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1.
Obes Surg ; 34(2): 534-541, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38191965

ABSTRACT

PURPOSE: Ectopic fat accumulation plays a significant role in obesity-related metabolic dysfunction, and few studies have reported an association between ectopic gastric fat and metabolic risk factors. We aim to fulfill this need by assessing the degree of gastric submucosal fat accumulation in pathologic sections of 190 sleeve gastrectomy specimens. METHODS: Study patients were divided into two groups (D1 and D2) based on whether fat accumulation exceeded 1/3 of the submucosa of the stomach. Demographic and metabolic risk factors were compared between the two groups. Metabolic risk variables that might be associated with the degree of fat accumulation were screened in the original cohort. After balancing for possible confounders, the robustness of the correlations was assessed using binary and conditional logistic regression analyses. RESULTS: All study patients had fat accumulation in the submucosa of the stomach. C-reactive protein (CRP), body mass index (BMI), visceral fat area (VFA), and insulin resistance (IR) were higher in the D2 group than in the D1 group in the original cohort (P < 0.05). Logistic regression analysis showed that BMI and IR may be associated with increased fat accumulation. After balancing variables other than obesity indicators and IR using propensity score matching, BMI and IR remained significantly different between the two groups (P < 0.05). Further analysis of the matched cohort using two logistic regression analyses showed that IR was an independent risk factor for increased fat accumulation. CONCLUSION: This study indicated that gastric submucosal fat accumulation was prevalent in patients with obesity and was associated with IR.


Subject(s)
Insulin Resistance , Obesity, Morbid , Humans , Obesity, Morbid/surgery , Obesity/complications , Obesity/surgery , Stomach , Risk Factors , Intra-Abdominal Fat , Body Mass Index
2.
iScience ; 26(10): 107702, 2023 Oct 20.
Article in English | MEDLINE | ID: mdl-37701575

ABSTRACT

Histopathological images of colorectal liver metastases (CRLM) contain rich morphometric information that may predict patients' outcomes. However, to our knowledge, no study has reported any practical deep learning framework based on the histology images of CRLM, and their direct association with prognosis remains largely unknown. In this study, we developed a deep learning-based framework for fully automated tissue classification and quantification of clinically relevant spatial organization features (SOFs) in H&E-stained images of CRLM. The SOFs based risk-scoring system demonstrated a strong and robust prognostic value that is independent of the current clinical risk score (CRS) system in independent clinical cohorts. Our framework enables fully automated tissue classification of H&E images of CRLM, which could significantly reduce assessment subjectivity and the workload of pathologists. The risk-scoring system provides a time- and cost-efficient tool to assist clinical decision-making for patients with CRLM, which could potentially be implemented in clinical practice.

3.
Macromol Rapid Commun ; 44(23): e2300325, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37566735

ABSTRACT

Biocompatible chitosan-based hydrogels have attracted extensive attention in wound dressing due to their human skin-like tissue characteristics. However, it is a crucial challenge to fabricate chitosan-based hydrogels with versatile properties, including flexibility, stretchability, adhesivity, and antibacterial activity. In this work, a kind of chitosan-based hydrogels with integrated functionalities are facilely prepared by solution polymerization of acrylamide (AAm) and sodium p-styrene sulfonate (SS) in the presence of quaternized carboxymethyl chitosan (QCMCS). Due to the dual cross-linking between QCMCS and P(AAm-co-SS), the optimized QCMCS/P(AAm-co-SS) hydrogel exhibits tough mechanical properties (0.767 MPa tensile stress and 1100% fracture strain) and moderate tissue adhesion (11.4 kPa). Moreover, biological evaluation in vitro illustrated that as-prepared hydrogel possesses satisfactory biocompatibility, hemocompatibility, and excellent antibacterial ability (against S. aureus and E. coli are 98.8% and 97.3%, respectively). Then, the hydrogels are tested in a rat model for bacterial infection incision in vivo, and the results show that they can significantly accelerate epidermal regeneration and wound closure. This is due to their ability to reduce the inflammatory response, promote the formation of collagen deposition and granulation tissue. The proposed chitosan-based antibacterial hydrogels have the potential to be a highly effective wound dressing in clinical wound healing.


Subject(s)
Chitosan , Rats , Animals , Humans , Hydrogels/pharmacology , Adhesives , Escherichia coli , Staphylococcus aureus , Anti-Bacterial Agents/pharmacology , Bandages
4.
J Fungi (Basel) ; 9(3)2023 Mar 12.
Article in English | MEDLINE | ID: mdl-36983515

ABSTRACT

Phytopathogens, such as phytopathogenic bacteria, fungi, and nematodes, have caused great losses of crops every year, seriously threatening human health and agricultural production. Moreover, marine-derived fungi are abundant sources of structurally unique and bioactive secondary metabolites that could be potential candidates for anti-phytopathogenic drugs. One new sulfoxide-containing bisabolane sesquiterpenoid aspersydosulfoxide A (1) and nine known analogues (2-10) were isolated from the marine-derived A. sydowii LW09. The absolute configuration of the sulfur stereogenic center in 1 was determined by electronic circular dichroism (ECD) calculations. Compound 5 showed inhibition activity against Pseudomonas syringae, with a minimum inhibitory concentration (MIC) value of 32 µg/mL, whereas, compounds 2, 7, and 8 showed antibacterial activities toward Ralstonia solanacarum, with the same MIC value at 32 µg/mL. Meanwhile, compounds 3, 7, and 8 inhibited the fungal spore germination of Fusarium oxysporum, with the half maximal effective concentration (EC50) values of 54.55, 77.16, and 1.85 µg/mL, respectively, while compounds 2, 3, 7, and 8 inhibited the fungal spore germination of Alternaria alternata, which could be induced by vacuolization of germ tubes, with EC50 values of 34.04, 44.44, 26.02, and 46.15 µg/mL, respectively. In addition, compounds 3, 7, and 8 exhibited nematicidal activities against Meloidogyne incognita second-stage juveniles (J2s). In addition, compound 8 possessed the strongest nematicidal activity of nearly 80% mortality at 60 h with the half lethal concentration (LC50) values of 192.40 µg/mL. Furthermore, compounds 3, 7, and 8 could paralyze the nematodes and then impair their pathogenicity.

5.
Int J Biol Macromol ; 230: 123195, 2023 Mar 01.
Article in English | MEDLINE | ID: mdl-36634804

ABSTRACT

The emergence of protein hydrogel sensors has attracted intensive attention because of their biocompatibility and biodegradability, and potential application in wearable electronics. However, natural protein hydrogel sensors commonly exhibited low conductivity, weak mechanical strength, and unsatisfactory self-recovery performance. Herein, a fully physical crosslinked conductive BSA-MA-PPy/P(AM-co-AA)/Fe3+ hydrogel based on methacrylic anhydride (MA)-modified and polypyrrole (PPy)-functionalized bovine serum albumin (BSA) introduced into poly(acrylamide-co-acrylic acid) (P(AM-co-AA)) matrix was constructed. Due to the presence of the hydrogen bond complexation and the metal-ligand coordination between ferric ion (Fe3+) and the polymer chain, the as-prepared hydrogel showed outstanding mechanical strength (5.36 MPa tensile stress, 17.66 MJ/m3 toughness, and 1.61 MPa elastic modulus) and fast self-recovery performance (99.89 %/96.18 %/93.57 % stress/elastic modulus/dissipated energy within 10 min at room temperature). Meanwhile, the hydrogel exhibited outstanding conductivity (1.13 S/m) due to the presence of PPy and Fe3+ moieties, high strain sensitivity (GF = 4.98) and good biocompatibility without causing skin allergic reactions. Thus, the hydrogel can be fabricated into strain sensor to monitor the joint motion of the human body. Moreover, it can be used as soft electrode in electrocardiogram device to realize wireless heart-rate monitoring in the real-time conditions (relaxation and post-exercising), which exhibited excellent reusability, stability, and reliability simultaneously.


Subject(s)
Hydrogels , Serum Albumin, Bovine , Humans , Polymers , Reproducibility of Results , Pyrroles , Electrocardiography , Anhydrides , Electric Conductivity
6.
Macromol Biosci ; 23(4): e2200514, 2023 04.
Article in English | MEDLINE | ID: mdl-36662610

ABSTRACT

Bacterial infections of the wound surface can be painful for patients, and traditional dressings do not effectively address this problem. In this study, an antimicrobial wound dressing is prepared using a novel antimicrobial peptide, HX-12C. This hydrogel system is based on the natural biomaterials sodium alginate and gelatin, utilizing calcium carbonate as a source of Ca2+ , and ionic cross-linking is facilitated by lowering the solution pH. The resulting sodium alginate/gelatin HX-12C-loaded hydrogel (CaAGEAM) has good mechanical and adhesion properties, biocompatibility and in vitro degradability. Its extraordinary antibacterial efficacy (>98%) is verified by an antibacterial experiment. More importantly, in vivo experiments further demonstrate its healing-promotion effect, with a 95% wound healing rate by day 9. Tissue staining demonstrates that the hydrogel containing antimicrobial peptides is effective in suppressing inflammation. The dressing promotes wound healing by stimulating the deposition of skin appendages and collagen. The results of this study suggest that composite hydrogels containing antimicrobial peptides are a promising new type of dressing to promote the healing of infected wounds.


Subject(s)
Gelatin , Hydrogels , Humans , Hydrogels/pharmacology , Hydrogels/chemistry , Gelatin/pharmacology , Gelatin/chemistry , Antimicrobial Peptides , Wound Healing , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/chemistry , Alginates/pharmacology , Alginates/chemistry
7.
Eur J Pharm Sci ; 181: 106363, 2023 Feb 01.
Article in English | MEDLINE | ID: mdl-36529161

ABSTRACT

Among other health related issues, the rising concerns on drug resistance led to look for alternative pharmaceutical drugs that are effective both against infectious and noninfectious diseases. Antimicrobial peptides (AMPs) emerged as potential therapeutic molecule with wide range of applications. With their limitations, AMPs have gained reputable attentions in research as well as in the pharmaceutical industry. This review highlighted the historical background, research trends, technological advancements, challenges, and future perspectives in the development and applications of peptide drugs. Some vital questions related with the need for pharmaceutical production, factors for the slow and steady journey, the importance of oral bioavailability, and the drug resistance possibilities of AMPs were raised and addressed accordingly. Therefore, the current study is believed to provide a profound understanding in the past and current scenarios and future directions on the therapeutic impacts of peptide drugs.


Subject(s)
Anti-Bacterial Agents , Antimicrobial Peptides , Humans , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacology , Antimicrobial Peptides/chemistry , Antimicrobial Peptides/pharmacology , Communicable Diseases/drug therapy
8.
J Fungi (Basel) ; 8(11)2022 Nov 11.
Article in English | MEDLINE | ID: mdl-36422011

ABSTRACT

Fungi in forest litter are diverse as decomposers but natural products from these fungi are rarely investigated, especially for their antimicrobial activities against crop diseases. In this study, fungal isolate SGSF723 with antimicrobial activities was cultured. A multi-gene phylogenetic analysis showed SGSF723 was an undescribed species in the family Phaeosphaeriaceae. By bio-guided assay, three new compounds (Phaeosphaeridiols A-C) and two known compounds were purified from the ethyl acetate extract. The structures of Phaeosphaeridiols A-C were elucidated as 2-(2'-butenyl)-5 (3″-pentene)-1,3-benzenediol (1), 2-(2'-butenyl)-5-(3″S,4″S-pentane diol)-1,3-benzenediol (2), and 3-(4'-(2″-butenyl)-3',5'-benzenediol phenol)-2-acrylic acid (3) by 2D NMR, HRESIMS, and Mosher's method. Phaeosphaeridiols A-C exhibited moderate or weak antimicrobial activities against plant pathogens by 96-well plate and spore germination assays.

9.
Nanomaterials (Basel) ; 12(17)2022 Aug 29.
Article in English | MEDLINE | ID: mdl-36080027

ABSTRACT

Inorganic nanomaterials with enzyme-like activity have been attracting much attention due to their low cost, favorable stability, convenient storage, and simple preparation. Herein, Co3O4 nanoplates with a uniform nanostructure were prepared by the thermolysis of cobalt hydroxide at different temperatures, and the influence of the annealing temperature on the performance of the mimetic enzyme also was reported for the first time. The results demonstrated that Co3O4 nanoplates obtained at an annealing temperature of 200 °C possessed strong oxidase activity and efficiently catalyzed the oxidation of 3,3',5,5'-tetramethylbenzidine (TMB) without the addition of hydrogen peroxide to generate the blue color product ox-TMB. Once the annealing temperature was increased to 500 °C and 800 °C, the oxidase activity of Co3O4 decreased rapidly, and was even inactivated. This might be attributed to the relatively large specific surface area of Co3O4 annealed at 200 °C. Besides this, based on the TMB-Co3O4 nanoplate system, a colorimetric analysis method was developed to detect dopamine with a limit of 0.82 µmol/L in a linear range from 1.6 µmol/L to 20 µmol/L.

10.
J Fungi (Basel) ; 8(9)2022 Sep 02.
Article in English | MEDLINE | ID: mdl-36135659

ABSTRACT

The mutualistic interactions between mycorrhizae and plants first occurred along with the terrestrialization of plants. The majority of vascular plants are in symbiosis with mycorrhizal fungi. Due to their importance to the economy and ecology, arbuscular mycorrhizal (AM) and ectomycorrhizal (ECM) fungi emerge as the most popular ones. However, the mechanism underlying the beneficial function of ECM fungi is not as clear as AM fungi. Here, the interaction between Parametarhizium hingganense, a novel fungal species isolated from forest litter, and mung bean (Vigna radiata) was studied. P. hingganense demonstrated P solubilization ability in vitro. Treatment of P. hingganense on the seeds resulted in promoted growth with enhanced P content. The hyphae of green fluorescence protein (GFP)-tagged P. hingganense were found to surround the roots and develop between cells, suggesting the establishment of an ectomycorrhizal symbiosis. Upon symbiosis with P. hingganense, the levels of jasmonic acid (JA) and gibberellin (GA1) and total phenolic and flavonoid content elevated. Meanwhile, damping off caused by Rhizoctonia solani in mycorrhizal plants was alleviated. Taken together, the above findings suggested that symbiosis with P. hingganense conferred growth promotion and priming of defense responses to host plants which should be associated with facilitated P uptake and increased JA and GA1 levels.

11.
Life (Basel) ; 12(7)2022 Jul 05.
Article in English | MEDLINE | ID: mdl-35888088

ABSTRACT

Compared with gold and silver, cheap copper has attracted more attention and can potentially be applied in non-enzymatic electrochemical sensors due to its excellent conductivity and catalytic activity. In this paper, copper nanoplates were rapidly synthesized using copper bromide as the copper precursor, polyethyleneimine as the stabilizer, and ascorbic acid as a reducing agent in the presence of silver nanoparticles at a reaction temperature of 90 °C. The Cu nanoplates with an average side length of 10.97 ± 3.45 µm were obtained after a short reaction time of 2 h, demonstrating the promoting effect of an appropriate amount of silver nanoparticle on the synthesis of Cu nanoplates. Then, the electrochemical dopamine sensor was constructed by modifying a glass carbon electrode (GCE) with the Cu nanoplates. The results obtained from the test of cyclic voltammetry and chronoamperometry indicated that the Cu-GCE showed a significant electrochemical response for the measurement of dopamine. The oxidation peak current increased linearly with the concentration of dopamine in the range of 200 µmol/L to 2.21 mmol/L, and the corresponding detection limit was calculated to be 62.4 µmol/L (S/N = 3). Furthermore, the anti-interference test showed that the dopamine sensor was not affected by a high concentration of ascorbic acid, glucose, uric acid, etc. Therefore, the constructed Cu-GCE with good selectivity, sensitivity, and stability possesses a high application value in the detection of dopamine.

12.
Front Oncol ; 12: 708081, 2022.
Article in English | MEDLINE | ID: mdl-35494047

ABSTRACT

Background: Gastric cancer (GC) is a prevalent cancer with high mortality and strong invasiveness, and the entire regulatory networks of GC is still unclear. Objective: The aim of this study was to explore the specific mechanism of the effect of nucleolar protein 6 (NOL6) on the proliferation and apoptosis of GC cells. Methods: The human gastric adenocarcinoma cell line HGC-27 and AGS were cultured. qRT-PCR was used to verify the expression level of NOL6 in GC cells; MTT and EdU were used to test cell proliferation; TUNEL staining and Flow cytometry were used to detect cell apoptosis; The downstream genes and pathways following NOL6 knockdown were explored through the microarray assay and ingenuity pathway analysis, and the downstream genes were finally verified by qRT-PCR and Western blotting. The xenograft mice were used to investigate the effect of NOL6 on GC in vivo. Results: TCGA data analysis showed that NOL6 expression level was higher in GC cells than adjacent normal cells. Over-expression of NOL6 increased proliferation and colony formation, and inhibited the apoptotic rate in AGS and HGC-27 cells, while NOL6 knockdown induced the opposite effects. Through microarray assay and IPA analysis, NOL6-related downstream genes and critical signaling pathways were found. And we verified the relationship between downstream genes and GC. Additionally, NOL6 knockdown could decrease the weight and volume of tumor in the mice. Conclusion: NOL6 knockdown could inhibit cell proliferation and induce cell apoptosis of GC, suggesting that NOL6 may serve as a potential therapeutic target for treating GC.

13.
J Hazard Mater ; 436: 129107, 2022 08 15.
Article in English | MEDLINE | ID: mdl-35569369

ABSTRACT

Norfloxacin (NOR) is an antibiotic commonly used to treat humans and food-producing animals. Owing to NOR abuse, its residues are frequently found in animal-derived food products and the surrounding environment. Therefore, development of an efficient analytical technique for the selective determination of trace NOR is greatly significant for food safety and environmental protection. Here, we fabricated an ultrasensitive, label-free molecularly imprinted polymer (MIP) voltammetric sensor for the selective determination of NOR, based on an Au nanoparticle-functionalized black phosphorus nanosheet nanocomposite (BPNS-AuNP) covered by a polypyrrole-imprinted film. BPNS-AuNP nanocomposites were prepared via an in-situ one-step method without the use of reducing agents. The imprinted polypyrrole film was formed on the surface of the BPNS-AuNPs in the presence of NOR. The physical properties and electrochemical behavior of the MIP/BPNS-AuNPs were investigated using various characterization techniques, and the analytical parameters were optimized. We found that BPNS-AuNPs improve the ambient stability and electrocatalytic activity, providing a large surface area for locating a higher number of specific recognition sites. Consequently, the MIP/BPNS-AuNP/GCE showed excellent sensing performance toward NOR, with a wide linear response range (0.1 nM - 10 µM), an extremely low limit of detection (0.012 nM), and extraordinary selectivity. Moreover, the MIP/BPNS-AuNP/GCE was used to determine NOR in various experimental samples with satisfactory results.


Subject(s)
Metal Nanoparticles , Molecular Imprinting , Nanocomposites , Animals , Electrochemical Techniques/methods , Electrodes , Gold/chemistry , Limit of Detection , Metal Nanoparticles/chemistry , Molecular Imprinting/methods , Molecularly Imprinted Polymers , Nanocomposites/chemistry , Norfloxacin , Phosphorus , Polymers/chemistry , Pyrroles
14.
Gels ; 8(4)2022 Mar 27.
Article in English | MEDLINE | ID: mdl-35448109

ABSTRACT

Spiropyran-containing hydrogels that can respond to external stimuli such as temperature, light, and stress have attracted extensive attention in recent years. However, most of them are generally dual or multiple stimuli-responsive to external stimuli, and the interplay of different stimulus responses is harmful to their sensitivity. Herein, spiropyran bearing polymer beads incorporated PAM (poly(AM-co-MA/DMSP3)) hydrogels with sole mechanochromic properties were synthesized by emulsion polymerization of acrylamide (AM) and methyl acrylate (MA) in the presence of spiropyran dimethacrylate mechanophore (DMSP3) crosslinker. Due to the hydrophobic nature of MA and DMSP3, the resultant hydrogel afforded a rosary structure with DMSP3 bearing polymer beads incorporated in the PAM network. It is found that the chemical component (e.g., AM, MA, and DMSP3 concentrations) significantly affect the mechanical and mechanoresponsive properties of the as-obtained poly(AM-co-MA/DMSP3) hydrogel. Under optimal conditions, poly(AM-co-MA/DMSP3) hydrogel displayed high mechanical properties (tensile stress of 1.91 MPa, a tensile strain of 815%, an elastic modulus of 0.67 MPa, and tearing energy of 3920 J/m2), and a good self-recovery feature. Owing to the mechanoresponsive of SP3, the hydrogels exhibited reversible color changes under force-induced deformation and relaxed recovery states. More impressive, the poly(AM-co-MA/DMSP3) hydrogel showed a linear correlation between tensile strain and chromaticity (x, y) as well as a stain and resting time-dependent color recovery rate. This kind of hydrogel is believed to have great potential in the application of outdoor strain sensors.

15.
ACS Omega ; 7(13): 10955-10962, 2022 Apr 05.
Article in English | MEDLINE | ID: mdl-35415378

ABSTRACT

In this work, thin reduced graphene oxide (GO) composite films were fabricated for electromagnetic interference (EMI) shielding application. High solid content GO slurry (7 wt %) was obtained by dispersing GO clay in polymer solution under high-speed mechanical stirring. A composite film with varied thickness (10-150 µm) could be fabricated in pilot scale. After an optimized thermal annealing procedure, the final product showed good conductivity, which reached 500 S·cm-1. The thin sample (thickness < 0.1 mm) containing 10% polymer showed an enhanced EMI shielding performance of 55-65 dB. The outstanding EMI shielding efficiency as well as good suppleness and industrialized potential of thermal reduced graphene oxide polymer composite films could make a progress on their application in flexible devices as an EMI shielding material.

16.
Math Biosci Eng ; 19(4): 3972-3993, 2022 02 11.
Article in English | MEDLINE | ID: mdl-35341283

ABSTRACT

It is widely acknowledged that an imbalanced biomechanical environment can have significant effects on myocardial pathology, leading to adverse remodelling of cardiac function if it persists. Accurate stress prediction essentially depends on the strain energy function which should have competent descriptive and predictive capabilities. Previous studies have focused on myofibre dispersion, but not on fibres along other directions. In this study, we will investigate how fibre dispersion affects myocardial biomechanical behaviours by taking into account both the myofibre dispersion and the sheet fibre dispersion, with a focus on the sheet fibre dispersion. Fibre dispersion is incorporated into a widely-used myocardial strain energy function using the discrete fibre bundle approach. We first study how different dispersion affects the descriptive capability of the strain energy function when fitting to ex vivo experimental data, and then the predictive capability in a human left ventricle during diastole. Our results show that the chosen strain energy function can achieve the best goodness-of-fit to the experimental data by including both fibre dispersion. Furthermore, noticeable differences in stress can be found in the LV model. Our results may suggest that it is necessary to include both dispersion for myofibres and the sheet fibres for the improved descriptive capability to the ex vivo experimental data and potentially more accurate stress prediction in cardiac mechanics.


Subject(s)
Heart Ventricles , Myocardium , Biomechanical Phenomena/physiology , Diastole/physiology , Heart , Humans , Myocardium/pathology
17.
Math Biosci Eng ; 19(4): 4101-4119, 2022 02 16.
Article in English | MEDLINE | ID: mdl-35341289

ABSTRACT

This work accompanies the first part of our study "effects of dispersed fibres in myocardial mechanics: Part I passive response" with a focus on myocardial active contraction. Existing studies have suggested that myofibre architecture plays an important role in myocardial active contraction. Following the first part of our study, we firstly study how the general fibre architecture affects ventricular pump function by varying the mean myofibre rotation angles, and then the impact of fibre dispersion along the myofibre direction on myocardial contraction in a left ventricle model. Dispersed active stress is described by a generalised structure tensor method for its computational efficiency. Our results show that both the myofibre rotation angle and its dispersion can significantly affect cardiac pump function by redistributing active tension circumferentially and longitudinally. For example, larger myofibre rotation angle and higher active tension along the sheet-normal direction can lead to much reduced end-systolic volume and higher longitudinal shortening, and thus a larger ejection fraction. In summary, these two studies together have demonstrated that it is necessary and essential to include realistic fibre structures (both fibre rotation angle and fibre dispersion) in personalised cardiac modelling for accurate myocardial dynamics prediction.


Subject(s)
Models, Cardiovascular , Myocardial Contraction , Heart Ventricles , Myocardial Contraction/physiology , Myocardium , Ventricular Function, Left/physiology
18.
Neurol India ; 69(5): 1338-1342, 2021.
Article in English | MEDLINE | ID: mdl-34747808

ABSTRACT

BACKGROUND: Small intracranial aneurysms have a low risk of rupture. However, ruptured anterior communicating artery (ACoA) aneurysms are usually smaller in clinical practice. The retrospective study aimed to investigate the geometrical and hemodynamic changes of small unruptured ACoA aneurysms during serial follow-ups. MATERIALS AND METHODS: We retrospectively collected patients with small unruptured ACoA aneurysms that were not repaired, who had serial follow-ups from the Electronic Medical Record System in four tertiary hospitals. The geometrical parameters of ACoA aneurysms were measured using a three-dimensional reconstructed model. Intra-aneurysmal hemodynamic parameters were computed using a high-resolution computational fluid dynamics model. Geometrical and hemodynamic changes of the aneurysms were evaluated at each follow-up. RESULTS: Five patients with small unruptured ACoA aneurysms that were not repaired were identified and included in this analysis. Aneurysms rupture occurred in two patients with aneurysm growth. The formation and enlargement of an irregular bleb at the aneurysm neck or dome were observed before the rupture. Ruptured aneurysms showed high wall shear stress (WSS) in the high inflow zone of aneurysm neck while low WSS and high oscillatory shear index (OSI) in the flow-recirculating region of aneurysm dome. Three unruptured aneurysms maintained a stable morphology and a physiological level of WSS. CONCLUSIONS: Aneurysm growth, low WSS, and high OSI at the dome and/or high WSS at the neck potentially contribute to the rupture of small ACoA aneurysms. These aneurysms should be considered for the treatment regardless of the small size.


Subject(s)
Aneurysm, Ruptured , Intracranial Aneurysm , Aneurysm, Ruptured/diagnostic imaging , Aneurysm, Ruptured/surgery , Follow-Up Studies , Hemodynamics , Humans , Intracranial Aneurysm/diagnostic imaging , Intracranial Aneurysm/surgery , Retrospective Studies
19.
ACS Appl Mater Interfaces ; 13(41): 49215-49223, 2021 Oct 20.
Article in English | MEDLINE | ID: mdl-34628847

ABSTRACT

A novel chiral separation membrane was fabricated by assembling l-cysteine (l-Cys)-modified graphene oxide sheets. l-Cys modification leads to an enantiomer separation membrane with an accessible interlayer spacing of 8 Å, which allows high solvent permeability. In the racemate separation experiments under isobaric conditions, the enantiomeric excess (ee) values of alanine (Ala), threonine (Thr), tyrosine (Tyr), and penicillamine (Pen) racemates in the permeation solution were 43.60, 44.11, 27.43, and 46.44%, respectively. In the racemate separation experiments under negative pressure, the separation performances of Ala, Thr, and Tyr were still maintained, and the enantiomeric excess (ee) values of the filtrate after separation were 56.80, 54.57, and 32.34%, respectively. These results indicate that the as-prepared GO-Cys membrane has a great practical value in the field of enantiomer separation.

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