Jingfang granules protects against intracerebral hemorrhage by inhibiting neuroinflammation and protecting blood-brain barrier damage.

Intracerebral hemorrhage (ICH) can induce intensive oxidative stress, neuroinflammation, and brain cell apoptosis. However, conventional methods for ICH treatment have many disadvantages. There is an urgent need for alternative, effective therapies with minimal side effects. Pharmacodynamics experiment, molecular docking, network pharmacology, and metabolomics were adopted to investigate the treatment and its mechanism of Jingfang Granules (JFG) in ICH. In this study, we investigated the therapeutic effects of JFG on ICH using behavioral, brain water content and Magnetic resonance imaging experiments. However, the key active component and targets of JFG remain unknown. Here we verified that JFG was beneficial to improve brain injury after ICH. A network pharmacology analysis revealed that the anti-inflammatory effect of JFG is predominantly mediated by its activation of the phosphatidylinositol 3-kinase (PI3K)/AKT pathway through Luteolin, (+)-Anomalin and Phaseol and their targeting of AKT1, tumor necrosis factorα (TNF-α), and interleukin-1ß (IL-1ß). Molecular docking analyses revealed an average affinity of -8.633 kcal/mol, indicating a binding strength of less than -5 kcal/mol. Metabolomic analysis showed that JFG exerted its therapeutic effect on ICH by regulating metabolic pathways, such as the metabolism of taurine and hypotaurine, biosynthesis of valine, leucine, and isoleucine. In conclusion, we demonstrated that JFG attenuated neuroinflammation and BBB injury subsequent to ICH by activating the PI3K/Akt signaling pathway.

Effects of repetitive peripheral magnetic stimulation on spasticity evaluated with modified Ashworth scale/Ashworth scale in patients with spastic paralysis: A systematic review and meta-analysis.

Background: Spasticity is a common motor disorder resulting from upper motor neuron lesions. It has a serious influence on an individual's motor function and daily activity. Repetitive peripheral magnetic stimulation (rPMS) is a non-invasive and painless approach developed for therapeutic intervention in clinical rehabilitation. However, the effectiveness of this intervention on spasticity in patients with spastic paralysis remains uncertain. Objective: This study aimed to investigate the effectiveness of rPMS on spasticity, motor function, and activities of daily living in individuals with spastic paralysis. Methods: PubMed, PEDro, Embase, Cochrane Library, and Web of Science were searched for eligible papers with date up to March 31, 2022. Two independent researchers conducted study screening, data extraction, and methodological quality assessment. RCTs that explored the effects of rPMS on spasticity, motor function, and activities of daily living in patients with spastic paralysis were included for review. The Cochrane collaboration tool was used to assess methodological quality. The cumulative effects of available data were processed for a meta-analysis using Reedman software. Results: Eight studies with 297 participants were included. Most of the studies presented low to moderate risk of bias. Compared with the control group, the results showed that rPMS had a significant effect on spasticity (all spasticity outcomes: standardized mean difference [SMD] = -0.55, 95% confidence interval [CI]: -0.94 to -0.16, I 2 = 40%, and P = 0.006, Modified Ashworth Scale: mean difference [MD] = -0.48, 95% CI: -0.82 to -0.14, I 2 = 0%, and P = 0.006), motor function (Fugl-Meyer Assessment: MD = 4.17, 95% CI: 0.89 to 7.46, I 2 = 28%, and P = 0.01), and activities of daily living (Barthel Index: MD = 5.12, 95% CI: 2.58 to 7.67, I 2 = 0%, and P < 0.0001). No side effect was reported. Conclusion: The meta-analysis demonstrated that the evidence supported rPMS in improving spasticity especially for passive muscle properties evaluated with Modified Ashworth Scale/Ashworth Scale, as well as motor function and daily activity of living in individuals with spastic paralysis. Study registration: The reviewed protocol of this study is registered in the international prospective register of systematic reviews (PROSPERO) (CRD42022322395). Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier CRD42022322395.

Five-Year Outcomes After Endovascular Treatment for Large Vessel Occlusion Stroke.

Background: The long-term outcomes of acute large vessel occlusion (LVO) in anterior circulation treated by endovascular treatment (EVT) remains to be determined. The aim of this study was to assess the 5-year outcomes of patients with LVO who underwent EVT. Methods: This study was an observational, nationwide registry of consecutive patients with acute LVO who received EVT in 28 comprehensive stroke centers in China. The primary outcome was the proportion of favorable outcome [modified Rankin Scale score (mRS) 0-2] at 5 years. Secondary outcomes included proportions of patients with excellent outcome (mRS 0-1), all-cause mortality and risk of stroke recurrence at 5 years. Results: A total of 807 patients were included into the study and had 90-day follow-up data, 657 patients had 5-year follow-up data. At 90 days, 218 patients (27.0%) had an excellent outcome, 349 patients (43.2%) had a favorable functional outcome. 199 patients (24.7%) died. At 5 years, 190 patients (28.9%) had an excellent outcome, 261 patients (39.7%) had a favorable functional outcome, 317 patients (48.2%) died and 129 (28.2%) had stroke recurrence. Because of missing 5-year follow-up data, among available 269 patients who achieved functional independence at 90 days, 208 (77.3%) maintained favorable outcome, 19 (7.1%) had disability (mRS 3-5) and 42 (15.6%) died at 5 years. Furthermore, among available 189 patients with mRS 3-5 at 90 days, 53 (28.0%) patients achieved favorable functional outcome, 60 (31.7%) patients maintained unfavorable functional outcome and 76 (40.2%) patients died within 5 years. Multivariate analyses identified that younger age [odds ratio (OR): 0.96; 95% CI, 0.93-0.99; P = 0.009], lower mRS at 90 days (OR: 0.15; 95% CI, 0.10-0.23; P < 0.001) and absence of stroke recurrence (OR: 0.001; 95% CI, 0.000-0.006; P < 0.001) were significantly associated with favorable outcome at 5 years. Advanced age (OR: 1.06, 95% CI, 1.04-1.08; P < 0.001), higher mRS at 90 days (OR: 0.84; 95% CI, 0.73-0.98; P = 0.021) and atrial fibrillation (OR: 1.63; 95% CI, 1.02-2.60; P = 0.04) were independent factors for stroke recurrence. Conclusion: Our results indicated that the beneficial effect of EVT in patients with acute LVO can be sustained during the course of at least 5 years. Reducing the risk of stroke recurrence by anticoagulation for atrial fibrillation may be a crucial strategy to improve long-term outcome.

MoS2 nanosheets grown on hollow carbon spheres as a strong polysulfide anchor for high performance lithium sulfur batteries.

Lithium sulfur batteries are expected to be one of the most promising energy storage systems due to their high energy density, low cost and environmental friendliness. However, the shuttle effect of lithium polysulfides severely hampers their practical application. The design of the sulfur cathode is one of the most important approaches to overcome the problem. In this work, MoS2 nanosheets have been successfully grown on the surface of hollow carbon spheres (HCS) to obtain MoS2@HCS nanocomposites with uniform morphology. The growth behavior of MoS2 nanosheets was also proved by adjusting the pore structure of HCS. With a sulfur loading of 74%, the MoS2@HCS/S cathode exhibits a high initial reversible capacity of 1419 mA h g-1 at a current density of 0.1 C and remains at 1010 mA h g-1 after 100 cycles. Even at 0.5 C, a capacity of 795 mA h g-1 can be retained after 600 cycles, corresponding to a capacity retention rate of 63.1%. By adjusting the concentration of the sulfur source, the relationship between different growth quantities of MoS2 and the cycling performance of the battery was also investigated. The excellent electrochemical performance of the MoS2@HCS/S cathode can be fully attributed to its physical and chemical double adsorption effect on lithium polysulfides, which has been confirmed through the visible adsorption and X-ray Photoelectron Spectroscopy (XPS) experiments. This work provides a simple design concept and method to synthesize a nanocomposite-based sulfur host for high performance lithium sulfur batteries.

Assessment of Endovascular Treatment for Acute Basilar Artery Occlusion via a Nationwide Prospective Registry.

Importance: Several randomized clinical trials have recently established the safety and efficacy of endovascular treatment (EVT) of acute ischemic stroke in the anterior circulation. However, it remains uncertain whether patients with acute basilar artery occlusion (BAO) benefit from EVT. Objective: To evaluate the association between EVT and clinical outcomes of patients with acute BAO. Design, Setting, and Participants: This nonrandomized cohort study, the EVT for Acute Basilar Artery Occlusion Study (BASILAR) study, was a nationwide prospective registry of consecutive patients presenting with an acute, symptomatic, radiologically confirmed BAO to 47 comprehensive stroke centers across 15 provinces in China between January 2014 and May 2019. Patients with acute BAO within 24 hours of estimated occlusion time were divided into groups receiving standard medical treatment plus EVT or standard medical treatment alone. Main Outcomes and Measures: The primary outcome was the improvement in modified Rankin Scale scores (range, 0 to 6 points, with higher scores indicating greater disability) at 90 days across the 2 groups assessed as a common odds ratio using ordinal logistic regression shift analysis, adjusted for prespecified prognostic factors. The secondary efficacy outcome was the rate of favorable functional outcomes defined as modified Rankin Scale scores of 3 or less (indicating an ability to walk unassisted) at 90 days. Safety outcomes included symptomatic intracerebral hemorrhage and 90-day mortality. Results: A total of 1254 patients were assessed, and 829 patients (of whom 612 were men [73.8%]; median [interquartile] age, 65 [57-74] years) were recruited into the study. Of these, 647 were treated with standard medical treatment plus EVT and 182 with standard medical treatment alone. Ninety-day functional outcomes were substantially improved by EVT (adjusted common odds ratio, 3.08 [95% CI, 2.09-4.55]; P < .001). Moreover, EVT was associated with a significantly higher rate of 90-day modified Rankin Scale scores of 3 or less (adjusted odds ratio, 4.70 [95% CI, 2.53-8.75]; P < .001) and a lower rate of 90-day mortality (adjusted odds ratio, 2.93 [95% CI, 1.95-4.40]; P < .001) despite an increase in symptomatic intracerebral hemorrhage (45 of 636 patients [7.1%] vs 1 of 182 patients [0.5%]; P < .001). Conclusions and Relevance: Among patients with acute BAO, EVT administered within 24 hours of estimated occlusion time is associated with better functional outcomes and reduced mortality.

Biomass Allocation in Response to Nitrogen and Phosphorus Availability: Insight From Experimental Manipulations of Arabidopsis thaliana.

Allocation of biomass to different organs is a fundamental aspect of plant responses and adaptations to changing environmental conditions, but how it responds to nitrogen (N) and phosphorus (P) availability remains poorly addressed. Here we conducted greenhouse fertilization experiments using Arabidopsis thaliana, with five levels of N and P additions and eight repeat experiments, to ascertain the effects of N and P availability on biomass allocation patterns. N addition increased leaf and stem allocation, but decreased root and fruit allocation. P addition increased stem and fruit allocation, but decreased root and leaf allocation. Pooled data of the five levels of N addition relative to P addition resulted in lower scaling exponents of stem mass against leaf mass (0.983 vs. 1.226; p = 0.000), fruit mass against vegetative mass (0.875 vs. 1.028; p = 0.000), and shoot mass against root mass (1.069 vs. 1.324; p = 0.001). This suggested that N addition relative to P addition induced slower increase in stem mass with increasing leaf mass, slower increase in reproductive mass with increasing vegetative mass, and slower increase in shoot mass with increasing root mass. Further, the levels of N or P addition did not significantly affect the allometric relationships of stem mass vs. leaf mass, and fruit mass vs. vegetative mass. In contrast, increasing levels of N addition increased the scaling exponent of shoot to root mass, whereas increasing levels of P addition exerted the opposite influence on the scaling exponent. This result suggests that increasing levels of N addition promote allocation to shoot mass, whereas the increasing levels of P addition promote allocation to root mass. Our findings highlight that biomass allocation of A. thaliana exhibits a contrasting response to N and P availability, which has profound implications for forecasting the biomass allocation strategies in plants to human-induced nutrient enrichment.

Effects of body size and root to shoot ratio on foliar nutrient resorption efficiency in Amaranthus mangostanus.

PREMISE OF THE STUDY: Nutrient resorption is essential for plant nutrient conservation. Large-bodied plants potentially have large nutrient sink pools and high nutrient flux. Whether and how nutrient resorption can be regulated by plant size and biomass allocation are yet unknown. METHODS: Using the herbaceous plant Amaranthus mangostanus in greenhouse experiments for two consecutive years, we measured plant biomass, height, and stem diameter and calculated the root to shoot biomass ratio (R/S ratio) and nutrient resorption efficiency (NuRE) to assess the effects of plant body size and biomass allocation on NuRE. NuRE was calculated as the percentage reduction in leaf nutrient concentration from green leaf to senesced leaf. KEY RESULTS: NuRE increased with plant biomass, height, and stem diameter, suggesting that the individuals with larger bodies, which led to a larger nutrient pool, tended to resorb proportionally more nutrients from the senescing leaves. NuRE decreased with increasing root to shoot ratio, which might have reflected the nutrient acquisition trade-offs between resorption from the senescent leaves and absorption from the soil. Increased root biomass allocation increased the proportion of nutrient acquisition through absorption more than through resorption. CONCLUSIONS: This study presented the first experimental evidence of how NuRE is linked to plant size (indicated by biomass, height, and stem diameter) and biomass allocation, suggesting that nutrient acquisition could be modulated by the size of the nutrient sink pool and its partitioning in plants, which can improve our understanding of a conservation mechanism for plant nutrients. The body size and root to shoot ratio effects might also partly explain previous inconsistent reports on the relationships between environmental nutrient availability and NuRE.

Stage-dependent stoichiometric homeostasis and responses of nutrient resorption in Amaranthus mangostanus to nitrogen and phosphorus addition.

Stoichiometric homeostasis is the ability of plants remaining their element composition relatively stable regardless of changes in nutrient availability, via various physiological mechanisms. Nutrient resorption is one of such key mechanisms, but whether and how nitrogen and phosphorus homeostasis and resorption in plants would change with growth-stages under variable nutrient supply was unclear. A nitrogen (N) and phosphorus (P) fertilizer addition experiment was conducted to evaluate the dynamics of N and P homeostasis and resorption efficiency during different growth-stages of Amaranthus mangostanus in a greenhouse. The homeostasis regulation coefficient of green-leaf P varied significantly, while that of green-leaf N maintained relatively stable across growth stages. Moreover, homeostasis regulation coefficient of N was higher at seedling stage but lower at flowering stage than that of P at corresponding stages, suggesting that the growth of A. mangostanus may switch from being more N- to P-limited from vegetative to reproductive stage. N resorption efficiency (NRE) was higher and P resorption efficiency (PRE) was lower at flowering than seed-filling stage. The nutrient dynamics displayed here suggested contrasting nutrient homeostasis and resorption responses of plants to environmental nutrient availability across growth stages. These findings can improve the understanding of nutrition maintenance mechanism of plants during their growth.