Advancing Tissue Damage Repair in Geriatric Diseases: Prospects of Combining Stem Cell-Derived Exosomes with Hydrogels.

Geriatric diseases are a group of diseases with unique characteristics related to senility. With the rising trend of global aging, senile diseases now mainly include endocrine, cardiovascular, neurodegenerative, skeletal, and muscular diseases and cancer. Compared with younger populations, the structure and function of various cells, tissues and organs in the body of the elderly undergo a decline as they age, rendering them more susceptible to external factors and diseases, leading to serious tissue damage. Tissue damage presents a significant obstacle to the overall health and well-being of older adults, exerting a profound impact on their quality of life. Moreover, this phenomenon places an immense burden on families, society, and the healthcare system.In recent years, stem cell-derived exosomes have become a hot topic in tissue repair research. The combination of these exosomes with biomaterials allows for the preservation of their biological activity, leading to a significant improvement in their therapeutic efficacy. Among the numerous biomaterial options available, hydrogels stand out as promising candidates for loading exosomes, owing to their exceptional properties. Due to the lack of a comprehensive review on the subject matter, this review comprehensively summarizes the application and progress of combining stem cell-derived exosomes and hydrogels in promoting tissue damage repair in geriatric diseases. In addition, the challenges encountered in the field and potential prospects are presented for future advancements.

Aerosol influence on cloud macrophysical and microphysical properties over the Tibetan Plateau and its adjacent regions.

This study uses aerosol optical depth (AOD) and cloud properties data to investigate the influence of aerosol on the cloud properties over the Tibetan Plateau and its adjacent regions. The study regions are divided as the western part of the Tibetan Plateau (WTP), the Indo-Gangetic Plain (IGP), and the Sichuan Basin (SCB). All three regions show significant cloud effects under low aerosol loading conditions. In WTP, under low aerosol loading conditions, the effective radius of liquid cloud particles (LREF) decreases with the increase of aerosol loading, while the effective radius of ice cloud particles (IREF) and cloud top height (CTH) increase during the cold season. Increased aerosol loading might inhibit the development of warm rain processes, transporting more cloud droplets above the freezing level and promoting ice cloud development. During the warm season, under low aerosol loading conditions, both the cloud microphysical (LREF and IREF) and macrophysical (cloud top height and cloud fraction) properties increase with the increase of aerosol loading, likely due to higher dust aerosol concentration in this region. In IGP, both LREF and IREF increase with the increase in aerosol loading during the cold season. In SCB, LREF increases with the increase in aerosol loading, while IREF decreases, possibly due to the higher hygroscopic aerosol concentration in the SCB during the cold season. Meteorological conditions also modulate the aerosol-cloud interaction. Under different convective available potential energy (CAPE) and relative humidity (RH) conditions, the influence of aerosol on clouds varies in the three regions. Under low CAPE and RH conditions, the relationship between LREF and aerosol in both the cold and warm seasons is opposite in the WTP: LREF decreases with the increase of aerosol in the cold season, while it increases in the warm season. This discrepancy may be attributed to a difference in the moisture condition between the cold and warm seasons in this region. In general, the influence of aerosols on cloud properties in TP and its adjacent regions is characterized by significant nonlinearity and spatial variability, which is likely related to the differences in aerosol types and meteorological conditions between different regions.

Biomarkers in the Severity of Necrotizing Enterocolitis in Preterm Infants: A Pilot Study.

Background: The occurrence of necrotizing enterocolitis (NEC) is a common and severe disease of the digestive system in neonates. This study aims to assess the value of the intestinal tissue oxygen saturation (rintSO2) combined with the levels of procalcitonin (PCT) and mean platelet volume (MPV) in predicting the severity of NEC in preterm infants. Methods: This experiment was a retrospective cohort study conducted in the Department of Pediatrics, Hongqi Hospital Affiliated to Mudanjiang Medical University between January 2017 and July 2022. Premature neonates with NEC were enrolled and divided into mild-moderate NEC group and severe NEC group according to Bell's stage. The general information data, rintSO2 and blood parameters such as the white blood cell (WBC) count, platelet count (PLT), PCT, MPV, red blood cell distribution width (RDW), hemoglobin (Hb), C-reactive protein (CRP) were compared between the two groups. Results: A total of 122 patients were enrolled, including 79 mild-moderate NEC and 43 severe NEC. The rintSO2 was lower in severe group than in mild-moderate group (P = 0.042), the PCT and MPV were both higher in severe group than in mild-moderate group (P = 0.048, P = 0.049). The results of logistic regression suggested that the rintSO2 (OR = 1.491, P = 0.003), PCT (OR = 3.071, P = 0.001) and MPV (OR = 4.027, P = 0.015) were independent predictive factors for severity of NEC. The area under the curve (AUC) of the rintSO2 combined with PCT and MPV showed good diagnostic ability in the severity of NEC. Conclusion: The rintSO2 combined with PCT and MPV may be considered as the early biomarkers in the severity of NEC and could help us to diagnose the case early with early treatment with better prognosis.

Comparative Analysis of Long-Term Variation Characteristics of SO2, NO2, and O3 in the Ecological and Economic Zones of the Western Sichuan Plateau, Southwest China.

Sulfur dioxide (SO2), nitrogen dioxide (NO2), and ozone (O3) are important atmospheric pollutants that affect air quality. The long-term variations of SO2 and NO2 in 2008-2018 and O3 in 2015-2018 in the relatively less populated ecological and economic zones of Western Sichuan Plateau, Southwest China were analyzed. In 2008-2018, the variations in SO2 and NO2 in the ecological zone were not significant, but Ganzi showed a slight upward trend. SO2 decreased significantly in the economic zone, especially in Panzhihua, where NO2 changes were not obvious. From 2015 to 2018, the concentration of O3 in the ecological zone increased significantly, while the economic zone showed a downward trend. The rising trend of the concentration ratio of SO2 to NO2 in the ecological zone and the declining trend in the economic zone indicate that the energy consumption structure of these two zones is quite different. The lower correlation coefficients between NO2 and O3 in the Western Sichuan Plateau imply that the variations of O3 are mainly affected by the regional background. The effects of meteorological factors on SO2, NO2, and O3 were more obvious in the economic zone where there are high anthropometric emissions.

GSK3ß and MCL-1 mediate cardiomyocyte apoptosis in response to high glucose.

Gestational diabetes mellitus is a risk factor for congenital heart defects. Our previous results indicated that a decrease in myocardial cells and an increase in apoptotic cells leads to heart defects under hyperglycemia, but much work remains to elucidate this important mechanism of myocardial cell apoptosis induced by high glucose (HG). In this study, we found that a decrease in GSK3ß phosphorylation on Ser9 occurred concomitantly with HG-induced cardiomyocyte apoptosis and in the heart tissues of the offspring of diabetic rats in vitro and in vivo. Decreases in GSK3ß (Ser9) phosphorylation in response to HG were remarkably restored after treatment with SC79, an activator of the Akt signaling pathway. SB216763, an effective inhibitor of the GSK3ß signaling pathway, suppressed HG-induced apoptosis in cardiomyocytes. Further studies showed a decrease in the expression of the anti-apoptotic protein MCL-1 was associated with GSK3ß-mediated apoptosis. MCL-1 overexpression partly inhibits HG-induced apoptosis in cardiomyocytes. Herein, this study revealed the roles of GSK3ß and MCL-1 in modulating HG-induced cardiomyocyte apoptosis and maternal diabetes-induced abnormalities.

Role of GAB1/PI3K/AKT signaling high glucose-induced cardiomyocyte apoptosis.

Gestational diabetes mellitus (GDM) is a risk factor for abnormal heart development. Previous work showed that a decrease of myocardial cells and an increase of apoptotic cells leading to heart defects under hyperglycemia, and many genes and protein have been found to play important roles in cardiomyocyte apoptosis. However, there are still many blind nodes in HG-induced cardiac apoptosis. Our study showed that down-regulation of GAB1 occurred concurrently with HG-induced cardiomyocytes apoptosis and in the heart tissues of offspring of diabetic rats in vitro and in vivo. MTT and apoptosis assay showed GAB1 played a key role in mediating HG-induced apoptosis of cardiomyocytes. Down-regulation of XIAP and increased activities of Caspase3/7 was associated with GAB1-mediated cardiomyocyte apoptosis in response to HG treatment. Further study showed that the phosphorylation levels of AKT (Ser473) decreased after HG treatment. Over-expression of GAB1 resisted the reduction in AKT phosphorylation in response to HG. LY294002, which is an effective inhibitor of the PI3K/AKT signaling pathway, partly inhibited GAB1 to suppress apoptosis induced by HG in cardiomyocytes, and partly suppressed GAB1 to resist the decrease of XIAP in response to HG, indicating AKT signaling, XIAP, and Caspase3/7 participated in GAB1-mediated cardiomyocyte apoptosis in response to HG. Generally, we demonstrate a novel role of GAB1 and its down-stream signaling PI3K/AKT for modulating cardiomyocyte apoptosis in response to high glucose in vitro and vivo.