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1.
Cell Rep ; 42(8): 112889, 2023 08 29.
Artículo en Inglés | MEDLINE | ID: mdl-37527036

RESUMEN

Microglia shift toward an inflammatory phenotype during aging that is thought to exacerbate age-related neurodegeneration. The molecular and cellular signals that resolve neuroinflammation post-injury are largely undefined. Here, we exploit systems genetics methods based on the extended BXD murine reference family and identify IGFBPL1 as an upstream cis-regulator of microglia-specific genes to switch off inflammation. IGFBPL1 is expressed by mouse and human microglia, and higher levels of its expression resolve lipopolysaccharide-induced neuroinflammation by resetting the transcriptome signature back to a homeostatic state via IGF1R signaling. Conversely, IGFBPL1 deficiency or selective deletion of IGF1R in microglia shifts these cells to an inflammatory landscape and induces early manifestation of brain tauopathy and retinal neurodegeneration. Therapeutic administration of IGFBPL1 drives pro-homeostatic microglia and prevents glaucomatous neurodegeneration and vision loss in mice. These results identify IGFBPL1 as a master driver of the counter-inflammatory microglial modulator that presents an endogenous resolution of neuroinflammation to prevent neurodegeneration in eye and brain.


Asunto(s)
Microglía , Tauopatías , Ratones , Animales , Humanos , Microglía/metabolismo , Enfermedades Neuroinflamatorias , Tauopatías/metabolismo , Inflamación/metabolismo , Encéfalo/metabolismo , Homeostasis , Proteínas de Unión a Factor de Crecimiento Similar a la Insulina/metabolismo , Proteínas Supresoras de Tumor/metabolismo
2.
Ophthalmol Sci ; 3(3): 100310, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37197701

RESUMEN

Objective: Previous laboratory reports implicate heat shock protein (HSP)-specific T-cell responses in glaucoma pathogenesis; here, we aimed to provide direct clinical evidence by correlating systemic HSP-specific T-cell levels with glaucoma severity in patients with primary open-angle glaucoma (POAG). Design: Cross-sectional case-control study. Subjects: Thirty-two adult patients with POAG and 38 controls underwent blood draw and optic nerve imaging. Methods: Peripheral blood monocytes (PBMC) were stimulated in culture with HSP27, α-crystallin, a member of the small HSP family, or HSP60. Both interferon-γ (IFN-γ)+ CD4+ T helper type 1 cells (Th1) and transforming growth factor-ß1 (TGF-ß1)+ CD4+ regulatory T cells (Treg) were quantified by flow cytometry and presented as a percentage of total PBMC counts. Relevant cytokines were measured using enzyme-linked immunosorbent assays. Retinal nerve fiber layer thickness (RNFLT) was measured with OCT. Pearson's correlation (r) was used to assess correlations. Main Outcome Measures: Correlations of HSP-specific T-cell counts, and serum levels of corresponding cytokine levels with RNFLT. Results: Patients with POAG (visual field mean deviation, -4.7 ± 4.0 dB) and controls were similar in age, gender, and body mass index. Moreover, 46.9% of POAG and 60.0% of control subjects had prior cataract surgery (P = 0.48). Although no significant difference in total nonstimulated CD4+ Th1 or Treg cells was detected, patients with POAG exhibited significantly higher frequencies of Th1 cells specific for HSP27, α-crystallin, or HSP60 than controls (7.3 ± 7.9% vs. 2.6 ± 2.0%, P = 0.004; 5.8 ± 2.7% vs. 1.8 ± 1.3%, P < 0.001; 13.2 ± 13.3 vs. 4.3 ± 5.2, P = 0.01; respectively), but similar Treg specific for the same HSPs compared with controls (P ≥ 0.10 for all). Concordantly, the serum levels of IFN-γ were higher in POAG than in controls (36.2 ± 12.1 pg/ml vs. 10.0 ± 4.3 pg/ml; P < 0.001), but TGF-ß1 levels did not differ. Average RNFLT of both eyes negatively correlated with HSP27- and α-crystallin-specific Th1 cell counts, and IFN-γ levels in all subjects after adjusting for age (partial correlation coefficient r = -0.31, P = 0.03; r = -0.52, p = 0.002; r = -0.72, P < 0.001, respectively). Conclusions: Higher levels of HSP-specific Th1 cells are associated with thinner RNFLT in patients with POAG and control subjects. The significant inverse relationship between systemic HSP-specific Th1 cell count and RNFLT supports the role of these T cells in glaucomatous neurodegeneration. Financial Disclosures: Proprietary or commercial disclosure may be found after the references.

3.
Sci Total Environ ; 859(Pt 2): 160237, 2023 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-36402329

RESUMEN

Wastewater recycling helps address the challenge of microalgae biomass commercialization by allowing for efficient resource recovery. In this study, three conventional harvesting methods, including centrifugation, microfiltration, and flocculation sedimentation, were investigated to explore the effects of harvesting methods on the characteristics of recycled wastewater and the growth of microalgae to select a suitable harvesting method for the microalgal wastewater recycling system. During the wastewater recycling process, the least amount of accumulated substances was exhibited in the wastewater recycled by microfiltration, followed by centrifugation, and the most by flocculation sedimentation. After 4 batches of cultivation, microalgal biomass harvested from centrifugation wastewater and microfiltration wastewater was 21.26 % and 13.54 % higher than that from flocculation wastewater, respectively. Lipids, carbohydrates and pigments were all increased by varying degrees. Additionally, flocculation sedimentation was not suitable for the microalgal wastewater recycling process since the low residual nutrients, high salinity, and excessive algal organic matter severely inhibited the growth of microalgae. Under the regulation of phytohormones, microalgae increased their energy reserves, enhanced photosynthesis, and improved their defense capability to resist the increasing abiotic stress. This study provides scientific support for the selection of suitable harvesting technology during the microalgal wastewater recycling process.


Asunto(s)
Microalgas , Aguas Residuales , Floculación , Biomasa , Reciclaje
4.
Environ Res ; 220: 115162, 2023 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-36580982

RESUMEN

A clear understanding of algal cell adhesion and cake layer evolution in algal-related membrane processes (ARMPs) is urgently required to mitigate the membrane fouling. In this study, the effect of microparticles (10 µm-30 µm), subvisible particles (0.45 µm-10 µm), and ultrafine particles (50 kDa-0.45 µm) on the membrane fouling were explored based on the filtration performance through Hermia models, thermodynamic analysis, and simulation of extended discrete element method (EDEM). The results illustrated that microparticles played an important role in algal cell aggregation and the formation of initial clusters. Intermediate blocking fouling occurred when filtrating the subvisible particle, which facilitated internal adhesion and enhanced biofilm formation. In addition, the interfacial attractive force for the initial algal adhesion was obviously increased when the membrane surfaces were in high concentration of protein and polysaccharide. Moreover, the EDEM simulation demonstrated that subsequent particles, particularly the particles with small sizes, preferred to occupy the spaces among the previously deposited particles. This study provided new insights into the contributions of size-fractioned particles to initial fouling and their influence on the successive adhesion of other contaminants.


Asunto(s)
Incrustaciones Biológicas , Purificación del Agua , Adhesión Celular , Filtración/métodos , Termodinámica , Semillas
5.
Mol Cancer Res ; 20(12): 1799-1810, 2022 12 02.
Artículo en Inglés | MEDLINE | ID: mdl-36074101

RESUMEN

The TP53 gene is mutated in 80% of triple-negative breast cancers. Cells that harbor the hot-spot p53 gene mutation R273H produce an oncogenic mutant p53 (mtp53) that enhances cell proliferative and metastatic properties. The enhanced activities of mtp53 are collectively referred to as gain-of-function (GOF), and may include transcription-independent chromatin-based activities shared with wild-type p53 (wtp53) such as association with replicating DNA and DNA replication associated proteins like PARP1. However, how mtp53 upregulates cell proliferation is not well understood. wtp53 interacts with PARP1 using a portion of its C-terminus. The wtp53 oligomerization and far C-terminal domain (CTD) located within the C-terminus constitute putative GOF-associated domains, because mtp53 R273H expressing breast cancer cells lacking both domains manifest slow proliferation phenotypes. We addressed if the C-terminal region of mtp53 R273H is important for chromatin interaction and breast cancer cell proliferation using CRISPR-Cas9 mutated MDA-MB-468 cells endogenously expressing mtp53 R273H C-terminal deleted isoforms (R273HΔ381-388 and R273HΔ347-393). The mtp53 R273HΔ347-393 lacks the CTD and a portion of the oligomerization domain. We observed that cells harboring mtp53 R273HΔ347-393 (compared with mtp53 R273H full-length) manifest a significant reduction in chromatin, PARP1, poly-ADP-ribose (PAR), and replicating DNA binding. These cells also exhibited impaired response to hydroxyurea replicative stress, decreased sensitivity to the PARP-trapping drug combination temozolomide-talazoparib, and increased phosphorylated 53BP1 foci, suggesting reduced Okazaki fragment processing. IMPLICATIONS: The C-terminal region of mtp53 confers GOF activity that mediates mtp53-PARP1 and PAR interactions assisting DNA replication, thus implicating new biomarkers for PARP inhibitor therapy.


Asunto(s)
Poli Adenosina Difosfato Ribosa , Proteína p53 Supresora de Tumor , Proteína p53 Supresora de Tumor/genética , Proteína p53 Supresora de Tumor/metabolismo , Genes p53 , Mutación con Ganancia de Función , Poli(ADP-Ribosa) Polimerasa-1 , Cromatina
6.
Immunity ; 55(9): 1627-1644.e7, 2022 09 13.
Artículo en Inglés | MEDLINE | ID: mdl-35977543

RESUMEN

The apolipoprotein E4 (APOE4) allele is associated with an increased risk of Alzheimer disease and a decreased risk of glaucoma, but the underlying mechanisms remain poorly understood. Here, we found that in two mouse glaucoma models, microglia transitioned to a neurodegenerative phenotype characterized by upregulation of Apoe and Lgals3 (Galectin-3), which were also upregulated in human glaucomatous retinas. Mice with targeted deletion of Apoe in microglia or carrying the human APOE4 allele were protected from retinal ganglion cell (RGC) loss, despite elevated intraocular pressure (IOP). Similarly to Apoe-/- retinal microglia, APOE4-expressing microglia did not upregulate neurodegeneration-associated genes, including Lgals3, following IOP elevation. Genetic and pharmacologic targeting of Galectin-3 ameliorated RGC degeneration, and Galectin-3 expression was attenuated in human APOE4 glaucoma samples. These results demonstrate that impaired activation of APOE4 microglia is protective in glaucoma and that the APOE-Galectin-3 signaling can be targeted to treat this blinding disease.


Asunto(s)
Apolipoproteína E4 , Glaucoma , Animales , Apolipoproteína E4/genética , Apolipoproteína E4/metabolismo , Apolipoproteína E4/uso terapéutico , Apolipoproteínas E/genética , Apolipoproteínas E/metabolismo , Modelos Animales de Enfermedad , Galectina 3/genética , Galectina 3/metabolismo , Galectina 3/uso terapéutico , Glaucoma/tratamiento farmacológico , Glaucoma/genética , Glaucoma/metabolismo , Humanos , Ratones , Microglía/metabolismo
7.
Water Res ; 217: 118411, 2022 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-35429879

RESUMEN

The microalgal wastewater cyclic cultivation technology (AWC2T) proposed in this study helps address the challenges surrounding water scarcity and ecological sustainability in a clean, resource-efficient, and affordable manner. A novel microalgae growth model (AGM) elucidating the growth mechanisms of microalgae in the AWC2T system was established for dynamic simulations and design optimization. The recycled wastewater accelerated the growth rate of microalgae, and increased biomass and lipids content by 11% and 37.65%, respectively, after 8 batches of cultivation. The accumulated soluble algae products (SAPs) enhanced microalgae growth by providing nutrients and regulating metabolism. In addition, scenario simulations illustrated the excellent long-term performance of the AWC2T system. 100% recycling of microalgal wastewater could save 0.3% N and 54.36% P. The techno-economic analysis (TEA) and life cycle assessment (LCA) explored how economic and sustainability principles can be embedded into the life cycle of microalgae production. The AWC2T led to outcomes vastly superior to non-cyclic technology by enabling the high-level recovery of resources, providing substantial benefits, enhancing contingency and risk resistance, and offsetting a host of unintended environmental effects.


Asunto(s)
Microalgas , Biocombustibles , Biomasa , Reciclaje , Aguas Residuales
8.
Opt Lett ; 47(5): 1178-1181, 2022 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-35230321

RESUMEN

We report a passive stabilization of the repetition rate for a mode-locked fiber laser by using an electro-optic modulator in a phase-biased nonlinear amplifying loop mirror. The underlying mechanism, in contrast to active feedback operations, lies in the cross-phase modulation between electrical and optical pulses within an electro-optic crystal. The resulting spectral shift can automatically compensate for the cavity-length drift via the group velocity dispersion. Consequently, the artificial actuator enables a capture range up to 2.3 mm, much longer than that achieved by index changes of the modulator. A robust and tight locking for the repetition rate is then realized with a standard deviation as low as 9 µHz with a 1-s sample time over 11 hours, corresponding to a fractional instability of 4.3 × 10-13. Furthermore, a dynamic optical sampling by repetition-rate tuning has been manifested with a fast refresh rate at 100 kHz and a broad scanning range over 305 ps. The demonstrated passive servo action may provide a simple yet effective way to stabilize the repetition rate with high precision, large bandwidth, and wide tunability.

9.
Curr Issues Mol Biol ; 43(3): 2276-2288, 2021 Dec 17.
Artículo en Inglés | MEDLINE | ID: mdl-34940134

RESUMEN

To provide the theoretical basis for researching growth, development, and molecular marker-assisted breeding of the economically important Yellow River carp (Cyprinus carpio haematopterus) using dynamic quantitative trait locus (QTL) mapping, we constructed three genetic linkage maps from 207 progeny using a new modified genotyping-by-sequencing method. The three maps contained 16,886, 16,548, and 7482 single nucleotide polymorphism markers, respectively, with an average interval of 0.36 cM, 0.45 cM, and 1.00 cM. We identified 148 QTLs related to four growth traits that were located on 25 chromosomes from three growth stages of Yellow River carp. A total of 32, 36, 43, and 37 QTLs were associated with body length, height, width, and weight, respectively. Among them, 47 QTLs were detected for only one growth trait in one stage, but all of the other QTLs were co-localized. Of the 14 main QTLs, 13 were located on chromosome 12, which suggests the presence of growth-related genes on this chromosome. We then detected 17 candidate genes within 50 K upstream and downstream of the 14 main QTLs. This is the first report of the dynamic QTL mapping of growth traits of Yellow River carp, and the results can be used in future studies of growth, development, and molecular-assisted breeding of this species.


Asunto(s)
Carpas/genética , Mapeo Cromosómico , Ligamiento Genético , Sitios de Carácter Cuantitativo , Carácter Cuantitativo Heredable , Animales , Estudios de Asociación Genética , Secuenciación de Nucleótidos de Alto Rendimiento , Fenotipo
10.
Invest Ophthalmol Vis Sci ; 62(15): 10, 2021 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-34882206

RESUMEN

Purpose: Age-related cataracts affect the majority of older adults and are a leading cause of blindness worldwide. Treatments that delay cataract onset or severity have the potential to delay cataract surgery, but require relevant animal models that recapitulate the major types of cataracts for their development. Unfortunately, few such models are available. Here, we report the lens phenotypes of aged mice lacking the critical antioxidant transcription factor Nfe2l2 (designated as Nrf2 -/-). Methods: Three independent cohorts of Nrf2 -/- and wild-type C57BL/6J mice were evaluated for cataracts using combinations of slit lamp imaging, photography of freshly dissected lenses, and histology. Mice were fed high glycemic diets, low glycemic diets, regular chow ad libitum, or regular chow with 30% caloric restriction. Results: Nrf2 -/- mice developed significant opacities between 11 and 15 months and developed advanced cortical, posterior subcapsular, anterior subcapsular, and nuclear cataracts. Cataracts occurred similarly in male mice fed high or low glycemic diets, and were also observed in 21-month male and female Nrf2 -/- mice fed ad libitum or 30% caloric restriction. Histological observation of 18-month cataractous lenses revealed significant disruption to fiber cell architecture and the retention of nuclei throughout the cortical region of the lens. However, fiber cell denucleation and initiation of lens differentiation was normal at birth, with the first abnormalities observed at 3 months. Conclusions: Nrf2 -/- mice offer a tool to understand how defective antioxidant signaling causes multiple forms of cataract and may be useful for screening drugs to prevent or delay cataractogenesis in susceptible adults.


Asunto(s)
Envejecimiento/fisiología , Catarata/patología , Modelos Animales de Enfermedad , Cristalino/patología , Factor 2 Relacionado con NF-E2/genética , Animales , Catarata/genética , Diferenciación Celular , Dieta , Femenino , Glucosa/administración & dosificación , Índice Glucémico , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Fenotipo , Microscopía con Lámpara de Hendidura
11.
Water Res ; 182: 115972, 2020 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-32650150

RESUMEN

Vibration membrane filtration has been confirmed as an effective method to improve algae separation from water. However, the fouling evolution process and the antifouling mechanism are not well understood. In this study, a novel hybrid method based on a dynamics model was proposed, a comprehensive evaluation was conducted, and the critical vibration frequency for accurate analysis and prediction of membrane fouling was developed. The dynamics model was studied with an improved collision-attachment model by considering all the concurrent and synergistic effects of the hydrodynamic interactions acting on algae. From the perspective of potential energy, the improved model systematically elucidated the reason why the antifouling performance was enhanced when the vibration frequency varied from 1 Hz to 5 Hz. In addition, the Technique for Order Preference by Similarity to Ideal Solution-grey relational analysis (TOPSIS-GRA) method with combined weights was incorporated for the first time to provide direct comprehensive evaluation evidence to determine the effect of the vibration frequency on membrane fouling. It was found that increasing the vibration frequency could not alleviate membrane fouling caused by extracellular organic matter. Moreover, the concept of a critical vibration frequency was proposed using genetic algorithm optimized back propagation neural network, and the energy consumption was analyzed. This combination could provide an effective means to choose the most appropriate vibration frequency, thereby improving the efficiency of the vibration membrane system in the algae separation process.


Asunto(s)
Membranas Artificiales , Purificación del Agua , Filtración , Vibración , Agua
12.
Front Immunol ; 11: 65, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32117239

RESUMEN

Glaucoma is a globally unmet medical challenge and the most prevalent neurodegenerative disease, which permanently damages the optic nerve and retinal ganglion cells (RGCs), leading to irreversible blindness. Present therapies target solely at lowering intraocular ocular pressure (IOP), a major risk factor of the disease; however, elevated IOP is neither necessary nor sufficient to cause glaucoma. Glaucomatous RGC and nerve fiber loss also occur in individuals with normal IOP. Recent studies have provided evidence indicating a link between elevated IOP and T cell-mediated autoimmune responses, particularly that are specific to heat shock proteins (HSPs), underlying the pathogenesis of neurodegeneration in glaucoma. Reactive glial responses and low-grade inflammation may initially represent an adaptive reaction of the retina to primary stress stimuli; whereas, sustained and excessive glial reactions lead to expanded immune responses, including adaptive immunity, that contribute to progressive neural damage in glaucoma. Emerging data suggest a similar mechanism in play in causing neurodegeneration of other forms of optic neuropathy, such as that resulted from acute ischemia and traumatic injuries. These studies may lead to the paradigm shift and offer a new basis for the development of novel mechanism-based diagnosis, therapy, and preventive interventions for glaucoma. As HSPs are induced under various conditions of neural stress and damage in the brain and spinal cord, these findings may have broader implications for our elucidating of the etiology of other neurodegenerative disorders in the central nervous system.


Asunto(s)
Inmunidad Adaptativa , Glaucoma/inmunología , Enfermedades Neurodegenerativas/inmunología , Animales , Glaucoma/metabolismo , Proteínas de Choque Térmico/inmunología , Humanos , Presión Intraocular , Enfermedades Neurodegenerativas/metabolismo , Retina , Linfocitos T/inmunología
13.
Free Radic Biol Med ; 150: 75-86, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-32068111

RESUMEN

Age-related macular degeneration (AMD) is a major blinding disease, affecting over 14% of the elderly. Risk for AMD is related to age, diet, environment, and genetics. Dietary modulation of AMD risk is a promising treatment modality, but requires appropriate animal models to demonstrate advantages of diet. Mice lacking the antioxidant transcription factor Nrf2 (Nfe2l2) develop age-related retinopathy relevant to human AMD. Here we evaluated the effect of consuming high glycemic (HG) or low glycemic (LG) diets until 18-months of age on development of features relevant to AMD in Nrf2-null mice. Nrf2-null mice that consumed HG diets developed atrophic AMD, characterized by photoreceptor degeneration, retinal pigment epithelium (RPE) atrophy and pigmentary abnormalities, basal laminar deposits, and loss of the choriocapillaris. In contrast, Nrf2-null-mice that consumed LG diets did not develop retinal disease phenotypes. Consumption of HG diets was associated with accumulation of advanced glycation end-products in the RPE and systemically, whereas consumption of the LG diet was associated with increased levels of anti-glycative and anti-oxidative detoxification machinery. Together our data indicate that the Nrf2-null HG mouse is a good model for atrophic AMD studies and that the LG diet can activate protective pathways to prevent AMD, even in a genetically predisposed animal.


Asunto(s)
Degeneración Macular , Factor 2 Relacionado con NF-E2 , Animales , Dieta , Productos Finales de Glicación Avanzada , Degeneración Macular/genética , Degeneración Macular/prevención & control , Ratones , Ratones Endogámicos C57BL , Factor 2 Relacionado con NF-E2/genética , Epitelio Pigmentado de la Retina
14.
Zhongguo Dang Dai Er Ke Za Zhi ; 22(2): 130-135, 2020 Feb.
Artículo en Chino | MEDLINE | ID: mdl-32051079

RESUMEN

OBJECTIVE: To study the efficacy and safety of caffeine used in the early (≤72 hours after birth) and late (>72 hours after birth) stage in preterm infants with a gestational age of ≤31 weeks. METHODS: A retrospective analysis was performed for 640 preterm infants (with a gestational age of ≤31 weeks) who were admitted to the neonatal intensive care unit of eight hospitals in Jiangsu Province, China. Of the 640 preterm infants, 510 were given caffeine in the early stage (≤72 hours after birth; early use group) and 130 were given caffeine in the late stage (>72 hours after birth; late use group). The clinical data were compared between the two groups. RESULTS: There were no significant differences in birth weight, Apgar score, sex, gestational age, and age on admission between the two groups (P>0.05). Compared with the late use group, the early use group had a significantly younger age at the beginning and withdrawal of caffeine treatment (P<0.05) and a significantly shorter duration of caffeine treatment (P<0.05). There was no significant difference in respiratory support on admission between the two groups (P>0.05). Compared with the late use group, the early use group had significantly lower incidence rate of apnea (P<0.05) and significantly shorter oxygen supply time and length of hospital stay (P<0.05). There were no significant differences between the two groups in the incidence rates of neonatal intracranial hemorrhage, periventricular leukomalacia, necrotizing enterocolitis, retinopathy of prematurity, and patent ductus arteriosus at discharge and NBNA score at the corrected gestational age of 40 weeks (P>0.05). However, significant differences were found in the incidence of bronchopulmonary dysplasia and the rate of home oxygen therapy, but there was no significant difference in the mortality rate between the two groups (P>0.05). CONCLUSIONS: Early use of caffeine can shorten the duration of caffeine treatment, oxygen supply time, and length of hospital stay, with little adverse effect, in preterm infants with a gestational age of ≤31 weeks.


Asunto(s)
Recien Nacido Prematuro , Displasia Broncopulmonar , Cafeína , China , Edad Gestacional , Humanos , Lactante , Recién Nacido , Estudios Retrospectivos
15.
EClinicalMedicine ; 9: 52-59, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31143882

RESUMEN

BACKGROUND: CC-Cruiser is an artificial intelligence (AI) platform developed for diagnosing childhood cataracts and providing risk stratification and treatment recommendations. The high accuracy of CC-Cruiser was previously validated using specific datasets. The objective of this study was to compare the diagnostic efficacy and treatment decision-making capacity between CC-Cruiser and ophthalmologists in real-world clinical settings. METHODS: This multicentre randomized controlled trial was performed in five ophthalmic clinics in different areas across China. Pediatric patients (aged ≤ 14 years) without a definitive diagnosis of cataracts or history of previous eye surgery were randomized (1:1) to receive a diagnosis and treatment recommendation from either CC-Cruiser or senior consultants (with over 5 years of clinical experience in pediatric ophthalmology). The experts who provided a gold standard diagnosis, and the investigators who performed slit-lamp photography and data analysis were blinded to the group assignments. The primary outcome was the diagnostic performance for childhood cataracts with reference to cataract experts' standards. The secondary outcomes included the evaluation of disease severity and treatment determination, the time required for the diagnosis, and patient satisfaction, which was determined by the mean rating. This trial is registered with ClinicalTrials.gov (NCT03240848). FINDINGS: Between August 9, 2017 and May 25, 2018, 350 participants (700 eyes) were randomly assigned for diagnosis by CC-Cruiser (350 eyes) or senior consultants (350 eyes). The accuracies of cataract diagnosis and treatment determination were 87.4% and 70.8%, respectively, for CC-Cruiser, which were significantly lower than 99.1% and 96.7%, respectively, for senior consultants (p < 0.001, OR = 0.06 [95% CI 0.02 to 0.19]; and p < 0.001, OR = 0.08 [95% CI 0.03 to 0.25], respectively). The mean time for receiving a diagnosis from CC-Cruiser was 2.79 min, which was significantly less than 8.53 min for senior consultants (p < 0.001, mean difference 5.74 [95% CI 5.43 to 6.05]). The patients were satisfied with the overall medical service quality provided by CC-Cruiser, typically with its time-saving feature in cataract diagnosis. INTERPRETATION: CC-Cruiser exhibited less accurate performance comparing to senior consultants in diagnosing childhood cataracts and making treatment decisions. However, the medical service provided by CC-Cruiser was less time-consuming and achieved a high level of patient satisfaction. CC-Cruiser has the capacity to assist human doctors in clinical practice in its current state. FUNDING: National Key R&D Program of China (2018YFC0116500) and the Key Research Plan for the National Natural Science Foundation of China in Cultivation Project (91846109).

16.
Proc Natl Acad Sci U S A ; 114(22): E4472-E4481, 2017 05 30.
Artículo en Inglés | MEDLINE | ID: mdl-28507131

RESUMEN

Age-related macular degeneration (AMD) is the major cause of blindness in developed nations. AMD is characterized by retinal pigmented epithelial (RPE) cell dysfunction and loss of photoreceptor cells. Epidemiologic studies indicate important contributions of dietary patterns to the risk for AMD, but the mechanisms relating diet to disease remain unclear. Here we investigate the effect on AMD of isocaloric diets that differ only in the type of dietary carbohydrate in a wild-type aged-mouse model. The consumption of a high-glycemia (HG) diet resulted in many AMD features (AMDf), including RPE hypopigmentation and atrophy, lipofuscin accumulation, and photoreceptor degeneration, whereas consumption of the lower-glycemia (LG) diet did not. Critically, switching from the HG to the LG diet late in life arrested or reversed AMDf. LG diets limited the accumulation of advanced glycation end products, long-chain polyunsaturated lipids, and their peroxidation end-products and increased C3-carnitine in retina, plasma, or urine. Untargeted metabolomics revealed microbial cometabolites, particularly serotonin, as protective against AMDf. Gut microbiota were responsive to diet, and we identified microbiota in the Clostridiales order as being associated with AMDf and the HG diet, whereas protection from AMDf was associated with the Bacteroidales order and the LG diet. Network analysis revealed a nexus of metabolites and microbiota that appear to act within a gut-retina axis to protect against diet- and age-induced AMDf. The findings indicate a functional interaction between dietary carbohydrates, the metabolome, including microbial cometabolites, and AMDf. Our studies suggest a simple dietary intervention that may be useful in patients to arrest AMD.


Asunto(s)
Glucemia/metabolismo , Microbioma Gastrointestinal/fisiología , Índice Glucémico/fisiología , Degeneración Macular/metabolismo , Retina/metabolismo , Animales , Productos Finales de Glicación Avanzada/metabolismo , Metaboloma/fisiología , Metabolómica , Ratones
17.
Sci Total Environ ; 587-588: 87-93, 2017 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-28237468

RESUMEN

In this study, ultrafiltration membranes with three different pore sizes were applied for algae harvesting to investigate filtration performance. The critical fluxes (JC) increased as the pore size increased, and the JC of 0.03-, 0.05- and 0.1-µm membranes were 20.0, 25.0 and 42.0Lm-2h-1, respectively. During continuous filtration, 0.7JC was selected as the operation flux and the 0.1-µm membrane had the highest initial flux and final flux. It also had the highest flux decline rate, and therefore, the 0.1-µm membrane was more appropriate for algae separation compared to the 0.03- and 0.05-µm membrane. The mechanism by which pore size influenced filtration performance and membrane fouling was presented from the viewpoint of permeate drag force (FD). A lower FD retarded the velocity of algae cells towards the membrane, which could decelerate the deposition of particles on the membrane and thus reduce the membrane fouling rate. As the pore size increased, the membrane hydraulic resistance (Rm) decreased, which led to a decrease of FD.

18.
J Gene Med ; 18(10): 282-287, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27607899

RESUMEN

BACKGROUND: Diabetic retinopathy (DR) is one of the most common microvascular complications of diabetes. The present study aimed to identify a possible connection between gene polymorphisms and the risk of developing DR. MATERIALS AND METHODS: A total of 319 patients with type 2 diabetes mellitus (T2DM) were selected. All patients underwent a complete eye examination. Based on this, the patients with T2DM were divided into two subgroups: 175 patients with retinopathy (DR) and 144 patients without retinopathy (NDR). We calculated the genotype frequencies of case and control subjects using the chi-squares test. The odds ratio (OR) and 95% confidence intervals (CIs) were calculated by unconditional logistic regression adjusted for age and sex. RESULTS: The finding by analysis is that the mean of duration of diabetes, total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL), glomerular filtration rate and C-peptide were significantly different between DR and NDR. We found significant differences in cystatin-C concentrations with LEKR1-CCNL1 rs13064954 and NOS3 rs3918227 of different genotypes. Significant differences in serum TG levels were seen among the three genotypes of MTHFR rs1537516. Subjects carried the T allele of IGSF21-KLHDC7A rs3007729 had higher serum LDL concentrations (p = 0.015). In the allele model, LEKR1-CCNL1 rs13064954 decreased the risk of DR (OR =0.57, 95% CI = 0.34-0.96, p = 0.032). Under the dominant model, the IGSF21-KLHDC7A rs3007729 CT-TT genotype increased the risk of DR (OR =1.84, 95% CI = 1.14-2.99, p = 0.013). CONCLUSIONS: Our results suggest that LEKR1-CCNL1 and IGSF21-KLHDC7A influence the development of DR.


Asunto(s)
Proteínas Portadoras/genética , Ciclinas/genética , Diabetes Mellitus Tipo 2/genética , Retinopatía Diabética/genética , Predisposición Genética a la Enfermedad/genética , Proteínas de la Membrana/genética , Polimorfismo de Nucleótido Simple , Proteínas/genética , Ubiquitina-Proteína Ligasas/genética , Adulto , Anciano , Pueblo Asiatico/genética , China , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/etnología , Retinopatía Diabética/etnología , Retinopatía Diabética/etiología , Femenino , Frecuencia de los Genes , Predisposición Genética a la Enfermedad/etnología , Genotipo , Humanos , Lípidos/sangre , Masculino , Persona de Mediana Edad
19.
FASEB J ; 30(3): 1087-95, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26590164

RESUMEN

Failure of lens fiber cell denucleation (LFCD) is associated with congenital cataracts, but the pathobiology awaits elucidation. Recent work has suggested that mechanisms that direct the unidirectional process of LFCD are analogous to the cyclic processes associated with mitosis. We found that lens-specific mutations that elicit an unfolded-protein response (UPR) in vivo accumulate p27(Cdkn1b), show cyclin-dependent kinase (Cdk)-1 inhibition, retain their LFC nuclei, and are cataractous. Although a UPR was not detected in lenses expressing K6W-Ub, they also accumulated p27 and showed failed LFCD. Induction of a UPR in human lens epithelial cells (HLECs) also induced accumulation of p27 associated with decreased levels of S-phase kinase-associated protein (Skp)-2, a ubiquitin ligase that regulates mitosis. These cells also showed decreased lamin A/C phosphorylation and metaphase arrest. The suppression of lamin A/C phosphorylation and metaphase transition induced by the UPR was rescued by knockdown of p27. Taken together, these data indicate that accumulation of p27, whether related to the UPR or not, prevents the phosphorylation of lamin A/C and LFCD in maturing LFCs in vivo, as well as in dividing HLECs. The former leads to cataract and the latter to metaphase arrest. These results suggest that accumulation of p27 is a common mechanism underlying retention of LFC nuclei.


Asunto(s)
Catarata/metabolismo , Catarata/patología , Inhibidor p27 de las Quinasas Dependientes de la Ciclina/metabolismo , Cristalino/metabolismo , Respuesta de Proteína Desplegada/fisiología , Animales , Línea Celular , Núcleo Celular/metabolismo , Células Epiteliales/metabolismo , Femenino , Humanos , Lamina Tipo A/metabolismo , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Mitosis/fisiología , Fosforilación/fisiología , Proteínas Quinasas Asociadas a Fase-S/metabolismo
20.
PLoS One ; 10(6): e0130772, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26126176

RESUMEN

Galectins have emerged as potent immunoregulatory agents that control chronic inflammation through distinct mechanisms. Here, we report that treatment with Galectin-8 (Gal-8), a tandem-repeat member of the galectin family, reduces retinal pathology and prevents photoreceptor cell damage in a murine model of experimental autoimmune uveitis. Gal-8 treatment increased the number of regulatory T cells (Treg) in both the draining lymph node (dLN) and the inflamed retina. Moreover, a greater percentage of Treg cells in the dLN and retina of Gal-8 treated animals expressed the inhibitory coreceptor cytotoxic T lymphocyte antigen (CTLA)-4, the immunosuppressive cytokine IL-10, and the tissue-homing integrin CD103. Treg cells in the retina of Gal-8-treated mice were primarily inducible Treg cells that lack the expression of neuropilin-1. In addition, Gal-8 treatment blunted production of inflammatory cytokines by retinal T helper type (TH) 1 and TH17 cells. The effect of Gal-8 on T cell differentiation and/or function was specific for tissues undergoing an active immune response, as Gal-8 treatment had no effect on T cell populations in the spleen. Given the need for rational therapies for managing human uveitis, Gal-8 emerges as an attractive therapeutic candidate not only for treating retinal autoimmune diseases, but also for other TH1- and TH17-mediated inflammatory disorders.


Asunto(s)
Enfermedades Autoinmunes/inmunología , Galectinas/inmunología , Linfocitos T Reguladores/inmunología , Uveítis/inmunología , Animales , Antígenos CD/inmunología , Antígeno CTLA-4/inmunología , Diferenciación Celular/inmunología , Modelos Animales de Enfermedad , Inmunosupresores/inmunología , Inflamación/inmunología , Cadenas alfa de Integrinas/inmunología , Interleucina-10/inmunología , Ganglios Linfáticos/inmunología , Ratones , Neuropilina-1/inmunología , Células TH1/inmunología , Células Th17/inmunología
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