Efficacy analysis of clinical serological indicators in the diagnosis of postoperative periprosthetic joint infection in patients with rheumatoid arthritis or osteoarthritis.

PURPOSE: To investigate the incidence of periprosthetic joint infection (PJI) in patients with rheumatoid arthritis (RA) or osteoarthritis (OA) after primary joint arthroplasty; to analyze the optimal cut-off values of clinical serum markers C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and D-dimer for the diagnosis of PJI in RA patients; and to explore their diagnostic efficacy and clinical significance. METHODS: Clinical data of 15,702 patients with RA (578) or OA (15,124) who underwent total joint arthroplasty from 2013 to 2021 were retrospectively analyzed. Serum CRP, ESR, and D-dimer were recorded for each patient, and subject characteristic curves were used to determine the optimal threshold values of CRP, ESR, and D-dimer for RA-PJI and OA-PJI and to compare the areas under the curves to assess the diagnostic efficacy of the optimal threshold values of serologic indices for RA-PJI. RESULTS: The five year incidence of PJI was 6.92% in RA patients and 0.67% in OA patients. The optimal thresholds of CRP, ESR, and D-dimer for the diagnosis of RA-PJI were respectively 13.85 mg/L, 33.02 mm/h, and 796.50 ng/mL. The sensitivities of the optimal thresholds were respectively 67.6%, 62.2%, and 56.8%, and the specificities were 74.7%, 60.4%, and 74.4%. CONCLUSION: RA patients have a higher incidence of PJI than OA patients. The optimal thresholds for CRP, ESR, and d-dimer for the diagnosis of PJI were higher in RA patients than in OA patients, but the sensitivity and specificity of the diagnosis were not as good as in OA patients.

Adsorption performance of ammonium molybdate modified Salix wood flour biochar for the treatment of monosodium glutamate wastewater.

ABSTRACTThe problem of wastewater pollution in the production of monosodium glutamate (MSG) is becoming more and more serious. A novel type of chemically modified Salix psammophila powder charcoal (SPPCAM) was synthesized to address the chemical oxygen demand (COD) and ammonia nitrogen (NH3-N) in MSG wastewater. SPPCAM was prepared by carbonization method, in which inorganic ammonium molybdate (AM) was used as modifier and Salix psammophila powder (SPP) was used as raw material. Under optimal treatment conditions, maximum removal rates (removal capacities) of 45.9% (3313.2 mg·L-1) for COD and 29.4% (23.2 mg·L-1) for NH3-N in MSG wastewater were achieved. The treatment results significantly outperforming the unmodified Salix psammophila powder charcoal (SPPC), which only achieved removal rates (removal capacities) of 10.6% (763.9 mg·L-1) for COD and 12.9% (10 mg·L-1) for NH3-N. SPPC and SPPCAM before and after preparation were analysed by FT-IR and XRD, and Mo ions in the form of Mo2C within SPPCAM were successfully loaded. SEM, EDS-Mapping, BET, and other methods were used to analyse SPPCAM before and after MSG wastewater treatment, demonstrating that SPPCAM effectively treated organic pollutants in monosodium glutamate wastewater. The NH3-N in the treated MSG wastewater has reached the standard of safe discharge.

Study on the structure characterization and swelling properties of the Fe3O4/CMS composite membrane.

In order to improve the functionality of cellulosic materials research and development of high performance soluble materials. Therefore, the Fe3O4/CMS composite membrane was prepared by using carboxymethyl salix powder (CMS) and Fe3O4 as raw materials, 1-propenyl-3-methylimidazolium chloride and dimethyl sulfoxide as dissolution system. The effects of swelling time, swelling temperature, pH and ionic strength on the swelling performance of Fe3O4/CMS composite membranes and the swelling kinetics of the composite membranes were studied. The structure of the composite membrane was characterized by SEM, FT-IR, XRD and TG. The results showed that the swelling degree reached 5.54 g·g-1, when the swelling time was 45 min, the swelling temperature was 65°C, the pH was 5 and the ionic strength was 0.08 mol·L-1. The initial phase of dissolution of the composite membrane fits well with the Fickian diffusion model, and the whole dissolution process belongs to the Schott model, indicating that the main role of the dissolution process is the diffusion of water molecules, while the composite membrane can be preserved for a long time at high temperature, which provides sustainability for the composite membrane. The characterization results showed that the surface of Fe3O4/CMS composite film was rough with small grooves. The O-H effect was enhanced and the Fe-O absorption peak appeared at 600 cm-1, indicating that Fe3O4 had been successfully loaded onto the cellulose membrane. The Fe3O4/CMS composite membrane belonged to cellulose type II structure, meanwhile, the composite membrane had good thermal stability.

D-shaped photonic crystal fiber sensor based on the surface plasmon resonance effect for refractive index detection.

In this paper, a photonic crystal fiber (PCF) sensor based on the surface plasmon resonance (SPR) effect for refractive index (RI) detection is proposed. We design a D-shaped polished PCF structure consisting of air holes arranged in a hexagonal lattice. The silver film is coated on the middle channel of the polished surface of the PCF. The finite element method is used to analyze the propagation characteristics of the proposed D-shaped SPR-PCF sensor. Simulation results show that the proposed D-shaped SPR-PCF sensor has a maximum wavelength sensitivity of 30,000 nm/RIU, an average wavelength sensitivity of 6785.71 nm/RIU, and a maximum resolution of 3.33×10-6 R I U in the RI range of 1.22-1.36. Owing to the high wavelength sensitivity in the considered RI range, the proposed D-shaped SPR-PCF sensor is suitable for applications in water contamination detection, liquid concentration measurement, food safety monitoring, etc.

Enhancement of stimulated Raman scattering of a weak vibration mode in tetrahydrofuran through the energy-transfer resonance of lycopene.

A method of energy-transfer resonance of lycopene used to enhance stimulated Raman scattering (SRS) of a weak vibration C-O mode in tetrahydrofuran (THF) was developed in this study. Only C-H SRS was observed in pure THF at high energies. When lycopene was added, the C-O SRS located at 915 cm-1 of the weak vibration mode in THF was observed. The maximum SRS enhancement of the C-O mode was achieved when the concentration was 3.72 × 10-6 mol/L because of the resonance enhancement of the solute, which transferred the excess vibrational energy to the solvent. Moreover, the pulse width compression phenomenon of the C-H vibration in the presence of C-O SRS was obtained.

Effect of lignocellulose/montmorillonite immobilized Bacillus sp. on monosodium glutamate wastewater.

A group of Bacillus sp. was extracted from monosodium glutamate wastewater. Lignocellulose/montmorillonite composite was selected as the carrier. Lignocellulose/montmorillonite composite immobilized Bacillus sp./calcium alginate microspheres were prepared by immobilized microorganism techniques. The microspheres were used to treat monosodium glutamate wastewater with significantly reduced ammonia nitrogen (NH3-N) and chemical oxygen demand (COD) concentrations. The optimum preparation conditions of microspheres in the treatment of NH3-N and COD of monosodium glutamate wastewater were studied. The concentration of sodium alginate was 2.0 wt%, lignocellulose/montmorillonite was 0.06 wt%, Bacillus sp. was 1.0 wt%, CaCl2 solution was 2.0 wt%, coagulation time was 12 h, and the removal capacities of NH3-N and COD were 44832 and 78345 mg/L, respectively. The surface structure, element content, functional group change, and crystal structure of the microspheres were characterized by SEM, EDS, and other methods. The results showed that the -COOH in lignocellulose/montmorillonite and the -OH in the Bacillus sp. form intermolecular hydrogen bonds. The Si-O and Al-O bonds in lignocellulose/montmorillonite reacted with sodium ions in sodium alginate. New crystal structures appear inside the material after crosslinking, and the microspheres was formed. Thus, the study has shown that the microspheres were successfully prepared and contributes to the treatment of NH3-N and COD in monosodium glutamate wastewater. This work can provide an interesting strategy for the removal of COD and NH3-N in industrial wastewater by reasonably combining bio-physicochemical processes.

Study on the cyclic adsorption performance of biomass composite membrane for Hg(II).

Salix psammophila wood flour /polyvinyl alcohol hydrogel composite membrane (SPPM) with high adsorption capacity and good cycle adsorption performance was prepared by wet spinning technology. The SPPM was characterised by the scanning electron microscope (SEM), specific surface area test (BET), energy dispersive spectrum (EDS) thermal gravimetric analysis (TGA), fourier transform infrared spectroscopy (FT-IR), and x-ray photoelectron spectroscopy (XPS). The results showed that the surface of SPPM is rough and porous, with good pore structure and thermal stability, and mercury ions (Hg(II)) have been successfully adsorbed on SPPM. At the same time, the effects of adsorption conditions (Hg(II) initial concentration, pH, adsorption time, and temperature) on the adsorption performance of SPPM were studied. Results from the adsorption experiment showed that the adsorption capacity of SPPM for Hg(II) can reach 426 mg/g. After four adsorption and desorption experiments, the adsorption capacity can reach 375 mg/g, which indicates that SPPM has good cycle adsorption performance. The adsorption kinetics was better described by the Pseudo-second-order kinetic, and their adsorption isotherms were fitted for the Langmuir model. The obtained results showed that SPPM is an available, economical adsorbent and was found suitable for removing Hg(II) from an aqueous solution.

Pose and Color-Gamut Guided Generative Adversarial Network for Pedestrian Image Synthesis.

Tremendous transfer requirements in pedestrian reidentification (Re-ID) tasks have greatly promoted the remarkable success in pedestrian image synthesis, to relieve the inconsistency in poses and lighting. However, existing approaches are confined to transferring in a particular domain and are difficult to combine, since pose and color variables locate in two independent domains. To facilitate the research toward conquering this issue, we propose a pose and color-gamut guided generative adversarial network (PC-GAN) that performs joint-domain pedestrian image synthesis conditioned on certain pose and color-gamut through a delicate supervision design. The generator of the network comprises a sequence of cross-domain conversion subnets, where the local displacement estimator, color-gamut transformer, and pose transporter coordinate their learning pace to progressively synthesize images in desired pose and color-gamut. Ablation studies have demonstrated the efficacy and efficiency of the proposed network both qualitatively and quantitatively on Market-1501 and DukeMTMC. Furthermore, the proposed architecture can generate training images for person Re-ID, alleviating the data insufficiency problem.

Uptake of iron oxide nanoparticles inhibits the photosynthesis of the wheat after foliar exposure.

Iron oxide nanoparticles (nFe2O3)-filled materials have been widely employed in various products and their effects on plants have attracted considerable attention because of their potential release into the environment. Currently, numerous studies reporting the influences of iron-bearing nanoparticles on plants are focused on root or seed exposure. However, plants exposed to atmospheric iron-bearing nanoparticles through the leaves and their impacts on plants are still not well understood. This study focused on the uptake, translocation, and effects of foliar exposure of nFe2O3 on wheat seedlings. Wheat seedlings were foliar applied to various concentrations of nFe2O3 (0, 60 and 180 µg per plant) for 1, 7, 14 or 21 d. Our results demonstrated that after exposure for 21 d, the concentrations of Fe in leaves, stems, and roots were 1100, 280 and 160 µg kg-1, respectively. Scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS), as well as the backscattered electron (BSE) images, revealed the stomatal opening was likely the pathway for nFe2O3 uptake. Analysis of the transfer rate, translocation of Fe from leaves to stems and roots, suggested the involvement of plant Fe regulation processes. Particularly, the antioxidant enzymatic activities and malondialdehyde levels in leaves were modified, which was ascribed to the excessive hydroxyl radical (OH) generated via the Fenton-like reaction mediated by nFe2O3. Finally, the OH facilitated the degradation of chlorophyll, posting a negative impact on the photosynthesis, and thus inhibited the biomass production. These findings are meaningful to understand the fate and physiological effects of atmospheric nFe2O3 in crops.

Intramedullary Nailing Versus Minimally Invasive Plate Osteosynthesis for Distal Tibial Fractures: A Systematic Review and Meta-Analysis.

To evaluate the application, safety and efficacy of the patients treated with intramedullary nailing (IMN) and minimally invasive plate osteosynthesis (MIPO) in distal tibia fractures. Following the Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines, we searched databases PubMed, Cochrane library, EMBASE and Web of Science from inception of the database up to 10 October 2018, using the keywords "distal tibia fractures", "plate", "intramedullary nailing" and "RCT" to identify randomized clinical trials about distal tibia fractures. The included studies were assessed by two researchers according to the Cochrane risk-of-bias criteria. The primary outcome of measurement included operation time, malunion rate, nonunion/delayed union rate, and wound complication. Data analysis was conducted with Review Manager 5.3 software. A total of 10 RCTs involving 911 patients fulfilled the inclusion criteria with 455 patients in the IMN group and 456 patients in the MIPO group. There were no significant differences in radiation time, nonunion or delayed union rate, union time and operation time between the two groups. Patients treated with MIPO had lower incidence of malunion compared with IMN (RR = 1.85, 95%CI: 1.21 to 2.83, P = 1.00), while IMN seemed to have lower surgical incision complications whether in closed or opening fractures (RR = 0.49, 95%CI 0.33 to 0.73, P = 0.43). But in patients classified as 43A, the result of subgroup analysis suggested that there was no significant inwound complication between the two groups. MIPO was superior in preventing malunion compared with IMN, and intramedullary nailing appeared to have lower wound complications. However, in patients with 43A distal tibial fractures, MIPO was more recommended for its prevention of malunion. No matter which method we choose, we should notice and prevent the associated complications.

Metallothionein-1 suppresses rheumatoid arthritis pathogenesis by shifting the Th17/Treg balance.

It is now well accepted that an imbalance between the Th17 and regulatory T-cell responses is closely associated with the development of rheumatoid arthritis (RA). However, the precise regulatory mechanism for the differentiation of Th17 and Treg in RA is not well characterized. The present study showed that metallothionein-1 (MT-1), which is a low molecular weight protein that is involved in the detoxification of heavy metals and scavenging of free radicals, was upregulated in RA. Furthermore, the synovial inflammation and pathologic symptoms in collagen-induced arthritis and collagen antibody-induced arthritis mice were significantly suppressed when MT-1 was expressed intraarticularly. Further investigation revealed that MT-1 inhibited the differentiation of Th17 cells but enhanced that of Treg cells. Furthermore, it markedly decreased both STAT3 and RAR-related orphan receptor gamma t (RORγt) expression in vitro and in vivo. Collectively, our studies demonstrated that MT-1 might manifest as a protein involved in immunosuppression of RA pathogenesis by shifting Th17/Treg balance and may prove to be a potential therapeutic target for RA autoimmune diseases.

IL-37 is associated with osteoarthritis disease activity and suppresses proinflammatory cytokines production in synovial cells.

The objective of this study is to investigate the correlation between IL-37 level and osteoarthritis activity and to determine the anti-inflammatory effects of IL-37 in peripheral blood mononuclear cells (PBMCs) and synovial cells (SCs) from osteoarthritis (OA) patients, which including 32 patients with erosive inflammatory OA (EIOA) and 40 patients with primary generalized OA (PGOA), 40 age and sex matched healthy volunteers were recruited as healthy controls (HCs). The protein and relative mRNA levels of IL-37 were significant increased in the blood of EIOA patients compared with those of PGOA patients and HCs. Serum IL-37 levels of OA patients were positively correlated with VAS score, as well as with CRP, ESR in blood. Positive correlations were also observed among IL-37 with IL-1ß, TNF-α and IL-6 in synovial cells. Furthermore, the expression of IL-1ß, TNF-α and IL-6 in PBMCs and SCs from EIOA patients was suppressed by IL-37 in vitro. In conclusion, our results indicated that IL-37 increased in EIOA patients and was positively correlated with disease activity, the pro-inflammatory cytokines such as IL-1ß, TNF-α and IL-6 in PBMCs and synovial cells from EIOA patients were restrained by recombinant IL-37. Thus, IL-37 may serve as a novel therapeutic target for the treatment of OA inflammation.

Notoginsenoside R7 suppresses cervical cancer via PI3K/PTEN/Akt/mTOR signaling.

Notoginsenoside R7 was isolated from Panax notoginseng, a plant used commonly in traditional Chinese medicine. We investigated the anti-cancer effects of R7 in HeLa cells in vitro and in vivo, and explored the underlying mechanisms of action. R7 dose-dependently inhibited HeLa cell proliferation and induced apoptosis in vitro, In silico docking-based screening assays showed that R7 can directly bind Akt. Pretreatment with the Akt inhibitor LY294002 synergistically enhanced the R7 anti-proliferation and anti-apoptosis effects in HeLa cells, confirming that R7 acts through the PI3K/Akt pathway. Consistent with the in vitro findings, R7 exerted anti-tumor effects in a mouse xenograft model by targeting PI3K (PTEN) and Akt, activating the pro-apoptotic Bcl-2 family and, subsequently, caspase family members. R7 treatment activated PTEN and downregulated mTOR phosphorylation without affecting mTOR expression, though regulatory-associated protein of mTOR (raptor) expression declined. Our study suggests that R7 is a promising chemotherapeutic agent for the treatment of cervical cancer and other PI3K/PTEN/Akt/mTOR signaling-associated tumors.

Functional and transcriptomic analysis of the key unfolded protein response transcription factor HacA in Aspergillus oryzae.

HacA is a conserved basic leucine zipper transcription factor that serves as the master transcriptional regulator in the unfolded protein response (UPR). To comprehensively evaluate the role of HacA in Aspergillus oryzae, a homokaryotic hacA disruption mutant (HacA-DE) and a strain that expressed a constitutively active form of HacA (HacA-CA) were successfully generated, and transcriptome analyses of these mutants were performed. Growth and phenotypic profiles demonstrated that hyphal growth and sporulation were impaired in the HacA-DE and HacA-CA strains that were grown on complete and minimal media, and the growth impairment was more pronounced for the HacA-CA strain. Compared with a wild-type (WT) strain, the transcriptome results indicated that differentially expressed genes in these mutants mainly fell into four categories: the protein secretory pathway, amino acid metabolism, lipid metabolism, and carbohydrate metabolism. Furthermore, we identified 80 and 36 genes of the secretory pathway whose expression significantly differed in the HacA-CA strain (compared with the WT and HacA-DE strains) and HacA-DE strain (compared with the WT strain), respectively, which mostly belonged to protein folding/UPR, glycosylation, and vesicle transport processes. Both the HacA-CA and HacA-DE strains exhibited reduced expression of extracellular enzymes, especially amylolytic enzymes, which resulted from the activation of the repression under secretion stress mechanism in response to endoplasmic reticulum stress. Collectively, our results suggest that the function of HacA is important not only for UPR induction, but also for growth and fungal physiology, as it serves to reduce secretion stress in A. oryzae.

Interleukin-37 is increased in ankylosing spondylitis patients and associated with disease activity.

BACKGROUND: Interleukin-37 (IL-37) has been known to play an immunosuppressive role in various inflammatory disorders, but whether it participates in the regulation of pathogenesis of ankylosing spondylitis (AS) has not been investigated. Here, we examined the serum levels of IL-37 and its clinical association in AS, and explored the anti-inflammatory effects of IL-37 on peripheral blood mononuclear cells (PBMCs) from AS patients. METHODS: The mRNA levels of IL-37, TNF-α, IL-6, IL-17, and IL-23 in PBMCs and their serum concentrations from 46 AS patients were examined by real-time polymerase chain reaction (RT-PCR) and enzyme-linked immunoassay (ELISA), respectively. The correlations between serum IL-37 levels with disease activity, laboratory values and pro-inflammatory cytokines in AS were analyzed by Spearman correlation test. PBMCs from 46 AS patients were stimulated with recombinant IL-37 protein, expressions of TNF-α, IL-6, IL-17 and IL-23 were determined by RT-PCR and ELISA. RESULTS: Compared to healthy controls (HC), AS patients and active AS patients showed higher levels of IL-37 in PBMCs and serum respectively. Strikingly, serum IL-37 levels were higher in AS patients with osteoporosis than those without. Serum levels of IL-37 were correlated with laboratory values as well as TNF-α, IL-6 and IL-17, but not IL-23 in patients with AS. The productions of pro-inflammatory cytokines such as TNF-α, IL-6, IL-17, IL-23 in PBMCs from AS patients were obviously attenuated after recombinant IL-37 stimulation, but not in the HC. CONCLUSION: The higher levels of IL-37 were found in AS patients, which were correlated with disease activity and AS related pro-inflammatory cytokines. More importantly, IL-37 inhibits the expressions of the pro-inflammatory cytokines from PBMCs in AS patients, indicating the potential anti-inflammatory role of IL-37 in AS.