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1.
Inorg Chem ; 63(19): 8764-8774, 2024 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-38686432

RESUMEN

In-based halide perovskites have attracted a lot of attention because of their unique broadband emission properties. Herein, a series of In-based hybrid perovskites of (H2MP)2InCl7·H2O (1), (H2EP)2InCl7·H2O (2), (H2MP)2InBr7·H2O (3), and (H2EP)2InBr7·H2O (4) were synthesized under the control of halogen ions and organic cations. 1, 2, and 4 exhibit obvious photoluminescence properties with peaks at 392, 442, and 652 nm, respectively. The effects of the different components on the crystal structure and photoluminescence properties are discussed by calculating the structural distortion of the [InX6]3- octahedron. The photoluminescence properties of 1 and 4 were significantly improved after Sb3+ doping with PLQY values of 57.12 and 41.53%. Finally, a white LED was successfully fabricated with the two doped compounds coated onto the 365 nm blue LED chip.

2.
Chem Commun (Camb) ; 60(34): 4561-4564, 2024 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-38572604

RESUMEN

Two templated borates, [Co(1-EI)2]·[B5O7(OH)3] (1) and [Ga(1-MI)2·B6O9(OH)4]·[H3BO3]·H[1-MI] (2), have been synthesized using a mild method. Notably, they exhibit an excellent ORR performance with an E1/2 value of 0.84 V and are the first to be used as the positive electrode catalyst for a zinc-air battery, which opens a pathway for the application of borate-based oxide catalysts.

3.
Eur J Pharm Sci ; 196: 106757, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38556066

RESUMEN

BACKGROUND: Lenvatinib's efficacy as a frontline targeted therapy for radioactive iodine-refractory thyroid carcinoma and advanced hepatocellular carcinoma owes to its inhibition of multiple tyrosine kinases. However, as a CYP3A4 substrate, lenvatinib bears susceptibility to pharmacokinetic modulation by co-administered agents. Schisantherin A (STA) and schisandrin A (SIA) - bioactive lignans abundant in the traditional Chinese medicinal Wuzhi Capsule - act as CYP3A4 inhibitors, engendering the potential for drug-drug interactions (DDIs) with lenvatinib. METHODS: To explore potential DDIs between lenvatinib and STA/SIA, we developed a physiologically-based pharmacokinetic (PBPK) model for lenvatinib and used it to construct a DDI model for lenvatinib and STA/SIA. The model was validated with clinical trial data and used to predict changes in lenvatinib exposure with combined treatment. RESULTS: Following single-dose administration, the predicted area under the plasma concentration-time curve (AUC) and maximum plasma concentrations (Cmax) of lenvatinib increased 1.00- to 1.03-fold and 1.00- to 1.01-fold, respectively, in the presence of STA/SIA. Simulations of multiple-dose regimens revealed slightly greater interactions, with lenvatinib AUC0-t and Cmax increasing up to 1.09-fold and 1.02-fold, respectively. CONCLUSION: Our study developed the first PBPK and DDI models for lenvatinib as a victim drug. STA and SIA slightly increased lenvatinib exposure in simulations, providing clinically valuable information on the safety of concurrent use. Given the minimal pharmacokinetic changes, STA/SIA are unlikely to interact with lenvatinib through pharmacokinetic alterations synergistically but rather may enhance efficacy through inherent anti-cancer efficacy of STA/ SIA.

4.
Dalton Trans ; 53(10): 4637-4642, 2024 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-38354056

RESUMEN

A series of mono/bimetallic isostructural hybrid tetraborates of the general formula [ZnxCo(1-x)(1,3-dap)B4O7] has been prepared using a solvothermal method. Their adsorption/desorption curves for H2O and D2O demonstrate that these materials have a stronger affinity for H2O than for D2O and enrich the D2O content of D2O/H2O mixtures.

5.
Dalton Trans ; 53(2): 512-519, 2024 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-38051141

RESUMEN

Halide perovskites have high photoelectric conversion efficiency, making them promising candidates for photocatalysis. However, their toxic and unstable nature limits their applications. Here, we successfully synthesised three hybrid Bi-based halide perovskites: (HTMG)3Bi2Br9 (1), (HEI)2BiBr5 (2) and (HTMA)3Bi2Br9 (3). X-ray single-crystal diffraction analysis shows that they all contained 0D structures composed of isolated Bi-Br clusters. The three compounds showed excellent degradability and cycling stability for Sudan III dissolved in ethanol under simulated sunlight. In addition, the photocatalytic degradation performance of four Bi-based halide perovskites previously reported by our group is also characterised and summarised in this work.

6.
Nanomaterials (Basel) ; 13(18)2023 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-37764587

RESUMEN

The synthesis of metal nanomaterials is a timely topic due to their widespread use in fields such as crop protection, the environment, medicine, and engineering. Green synthesis of nanoparticles, which uses plant extracts instead of industrial chemical agents to reduce metal ions, has been developed to decrease costs, reduce pollution, and improve environmental and human health safety. In this paper, silver nanoparticles (AgNPs) were synthesized from the flower extract of Jasminum nudiflorum. The green synthesized AgNPs were characterized by UV-Vis, FTIR, XRD, SEM, and other technologies. The antifungal activity of the prepared AgNPs against Alternaria longipes was tested using the plate method, the concentration dilution method, and other methods, and the antioxidant activity of the prepared AgNPs was evaluated by DPPH and hydroxyl free scavenging methods. The results showed that AgNPs synthesized from J. nudiflorum flower extract have a face-centered cubic structure (fcc), and the average grain size of the nanoparticles is 13 nm; they are also mainly spherical in shape. Additionally, the concentration of AgNPs (ranging from 16 to 128 µg/mL) significantly inhibited the mycelial growth of A. longipes in comparison to the control. The inhibitory rate gradually increased with increasing AgNP concentration, ranging from 70.64% to 79.60% at a concentration of 128 µg/mL. The minimum inhibitory concentration was observed at 32 µg/mL. AgNPs induced overaccumulation of MDA in A. longipes, resulting in cell membrane damage and nucleic acid leakage. Moreover, the AgNPs have significant antioxidant properties, which increase with increasing concentration. The clearance rate of DPPH was 25.46 ± 0.90% when the concentration of AgNPs was 8 µg/mL, and the clearance rate of the hydroxyl radical was 28.62 ± 0.59% when the concentration of AgNPs was 128 µg/mL. Thus, the flower extract from J. nudiflorum holds potential as an environmentally friendly and green alternative for the synthesis of AgNPs, which have antifungal and antioxidant potential.

7.
PLoS One ; 18(7): e0288653, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37459346

RESUMEN

Previous studies have shown that male drivers drive faster than female drivers, but there is no agreement on whether impulsivity could induce this sex difference, nor is there a cross-sectional comparison of the effects of different road environments. The purpose of this study was to verify whether impulsivity and impulse control could explain the sex differences in driving speed. A driving simulator study (study 1, N = 41) was performed to investigate whether there were sex differences in driving speeds in two road sections of different complexity, and a questionnaire survey (study 2, N = 163) was conducted to investigate the relationship between sex, impulsivity, impulse control and driving behavior of the participants. The results showed that male drivers drove faster on simple roads, but this difference did not show on complex roads. There were no sex differences in impulsivity traits, but male participants had significant lower levels of impulse control. The results also reveal a partial mediating role of impulse control in the relationship between sex and driving speed. These results suggest that impulse control can predict dangerous driving behaviors and is an important factor in explaining sex differences in driving speed.


Asunto(s)
Conducción de Automóvil , Humanos , Masculino , Femenino , Accidentes de Tránsito/prevención & control , Estudios Transversales , Simulación por Computador , Conducta Peligrosa
8.
Inorg Chem ; 62(18): 6948-6954, 2023 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-37083401

RESUMEN

Two templated borates, [Co(bpy)2BO2(OH)]·[B5O6(OH)4]·H3BO3·H3O·H2O (1) and [Cu(bpy)(OH)]2·[B5O6(OH)4]2·H2O (2), have been synthesized successfully and characterized by single-crystal X-ray diffraction, powder X-ray diffraction, and Fourier transform infrared. The [Co(bpy)2BO2(OH)] complex in 1 shows a very rare coordination mode between Co2+ and BO2(OH)2-. The structures of 1 and 2 can be adjusted by changing the reagent. The oxygen reduction reaction activity of these Co- and Cu-based catalysts was studied. The E1/2 values of Co-C-750 and Cu-C-750 are 0.864 and 0.837 V, respectively.

9.
Dalton Trans ; 52(14): 4382-4388, 2023 Apr 04.
Artículo en Inglés | MEDLINE | ID: mdl-36912361

RESUMEN

Four new transition metal borates, [Co(1-MI)2]·B5O7(OH)3 (1, 1-MI = 1-methylimidazole), Co2(PZ)8(SO4)2·2H3BO3 (2, PZ = pyrazole), K7{(BO3)Co[B12O18(OH)6]}·H2O (3) and K2{[Ni(PY)2]2·[(C4H2O6)2B]}2 (4, PY = pyridine), have been successfully synthesized by a mild method. Their structures were determined by X-ray single crystal diffraction. These compounds were further characterized by FTIR, PXRD and UV-vis-NIR. It is worth noting that the catalytic properties of catalysts based on these four borates were explored, and that organically templated borate 1- and 2-based catalysts showed better ORR catalytic performance compared to 3- and 4-based catalysts. This may be caused by the supramolecular skeletons of 1 and 2 providing sufficient space and porosity.

10.
Chem Biol Interact ; 373: 110400, 2023 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-36773833

RESUMEN

Ripretinib, as an oral kinase inhibitor, has been approved to treat advanced gastrointestinal stromal tumors (GIST) and is often used in combination with other drugs to slow disease progression, thus potential drug-drug Interactions (DDIs) and drug-disease interactions (DDZIs) have received much attention. To guide clinical rational drug use, this study assessed the effect of co-administered drugs and diseases on ripretinib exposure. Simcyp® Simulator was used to develop the physiologically-based pharmacokinetic (PBPK) model of ripretinib, which was validated and refined with clinical data. We then examined the impact of several CYP3A4 inhibitors and inducers as well as different diseases on ripretinib exposure using the validated model. In the DDI simulation, moderate CYP3A4 inhibitors and inducers changed the exposure of ripretinib by 1.25-2 fold. In hepatic impairment (HI), the simulation showed that ripretinib's AUC increased by 32%, 100%, and 152% for Child-Pugh A, B, and C classification while Cmax increased by 2%, 10%, and 15%, respectively. In renal impairment (RI), the model-simulated AUC in moderate and severe RIs increased by 27% and 20%. In conclusion, PBPK models demonstrated quantitative prediction of ripretinib's pharmacokinetic changes under varying conditions that might be useful for its rational use.


Asunto(s)
Inhibidores del Citocromo P-450 CYP3A , Hepatopatías , Humanos , Naftiridinas , Interacciones Farmacológicas , Modelos Biológicos , Citocromo P-450 CYP3A , Simulación por Computador
11.
RSC Adv ; 12(24): 15420-15426, 2022 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-35693234

RESUMEN

Mn:CsPbBr3 PQDs are achieved by hot injection method. As the amount of Mn doping is gradually increased, the photoluminescence (PL) spectra shows a slight blue shift. Mn-doped PQDs exhibit higher quantum efficiency of 83.9% and longer lifetimes of 267 ns. The stability test was performed to assess the susceptibility of the PQDs to polar solutions. It was figured out that although the stabilities of CsPbBr3 PQDs and Mn-doped PQDs decreased as the polarity of solution increased, Mn-doped PQDs still maintained higher PL intensity than undoped PQD. Notably, 73% PL intensity of Mn:PQDs was maintained which is nearly three times as much as undoped PQDs in water. We found polarity would induce drastic degradation of CsPbBr3 QDs. The steady-state spectroscopy, transmission electron microscopy (TEM), and X-ray diffraction (XRD) verified that CsPbBr3 QDs tend to aggregate to form larger particles under continuous light soaking. Our work reveals the main origin of instability in CsPbBr3 QDs and provides reference to engineering such QDs towards optimal device application.

12.
Inorg Chem ; 61(20): 7787-7793, 2022 May 23.
Artículo en Inglés | MEDLINE | ID: mdl-35543612

RESUMEN

Two metal templated borates, [Ni(atta)(SO4)0.5]·[B5O6(OH)4] (1) and [Cu(1-MI)4]·[B5O6(OH)4]2·1-MI2 (2), have been synthesized. The structures were determined by single-crystal X-ray diffraction and further characterized by Fourier transform infrared (FTIR), elemental analysis, and powder X-ray diffraction (PXRD). The structure of 1 consists of [B5O6(OH)4]- clusters and [Ni(atta)(SO4)0.5]+ complexes, which shows a very rare Ni-O-S bond. 1 and 2 exhibit a hydrogen-bonded network formed by [B5O6(OH)4]- clusters. Oxygen reduction reaction (ORR) activities of 1 and 2 were explored.

13.
Dalton Trans ; 51(15): 6007-6013, 2022 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-35352747

RESUMEN

Three nickel borate compounds, [Ni(1-MI)6]·[B(OH)3]4·SO4 (1-MI = 1-methylimidazole) (1), [Ni(H2O)3(1-MI)3]·[B5O6(OH)4]2 (2) and [Ni(DMA3)]·[B6O7(OH)6]·3.5H2O (DMA3 = N,N-dimethylethylenediamine) (3), have been synthesized. It is noteworthy that the structures of 1 and 2 can be adjusted by varying the ratio of amine. Compound 3 has shown an unexpected example of unique water clusters in its structure. The three frameworks exhibit different interlinkage modes, resulting in channels varying in their size and shape. These compounds have been characterized by FTIR, UV-vis and PXRD. In addition, 1, 2, and 3 exhibited different wide band gaps (4.4 eV for 1, 4.5 eV for 2 and 4.4 eV for 3), and ORR activities with a half-wave potential of 0.78 V for 1, 0.74 V for 2 and 0.79 V for 3.

14.
Med Biol Eng Comput ; 60(3): 855-862, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35129764

RESUMEN

Comparison between the corpus callosum and different regions of corona radiata in the horizontal plane was tested in the article. A series of flat-punch indentation experiments were conducted on the corpus callosum and different regions of corona radiata with different loading rates on the porcine brain. A linear viscoelastic model with prony series approximation was fitted to the force-time data of all regions. The experiment data from different loading rates demonstrated that both the corona radiata and corpus callosum increased in stiffness with the increasing loading rates. The corona radiata seems to be stiffer than the corpus callosum in the horizontal plane. During the period of relaxation, statistical comparisons among the different regions showed that the posterior region of the corona radiata seems to be stiffer than the anterior and superior.


Asunto(s)
Encéfalo , Sustancia Blanca , Animales , Anisotropía , Cuerpo Calloso , Porcinos
15.
J Exp Bot ; 73(1): 123-138, 2022 01 05.
Artículo en Inglés | MEDLINE | ID: mdl-34490889

RESUMEN

The formation of locule gel is an important process in tomato and is a typical characteristic of berry fruit. In this study, we examined a natural tomato mutant that produces all-flesh fruit (AFF) in which the locule tissue remains in a solid state during fruit development. We constructed different genetic populations to fine-map the causal gene for this trait and identified SlMBP3 as the locus conferring the locule gel formation, which we rename as AFF. We determined the causal mutation as a 416-bp deletion in the promoter region of AFF, which reduces its expression dosage. Generally, this sequence is highly conserved among Solanaceae, as well as within the tomato germplasm. Using BC6 near-isogenic lines, we determined that the reduced expression dosage of AFF did not affect the normal development of seeds, whilst producing unique, non-liquefied locule tissue that was distinct from that of normal tomatoes in terms of metabolic components. Combined analysis using mRNA-seq and metabolomics indicated the importance of AFF in locule tissue liquefaction. Our findings provide insights into fruit-type differentiation in Solanaceae crops and also present the basis for future applications of AFF in tomato breeding programs.


Asunto(s)
Solanum lycopersicum , Frutas/genética , Solanum lycopersicum/genética , Mutación , Fitomejoramiento , Regiones Promotoras Genéticas
16.
Hortic Res ; 8(1): 230, 2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34719693

RESUMEN

Leaf veins play an important role in plant growth and development, and the bundle sheath (BS) is believed to greatly improve the photosynthetic efficiency of C4 plants. The OBV mutation in tomato (Solanum lycopersicum) results in dark veins and has been used widely in processing tomato varieties. However, physiological performance has difficulty explaining fitness in production. In this study, we confirmed that this mutation was caused by both the increased chlorophyll content and the absence of bundle sheath extension (BSE) in the veins. Using genome-wide association analysis and map-based cloning, we revealed that OBV encoded a C2H2L domain class transcription factor. It was localized in the nucleus and presented cell type-specific gene expression in the leaf veins. Furthermore, we verified the gene function by generating CRISPR/Cas9 knockout and overexpression mutants of the tomato gene. RNA sequencing analysis revealed that OBV was involved in regulating chloroplast development and photosynthesis, which greatly supported the change in chlorophyll content by mutation. Taken together, these findings demonstrated that OBV affected the growth and development of tomato by regulating chloroplast development in leaf veins. This study also provides a solid foundation to further decipher the mechanism of BSEs and to understand the evolution of photosynthesis in land plants.

17.
Front Neurol ; 12: 763793, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34777231

RESUMEN

Background and Purpose: To investigate the association of monocyte to high-density lipoprotein ratio (MHR) with disease severity and prognosis in patients with neuromyelitis optica spectrum disorders (NMOSD). Methods: This retrospective study included 125 patients with NMOSD. Demographic and clinical parameters, including the MHR, were assessed. The initial Expanded Disability Status Scale (EDSS) score and relapse rate were used to evaluate disease severity and prognosis, respectively. Correlations between MHR and disease severity and relapse rate were analyzed. The predictive value of MHR for prognosis was evaluated using receiver operating characteristic (ROC) curve analysis. Results: Compared with the low MHR group, the initial EDSS score (median 4.5 vs. 5.5%, P = 0.025) and relapse rate (51.61 vs. 30.16%, P = 0.015) were significantly higher in the high MHR group. MHR was positively correlated with the initial EDSS score (r = 0.306, P = 0.001). Multivariate analysis showed that MHR was significantly associated with severity (odds ratio = 7.90, 95% confidence interval [CI] = 1.08-57.82, P = 0.041), and it was a significant predictor of disease prognosis (hazard ratio = 3.12, 95% CI = 1.02-9.53, P = 0.046). The median relapse interval of the high MHR group was 24.40 months. When the MHR was higher than 0.565, the risk of relapse was high [sensitivity, 33.3%; specificity, 91.9%; area under the ROC curve, 0.642 (95% CI = 0.54-0.74, P = 0.007)]. Conclusion: MHR is a novel predictive marker of disease severity and prognosis in patients with NMOSD. Early monitoring and reduction of MHR may allow earlier intervention and improved prognosis.

18.
BMC Neurol ; 21(1): 389, 2021 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-34625035

RESUMEN

BACKGROUND: To investigate the relationship between the neutrophil-to-lymphocyte ratio (NLR) and prognosis after the first attack of optic neuromyelitis optica spectrum disorder (NMOSD). METHODS: In this retrospective study, we included the medical records of 324 patients with first episode NMOSD and collected data on clinical parameters. Follow-up extended disability status scale (EDSS) score and relapse rate were analyzed using logistic regression models to determine the independent effect of NLR on outcomes; receiver operating characteristic (ROC) curves were applied to analyze the predictive value of NLR for the prognosis of NMOSD. Interaction and stratification analyses were used to explore the association between NLR and prognosis of patients with NMOSD, and Kaplan-Meier analysis was used to investigate the relationship between NLR and outcome. The association between NLR level with relapse rate and poor recovery was assessed by a Cox regression analysis. RESULTS: Patients in the high-NLR group had significantly higher EDSS scores and relapse rates at follow-up (both, P < 0.001) than did those in the low-NLR group. Univariate analysis showed revealed that NLR was significantly associated with relapse (odds ratio [OR] = 1.28, 95% confidence interval [CI]: 1.16-1.41, P < 0.001) and poor recovery (OR = 1.32, 95% CI: 1.20-1.46, P < 0.001), and these associations remained significant, even after multifactorial analysis (OR = 1.33, 95% CI: 1.11-1.59, P = 0.002; OR = 1.23, 95% CI: 1.06-1.43, P = 0.007, respectively). Stratified analysis showed that sex, platelet-to-lymphocyte ratio (PLR) level, and lymphocyte-to-monocyte technical ratio (LMR) level were strongly associated with relapse owing to elevated NLR; Kaplan-Meier survival curve analysis showed that the median time to relapse was significantly lower in the high-NLR group than in the low-NLR group (P < 0.001). A multivariate analysis showed a significant relationship between NLR level with relapse (HR = 1.07, 95%CI: 1.03-1.10, P = 0.001) and poor recovery (HR = 1.08, 95%CI: 1.04-1.11, P = 0.001). CONCLUSIONS: NLR may be used as a prognostic indicator for first onset NMOSD, and a high NLR may be significantly associated with high relapse rates and poor recovery.


Asunto(s)
Neuromielitis Óptica , Neutrófilos , Humanos , Linfocitos , Pronóstico , Estudios Retrospectivos
19.
PLoS One ; 16(9): e0257201, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34520500

RESUMEN

With ongoing improvements in vehicle automation, research on automation trust has attracted considerable attention. In order to explore effects of automation trust on drivers' visual distraction, we designed a three-factor 2 (trust type: high trust group, low trust group) × 2 (video entertainment: variety-show videos, news videos) × 3 (measurement stage: 1-3) experiment. 48 drivers were recruited in Dalian, China for the experiment. With a driving simulator, we used detection-response tasks (DRT) to measure each driver's performance. Their eye movements were recorded, and automation-trust scale was used to divide participants into high trust group and low trust group. The results show that: (1) drivers in the high trust group has lower mental workload and paid more attention to visual non-driving-related tasks; (2) video entertainment also has an impact on distraction behavior, variety-show videos catch more attention than news videos. The findings of the present study indicate that drivers with high automation trust are more likely to be involved in non-driving-related visual tasks.


Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Adulto , Automatización , Conducción de Automóvil , Conducción Distraída , Movimientos Oculares , Femenino , Humanos , Actividades Recreativas , Masculino , Tiempo de Reacción , Análisis de Regresión , Carga de Trabajo
20.
Neuropsychiatr Dis Treat ; 17: 2859-2866, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34522097

RESUMEN

PURPOSE: To describe and compare the clinical features of patients with first-episode neuromyelitis optica spectrum disorder (NMOSD) in a normal complement C4 group and a low complement C4 group, and explore the mechanism by which low complement C4 affects the clinical features of patients with NMOSD. PATIENTS AND METHODS: We retrospectively analyzed clinical data of 169 aquaporin-4 (AQP4) antibody positive patients with NMOSD from the First Affiliated Hospital of Zhengzhou University from December 2013 to March 2021. Prior to treatment, the blood was drawn for detection, and the patients underwent a 3.0 Tesla MRI examination. A low complement C4 level was defined as a serum complement C4 level <0.14 g/L. Depending on whether the complement C4 level was reduced, it was divided into the normal complement C4 group and low complement C4 group. The basic demographics, clinical manifestations, laboratory examinations, and imaging findings of the two groups were compared. RESULTS: Among the 169 AQP4 antibody positive patients, 54 were low-complement C4 patients and 115 were normal. There were no significant differences in the demographics, clinical manifestations, treatment options, or admission Expanded Disability Status Scale (EDSS) score between two groups (P > 0.05). The median of discharged EDSS was the same (4 vs 4), but the difference between the two was statistically significant (P = 0.019). Compared with the normal complement C4 group, the blood uric acid level (225 vs 179; P = 0.001) and the C3 level (1.06 vs 0.87, P = 0.000) of the low complement C4 group were significantly lower. The incidence of brainstem lesions in patients with low complement C4 was higher (53.7% vs 33%, P = 0.01). CONCLUSION: The treatment effect of the first-episode AQP4 antibody positive NMOSD low complement C4 group was poor, the blood-brain barrier was more severely damaged, and the disease changes were likely to involve the brainstem.

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