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1.
Front Plant Sci ; 15: 1366821, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38567132

RESUMO

Grazing exclusion (GE) is considered an effective strategy for restoring the degradation of overgrazed grasslands on the global scale. Soil microbial diversity plays a crucial role in supporting multiple ecosystem functions (multifunctionality) in grassland ecosystems. However, the impact of grazing exclusion on soil microbial diversity remains uncertain. Here, we conducted a meta-analysis using a dataset comprising 246 paired observations from 46 peer-reviewed papers to estimate how GE affects microbial diversity and how these effects vary with climatic regions, grassland types, and GE duration ranging from 1 to 64 years. Meanwhile, we explored the relationship between microbial diversity and its functionality under grazing exclusion. Overall, grazing exclusion significantly increased microbial Shannon (1.9%) and microbial richness (4.9%) compared to grazing group. For microbial groups, GE significantly increased fungal richness (8.6%) and bacterial richness (5.3%), but decreased specific microbial richness (-11.9%). The responses of microbial Shannon to GE varied among climatic regions, grassland types, and GE duration. Specifically, GE increased microbial diversity in in arid, semi-arid, and dry sub-humid regions, but decreased it in humid regions. Moreover, GE significantly increased microbial Shannon in semidesert grasslands (5.9%) and alpine grasslands (3.0%), but not in temperate grasslands. Long-term (>20 year) GE had greater effects on microbial diversity (8.0% for Shannon and 6.7% for richness) compared to short-term (<10 year) GE (-0.8% and 2.4%). Furthermore, grazing exclusion significantly increased multifunctionality, and both microbial and plant Shannon positively correlated with multifunctionality. Overall, our findings emphasize the importance of considering climate, GE duration, and grassland type for biodiversity conservation and sustainable grassland ecosystem functions.

2.
Bioorg Med Chem ; 104: 117698, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38552597

RESUMO

Serotonin reuptake inhibition combined with the action targeting 5-hydroxytryptamine receptor subtypes can serve as a potential target for the development of antidepressant drugs. Herein a series of new aralkyl piperazines and piperidines were designed and synthesized by the structural modifications of the previously discovered aralkyl piperidine compound 1, targeting SSRI/5-HT1A/5-HT7. The results exhibited that compound 5a showed strong binding to 5-HT1A and 5-HT7 (Ki of 0.46 nM, 2.7 nM, respectively) and a high level of serotonin reuptake inhibition (IC50 of 1.9 nM), all of which were significantly elevated compared to 1. In particular, compound 5a showed weaker inhibitory activity against hERG than 1, and demonstrated good stability in liver microsomes in vitro. The preliminary screening using FST indicated that orally administered 5a, at a high dose, could reduce immobility time in mice markedly, indicating potential antidepressant activity.


Assuntos
Inibidores Seletivos de Recaptação de Serotonina , Serotonina , Camundongos , Animais , Piperazina/farmacologia , Serotonina/metabolismo , Inibidores Seletivos de Recaptação de Serotonina/farmacologia , Antidepressivos/farmacologia , Antidepressivos/uso terapêutico , Piperidinas/farmacologia , Piperazinas/química , Receptor 5-HT1A de Serotonina
3.
Arch Gerontol Geriatr ; 122: 105374, 2024 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-38452652

RESUMO

OBJECTIVE: To explore the causal association between sarcopenia-related traits and Parkinson's disease by Mendelian randomization (MR) approach. METHODS: A genome-wide association study (GWAS) of sarcopenia-related traits was done at the UK Biobank (UKB). The traits were appendicular lean mass, low hand grip strength (including the European Working Group on Sarcopenia in Older People (EWGSOP) and the Foundation for the National Institutes of Health (FNIH) criteria and usual walking pace. The International Parkinson's Disease Genomics Consortium (IPDGC) gave us GWAS data for Parkinson's disease (PD). We used three different types of MR analyses: including Inverse-variance weighted (IVW), Mendelian randomized Egger regression (MR-Egger), and weighted median methods (both weighted and simple modes). RESULTS: The MR analysis showed that low hand grip strength was negatively associated with the risk of developing Parkinson's disease, including EWGSOP criterion (odds ratio (OR) = 0.734; 95% confidence interval (CI) = 0.575-0.937, P = 0.013) and FNIH criterion (OR = 0.619; 95% CI = 0.419-0.914, P = 0.016), and usual walking pace was also a risk factor for Parkinson's disease (OR = 3.307, 95% CI = 1.277-8.565, P = 0.014). CONCLUSIONS: In European population, low hand grip strength is negatively associated with the risk of developing Parkinson's disease, and usual walking pace is also a risk factor for Parkinson's disease. Further exploration of the potential genetic mechanisms underlying hand grip strength and Parkinson's disease and the potential relationship between walking pace, balance, and falls in Parkinson's patients may help to reduce the burden of sarcopenia and Parkinson's disease.

4.
Chirality ; 36(3): e23658, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38414199

RESUMO

Diabrotica balteata LeConte is one of the most important polyphagous agricultural pests. The sex pheromone of this pest was synthesized using Evans asymmetric alkylation, ring-opening reaction of (R)-2-methyloxirane, SN 2 alkylation of secondary tosylate, and coupling of chiral tosylate with Grignard reagent as central strategies. The sex pheromone prepared herein would be useful to control D. balteata.


Assuntos
Besouros , Atrativos Sexuais , Animais , Estereoisomerismo , Alquilação
5.
CNS Neurosci Ther ; 30(2): e14544, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-38372446

RESUMO

AIMS: Autonomic dysfunction with central autonomic network (CAN) damage occurs frequently after intracerebral hemorrhage (ICH) and contributes to a series of adverse outcomes. This review aims to provide insight and convenience for future clinical practice and research on autonomic dysfunction in ICH patients. DISCUSSION: We summarize the autonomic dysfunction in ICH from the aspects of potential mechanisms, clinical significance, assessment, and treatment strategies. The CAN structures mainly include insular cortex, anterior cingulate cortex, amygdala, hypothalamus, nucleus of the solitary tract, ventrolateral medulla, dorsal motor nucleus of the vagus, nucleus ambiguus, parabrachial nucleus, and periaqueductal gray. Autonomic dysfunction after ICH is closely associated with neurological functional outcomes, cardiac complications, blood pressure fluctuation, immunosuppression and infection, thermoregulatory dysfunction, hyperglycemia, digestive dysfunction, and urogenital disturbances. Heart rate variability, baroreflex sensitivity, skin sympathetic nerve activity, sympathetic skin response, and plasma catecholamine concentration can be used to assess the autonomic functional activities after ICH. Risk stratification of patients according to autonomic functional activities, and development of intervention approaches based on the restoration of sympathetic-parasympathetic balance, would potentially improve clinical outcomes in ICH patients. CONCLUSION: The review systematically summarizes the evidence of autonomic dysfunction and its association with clinical outcomes in ICH patients, proposing that targeting autonomic dysfunction could be potentially investigated to improve the clinical outcomes.


Assuntos
Doenças do Sistema Nervoso Autônomo , Sistema Nervoso Autônomo , Humanos , Sistema Nervoso Autônomo/fisiologia , Sistema Nervoso Simpático/fisiologia , Doenças do Sistema Nervoso Autônomo/etiologia , Doenças do Sistema Nervoso Autônomo/terapia , Nervo Vago/fisiologia , Hemorragia Cerebral/complicações , Hemorragia Cerebral/terapia , Frequência Cardíaca/fisiologia
6.
Dementia (London) ; : 14713012241234955, 2024 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-38374689

RESUMO

OBJECTIVE: Healthcare professionals as well as families play a vital role in ensuring the quality of care for people living with dementia. However, the relationships between healthcare professionals and families of people living with dementia are not extensively examined, particularly within the Chinese cultural context of dementia. The goal of this study was to explore the views of healthcare professionals on their relationships with families of people living with dementia. DESIGN: This qualitative study was grounded in the interpretative phenomenological analysis framework. METHODS: Data were collected using focus-group interviews. Qualitative data were transcribed verbatim and analysed using interpretative phenomenological analysis. RESULTS: The study recruited a total of 26 healthcare professionals from 3 long-term care facilities. The study found that conflicts were inherent in the relationships between professionals and families of people living with dementia, and conflicts were found to manifest in three core domains: 1) Families demonstrated a lack of understanding about dementia, 2) Professionals faced challenges in managing families' unrealistic expectations regarding the disease status and the prognosis of people living with dementia, 3) Families did not perceive themselves as being responsible for the care of people living with dementia. CONCLUSIONS: The present study found that the prevailing factor underpinning the relational conflicts between healthcare professionals and families of people living with dementia, as reported by healthcare professionals was the perceived lack of understanding about dementia amongst families of those affected.

7.
Appl Opt ; 63(1): 85-92, 2024 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-38175012

RESUMO

Optical probes are the preferred choice for high-precision surface metrology, necessitating improved flexibility and a broader range of motion to adapt to the increasing complexity of surfaces. This study introduces an interferometric probe designed for measuring aspheric surfaces, utilizing a wave-plate-array detection component. By integrating splitter elements into the detector, the probe improves integration and dynamic scanning performance, while maintaining high-precision measurement capability. The system design and working principle are explored, and comprehensive nonlinear models based on the Jones matrix theory are established. These models focus on the nonlinear errors arising from alignment errors in various cases. Moreover, rigorous numerical simulations and optical experiments are conducted to validate the proposed models. When the alignment error reaches 10°, it results in a maximum nonlinear error of 3.02 nm. The experimental results demonstrate the effectiveness of the models in capturing nonlinear errors induced by alignment errors, providing a theoretical foundation for error reduction and compensation.

8.
Front Pharmacol ; 14: 1285799, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38027010

RESUMO

Background: Ferroptosis is an emerging type of regulated cell death and associated with antitumoral therapy, while some microRNAs have been shown to regulate the tumorigenesis and cancer progression. Meanwhile, polyphyllin I (PPI) has exhibited antitumoral effects by promoting cancer cell apoptosis and ferroptosis. However, it is unclear whether PPI induces cancer cell ferroptosis by regulating microRNAs. Methods: We used two gastric cancer cell lines (AGS and MKN-45) to set up a tumor model of the nude mice, which were then treated daily with PPI to measure the cancer growth in vitro and in vivo. Ferroptosis was measured using immunofluorescence staining and flow cytometric analysis according to levels of intracellular ROS, lipid ROS and ferrous ions. Moreover, NRF2 expression was measured by Western blotting. In some experiments, the mimics or inhibitors of miR-124-3p were used to further confirm its involvement in PPI-induced cancer cell ferroptosis. Results: Here we found that miR-124-3p mediated cancer ferroptosis and tumor repression induced by PPI since PPI increased miR-124-3p expression in gastric cancer cells and promoted their ferroptosis, whereas inhibition of miR-124-3p mostly abolished the effects of PPI on tumor growth, ferroptosis and NRF2 expression. Moreover, miR-124-3p mimics promoted cancer cell ferroptosis by downregulating NRF2 through directly targeting 3'-UTR region of NRF2, confirming a role for miR-124-3p in regulating PPI-induced ferroptosis. Conclusion: PPI exerts its antitumoral effects on the gastric cancer by promoting cell ferroptosis via regulating miR-124-3p. Our findings have clinical implications for cancer chemotherapy.

9.
J Clin Neurosci ; 118: 7-11, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37832266

RESUMO

BACKGROUND: The association between nonalcoholic fatty liver disease (NAFLD) and intracerebral hemorrhage (ICH) remains unclear. This study aimed to investigate whether NAFLD and its severity predict incident ICH. METHODS: Participants free of other liver diseases, prior stroke, myocardial infarction, cancer, or alcohol abuse in the Kailuan cohort were enrolled in this study. Abdominal ultrasonography was used to diagnose NAFLD and assess its severity. Participants were stratified into different groups including nonfatty liver, mild, moderate and severe NAFLD. Multivariable Cox proportional hazards regression models were used to evaluate the hazard ratios (HRs) and 95% CIs of ICH events in the 11-year follow-up. RESULTS: A total of 77,461 participants were enrolled in our study. Among them, NAFLD was diagnosed in 23,890 (30.83 %) participants, including 15,581 (20.11 %) with mild NAFLD, 6839 (8.83 %) with moderate NAFLD and 1470 (1.90 %) with severe NAFLD. We documented 692 ICH events during 848,579 person years of follow-up. Patients with more severe NAFLD tended to be older, had higher levels of BMI, higher proportions of hypertension, diabetes and other known risk factors for cerebrovascular disease. However, there was no significant associations between NAFLD, its severity and incident ICH events. Relative to nonfatty liver participants, the HRs for participants with mild NAFLD, moderate and severe NAFLD were 0.98 (95 % CI, 0.80 to 1.20), 1.19 (95 % CI, 0.92 to 1.54) and 1.29 (95 % CI, 0.81 to 2.06), respectively. CONCLUSIONS: NAFLD and its severity did not appear to be significantly associated with ICH after adjustment for potential risk factors.


Assuntos
Hepatopatia Gordurosa não Alcoólica , Humanos , Hepatopatia Gordurosa não Alcoólica/complicações , Hepatopatia Gordurosa não Alcoólica/diagnóstico por imagem , Hepatopatia Gordurosa não Alcoólica/epidemiologia , Estudos de Coortes , Fatores de Risco , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/epidemiologia , Hemorragia Cerebral/complicações
11.
Front Oncol ; 13: 1186319, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37223684

RESUMO

Background: Few studies have focused on the performance of Briganti 2012, Briganti 2017 and MSKCC nomograms in the Chinese population in assessing the risk of lymph node invasion(LNI) in prostate cancer(PCa) patients and identifying patients suitable for extended pelvic lymph node dissection(ePLND). We aimed to develop and validate a novel nomogram based on Chinese PCa patients treated with radical prostatectomy(RP) and ePLND for predicting LNI. Methods: We retrospectively retrieved clinical data of 631 patients with localized PCa receiving RP and ePLND at a Chinese single tertiary referral center. All patients had detailed biopsy information from experienced uropathologist. Multivariate logistic-regression analyses were performed to identify independent factors associated with LNI. The discrimination accuracy and net-benefit of models were quantified using the area under curve(AUC) and Decision curve analysis(DCA).The nonparametric bootstrapping were used to internal validation. Results: A total of 194(30.7%) patients had LNI. The median number of removed lymph nodes was 13(range, 11-18). In univariable analysis, preoperative prostate-specific antigen(PSA), clinical stage, biopsy Gleason grade group, maximum percentage of single core involvement with highest-grade PCa, percentage of positive cores, percentage of positive cores with highest-grade PCa and percentage of cores with clinically significant cancer on systematic biopsy differed significantly. The multivariable model that included preoperative PSA, clinical stage, biopsy Gleason grade group, maximum percentage of single core involvement with highest-grade PCa and percentage of cores with clinically significant cancer on systematic biopsy represented the basis for the novel nomogram. Based on a 12% cutoff, our results showed that 189(30%) patients could have avoided ePLND while only 9(4.8%) had LNI missing ePLND. Our proposed model achieved the highest AUC (proposed model vs Briganti 2012 vs Briganti 2017 vs MSKCC model: 0.83 vs 0.8 vs 0.8 vs 0.8, respectively) and highest net-benefit via DCA in the Chinese cohort compared with previous nomograms. In internal validation of proposed nomogram, all variables had a percent inclusion greater than 50%. Conclusion: We developed and validated a nomogram predicting the risk of LNI based on Chinese PCa patients, which demonstrated superior performance compared with previous nomograms.

12.
J Hazard Mater ; 452: 131307, 2023 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-37023579

RESUMO

The removal of a class of toxic thiol-containing heterocyclic pollutants from complex water matrices has great environmental significance. In this study, a novel photoanode (Au/MIL100(Fe)/TiO2) with dual recognition functions was designed for selective group-targeting photoelectrocatalytic removal of thiol-containing heterocyclic pollutants from various aquatic systems. The average degradation and adsorption removal efficiency of 2-mercaptobenzimidazole, 2-mercaptobenzothiazole, and 2-mercaptobenzoxazole were still above 96.7% and 13.5% after selective treatment with Au/MIL100(Fe)/TiO2 even coexisting with 10-fold concentration of macromolecular interferents (sulfide lignin and natural organic matters) and the same concentration of micromolecular structural analogues. While they were below 71.6% and 3.9% after non-selective treatment with TiO2. Targets in the actual system were selectively removed to 0.9 µg L-1, which is 1/10 of that after non-selective treatment. FTIR, XPS and operando electrochemical infrared results proved that the highly specific recognition mechanism was mainly attributable to both the size screening of MIL100(Fe) toward targets and Au-S bond formed between -SH group of targets and Au of Au/MIL100(Fe)/TiO2. •OH are the reactive oxygen species. The degradation mechanism was further investigated via excitation-emission matrix fluorescence spectroscopy and LC-MS. This study provides new guidelines for the selective group-targeting removal of toxic pollutants with characteristic functional groups from complex water matrices.


Assuntos
Poluentes Ambientais , Poluentes Químicos da Água , Titânio/química , Compostos de Sulfidrila , Água , Poluentes Químicos da Água/química
13.
Food Chem ; 422: 136189, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37116271

RESUMO

There is strong interest in non-destructive and rapid determination of food freshness in food research. In this study, mid-infrared (MIR) fiber-optic evanescent wave (FOEW) spectroscopy was applied to monitor shrimp freshness through the evaluation of protein, chitin, and calcite contents in conjunction with a Partial Least Squares Discriminant Analysis (PLS-DA) model. Shrimp shells were wiped with a micro fiber-optic probe to obtain a FOEW spectrum which quickly and nondestructively allowed evaluation of the shrimp freshness. Peaks for proteins, chitin, and calcite, which are closely related to shrimp freshness, were detected and quantified. Compared with the standard indicator for evaluating shrimp freshness (total volatile basic nitrogen), the PLS-DA model gave recognition rates for shrimp freshness using calibration and validation sets of the FOEW data of 87.27%, 90.28%, respectively. Our results show that FOEW spectroscopy is a feasible method for non-destructive and in-site detection of shrimp freshness.


Assuntos
Tecnologia de Fibra Óptica , Alimentos Marinhos , Tecnologia de Fibra Óptica/métodos , Espectrofotometria Infravermelho , Análise dos Mínimos Quadrados , Calibragem
14.
ACS Chem Neurosci ; 14(10): 1701-1716, 2023 05 17.
Artigo em Inglês | MEDLINE | ID: mdl-37104541

RESUMO

Neuropathic pain is a chronic condition that tends to worsen over time, leading to a significant decline in patients' quality of life. The elderly population is disproportionately affected by this burden, as evidenced by the high prevalence of this condition in such a demographic. While previous studies have demonstrated the involvement of various signaling pathways critical to neuropathic pain, the relationship between aging and the onset or persistence of this condition has been overlooked. Greater focus was placed on the efficacy and tolerability of medications, as well as new protocols for assessing pain in patients with cognitive impairment, with less regard for reasons underlying the increased susceptibility of elderly individuals to pain. This Review thus aims to summarize the contributions of aging to neuropathic pain, covering weakened repair function, increased intracellular calcium signaling, enhanced oxidative stress, dysfunctional brain function, impaired descending inhibition, alterations in the innate immune cell population, and the effects of comorbidity caused by aging. A better understanding of these aspects could drive new treatment options thereby yielding better outcomes for elderly patients in pain.


Assuntos
Neuralgia , Qualidade de Vida , Humanos , Idoso , Neuralgia/tratamento farmacológico , Envelhecimento , Doença Crônica
15.
Spectrochim Acta A Mol Biomol Spectrosc ; 297: 122741, 2023 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-37080049

RESUMO

BODIPY derivatives have often been employed as fluorescent sensors to probe toxic ions in environment and living systems, such as sulfide ion (S2-). Whilst many structure modifications have been exploited on groups at the 3, 5, 8-positions, there are quite few examples on tailoring the 2,6-substituents for chemosensor investigations. Herein, we design and synthesize a 2,6-substituted BODIPY molecule, LM-BDP, to use as a fluorescent probe for detecting S2- in aqueous media. The electronic and crystal structures of the probe are studied by density functional theory (DFT) calculations and single-crystal X-ray diffraction analysis. Spectroscopy investigations are performed in a variety of conditions, showing that LM-BDP exhibits a noticeable color change from pink to dark red and a fluorescence shift from yellow to pink channel with decreased intensity upon addition of S2-. The selectivity and sensitivity measurements show that LM-BDP can only response to S2- with a detection limit of 0.29 µM in less than 100 s. The remarkable contrast in fluorescence images in test-stripe and RAW 264.7 cell experiments indicates that the probe is a proper candidate for the application in detecting exogenous S2-.

16.
Sensors (Basel) ; 23(5)2023 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-36905071

RESUMO

OBJECTIVE: To accurately achieve distal contact force, a novel temperature-compensated sensor is developed and integrated into an atrial fibrillation (AF) ablation catheter. METHODS: A dual elastomer-based dual FBGs structure is used to differentiate the strain on the two FBGs to achieve temperature compensation, and the design is optimized and validated by finite element simulation. RESULTS: The designed sensor has a sensitivity of 90.5 pm/N, resolution of 0.01 N, and root-mean-square error (RMSE) of 0.02 N and 0.04 N for dynamic force loading and temperature compensation, respectively, and can stably measure distal contact forces with temperature disturbances. CONCLUSION: Due to the advantages, i.e., simple structure, easy assembly, low cost, and good robustness, the proposed sensor is suitable for industrial mass production.

17.
Medicine (Baltimore) ; 102(11): e33274, 2023 Mar 17.
Artigo em Inglês | MEDLINE | ID: mdl-36930101

RESUMO

BACKGROUND: The new coronavirus disease 2019 (COVID-19) pandemic is raging worldwide. The administered vaccination has become a significant vehicle against the virus. Three hypotheses were made and required for validation: the number of vaccines administered is related to the country gross domestic product (GDP), vaccines can reduce the fatality rate (FR), and dashboards can present more meaningful information than traditionally static visualizations. Research data were downloaded from the GitHub website. The aims of this study are to verify that the number of vaccination uptakes is related to the country GDP, that vaccines can reduce FR, and that dashboards can provide more meaningful information than traditionally static visualizations. METHODS: The COVID-19 cumulative number of confirmed cases (CNCCs) and deaths were downloaded from the GitHub website for countries/regions on November 6, 2021. Four variables between January 1, 2021, and November 6, 2021, were collected, including CNCCs and deaths, GDP per capita, and vaccine doses administered per 100 people (VD100) in countries/regions. We applied the Kano model, forest plot, and choropleth map to demonstrate and verify the 3 hypotheses using correlation coefficients (CC) between vaccination and FRs. Dashboards used to display the vaccination effects were on Google Maps. RESULTS: We observed that the higher the GDP, the more vaccines are administered (Association = 0.68, t = 13.14, P < .001) in countries, the FR can be reduced by administering vaccinations that are proven except for the 4 groups of Asia, Low income, Lower middle income, and South America, as well as the application (app) with dashboard-type choropleth map can be used to show the comparison of vaccination rates for countries/regions using line charts. CONCLUSION: This research uses the Kano map, forest plot, and choropleth map to verify the 3 hypotheses and provides insights into the vaccination effect against the FR for relevant epidemic studies in the future.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Nigéria , Renda , Vacinação , Pandemias/prevenção & controle
18.
World Neurosurg ; 169: e102-e109, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36309336

RESUMO

BACKGROUND: The relationship between Roussouly type and Modic changes (MC) is unknown. The aim of our study was to investigate the influence of Roussouly type on the characteristics of MC in patients with lumbar degenerative disc disease. METHODS: This cross-sectional observational study from Huashan Hospital included 270 patients with lumbar degenerative disc disease. Subjects were divided into 4 groups according to the Roussouly classification. Prevalence, subtype, and distribution characteristics of MC from L1-L2 upper end plate to L5-S1 lower end plate were compared between 4 Roussouly types. RESULTS: Of 270 patients, 65 (24.1%) were Roussouly type I, 115 (42.6%) were Roussouly type II, 55 (20.4%) were Roussouly type III, and 35 (13.0%) were Roussouly type IV. MC were present in 45.9% (n = 270) of patients, 12.7% (n = 2700) of end plates, and 11.8% (n = 1350) of intervertebral discs. The prevalence rate of MC by subtype and intervertebral disc among the 4 Roussouly types was statistically different (P < 0.05), and the prevalence rate of MC by intervertebral disc in Roussouly type I was statistically higher than the other 3 Roussouly types. In Roussouly types I and IV, the prevalence rate of MC at L4-L5 level showed no significant differences compared with those at upper lumbar levels, while in Roussouly types II and III, the prevalence rate of MC at L4-L5 level was significantly higher than those at upper lumbar levels. CONCLUSIONS: Roussouly types can influence prevalence, subtype, and distribution characteristics of MC in patients with lumbar degenerative disc disease.


Assuntos
Degeneração do Disco Intervertebral , Disco Intervertebral , Humanos , Degeneração do Disco Intervertebral/diagnóstico por imagem , Degeneração do Disco Intervertebral/epidemiologia , Estudos Transversais , Prevalência , Vértebras Lombares/diagnóstico por imagem , Imageamento por Ressonância Magnética
19.
World Neurosurg ; 170: e673-e680, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36436775

RESUMO

OBJECTIVE: To compare the preoperative and postoperative hand function and radiographic parameters in female patients with Hirayama disease (HD). METHODS: Consecutive female patients with HD undergoing anterior cervical discectomy and fusion were followed up. The postoperative hand functional data were obtained from the last follow-up, whereas the postoperative radiographic data were obtained from the examinations in 3- or 6-month follow-up after surgical treatments. The preoperative and postoperative data of hand functional and radiographic assessments were collected and compared between them. Logistic regression analysis was used to clear potential risk factors for surgical treatment. RESULTS: In all, 15 female patients with HD were included in the follow-up study over 9 years. Significant differences were found in total scores (P < 0.001) and all 6 dimensions, including function (P = 0.003), activities of daily life (P = 0.002), work (P = 0.003), satisfaction (P = 0.002), appearance (P = 0.005), and HD-specific hand symptoms (P = 0.001) in hand functional assessment. The comparison of C2-C7 Cobb angle was statistically different (P = 0.042) in radiographic assessments. The course of illness was of marginal significance (P = 0.065) with curative effect of surgical treatment in logistic regression analysis. CONCLUSIONS: Anterior cervical discectomy and fusion is an effective way to treat female patients with HD, and the course of illness may be correlated with the efficacy of surgery. For some female patients with HD with a clear diagnosis, early surgical treatment is worthy of clinical consideration.


Assuntos
Vértebras Cervicais , Fusão Vertebral , Humanos , Feminino , Seguimentos , Vértebras Cervicais/diagnóstico por imagem , Vértebras Cervicais/cirurgia , Fusão Vertebral/métodos , Discotomia/métodos , Resultado do Tratamento , Estudos Retrospectivos
20.
Microbiol Spectr ; 10(6): e0240922, 2022 12 21.
Artigo em Inglês | MEDLINE | ID: mdl-36453944

RESUMO

Staphylococcus epidermidis is part of the normal microbiota that colonizes the skin and mucosal surfaces of human beings. Previous studies suggested that S. epidermidis possessed low virulence, but recent studies confirmed that it can acquire high virulence from Staphylococcus aureus and with the increasing detection of methicillin-resistant S. epidermidis. It has become a major pathogen of graft-associated and hospital-acquired infections. In previous studies, we modified the antimicrobial peptide Cec4 (41 amino acids) and obtained the derived peptide C9 (16 amino acids) showing better antimicrobial activity against S. epidermidis with an MIC value of 8 µg/mL. The peptide has rapid bactericidal activity without detectable high-level resistance, showing certain inhibition and eradication ability on S. epidermidis biofilms. The damage of cell membrane structures by C9 was observed by scanning emission microscopy (SEM) and transmission electron microscopy (TEM). In addition, C9 altered the S. epidermidis cell membrane permeability, depolarization levels, fluidity, and reactive oxygen species (ROS) accumulation and possessed the ability to bind genomic DNA. Analysis of the transcriptional profiles of C9-treated cells revealed changes in genes involved in cell wall and ribosome biosynthesis, membrane protein transport, oxidative stress, and DNA transcription regulation. At the same time, the median lethal dose of C9 in mice was more than 128 mg/kg, and the intraperitoneal administration of 64 mg/kg was less toxic to the liver and kidneys of mice. Furthermore, C9 also showed a certain therapeutic effect on the mouse bacteremia model. In conclusion, C9 may be a candidate drug against S. epidermidis, which has the potential to be further developed as an antibacterial therapeutic agent. IMPORTANCE S. epidermidis is one of the most important pathogens of graft-related infection and hospital-acquired infection. The growing problem of antibiotic resistance, as well as the emergence of bacterial pathogenicity, highlights the need for antimicrobials with new modes of action. Antimicrobial peptides have been extensively studied over the past 30 years as ideal alternatives to antibiotics, and we report here that the derived peptide C9 is characterized by rapid bactericidal and antibiofilm activity, avoiding the development of resistance by acting on multiple nonspecific targets of the cell membrane or cell components. In addition, it has therapeutic potential against S. epidermidis infection in vivo. This study provides a rationale for the further development and application of C9 as an effective candidate antibiotic.


Assuntos
Staphylococcus aureus Resistente à Meticilina , Staphylococcus epidermidis , Humanos , Animais , Camundongos , Staphylococcus epidermidis/fisiologia , Resistência a Meticilina , Plâncton , Biofilmes , Antibacterianos/farmacologia , Antibacterianos/metabolismo , Peptídeos/farmacologia , DNA/metabolismo , Testes de Sensibilidade Microbiana
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