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1.
BMC Surg ; 21(1): 174, 2021 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-33789664

RESUMO

BACKGROUND: Lymph node metastasis (LNM) plays a vital role in the determination of clinical outcomes in patients with gastric neuroendocrine tumor (G-NET). Preoperative identification of LNM is helpful for intraoperative lymphadenectomy. This study aims to investigate risk factors for LNM in patients with G-NET. METHODS: We performed a retrospective study involving 37 patients in non-LNM group and 82 patients in LNM group. Data of demographics, preoperative lab results, clinical-pathological results, surgical management, and postoperative situation were compared between groups. Significant parameters were subsequently entered into logistic regression for further analysis. RESULTS: Patients in LNM group exhibited older age (p = 0.011), lower preoperative albumin (ALB) (p = 0.003), higher carcinoembryonic antigen (CEA) (p = 0.020), higher International normalized ratio (p = 0.034), longer thrombin time (p = 0.018), different tumor location (p = 0.005), higher chromogranin A positive rate (p = 0.045), and higher Ki-67 expression level (p = 0.002). Logistic regression revealed ALB (p = 0.043), CEA (p = 0.032), tumor location (p = 0.013) and Ki-67 (p = 0.041) were independent risk factors for LNM in G-NET patients. CONCLUSIONS: ALB, CEA, tumor location, and Ki-67 expression level correlate with the risk of LNM in patients with G-NET.


Assuntos
Metástase Linfática , Tumores Neuroendócrinos , Neoplasias Gástricas , Idoso , Humanos , Tumores Neuroendócrinos/patologia , Tumores Neuroendócrinos/cirurgia , Estudos Retrospectivos , Fatores de Risco , Neoplasias Gástricas/patologia , Neoplasias Gástricas/cirurgia
2.
Int J Mol Med ; 47(5)2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33760138

RESUMO

Bone­related diseases comprise a large group of common diseases, including fractures, osteoporosis and osteoarthritis (OA), which affect a large number of individuals, particularly the elderly. The progressive destruction and loss of alveolar bone caused by periodontitis is a specific type of bone loss, which has a high incidence and markedly reduces the quality of life of patients. With the existing methods of prevention and treatment, the incidence and mortality of bone­related diseases are still gradually increasing, creating a significant financial burden to societies worldwide. To prevent the occurrence of bone­related diseases, delay their progression or reverse the injuries they cause, new alternative or complementary treatments need to be developed. Melatonin exerts numerous physiological effects, including inducing anti­inflammatory and antioxidative functions, resetting circadian rhythms and promoting wound healing and tissue regeneration. Melatonin also participates in the health management of bone and cartilage. In the present review, the potential roles of melatonin in the pathogenesis and progression of bone injury, osteoporosis, OA and periodontitis are summarized. Furthermore, the high efficiency and diversity of the physiological regulatory effects of melatonin are highlighted and the potential benefits of the use of melatonin for the clinical prevention and treatment of bone­related diseases are discussed.

3.
Theranostics ; 11(9): 4281-4297, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33754061

RESUMO

Chemotherapeutic multidrug resistance (MDR) is the major hindrance for clinical therapy of colorectal cancer (CRC). Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) with selective cytotoxicity might overcome MDR of CRC cells. Unfortunately, cross-resistance to TRAIL has been detected in many CRC cells, suggesting the need to combine TRAIL with sensitizers to combat refractory CRC. Our purpose is to explore the potential of combination therapy of TRAIL and tumor-cell targeted photodynamic therapy (PDT) in combating CRC with both chemotherapeutic MDR and TRAIL resistance. Methods: Tumor cell-targeted PDT was performed using a Ze-IR700 photosensitizer with high affinity for epidermal growth factor receptor (EGFR). The impact of PDT on the gene expression of CRC cells was revealed by RNA sequencing. The synergistic antitumor effect of long-acting TRAIL and PDT was evaluated in mice bearing tumor grafts of CRC cells with both chemotherapeutic MDR and TRAIL resistance. Results: Chemotherapeutic MDR and TRAIL resistance are common in CRC cells. Pretreatment of CRC cells with tumor cell-targeted PDT significantly (10-60 times) increased the sensitivity of these CRC cells to TRAIL by upregulating death receptors. Combination therapy, but not monotherapy, of long-acting TRAIL and PDT greatly induced apoptosis of CRC cells, thus efficiently eradicated large (~150 mm3) CRC tumor xenografts in mice. Conclusions: Tumor cell-targeted PDT extensively sensitizes CRC cells to TRAIL. Combination therapy of long-acting TRAIL and PDT is promising to combat CRC with both chemotherapeutic MDR and TRAIL resistance, which might be developed as a novel strategy for precision therapy of refractory CRC.

4.
Mikrochim Acta ; 188(3): 76, 2021 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-33559844

RESUMO

A general method was developed for preparing a metal-organic framework-polymer composite coated silica core-shell stationary phase. Silica microspheres were comodified with metal-organic framework and polyvinylpyrrolidone rather than the in situ method of silica modification by original metal-organic framework particles. Metal-organic framework particles and polyvinylpyrrolidone on silica surface were beneficial to suppress silanol activity and enhance composite material tolerance, as well as increasing the water compatibility of the original metal-organic framework-based stationary phases. The stationary phase exhibited superior hydrophilic and hydrophobic performance in terms of separation for various analytes including seven alkaloids, six sulfonamides, five antibiotics, and five polycyclic aromatic hydrocarbons. Moreover, the composite material also showed excellent stability with the relative standard deviation of the retention time of 0.4 to 0.7%. The separation performance with real samples proved that the column has good practical application potential. In summary, the poposed method provides a general way for preparing metal-organic framework-polymer composite material and changed the current status of original metal-organic framework particles modified silica as a single mode chromatographic stationary phase.

5.
Mol Cell Proteomics ; : 100058, 2021 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-33581318

RESUMO

The glycoprotein spike (S) on the surface of SARS-CoV-2 is a determinant for viral invasion and host immune response. Herein, we characterized the site-specific N-glycosylation of S protein at the level of intact glycopeptides. All 22 potential N-glycosites were identified in the S-protein protomer and were found to be preserved among the 753 SARS-CoV-2 genome sequences. The glycosites exhibited glycoform heterogeneity as expected for a human cell-expressed protein subunit. We identified masses that correspond to 157 N-glycans, primarily of the complex type. In contrast, the insect cell-expressed S protein contained 38 N-glycans, completely of the high-mannose type. Our results revealed that the glycan types were highly determined by the differential processing of N-glycans among human and insect cells, regardless of the glycosites' location. Moreover, the N-glycan compositions were conserved among different sizes of subunits. Our study indicate that the S protein N-glycosylation occurs regularly at each site, albeit the occupied N-glycans were diverse and heterogenous. This N-glycosylation landscape and the differential N-glycan patterns among distinct host cells are expected to shed light on the infection mechanism and present a positive view for the development of vaccines and targeted drugs.

6.
Appl Microbiol Biotechnol ; 105(4): 1447-1460, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33528691

RESUMO

Due to their potent immune stimulation, tumor necrosis factor alpha (TNFα) variants with tumor-homing activity are attractive as novel antitumor drugs. The promising antitumor effect of NGR-TNFα in clinical trials triggered extensive interest in developing novel tumor-homing TNFα variants in recent years. Owing to its promising antitumor effect, NGR-TNFα is usually used as a control for newly developed tumor-homing TNFα variants. In our previous works, we produced a pericyte-targeting Z-TNFα at high levels using the Escherichia coli (E. coli) M15-pQE30 system. To further compare Z-TNFα and NGR-TNFα, we attempted to express NGR-TNFα using the same system. Surprisingly, native NGR-TNFα was expressed at a low (~ 0.2 mg/L) level in E. coli M15 containing the pQE30 plasmid. However, a single nucleotide mutation of C to G, resulting in a substitution of leucine (L) with valine (V) at the start of TNFα, increased the expression of NGR-TNFα by ~ 100 times through improving transcription. In addition, the amino acid substitution showed a little impact on the receptor binding, in vitro cytotoxicity, and in vivo antitumor effect of NGR-TNFα. As fusing NGR to the N-terminus of TNFα with a valine substitution did not reduce the protein yield, the TNFα gene with a C > G mutation might be used to prepare novel tumor-homing TNFα when the native TNFα-based variant is expressed at an extremely low level in E. coli. Notably, in addition to the mutated valine, the impact of N-terminal additional amino acids provided by pQE30 vector on the function of TNFα variant must be carefully evaluated. KEY POINTS : • A single nucleotide mutation increased the expression of NGR-TNFα by two orders. • Nucleotide mutation-induced amino acid substitution did not reduce NGR-TNFα activity.

7.
J Neural Eng ; 2021 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-33540387

RESUMO

OBJECTIVE: Motor imagery (MI) EEG signals vary greatly among subjects, so scholarly research on motor imagery-based brain-computer interfaces (BCIs) has mainly focused on single-subject systems or subject-dependent systems. However, the single-subject model is applicable only to the target subject, and the small sample number greatly limits the performance of the model. This paper aims to study a convolutional neural network to achieve an adaptable MI-BCI that is applicable to multiple subjects. APPROACH: In this paper, a twin cascaded softmax convolutional neural network (TCSCNN) is proposed for multisubject MI-BCIs. The proposed TCSCNN is independent and can be applied to any single-subject MI classification CNN model. First, to reduce the influence of individual differences, subject recognition and MI recognition are accomplished simultaneously. A cascaded softmax structure consisting of two softmax layers, related to subject recognition and MI recognition, is subsequently applied. Second, to improve the MI classification precision, a twin network structure is proposed on the basis of ensemble learning. TCSCNN is built by combining a cascaded softmax structure and twin network structure. MAIN RESULTS: Experiments were conducted on three popular CNN models (EEGNet and Shallow ConvNet and Deep ConvNet from EEGDecoding) and three public datasets (BCI Competition IV datasets 2a and 2b and the High-Gamma dataset) to verify the performance of the proposed TCSCNN. The results show that compared with the state-of-the-art CNN model, the proposed TCSCNN obviously improves the precision and convergence of multisubject MI recognition. SIGNIFICANCE: This study provides a promising scheme for multisubject MI-BCI, reflecting the progress made in the development and application of MI-BCIs.

8.
Ann Noninvasive Electrocardiol ; : e12836, 2021 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-33629476

RESUMO

A 23-year-old woman with palpitations for 9 years was referred for catheter ablation. ECG showed an irregular narrow complex tachycardia with alternating and gradually changing QRS morphologies after alternating and changing RR intervals, with a clear pattern of 2 alternating QRS complexes. An electrophysiology study was performed and confirmed that the mechanism of tachycardia was an automatic left-side His-Purkinje system (HPS) ventricular tachycardia. The gradually changing type-2 QRS complexes was the conduction delayed in the left anterior fascicle due to the short RR interval or the short left-side HH interval. Nine months after the index electrophysiology study, the patient encounter a progressive of heart failure with increased heart rate to 130-150 bpm during rest. Radiofrequency ablation was performed at the upper-septum for eliminating the tachycardia and resulted in complete atrioventricular block. A permanent pacemaker with left bundle branch pacing was implanted. Twelve months after the ablation, the enlarged heart shrink to normal with normal left ventricular ejection fraction. In conclusion, careful interpretation of the ECG can identify the sinus P waves followed by irregular narrow complexes, thus avoiding misdiagnosis and unnecessary treatment. Unifocal HPS tachycardia could present with alternating and gradually changing narrow QRS complexes tachycardia and lead to tachycardia cardiomyopathy. Electrophysiology study and catheter ablation were useful for the diagnosis and treatment of HPS tachycardia but with high risk of atrioventricular block. However, successfully elimination the tachycardia would resolve and reverse the enlarged heart and deteriorative heart function.

9.
Anal Chim Acta ; 1144: 122-129, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33453789

RESUMO

Two-dimensional (2D) nanomaterials-modified electrodes are good candidates for electrochemical sensing because of their unique ultrathin sheet-like structure and distinctive electrical property. In this work, we have developed a facile sacrificial template-directed mild polymerization process to prepare 2D poly(3,4-ethylenedioxythiophene) (PEDOT) nanosheets. During the polymerization process, V2O5·nH2O nanosheets are used as both sacrificial templates and oxidants, which can not only guide the production of PEDOT nanosheets, but also spontaneously be removed after the reaction. We have demonstrated the usage of the 2D PEDOT nanosheets for electrochemical sensing of iodide ions. The proposed sensor delivers a low detection limit of 0.313 µM (S/N = 3) with a linear range of 1.0-20 µM. Furthermore, the 2D PEDOT-based sensor shows an exciting reproducibility, stability and selectivity for the detection of iodide ions, which can be feasibly applied for the detection in real samples. This study provides a facile route to fabricate 2D conducting polymer-based nanomaterials for efficient electrochemical sensing application.

10.
Int J Biol Sci ; 17(1): 298-306, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33390851

RESUMO

Postoperative adhesions (PA) are fibrotic tissues that are the most common driver of long-term morbidity after abdominal and pelvic surgery. The optimal drug or material to prevent adhesion formation has not yet been discovered. Comprehensive understanding of cellular and molecular mechanisms of adhesion process stimulates the design of future anti-adhesive strategies. Recently, disruption of peritoneal mesothelial cells were suggested as the 'motor' of PA formation, followed by a cascade of events (coagulation, inflammation, fibrinolysis) and influx of various immune cells, ultimately leading to a fibrous exudate. We showed that a variety of immune cells were recruited into adhesive peritoneal tissues in patients with small bowel obstruction caused by PA. The interactions among various types of immune cells contribute to PA development following peritoneal trauma. Our review focuses on the specific role of different immune cells in cellular and humoral mechanisms underpinning adhesion development.

11.
J Exp Clin Cancer Res ; 40(1): 39, 2021 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-33485379

RESUMO

The stimulator of interferon genes (STING) connects microbial cytosolic sensing with host cell effector functions. STING signaling plays a central role in cyclic dinucleotides (CDNs) and DNA sensing to induce secretion of interferons and pro-inflammatory mediators. Although activated STING signaling favors antimicrobial progress and facilitates mucosal would healing, its role in mucosal immunity and gut homeostasis is paradoxical, ranging from positive and negative effects within the gut. In our review, we summarize recent advance of STING signaling in gut homeostasis and inflammation, especially focusing on its molecular basis in mucosal immune response. Deep understanding of the regulatory mechanisms of intestinal STING pathway could promote clinical manipulation of this fundamental signaling as a promising immunomodulatory therapy.

12.
J Sci Food Agric ; 2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-33420721

RESUMO

BACKGROUND: Excessive application of nitrogen (N) fertilizer and low nitrogen-use efficiency (NUE) are prevalent problems in rice production. Controlled-release urea (CRU) is widely adopted to increase rice yields, but the synchronicity of N release from CRU with uptake of N by plants has rarely been studied. A 2-year field experiment involving CRU and urea applications at three different N rates (240, 192 and 144 kg N ha-1 , equal to 100%, 80% and 60% of the recommended rate, respectively) was performed to compare their effects on N uptake, soil N content and rice yields. RESULTS: The successive release curves of CRU in the soil matched the corresponding N uptake curves of rice plants, and significant linear correlations were observed. Grain yield and N uptake under the CRU treatment increased by 5.25-7.88% and 7.13-17.94% than urea treatments, at the same N rate, and no obvious difference was found between CRU60% and Urea100%. CRU80% and CRU60% presented the highest NUE. The contents of ammonium-nitrogen (NH4 + -N), nitrate-nitrogen (NO3 - -N), and total N and the chlorophyll relative value - SPAD (Soil Plant Analysis Development) values - of the leaves under the CRU treatments were significantly higher than those under the urea treatments from heading to harvest. The contents of exchangeable sodium ion (Na+ ) and calcium ion (Ca2+ ) and the cation exchange capacity increased in response to CRU. CONCLUSION: CRU increased rice yields by providing N strongly in synchrony with the N requirements of the plants, and applying CRU at 192 kg N ha-1 was an effective strategy to conserve N fertilizer, increase soil N contents and enhance NUE. © 2021 Society of Chemical Industry.

13.
Anal Chim Acta ; 1143: 181-188, 2021 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-33384116

RESUMO

A facile method for efficient synthesis of core-shell composite material was proposed. In this method, the silica microspheres were co-modified with metal organic framework (MOF-235) and polyethylene glycol polymer (PEG) and used as mixed-mode stationary phase (MOF-235@PEG@silica) for high-performance liquid chromatography. Elemental analysis, scanning electron microscopy, X-ray photoelectron spectroscopy, Fourier-transform infrared spectroscopy, and Brunauer-Emmett-Teller etc. methods were used to investigate the properties of the core-shell composite material. The MOF-235@PEG@silica stationary phase showed flexible selectivity for the separation of both hydrophilic and hydrophobic compounds especially for the separation of nine alkaloids, which showed superior hydrophilic separation performance than previous MOF-based composite stationary phases. Some factors including the pH of buffer salt, the ratio of organic phase and water phase in the mobile phase have been investigated, suggesting that the chromatographic retention mechanism of the column was a mixed mode of hydrophilic and reversed phase. The composite material also showed excellent chromatographic repeatability with the RSDs of the retention time found to be 0.2%-0.6% (n = 10) and the standard addition test in the actual sample proved that it can be used for practical sample analysis. In short, it provided a general way for preparing MOFs-based composites as mixed-mode chromatographic stationary phases, and changed the current status of MOF-based composite materials as single mode chromatographic stationary phases.

14.
J Cardiovasc Electrophysiol ; 32(2): 270-278, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33368802

RESUMO

INTRODUCTION: Left atrial posterior wall (LAPW) isolation may be performed as an additional atrial fibrillation (AF) ablation strategy based on pulmonary vein isolation. A modified posterior-inferior line (MPL) was proposed for reducing esophageal injury. The aim of this study was to evaluate the anatomical characteristics of the MPL, compared with the conventional posterior line (CPL). METHODS AND RESULTS: Multidetector computed tomography was performed in 102 consecutive AF patients (male/female = 60/42) preoperative, and the parameters were evaluated as follows: the distance from MPL and CPL to the esophagus, fat pad presence and thickness in the course of MPL and CPL, and the esophageal route below CPL. The average distance from the MPL to the esophagus was longer than from CPL to the esophagus (3.7 ± 1.5 vs. 1.7 ± 0.4 mm, p < .001). Proportion of fat pad was higher in the course of MPL than CPL. The myocardium tissue and fat pad under MPL was thicker than under CPL (2.9 ± 1.1 vs. 1.6 ± 0.3 mm, p < .001; 1.4 ± 0.6 vs. 0.9 ± 0.2 mm, p < .001), respectively. In patients whose esophagus was unconfined in a triangular space at the left inferior pulmonary vein level, the average distance from MPL to esophagus was longer than the confined patients (4.0 ± 1.7 vs. 3.2 ± 1.0 mm, p = .001). CONCLUSION: The MPL was far away from the esophagus with thicker myocardium tissue and more fat pad than the CPL; thus, MPL could serve as a favorable alternative in linear ablation for LAPW isolation.

15.
Plants (Basel) ; 9(12)2020 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-33255501

RESUMO

The signaling pathways induced by Pseudomonas putida in rice plants at the early plant-rhizobacteria interaction stages, with and without inoculation of Xanthomonas oryzae pv. oryzae, were studied. In the absence of pathogen, P. putida reduced ethylene (ET) production, and promoted root and stem elongation. Interestingly, gene OsHDA702, which plays an important role in root formation, was found significantly up-regulated in the presence of the rhizobacterium. Although X. oryzae pv. oryzae inoculation enhanced ET production in rice plants, P. putida treatment repressed ET-, jasmonic acid (JA)- and salicylic acid (SA)-mediated defense pathways, and induced the biosynthesis of abscisic acid (ABA), and the overexpression of OsHDA705 and some pathogenesis-related proteins (PRs), which in turn increased the susceptibility of the rice plants against the pathogen. Collectively, this is the first work on the defense signaling induced by plant growth-promoting rhizobacteria in plants at the early interaction stages, and suggests that rhizobacteria stimulate an alternative defense mechanism in plants based on ABA accumulation and OsHDA705 signaling.

16.
J Transl Med ; 18(1): 479, 2020 12 11.
Artigo em Inglês | MEDLINE | ID: mdl-33308247

RESUMO

Periodontitis, a bacterium-induced inflammatory disease that is characterized by alveolar bone loss, is highly prevalent worldwide. Elucidating the underlying mechanisms of alveolar bone loss in periodontitis is crucial for understanding its pathogenesis. Classically, bone cells, such as osteoclasts, osteoblasts and bone marrow stromal cells, are thought to dominate the development of bone destruction in periodontitis. Recently, osteocytes, the cells embedded in the mineral matrix, have gained attention. This review demonstrates the key contributing role of osteocytes in periodontitis, especially in alveolar bone loss. Osteocytes not only initiate physiological bone remodeling but also assist in inflammation-related changes in bone remodeling. The latest evidence suggests that osteocytes are involved in regulating bone anabolism and catabolism in the progression of periodontitis. The altered secretion of receptor activator of NF-κB ligand (RANKL), sclerostin and Dickkopf-related protein 1 (DKK1) by osteocytes affects the balance of bone resorption and formation and promotes bone loss. In addition, the accumulation of prematurely senescent and apoptotic osteocytes observed in alveolar bone may exacerbate local destruction. Based on their communication with the bloodstream, it is noteworthy that osteocytes may participate in the interaction between local periodontitis lesions and systemic diseases. Overall, further investigations of osteocytes may provide vital insights that improve our understanding of the pathophysiology of periodontitis.

17.
Pathogens ; 9(11)2020 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-33202751

RESUMO

The relationship between periodontitis and systemic diseases, notably including atherosclerosis and diabetes, has been studied for several years. Porphyromonas gingivalis, a prominent component of oral microorganism communities, is the main pathogen that causes periodontitis. As a result of the extensive analysis of this organism, the evidence of its connection to systemic diseases has become more apparent over the last decade. A significant amount of research has explored the role of Porphyromonas gingivalis in atherosclerosis, Alzheimer's disease, rheumatoid arthritis, diabetes, and adverse pregnancy outcomes, while relatively few studies have examined its contribution to respiratory diseases, nonalcoholic fatty liver disease, and depression. Here, we provide an overview of the current state of knowledge about Porphyromonas gingivalis and its systemic impact in an aim to inform readers of the existing epidemiological evidence and the most recent preclinical studies. Additionally, the possible mechanisms by which Porphyromonas gingivalis is involved in the onset or exacerbation of diseases, together with its effects on systemic health, are covered. Although a few results remain controversial, it is now evident that Porphyromonas gingivalis should be regarded as a modifiable factor for several diseases.

18.
Artigo em Inglês | MEDLINE | ID: mdl-33184894

RESUMO

BACKGROUND: Ablation Index (AI), a novel lesion quality marker, includes contact force, time, and power of radiofrequency application, but not regional variation in wall thickness within the wide antral catheter ablation (WACA) circle. This study explored the relationships among AI target value, atrial wall thickness and gap formation within the WACA circle in patients with paroxysmal atrial fibrillation (PAF). METHODS: We evaluated 102 consecutive patients (mean age, 65 ± 9 years) with PAF who underwent AI-guided WACA for ipsilateral pulmonary vein isolation (PVI). Each WACA circle was subdivided into 8 segments, and overall 7143 radiofrequency applications were delivered, including 125 gaps in PVI ablation lines. For each radiofrequency tag within the ablation circle, we collected data on ablation lesion depth surrogates (time of application, delivery power, impedance drop, average contact force, force-time integral [FTI], and AI) and left atrial wall thickness measured by multi detector computer tomography scanning. RESULTS: The anterior and roof walls were the thickest segments of the ablation circle, in which 85.8% of gaps concentrated, while the posterior and inferior walls were the thinnest. Gap formation was significantly associated with FTI, AI, wall thickness, FTI/wall thickness and AI/wall thickness. AI/wall thickness had the highest predictive value for gap formation, with a cutoff of 195.6 au/mm for effective ablation. CONCLUSIONS: In AI-guided PVI of PAF, AI/wall thickness by normalizing myocardial thickness variation along the WACA circle was a strong predictor of gap formation, with a target of 195.6 au/mm appearing suitable for effective ablation. This article is protected by copyright. All rights reserved.

19.
Nutr Cancer ; : 1-8, 2020 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-33026250

RESUMO

The incidence of short-term complications after laparoscopic surgery for gastric cancer is higher. Whether ω-3 fish oil fat emulsion can reduce short-term complications of gastric cancer after laparoscopic surgery is controversial. The purpose of this study was to explore the effect of ω-3 fish oil fat emulsion on postoperative recovery of patients with gastric cancer after laparoscopic surgery. A total of 111 patients were included in this study. These patients were given parenteral nutrition for 5 day or more after surgery. We used univariate analysis and multivariate analysis to determine whether ω-3 fish oil fat emulsion could affect the incidence of short-term complications after gastric cancer laparoscopic surgery. The incidence of postoperative short-term complications in patients with parenteral nutrition supplemented with ω-3 fish oil fat emulsion was significantly lower than that in patients without ω-3 fish oil fat emulsion (12/51 VS 26/60, P = 0.027). ω-3 fish oil fat emulsion is an independent risk factor for short-term postoperative complications in patients with gastric cancer (OR = 0.393, CI:0.155-0.996, P = 0.049). In conclusion, the addition of ω-3 fish oil fat emulsion to parenteral nutrition after operation can effectively reduce the incidence of short-term complications in patients with gastric cancer after laparoscopic surgery.

20.
Mol Cell Proteomics ; 2020 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-33077685

RESUMO

The glycoprotein spike (S) on the surface of SARS-CoV-2 is a determinant for viral invasion and host immune response. Herein, we characterized the site-specific N-glycosylation of S protein at the level of intact glycopeptides. All 22 potential N-glycosites were identified in the S-protein protomer and were found to be preserved among the 753 SARS-CoV-2 genome sequences. The glycosites exhibited glycoform heterogeneity as expected for a human cell-expressed protein subunit. We identified masses that correspond to 157 N-glycans, primarily of the complex type. In contrast, the insect cell-expressed S protein contained 38 N-glycans, completely of the high-mannose type. Our results revealed that the glycan types were highly determined by the differential processing of N-glycans among human and insect cells, regardless of the glycosites' location. Moreover, the N-glycan compositions were conserved among different sizes of subunits. Our study indicate that the S protein N-glycosylation occurs regularly at each site, albeit the occupied N-glycans were diverse and heterogenous. This N-glycosylation landscape and the differential N-glycan patterns among distinct host cells are expected to shed light on the infection mechanism and present a positive view for the development of vaccines and targeted drugs.

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