Association between platelet counts and clinical outcomes in acute fatty liver of pregnancy: A retrospective cohort study.

OBJECTIVES: To investigate whether platelet counts are associated with clinical outcomes in patients with acute fatty liver of pregnancy (AFLP). METHODS: We retrospectively analyzed 140 patients with AFLP admitted to the Third Affiliated Hospital of Guangzhou Medical University between January 2010 and August 2022. In this cohort study, we used smooth curve fitting, Kaplan-Meier analysis, and multivariable logistic regression analysis to examine the independent relationship between platelet counts and 42-day postpartum mortality in AFLP. RESULTS: There were 140 patients with AFLP, of which 15 died and 53 (37.86%) had thrombocytopenia. The overall 42-day postpartum maternal mortality was 10.7%. We observed a U-shaped relationship between the platelet counts and 42-day postpartum mortality. Two different slopes were observed below and above the inflection point at approximately 220 × 109 /L. After adjusting for some confounders, patients with thrombocytopenia (<100 × 109 /L) were found to have increased 42-day postpartum mortality compared with middle-tertile and highest-tertile patients. Patients with thrombocytopenia had a higher 42-day postpartum mortality, and higher proportions of intensive care unit admissions, postpartum hemorrhage, and multiple organ failure (P < 0.05). CONCLUSIONS: A U-shaped association between platelet counts and 42-day postpartum mortality was observed in patients with AFLP. Thrombocytopenia is associated with poorer adverse clinical outcomes in women with AFLP.

Vascular endothelial growth factor induces the migration of human airway smooth muscle cells by activating the RhoA/ROCK pathway.

BACKGROUND: Airway remodeling due to increased airway smooth muscle cell (ASMC) mass, likely due to enhanced proliferation, hypertrophy, and migration, has been proven to be highly correlated with decreased lung function in asthma patients. Vascular endothelial growth factor (VEGF) mediates vascular and extravascular remodeling and inflammation and has been proven to be involved in the progression of asthma. Previous studies have focused on the effects of VEGF on ASMC proliferation, but few researchers have focused on the effects of VEGF on human ASMC migration. The purpose of this study was to explore the effect of VEGF on the migration of ASMCs and its related signaling pathway mechanism to provide evidence for the treatment of airway remodeling. METHODS: We examined the effects of VEGF induction on ASMC migration and explored the mechanisms involved in ASMC migration. RESULTS: We found by wound healing and Transwell assays that VEGF promoted ASMC migration. Through the Cell Counting Kit-8 (CCK-8) experiment, we found that VEGF had no significant effect on the proliferation of ASMCs, which excluded the involvement of cell proliferation in the process of wound healing. Moreover, a cellular immunofluorescence assay showed that VEGF promoted F-actin reorganization, and Western blotting showed that VEGF improved RhoA activation and myosin phosphatase targeting subunit-1 (MYPT1) and myosin light chain (MLC) phosphorylation in ASMCs. Treatment with the ROCK inhibitor Y27632 significantly attenuated the effects of VEGF on MYPT1/MLC activation and cell migration. CONCLUSION: In conclusion, the results suggest that the promigratory function of VEGF activates the RhoA/ROCK pathway, induces F-actin reorganization, improves the migration of ASMCs, and provides a better rationale for targeting the RhoA/ROCK pathway for therapeutic approaches in airway remodeling.

Multiple venous thromboembolisms in a pregnant patient carrying a novel mutation in SERPINC1 (p.M313T) that causes a transient antithrombin deficiency: a case report.

BACKGROUND: Congenital antithrombin deficiency is an autosomal dominant disease that results in deep venous thrombosis and pulmonary embolism, which is mainly caused by mutations in the antithrombin gene (SERPINC1). Since SERPINC1 is highly susceptible to alterations, severe structural and functional changes that promote thrombosis may occur. Clinical presentations vary from different alterations. We report a pregnant case with novel mutation in SERPINC1 presenting transient antithrombin deficiency and multiple venous thromboembolisms. CASE PRESENTATION: We report a case of a 36-year-old pregnant patient who was diagnosed with congenital antithrombin deficiency for carrying a novel heterozygous mutation, NM_000488:exon5:c.T9 38 C:p. M313T in SERPINC1 presenting transient antithrombin deficiency and multiple venous thromboembolisms. Thrombolytic with alteplase and anticoagulant therapies with low-molecular-weight heparin and warfarin were administrated. After confirming the genetic analysis and the termination of pregnancy, rivaroxaban was administrated, and the thrombosis reduced. CONCLUSIONS: Our study enriched the mutation database of SERPINC1 gene, provided some new theoretical basis for gene diagnosis and genetic counseling of patients with transient antithrombin deficiency. While it still needs for subsequent exploration of molecular pathogenesis.

Maternal and fetal/neonatal outcomes of pregnancies complicated by pulmonary hypertension: a retrospective study of 154 patients.

OBJECTIVES: To determine the main clinical and demographic outcomes related to Pulmonary Hypertension (PH) and adverse obstetric and fetal/neonatal outcomes. METHODS: This study retrospectively analyzed the medical record data of 154 patients with PH who were admitted to the Third Affiliated Hospital of Guangzhou Medical University between January 2011 and December 2020. RESULTS: According to the severity of elevated Pulmonary Artery Systolic Pressure (PASP), 82 women (53.2%) were included in the mild PH group, 34 (22.1%) were included in the moderate PH group, and 38 (24.7%) were included in the severe PH group. There were significant differences in the incidence of heart failure, premature delivery, Very-Low-Birth-Weight (VLBW) infants, and Small-for-Gestational-Age (SGA) infants among the three PH groups (p < 0.05). Five (3.2%) women died within 7-days after delivery, 7 (4.5%) fetuses died in utero, and 3 (1.9%) neonates died. The authors found that PASP was an independent risk factor for maternal mortality. After adjustment for age, gestational weeks, systolic blood pressure, Body Mass Index (BMI), mode of delivery, and anesthesia, the risk of maternal mortality in the severe PH group was 20.21 times higher than that in the mild-moderate PH group (OR = 21.21 [95% CI 1.7∼264.17]), p < 0.05. All 131 (85.1%) patients were followed up for 12 months postpartum. CONCLUSIONS: The authors found that the risk of maternal mortality in the severe PH group was significantly higher than that in the mild-moderate group, highlighting the importance of pulmonary artery pressure screening before pregnancy, early advice on contraception, and multidisciplinary care.

Promising Mass-Productive 4-Inch Commercial SERS Sensor with Particle in Micro-Nano Porous Ag/Si/Ag Structure Using in Auxiliary Diagnosis of Early Lung Cancer.

The construction of commercial surface enhanced Raman scattering (SERS) sensors suitable for clinical applications is a pending problem, which is heavily limited by the low production of high-performance SERS bases, because they usually require fine or complicated micro/nano structures. To solve this issue, herein, a promising mass-productive 4-inch ultrasensitive SERS substrate available for early lung cancer diagnosis is proposed, which is designed with a special architecture of particle in micro-nano porous structure. Benefitting from the effective cascaded electric field coupling inside the particle-in-cavity structure and efficient Knudsen diffusion of molecules within the nanohole, the substrate exhibits remarkable SERS performance for gaseous malignancy biomarker, with the limit of detection is 0.1 ppb and the average relative standard deviation value at different scales (from cm2 to µm2 ) is ≈16.5%. In practical application, this large-sized sensor can be further divided into small ones (1 × 1 cm2 ), and more than 65 chips will be obtained from just one 4-inch wafer, greatly increasing the output of commercial SERS sensor. Further, a medical breath bag composed of this small chip is designed and studied in detail here, which suggested high-specificity recognition for lung cancer biomarker in mixed mimetic exhalation tests.

Pregnancy outcomes in women with pulmonary hypertension: a retrospective study in China.

BACKGROUND: In recent years, with the development of monitoring conditions and the application of pulmonary vascular-targeted drugs, pregnancy outcomes in women with pulmonary hypertension (PH) have improved, but the maternal mortality rate is still high. The purpose of this study was to describe the maternal-foetal outcomes in pregnant women with PH. METHODS: The clinical data of 154 pregnant women with PH who were admitted to the Third Affiliated Hospital of Guangzhou Medical University from January 2011 to December 2020 were collected and descriptively analysed. RESULTS: Among the 154 pregnant women with PH, 6 (3.9%) had idiopathic pulmonary arterial hypertension (iPAH), 41 (26.6%) had pulmonary arterial hypertension (PAH) associated with congenital heart disease (CHD-PAH), 45 (29.2%) had PAH related to other diseases (oPAH), and 62 (40.3%) had PH related to left heart disease (LHD-PH). The systolic pulmonary artery pressure (sPAP) was 36-49 mmHg in 53.2% of the patients, 50-69 mmHg in 22.1% of the patients and ≥ 70 mmHg in 24.7% of the patients. Five (3.2%) pregnant women died within 1 week after delivery; iPAH patients had the highest mortality rate (3/6, 50%). Fifty-four patients (35.1%) were admitted to the intensive care unit (ICU), and the incidence of heart failure during pregnancy was 14.9%. A total of 70.1% of the patients underwent caesarean section; 42.9% had premature infants; 28.6% had low-birth-weight (LBW) infants; 13.0% had very-low-birth-weight (VLBW) infants; 3.2% had extremely-low-birth-weight (ELBW) infants; 61% had small for gestational age (SGA) infants; and 1.9% experienced neonatal mortality. CONCLUSION: There were significant differences in the maternal-foetal outcomes in the iPAH, CHD-PAH, oPAH and LHD-PH groups. Maternal mortality was highest in the iPAH group; therefore, iPAH patients should be advised to prevent pregnancy. Standardized and multidiscipline-assisted maternal management is the key to improving maternal-foetal outcomes.

Maternal and fetal/neonatal outcomes of pregnancies complicated by pulmonary hypertension: a retrospective study of 154 patients

Abstract Objectives: To determine the main clinical and demographic outcomes related to Pulmonary Hypertension (PH) and adverse obstetric and fetal/neonatal outcomes. Methods: This study retrospectively analyzed the medical record data of 154 patients with PH who were admitted to the Third Affiliated Hospital of Guangzhou Medical University between January 2011 and December 2020. Results: According to the severity of elevated Pulmonary Artery Systolic Pressure (PASP), 82 women (53.2%) were included in the mild PH group, 34 (22.1%) were included in the moderate PH group, and 38 (24.7%) were included in the severe PH group. There were significant differences in the incidence of heart failure, premature delivery, Very-Low-Birth-Weight (VLBW) infants, and Small-for-Gestational-Age (SGA) infants among the three PH groups (p < 0.05). Five (3.2%) women died within 7-days after delivery, 7 (4.5%) fetuses died in utero, and 3 (1.9%) neonates died. The authors found that PASP was an independent risk factor for maternal mortality. After adjustment for age, gestational weeks, systolic blood pressure, Body Mass Index (BMI), mode of delivery, and anesthesia, the risk of maternal mortality in the severe PH group was 20.21 times higher than that in the mildmoderate PH group (OR = 21.21 [95% CI 1.7~264.17]), p < 0.05. All 131 (85.1%) patients were followed up for 12 months postpartum. Conclusions: The authors found that the risk of maternal mortality in the severe PH group was significantly higher than that in the mild-moderate group, highlighting the importance of pulmonary artery pressure screening before pregnancy, early advice on contraception, and multidisciplinary care.

Light localization in defective periodic photonic moiré-like lattices.

Photonic moiré-like lattices, a readily accessible platform for realizing the spatial localization of light, attract intensive attention due to their unique flatband characteristics. In this paper, a periodic moiré-like lattice with embedded defects is proposed theoretically, and the linear propagation of the probe beam in such a system is investigated intensively. The results show that the positions of defects in periodic moiré-like lattices depend on the sublattice rotation angle. Further studies show that the localization of light could be improved by adjusting the apodization function of defects. In addition, the experimental observation of the moiré-like lattice with apodized defects also confirms the theoretical analysis. Our study enriches the physical connotation of photonic moiré lattices and guides the design of novel photonic crystal fibers.

Effects of Different Intervention Factors on Vascular Endothelial Growth Factor-Induced Human Airway Smooth Muscle Cell Migration.

Background: Asthma airway remodeling is closely related to the abnormal migration of human airway smooth muscle cells (ASMCs), and vascular endothelial growth factor (VEGF) is involved in the pathophysiological process of asthma. This study aimed to investigate the effect of VEGF on ASMC migration through in vitro cell experiments and to intervene in ASMC migration with different asthma drugs and signaling pathway inhibitors to provide a basis for screening effective drugs for airway remodeling. Methods: The effect of VEGF on the proliferation of ASMCs was detected by the CCK-8 method, and the effect of VEGF on the migration of ASMCs was proven by scratch and transwell assays. Different asthma drugs and signaling pathway inhibitors were used to interfere with the migration of ASMCs. The number of migrating cells was compared between the intervention and nonintervention groups. Results: Our results showed that VEGF induction enhanced ASMC migration; pretreatment with the commonly used asthma drugs (salbutamol, budesonide, and ipratropium bromide) significantly attenuated VEGF-induced ASMC migration; and inhibitors SB203580, LY294002, and Y27632 blocked the VEGF-induced activation of p38 MAPK, PI3K, and ROCK signaling pathway targets in ASMCs and inhibited migration. Conclusion: This study shows that the current commonly used asthma drugs salbutamol, budesonide, and ipratropium have potential value in the treatment of airway remodeling, and the p38 MAPK, PI3K, and ROCK signaling pathway targets are involved in the VEGF-induced ASMC migration process. Signaling pathway inhibitor drugs may be a new way to treat asthma-induced airway remodeling in asthma patients in the future. However, the related mechanism and safety profile still need further research.

Non-Hermitian mode-locking synthesized by parity-time and anti-parity-time symmetric modulations.

We study the pulse characteristics in a laser mode-locked by active modulators with non-Hermitian driven signals. The signal assembles a parity-time (P T) symmetric and an anti-parity-time (A P T) symmetric function with fundamental and harmonic frequencies, respectively, inducing the complex coupling between modes in the frequency domain. A one-dimensional synthetic lattice is used to analyze the spectral mode coupling. By enlarging the weight and harmonic order of the A P T part of the signal, the optical spectrum can be adjusted from redshift to blueshift. Simultaneously, the pulse duration and spectral width are shortened and broadened, respectively. The work explores the role of non-Hermitian modulation in the mode-locked laser area.

Particle-in-Molybdenum Disulfide-Coated Cavity Structure with a Raman Internal Standard for Sensitive Raman Detection of Water Contaminants from Ions to <300 nm Nanoplastics.

To develop a universal and precise detection strategy that can be applied to water contaminants of various sizes, we designed a particle-in-MoS2 coated cavity structure of AAO/MoS2/Ag with a Raman internal standard. This modified particle-in-cavity structure not only successfully integrates both "surface hot spots" and "volume hot spots" via dressing and manipulating the cascaded optical-field mode inside the cavity but also introduces the chemical enhancement and internal standard attribute of MoS2. Because of its unique three-dimensional structure, AAO/MoS2/Ag accurately detects water contaminants of various sizes from ions to nanoplastics (<300 nm) for the first time. This work proposes a novel and universal surface-enhanced Raman scattering strategy for detecting multiple-size water contaminants and demonstrates the potential to build a security line in early warning systems for the prevention of water pollution.

Identification of differentially expressed genes and signaling pathways with Candida infection by bioinformatics analysis.

BACKGROUND: Opportunistic Candida species causes severe infections when the human immune system is weakened, leading to high mortality. METHODS: In our study, bioinformatics analysis was used to study the high-throughput sequencing data of samples infected with four kinds of Candida species. And the hub genes were obtained by statistical analysis. RESULTS: A total of 547, 422, 415 and 405 differentially expressed genes (DEGs) of Candida albicans, Candida glabrata, Candida parapsilosis and Candida tropicalis groups were obtained, respectively. A total of 216 DEGs were obtained after taking intersections of DEGs from the four groups. A protein-protein interaction (PPI) network was established using these 216 genes. The top 10 hub genes (FOSB, EGR1, JUNB, ATF3, EGR2, NR4A1, NR4A2, DUSP1, BTG2, and EGR3) were acquired through calculation by the cytoHubba plug-in in Cytoscape software. Validated by the sequencing data of peripheral blood, JUNB, ATF3 and EGR2 genes were  significant statistical significance. CONCLUSIONS: In conclusion, our study demonstrated the potential pathogenic genes in Candida species and their underlying mechanisms by bioinformatic analysis methods. Further, after statistical validation, JUNB, ATF3 and EGR2 genes were attained, which may be used as potential biomarkers with Candida species infection.

Precise real-time quantification for photocatalytic reaction: integration of the sensitivein-situSERS sensor and high-efficiency photocatalyst.

Recently,in-situsurface-enhanced Raman spectroscopy (SERS) is gradually becoming an important method for monitoring photocatalytic reaction processes, in which the quantification potential is a vital factor in determining whether this technology can be truly applied in the future. In order to improve the quantification performance ofin-situSERS and explore a precise operando Raman detection for photocatalytic reactions, an architecture of heterostructural Cu2O/ZnO/Ag nano round brush has been designed and discussed in this work. This structure is an integration of sensitivein-situSERS sensor and high-efficiency photocatalyst, realizing real-time monitoring of photocatalytic reaction in a wide concentration range from 20 to 3 mg l-1. The coefficient of determination between different detection methods is beyond 0.86 in this range, implying the high-precise quantification of this platform. Comprehensive analysis on structure effect, SERS performance, photocatalytic property, electric filed characteristic, etc were all systematically made and discussed in detail for this platform. This work presents a precise preliminar real-time photocatalytic monitoring usingin-situSERS detection, which is a new attempt and also meaningful reference for otherin-situanalytical technology.

Mo:BiVO4 Nanoparticles-Based Optical Modulator and Its Application in a 2-µm Pulsed Laser.

Mo:BiVO4 nanoparticles were employed as an optical modulator in a Q-switched all-solid-state Tm:YAP laser for the first time. The nonlinear optical parameters of Mo:BiVO4 nanoparticles in the 2-µm region were characterized by measuring nonlinear transmission. Saturation intensity was 718 MW/cm2, and the modulation depth was 12.3%. A stable pulse sequence was acquired with a 70.08 kHz maximum repetition rate and an 821 ns pulse width. The maximum output average power was 153 mW, corresponding to 2.18 µJ single pulse energy and 2.67 W peak power. Although the response wavelength of Mo:BiVO4 is in visible light region, our experimental results demonstrates that a saturable absorption effect for wavelengths much longer than visible light (2 µm wavelength) is still possible due to sub-bandgap absorption. Therefore, we experimentally proved that Mo:BiVO4 nanoparticles are a great candidate for use as an optical modulator of a 2-µm pulsed laser.

Broadband and Ultra-Low Threshold Optical Bistability in Guided-Mode Resonance Grating Nanostructures of Quasi-Bound States in the Continuum.

We model optical bistability in all-dielectric guide-mode resonance grating (GMR) nanostructures working at quasi-bound states in the continuum (BICs). The complementary metal-oxide-semiconductor (CMOS) compatible material silicon nitride (SiN) is used for the design of nanostructures and simulations. The ultra-low threshold of input intensity in the feasible nanostructure for nanofabrication is obtained at the level of ~100 W/cm2 driven by quasi-BICs. Additionally, the resonance wavelength in the GMR nanostructure can be widely tuned by incident angles with the slightly changed Q-factor that enables the optical bistable devices to work efficiently over a wide spectrum. The impact of the defects of grating that may be introduced in the fabrication process on the optical properties is discussed, and the tolerance of the defects to the optical performance of the device is confirmed. The results indicate that the GMR nanostructures of broadband and ultra-low threshold optical bistability driven by quasi-BICs are promising in the application of all-optical devices.

Generation of gradient photonic moiré lattice fields.

We designed and generated gradient photonic moiré lattice fields comprising three varying periodic moiré wavefields. Because of the common twisted angles between periodic triangular and hexagonal moiré wavefields, gradient patterns can be easily obtained through coherent superposition of hexagonal-triangular-hexagonal photonic moiré lattice fields. In addition, two specific twisted angles of Δα|C=3 and Δα|C=5 are proposed, which not only guarantee the periodicity of moiré fields but also provide an additional degree of freedom to control the structural arrangement of the gradient photonic moiré lattice fields. Further study reveals the non-diffracting character of the gradient photonic moiré lattice field generated using the holographic method. This study proposes an easy way to generate and control the structures of gradient moiré lattice fields that can be used to fabricate photonic lattices in optical storage media for light modulation.

Passively Q-Switched Yb:CALGO Laser Based on Mo:BiVO4 Absorber.

A stable, passively Q-switched Yb:CaGdAlO4 laser based on Mo:BiVO4 saturable absorber was demonstrated. Close observations of the structure and morphology of the nanoparticles by using transmission electron microscope, Raman spectrum and linear absorption were measured. The nonlinear transmission of Mo:BiVO4 was characterized by a 30 ps laser with a central wavelength of 1064 nm and a repetition rate of 10 Hz. The experimental maximum output power of the pulsed laser was 510 mW with a repetition rate of 87 kHz and pulse width of 3.18 µs, corresponding to a peak power of 1.84 W and a single pulse energy of 5.8 µJ. The experimental results indicate that Mo:BiVO4-SA is a great candidate for passively Q-switched lasers in the near infrared region.

Heterostructured Cu2O-Au nanowire as a dual-functional nanocomposite for environmental pollutant degradation and hydrogen peroxide sensing.

Materials engineering is generally regarded as one of the most effective methods in the construction of photocatalysts, but it still faces many challenges. In this context, we designed and prepared a three-dimensional (3D) heterostructure of nanowires (NWs) formed by Cu2O core and an Au shell. The Cu2O-Au NWs not only show fine photocatalytic ability but also proved to have Fenton-like chemical properties and can be used as a hydrogen peroxide sensor. Moreover, this heterostructure realizes an integration of catalytic efficiency, retrievability, and versatility. In further consideration of the facile preparation process and low-cost material source of the structure, the Cu2O-Au NWs show a promising application prospect in the field of multifunctional photocatalysts.

Ultimate conversion efficiency of second harmonic generation in all-dielectric resonators of quasi-BICs in consideration of nonlinear refraction of dielectrics.

We investigate second harmonic generation (SHG) in all-dielectric resonance nanostructures of high-Q factors assisted by quasi-bound states in the continuum (quasi-BICs). The typical resonators, e.g., guided-mode resonance gratings and asymmetric metasurfaces, fabricated by AlGaAs were numerically studied with the consideration of nonlinear refraction of AlGaAs. The resonance peak and line-shape of linear transmission and SHG spectra in the resonators can be dramatically changed under intense pump intensities. The SHG conversion efficiency in the nanostructures working at quasi-BICs is much lower than the traditionally expected values without considering the nonlinear refraction of dielectrics. The ultimate SHG conversion efficiency is finally obtained. The investigation has the significance for the design and understanding of efficient nonlinear metasurfaces of high-Q factors.

miR-145-5p exerts anti-tumor effects in diffuse large B-cell lymphoma by regulating S1PR1/STAT3/AKT pathway.

To investigate the molecular mechanism of miR-145-5p in diffuse large B-cell lymphoma (DLBCL) tissues and cells. The tissues from patients with DLBCL were collected for RT-qPCR or immunohistochemistry. Cell viability, proliferation, migration, invasion, the relationship between miR-145-5p and S1PR1, and proteins related pathway were detected using CCK-8, BrdU staining, Transwell assay, dual luciferase report assay, and western blotting, respectively. The results showed that miR-145-5p was down-regulated and positively correlated with the survival of DLBCL patients. Overexpression of miR-145-5p inhibited cell proliferation, migration, and invasion in cell model. miR-145-5p directly targeted S1PR1. miR-145-5p down-regulated S1PR1, p-AKT/AKT, and p-STAT3 expression. The reduction of miR-145-5p-induced cell movement was reversed by S1PR1 overexpression. Moreover, S1PR1-induced addition of cell growth was clearly alleviated in LY294002 or S3I-201 treated cells. S1PR1 was up-regulated in the tissues of DLBCL patients. In conclusion, miR-145-5p regulated DLBCL cell growth and movement through suppressing S1PR1/STAT3/AKT pathway.