defined as ACD less than 2.4 mm. The DL model was evaluated by a five-fold cross-validation test in a hold-out testing dataset. We also evaluated the DL model by testing it against two glaucoma specialists. The performance of the DL model was calculated by metrics, including accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve (AUC). RESULTS: A total of 3753 photographs (1720 shallow AC and 2033 deep AC images) were assigned to the training dataset, and 1302 photographs (509 shallow AC and 793 deep AC images) were held out for two internal testing datasets. In detecting shallow ACD in the internal hold-out testing dataset, the DL model achieved an AUC of 0.86 (95% CI, 0.83-0.90) with 80% sensitivity and 79% specificity. In the same testing dataset, the DL model also achieved better performance than the two glaucoma specialists (accuracy of 80% vs. accuracy of 74 and 69%). CONCLUSIONS: We proposed a high-performing DL model to automatically detect shallow ACD from overview anterior segment photographs. Our DL model has potential applications in detecting and monitoring shallow ACD in the real world. TRIAL REGISTRATION: http://clinicaltrials.gov , NCT04340635 , retrospectively registered on 29 March 2020.


Subject(s)
Deep Learning , Glaucoma , Anterior Chamber/diagnostic imaging , China , Glaucoma/diagnosis , Humans , ROC Curve
6.
Optom Vis Sci ; 97(6): 390-394, 2020 06.
Article in English | MEDLINE | ID: mdl-32511159

ABSTRACT

SIGNIFICANCE: Vaccine-associated uveitis has appeared in recent years because of various vaccines, whereas cases for human papillomavirus (HPV) vaccination were rarely reported. With more and more females becoming aware of its importance and choosing HPV vaccination, much more attention should be paid on the adverse effects of it. PURPOSE: The purpose of this study was to report a rare case of posterior uveitis after divalent HPV vaccination in an Asian female. CASE REPORT: A 29-year-old woman presented with acute vision loss accompanied by symptoms of headache, tinnitus, and myalgia after the third injection of HPV vaccination. The best-corrected visual acuity dropped to 20/500 for both eyes, and optical coherence tomography revealed bilateral multifocal submacular fluid. A short course of oral prednisone as well as Ozurdex intravitreal injection resulted in the reversal of all signs and symptoms. CONCLUSIONS: Although this case resembled Harada disease, we diagnosed it as vaccine-induced uveitis rather than coincidental autoimmune disease based on the rapid response to a short course of systemic corticosteroids. Because vaccine-induced uveitis is rare and difficult to distinguish from coincidental autoimmune disease, our case reminds eye care providers to be aware of the possible association between vaccination and a Harada-like reaction and to ask appropriately directed questions when obtaining history from young patients with uveitis. Based on this case, we also suggest Ozurdex intravitreal injection as a potential therapeutic choice, especially for patients with contraindication or personal concern to systemic corticosteroid.


Subject(s)
Papillomaviridae/immunology , Papillomavirus Infections/prevention & control , Papillomavirus Vaccines/adverse effects , Uveitis, Posterior/etiology , Vaccination/adverse effects , Vision Disorders/etiology , Administration, Oral , Adult , Asian People/ethnology , China/epidemiology , Dexamethasone/administration & dosage , Drug Implants , Female , Fluorescein Angiography , Glucocorticoids/administration & dosage , Humans , Injections, Intramuscular , Intravitreal Injections , Prednisone/administration & dosage , Tomography, Optical Coherence , Uveitis, Posterior/diagnosis , Uveitis, Posterior/drug therapy , Vision Disorders/diagnosis , Vision Disorders/drug therapy , Visual Acuity/physiology
7.
Nanotechnology ; 30(27): 275702, 2019 Jul 05.
Article in English | MEDLINE | ID: mdl-30836340

ABSTRACT

The effects of segregation of impurity molybdenum (Mo) atoms on the tensile mechanical properties of nanocrystalline nickel (Ni) are investigated with molecular dynamics simulation. The results show that the segregation of Mo atoms induces an obvious increase in the elastic modulus and strength of nanocrystalline Ni, and the strengthening effect is more significant with smaller grain size. When the grain size decreases below a critical value, at which the softening occurs in non-segregated Ni-Mo alloy, no evident softening phenomenon is observed in Mo-segregated systems. Furthermore, based on a bicrystal configuration, it is found that Mo atoms segregating to the grain boundary reduce the energy and mobility of the grain boundary, increasing the grain boundary stability and thus accommodating the strengthening. The present findings will shed light on the fabrication of high strength nanocrystalline materials by controlling the segregation of atoms.

8.
Nanotechnology ; 29(40): 405102, 2018 Oct 05.
Article in English | MEDLINE | ID: mdl-30020084

ABSTRACT

The aggregation of nanoparticles (NPs) on the cell membrane is crucial for the cellular uptake process and has important biological implications in protein-membrane interactions. In this paper, we systematically investigate how the aggregation is regulated by the mechanical properties of the NP-membrane system, including the membrane tension, and the size and shape of the NPs. Results show that when NPs aggregate parallel to the cell membrane, increasing the membrane tension will modulate the membrane-mediated interaction between the NPs from attractive to attractive-repulsive and finally to purely repulsive. In contrast, the membrane-mediated interaction is attractive and independent of the membrane tension when the NPs aggregate to a tubular configuration. For the aggregation of NPs of different sizes, the large-size NP is wrapped to a greater extent than the small-size NP. For the aggregation of nonspherical NPs, low aspect ratio and weak NP-membrane adhesion strength lead to the side-to-side configuration, whereas a system with a high aspect ratio and strong NP-membrane adhesion strength prefers the tip-to-tip configuration. Importantly, NPs of different sizes and anisotropic shapes are found to facilitate the aggregation process by reducing the energy barrier that should be overcome during the aggregation. The results reveal the mechanism of the aggregation of NPs on the cell membrane and provide guidelines to the design of NP-based drug delivery systems.


Subject(s)
Cell Membrane/chemistry , Nanoparticles/chemistry , Biomechanical Phenomena , Drug Delivery Systems , Particle Size , Surface Properties
9.
Nanotechnology ; 29(2): 025707, 2018 01 12.
Article in English | MEDLINE | ID: mdl-29226852

ABSTRACT

Polar water molecules exhibit extraordinary phenomena under nanoscale confinement. Through the application of an electric field, a water-filled carbon nanotube (CNT) that has been successfully fabricated in the laboratory is expected to have distinct responses to the external electricity. Here, we examine the effect of electric field direction on the mechanical property of water-filled CNTs. It is observed that a longitudinal electric field enhances, but the transverse electric field reduces the elastic modulus and critical buckling stress of water-filled CNTs. The divergent effect of the electric field is attributed to the competition between the axial and circumferential pressures induced by polar water molecules. Furthermore, it is notable that the transverse electric field could result in an internal pressure with elliptical distribution, which is an effective and convenient approach to apply nonuniform pressure on nanochannels. Based on pre-strained water-filled CNTs, we designed a nanoscale trigger with an evident and rapid height change initiated by switching the direction of the electric field. The reported finding provides a foundation for an electricity-controlled property of nanochannels filled with polar molecules and provides an insight into the design of nanoscale functional devices.

10.
Nanotechnology ; 28(41): 415705, 2017 Oct 13.
Article in English | MEDLINE | ID: mdl-28782728

ABSTRACT

Based on molecular dynamics simulations, tensile mechanical properties and plastic deformation mechanisms of nano-twinned Cu//Ag multilayered materials are investigated in this work. Simulation results show that, due to the stronger strengthening effect of the twin boundary than both the cube-on-cube and hetero-twin interfaces between Cu and Ag layers, the strength increases with the increase of layer thickness for nano-twinned Cu//Ag multilayered materials with a constant twin spacing, while it decreases with the increase of layer thickness for twin-free ones. The strength of hetero-twin multilayered materials is higher than that of the cube-on-cube samples due to the different hetero interfacial configurations. The confined layer slip of dislocation is found to be the dominant plastic deformation mechanism for twin-free hetero-twin multilayered materials and the strength versus twin spacing in nano-twinned samples follows the conventional Hall-Petch relationship. These findings will shed light on the understanding of the plastic deformation mechanisms and the fabrication of high strength nano-twinned multilayered metallic materials.

11.
BMC Ophthalmol ; 17(1): 133, 2017 Jul 29.
Article in English | MEDLINE | ID: mdl-28755661

ABSTRACT

BACKGROUND: Alpha A-crystallin (CRYAA) is considered critical for the maintenance of lens transparency and is related to the pathogenesis of age-related cataracts (ARCs), especially the nuclear subtype. As the 5' untranslated region (5' UTR) modulates gene expression, the purpose of current study was to investigate whether single nucleotide polymorphisms (SNPs) in the 5' UTR of CRYAA were associated with susceptibility to ARC in a Han Chinese population and to clarify the mechanism of this association. METHODS: SNPs in the 5' UTR (-1 to -1000) of CRYAA were identified in 243 nuclear ARC patients and 263 controls using polymerase chain reaction and DNA sequencing. Allele and genotype frequencies were calculated and compared between two groups. Haploview 4.2 was used to calculate the linkage disequilibrium index, and the SHEsis analysis platform was used to infer haplotype construction. A dual-luciferase reporter gene assay was used for transcription of CRYAA in the presence of a protective haplotype with individual SNP alteration, Chromatin immunoprecipitation (ChIP) was employed to determine whether SNPs regulated CRYAA expression by altering the binding affinity of transcription factors. RESULTS: Three polymorphisms were identified in the 5' UTR of CRYAA: rs3761381 (P = 0.000357, odds ratio [OR] = 1.837), rs13053109 (P = 0.788, OR = 1.086), and rs7278468 (P = 0.00136, OR = 0.652). The haplotype C-G-T (P = 0.0014, OR = 1.536) increased the risk of nuclear ARC, whereas the haplotype T-G-G (P = 0.00029, OR = 0.535) decreased the risk. The haplotype C-G-T decreased CRYAA transcription through rs7278468, which is located in the binding site of specificity protein 1 (Sp1). Furthermore, the G allele of rs7278468 increased CRYAA transcription by enhancing the binding affinity of Sp1. CONCLUSIONS: These data indicate that the CRYAA polymorphism is a genetic marker of inter-individual differences in the risk of nuclear ARC.


Subject(s)
Cataract/genetics , Crystallins/genetics , DNA/genetics , Ethnicity , Genetic Predisposition to Disease , Lens, Crystalline/metabolism , Polymorphism, Single Nucleotide , Aged , Alleles , Cataract/ethnology , Cataract/metabolism , Cells, Cultured , China/epidemiology , Crystallins/metabolism , Female , Gene Frequency , Genotype , Haplotypes , Humans , Incidence , Lens, Crystalline/pathology , Male , Odds Ratio , Polymerase Chain Reaction
12.
Mol Vis ; 22: 589-98, 2016.
Article in English | MEDLINE | ID: mdl-27307692

ABSTRACT

PURPOSE: This study aimed to investigate the genetic effects underlying non-familial sporadic congenital cataract (SCC). METHODS: We collected DNA samples from 74 patients with SCC and 20 patients with traumatic cataract (TC) in an age-matched group and performed genomic sequencing of 61 lens-related genes with target region capture and next-generation sequencing (NGS). The suspected SCC variants were validated with MassARRAY and Sanger sequencing. DNA samples from 103 healthy subjects were used as additional controls in the confirmation examination. RESULTS: By filtering against common variants in public databases and those associated with TC cases, we identified 23 SCC-specific variants in 17 genes from 19 patients, which were predicted to be functional. These mutations were further confirmed by examination of the 103 healthy controls. Among the mutated genes, CRYBB3 had the highest mutation frequency with mutations detected four times in four patients, followed by EPHA2, NHS, and WDR36, the mutation of which were detected two times in two patients. We observed that the four patients with CRYBB3 mutations had three different cataract phenotypes. CONCLUSIONS: From this study, we concluded the clinical and genetic heterogeneity of SCC. This is the first study to report broad spectrum genotyping for patients with SCC.


Subject(s)
Asian People/genetics , Cataract/genetics , Crystallins/genetics , Mutation, Missense , Polymorphism, Single Nucleotide , Cataract/congenital , Child , Child, Preschool , China/epidemiology , DNA Mutational Analysis , Eye Proteins/genetics , Female , Genetic Heterogeneity , Genotype , High-Throughput Nucleotide Sequencing , Humans , Infant , Infant, Newborn , Male , Membrane Proteins , Nuclear Proteins/genetics , Receptor, EphA2/genetics , beta-Crystallin B Chain/genetics
13.
Nanotechnology ; 27(31): 315702, 2016 Aug 05.
Article in English | MEDLINE | ID: mdl-27335235

ABSTRACT

Precisely controlling the deformation of carbon nanotubes (CNTs) has practical application in the development of nanoscale functional devices, although it is a challenging task. Here, we propose a novel method to guide the deformation of CNTs through filling them with salt water and applying an electric field. With the electric field along the axial direction, the height of CNTs is enlarged by the axial electric force due to the internal ions and polar water molecules. Under an electric field with two mutually orthogonal components, the transverse electric force could further induce the bending deformation of CNTs. Based on the classical rod and beam theories, two mechanical models are constructed to verify and quantitatively describe the relationships between the tension and bending deformations of CNTs and the electric field intensity. Moreover, by means of the electric field-driven tension behavior of CNTs, we design a stretchable molecular sieve to control the flow rate of mixed gas and collect a single high-purity gas. The present work opens up new avenues in the design and fabrication of nanoscale controlling units.

14.
Nanotechnology ; 27(21): 215204, 2016 May 27.
Article in English | MEDLINE | ID: mdl-27094841

ABSTRACT

Disturbance characteristics of cross-point resistive random access memory (RRAM) arrays are comprehensively studied in this paper. An analytical model is developed to quantify the number of pulses (#Pulse) the cell can bear before disturbance occurs under various sub-switching voltage stresses based on physical understanding. An evaluation methodology is proposed to assess the disturb behavior of half-selected (HS) cells in cross-point RRAM arrays by combining the analytical model and SPICE simulation. The characteristics of cross-point RRAM arrays such as energy consumption, reliable operating cycles and total error bits are evaluated by the methodology. A possible solution to mitigate disturbance is proposed.

15.
J Chem Phys ; 145(9): 094104, 2016 Sep 07.
Article in English | MEDLINE | ID: mdl-27608986

ABSTRACT

A free-end adaptive nudged elastic band (FEA-NEB) method is presented for finding transition states on minimum energy paths, where the energy barrier is very narrow compared to the whole paths. The previously proposed free-end nudged elastic band method may suffer from convergence problems because of the kinks arising on the elastic band if the initial elastic band is far from the minimum energy path and weak springs are adopted. We analyze the origin of the formation of kinks and present an improved free-end algorithm to avoid the convergence problem. Moreover, by coupling the improved free-end algorithm and an adaptive strategy, we develop a FEA-NEB method to accurately locate the transition state with the elastic band cut off repeatedly and the density of images near the transition state increased. Several representative numerical examples, including the dislocation nucleation in a penta-twinned nanowire, the twin boundary migration under a shear stress, and the cross-slip of screw dislocation in face-centered cubic metals, are investigated by using the FEA-NEB method. Numerical results demonstrate both the stability and efficiency of the proposed method.

16.
Mol Cell Biochem ; 401(1-2): 87-95, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25445170

ABSTRACT

Cataract is the most common eye disease that causes blindness in patients. Ultraviolet B (UVB) irradiation is considered an important factor leading to cataract by inducing apoptosis in human lens epithelial cells (HLECs), but the mechanism is currently unclear. In this study, we investigated HLECs under different intensities of UVB irradiation and different exposure time. The annexin V-FITC/propidium iodide staining results showed that UVB irradiation could efficiently lead to HLECs apoptosis in time- and dose-dependent manner. The expression of pro-apoptotic Bax gene was promoted by UVB irradiation, while anti-apoptotic Bcl-2 gene expression was inhibited at both transcript and protein levels. Notably, the ratio of Bax/Bcl-2 displayed a high and positive correlation to the proportion of apoptotic HLECs. Mitochondrial dysfunction was also observed with rapid loss of potential (∆Ψ m), as well as changes of the levels of reactive oxygen species, malondialdehyde, total antioxidative capabilities, and superoxide dismutase. In caspase pathway, the level of caspase-3 protein increased after UVB irradiation. All these discovered changes may play important roles in UVB-induced HLECs apoptosis, and would be helpful in understanding the mechanism of UVB-induced cataract and providing potential prevention and treatment strategies.


Subject(s)
Apoptosis/radiation effects , Cataract/pathology , Lens, Crystalline/pathology , Ultraviolet Rays/adverse effects , Cataract/genetics , Cataract/metabolism , Cell Line , Epithelial Cells/cytology , Epithelial Cells/radiation effects , Gene Expression Regulation/radiation effects , Humans , Membrane Potential, Mitochondrial/radiation effects , Proto-Oncogene Proteins c-bcl-2/genetics , Proto-Oncogene Proteins c-bcl-2/metabolism , Radiation Injuries/genetics , Radiation Injuries/metabolism , Reactive Oxygen Species/radiation effects , Signal Transduction/radiation effects , bcl-2-Associated X Protein/genetics , bcl-2-Associated X Protein/metabolism
17.
Soft Matter ; 11(44): 8674-83, 2015 Nov 28.
Article in English | MEDLINE | ID: mdl-26381589

ABSTRACT

A fundamental understanding of the interactions between nanoparticles (NPs) and the cell membrane is essential to improve the performance of the NP-based biomedical applications and assess the potential toxicity of NPs. Despite the great progress in understanding the interaction between individual NP and the membrane, little is known about the interaction between multiple NPs and the membrane. In this work, we investigate the wrapping of two parallel elongated NPs by the membrane, taking the NP-NP electrostatic interaction and van der Waals (vdW) interaction into consideration. Three types of NPs, namely the rigid NPs with circular and elliptic cross-sections and the deformable NPs, are systematically investigated. The results show that the electrostatic interaction would enhance the tendency of the independent wrapping and inhibit the rotation of the elongated and equally charged NPs with elliptic cross-sections. Under the vdW interaction, the competition of the NP-NP adhesion and the membrane elastic energies with the NP-membrane adhesion energy leads the NPs to be wrapped cooperatively or independently. For the system with elongated NPs with elliptic cross-sections, the NPs are more likely to be wrapped independently as the shapes become more anisotropic and the NPs would rotate to contact each other with the flat sides in the cooperative wrapping configuration. Moreover, the soft NPs are more likely to be wrapped cooperatively compared with the stiff NPs. These results may provide guidelines to control the internalization pathway of NPs and improve the efficiency of NP-based drug delivery systems.


Subject(s)
Cell Membrane/chemistry , Nanoparticles/chemistry , Molecular Dynamics Simulation , Static Electricity
18.
Optom Vis Sci ; 92(7): e161-4, 2015 Jul.
Article in English | MEDLINE | ID: mdl-26002007

ABSTRACT

PURPOSE: Diabetic keratopathy is an ocular complication secondary to diabetes. Patients receiving ocular surgery have an increased risk for intraoperative and postoperative corneal complications, and the preexisting keratopathy aggravation may impact postoperative visual quality. We observed a rare case of corneal complication during cataract surgery and analyzed the possible pathogenesis and methods to avoid occurrence. CASE REPORT: A 64-year-old male diabetic patient received routine phacoemulsification (phaco) in the right eye. After the phaco handpiece entered the anterior chamber and irrigation was begun, the corneal epithelium detached and a bleb was formed, expanding to the entire cornea, and then wrinkled along the limbus for the remainder of the surgery. On the first day postoperatively, diffuse corneal edema occurred with Descemet membrane striae, and the corneal epithelium detached on a large scale. Within 2 weeks, the cornea was clear with adherent epithelium and smooth Descemet membrane. CONCLUSIONS: To our knowledge, intraoperative epithelial detachment during cataract surgery is rare. Because elevated glucose changes the normal corneal structure, surgery such as phaco might also cause unpredictable corneal lesions. To avoid this possibility, serum glucose control before surgery and careful performance during surgery are essential.


Subject(s)
Cataract/etiology , Corneal Diseases/etiology , Diabetes Mellitus, Type 2/complications , Epithelium, Corneal/pathology , Intraoperative Complications , Phacoemulsification , Corneal Diseases/physiopathology , Humans , Lens Implantation, Intraocular , Male , Middle Aged , Visual Acuity/physiology
19.
Zhonghua Yan Ke Za Zhi ; 51(4): 288-94, 2015 Apr.
Article in Zh | MEDLINE | ID: mdl-26081233

ABSTRACT

OBJECTIVE: To investigate the impacts of specific serines phosphorylation of αA Crystallin on anti-oxidation and anti-apoptotic ability of human lens epithelial cells (HLEC). METHODS: Experimental Study. Using site-directed mutagenesis, serines on specific sites (Ser45, Ser66, Ser122) were replaced respectively by aspartic acid (D) to mimic phosphorylation. Target genes were inserted into pEGFP-C1 plasmid and transfected into HLEC by Lipofectamine™ 2000. HLEC transfected with blank plasmid and plasmid over-expressing wide-type (WT) αA Crystallin were defined as control group and WT group. After H2O2 induction, Dihydroethidium (DHE) and Annexin V-PE/7AAD staining were used to detect the reactive oxygen species level and apoptotic rate. T-test, Wilcoxon-two sample test, analysis of variance and Kruskal-Wallis test were used for statistical analysis. RESULTS: The DHE intensity of three phosphorylation groups were 167.53±18.21, 143.54±4.78 and 143.40±30.19, which reduced significantly comparing to control group (274.42±3.71, t=9.963, P=0.001; t=34.961, P<0.01; Z=1.993, P=0.046); The same tendency were found when compared with cell group (WT) over-expressing wide-type αA Crystallin (192.67±1.47, Z=1.964, P=0.049; t=17.887, P<0.01; Z=1.964, P=0.049). After H2O2 induction for apoptosis, early apoptotic rates for three phosphorylation groups were 15.08%±0.90%, 16.59%±5.37% and 15.36%±2.62% respectively, which significantly decreased comparing with control group (41.28%±2.70%; t=21.632, P<0.01; t=8.855, t=15.450, P<0.01) and WT group (31.40%±1.64%, t=15.117, P<0.01; t=4.524, P=0.006; t=8.988, P=0.001). No significant differences were found in both measurements between the three phosphorylation groups (F=1.08, P=0.407; x2=4.345, P=0.114). CONCLUSION: The Ser45, Ser66 and Ser122 phosphorylation enhanced the anti-oxidative stress and anti-apoptotic capability of HLEC.


Subject(s)
Epithelial Cells/metabolism , Lens, Crystalline/cytology , Serine/metabolism , alpha-Crystallin A Chain/metabolism , Analysis of Variance , Apoptosis , Humans , Hydrogen Peroxide , Mutagenesis, Site-Directed , Oxidative Stress , Phosphorylation , Plasmids , Reactive Oxygen Species/analysis , Statistics, Nonparametric , Transfection
20.
Mol Vis ; 20: 117-24, 2014.
Article in English | MEDLINE | ID: mdl-24453475

ABSTRACT

PURPOSE: To identify proteins interacting with alpha A-crystallin (CRYAA) and to investigate the potential role that these protein interactions play in the function of CRYAA using a human proteome (HuProt) microarray. METHODS: The active full-length CRYAA protein corresponding to amino acids 1-173 of CRYAA was recombined. A HuProt microarray composed of 17,225 human full-length proteins with N-terminal glutathione S-transferase (GST) tags was used to identify protein-protein interactions. The probes were considered detectable when the signal to noise ratio (SNR) was over 1.2. The identified proteins were subjected to subsequent bioinformatics analysis using the DAVID database. RESULTS: The HuProt microarray results showed that the signals of 343 proteins were higher in the recombinant CRYAA group than in the control group. The SNR of 127 proteins was ≥ 1.2. The SNR of the following eight proteins was > 3.0: hematopoietic cell-specific Lyn substrate 1 (HCLS1), Kelch domain-containing 6 (KLHDC6), sarcoglycan delta (SGCD), KIAA1706 protein (KIAA1706), RNA guanylyltransferase and 5'-phosphatase (RNGTT), chromosome 10 open reading frame 57 (C10orf57), chromosome 9 open reading frame 52 (C9orf52), and plasminogen activator, urokinase receptor (PLAUR). The bioinformatics analysis revealed 127 proteins associated with phosphoproteins, alternative splicing, acetylation, DNA binding, the nuclear lumen, ribonucleotide binding, the cell cycle, WD40 repeats, protein transport, transcription factor activity, GTP binding, and cellular response to stress. Functional annotation clustering showed that they belong to cell cycle, organelle or nuclear lumen, protein transport, and DNA binding and repair clusters. CRYAA interacted with these proteins to maintain their solubility and decrease the accumulation of denatured target proteins. The protein-protein interactions may help CRYAA carry out multifaceted functions. CONCLUSIONS: One-hundred and twenty-seven of 17,225 human full-length proteins were identified that interact with CRYAA. The advent of microarray analysis enables a better understanding of the functions of CRYAA as a molecular chaperone.


Subject(s)
Crystallins/metabolism , Microarray Analysis/methods , Protein Interaction Mapping , Proteome/metabolism , Proteomics/methods , Cluster Analysis , Computational Biology , Gene Ontology , Humans , Molecular Sequence Annotation , Protein Binding , Software
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