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1.
Proc Natl Acad Sci U S A ; 121(20): e2401398121, 2024 May 14.
Article in English | MEDLINE | ID: mdl-38728227

ABSTRACT

Decomposition of dead organic matter is fundamental to carbon (C) and nutrient cycling in terrestrial ecosystems, influencing C fluxes from the biosphere to the atmosphere. Theory predicts and evidence strongly supports that the availability of nitrogen (N) limits litter decomposition. Positive relationships between substrate N concentrations and decomposition have been embedded into ecosystem models. This decomposition paradigm, however, relies on data mostly from short-term studies analyzing controls on early-stage decomposition. We present evidence from three independent long-term decomposition investigations demonstrating that the positive N-decomposition relationship is reversed and becomes negative during later stages of decomposition. First, in a 10-y decomposition experiment across 62 woody species in a temperate forest, leaf litter with higher N concentrations exhibited faster initial decomposition rates but ended up a larger recalcitrant fraction decomposing at a near-zero rate. Second, in a 5-y N-enrichment experiment of two tree species, leaves with experimentally enriched N concentrations had faster decomposition initial rates but ultimately accumulated large slowly decomposing fractions. Measures of amino sugars on harvested litter in two experiments indicated that greater accumulation of microbial residues in N-rich substrates likely contributed to larger slowly decomposing fractions. Finally, a database of 437 measurements from 120 species in 45 boreal and temperate forest sites confirmed that higher N concentrations were associated with a larger slowly decomposing fraction. These results challenge the current treatment of interactions between N and decomposition in many ecosystems and Earth system models and suggest that even the best-supported short-term controls of biogeochemical processes might not predict long-term controls.


Subject(s)
Forests , Nitrogen , Plant Leaves , Trees , Nitrogen/metabolism , Nitrogen/chemistry , Plant Leaves/chemistry , Plant Leaves/metabolism , Trees/metabolism , Carbon/metabolism , Carbon/chemistry , Ecosystem , Taiga , Carbon Cycle
2.
PLoS Genet ; 19(12): e1011084, 2023 Dec.
Article in English | MEDLINE | ID: mdl-38157491

ABSTRACT

mDia formin proteins regulate the dynamics and organization of the cytoskeleton through their linear actin nucleation and polymerization activities. We previously showed that mDia1 deficiency leads to aberrant innate immune activation and induces myelodysplasia in a mouse model, and mDia2 regulates enucleation and cytokinesis of erythroblasts and the engraftment of hematopoietic stem and progenitor cells (HSPCs). However, whether and how mDia formins interplay and regulate hematopoiesis under physiological and stress conditions remains unknown. Here, we found that both mDia1 and mDia2 are required for HSPC regeneration under stress, such as serial plating, aging, and reconstitution after myeloid ablation. We showed that mDia1 and mDia2 form hetero-oligomers through the interactions between mDia1 GBD-DID and mDia2 DAD domains. Double knockout of mDia1 and mDia2 in hematopoietic cells synergistically impaired the filamentous actin network and serum response factor-involved transcriptional signaling, which led to declined HSPCs, severe anemia, and significant mortality in neonates and newborn mice. Our data demonstrate the potential roles of mDia hetero-oligomerization and their non-rodent functions in the regulation of HSPCs activity and orchestration of hematopoiesis.


Subject(s)
Actins , Carrier Proteins , Mice , Animals , Formins/genetics , Formins/metabolism , Actins/genetics , Actins/metabolism , Carrier Proteins/genetics , Carrier Proteins/metabolism , Actin Cytoskeleton/metabolism , Microtubules/metabolism
3.
Plant Physiol ; 192(2): 1420-1434, 2023 May 31.
Article in English | MEDLINE | ID: mdl-36690819

ABSTRACT

The inhibition of shoot branching by the growing shoot tip of plants, termed apical dominance, was originally thought to be mediated by auxin. Recently, the importance of the shoot tip sink strength during apical dominance has re-emerged with recent studies highlighting roles for sugars in promoting branching. This raises many unanswered questions on the relative roles of auxin and sugars in apical dominance. Here we show that auxin depletion after decapitation is not always the initial trigger of rapid cytokinin (CK) increases in buds that are instead correlated with enhanced sugars. Auxin may also act through strigolactones (SLs) which have been shown to suppress branching after decapitation, but here we show that SLs do not have a significant effect on initial bud outgrowth after decapitation. We report here that when sucrose or CK is abundant, SLs are less inhibitory during the bud release stage compared to during later stages and that SL treatment rapidly inhibits CK accumulation in pea (Pisum sativum) axillary buds of intact plants. After initial bud release, we find an important role of gibberellin (GA) in promoting sustained bud growth downstream of auxin. We are, therefore, able to suggest a model of apical dominance that integrates auxin, sucrose, SLs, CKs, and GAs and describes differences in signalling across stages of bud release to sustained growth.


Subject(s)
Decapitation , Plant Growth Regulators , Plant Growth Regulators/pharmacology , Indoleacetic Acids/pharmacology , Cytokinins/pharmacology , Sucrose/pharmacology , Sugars/pharmacology , Pisum sativum , Plant Shoots , Gene Expression Regulation, Plant
4.
Catheter Cardiovasc Interv ; 103(1): 153-159, 2024 01.
Article in English | MEDLINE | ID: mdl-38071423

ABSTRACT

BACKGROUND: Transcatheter mitral valve replacement (TMVR) has become an alternative for high-risk patients with severe mitral regurgitation (MR). The aim of this study was to evaluate the safety and feasibility of the Mi-thos TMVR system (NewMed Medical) for high-risk patients with severe MR. METHODS: This was a prospective, two-center, single-arm early feasibility study. Baseline characteristics, procedural data and 30-day follow-up outcomes were collected and analyzed. The primary endpoint was intraoperative success rate of device implantation. The second endpoints were all-cause mortality and major post-procedural complications. Echocardiographic data were evaluated by an independent core laboratory. Clinical events were adjudicated by a clinical events committee. RESULTS: Ten high-risk patients with severe MR were enrolled at two sites from August 2021 to November 2022. The median age was 70.5 years, and 60% of patients were female. The median Society of Thoracic Surgeons Predicted Risk of Mortality was 9.5%. The Mi-thos TMVR system was successfully implanted via transapical access in all patients. There was no pericedural mortality or major postpericedural complications during the 30-day follow-up. All implanted prosthetic valves had no or trace valvular or paravalvular MR, and the median mitral valve gradient at 30 days was 2.0 mmHg (IQR: 2.0-3.0 mmHg). There was one mild left ventricular outflow tract obstruction. CONCLUSIONS: The favorable short-term outcomes of the Mi-thos TMVR system demonstrated that it might be a feasible and safe therapeutic alternative for high-risk patients with severe MR. Nevertheless, further evaluation of the Mi-thos TMVR system is warranted.


Subject(s)
Heart Valve Prosthesis Implantation , Heart Valve Prosthesis , Mitral Valve Insufficiency , Humans , Female , Aged , Male , Mitral Valve/diagnostic imaging , Mitral Valve/surgery , Mitral Valve Insufficiency/diagnostic imaging , Mitral Valve Insufficiency/surgery , Mitral Valve Insufficiency/etiology , Heart Valve Prosthesis/adverse effects , Prospective Studies , Cardiac Catheterization , Treatment Outcome
5.
Int Heart J ; 65(1): 128-134, 2024.
Article in English | MEDLINE | ID: mdl-38296565

ABSTRACT

Transapical beating-heart mitral repair with chordal implantation system has been considered as an alternative treatment for degenerative mitral regurgitation. This study aimed to assess the feasibility and safety of the E-Chord system (Med-Zenith Medical, Beijing, China) for transapical beating-heart mitral valve repair in a porcine model. Artificial chordae were transapically implanted on the mitral valves of 12 anesthetized pigs under epicardial echocardiographic guidance and secured outside the left ventricular apex. The study endpoints included procedural success, device durability, and tissue response to the device. The procedural success rate was 100% (12/12). All animals were implanted with E-Chord in the anterior and posterior leaflets, respectively, and survived uneventfully until euthanized as planned. During the 180-day follow-up, no animal had significant mitral valve dysfunction. The gross observation showed no evidence of anchor detachment and chordal rupture, and there was no obvious damage or changes to mitral leaflets. Microscopic evaluation revealed that the endothelialization of anchor and chordae was completed 90 days after implantation and there was no evidence of chordal rupture, thrombosis, or infection during the 180-day follow-up. The E-Chord system was found to be feasible and safe for heart-beating mitral chordal implantation in a porcine model. The findings of this study suggest that the E-Chord system may be a potential alternative for the treatment of degenerative mitral regurgitation in humans.


Subject(s)
Heart Valve Prosthesis Implantation , Mitral Valve Insufficiency , Mitral Valve Prolapse , Humans , Swine , Animals , Mitral Valve Insufficiency/surgery , Feasibility Studies , Mitral Valve/diagnostic imaging , Mitral Valve/surgery , Chordae Tendineae/surgery , Treatment Outcome
6.
BMC Plant Biol ; 23(1): 222, 2023 Apr 27.
Article in English | MEDLINE | ID: mdl-37101166

ABSTRACT

BACKGROUND: Sunflower is an important ornamental plant, which can be used for fresh cut flowers and potted plants. Plant architecture regulation is an important agronomic operation in its cultivation and production. As an important aspect of plant architecture formation, shoot branching has become an important research direction of sunflower. RESULTS: TEOSINTE-BRANCHED1/CYCLOIDEA/PCF (TCP) transcription factors are essential in regulating various development process. However, the role of TCPs in sunflowers has not yet been studied. This study, 34 HaTCP genes were identified and classified into three subfamilies based on the conservative domain and phylogenetic analysis. Most of the HaTCPs in the same subfamily displayed similar gene and motif structures. Promoter sequence analysis has demonstrated the presence of multiple stress and hormone-related cis-elements in the HaTCP family. Expression patterns of HaTCPs revealed several HaTCP genes expressed highest in buds and could respond to decapitation. Subcellular localization analysis showed that HaTCP1 was located in the nucleus. Paclobutrazol (PAC) and 1-naphthylphthalamic acid (NPA) administration significantly delayed the formation of axillary buds after decapitation, and this suppression was partially accomplished by enhancing the expression of HaTCP1. Furthermore, HaTCP1 overexpressed in Arabidopsis caused a significant decrease in branch number, indicating that HaTCP1 played a key role in negatively regulating sunflower branching. CONCLUSIONS: This study not only provided the systematic analysis for the HaTCP members, including classification, conserved domain and gene structure, expansion pattern of different tissues or after decapitation. But also studied the expression, subcellular localization and function of HaTCP1. These findings could lay a critical foundation for further exploring the functions of HaTCPs.


Subject(s)
Arabidopsis , Decapitation , Helianthus , Transcription Factors/metabolism , Helianthus/genetics , Helianthus/metabolism , Plant Proteins/genetics , Plant Proteins/metabolism , Phylogeny , Gene Expression Regulation, Plant , Arabidopsis/metabolism
7.
Brief Bioinform ; 22(3)2021 05 20.
Article in English | MEDLINE | ID: mdl-32438416

ABSTRACT

MOTIVATION: Calculating the frequency of occurrence of each substring of length k in DNA sequences is a common task in many bioinformatics applications, including genome assembly, error correction, and sequence alignment. Although the problem is simple, efficient counting of datasets with high sequencing depth or large genome size is a challenge. RESULTS: We propose a robust and efficient method, CHTKC, to solve the k-mer counting problem with a lock-free hash table that uses linked lists to resolve collisions. We also design new mechanisms to optimize memory usage and handle situations where memory is not enough to accommodate all k-mers. CHTKC has been thoroughly tested on seven datasets under multiple memory usage scenarios and compared with Jellyfish2 and KMC3. Our work shows that using a hash-table-based method to effectively solve the k-mer counting problem remains a feasible solution.


Subject(s)
Algorithms , DNA/genetics , Genome , Computational Biology/methods , Humans
8.
Eur Radiol ; 33(5): 3052-3063, 2023 May.
Article in English | MEDLINE | ID: mdl-36629927

ABSTRACT

OBJECTIVES: To investigate the prognostic value of coronary CT angiography (CCTA) in heart failure patients with preserved ejection fraction (HFpEF). METHODS: Between January 2009 and December 2013, 6497 participants (mean age 63 ± 9.4 [range 32-86] years; 4111 men) who underwent CCTA and echocardiography were prospectively included. Participants were divided into HFpEF group and without HFpEF group. The primary endpoint was major adverse cardiovascular events (MACEs), including cardiovascular mortality, nonfatal myocardial infarction (MI), or hospitalization for heart failure (HF). RESULTS: Among those participants, 3096 were identified with HFpEF and 3401 were without HFpEF. Higher prevalence of coronary atherosclerosis was observed in HFpEF group than those without (78.3% vs. 64.9%, p < 0.001). During a median of 11.0 [IQR: 9.0-12.0] years follow-up, participants with HFpEF exhibit a heightened risk of MACEs in CAD-RADS = 0, 1-2, and ≥ 3 respectively (p < 0.001 for all). In the risk-adjusted hazard analysis among participants with HFpEF, CAD-RADS = 1-2 increased a 2.5-time risk for non-fatal MI (adjusted HR: 2.5, 95% CI: 1.5 to 4.3, p < 0.001), while CAD-RADS ≥ 3 conferred 3.9-fold and 3.1-fold higher risk for cardiovascular mortality (adjusted HR: 3.9, 95% CI: 2.2 to 7.1, p < 0.001) and hospitalization due to HF (adjusted HR: 3.1, 95% CI: 1.9 to 5.3, p < 0.001) with reference to CAD-RADS = 0 respectively. CONCLUSIONS: Coronary artery disease is common in participants with HFpEF and associated with MACEs. Among those participants, the presence of CAD-RADS = 1-2 increased the risk of nonfatal MI, while CAD-RADS ≥ 3 were correlated with cardiovascular mortality and hospitalization due to HF. KEY POINTS: • Higher median of CACS and higher CAD-RADS categories were observed in the HFpEF group than those without (p < 0.001 for both). • Participants with HFpEF exhibit a heightened risk of MACEs in CAD-RADS = 0, 1-2, and ≥ 3 respectively (p < 0.001 for all). • In the risk-adjusted hazard analysis among participants with HFpEF, CAD-RADS =1-2 increased a 2.5-time risk for non-fatal MI (adjusted HR: 2.5, 95% CI: 1.5 to 4.3, p < 0.001) with reference to CAD-RADS = 0 respectively.


Subject(s)
Coronary Artery Disease , Heart Failure , Myocardial Infarction , Male , Humans , Adult , Middle Aged , Aged , Aged, 80 and over , Prognosis , Heart Failure/complications , Computed Tomography Angiography , Stroke Volume , Coronary Angiography , Coronary Artery Disease/complications , Coronary Artery Disease/diagnostic imaging , Coronary Artery Disease/epidemiology , Risk Factors
9.
BMC Pediatr ; 23(1): 616, 2023 12 05.
Article in English | MEDLINE | ID: mdl-38053031

ABSTRACT

BACKGROUND: The study describes the clinical manifestations and variant screening of two Chinese siblings with primary ciliary dyskinesia (PCD). They carry the same DNAAF2 genotype, which is an extremely rare PCD genotype in the Chinese population. In addition, the study illustrated an overview of published variants on DNAAF2 to date. METHODS: A two-child family was recruited for the study. Clinical manifestations, laboratory tests, bronchoscopic and otoscopic images, and radiographic data were collected. Whole blood was collected from siblings and their parents for whole-exome sequencing (WES) and Sanger sequencing to screen variants. RESULTS: The two siblings exhibited typical clinical manifestations of PCD. Two compound heterozygous variants in DNAAF2 were detected in both by WES. Nonsense variant c.156 C>A and frameshift variant c.177_178insA, which was a novel variant. CONCLUSION: The study identified a novel variant of DNAAF2 in Chinese children with a typical phenotype of PCD, which may enrich our knowledge of the clinical, diagnostic and genetic information of DNAAF2-induced PCD in children.


Subject(s)
Ciliary Motility Disorders , Frameshift Mutation , Humans , Ciliary Motility Disorders/diagnosis , Ciliary Motility Disorders/genetics , Genotype , Mutation , Phenotype
10.
J Stroke Cerebrovasc Dis ; 32(3): 106941, 2023 Mar.
Article in English | MEDLINE | ID: mdl-36586243

ABSTRACT

OBJECTIVE: Using shear wave elastography (SWE) and contrast enhanced ultrasound (CEUS)to examine carotid plaques with different echoes, and explore a reliable method to quantify characteristics associated with vulnerable carotid plaques. METHODS: 2D ultrasound, SWE and CEUS were performed on 244 carotid plaques, and the echoes were evaluated according to the Gray-Weale classification scale and gray-scale median (GSM), and the mean Young's modulus (YM) of the plaque was measured and the intraplaque neovascularization was observed to investigate the relationship between carotid plaque types with different echo characteristics, GSM and the values of each parameter of YM and CEUS. The relationship between GSM and YM and CEUS values was investigated. RESULTS: The differences between GSM values (F = 49.742, P < 0.001), with the maximum, mean, and minimum YM values of ultrasound elastography (P < 0.001), and with the number (P < 0.001) and density (P = 0.047) of neovascularization on CEUS were statistically significant for the different echogenic types of plaques, and the lower the echogenicity of the plaque, the lower the GSM values (r = 0.632, P < 0.001), the smaller the YM values (all r > 0, P < 0.001), and the higher the neovascularization number and density values (r < 0, P < 0.001); and there were also statistically significant differences between the above indicators in the vulnerable and stable plaque groups (all P < 0.05). CONCLUSION: GSM, SWE, and CEUS techniques can quantitatively evaluate the vulnerability of different echo carotid plaques in a more comprehensive and objective manner, which may help clinical identification of vulnerable plaques, and provide important reference values for early diagnosis and treatment in clinical practice.


Subject(s)
Carotid Stenosis , Elasticity Imaging Techniques , Plaque, Atherosclerotic , Humans , Elasticity Imaging Techniques/methods , Carotid Stenosis/diagnostic imaging , Ultrasonography/methods , Carotid Arteries/diagnostic imaging , Neovascularization, Pathologic/diagnostic imaging , Contrast Media
11.
Environ Res ; 212(Pt A): 113169, 2022 09.
Article in English | MEDLINE | ID: mdl-35358542

ABSTRACT

Bio-H2 production from organic wastewater together with lignocellulose wastes not only achieved the H2 energy recovery, but also be beneficial to carbon emission reduction and carbon neutralization. In order to obtain higher energy recoveries, promotion attempts were performed in bio-H2 fermentation with low temperature (-80-0 °C) pretreated peanut shell powder (PSP) as co-substrate. A maximum H2 production of 109.2 mL was obtained as almost double of the sum from the same amount of untreated PSP and glucose as sole substrate. The enhancement was co-contributed by 44% from PSP supplementary, 35% from low-temperature pretreatment, and 2.8% from buffer effect and acidification, respectively, and realized through C/N balancing, PSP conversion influencing, fermentative pH buffering and time prolonging. The experimental results uncovered the co-contribution realization ways of supplementing low-temperature pretreated lignocellulose wastes in the bio-H2 fermentation system, and provided mechanism support for application potential of low-temperature pretreatment on lignocellulose wastes in cold regions.


Subject(s)
Arachis , Carbon , Fermentation , Hydrogen , Temperature
12.
Environ Res ; 205: 112457, 2022 04 01.
Article in English | MEDLINE | ID: mdl-34875262

ABSTRACT

In the context of "Peak CO2 emissions & Carbon neutrality", H2 energy, as the green and clean energy, will make an important contribution to the carbon emission reduction and carbon neutralization. Bio-H2 production from organic wastewater achieved not only pollutants removal, but also the H2 energy recovery and carbon emission reduction. In this study, a maltose-preferring producer of Clostridium butyricum NH-02 was investigated for the potential and performance of bio-H2 production from brewery wastewater in batch and semi-continuous fermentation. Appropriate initial pH 7.0 and organic loading of 21,173 mg/L chemical oxygen demand (COD) (2670 mg/L reducing sugar (RS)) stimulated the batch H2 fermentation efficiency with a maximum H2 yield of 1.89 mol-H2/mol-RS and cumulative H2 production of 479.3 mL/L. Comparing to the batch fermentation, semi-continuous fermentation showed significant improvement in H2 productivity and yield. The maximum cumulative H2 yield of 5.21 mol-H2/mol-RS and production of 254.78 mL were obtained with the optimal hydraulic retention time (HRT) at 47 h after a 120 h fermentation. This study demonstrated the potential of H2 production from brewery wastewater with C. butyricum, and a great improvement in H2 production in semi-continuous fermentation.


Subject(s)
Bioreactors , Wastewater , Butyrates , Fermentation , Hydrogen/analysis , Maltose
13.
J Clin Lab Anal ; 36(6): e24466, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35561264

ABSTRACT

BACKGROUND: Community-acquired Pseudomonas aeruginosa pneumonia in immunocompetent children is a rare occurrence. METHODS: A retrospective analysis of the clinical manifestations, imaging characteristics, laboratory examinations, and treatment of a child with community-acquired Pseudomonas aeruginosa pneumonia presented with bloody pleural effusion. RESULTS: The 1-year-old previously healthy patient, who developed community-acquired pneumonia caused by Pseudomonas aeruginosa and influenza virus. The patient manifested bloody pleural effusion although his condition improved after anti-infective therapy and closed thoracic drainage. After 10 days of hospitalization, his symptoms worsened, accompanied by hemoptysis, and the pathogen developed resistance to carbapenems. The antibiotic strategy was adjusted to combined antipseudomonal regimen. He developed low-grade fever and was extubated, although these manifestations and imaging were eventually alleviated. CONCLUSIONS: Community-acquired Pseudomonas aeruginosa pneumonia in children may be non-septic, with bloody pleural effusion as presentation, and the disease may progress after 10 days of treatment due to drug resistance in Pseudomonas aeruginosa. Early extubation should be considered after adequate drainage.


Subject(s)
Community-Acquired Infections , Pleural Effusion , Pneumonia , Pseudomonas Infections , Anti-Bacterial Agents/therapeutic use , Child , Community-Acquired Infections/diagnosis , Community-Acquired Infections/drug therapy , Humans , Infant , Male , Pneumonia/drug therapy , Pseudomonas Infections/diagnosis , Pseudomonas Infections/drug therapy , Pseudomonas aeruginosa , Retrospective Studies
14.
Sensors (Basel) ; 22(15)2022 Aug 05.
Article in English | MEDLINE | ID: mdl-35957429

ABSTRACT

Infrared image enhancement technology can effectively improve the image quality and enhance the saliency of the target and is a critical component in the marine target search and tracking system. However, the imaging quality of maritime infrared images is easily affected by weather and sea conditions and has low contrast defects and weak target contour information. At the same time, the target is disturbed by different intensities of sea clutter, so the characteristics of the target are also different, which cannot be processed by a single algorithm. Aiming at these problems, the relationship between the directional texture features of the target and the roughness of the sea surface is deeply analyzed. According to the texture roughness of the waves, the image scene is adaptively divided into calm sea surface and rough sea surface. At the same time, through the Gabor filter at a specific frequency and the gradient-based target feature extraction operator proposed in this paper, the clutter suppression and feature fusion strategies are set, and the target feature image of multi-scale fusion in two types of scenes are obtained, which is used as a guide image for guided filtering. The original image is decomposed into a target and a background layer to extract the target features and avoid image distortion. The blurred background around the target contour is extracted by Gaussian filtering based on the potential target region, and the edge blur caused by the heat conduction of the target is eliminated. Finally, an enhanced image is obtained by fusing the target and background layers with appropriate weights. The experimental results show that, compared with the current image enhancement method, the method proposed in this paper can improve the clarity and contrast of images, enhance the detectability of targets in distress, remove sea surface clutter while retaining the natural environment features in the background, and provide more information for target detection and continuous tracking in maritime search and rescue.

15.
J Stroke Cerebrovasc Dis ; 31(8): 106598, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35780717

ABSTRACT

AIM: To evaluate the vulnerability of carotid plaque by contrast-enhanced ultrasound, to study the clinical risk factors of the plaque, and to analyze the relationship between plaque vulnerability and clinical indicators. MATERIALS AND METHODS: 244 patients with carotid plaque were selected for contrast-enhanced ultrasound examination, biochemical and other indicators were detected, and the stability of plaque was evaluated by semi-quantitative visual grading of intraplaque neovascularization (IPN), and correlation between plaque and each indicator was analyzed. RESULTS: Different grades of neovascularization in plaque had statistical differences with BMI, arm circumference, WHR, WBC, CRP, tHcy, TBIL, DBIL, SUA, LP (a) and DD (P<0.05). Correlation analysis showed that TBIL, DBIL were negatively correlated with the grading, while others were positively correlated. CONCLUSION: The expression levels of SUA, tHcy, TC, TG, LDL-C, LP (a), DD, WBC and CRP are closely related to contrast-enhanced ultrasound grading, which further indicated the vulnerability of plaque and provides theoretical basis for clinical treatment.


Subject(s)
Carotid Artery Diseases , Carotid Stenosis , Plaque, Atherosclerotic , Carotid Arteries/diagnostic imaging , Carotid Artery Diseases/diagnostic imaging , Carotid Stenosis/diagnostic imaging , Contrast Media , Humans , Neovascularization, Pathologic , Risk Factors , Ultrasonography
16.
Int Heart J ; 63(1): 30-35, 2022.
Article in English | MEDLINE | ID: mdl-35095073

ABSTRACT

Patients with aortic stenosis and low left ventricular ejection fraction (LVEF) would benefit from transcatheter aortic valve replacement. However, the safety and efficacy of transcatheter aortic valve replacement in patients with aortic regurgitation and left ventricular dysfunction remains unknown.We defined LVEF < 50% as left ventricular dysfunction. A total of 27 symptomatic patients with aortic regurgitation and ejection fraction < 50% underwent transcatheter aortic valve replacement using the J-Valve™ system (JieCheng Medical Technology Co, Ltd, Suzhou, China) in Zhongshan Hospital, Fudan University, from May 2014 to June 2019. Procedural and postoperative clinical outcomes were analyzed according to Valve Academic Research Consortium-2 (VARC-2) criteria.All patients (eight females; 70.6 ± 7.1 years) were considered to be at least intermediate surgical risk and/or severe comorbidity precluding for surgical aortic valve replacement (logistic European System for Cardiac Operative Risk Evaluation, 16.8 ± 9.5%, range 4.6% to 37.9%) by a multidisciplinary heart team. Transapical implantations were successful in 26 (96.3%) patients. All-cause mortality was 3.7% in the latest follow-up (25-590 days, median 369 days). Significant improvements in LVEF, left ventricular end-diastolic, and systolic dimensions were observed after procedure (from 40.3 ± 6.7% to 50.8 ± 10.5%, P < 0.001; from 65.1 ± 8.9 mm to 56.0 ± 9.6 mm, P = 0.002; from 52.2 ± 9.8 mm to 35.9 ± 13.4 mm, P < 0.001, respectively). No patient had aortic stenosis and paravalvular leak more than moderate and heart function improvement was obtained in the majority of patients at 1-year follow-up.Transcatheter aortic valve replacement using the J-Valve™ system is a reasonable alternative for patients with aortic regurgitation and left ventricular dysfunction regarding promising short-term outcomes.


Subject(s)
Aortic Valve Insufficiency/complications , Aortic Valve Insufficiency/surgery , Transcatheter Aortic Valve Replacement , Ventricular Dysfunction, Left/complications , Aged , Female , Follow-Up Studies , Humans , Male , Middle Aged , Retrospective Studies , Stroke Volume , Time Factors , Treatment Outcome
17.
J Nurs Manag ; 30(6): 1490-1501, 2022 Sep.
Article in English | MEDLINE | ID: mdl-34291858

ABSTRACT

AIMS: To explore the incidence of workplace violence against nurses in Chinese hospitals. BACKGROUND: Previous systematic reviews on the incidence of workplace violence against Chinese health care workers did not include many articles published in Chinese. Although several studies have investigated cases of violence against health care providers in China, no meta-analysis has been conducted to assess the incidence of violence against Chinese nurses. EVALUATION: In this study, relevant data were retrieved from studies published up to July 2020. A meta-analysis was conducted using R software (Version 4.0). KEY FINDINGS: The 12-month incidence of workplace violence among Chinese nurses was 71% (95% CI 67%-75%), and verbal violence was the most common sub-type of violence (63%, 95% CI 58%-67%). CONCLUSION: Chinese nurses are at a high risk of violence at workplace. Hospital managers should explore ways to reduce violence against their employees, especially the younger nurses who work in secondary hospitals. IMPLICATIONS FOR NURSING MANAGEMENT: The findings of this study highlight the need to enhance the legal system in terms of laws meant to effectively mitigate violence against nurses in Chinese hospitals. Measures should be particularly taken to protect younger nurses who work in secondary hospitals.


Subject(s)
Nursing Staff, Hospital , Workplace Violence , Cross-Sectional Studies , Hospitals , Humans , Incidence , Surveys and Questionnaires , Workplace
18.
J Cell Physiol ; 236(9): 6376-6390, 2021 09.
Article in English | MEDLINE | ID: mdl-33634492

ABSTRACT

For reconstructive surgeons, critically skeletal damage represents a major challenge. Growing evidence indicate that bone repair is dynamically regulated by the mesenchymal stem cell (MSC)-macrophage interaction. Mechanical strain plays a fundamental role in bone repair and regeneration by influencing MSCs differentiation. Recently, a few findings indicate that macrophages may be mechanically sensitive and their phenotype can be regulated, in part, by mechanical cues. However, how macrophages subjected mechanical stretch influence the osteogenic differentiation of MSCs remain unclear. Thus, the purpose of this study is to explore the effect of macrophages stimulated with mechanical stretch on MSCs osteogenesis. By using a coculture system, we discover that macrophages efficiently induce osteogenic differentiation of MSCs under specific stretch conditions. A synergy mechanism between M2 polarization and YAP/BMP2 axis are identified through molecular and genetic analyses. Macrophages are activated by cyclic stretch and polarized to M2 phenotype that produce anti-inflammatory cytokines such as IL-10 and TGF-ß to regulate the local inflammatory microenvironment. Furthermore, mechanical stretch induces YAP activation and nuclear translocation, subsequently regulates downstream BMP2 expression to facilitate MSCs osteogenesis. These findings not only advance our understanding of the complex influence among the mechanical strain, macrophage inflammatory response as well as the osteogenic differentiation of MSCs, but also reveal a control system from mechanical signals to chemical response then to cell behaviors during bone repair and regeneration.


Subject(s)
Macrophage Activation , Osteogenesis , Stress, Mechanical , Actin Cytoskeleton/metabolism , Adaptor Proteins, Signal Transducing/metabolism , Animals , Bone Morphogenetic Protein 2/metabolism , Cell Differentiation/genetics , Cell Nucleus/metabolism , Cell Polarity , Coculture Techniques , Cytokines/metabolism , Gene Expression Profiling , Macrophage Activation/genetics , Macrophages/cytology , Macrophages/metabolism , Mesenchymal Stem Cells/cytology , Mesenchymal Stem Cells/metabolism , Mice , Osteogenesis/genetics , Transcription Factors/metabolism , YAP-Signaling Proteins
19.
Biochem Biophys Res Commun ; 561: 143-150, 2021 07 05.
Article in English | MEDLINE | ID: mdl-34023779

ABSTRACT

Retinal pigment epithelium (RPE) cell damage, including mitophagy-associated cell apoptosis, accelerates the pathogenesis of diabetic retinopathy (DR), a common complication of diabetes that causes blindness. Müller cells interact with RPE cells via pro-inflammatory cytokines, such as tumor necrosis factor α (TNF-α). Herein, we investigated the role of the RPE cell epidermal growth factor receptor (EGFR)/p38 mitogen-activated protein kinase (p38)/nuclear factor kappa B (NF-κB) pathway in Müller cell-derived TNF-α-induced mitophagy-associated apoptosis during DR. Our results showed that TNF-α released from Müller cells activated the EGFR/p38/NF-κB/p62 pathway to increase mitophagy and apoptosis in RPE cells under high glucose (HG) conditions. Additionally, blockade of the TNF-α/EGFR axis alleviates blood-retina barrier breakdown in diabetic mice. Our data further illustrate the effects of the Müller cell inflammatory response on RPE cell survival, implying potential molecular targets for DR treatment.


Subject(s)
Blood-Retinal Barrier/drug effects , Diabetes Mellitus, Experimental/pathology , Diabetic Retinopathy/pathology , Ependymoglial Cells/pathology , Retinal Pigment Epithelium/pathology , Tumor Necrosis Factor-alpha/metabolism , Animals , Apoptosis , Blood-Retinal Barrier/metabolism , Blood-Retinal Barrier/pathology , Cells, Cultured , Coculture Techniques , Diabetes Mellitus, Experimental/metabolism , Diabetic Retinopathy/metabolism , Diet, High-Fat , Disease Models, Animal , Ependymoglial Cells/metabolism , Humans , Male , Mice , Mice, Inbred C57BL , Mitophagy/physiology , Retinal Pigment Epithelium/metabolism
20.
Bioinformatics ; 36(19): 4955-4956, 2020 12 08.
Article in English | MEDLINE | ID: mdl-32678892

ABSTRACT

SUMMARY: Allele-specific expression (ASE) is involved in many important biological mechanisms. We present a python package BYASE and its graphical user interface (GUI) tool BYASE-GUI for the identification of ASE from single-end and paired-end RNA-seq data based on Bayesian inference, which can simultaneously report differences in gene-level and isoform-level expression. BYASE uses both phased SNPs and non-phased SNPs, and supports polyploid organisms. AVAILABILITY AND IMPLEMENTATION: The source codes of BYASE and BYASE-GUI are freely available at https://github.com/ncjllld/byase and https://github.com/ncjllld/byase_gui. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.


Subject(s)
Software , Alleles , Bayes Theorem , Gene Library , Protein Isoforms
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