[Feasibility and safety of transseptal transcatheter mitral valve replacement for severe mitral regurgitation].

A prospective, single-center, single-arm, and open-design study was performed to evaluate the feasibility and safety of transseptal transcatheter mitral valve replacement in the treatment of severe mitral regurgitation. Patients with symptomatic moderate-severe or severe mitral regurgitation at high-surgical risk and anatomically appropriate for the HighLife transseptal mitral valve replacement (TSMVR) system in West China Hospital, Sichuan University from December 2021 to August 2022 were enrolled. Four patients (1 male and 3 females) with severe mitral regurgitation were included, with a median age of 68.5 (64.0-77.0) years and a median Society of Thoracic Surgeons (STS) score of 8.1% (6.4%-8.9%). Technical success was achieved in all the patients. There was no residual mitral regurgitation, paravalvular leakage, or left ventricular outflow tract obstruction. Three major cardiovascular and cerebrovascular adverse events occurred within 30 days after the procedure, including ventricular tachycardia, iatrogenic atrial septal defect closure, and heart failure readmission. The current study preliminarily demonstrates that transcatheter mitral valve replacement using the HighLife system via the transseptal approach for severe mitral regurgitation is feasible and relatively safe.

[Analysis of the characteristics of delayed high-degree atrioventricular block after transcatheter aortic valve replacement].

Objective: To investigate the characteristics of delayed high-degree atrioventricular block (DHAVB) after transcatheter aortic valve replacement (TAVR). Methods: One hundred and seventy-six patients who underwent TAVR with a self-extending valve between May 2014 and November 2018 in the Department of Cardiology, West China Hospital of Sichuan University, were retrospectively enrolled, including 101 males and 75 females, aged 54-92 (73±7) years, and the data were collected during the perioperative and 30 d follow-up periods. According to the occurrence of HAVB after TAVR, 160 patients were divided into no-HAVB group (145 cases) and DHAVB group (15 cases), except 16 patients who developed HAVB within 2 days after TAVR. Baseline data, intraoperative data, and immediate postoperative ECG characteristics were compared between the two groups, and logistic regression models were used to analyze the factors associated with the occurrence of DHAVB after TAVR. Meanwhile, the diagnostic ability of the postoperative routine 12-lead ECG for DHAVB was evaluated using the ambulatory ECG findings as the standard diagnosis. Results: The incidence of DHAVB was 8.5% (15/176) and occurred at 5 (4, 6) d. Compared with the no-HAVB group. The percentage of no new conduction block on the immediate postoperative ECG was lower in the DHAVB group [6/15 vs 66.2%(96/145), P=0.044], and the percentage of new right bundle branch block on the immediate postoperative ECG was higher [4/15 vs 3.4%(5/145), P=0.002]. Multifactorial logistic regression analysis showed that right bundle branch block on the immediate postoperative ECG [OR (95%CI):6.60 (1.26-34.47), P=0.025] was an associated factor for the development of DHAVB after TAVR. The specificity of postoperative routine 12-lead ECG for the diagnosis of DHAVB was 100% (145/145), but the sensitivity was only 73.3% (11/15). Conclusions: The incidence of DHAVB after TAVR is also high in Chinese. The immediate postoperative ECG characteristics of patients who underwent TAVR are associated with DHAVB events, and applying these characteristics to risk stratify patients may optimize the management of DHAVB after TAVR.

Mir-138-5p acts as a tumor suppressor by targeting pyruvate dehydrogenase kinase 1 in human retinoblastoma.

OBJECTIVE: MicroRNAs have caught more attention for their role in tumor progression. Retinoblastoma (RB) is one of these ordinary malignant tumors. This study aims to identify whether mir-138-5p can regulate the development of RB, and find out its potential mechanism. MATERIALS AND METHODS: Mir-138-5p expression in RB cells was monitored by RT-qPCR. Besides, the role of mir-138-5p in RB development was explored through function experiments in vitro. The potential mechanism was further explored by RT-qPCR, luciferase assay, and Western blot assay. RESULTS: In our investigation, mir-138-5p was lower-expressed in RB cells than that in retinal pigment epithelial cells. Moreover, overexpression of mir-138-5p repressed cell viability, migration and invasion, and induced apoptosis of RB cells, while downregulated mir-138-5p increased cell viability, migration and invasion, and reduced apoptosis of RB cells. Furthermore, pyruvate dehydrogenase kinase 1 (PDK1) could be downregulated via overexpression of mir-138-5p, while PDK1 was upregulated via knockdown of mir-138-5p. CONCLUSIONS: Our results suggested that mir-138-5p could repress the development of RB via suppressing PDK1, which may offer a new vision for interpreting the mechanism of RB tumorigenesis.

Effect of Trap Color, Height, and Orientation on the Capture of Yellow and Stick Tea Thrips (Thysanoptera: Thripidae) and Nontarget Insects in Tea Gardens.

Two thrips species-the yellow tea thrips ( Scirtothrips dorsalis Hood) and the stick tea thrips ( Dendrothrips minowai Priesner)-are serious pests affecting tea plants in southern China. Although the stick tea thrips is primarily restricted to southern China, the yellow tea thrips is gradually proliferating worldwide. Colored sticky card traps may be useful for monitoring and capturing these species, but a systematic analysis has not been conducted to identify the most effective trap color, height, and orientation. We performed indoor experiments using an orthogonal experimental design, as well as field tests in tea gardens, to identify the color most attractive to the two thrips species. Field tests were then conducted using color-optimized traps-lawngreen (RGB: 124, 252, 0) for yellow thrips and lime (RGB: 0, 255, 0) for stick tea thrips-to determine the most effective trap height and orientation. The greatest numbers of both yellow and stick tea thrips were captured on traps positioned 0-20 cm above the tea canopy in an east-west orientation. We also evaluated the performance of the color-optimized sticky card traps compared with commercially available yellow ones. Significantly more yellow and stick tea thrips and fewer natural enemies were captured on the color-optimized traps than on commercial ones. Although additional research is needed to explain the responses of the two different species and to increase trap effectiveness, our findings should assist in the control of these harmful insects.

Identification and evaluation of endogenous control genes for use in quantitative RT-PCR during wheat (Triticum aestivum L.) grain filling.

The use of appropriate reference genes is essential for the generation of accurate and biologically meaningful results from quantitative real-time PCR (qRT-PCR) analysis. However, studies have found that the expression of most commonly used reference genes is not always independent of the tissues, treatments, or developmental stages studied. geNormPlus, NormFinder, and BestKeeper, were applied and the expression stability of nine candidate genes was evaluated in different data sets during wheat grain development. Varying degrees of diversity in either single or multiple reference genes were observed among the results generated from the different computer programs, parameters, and data sets. Therefore, the reliability of identified reference genes in the flag leaf and the complete set of samples was estimated by monitoring the expression dynamics of three NAM genes (TaNAM-A1, TaNAM-B1, and TaNAM-B2). The results suggest that a single control gene identified by geNormPlus for use with the complete set of samples, and multiple reference genes selected by geNormPlus and NormFinder exclusively for the flag leaf outperformed others owing to the consistent results with previous analyses of these genes, which were normalized against a verified single control gene. Given the limit of NormFinder in gene numbers of multiple reference genes, robust quantification can be achieved by normalizing against Ta27922 or multiple reference genes chosen by geNormPlus for individual tissues.

On the reliability of fungal materials used in studies on Ophiocordyceps sinensis.

Ophiocordyceps sinensis (≡Cordyceps sinensis) is one of the best known traditional Chinese medicines, with great benefits to human health and huge economic value. The reliability of fungal materials used in studies of the species is particularly important because contradictory results have been found in various studies in the past decades. Examination of fungal materials specified in reports on O. sinensis showed great variation in both sources and culture conditions of living strains. To test the reliability of the materials used, experiments were carried out to study the effect of culture conditions on the growth of living strains of O. sinensis by using six reliable strains representing the major production regions of the fungus on the Tibetan Plateau. The results showed that O. sinensis is a slow-growing fungus at comparatively low temperature, and that temperature and growth period are crucial factors which can be verified by experiment. Analyses of fungal materials used in 152 papers on O. sinensis from PubMed since 1998 showed that 41 papers lacked detailed information on the fungal materials; 26 used natural products, 11 used artificially cultivated fruit bodies, and 80 used fermentation products from living strains. Of the latter category (using fermentation products), 64 of the papers were found to use unreliable (45) or uncertain (19) strains for fermentation products based on the temperature and growth period for O. sinensis strains verified in this study. Apart from the natural products of O. sinensis, which require scientific identification, a total of at least 116 papers (over three-quarters) used unreliable, uncertain or unspecified materials, including so-called cultivated fruit bodies which were apparently from other species. The reliability of materials or living strains used in studies on O. sinensis is discussed in this paper, and suggestions are made for use of reliable fungal materials in further studies of this fungus.

Effects of sleep deprivation on human postural control, subjective fatigue assessment and psychomotor performance.

This study aimed to investigate the effects of sleep deprivation on postural control, subjective fatigue assessment and psychomotor performance, and to assess the efficiency of an objective posturographic test as an indicator of mental fatigue. Postural sway using static posturography (Romberg's test), subjective fatigue assessment (Stanford Sleepiness Scale) and psychomotor performance (Sternberg dual-task test) were assessed in 12 subjects before and after 24 h of sustained wakefulness. After sustained wakefulness, the Romberg test parameters of circumference area and rectangle area with the eyes-closed, and standard deviation in the anterior-posterior direction with the eyes-open were significantly higher compared with baseline values (before sustained wakefulness). Subjective fatigue assessment scores were also significantly increased, while psychomotor performance was unchanged. Sleep deprivation can arouse a feeling of fatigue and can affect postural stability, hence an objective posturographic test score may be useful as an indicator of mental fatigue.

In vitro evaluation of antioxidant activities of aqueous extracts from natural and cultured mycelia of Cordyceps sinensis.

Cordyceps sinensis, one of the best known traditional Chinese medicines and health foods, has been highly valued for the treatment of a wide range of diseases and reported to have antioxidant properties. In the present study, the antioxidant activities of hot-water extracts from natural and cultured mycelia of C. sinensis were investigated and evaluated using six in vitro assays, including inhibition of linoleic acid peroxidation; scavenging abilities on DPPH•, hydroxyl and superoxide anion radicals; the reducing power and the chelating ability on ferrous ions. Among these assays, the extracts showed the best effect on the inhibition of linoleic peroxidation with the lowest IC50 values and with an inhibition rate over 90% at concentration of 0.8-1.6 mg/ml, more stable than that of α-tocopherol, a recognised natural antioxidant. The scavenging activities on superoxide anion and hydroxyl radicals of the two extracts were slightly lower than that of butylated hydroxytoluene. DPPH• scavenging activities of both extracts reached over 80% inhibition at 4-8 mg/ml. Both extracts showed moderate reducing power and ferrous ion chelating activity. The IC50 value of the extract from cultured mycelia in all the tests, except for linoleic acid peroxidation, was significantly lower than that of natural mycelia. There was no evident correlation between the antioxidant activity and the content of protein, polysaccharides and mannitol of extracts from C. sinensis; the antioxidant activity may be due to a combined effect of these or some other compounds. These results suggested that both the extracts from cultured and natural mycelia have direct and potent antioxidant activities and that the cultured mycelia of the fungus could be used for the antioxidant activity to reduce the human demands on the natural resources of the fungus, an endangered species.

Intrastrain internal transcribed spacer heterogeneity in Ganoderma species.

Intrastrain internal transcribed spacer (ITS) heterogeneity is first reported from Ganoderma, a fungal genus within Basidiomycetes. ITS amplification products from 4 strains, representing 4 Ganoderma species, were cloned and sequenced. Two to five different ITS types were found within a single strain. The clone sequences were analyzed along with other sequences from Ganoderma retrieved from GenBank. The results show that sequence variation within strains varies considerably with species and the heterogeneity may occur in the 3 parts (ITS1, ITS2, and 5.8S) of the ITS region.

Nutritional requirements of mycelial growth of Cordyceps sinensis in submerged culture.

AIMS: The nutritional requirements for mycelial growth of Cordyceps sinensis in semi-synthetic liquid media were investigated. The results provide a basis for further physiological study and industrial fermentation of the fungus. METHODS AND RESULTS: Nutritional requirements, including 17 carbohydrates, 16 nitrogen compounds, nine vitamins, four macro-elements, four trace-elements and eight ratios of carbon to nitrogen, were studied for their effects on the mycelial growth in submerged cultures of C. sinensis by using one-factor-at-a-time and orthogonal matrix methods. Among these variables, sucrose, peptone, folic acid, calcium, zinc and a carbon to nitrogen ratio 12 : 1 were identified as the requirements for the optimum mycelial growth. The concentrations of sucrose, peptone and yeast extract were optimized and the effects of medium composition on mycelial growth were found to be in the order sucrose > yeast extract > peptone. The optimal concentration for mycelial growth was determined as 50 g l(-1) sucrose, 10 g l(-1) peptone and 3 g l(-1) yeast extract. CONCLUSIONS: Under optimal culture conditions, over 22 g l(-1) of mycelial biomass could be obtained after 40 days in submerged cultures. SIGNIFICANCE AND IMPACT OF THE STUDY: Cordyceps sinensis, one of the most valued medicinal fungi, is shown to grow in axenic culture. This is the first report on nutritional requirements and design of a simplified semi-synthetic medium for mycelial growth of this psychrophilic species, which grows slowly below 20 degrees C. The results of this study will facilitate research on mass production of the fungus under defined culture conditions.

A fatal case of hepatic failure possibly induced by nitrosofenfluramine: a case report.

A 42-year-old female developed fulminant hepatic failure after having ingested an undetermined quantity of a herbal product over a period of approximately four months prior to the onset of her illness. Clinically, the cause of liver failure was assessed to be drug-induced and she eventually underwent total hepatectomy, with porto-caval shunting, in anticipation of a living-unrelated liver transplant. Unfortunately, her condition deteriorated and she died less than 48 hours post-operatively, approximately three weeks post-admission. An autopsy showed that the subject was deeply jaundiced and severely obese (BMI: 47.1 kg m(-2)), with evidence of diffuse haemorrhage, including the presence of 1.35 l of blood in the peritoneal cavity. The liver had been removed and was later recovered as a formalin-fixed specimen which was markedly contracted, comprising multiple micronodules interspersed with extensive areas of dense fibrotic tissue. Histologically, there was massive necrosis of the hepatic parenchyma, such that the residual hepatocytes were disposed as nodules displaying variable cellular regeneration and ballooning degeneration, attended by florid ductal proliferation and mixed inflammatory infiltrates. Infective, autoimmune, metabolic, vascular, neoplastic and most other natural causes of massive hepatocellular necrosis were effectively excluded. Analysis of the post-mortem blood samples yielded fluconazole, metronidazole, frusemide, lignocaine and tramadol, (therapeutic agents administered to the patient during her last illness). Subsequent analysis of the residual capsules revealed that they were adulterated by fenfluramine, N-nitrosofenfluramine (1.3-1.6 mg per capsule), nicotinamide (13.3-15.6 mg per capsule) and thyroid extract. None of the herbal ingredients is currently known to be hepatotoxic and much the same applies to fenfluramine, nicotinamide (except when taken in mega-doses) and thyroid extract. However, as nitrosamines are known to be variably hepatotoxic, it would be reasonable to surmise that, in the absence of a more plausible cause of liver damage, N-nitrosofenfluramine was the likely cause of massive hepatocellular necrosis in this instance.

Changes of human cerebral bottom arterial hemodynamics during 21 d head-down tilt (-6 degrees) bed-rest.

OBJECTIVE: To investigate the change of human cerebral bottom arterial hemodynamics during 21 d simulated weightlessness. METHOD: 21 d -6 degrees head-down tilt bed rest (HDT) were used to simulate weightlessness. 6 healthy male, aged 24.8 +/- 6.1 served as subjects. Systolic blood velocity (Vs), diastolic blood velocity (Vd), mean blood velocity (Vm), pulsatility index (PI), resistance index (RI) and other indices of middle cerebral arteries (MCA), anterior cerebral artery (ACA) and posterior cerebral artery (PCA) were measured by transcranial ultrasound Doppler before HDT and on day 0 (D0), 1, 3, 7, 10, 21 of HDT. HUT +75 degrees 20 min orthostatic tolerance tests were done on day -1, 10, and 21 of HDT. RESULT: During HUT +75 degrees 20 min orthostatic tolerance test on day 10 and 21 of HDT, the average standing time were shorter than that of the pre-HDT values (P<0.05). On day 3 and 21 of HDT, Vs of right MCA reduced significantly than pre-HDT (P<0.05 or P<0.01). On day 1, 3, 7, 10 and 21 of HDT, Vs of right MCA were obviously lower than that on D0 (P<0.05 or P<0.01). Left MCA Vs on D0 increased significantly than that of pre-HDT (P<0.05), and both were significantly higher than those of the 3rd day of HDT (P<0.01). Right MCA Vm on the 3rd and 21st day of HDT were significantly lower than those pre-HDT and D0 (P<0.05 or P<0.01). On day 10 of HDT, Vm of right MCA were significantly reduced than that on D0 (P<0.05). Both MCA bilateral velocity difference (right Vm-left Vm) on the 3rd, 10th, 21st day of HDT, and MCA inter-hemispheric asymmetry index on the 10th, 21st day of HDT were significantly lower than that of pre-HDT (P<0.05 or P<0.01). CONCLUSION: 21 d HDT bed-rest decreased orthostatic tolerance, Vs of both side MCA, and Vm of right MCA. Lower Vs of both side MCA and the inter-hemispheric asymmetry of MCA during HDT maybe responsible, in part, for the increased risk of orthostatic intolerance.

[Changes of cardiac function during 21 d head-down tilt bed rest and the effect of lower body negative pressure in the last week].

OBJECTIVE: To investigate the change of cardiac function during 21 d head-down tilt (HDT) bed rest and the effect of lower body negative pressure (LBNP) in the last week in human. METHOD: 12 healthy male served as subjects which were randomly divided into control and LBNP groups, with 6 in each group. All of them were exposed to -6 degrees HDT for 21 d. The LBNP group received -4.0 kPa LBNP training 1 h/d in the last week of the test. The cardiac pump function and cardiac systole function were measured before, during and after HDT. RESULT: Cardiac output, cardiac index and stroke volume decreased significantly, whereas total peripheral resistance, pre-ejection period (PEP), isovolumetric contraction time/left ventricular ejection time (LVET) and PEP/LVET increased significantly during HDT in both control and LBNP groups, compared to pre-HDT values, and they returned to normal level on day 2 post HDT. PEP and PEP/LVET in LBNP group were significantly higher than those in control group on day 21 of HDT and day 2 post HDT. CONCLUSION: The reduction of cardiac pump function and cardiac systole function induced by 21 d HDT could not be prevented by LBNP training in the last week of 21 d HDT.

Role of PTCH and p53 genes in early-onset basal cell carcinoma.

Basal cell carcinoma (BCC) is the most common skin cancer in the Western world. Ultraviolet (UV) exposure, race, age, gender, and decreased DNA repair capacity are known risk factors for the development of BCC. Of these, UVB irradiation from sunlight is the most significant risk factor. The incidence of sporadic BCC increases in individuals older than age 55, with the greatest incidence reported in individuals who are older than 70, and is rare in individuals who are younger than 30. In this study, we analyzed 24 BCC samples from individuals who had BCC diagnosed by the age of 30. Fifteen single-stranded conformation polymorphism variants in the PTCH gene were identified in 13 BCC samples. Sequence analysis of these single-stranded conformation polymorphism variants revealed 13 single nucleotide changes, one AT insertion, and one 15-bp deletion. Most of these nucleotide changes (nine of 15) were predicted to result in truncated PTCH proteins. Fifteen p53 mutations were also found in 11 of the 24 BCC samples. Thirty-three percent (five of 15) and 60% (nine of 15) of the nucleotide changes in the PTCH and p53 genes, respectively, were UV-specific C-->T and CC-->TT nucleotide changes. Our data demonstrate that the p53 and PTCH genes are both implicated in the development of early-onset BCC. The identification of UV-specific nucleotide changes in both tumor suppressor genes suggests that UV exposure is an important risk factor in early onset of BCC.

[Variety of lower body negative pressure tolerance after different repeated lower body negative pressure exposures].

AIM: To investigate the variety of lower body negative pressure (LBNP) tolerance after different repeated lower body negative pressure exposures and select the best one. METHODS: 27 health male subjects were divided into 3 groups at random and exposed in 8 consecutive daily LBNP of -5.33 kPa 8 min (group A), -6.67 kPa 4 min (group B), - 6.67 kPa 8 min (group C) respectively. Pre- and post- exposures, lower body negative pressure tolerance were measured. HR and BP are recorded during exposures. RESULTS: As compared with pre-exposure, Cumulative Stress Index (CSI) and During Negative Pressure(DNP) of group C are increased significantly after repeated LBNP exposures. During exposures HR increased and SBP decreased significantly. DBP did not change. CONCLUSION: LBNP tolerance were increased significantly after eight consecutive daily LBNP (- 6.67kPa) exposures. Among the three modes, this is the best one.

[Changes of cerebral blood flow during 21 d head-down tilt bed rest and the effect of lower body negative pressure during the last week].

Objective. To investigate the changes of cerebral blood flow (CBF) during 21 d head-down tilt (HDT) bed rest and the effect of lower body negative pressure (LBNP) in the last week. Method. Twelve healthy male subjects were randomly divided into control and LBNP groups, with 6 in each group. All of them were exposed to -6 degrees HDT for 21 d. The LBNP group received -4.0 kPa LBNP training 1 h/d in the last week of HDT while the control group did not. CBF and cerebral vascular resistance were measured by rheoencephalogram in pre-HDT, day 3, 10 and 21 of HDT. Result. In control group, left cerebral I quadrant area and inrush velocity decreased significantly during HDT, and left cerebral delta Gy wave crest height decreased significantly, whereas left cerebral resistance index increased significantly on day 3 and 21 of HDT as compared to those of pre-HDT. In LBNP group, left cerebral I quadrant area decreased significantly, and left cerebral delta Gy wave crest height and inrush velocity tended to decrease on day 3 and 21 of HDT, whereas left cerebral resistance index increased significantly during HDT as compared to those of pre-HDT. There were no significant differences between above indexes in control group and LBNP group. Conclusion. It is suggested that 21 d HDT may increase cerebral vascular resistance and decrease CBF, which can not be prevented by LBNP training in the last week of 21 d HDT.

[Effect of lower body negative pressure and rotating-table simulated push-pull effect in flight on cardiovascular function].

Objective. To explore the effect of push-pull effect (PPE) simulated by lower body negative pressure (LBNP) rotating-table, and observe the physiological responses to push-pull maneuver. Method. A special LBNP rotating-table was used to simulate the push-pull maneuver. 8 healthy adults participated randomly in two experiments. One was simulated PPE test, which include a series of head-up stand (HUT, +1 Gz) for 1 min, then in head-down stand (HDT, -1 Gz) for 30 s and again in HUT combining LBNP (-50 mmHg) for 10 min. The other one was control test, which only consists of HUT combining LBNP (-50 mmHg) for 10 min. Changes of heart rate (HR), blood pressure (BP), basic impedance (Z0) , stroke output (SO) , cardiac output (CO) and total peripheral resistance (TPR) were monitored by electrical impedance instrument during the experiment. Result. During simulated PPE experiment, 3 subjects presented presyncopal symptoms, with average standing time of 8.99 +/- 1.47 min, while during control test, all the subjects completed HUT combining LBNP for 10 min. In simulated PPE experiment, as compared with HUT (control), HR, Z0 during HDT were significantly lowered, while SV and CO were increased significantly. During HUT + LBNP, HR, Z0 and TPR were significantly higher, while SV and CO were significantly lower than that of control and HDT. SBP was increased significantly than control value when "HUT + LBNP" started, but during the whole process of "HUT + LBNP ", it became significantly lowered. In control experiment, the above mentioned indexes showed the same trend of as change compared with the control, however, the percentage of the change was lower than simulated PPE test, the change percentage in HR was not including. Conclusion. After headstand, head-up stand combining LBNP caused cardiovascular function descends, the degree was larger than simple head-up stand combining LBNP. LBNP rotating-table can be used to simulated push-pull effect.

[Effects of repeated low body negative pressure (LBNP) exposures on LBNP tolerance].

OBJECTIVE: To investigate variation of low body negative pressure (LBNP) tolerance and the relationship with change of heart function after repeated LBNP exposures. METHOD: Ten healthy subjects were exposed to eight min consecutive daily LBNP (-50 mmHg). Before and after this exposures, tolerance to LBNP was determined by a cumulative stress index (CSI) and duration of negative pressure (DNP). RESULT: The pre- and post repeated exposure values of CSI and DNP were 1058 +/- 216 s, 1354 +/- 233 s and 45833 +/- 12546 s mmHg, 63433 +/- 13458 s mmHg, respectively. It showed that both were increased significantly (P<0.05), and the heart function was showed to have a tendency of being enhanced. CONCLUSION: It suggested that LBNP tolerance increased after repeated exposures, which might be achieved via strengthening of ventricular contractivity, decreasing the compliance of peripheral vascular, the hypotensive [correction of hypotentive] reflex compensatory mechanisms becoming more effective, and increasing arterial blood pressure on heart level.

Mutation report: identification of a germline mutation in keratin 17 in a family with pachyonychia congenita type 2.

Pachyonychia congenita type 2 (PC-2), also known as Jackson-Lawler type PC, is an autosomal dominant disorder characterized by hypertrophic nail dystrophy associated with focal keratoderma and multiple pilosebaceous cysts. It has been demonstrated that PC-2 is associated with germline mutations in the keratin 17 (K17) gene and in its expression partner keratin 6b. In this report, we describe a novel germline mutation in K17, M88T, in a family with PC-2.