The predictive value of conventional magnetic resonance imaging combined with intravoxel incoherent motion parameters for evaluating maternal and neonatal clinical outcomes in patients with placenta accreta spectrum disorders.

INTRODUCTION: We aimed to identify factors predictive of adverse maternal and neonatal outcomes in patients with placenta accreta spectrum (PAS) disorders using magnetic resonance imaging (MRI) and intravoxel incoherent motion (IVIM) parameters. METHOD: Fifty-six normal singleton pregnancies at 33-39 weeks of gestation underwent MRI examination at 1.5 T. The IVIM parameters were obtained from the placenta. The correlation between the f value and postpartum hemorrhage (PPH) and between the f value and transfused units of red blood cells (RBCs) was estimated by linear regression. The correlation between various influencing factors (clinical risk factors, MRI features, and IVIM parameters) and poor outcomes was investigated using univariate and multivariate analyses. RESULT: The interobserver agreement ranged from fair to excellent (k = 0.30-0.88). Multivariate analyses showed that previous cesarean sections, low signal intensity bands on T2WI and the D value were independent risk factors for adverse outcomes. The combination of three risk factors demonstrated the highest AUC of 0.903, with a sensitivity and specificity of 73.10 % and 96.90 %, respectively. Last, f was positively correlated with PPH and units of RBCs transfused. DISCUSSION: Preoperative MRI features and IVIM parameters may be used to predict poor outcomes in patients with invasive placental disorders like PAS.

Whole-Exome Sequencing Analysis of Idiopathic Hypogonadotropic Hypogonadism: Comparison of Varicocele and Nonobstructive Azoospermia.

As a rare disease leading to male infertility, idiopathic hypogonadotropic hypogonadism (IHH) has strong heterogeneity of clinical phenotype and gene mutation. At present, there is no effective diagnosis and treatment method for this disease. This study is to explore the possible new pathogenic gene of idiopathic hypogonadotrophic hypogonadism and the pathological mechanism affecting its occurrence. We performed a whole-exome sequencing on 9 patients with normosmic idiopathic hypogonadotropic hypogonadism (nIHH), 19 varicocele patients with asthenospermia, oligospermia, or azoospermia, 5 patients with simple nonobstructive azoospermia, and 13 normal healthy adult males and carried out comparative analysis, channel analysis, etc. After preliminary sequencing screening, 309-431 genes harbouring variants, including SNPs and indels, were predicted to be harmful per single patient in each group. In genetic variations of nIHH patients' analysis, variants were detected in 10 loci and nine genes in nine patients. And in co-analysis of the three patient groups, nine nIHH patients, 19 VC patients, and five SN patients shared 116 variants, with 28 variant-harbouring genes detected in five or more patients. We found that the NEFH, CCDC177, and PCLO genes and the Gene Ontology pathways GO:0051301: cell division and GO:0090066: regulation of anatomical structure size may be key factors in the pathogenic mechanism of IHH. Our results suggest that the pathogenic mechanism of IHH is not limited to the central nervous system effects of GnRH but may involve other heterogeneous pathogenic genetic variants that affect peripheral organs.

Effect of SGLT2 Inhibitors on Improving Glucolipid Metabolism and Reproductive Hormone Status in Overweight/Obese Women with PCOS: A Systematic Review and Meta-Analysis.

BACKGROUND: Obesity, insulin resistance, and hyperandrogenemia are commonly seen in women with polycystic ovary syndrome (PCOS), and these three conditions form a vicious cycle leading to reproductive and metabolic abnormalities. Metformin improves the symptoms of PCOS by increasing insulin sensitivity but is not therapeutically optimal. Recent studies have reported that sodium-glucose co-transporter protein receptor inhibitors improve insulin resistance and reduce the weight of patients with PCOS. We performed a meta-analysis to assess the influence of sodium-glucose co-transporter protein-2 (SGLT2) inhibitors on anthropometric, glycolipid metabolism and reproductive outcomes after therapy of overweight/obese women with PCOS. METHODS: We searched the relevant literature published up to April 2023. Information on the effect of SGLT2 inhibitors on overweight/obese patients with PCOS was extracted independently by two reviewers. Review Manager 5.3 was used for meta-analysis. RESULTS: Five randomized controlled trials that met our criteria were retrieved. Our meta-analysis demonstrated that in overweight/obese patients with PCOS, SGLT2 inhibitors treatment was significantly superior to metformin treatment in terms of reducing body weight (P = 0.02, I2 = 36%), decreasing dehydroepiandrosterone sulfate concentrations [SMD = -0.42, 95% CI (-0.76, -0.07), I2 = 22%, P = 0.02], and reducing the incidence of nausea [RR = 0.35, 95% CI (0.21, 0.60), I2 = 71%, P = 0.0001]. CONCLUSIONS: SGLT2 inhibitors are a possible alternative therapy for treating overweight/obese women with PCOS who do not respond favorably to metformin treatment. However, further large randomized controlled trials and cost-effectiveness analyses are warranted to guide the implementation of SGLT2 inhibitors treatment in this population.

PVA enema ameliorates DSS-induced acute colitis in mice.

BACKGROUND: Ulcerative colitis (UC) represents a clinically challenging condition characterized by persistent damage to the colonic epithelial mucosa as the principal pathological feature. Polyvinyl alcohol (PVA) solution, primarily composed of glue, is a biodegradable polymer material that has found utility in the medical field. This research endeavors to investigate the therapeutic potential of PVA water solution in ameliorating UC in mice. METHODS: UC was induced in 48 C57BL/6 mice by administering 2.5% DSS in their diet for 6 days. Mice were treated with different concentrations of PVA (0.1 mg/ml PVA, 0.3 mg/ml PVA, 1 mg/ml PVA, 3 mg/ml PVA, 10 mg/ml PVA) enemas (n = 6). Disease Activity Index (DAI) and histologic score were evaluated for inflammation degree. Furthermore, mouse colon organoids were cultured, which were used to assess the effects of PVA on expansion in vitro. RESULTS: PVA aqueous solutions (1 mg/ml and 3 mg/ml) were able to alleviate the DAI in mice. By DAY 6, there was a significant 3/5-fold decrease in DAI within the 1 mg/ml PVA group (p = 0.02). Histopathology scores demonstrated improvements, while the levels of inflammatory factors in the intestinal mucosal tissue were reduced. Additionally, it was confirmed that PVA could promote the expansion of colonic organoids in vitro. CONCLUSIONS: In summary, our investigation has yielded findings indicating that PVA holds the potential to ameliorate symptoms associated with colitis in murine subjects afflicted by DSS-induced colitis, primarily through its facilitation of intestinal stem cell expansion. This study might provide a new candidate for the clinical treatment of ulcerative colitis.

Ascites-derived CDCP1+ extracellular vesicles subcluster as a novel biomarker and therapeutic target for ovarian cancer.

Introduction: Ovarian cancer (OVCA) is one of the most prevalent malignant tumors of the female reproductive system, and its diagnosis is typically accompanied by the production of ascites. Although liquid biopsy has been widely implemented recently, the diagnosis or prognosis of OVCA based on liquid biopsy remains the primary emphasis. Methods: In this study, using proximity barcoding assay, a technique for analyzing the surface proteins on single extracellular vesicles (EVs). For validation, serum and ascites samples from patients with epithelial ovarian cancer (EOC) were collected, and their levels of CDCP1 was determined by enzyme-linked immunosorbent assay. Tissue chips were prepared to analyze the relationship between different expression levels of CDCP1 and the prognosis of ovarian cancer patients. Results: We discovered that the CUB domain-containing protein 1+ (CDCP1+) EVs subcluster was higher in the ascites of OVCA patients compared to benign ascites. At the same time, the level of CDCP1 was considerably elevated in the ascites of OVCA patients. The overall survival and disease-free survival of the group with high CDCP1 expression in EOC were significantly lower than those of the group with low expression. In addition, the receiver operating characteristic curve demonstrates that EVs-derived CDCP1 was a biomarker of early response in OVCA ascites. Discussion: Our findings identified a CDCP1+ EVs subcluster in the ascites of OVCA patients as a possible biomarker for EOC prevention.

Physiological and pathological roles of locally expressed kisspeptin and KISS1R in the endometrium.

Kisspeptins, encoded by the KISS1 gene, are a family of polypeptides that bind the kisspeptin receptor (KISS1R) to perform biological functions. Produced mainly in the hypothalamus, these neuropeptides regulate the pulsatile secretion of GnRH and trigger the hypothalamus-pituitary-gonadal axis. Other peripheral organs also express kisspeptin, which inhibits metastasis. Kisspeptin and KISS1R are reportedly present in the endometrium and may play roles in limiting the migration and invasion of trophoblasts into the endometrium during pregnancy (decidua) to maintain endometrial homeostasis. A deficiency of kisspeptin and KISS1R in the endometrium can lead to pathological conditions such as endometriosis and endometrial carcinoma. Kisspeptin and KISS1R in the endometrium can also promote endometrial receptivity and decidualization. Overall, kisspeptin and KISS1R are important for maintaining the normal physiological functions of the endometrium. By summarizing the roles of kisspeptin and KISS1R in the endometrium, our review explores the regulatory roles in the peripheral reproductive system of this peptide family that plays broad and profound roles in many physiological processes.

First-Principles Study on the Stability, Site Preference, Electronic Structure and Magnetism of Alloyed Fe3B with Ni3P-Type Structure.

First-principles calculations were performed to investigate the site preference of alloying elements, and the effect of alloying elements on stability, electronic structure and magnetism of Ni3P-type Fe3B. The calculated energies suggested that all studied compounds are thermodynamically stable while it is relatively difficult to synthesize the (Fe2.875,Cu0.125)B, (Fe2.875,W0.125)B and (Fe2.875,Nb0.125)B. The (Fe2.875,W0.125)B is the most stable compound from the view of cohesive energy. Mn element prefers to occupy the Fe2 site, whereas the others are more likely to reside in the Fe1 site. It can be found from the electronic structures that the DOSs of both Fe3B and alloyed Fe3B are dominated by Fe-d states, and all the compounds mainly contain Fe-B covalent bond, Fe-Fe covalent bond and Fe-Fe metallic bond. Based on the magnetic moments (Ms) results, it can be known that the Fe3B, (Fe2.875,Mn0.125)B, (Fe2.875,Co0.125)B, (Fe2.875,Ni0.125)B and (Fe2.875,Cu0.125)B are ferromagnetic compounds, whereas the others are ferrimagnetic compounds. Only Mn and Co are able to enhance the magnetism of Fe3B. Moreover, Mn is the most favorable candidate for improving the magnetic properties of Fe3B among the alloying elements. These results can be used to guide the composition design and performance optimization of magnetic materials containing Fe3B with Ni3P-type structure.

Effect of Mo Concentration on the Microstructure Evolution and Properties of High Boron Cast Steel.

The microstructure evolution, mechanical properties, and tribological properties of high boron cast steel (HBCS) with various Mo concentrations are investigated. The results indicate that Mo addition can significantly modify the microstructure and enhance the comprehensive properties. With the increase of Mo concentration, borides change from the original fish-bone Fe-rich and Cr-rich M2B to dendritic Fe-rich M2B, blocky and cluster-like Cr-rich M2B, and grainy Mo-rich M2B. The hardness of HBCS increases gradually with the increase of Mo content due to the solid solution strengthening and the refinement of M2B. It can be found that all the samples exhibit quasi-cleavage, but the impact toughness increases firstly and reaches the maximum value when the concentration of Mo is 2.10 wt.%, which is the result of the dispersive distribution of M2B rather than the original fish-bone M2B. Subsequently, the impact toughness begins to decrease as the concentration of Mo further increases because of the extensive formation of grainy Mo-rich M2B at the grain boundary. Meanwhile, the wear results reveal that the average friction coefficient and wear ratio decrease with the increase of Mo content, and the wear mechanism changes from abrasive wear and adhesive wear to abrasive wear when the concentration of Mo exceeds 2.10 wt.%.

Remarkable improvement of Ti incorporation on Hg0 capture from smelting flue gas by sulfurated γ-Fe2O3: Performance and mechanism.

Except for the dangerous Boliden-Norzink technology, recovering gaseous Hg0 as liquid Hg0 using recyclable sorbents was an achievable method to control Hg0 emissions from smelting flue gas. In this study, Ti was incorporated into sulfurated γ-Fe2O3 to improve its performance for capturing Hg0 from smelting flue gas, and the mechanism of Ti incorporation on Hg0 adsorption onto sulfurated γ-Fe2O3 was investigated by comparing the kinetic parameters. The kinetic analysis showed that the Hg0 adsorption rate primarily depended on the amounts of surface adsorption sites for the physical adsorption of Hg0 and surface S22- for Hg0 oxidation. Since the amounts of both adsorption sites and S22- on sulfurated γ-Fe2O3 increased remarkably after Ti incorporation, Hg0 adsorption onto sulfurated γ-Fe2O3 was notably improved by 190-350%. The capacity of sulfurated Fe-Ti spinel for Hg0 capture could reach 48.6 mg g-1 and its average adsorption rate could reach 43.3 µg g-1 min-1 in 3 h. Meanwhile, the used sulfurated Fe-Ti spinel could be easily regenerated without any apparent degradation. Thus, sulfurated Fe-Ti spinel offered a significant advantage in recovering Hg0 from smelting flue gas.

Outstanding Performance of Recyclable Amorphous MoS3 Supported on TiO2 for Capturing High Concentrations of Gaseous Elemental Mercury: Mechanism, Kinetics, and Application.

Hg0 capture by sorbents was a promising technology to control Hg0 emission from coal-fired power plants and smelters. However, the design of a high performance sorbent and the predicting of the extent of Hg0 adsorption were both extremely limited due to the lack of adsorption kinetics and structure-activity relationship. In this work, the adsorption kinetics of gaseous Hg0 onto MoS3/TiO2 was investigated and kinetic parameters were obtained by fitting breakthrough curves. According to the kinetic parameters, the removal efficiency, the adsorption rate and the capacity for Hg0 capture were accurately predicted. Meanwhile, the structure-activity relationship of metal sulfides for gaseous Hg0 adsorption was built. The chemical adsorption rate of gaseous Hg0 was found to mainly depend on the amount of surface adsorption sites available for the physical adsorption of Hg0, the amount of surface S22- available for Hg0 oxidation and gaseous Hg0 concentration. As MoS3/TiO2 showed a superior performance for capturing high concentrations of Hg0 due to the large number of surface adsorption sites for the physical adsorption of gaseous Hg0, it has promising applications in recovering Hg0 from smelting flue gas.

Outstanding Resistance of H2S-Modified Cu/TiO2 to SO2 for Capturing Gaseous Hg0 from Nonferrous Metal Smelting Flue Gas: Performance and Reaction Mechanism.

The utilization of H2SO4, produced using SO2 from nonferrous metal smelting flue gas as a source of S, is extremely restricted due to Hg contamination; therefore, there is great demand to remove Hg0 from smelting flue gas. Although the ability of Cu/TiO2 to capture Hg0 is excellent, its resistance to H2O and SO2 is very poor. In this study, Cu/TiO2 was treated with H2S to improve its resistance to H2O and SO2 for capturing Hg0. The chemical adsorption of Hg0 on Cu/TiO2 was primarily through the HgO route, which was almost suppressed by H2O and SO2 due to the transformation of CuO into CuSO4. Besides the HgO route, the HgS route also contributed to the chemical adsorption of Hg0 on modified Cu/TiO2. As the CuS on modified Cu/TiO2 was inert to H2O and SO2, the chemical adsorption of Hg0 on modified Cu/TiO2 through the HgS route was barely inhibited. Meanwhile, the HgS route was predominant in the chemical adsorption of Hg0 on modified Cu/TiO2. Therefore, modified Cu/TiO2 exhibited an excellent resistance to H2O and SO2, and its Hg0 capture capacity from simulated flue gas was up to 12.7 mg g-1 at 100 °C.

The interaction of salicylic acid and Ca(2+) alleviates aluminum toxicity in soybean (Glycine max L.).

Both calcium ion (Ca(2+)) and salicylic acid (SA) influence various stress responses in plants. In acidic soils, aluminum (Al) toxicity adversely affects crop yield. In this study, we determined the influences of Ca(2+) and SA on root elongation, Al accumulation, and citrate secretion in soybean plant. We also investigated the activity of antioxidative enzymes in Al-exposed soybean roots. Root elongation was severally inhibited when the roots were exposed to 30 µM Al. The Al-induced inhibition of root elongation was ameliorated by Ca(2+) and SA but aggravated by Ca(2+) channel inhibitor (VP), CaM antagonists (TFP), Ca(2+) chelator (EGTA), and SA biosynthesis inhibitor (PAC). Furthermore, 1.0 mM CaCl2 and 10 µM SA reduced the accumulation of Al in roots, but their inhibitors stimulated the accumulation of Al in roots. Citrate secretion from these roots increased with the addition of either 1.0 mM CaCl2 or 10 µM SA but did not increase significantly when treated with higher Ca(2+) concentration. Enzymatic analysis showed that Ca(2+) and SA stimulated the activities of superoxidase (SOD), peroxidase (POD), and ascorbate peroxidase (APX) in Al-treated roots. In addition, SA restored the inhibition of Ca(2+) inhibitors on root elongation and Al content. Thus, both Ca(2+) and SA contribute to Al tolerance in soybean. Furthermore, Ca(2+) supplements rapidly increased Al-induced accumulation of free-SA or conjugated SA (SAG), while Ca(2+) inhibitors delayed the accumulation of SA for more than 8 h. Within 4 h of treatment, SA increased cytosolic Ca(2+) concentration in Al-treated roots, and upregulated the expression of four genes that possibly encode calmodulin-like (CML) proteins. These findings indicate that SA is involved in Ca(2+)-mediated signal transduction pathways in Al tolerance.

Transcriptomic responses to aluminum stress in soybean roots.

Aluminum (Al) toxicity is the primary limitation to crop production and plant growth in acid soils. Soybean has multiple mechanisms of Al resistance including the complexing and exclusion of Al in root apices by Al-induced citrate secretion. Microarray analysis is available for the identification of genes in soybean. In the present study, Affymetrix soybean genome array was used to identify the Al-induced differentially expressed genes in Al-resistant genotype Jiyu 70. With a cutoff of > 2.0-fold (p < 0.05) between non Al-treated and Al-treated root apices, 561 genes were upregulated and 78 genes were downregulated when roots were exposed to 30 µmol/L AlCl(3) for 4 h. Quantitative real-time PCR was used to test the microarray data. The analysis showed that nearly half of the Al-responsive genes were of unknown biological function. A higher proportion of genes related to transcription regulation and cell wall processes were observed in Al-induced up- and downregulated genes, respectively. Some genes homologous to the citrate transporter MATE family gene or C(2)H(2) family transcription factor gene, STOP1, were detected in our analysis. Some genes related to lignin deposition were upregulated, which might be related to Al-induced root elongation inhibition.