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1.
Spectrochim Acta A Mol Biomol Spectrosc ; 230: 118030, 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31951867

RESUMO

In this study, a new 4,5-quinolimide-based fluorescent sensor BNC was synthesized and characterized. BNC showed single selectivity for Cu2+via the "turn-off" fluorescence among various common metal ions. After forming a 1:1 stoichiometric complex with Cu2+, the detection limit (LOD) of BNC for Cu2+ was measured to be 0.44 µM. Subsequently, the in situ generated BNC-Cu2+ complex had been used for sensing Cys with the LOD of 1.5 µM through the displacement strategy, resulting in the revivable emission of BNC. According to the "off-on-off" fluorescence cycle of BNC generated by the alternate addition of Cu2+ and Cys, a reversible memorized device with "read-write-read-erase" behavior was constructed at the molecular level. Furthermore, the recoveries of Cu2+ in lake water with BNC were in the range of 95.0-105%. And sequential fluorescence imagings of BNC for Cu2+ and Cys were successfully applied in living yeast cells.

2.
Org Lett ; 22(1): 249-252, 2020 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-31840516

RESUMO

An efficient organocatalytic enantioselective synthesis of chiral 1,4-benzodioxepines is described. By proper incorporation of an intramolecular oxetane desymmetrization process, a range of benzylic alcohols bearing an internal oxetane reacted in the presence of a suitable chiral phosphoric acid catalyst to form chiral 1,4-benzodioxepines with high enantioselectivity. This process provides a new catalytic asymmetric example of direct synthesis of seven-membered heterocycles with good stereocontrol.

3.
J Sci Food Agric ; 100(2): 595-606, 2020 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-31591721

RESUMO

BACKGROUND: Climate change has posed great challenges to rice production. Temperature and solar radiation show significant variations in central China. This study aims to analyze the responses of different rice genotypes to the variations of temperature and solar radiation in central China, and to find the way of identifying the optimal sowing date to improve and stabilize rice production. For this end, four rice genotypes (two Indica and two Japonica cultivars) were cultivated at two locations under irrigation conditions in 2 years with six sowing dates. RESULTS: We investigated variations of rice grain yield, resource use efficiency, average daily temperature and solar radiation during different phenological stages. Rice grain yield could increase by about 2-17% in central China. Compared with solar radiation, temperature was a more important factor affecting rice grain yield in central China. The grain yield showed great correlation with the means temperature during different phenological stages, especially during the first 20 days after heading (GT20). Besides our results demonstrated that the grain yield displayed slender variations when the GT20 was within 24.9-26.4 °C. However, GT20 was higher than 26.4 °C in most cases, which became more frequent due to climate changes. Analysis of climate change during the last 25 years revealed that the frequency of GT20 within 24.9-26.4 °C was increased by the delay of sowing date. CONCLUSION: We propose that delaying sowing date to achieve the optimal GT20 (24.9 °C-26.4 °C) can be an effective strategy to stabilize and improve rice grain yield and resource use efficiency in central China. © 2019 Society of Chemical Industry.


Assuntos
Produção Agrícola/métodos , Oryza/crescimento & desenvolvimento , Irrigação Agrícola , China , Mudança Climática , Genótipo , Oryza/genética , Oryza/metabolismo , Sementes/crescimento & desenvolvimento , Sementes/metabolismo , Temperatura Ambiente , Água/análise , Água/metabolismo
4.
Oncol Lett ; 18(6): 6355-6360, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31788112

RESUMO

Transcription factor E3 (TFE3) is a useful marker for tumors with Xp11.2 translocation, including alveolar soft part sarcoma and renal cell carcinoma. Recently, TFE3 overexpression was also found in granular cell tumors (GrCTs). However, the case cohorts of these two studies were limited to only 11 and 6 cases. Whether aberrant TFE3 expression is a common feature of Asian patients with GrCT requires further investigation. In the present study, immunohistochemical staining and TFE3 break-apart fluorescence in situ hybridization (FISH) assay were performed in 45 samples of GrCTs obtained from Chinese patients recruited from three medical centers in northeast China. Diffusive and marked nuclear staining for TFE3 was identified in 11/45 (24%) cases, which was lower than previously reported. Focal or weak TFE3 staining was identified in 13/45 (29%) cases. The remaining 21 cases were negative stained. In addition, GrCTs in subcutaneous tissue exhibited a relatively higher ratio (8/45, 18%) for TFE3 expression, compared with those in other sites. Furthermore, according to FISH data, no rearrangement or amplification of TFE3 was identified in these cases, whether they were positively or negatively stained for TFE3. The results from the present study demonstrated that part of patients GrCTs exhibited TFE3 overexpression, which suggested that this may not be derived from gene rearrangement.

5.
Genomics ; 2019 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-31678153

RESUMO

Dendrobium officinale is a kind of crop and precious herbal that is widely distributed in China. We applied transcriptomics to investigate the flavonoids and their biosynthesis-related genes from different tissues. Total flavonoid was determined in three different tissues. In this study, nine cDNA libraries were generated from Dendrobium officinale. A total of 530 million (70.73%) of the high-quality reads were successfully mapped to the reference genome of Dendrobium officinale and nine libraries were combined and assembled into 24,927 non-redundant genes. We mapped all of these genes to reference pathways in the KEGG database to identify polysaccharide and secondary metabolites pathways in which the genes may be involved. We outlined the biosynthetic pathway of flavonoids and identified putative genes, which provide understanding of the biosynthesis and regulation of Dendrobium officinale flavonoids at the molecular level. We identified five CHS genes from Dendrobium officinale and characterized the CHS gene family. The flavonoid-related key enzyme genes were identified, and their expression patterns in different tissues were further analyzed using quantitative real-time PCR. These data on flavonoid genes obtained in this work will be useful in understanding the molecular mechanisms of different tissues in Dendrobium officinale.

6.
Medicine (Baltimore) ; 98(44): e17708, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31689803

RESUMO

The aim of this study was to assess the effect of preoperative sleep quality on acute postoperative pain in breast cancer patients.The Pittsburgh Sleep Quality Index questionnaire (PSQI) was used to assess the overall sleep status of women scheduled for unilateral modified radical mastectomy in the past month. Based on the responses, patients were allocated to good sleep group or poor sleep group. Postoperatively, acute pain was assessed using the numerical rating score in the first 24 hours; in addition, the requirement of analgesics and the incidence of postoperative complications were recorded.A total of 108 breast surgery patients were enrolled. Based on the PSQI results, 55 (51%) patients were allocated to poor sleep group and 53 (49%) to good sleep group. Pain scores were similar in the 2 groups at the end of surgery (P = .589); however, poor sleep group reported higher postoperative pain scores than the good sleep group at 2 (P = .002), 6 (P < .001), 12 (P < .001), and 24 (P = .002) hours after surgery. The incidence of severe pain in the poor sleep group was higher than that in the good sleep group (27% vs 8%, P = .018), and the ratio of participants who required rescued analgesics was greater in the poor sleep group (52% vs 22%, P = .002). In addition, patients with poor sleep quality had more postoperative complications and longer hospital stay.In this study, breast cancer patients with poor preoperative sleep quality reported more severe postoperative pain, required more analgesics, experienced more complications, and had longer hospital stay.


Assuntos
Neoplasias da Mama/cirurgia , Mastectomia/efeitos adversos , Dor Pós-Operatória/etiologia , Distúrbios do Início e da Manutenção do Sono/complicações , Sono , Adolescente , Adulto , Idoso , Analgésicos/uso terapêutico , Neoplasias da Mama/complicações , Neoplasias da Mama/fisiopatologia , Feminino , Humanos , Tempo de Internação , Pessoa de Meia-Idade , Medição da Dor , Dor Pós-Operatória/tratamento farmacológico , Período Pré-Operatório , Estudos Prospectivos , Fatores de Risco , Distúrbios do Início e da Manutenção do Sono/fisiopatologia , Adulto Jovem
7.
Medicine (Baltimore) ; 98(44): e17772, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31689841

RESUMO

RATIONALE: Pituicytomas are exceptional rare tumors in the sellar and suprasellar regions with clinical manifestations, such as headache, visual disturbance, hypopituitarism, and decreased libido. Unlike that of common pituitary adenoma, the association between pituicytoma and Cushing disease (CD) is extremely rare. There were only 6 reported cases till now. In the current study, we describe an unusual case of pituicytoma associated with severe CD with a recurrence-free follow-up period of 49 months. PATIENT CONCERNS: A 32-year-old woman was referred to our hospital with moon face, central obesity, and purple stripes on the lower limbs. DIAGNOSES: The plasma cortisol level was 1122 nmol/L. The low-dose dexamethasone suppression test failed to suppress plasma cortisol. This test provided evidence of nonpituitary-dependent CD. However, magnetic resonance imaging demonstrated a sellar mass measuring approximately 7.6 × 5.7 mm. The patient was diagnosed with pituitary microadenoma. Histopathological analysis of the tissue sections based on the findings from the immunohistochemical staining diagnosed it as pituicytoma. INTERVENTIONS: Transsphenoidal surgery was performed to remove the pituitary mass. OUTCOMES: Within 2 months postoperatively, the patient's blood pressure and cortisol level decreased gradually and normalized on the 6th month when other symptoms of CD also disappeared. The patient is presently free from recurrence 49 months after the initial diagnosis. LESSONS: Based on the postoperative remission, CD was caused by pituitary disorders. A reasonable assumption is that an extremely small coexisting adenoma was not detected by the surgeon and washed out during the dissection. Another possible explanation might be the mass effect caused by this intrasellar lesion.


Assuntos
Adenoma/complicações , Hipersecreção Hipofisária de ACTH/etiologia , Neoplasias Hipofisárias/complicações , Adulto , Feminino , Humanos
8.
BMC Pharmacol Toxicol ; 20(1): 64, 2019 11 05.
Artigo em Inglês | MEDLINE | ID: mdl-31690348

RESUMO

BACKGROUND: The adverse drug reactions (ADRs) related to clonazepam are mild, and only two cases of myotoxicity induced by clonazepam have been reported, with both patients recovering well. We present a unique case of a serious ADR outcome after taking clonazepam. CASE PRESENTATION: A 24-year-old woman with a long-standing history of polio and a 2-year history of epilepsy developed a serious ADR after repeated exposure to oral clonazepam combined with sodium valproate that manifested as myotoxicity and elevated levels of creatine phosphokinase. The patient is currently bedridden and unable to take care of herself. CONCLUSION: Clinicians should be vigilant of the possibility of myotoxicity induced by clonazepam, especially in specific populations such as polio patients or when clonazepam is used in combination therapies.

9.
Lab Chip ; 19(20): 3387-3396, 2019 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-31517364

RESUMO

The patterning of nanoparticles, which are promising photothermal agents, is of great importance to selectively and precisely ablate tissues by thermal effects. In this paper, we demonstrated that nano-sized gold particles (gold nanocages, AuNCS) with a hollow structure could be used to generate various wavefront patterns of surface acoustic waves (SAWs) and the aligned AuNC lines facilitated the destruction of cancer cells by the thermal effect with high spatial resolution. The hollow structure improved the acoustic sensitivity of AuNCs, making them more sensitive to the acoustic radiation force. Moreover, the multi-scale patterning of AuNCs could be achieved by the interference of multiple acoustic beams. Given the photothermal characteristics of AuNCs, selective temperature elevation within a micrometer-sized region could be realized when the patterned AuNCs were irradiated by a laser. The cancer cells where the patterned AuNCs were located were eliminated by thermal ablation, while other cells remained alive. In particular, the acoustic frequency used in this study was as low as 11. 35 MHz and was in the range of diagnostic ultrasound (less than 12 MHz), offering a potential to serve as a powerful tool in clinical applications.

10.
Cancer Manag Res ; 11: 6637-6649, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31406477

RESUMO

Objective: The aim of this work was to study the effects of paclitaxel-loaded nanobubbles targeting pro-gastrin-releasing peptide, designated as paclitaxel targeting nanobubbles, on small cell lung cancer (SCLC). Methods: Paclitaxel targeting nanobubbles were prepared by Thin-film hydration method. Subsequently, the prepared nanomaterials were tested for their in vitro effects on SCLC H446 cells proliferation, apoptosis and motility using the CCK-8 assay, flow cytometry and cell scratch test. Next, the potential molecular regulatory mechanisms of the prepared nanomaterials on H446 cells were evaluated by RT-PCR, Western blot and immunohistochemical detection. Finally, the in vivo effects of the constructed nanomaterials were assessed on SCLC tumor using tumor-burdened nude mice models. Results: Paclitaxel targeting nanobubbles significantly inhibited SCLC cell proliferation and migration, and promoted cell apoptosis. Moreover, the expression levels of Bcl-2, survivin, CDK2 and MMP-2 significantly decreased in SCLC cells treated with paclitaxel targeting nanobubbles, whereas the expression of caspase-3 and Rb were increased. There was a notable decrease in tumor size in vivo in SCLC nude mice models treated with paclitaxel targeting nanobubbles. Conclusion: Paclitaxel targeting nanobubbles effectively inhibited the proliferation, migration and invasion of SCLC cells and induced SCLC cells apoptosis. Hence, these nanobubbles show potential in SCLC-targeted drug treatment application.

11.
Nanotechnology ; 30(45): 455601, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31370057

RESUMO

Optimizing of electrocatalytic hydrogen evolution reaction (HER) activity is still a gigantic challenge for improving catalysts in renewable energy field. In this research, large-scale neoteric three-dimensional (3D) hierarchical MoSe2 hollow sphere arrays with like-Pacific Plate architecture were triumphantly prepared via a facile and reliable approach. The like-Pacific Plate architecture consists of many 3D MoSe2 arrays plates with the dimensions of 10-35 µm, which is assembled by plentiful closely connecting hierarchical MoSe2 hollow spheres with the outer diameter, hierarchically secondary unit size and shell thickness of 450 nm, 25 nm and 10 nm, respectively. The products exhibited remarkable HER performance with small Tafel slope (58.5 mV dec-1), low overpotential (169.8 mV) at 10 mA cm-2, high conductivity and durable stability, which are attribute to the mechanisms (1) 3D hollow framework furnishes large specific surface area, (2) hierarchical structure generates more active sites, (3) like-Pacific Plate architecture facilitates the touch of electrolyte and catalyst, and (4) closely packed arrays expedite the migration of electron. The current work indicates that unique 3D hierarchical hollow sphere arrays with like-Pacific Plate architecture will be a potential candidate for effective electrocatalytic water splitting catalyst material with energy source application.

12.
Chem Commun (Camb) ; 55(73): 10916-10919, 2019 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-31441466
13.
Cyberpsychol Behav Soc Netw ; 22(8): 515-520, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31314579

RESUMO

Paying attention to the rising popularity of virtual assistants (VAs) that offer unique user experiences through voice-centered interaction, this study examined the effects of modality, device, and task differences on perceived human likeness of, and attitudes toward, voice-activated VAs. To do so, a 2 (modality: voice vs. text) × 2 (device: mobile vs. laptop) × 2 (task type: hedonic vs. utilitarian) mixed factorial experimental design was employed. Findings suggest that voice (vs. text) interaction leads to more positive attitudes toward the VA system mediated by heightened perceived human likeness of the VA, but only with utilitarian (vs. hedonic) tasks. Interestingly, laptop (vs. mobile phone) interaction also enhanced perceived human likeness of the VA. This study offers theoretical and practical implications for VA research by exploring the combinational effects of modality, device, and task differences on user perceptions through human-like interactions.


Assuntos
Atitude Frente aos Computadores , Computadores , Interface Usuário-Computador , Adulto , Telefone Celular , Feminino , Humanos , Masculino , Percepção , Interface para o Reconhecimento da Fala
14.
Theranostics ; 9(14): 3992-4005, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31281527

RESUMO

Rod-shape nanoplatform have received tremendous attention owing to their enhanced ability for cell internalization and high capacity for drug loading. MoS2, widely used in electronic devices, electrocatalysis, sensor and energy-storage, has been studied as photothermal agents over the years. However, the efficacy of rod-shape MoS2 based photothermal agents for photothermal therapy has not been studied before. Here, a near-infrared (NIR) light-absorbing MoS2 nanosheets coated mesoporous silica nanorods with human serum albumin (HSA) modifying and Ce6 loading (MSNR@MoS2-HSA/Ce6) were constructed for combined photothermal and photodynamic therapy. Methods: The near-infrared (NIR) light was used to trigger the synergistic anti-tumor therapy. In addition, breast cancer cell line was applied to evaluate the in vitro anti-tumor activity. The multi-modal imaging capacity and tumor-killing efficiency of the designed nanocomposites in vivo was also demonstrated with the 4T1 tumor-bearing mouse model. Results: These nanocomposites could not only perform NIR light triggered photodynamic therapy (PDT) and photothermal therapy (PTT), but also achieve in vivo fluorescence (FL) /multispectral optical tomography (MSOT)/X-ray computed tomography (CT) triple-model bioimaging. What's more, the rod-shape nanoplatform could be endowed with better anti-tumor ability based on the EPR effect and HSA-mediated active tumor targeting. At the same time, the hyperthermia generated by MoS2 could synergistically improve the PDT effect with the acceleration of the blood flow, leading to the increase of the oxygen level in tumor tissue. Conclusion: MSNR@MoS2-HSA/Ce6 proves to be a promising multi-functional nanoplatform for effective treatment of tumor.

15.
BMC Complement Altern Med ; 19(1): 92, 2019 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-31035991

RESUMO

BACKGROUND: To investigate the effects of the Alisma and Rhizoma decoction on nonalcoholic steatohepatitis (NASH) and to further shed light on the underlying mechanisms of the actions of the Alisma and Rhizoma decoction. METHODS: Plasma alanine aminotransferase (ALT) content was determined and liver inflammation and fibrosis were evaluated. Intrahepatocellular malondialdehyde and superoxide dismutase contents were determined using commercially available kits Furthermore, α-SMA expression in liver tissues was examined by immunohistochemistry and LC3-II was detected by immunoblotting assays. RESULTS: Mice receiving the Alisma and Rhizoma decoction by gastric lavage had significantly lower plasma ALT content and markedly higher hepatic superoxide dismutase activity than mice receiving the methionine-choline deficient (MCD) diet. Furthermore, the decoction aborted MCD-induced increase in liver malondialdehyde content. Immunohistochemistry showed that the decoction suppressed hepatic α-SMA expression. Our transmission electronic microscopy revealed that the decoction markedly reduced the number of autophagosomes and immunoblotting assays showed that the decoction caused a dose-dependent decrease in LC3-II in hepatic tissues. CONCLUSION: The Alisma and Rhizoma decoction lessens NASH-associated liver injuries by modulating oxidative stress and autophagy in hepatocytes of mice fed with MCD.


Assuntos
Alisma/química , Atractylodes/química , Autofagia/efeitos dos fármacos , Hepatopatia Gordurosa não Alcoólica/metabolismo , Estresse Oxidativo/efeitos dos fármacos , Extratos Vegetais/farmacologia , Animais , Modelos Animais de Doenças , Masculino , Camundongos , Camundongos Endogâmicos C57BL
16.
Lancet Diabetes Endocrinol ; 7(6): 452-461, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31036503

RESUMO

BACKGROUND: Lifestyle interventions can delay the onset of type 2 diabetes in people with impaired glucose tolerance, but whether this leads subsequently to fewer complications or to increased longevity is uncertain. We aimed to assess the long-term effects of lifestyle interventions in people with impaired glucose tolerance on the incidence of diabetes, its complications, and mortality. METHODS: The original study was a cluster randomised trial, started in 1986, in which 33 clinics in Da Qing, China, were randomly assigned to either be a control clinic or provide one of three interventions (diet, exercise, or diet plus exercise) for 6 years for 577 adults with impaired glucose tolerance who usually receive their medical care from the clinics. Subsequently, participants were followed for up to 30 years to assess the effects of intervention on the incidence of diabetes, cardiovascular disease events, composite microvascular complications, cardiovascular disease death, all-cause mortality, and life expectancy. FINDINGS: Of the 577 participants, 438 were assigned to an intervention group and 138 to the control group (one refused baseline examination). After 30 years of follow-up, 540 (94%) of 576 participants were assessed for outcomes (135 in the control group, 405 in the intervention group). During the 30-year follow-up, compared with control, the combined intervention group had a median delay in diabetes onset of 3·96 years (95% CI 1·25 to 6·67; p=0·0042), fewer cardiovascular disease events (hazard ratio 0·74, 95% CI 0·59-0·92; p=0·0060), a lower incidence of microvascular complications (0·65, 0·45-0·95; p=0·025), fewer cardiovascular disease deaths (0·67, 0·48-0·94; p=0·022), fewer all-cause deaths (0·74, 0·61-0·89; p=0·0015), and an average increase in life expectancy of 1·44 years (95% CI 0·20-2·68; p=0·023). INTERPRETATION: Lifestyle intervention in people with impaired glucose tolerance delayed the onset of type 2 diabetes and reduced the incidence of cardiovascular events, microvascular complications, and cardiovascular and all-cause mortality, and increased life expectancy. These findings provide strong justification to continue to implement and expand the use of such interventions to curb the global epidemic of type 2 diabetes and its consequences. FUNDING: US Centers for Disease Control and Prevention, WHO, Chinese Center for Disease Control and Prevention, World Bank, Ministry of Public Health of the People's Republic of China, Da Qing First Hospital, China-Japan Friendship Hospital, and National Center for Cardiovascular Diseases & Fuwai Hospital.

17.
Org Lett ; 21(11): 4173-4176, 2019 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-31124682

RESUMO

An efficient method merging Brønsted acid catalysis with visible-light induction for the highly enantioselective synthesis of tetrahydroquinolines has been developed. This mild process directly transforms 2-aminoenones into 2-substituted tetrahydroquinolines with excellent enantioselectivities through a relay visible-light-induced cyclization/chiral phosphoric acid-catalyzed transfer hydrogenation reaction.

18.
Diabetes Metab Res Rev ; 35(6): e3163, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-30939629

RESUMO

BACKGROUND: Limited information is available on the long-term risk of cardiovascular disease (CVD) associated with hypertriglyceridaemia (HTG) in the Chinese population. We estimated this risk over a 23-year period in participants recruited from among those included in the Da Qing Diabetes Study. METHODS: A total of 833 Chinese adults including 379 with normal glucose levels and 454 with hyperglycaemia were identified by their oral glucose tolerance in 1986 in Da Qing, China. CVD outcomes were monitored until 2009. Thirty-four percent (280/833) of the participants had HTG, which was defined as a fasting plasma triglyceride (TG) level ≥ 1.7 mmol/L, at the baseline time point. RESULTS: Over the 23-yearfollow-up period, 149 subjects in the HTG group and 190 subjects in the non-HTG group (NTG group) experienced their first CVD event, including fatal or nonfatal myocardial infarction (MI) and stroke. The age and sex-adjusted annual incidence of the first CVD event per 1000 person-years was 30.23 for the HTG group vs 18.68 for the NTG group. The corresponding rates for MI and stroke were 7.71 vs 3.89 and 19.55 vs 13.98, respectively. After adjusting for confounders, the HTG group had a 28% higher risk of the first CVD event than the NTG group. This association was significant among only the subjects with a serum cholesterol level > 5.7 mmol/L and those with diabetes or impaired glucose tolerance (IGT). CONCLUSION: HGT predicted a substantially higher subsequent long-term risk of the first CVD event in Chinese adults, especially in those with hypercholesterolaemia and hyperglycaemia.

19.
Endocrine ; 65(1): 46-52, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31001730

RESUMO

OBJECTIVE: This study aimed to investigate premature mortality and the risk of cardiovascular disease (CVD) in Chinese adults with diabetes diagnosed before the age of 45 years. METHODS: A total of 519 participants with normal glucose tolerance (NGT) and 630 with newly diagnosed diabetes mellitus (DM) were recruited in 1986 in the Da Qing Diabetes Study. In 2009, the participants were followed up to assess mortality and CVD events. The subjects were stratified into four subgroups according to age and diabetes status: age <45 years with NGT (NGT<45y), age <45 years with DM (DM<45y), age ≥45 years with NGT (NGT≥45y), and age ≥45 years with DM (DM≥45y). The risk of death and CVD events in patients with young-onset DM and elder subjects with NGT were compared to show the extent of premature death and CVD in the DM participants. RESULTS: During the 23-year follow-up, 26 (10.40%) participants in NGT<45y, 72 (34.12%) in DM<45y, 74 (30.58%) in NGT≥45y, and 266 (68.73%) in DM≥45y died, including 13 (5.20%), 36 (17.06%), 24 (9.92%), and 128 (33.07%) death attributed to CVD. The corresponding rates of CVD events were 56 (22.40%), 90 (42.65%), 89 (36.78), and 213 (55.04%). It also showed that the risk of all-cause death (HR 1.23, 95% CI 0.88-1.71) or CVD events (HR 1.25, 95% CI 0.93-1.69) did not differ significantly between the DM<45y and NGT≥45y groups after adjusting for sex, smoking, body mass index, systolic blood pressure, total cholesterol and previous history of CVD. Of note, participants in the DM<45y group had an higher risk of CVD mortality compared with that in the NGT≥45y group (HR 1.76, 95% CI 1.04-2.98), although the mean age in the former group was 12 years lesser than that in the latter group (39.01 ± 5.00 vs 51.45 ± 5.14). CONCLUSIONS: Young-onset diabetes is a risk factor for the premature death and cardiovascular disease. Early prevention and intensive treatment are warrented in patients with young-onset diabetes.

20.
J Affect Disord ; 250: 380-390, 2019 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-30877861

RESUMO

BACKGROUND: Both of the modern medicine and the traditional Chinese medicine classify depressive disorder (DD) and chronic fatigue syndrome (CFS) to one type of disease. Unveiling the association between depressive and the fatigue diseases provides a great opportunity to bridge the modern medicine with the traditional Chinese medicine. METHODS: In this work, 295 general participants were recruited to complete Zung Self-Rating Depression Scales and Chalder Fatigue Scales, and meanwhile, to donate plasma and urine samples for 1H NMR-metabolic profiling. Artificial intelligence methods was used to analysis the underlying association between DD and CFS. Principal components analysis (PCA) and partial least squares discriminant analysis (PLS-DA) were used to analyze the metabolic profiles with respect to gender and age. Variable importance in projection and t-test were employed in conjunction with the PLS-DA models to identify the metabolite biomarkers. Considering the asymmetry and complexity of the data, convolutional neural networks (CNN) model, an artificial intelligence method, was built to analyze the data characteristics between each groups. RESULTS: The results showed the gender- and age-related differences for the candidate biomarkers of the DD and the CFS diseases, and indicated the same and different biomarkers of the two diseases. PCA analysis for the data characteristics reflected that DD and CFS was separated completely in plasma metabolite. However, DD and CFS was merged into one group. LIMITATION: Lack of transcriptomic analysis limits the understanding of the association of the DD and the CFS diseases on gene level. CONCLUSION: The unmasked candidate biomarkers provide reliable evidence to explore the commonality and differences of the depressive and the fatigue diseases, and thereby, bridge over the traditional Chinese medicine with the modern medicine.


Assuntos
Inteligência Artificial , Transtorno Depressivo Maior/complicações , Transtorno Depressivo Maior/diagnóstico , Síndrome de Fadiga Crônica/complicações , Síndrome de Fadiga Crônica/diagnóstico , Adulto , Biomarcadores/sangue , Transtorno Depressivo , Feminino , Perfilação da Expressão Gênica , Humanos , Análise dos Mínimos Quadrados , Espectroscopia de Ressonância Magnética , Masculino , Metabolômica , Pessoa de Meia-Idade , Análise de Componente Principal
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