The Role of Resveratrol on Spinal Cord Injury: from Bench to Bedside.

Spinal cord injury (SCI) is a severe and disabling injury of the central nervous system, with complex pathological mechanisms leading to sensory and motor dysfunction. Pathological processes, such as oxidative stress, inflammatory response, apoptosis, and glial scarring are important factors that aggravate SCI. Therefore, the inhibition of these pathological processes may contribute to the treatment of SCI. Currently, the pathogenesis of SCI remains under investigation as SCI treatment has not progressed considerably. Resveratrol, a natural polyphenol with anti-inflammatory and antioxidant properties, is considered a potential therapeutic drug for various diseases and plays a beneficial role in nerve damage. Preclinical studies have confirmed that signaling pathways are closely related to the pathological processes in SCI, and resveratrol is believed to exert therapeutic effects in SCI by activating the related signaling pathways. Based on current research on the pathways of resveratrol and its role in SCI, resveratrol may be a potentially effective treatment for SCI. This review summarizes the role of resveratrol in promoting the recovery of nerve function by regulating oxidative stress, inflammation, apoptosis, and glial scar formation in SCI through various mechanisms and pathways, as well as the deficiency of resveratrol in SCI research and the current and anticipated research trends of resveratrol. In addition, this review provides a background for further studies on the molecular mechanisms of SCI and the development of potential therapeutic agents. This information could also help clinicians understand the known mechanisms of action of resveratrol and provide better treatment options for patients with SCI.

Design and verification of a high-gradient and high-power 2nd harmonic cavity for the China Spallation Neutron Source upgrade project.

Here, we report our recent progress in the design, fluid thermodynamics simulation, and high-power test of the2nd harmonic cavity for the China Spallation Neutron Source Phase II. A high-performance and large-size magnetic alloy (MA) core was developed as the load material for the radiofrequency cavity to achieve a high gradient of 40 kV/m. The water-cooling structure and cooling efficiency were studied and improved through numerical analysis and thermal experiments. The long-term stability of the cavity, especially the waterproofness of the MA cores with high heat load, was verified by high power tests.

A low-frequency normal conducting cavity with higher-order mode damping for fourth-generation synchrotron radiation sources.

The utilization of a low-frequency (<200 MHz) RF system in storage facilitates the attainment of ultra-low emittances in synchrotron light sources through on-axis injection. This paper focuses on the development of a low-frequency normal conducting (NC) cavity with higher-order mode (HOM) damping for fourth-generation synchrotron light sources. We propose a novel approach to achieve efficient HOM damping in a NC cavity by optimizing the lowest frequency HOM and implementing a beam-line absorber. Notably, unlike conventional NC cavities, the presence of a large beam tube for the beam-line absorber does not compromise the accelerating performance in a coaxial resonant cavity, enabling effective HOM damping while maintaining a high shunt impedance. Through simulations, the prototype design of a 166.6 MHz HOM-damped cavity demonstrates a fundamental mode impedance of ∼8 MΩ, with longitudinal and transverse HOM impedances below 2.0 and 50 kΩ/m, respectively.

Effects of intraoperative neuromonitoring (IONM) technology on early recovery quality in patients after thyroid surgery: A randomized controlled trial.

BACKGROUND: Patient-focused evaluation of postoperative recover has been recognized as one of the most important concerns in postoperative medicine. Previous studies have shown that the Quality of Recovery-40 (QoR-40) Questionnaire can be used to accurately assess the quality of recovery from surgery. During thyroid surgery using intraoperative neuromonitoring (IONM) technology, the strategy of low dose of muscle relaxant, intubation of different endotracheal tubes and electrical stimulation on vocal cord are applied. Its still unknown if these performances would affect patients' postoperative recovery in thyroid surgery patients. METHODS: 82 patients were randomly assigned to the neuromonitoring group (NEURO Group) and the control group (CON Group). In the CON Group, rocuronium (0.6 mg / kg) was given for intubation and additional dose was injected if needed, while in the NEURO Group, only rocuronium (0.3 mg / kg) was given when induction. The primary outcome is the QoR-40 scores on postoperative day 1 (POD1) and postoperative day 3 (POD3). Other parameters, such as postoperative nausea or vomiting (PONV) and medical cost were also recorded. RESULTS: One subject in each group was excluded, leaving 80 for analysis. In the NEURO Group, the global QoR-40 score, emotional state, physical comfort, physical independence and pain were significantly lower both on POD1 and POD3 (P<0.05). Patients in the NEURO Group had a higher incidence of PONV (P<0.05) and medical expense (P<0.05). CONCLUSIONS: After thyroidectomy, the patients using IONM suffer worse quality of recovery, more risk of PONV and increased medical expense.

Reflection power suppression for solid state amplifiers with combiner optimization.

The application of high-power solid state amplifiers (SSAs) in accelerator facilities is increasing, and equipment failure caused by reflected power is the main risk to their long-term operation. High-power SSAs often comprise multiple power amplifier modules. Full power reflection is more likely to damage the modules in SSAs if the amplitudes of the modules are unequal. Optimization of the power combiners is an effective means for improving the stability of SSAs under high power reflection. This study analyzes the mechanisms and conditions of reflected power generation using the scattering parameters of the combiner and proposes an optimization scheme for the combiner. The simulation and experimental results show that some modules may receive reflected power as high as nearly four times the rated power of one module when the SSA meets certain conditions, which could damage the modules. The maximum reflected power can be effectively reduced and the anti-reflection ability of SSAs can be improved by optimizing the combiner parameters to suppress the maximum reflected power.

p53/MicroRNA-34 axis in cancer and beyond.

Cancer is serious endangers human life. After a long period of research and accumulation, people's understanding of cancer and the corresponding treatment methods are constantly developing. p53 is an important tumor suppressor gene. With the more in-depth understanding of the structure and function of p53, the more importance of this tumor suppressor gene is realized in the process of inhibiting tumor formation. MicroRNAs (miRNAs) are important regulatory molecules with a length of about 22nucleotides (nt), which belong to non-coding RNA and play an important role in the occurrence and development of tumors. miR-34 is currently considered to be a master regulator of tumor suppression. The positive feedback regulatory network formed by p53 and miR-34 can inhibit the growth and metastasis of tumor cells and inhibit tumor stem cells. This review focuses on the latest progress of p53/miR-34 regulatory network, and discusses its application in tumor diagnosis and treatment.

Salinity effects on the strength and morphological indices of soft marine clay.

This study evaluates the strength behaviors and morphological characteristics of Lianyungang marine clay under the effect of porewater salinity. Soil at higher salinity was found to have increased internal friction angle and undrained shear strength. The difference in undrained shear strength enlarges as the confining pressure increases. Different stress paths were exhibited with soil at different salinities. Soil morphology analysis including scanning electron microscopy (SEM) and Image-Pro Plus (IPP) were employed to investigate the underlying mechanism of the enhanced strength behaviors of soft marine clay with increased salinity. Aggregated soil fabric was observed at higher salinity and contributed to enhanced strength. The results demonstrate that the aggregated soil structure is the primary mechanism responding to the enhanced strength behavior of marine clay under relatively high salinity (6%). Quantitative relationships were developed between the strength parameters and morphological characteristics of soil, i.e., area of particles, roundness of particles, area of pores, pore orientation, and fractal dimension of pore distribution, in the forms of empirical equations, and are expected to serve as the references for prediction in undrained behaviors of soft marine clays with known soil index.

Seed Transmission of Tomato Spotted Wilt Orthotospovirus in Peppers.

Tomato spotted wilt orthotospovirus (TSWV) severely damaged agricultural production in many places around the world. It is generally believed that TSWV transmits among plants via their insect vector. In this study, we provide evidence on the seed-borne transmission of TSWV in pepper (Capsicum annuum L.) plants. RT-PCR, RT-qPCR, and transmission electron microscopy data demonstrate the seed transmission ability of TSWV in peppers. Endosperm, but not the embryo, is the abundant virus-containing seed organ. TSWV can also be detected in the second generation of newly germinated seedlings from virus-containing seed germination experiments. Our data are useful for researchers, certification agencies, the seed industry, and policy makers when considering the importance of TSWV in vegetable production all over the world.

Genetic transformation system for Bacillus velezensis NSZ-YBGJ001 and curing of the endogenous plasmid pBV01.

OBJECTIVES: To construct a genetic transformation system for Bacillus velezensis NSZ-YBGJ001 and identify the origin element in an endogenous plasmidpBV01 for curing pBV01 by plasmid incompatibility. RESULTS: A plasmid pUBC01 was constructed, and then an electrotransformation system for B. velezensis NSZ-YBGJ001 was developed, which reached ~ 1000 transformants per microgram of pUBC01 DNA. Additionally, a 7276-bp circular plasmid pBV01 with a G + C content of 37.5% was isolated from B. velezensis NSZ-YBGJ001 and analyzed via sequence analysis. To cure pBV01, an incompatible plasmid pBV02 harboring the replication element of pBV01 was developed and functionally replicated in both Bacillus subtilis WB600 and B. velezensis NSZ-YBGJ001. pBV01 was cured through introduction of pBV02 into B. velezensis NSZ-YBGJ001 after serial subculturing for approximately 40 generations. Finally, another plasmid, pBV03, was constructed based on pBV-ori, and exogenous genes in pBV03 could be efficiently expressed in B. subtilis. CONCLUSIONS: The results of this study, including the genetic transformation system, plasmid-curing strategy, and exogenous gene expression, will support genetic manipulation of B. velezensis to promote its application in biocontrol and industry.

Artificial Intelligence-Based Multimodal Risk Assessment Model for Surgical Site Infection (AMRAMS): Development and Validation Study.

BACKGROUND: Surgical site infection (SSI) is one of the most common types of health care-associated infections. It increases mortality, prolongs hospital length of stay, and raises health care costs. Many institutions developed risk assessment models for SSI to help surgeons preoperatively identify high-risk patients and guide clinical intervention. However, most of these models had low accuracies. OBJECTIVE: We aimed to provide a solution in the form of an Artificial intelligence-based Multimodal Risk Assessment Model for Surgical site infection (AMRAMS) for inpatients undergoing operations, using routinely collected clinical data. We internally and externally validated the discriminations of the models, which combined various machine learning and natural language processing techniques, and compared them with the National Nosocomial Infections Surveillance (NNIS) risk index. METHODS: We retrieved inpatient records between January 1, 2014, and June 30, 2019, from the electronic medical record (EMR) system of Rui Jin Hospital, Luwan Branch, Shanghai, China. We used data from before July 1, 2018, as the development set for internal validation and the remaining data as the test set for external validation. We included patient demographics, preoperative lab results, and free-text preoperative notes as our features. We used word-embedding techniques to encode text information, and we trained the LASSO (least absolute shrinkage and selection operator) model, random forest model, gradient boosting decision tree (GBDT) model, convolutional neural network (CNN) model, and self-attention network model using the combined data. Surgeons manually scored the NNIS risk index values. RESULTS: For internal bootstrapping validation, CNN yielded the highest mean area under the receiver operating characteristic curve (AUROC) of 0.889 (95% CI 0.886-0.892), and the paired-sample t test revealed statistically significant advantages as compared with other models (P<.001). The self-attention network yielded the second-highest mean AUROC of 0.882 (95% CI 0.878-0.886), but the AUROC was only numerically higher than the AUROC of the third-best model, GBDT with text embeddings (mean AUROC 0.881, 95% CI 0.878-0.884, P=.47). The AUROCs of LASSO, random forest, and GBDT models using text embeddings were statistically higher than the AUROCs of models not using text embeddings (P<.001). For external validation, the self-attention network yielded the highest AUROC of 0.879. CNN was the second-best model (AUROC 0.878), and GBDT with text embeddings was the third-best model (AUROC 0.872). The NNIS risk index scored by surgeons had an AUROC of 0.651. CONCLUSIONS: Our AMRAMS based on EMR data and deep learning methods-CNN and self-attention network-had significant advantages in terms of accuracy compared with other conventional machine learning methods and the NNIS risk index. Moreover, the semantic embeddings of preoperative notes improved the model performance further. Our models could replace the NNIS risk index to provide personalized guidance for the preoperative intervention of SSIs. Through this case, we offered an easy-to-implement solution for building multimodal RAMs for other similar scenarios.

Resveratrol attenuates inflammation environment-induced nucleus pulposus cell senescence in vitro.

Intervertebral disc degeneration is a disease identified as an inflammation response-participated pathological process. As a classical cellular feature, disc cell senescence is reported to be closely related with disc cell senescence. Resveratrol has a protective role against inflammation in some cells. However, its biological effects on disc cells remain largely unclear. The present study was aimed to study the effects of resveratrol on disc nucleus pulposus (NP) cell senescence in an inflammation environment. Isolated NP cells were cultured in cultured medium with (control group) or without (inflammation group) inflammatory cytokine TNF-α and IL-1ß for 14 days. Resveratrol was added along with the NP cells treated with inflammatory cytokines to investigate its effects. NP cell senescence was analyzed by senescence-associated ß-Galactosidase (SA-ß-Gal) staining, cell proliferation, G0/1 cell cycle arrest, telomerase activity, gene/protein expression of senescence markers (p16 and p53) and NP matrix biosynthesis. In addition, the intracellular reactive oxygen species (ROS) was also analyzed. Compared with the control group, inflammation group significantly increased SA-ß-Gal activity and ROS content, decreased cell proliferation and telomerase activity, promoted G0/1 cell cycle arrest, up-regulated gene/protein expression of senescence markers (p16 and p53) and matrix catabolism enzymes (MMP-3, MMP-13 and ADAMTS-4), and down-regulated gene/protein expression of NP matrix macromolecules (aggrecan and collagen II). However, resveratrol partly reversed the effects of inflammatory cytokine on these cell senescence-associated parameters. Together, resveratrol was effective to suppress cell senescence in an inflammatory environment. The present study shows new knowledge on how to retard inflammation response-initiated disc degeneration.

Kinesio taping improves pain and function in patients with knee osteoarthritis: A meta-analysis of randomized controlled trials.

OBJECTIVE: To perform a meta-analysis from randomized controlled trials (RCTs) to evaluate the efficacy of Kinesio Taping in reducing pain and increasing knee function in patients with knee osteoarthritis (OA). METHODS: The electronic databases include PubMed, Embase, web of science and the Cochrane Library up to August 2018. Studies searched were considered eligible if they met the criteria as follows: Population: patients with knee OA; Intervention: intervention groups received Kinesio Taping for the treatment of knee OA; Comparisons: Control group received sham taping; 3) Outcomes: visual analog scale (VAS), McMaster Universities Arthritis Index (WOMAC) scale, range of motion and muscle strength; Study design: RCTs. The Cochrane Collaboration's tool was used to assess risk of bias. We assessed statistical heterogeneity for each RCT with the use of a standard Chi2 test and the I2 statistic. STATA statistical software 15.0 was used for meta-analysis. RESULTS: Five RCTs involving 308 patients were included. The present meta-analysis demonstrated that there were significant differences between Kinesio Taping groups and control groups in terms of visual analog scale (VAS), WOMAC scale and flexion range of motion. No significant difference was found regarding quadriceps femoris muscle between groups. CONCLUSION: Kinesio Taping is effective in improving for pain and joint function in patients with knee OA. Due to the limited quality of the evidence currently available, the results of our meta-analysis should be treated with caution.

Sevoflurane-induced memory impairment in the postnatal developing mouse brain.

The aim of the present study was to confirm that sevoflurane induces memory impairment in the postnatal developing mouse brain and determine its mechanism of action. C57BL/6 mice 7 days old were randomly assigned into a 2.6% sevoflurane (n=68), a 1.3% sevoflurane (n=68) and a control (n=38) group. Blood gas analysis was performed to evaluate hypoxia and respiratory depression during anesthesia in 78 mice. Measurements for expression of caspase-3 by immunohistochemistry, cleavage of poly adenosine diphosphate-ribose polymerase (PARP) by western blotting, as well as levels of brain-derived neurotrophic factor (BDNF), tyrosine kinase receptor type 2 (Ntrk2), pro-BDNF, p75 neurotrophin receptor (p75NTR) and protein kinase B (PKB/Akt) by enzyme-linked immunosorbent assay were performed in the hippocampus of 12 mice from each group. A total of 60 mice underwent the Morris water maze (MWM) test. Results from the MWM test indicated that the time spent in the northwest quadrant and platform site crossovers by mice in the 2.6 and 1.3% sevoflurane groups was significantly lower than that of the control group. Meanwhile, levels of caspase-3 and cleaved PARP in the 2.6 and 1.3% sevoflurane groups were significantly higher than that in the control group. Levels of pro-BDNF and p75NTR were significantly increased and the level of PKB/Akt was significantly decreased following exposure to 2.6% sevoflurane. Finally, the memory of postnatal mice was impaired by sevoflurane, this was determined using a MWM test. Therefore, the results of the current study suggest that caspase-3 induced cleavage of PARP, as well as pro-BDNF, p75NTR and PKB/Akt may be important in sevoflurane-induced memory impairment in the postnatal developing mouse brain.

Fifty top-cited spine articles from mainland China: A citation analysis.

Objective To identify the 50 top-cited spine articles from mainland China and to analyze their main characteristics. Methods Web of Science was used to identify the 50 top-cited spine articles from mainland China in 27 spine-related journals. The title, year of publication, number of citations, journal, anatomic focus, subspecialty, evidence level, city, institution and author were recorded. Results The top 50 articles had 29-122 citations and were published in 11 English-language journals; most (32) were published in the 2000s. The journal Spine had the largest number of articles and The Lancet had the highest impact factor. The lumber spine was the most discussed anatomic area (18). Degenerative spine disease was the most common subspecialty topic (22). Most articles were clinical studies (29); the others were basic research (21). Level IV was the most common evidence level (17). Conclusions This list indicates the most influential articles from mainland China in the global spine research community. Identification of these articles provides insights into the trends in spine care in mainland China and the historical contributions of researchers from mainland China to the international spine research field.

Manipulation of Auxin Response Factor 19 affects seed size in the woody perennial Jatropha curcas.

Seed size is a major determinant of seed yield but few is known about the genetics controlling of seed size in plants. Phytohormones cytokinin and brassinosteroid were known to be involved in the regulation of herbaceous plant seed development. Here we identified a homolog of Auxin Response Factor 19 (JcARF19) from a woody plant Jatropha curcas and genetically demonstrated its functions in controlling seed size and seed yield. Through Virus Induced Gene Silencing (VIGS), we found that JcARF19 was a positive upstream modulator in auxin signaling and may control plant organ size in J. curcas. Importantly, transgenic overexpression of JcARF19 significantly increased seed size and seed yield in plants Arabidopsis thaliana and J. curcas, indicating the importance of auxin pathway in seed yield controlling in dicot plants. Transcripts analysis indicated that ectopic expression of JcARF19 in J. curcas upregulated auxin responsive genes encoding essential regulators in cell differentiation and cytoskeletal dynamics of seed development. Our data suggested the potential of improving seed traits by precisely engineering auxin signaling in woody perennial plants.

Upregulated TLR3 Promotes Neuropathic Pain by Regulating Autophagy in Rat With L5 Spinal Nerve Ligation Model.

Microglia, rapidly activated following peripheral nerve injury (PNI), accumulate within the spinal cord and adopt inflammation that contributes to development and maintenance of neuropathic pain. Microglia express functional Toll-like receptors (TLRs), which play pivotal roles in regulating inflammatory processes. However, little is known about the role of TLR3 in regulating neuropathic pain after PNI. Here TLR3 expression and autophagy activation was assayed in dorsal root ganglions and in microglia following PNI by using realtime PCR, western blot and immunohistochemistry. The role of TLR3/autophagy signaling in regulating tactile allodynia was evaluated by assaying paw mechanical withdrawal threshold and cold allodynia after intrathecal administration of Poly (I:C) and 3-methyladenine (3-MA). We found that L5 spinal nerve ligation (SNL) induces the expression of TLR3 in dorsal root ganglions and in primary rat microglia at the mRNA and protein level. Meanwhile, L5 SNL results in an increased activation of autophagy, which contributes to microglial activation and subsequent inflammatory response. Intrathecal administration of Poly (I:C), a TLR3 agonist, significantly increases the activation of microglial autophagy, whereas TLR3 knockdown markedly inhibits L5 SNL-induced microglial autophagy. Poly (I:C) treatment promotes the expression of proinflammatory mediators, whereas 3-MA (a specific inhibitor of autophagy) suppresses Poly (I:C)-induced secretion of proinflammatory cytokines. Autophagy inhibition further inhibits TLR3-mediated mechanical and cold hypersensitivity following SNL. These results suggest that inhibition of TLR3/autophagy signaling contributes to alleviate neurophathic pain triggered by SNL.

Detection rate of colorectal adenoma and its risk factors in different areas / 中国肿瘤临床

Objective:To compare the detection rate of colorectal adenoma (CRA) and its risk factors in different areas. Methods:Pa-tients with CRA from the 7th People's Hospital of Chongqing were designated to area group A (n=2182), and those from the 281 Hospi-tal of PLA in Qinhuangdao were designated to area group B (n=1866). The high risk group was screened on the basis of the following factors:①positive fecal occult blood;②colorectal cancer history of first-degree relatives;③intestinal adenoma history;④can-cer history;⑤change in defecation habit;and⑥history of at least two of the following:chronic diarrhea, chronic constipation, mu-cus and bloody stool, chronic appendicitis or appendix removal, and chronic cholecystitis or gallbladder removal. The detection rate of CRA and the high risk groups, the distribution of risk factors, and the detection rate of CRA in every risk factor in the two groups were compared. Results:The detection rate of CRA (15.6%) and the high risk group (25.8%) in area group A were similar to those in area group B (15.2%, 25.4%) (P>0.05). The distributions of risk factors from high to low in the two groups were⑤,⑥,①,③,②, and④. The distribution of risk factor⑤was higher in area group A (36.4%) than in area group B (30.6%) (χ2=3.900, P=0.048). The detec-tion rate of CRA in area group A (57.6%) with factor⑤was higher than that in area group B (44.1%) (χ2=6.131, P=0.013). Conclusion:The detection rate of CRA and the high risk group in the 7th People's Hospital of Chongqing were similar to those in the 281 Hospital of PLA. By contrast, the distributions of risk factors differ in the two area groups. Therefore, the screening direction of CRA in different areas should be based on the risk factors.

Delayed Flowering in Bamboo: Evidence from Fargesia qinlingensis in the Qinling Mountains of China.

Gregarious flowering of bamboo species impacts ecosystem properties and conservation, but documentation of these periodic events is difficult. Here, we compare the characteristics of flowering sites and un-flowered patches of an arrow bamboo (Fargesia qinlingensis) in the Qinling Mountains, China, over a 5-year period (2003-2007) after a mast flowering event (2003). We examined flowering culm and seedling characteristics in relation to questions regarding the evolution of delayed flowering. Density of live culms decreased over the 5 years in both flowering sites and un-flowered patches. New shoots regenerated only in un-flowered patches. Chemical constituent allocation varied among culm parts (stems, branches, and leaves). Crude protein and extract ether in branches and leaves were less in flowering culms than in un-flowered culms. Seedling density was lower than expected based on floret counts, suggesting predation of seeds. Seedling density was significantly greater in flowering sites than in un-flowered patches and decreased over time. Seedlings performed better in flowering sites than in un-flowered patches based on their height, leaf number per seedling, and average leaf length, while fertilization on flowering sites had no significant effect on seedling growth, suggesting a saturation of resources. This study suggested that the characteristics of bamboos and bamboo stands were dramatically altered during this flowering event, enhancing seedling establishment and growth, and supporting mostly the habitat modification hypothesis of delayed reproduction.