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1.
EClinicalMedicine ; 47: 101407, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35518121

RESUMO

Background: Functional constipation (FC) is an intractable disease that carries large financial burden as well as emotional and physical stress. We aimed to assess the efficacy and safety of the newly developed smartphone-controlled vibrating capsule (VC) in patients with FC. Methods: From December 2018 to February 2020, we did a multicenter, blinded, placebo-controlled randomised trial in six top general hospitals in China focusing on patients aged 18 to 80 with FC. Patients were randomly assigned in a 1:1 ratio to receive VCs or placebo treatment for six weeks (two capsules per week) after a two-week baseline period. The primary outcome was the responder rate, defined as the proportion of patients with an increase of at least one complete spontaneous bowel movement (CSBM) per week during treatment compared to baseline in the full analysis set. This trial is registered with ClinicalTrials.gov, number NCT04671264, and is completed. Findings: 107 patients aged from 18 to 74 were randomly assigned to receive VC (n = 53) or placebo treatment (n = 54). The responder rate in the VC group was significantly higher than that in the placebo group (64·2% vs. 35·8%; difference, 27·7% [95% CI, 10·4-45·1]; P = 0·005). More patients in the VC group reported weekly CSBMs ≥ 1 for at least four weeks during treatment (difference, 22·7% [95% CI, 8-46]; P = 0·022) and follow-up period (difference, 17.3% [95% CI, 0-35]; P = 0·048). The mean Patient Assessment of Constipation-Symptoms score and Patient Assessment of Constipation-Quality of Life score differed significantly from the baseline in both groups (all P < 0·0001). The most common adverse event associated with VC was abdominal discomfort (3·7%). Interpretation: VCs can promote defecation, as well as ameliorating symptoms and improving the quality of life in patients with FC with sustained efficacy. VC appears to be a potential alternative physical treatment for FC with the exact mechanism and parameters warranting further investigation. Funding: The study was supported by "One hundred leading scientists for 21st century" of Health Department of Shanghai Municipal Government (to ZL, No.2017BR005).

2.
Sci Total Environ ; 834: 155295, 2022 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-35439517

RESUMO

Perfluoroalkyl acids (PFAAs) are emerging contaminants that pose significant environmental and health concerns. Water-sediment-macrophyte residue systems were established to clarify the removal efficiency of PFAAs, explore possible removal pathways, and profile the dynamic succession of biofilm microbial communities in the decomposition process. These systems were fortified with 12 PFAAs at three concentration levels. Iris pseudacorus and Alisma orientale were selected as the decomposing emergent macrophytes. The removal rates in the treatments with residues of I. pseudacorus (IP) and A. orientale (AO) were 34.4% to 88.9% and 36.5% to 89.9%, respectively, which were higher than those in the control groups (CG) (30.3% to 86.9%), suggesting that decomposition could alter the removal of PFAAs. Sediment made the greatest contributions (preloaded 14.5% to 77.8% of PFAAs in IP, 14.3% to 78.2% in AO, and 27.4% to 71.9% in CG). PFAAs could also be removed by macrophyte residue sorption (0.0190% to 13.0% in IP and 0.016% to 15.6% in AO) and bioaccumulation of residual biofilm (the contributions of biofilm microbes and their extracellular polymeric substances were 0.0110% to 3.93% and 0.918% to 34.4%, respectively, in IP and 0.0141% to 4.65% and 1.49% to 34.1%, respectively, in AO). Significant correlations were observed between sediment/residue adsorption and bioaccumulation of biofilm microbes, and were significantly correlated with perfluoroalkyl chain length (p < 0.05). The dynamic succession of residual biofilm microbial communities was investigated. The largest difference was found at the preliminary stage. The most similar communities were found in AO on day 70 (with specific genera Macellibacteroides and WCHB1-32) and in IP on day 35 (with specific genera Aeromonas and Flavobacterium). This study is useful to understand the removal of PFAAs during the decomposition process, providing further assistance in removing PFAAs during the life cycle of macrophytes in wetlands.

3.
Exp Ther Med ; 23(5): 325, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35386621

RESUMO

Growing evidence indicates that vulnerable carotid plaque rupture is an important cause of stroke. However, the role of novel gemstone spectral imaging (GSI) in the assessment of vulnerable carotid plaques has remained to be sufficiently explored. Therefore, the aim of the present study was to provide a comprehensive evaluation of carotid atherosclerotic plaques using both GSI imaging biomarkers and serological biomarkers, and further explore their possible roles in the atherogenic process. The present study analyzed GSI data, including calcium content of carotid atherosclerotic plaques and spectral curve slope, as well as serum high-sensitivity C-reactive protein (Hs-CRP) and monocyte chemotactic protein-1 (MCP-1) levels in patients with a carotid atherosclerotic plaque using GSI-computed tomographic angiography and immunoturbidimetry. Patients with unstable plaque exhibited a significantly lower calcium content and higher spectral curve slope than those of the stable plaque group. In addition, patients with unstable plaque exhibited an increase in Hs-CRP and MCP-1 levels compared with those of the stable plaque and normal control groups. The alteration in GSI calcium content and spectral curve slope reflects a close link between calcification and plaque instability, while aberrant Hs-CRP and MCP-1 expression are involved in the formation or development of vulnerable plaques. Taken together, the present results strongly support the feasibility of using these serological and newly identified imaging parameters as multiple potential biomarkers relevant to plaque vulnerability or stroke progression.

4.
Water Res ; 216: 118324, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35339055

RESUMO

Understanding the interactions between dissolved organic matter (DOM) and perfluoroalkyl acids (PFAAs) is essential for predicting the distribution, transport, and fate of PFAAs in aquatic environments. Based on field investigations in the northwest of Taihu Lake Basin combined with laboratory experiments, we obtained DOM and PFAA concentrations as well as compositions and investigated key factors of DOM affecting PFAA variability and capture of PFAAs by DOM. Results indicated that the total concentrations of PFAAs were 73.4-689 ng/L in surface water and that PFAAs were dominated by C3-7 perfluoroalkyl carboxylic acids and perfluorooctane sulfonic acid. The main components of DOM included tyrosine-, fulvic-, and tryptophan-like substances. The Mantel test revealed a significant positive correlation between DOM and PFAAs (P = 0.0001). Fulvic-like substances were identified as the most crucial factors affecting PFAA variability. The laboratory experiments revealed that DOM can spontaneously aggregate into a microgel. Furthermore, 19.1-50.9% of PFAAs, DOM characteristic peaks, and several metals (Ca, Mg, Cu, and Fe) can be removed during aggregation, indicating the capacity of DOM binding organic/inorganic substances. The fulvic-like substances were more effectively removed than the protein-like substances. The distribution coefficients of all PFAAs except perfluorohexanoic acid significantly correlated with their perfluorinated carbon numbers (r = 0.975, p<0.001). Our results provided insights into the interactions between DOM and PFAAs, improving the understanding of the distribution, transport, and fate of PFAAs in aquatic environments.


Assuntos
Fluorcarbonetos , Poluentes Químicos da Água , 2,5-Dimetoxi-4-Metilanfetamina , China , Monitoramento Ambiental , Fluorcarbonetos/análise , Lagos/química , Rios/química , Poluentes Químicos da Água/análise
5.
Dis Markers ; 2022: 9644466, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35242247

RESUMO

Many studies have confirmed that the classical cadherin (CDH) gene family may be involved in the development and progression of various tumors. However, the comprehensive assays of CDH family members in lung adenocarcinoma (LUAD) were rarely reported. In this study, our group analyzed TCGA datasets and identified 18 dysregulated CDH members in LUAD specimens. Several CDH members exhibited an increased level in LUAD specimens, such as CDH1, CDH2, CDH3, CDH4, CDH5, CDH15, CDH16, CDH17, CDH18, CDH24, and CDH26. However, some others exhibited decreased levels in LUAD specimens. Correlation analysis revealed that most CDH members were negatively regulated by the methylation of CDH genes, leading to their low expression in LUAD tissues. Survival assays identified 16 survival-related CDH members in LUAD patients. More importantly, we further performed multivariate analysis to determine the prognostic value of the above CDH family members and found that the expression levels of CDH17, CDH19, and CDH24 were an independent prognostic biomarker of the LUAD outcome. Finally, the results of functional enrichments revealed that CDH members participated in several tumor-related pathways. Collectively, our findings suggest that CDH Family members functioned as oncogenes or antioncogenes in LUAD and may be a potential biomarker for this malignancy.


Assuntos
Adenocarcinoma de Pulmão/genética , Biomarcadores Tumorais/genética , Neoplasias Pulmonares/genética , Prognóstico , Transcriptoma , Caderinas , Humanos
6.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 53(2): 321-326, 2022 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-35332737

RESUMO

Objective: To explore the treatment outcome of the strategy of early extubation and then switching to non-invasive mechanical ventilation in children with acute respiratory failure, and the safety and feasibility of using the strategy to replace traditional methods. Methods: A total of 102 children, aged between 1 month to 14 years old, who had acute respiratory failure and were admitted to the pediatric ICU of West China Second University Hospital, Sichuan University between January 2019 and December 2020 were enrolled and randomly assigned to treatment group 1 (n=55) and treatment group 2 (n=47). In addition, 53 children who had the same condition in the 12 month prior to the beginning of the study were included in the control group. In the two treatment groups, the patients were extubated first, and then weaned off the ventilator. In group 1, when the patient met the invasive-non-invasive switching criteria, the tracheal tube was pulled out and non-invasive bi-level positive airway pressure (BiPAP) ventilation was used for respiratory support. In group 2, high-flow nasal cannula (HFNC) oxygen therapy was used for respiratory support. The traditional progressive weaning method was adopted for the control group (extubing and weaning were performed at the same time). The incidence of ventilator-associated pneumonia (VAP) during the period of tracheal intubation was compared and the mortality of the two groups was evaluated from the point when the patients were recruited. At the time of extubation in the treatment groups and extubation plus weaning in the control group, the pressure support levels, or PC above PEEP, intubation time, sequential time (between 2 treatment groups only), weaning failure rate, and the incidence of laryngeal edema and nasal pressure ulcer were compared. Results: The subjects of the study were predominantly infants (93 cases, 60%) and young children (31 cases, 20%). Among the 155 cases, 82 (53%) were male. There was no statistical difference in age distribution or gender among the groups. There was no significant difference in the clinical indicators among the three groups before tracheal intubation. At the time of extubation, the PC above PEEP in the two treatment groups was higher than that in the control group, and higher in group 1 than that of group 2, the difference being statistically significant (P<0.05). The intubation time of the two treatment groups was shorter than that of the control group, and shorter in group 1 than that of group 2 (P<0.05). The sequential time of group 2 was shorter than that of group 1 (P<0.05). The extubation failure rate and the incidence of VAP in the two treatment groups were lower than those in the control group, and there was no statistically significant difference between the two treatment groups. The incidence of nasal pressure ulcers in group 1 was higher than that in the other two groups (P<0.05). There was 1 death in treatment group 1, and no deaths in treatment group 2 or the control group. There was no significant difference in mortality or the incidence of laryngeal edema after extubation in the three groups. Conclusion: Early extubation and then switching to non-invasive mechanical ventilation can be well tolerated by the patients, and can be used in clinical practice as an effective weaning method for children with acute respiratory failure.


Assuntos
Síndrome do Desconforto Respiratório , Insuficiência Respiratória , Adolescente , Extubação/efeitos adversos , Criança , Pré-Escolar , Humanos , Lactente , Intubação Intratraqueal , Masculino , Respiração Artificial/efeitos adversos , Respiração Artificial/métodos , Insuficiência Respiratória/terapia
7.
Sci Total Environ ; 825: 153919, 2022 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-35189236

RESUMO

The ubiquitous existence of perfluoroalkyl acids (PFAAs) in aquatic environments might pose toxic potential to ecosystems. To assess the ecotoxicological responses and removal of submerged macrophyte to multiple PFAA pollutants in aquatic environments, a typical submerged macrophyte, Hydrilla verticillate, was exposed to solutions with 12 typical PFAAs in the present study. The results showed that PFAAs at concentrations higher than 10 µg/L had significantly passive effects on biomass, relative growth rates, chlorophyll contents, and chlorophyll autofluorescence. PFAAs could induce the accumulation of hydrogen peroxide and lipid peroxidation in H. verticillate. Significant upregulation of CAT was observed in treatments with more than 10 µg/L PFAAs (p < 0.05). The results also showed that 13.53-20.01% and 19.73-37.72% of PFAAs could be removed in treatments without plants and with H. verticillate, respectively. The removal rates of PFAAs were significantly correlated with perfluoroalkyl chain length in treatments with H. verticillate. The removal of PFAAs was suggested to be related to the uptake of plant tissues and biosorption of microbiota. Furthermore, the dominant microbiota and biomarkers were identified in water and biofilm. Betaproteobacteriales was the most dominant microbiota at the order level. The presence of PFAAs could significantly increase the relative abundance of Micrococcales, Verrucomicrobiales, Rhizobiales, Sphingomonadales, Roseomonas, Cyanobium_PCC_6307, and Synechococcales. Our results provide scientific basis for evaluating the ecotoxicological responses and removal of submerged macrophytes in response to multiple PFAA pollutants at environmentally relevant levels, thereby providing insights into PFAA management and removal.


Assuntos
Poluentes Ambientais , Fluorcarbonetos , Hydrocharitaceae , Microbiota , Poluentes Químicos da Água , Clorofila , Fluorcarbonetos/análise , Fluorcarbonetos/toxicidade , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/toxicidade
8.
Cancer Res ; 82(8): 1560-1574, 2022 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-35149589

RESUMO

Although most breast cancer metastases in bone cause osteolytic lesions, the osteogenic niche has commonly been described as an initiator of early-stage bone colonization of disseminated cancer cells. Tumor cell-derived extracellular vesicles (EV) have been shown to determine the organotropism of cancer cells by transferring their cargo, such as nucleic acids and proteins, to resident cells at future metastatic sites and preparing a favorable premetastatic niche. Runt-related transcription factor 2 (RUNX2) and its regulated genes have been shown to facilitate the acquisition of osteomimetic features and to enhance the bone metastatic potential of breast cancer cells. In this study, we present in vivo and in vitro evidence to clarify the role of EVs released by breast cancer cells with high RUNX2 expression in the education of osteoblasts to form an osteogenic premetastatic niche. Furthermore, different extracellular vesicular proteins were identified that mediate events subsequent to the specific recognition of tumor-derived EVs by osteoblasts via cadherin 11 (CDH11) and the induction of the osteogenic premetastatic niche by integrin α5 (ITGA5). CDH11high/ITGA5high EVs were demonstrated to be responsible for the formation of a premetastatic niche that facilitates RUNX2 high-expressing breast cancer cell colonization in bone, revealing a potential EV-based premetastatic niche blockage strategy. SIGNIFICANCE: This study provides mechanistic insights into the generation of an osteogenic premetastatic niche by breast cancer-derived EVs and identifies potential EV-derived diagnostic biomarkers and targets for breast cancer bone metastasis.


Assuntos
Neoplasias da Mama , Vesículas Extracelulares , Neoplasias da Mama/patologia , Caderinas , Subunidade alfa 1 de Fator de Ligação ao Core/genética , Subunidade alfa 1 de Fator de Ligação ao Core/metabolismo , Vesículas Extracelulares/metabolismo , Feminino , Humanos , Integrina alfa5/metabolismo , Melanoma , Neoplasias Cutâneas , Microambiente Tumoral
9.
Aging (Albany NY) ; 14(2): 975-988, 2022 01 27.
Artigo em Inglês | MEDLINE | ID: mdl-35086065

RESUMO

OBJECTIVE: We conducted this systematic review and meta-analysis to estimate the prevalence of SIBO in diabetic patients and to determine the association between SIBO and diabetes. METHODS: A comprehensive literature search of the PubMed, Cochrane Library and EMBASE databases from inception to June 2021 was conducted for studies correlating SIBO with diabetes. Studies were screened, and relevant data were extracted and analysed. The pooled prevalence of SIBO among diabetic patients and the odds ratio of SIBO among diabetic patients compared with controls were calculated. RESULTS: Fourteen studies including 1417 diabetic patients and 649 controls met the inclusion criteria. The pooled prevalence of SIBO in diabetes was 29% (95% CI 20-39%). The odds ratio of SIBO in diabetic patients was 2.91 (95% CI 0.82-10.32, p=0.1) compared with controls. Subgroup analyses showed that the prevalence of SIBO in diabetes was higher in studies using jejunal aspirate culture for diagnosis (39%, 95% CI 12-66%) than in those using the lactulose breath test (31%, 95% CI 18-43%) or glucose breath test (29%, 95% CI 14-43%). The prevalence of SIBO in diabetes was higher in studies conducted in Western countries (35%, 95% CI 21-49%) than in those conducted in Eastern countries (24%, 95% CI 14-34%), and the prevalence of SIBO in type 1 diabetes (25%, 95% CI 14%-36%) was not significantly different from that in type 2 diabetes (30%, 95% CI 13%-47%). CONCLUSIONS: Twenty-nine percent of diabetic patients tested positive for SIBO, and the risk of SIBO in diabetic patients was 2.91 times higher than that in patients without diabetes. Diabetes could be a predisposing factor for the development of SIBO, especially among patients diagnosed by jejunal aspirate culture or those in Western populations.


Assuntos
Infecções Bacterianas , Diabetes Mellitus Tipo 2 , Infecções Bacterianas/diagnóstico , Testes Respiratórios , Diabetes Mellitus Tipo 2/epidemiologia , Humanos , Intestino Delgado , Prevalência
10.
Cell Rep ; 38(2): 110090, 2022 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-35021075

RESUMO

Alpha-synuclein (αS) is causally involved in the development of Parkinson disease (PD); however, its role in normal vertebrate physiology has remained unknown. Recent studies demonstrate that αS is induced by noroviral infection in the enteric nervous system of children and protects mice against lethal neurotropic viral infection. Additionally, αS is a potent chemotactic activator of phagocytes. In this report, using both wild-type and αS knockout mice, we show that αS is a critical mediator of inflammatory and immune responses. αS is required for the development of a normal inflammatory response to bacterial peptidoglycan introduced into the peritoneal cavity as well as antigen-specific and T cell responses following intraperitoneal immunization. Furthermore, we show that neural cells are the sources of αS required for immune competence. Our report supports the hypothesis that αS accumulates within the nervous system of PD individuals because of an inflammatory/immune response.


Assuntos
Imunidade/fisiologia , alfa-Sinucleína/metabolismo , alfa-Sinucleína/fisiologia , Animais , Encéfalo/metabolismo , Feminino , Humanos , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Sistema Nervoso/metabolismo , Neurônios/metabolismo , Receptor 4 Toll-Like/imunologia , alfa-Sinucleína/genética
11.
Gastrointest Endosc ; 95(4): 642-649.e2, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34875257

RESUMO

BACKGROUND AND AIMS: Primary mediastinal cysts are infrequent lesions derived from a variety of mediastinal organs or structures. Complete surgical resection is the treatment of choice even in asymptomatic patients to prevent severe adverse events (AEs) and to establish the diagnosis. Transesophageal endoscopic resection of benign mediastinal tumors has been proven feasible. The aim of this study was to evaluate the feasibility, safety, and efficacy of transesophageal endoscopic surgery for mediastinal cysts. METHODS: From January 2016 to May 2021, patients with mediastinal cysts who underwent transesophageal endoscopic resection were retrospectively included. Clinicopathologic characteristics, procedure-related parameters, AEs, and follow-up outcomes were analyzed. RESULTS: Ten patients with mediastinal cysts were included in this study. The mean cyst size was 3.3 ± 1.3 cm. Histopathology revealed 3 bronchogenic cysts (30.0%), 4 esophageal duplication cysts (40.0%), 2 gastroenteric cysts (20.0%), and 1 lymphatic cyst (10.0%). All procedures were performed uneventfully without conversion to traditional surgery. En-bloc resection was achieved in 6 patients (60.0%). Aggressive resection was avoided to prevent damage to the surrounding vital organs. Mean resection time and suture time were 58.0 ± 36.4 minutes and 5.4 ± 1.0 minutes, respectively. No major pneumothorax, bleeding, mucosal injury, or fistula occurred. One patient had a transient febrile episode (>38.5°C). Mean postoperative hospital stay was 2.7 ± .9 days. No residual or recurrent lesions were observed in any patient during a mean follow-up period of 29.8 ± 19.5 months. CONCLUSIONS: Transesophageal endoscopic surgery appears to be a feasible, safe, effective, and much less invasive approach for mediastinal cyst resection. Larger prospective studies are required to fully assess the efficacy and safety of this novel technique.


Assuntos
Cisto Broncogênico , Cisto Mediastínico , Neoplasias do Mediastino , Cisto Broncogênico/diagnóstico , Cisto Broncogênico/patologia , Cisto Broncogênico/cirurgia , Humanos , Cisto Mediastínico/diagnóstico , Cisto Mediastínico/patologia , Cisto Mediastínico/cirurgia , Neoplasias do Mediastino/patologia , Estudos Prospectivos , Estudos Retrospectivos , Resultado do Tratamento
12.
J Hazard Mater ; 424(Pt C): 127695, 2022 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-34775308

RESUMO

Perfluoroalkyl acids (PFAAs) have emerged as a global concern in aquatic environment remediation due to their abundance, persistence, bioaccumulation, and toxicity. To comprehensively understand the removal potential of multiple PFAAs by submerged macrophytes in aquatic environments, systematic investigations into the tolerance of the typical submerged macrophyte Vallisneria natans to 12 typical PFAAs and the removal capacity to PFAAs in V. natans-microbiota systems were carried out. Results showed that although PFAAs could induce the accumulation of hydrogen peroxide and malondialdehyde, V. natans was overall resistant to multiple PFAAs with natural concentrations. Catalase is one of the main strategies of V. natans to alleviate PFAA stress. Microbiota can remove 18.10-30.84% of the PFAAs from the water column. 24.35-73.45% of PFAAs were removed from water in V. natans-microbiota systems. The uptake of plant tissues and the bioaccumulation of microbiota were proposed as the main removal processes. The removal rates were significantly correlated with the perfluorinated carbon atoms numbers (p < 0.05). PFAAs and V. natans increased the relative abundance of Betaproteobacteria, Nostocales, Microscillaceae, Sphingobacteriales, SBR1031, Chlamydiales, Phycisphaerae, Caldilineales, Rhodobacterales, and Verrucomicrobiales. The present study suggested that V. natans can be a potential species to remove multiple PFAAs in aquatic environments, and further providing insights into the PFAAs' remediation.


Assuntos
Recuperação e Remediação Ambiental , Fluorcarbonetos , Hydrocharitaceae , Microbiota , Água
13.
Ultrasound Med Biol ; 48(2): 275-282, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34782166

RESUMO

The study was aimed at exploring the clinical value of a 14-zone lung ultrasound scoring (LUS) method in treating neonatal respiratory distress syndrome (NRDS) with pulmonary surfactant (PS) and determining the timing of mechanical ventilation (MV). In this study, 88 neonates with NRDS who received PS replacement therapy were selected. We applied a new 14-zone LUS method before and 12, 24, 48 and 72 h after PS treatment to explore the clinical value of assessing PS replacement therapy efficacy in NRDS. Additionally, 67 patients with NRDS under MV received LUS during extubation. The receiver operating characteristic curve was used to analyze the diagnostic efficacy of LUS in the timing of extubation. LUS score was inversely associated with PS treatment. At 12 h after PS, only the 14-zone LUS method was significantly different (t = 4.08, p < 0.05) as compared with before PS, which was consistent with the change on chest x-ray (CXR); the other LUS methods did not differ (p > 0.05). The 14-zone LUS method exhibited better diagnostic performance for withdrawal time. A score of 41.0 points was used as the diagnostic threshold to predict the risk of withdrawal failure, with an area under the curve of 0.955, sensitivity of 92.4% and specificity of 93.8%. The new 14-zone LUS method improved scoring in the early efficacy of PS and had good diagnostic efficiency for timing the removal of MV in NRDS.


Assuntos
Surfactantes Pulmonares , Síndrome do Desconforto Respiratório do Recém-Nascido , Humanos , Recém-Nascido , Pulmão/diagnóstico por imagem , Surfactantes Pulmonares/uso terapêutico , Projetos de Pesquisa , Síndrome do Desconforto Respiratório do Recém-Nascido/diagnóstico por imagem , Síndrome do Desconforto Respiratório do Recém-Nascido/terapia , Ultrassonografia
14.
Sci Total Environ ; 809: 152159, 2022 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-34896133

RESUMO

The exploration of the distribution and dietetic-related health risks of perfluoroalkyl acids (PFAAs) in industrial-agricultural interaction regions (IAIRs) is of significant importance, due to the transfer of many PFAA-related factories to developing countries with intensive agricultural activities. In the present study, based on the local diet, edible parts of rice, vegetables, fish, and their corresponding soils and irrigation/aquaculture water were investigated in a typical Chinese city (Changshu). The concentrations of total perfluoroalkyl acids (ΣPFAAs) in the edible parts of rice /vegetables and fish tissues ranged from 26.69 to 37.09 ng/g dw, 12.93 to 40.77 ng/g dw, and 13.27 to 29.82 ng/g ww, with perfluorohexanoic acid (PFPeA) and perfluorooctane sulfonic acid (PFOS) as the most dominant compounds. The PFAA concentrations in the corresponding rice soils, vegetable soils, irrigation water, and aquaculture water ranged from 11.99 to 26.33 ng/g dw, 14.06 to 36.19 ng/g dw, 141.36 to 297.00 ng/L, and 179.23 to 235.82 ng/L, respectively. Biota-sediment accumulation factor (BSAF) values for the plant-soil system were far greater than those for bioaccumulation factor (BAF) values for the plant-irrigation water system. PFAAs were more inclined to accumulate in the gills of fish as determined by their highest BAF values. Correlation analysis showed that PFAAs in root vegetables had a stronger correlation with those in soil compared with those in irrigation water. Source analysis showed that emissions from fluoride industries, textiles, and food industries may be the dominant sources of PFAAs in agricultural environments. The estimated dietary intake (EDI) for the selected diet was lower than that for rice/vegetables but was higher than that found in fish. Toddlers (2-5 years) had the highest exposure risk, and rural residents were more exposed to PFAAs than urban residents under the selected diet.


Assuntos
Ácidos Alcanossulfônicos , Dietética , Fluorcarbonetos , Poluentes Químicos da Água , Ácidos Alcanossulfônicos/análise , Animais , China , Monitoramento Ambiental , Fluorcarbonetos/análise , Medição de Risco , Poluentes Químicos da Água/análise
15.
Phytomedicine ; 95: 153878, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34929563

RESUMO

BACKGROUND: Numerous clinical studies reported the effectiveness of herbal formula WuShen (WS) in treating cardiovascular diseases, yet relevant basic research was rarely conducted. METHODS AND RESULTS: Twelve main bioactive compounds of WS decoction were identified using the ultra-performance liquid chromatography-LTQ-Orbitrap mass spectrometer. A total of 137 active compounds with 613 targets were predicted by network pharmacology; their bioinformatic annotation and human microarray data suggested that wounding healing, inflammatory response, and gap junction were potentially the major therapeutic modules. A rat model of post-myocardial infarction (MI) heart failure (HF) was used to study the effects of WS on cardiac function, adverse cardiac remodeling, and experimental arrhythmias. Rats treated with WS led to a significantly improved pump function and reduced susceptibility to both ventricular tachycardia and atrial fibrillation, and restricted adverse cardiac remodeling partly via inhibiting TGFß1/SMADs mediated extracellular matrix deposition and Rac1/NOX2/CTGF/Connexin43 -involved gap junction remodeling. CONCLUSIONS: The present study highlights that WS can be applied to the treatment of heart failure and the upstream therapy for atrial fibrillation and ventricular tachycardia through its preventive effect on adverse cardiac remodeling.


Assuntos
Fibrilação Atrial , Insuficiência Cardíaca , Infarto do Miocárdio , Animais , Coração , Insuficiência Cardíaca/tratamento farmacológico , Infarto do Miocárdio/tratamento farmacológico , Ratos , Remodelação Ventricular
16.
Environ Res ; 203: 111876, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34400162

RESUMO

Perfluorinated compounds (PFCs) pose serious threats to aquatic ecosystems, especially their microbial communities. However, little is known about the phylosymbiosis of aquatic fungal and viridiplantae communities in response to PFC accumulation. We quantified the distribution of 14 PFCs in rivers and found that PFBA was dominant in the transition from water to sediment. High through-put sequencing revealed that phyla Ascomycota, Basidiomycota, Anthophyta, and Chlorophyta were the predominant in eukaryotic community. The effects of PFCs on spatial community coalescence at taxonomic and phylogenetic levels (p < 0.05) were revealed. Fungal community coalescence triggered the spatial assembly of fungal and viridiplantae communities in riverine environments (p < 0.05). Null modeling indicated that PFBA, PFTrDA and PFOS, etc, mediated phylogenetic assembly (p < 0.05) and stochastic processes (86.67-100%) maintain phylogenetic turnover in the fungal community. Meanwhile, variable selection (27.78-54.44%) explained the viridiplantae community assemblage. Finally, we identified fungal genera Hannaella, Naganishia, Purpureocillium and Stachybotrys as indicators for PFC pollution (p < 0.001). These results help explain the effects of PFCs on riverine ecological remediation.


Assuntos
Fluorcarbonetos , Microbiota , Poluentes Químicos da Água , Monitoramento Ambiental , Eucariotos , Fluorcarbonetos/análise , Fluorcarbonetos/toxicidade , Filogenia , Rios , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/toxicidade
17.
Ecotoxicol Environ Saf ; 230: 113105, 2021 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-34954678

RESUMO

Simazine is a triazine pesticides that typically detected in ground water and soil, and can reportedly affect reproductive health in humans and animals. However, the effect of simazine on female germ cell development remains unclear. In the present study, we observed that simazine exposure decreased oocyte maturation competence and embryonic developmental capacity. Importantly, simazine exposure disrupted microtubule stability and actin polymerization, resulting in failure of spindle assembly and migration. In addition, simazine exposure impaired mitochondrial function and cytosolic Ca2+ homeostasis in both oocyte and 2-cell embryos, thus increasing the levels of reactive oxygen species (ROS). Moreover, simazine exposure induced DNA damage and early apoptosis during oocyte maturation. Collectively, our results demonstrate that simazine exposure-induced mitochondrial dysfunction and apoptosis are major causes of poor oocytes quality.

18.
BMC Infect Dis ; 21(1): 1271, 2021 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-34930161

RESUMO

BACKGROUND: The long-term functional outcome of discharged patients with coronavirus disease 2019 (COVID-19) remains unresolved. We aimed to describe a 6-month follow-up of functional status of COVID-19 survivors. METHODS: We reviewed the data of COVID-19 patients who had been consecutively admitted to the Tumor Center of Union Hospital (Wuhan, China) between 15 February and 14 March 2020. We quantified a 6-month functional outcome reflecting symptoms and disability in COVID-19 survivors using a post-COVID-19 functional status scale ranging from 0 to 4 (PCFS). We examined the risk factors for the incomplete functional status defined as a PCFS > 0 at a 6-month follow-up after discharge. RESULTS: We included a total of 95 COVID-19 survivors with a median age of 62 (IQR 53-69) who had a complete functional status (PCFS grade 0) at baseline in this retrospective observational study. At 6-month follow-up, 67 (70.5%) patients had a complete functional outcome (grade 0), 9 (9.5%) had a negligible limited function (grade 1), 12 (12.6%) had a mild limited function (grade 2), 7 (7.4%) had moderate limited function (grade 3). Univariable logistic regression analysis showed a significant association between the onset symptoms of muscle or joint pain and an increased risk of incomplete function (unadjusted OR 4.06, 95% CI 1.33-12.37). This association remained after adjustment for age and admission delay (adjusted OR 3.39, 95% CI 1.06-10.81, p = 0.039). CONCLUSIONS: A small proportion of discharged COVID-19 patients may have an incomplete functional outcome at a 6-month follow-up; intervention strategies are required.


Assuntos
COVID-19 , Alta do Paciente , Seguimentos , Estado Funcional , Humanos , SARS-CoV-2
19.
J Am Heart Assoc ; 10(22): e022011, 2021 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-34726071

RESUMO

Background Acute myocardial infarction (AMI) is one of the leading causes of cardiovascular morbidity and mortality worldwide. Pyroptosis is a form of inflammatory cell death that plays a major role in the development and progression of cardiac injury in AMI. However, the underlying mechanisms for the activation of pyroptosis during AMI are not fully elucidated. Methods and Results Here we show that RBP4 (retinol-binding protein 4), a previous identified proinflammatory adipokine, was increased both in the myocardium of left anterior descending artery ligation-induced AMI mouse model and in ischemia-hypoxia‒induced cardiomyocyte injury model. The upregulated RBP4 may contribute to the activation of cardiomyocyte pyroptosis in AMI because overexpression of RBP4 activated NLRP3 (nucleotide-binding oligomerization domain-like receptor family pyrin domain-containing 3) inflammasome, promoted the precursor cleavage of Caspase-1, and subsequently induced GSDMD (gasdermin-D)-dependent pyroptosis. In contrast, knockdown of RBP4 alleviated ischemia-hypoxia‒induced activation of NLRP3 inflammasome signaling and pyroptosis in cardiomyocytes. Mechanistically, coimmunoprecipitation assay showed that RBP4 interacted directly with NLRP3 in cardiomyocyte, while genetic knockdown or pharmacological inhibition of NLRP3 attenuated RBP4-induced pyroptosis in cardiomyocytes. Finally, knockdown of RBP4 in heart decreased infarct size and protected against AMI-induced pyroptosis and cardiac dysfunction in mice. Conclusions Taken together, these findings reveal RBP4 as a novel modulator promoting cardiomyocyte pyroptosis via interaction with NLRP3 in AMI. Therefore, targeting cardiac RBP4 might represent a viable strategy for the prevention of cardiac injury in patients with AMI.


Assuntos
Traumatismos Cardíacos , Infarto do Miocárdio , Animais , Hipóxia , Inflamassomos/metabolismo , Camundongos , Infarto do Miocárdio/genética , Miócitos Cardíacos/metabolismo , Proteína 3 que Contém Domínio de Pirina da Família NLR/genética , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Piroptose , Proteínas de Ligação ao Retinol , Proteínas Plasmáticas de Ligação ao Retinol
20.
World J Psychiatry ; 11(10): 736-753, 2021 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-34733639

RESUMO

Chronic use of antipsychotic medications entails a dilemma between the benefit of alleviating psychotic symptoms and the risk of troubling, sometimes life-shortening adverse effects. Antipsychotic-induced cardiotoxicity is one of the most life-threatening adverse effects that raises widespread concerns. These cardiotoxic effects range from arrhythmia to heart failure in the clinic, with myocarditis/cardiomyopathy, ischemic injuries, and unexplained cardiac lesions as the pathological bases. Multiple mechanisms have been proposed to underlie antipsychotic cardiotoxicity. This review aims to summarize the clinical signs and pathological changes of antipsychotic cardiotoxicity and introduce recent progress in understanding the underlying mechanisms at both the subcellular organelle level and the molecular level. We also provide an up-to-date perspective on future clinical monitoring and therapeutic strategies for antipsychotic cardiotoxicity. We propose that third-generation antipsychotics or drug adjuvant therapy, such as cannabinoid receptor modulators that confer dual benefits - i.e., alleviating cardiotoxicity and improving metabolic disorders - deserve further clinical evaluation and marketing.

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