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1.
Neural Regen Res ; 17(3): 632-642, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34380904

RESUMO

Icariin (ICA) has a significant capacity to protect against depression and hippocampal injury, but it cannot effectively cross the blood-brain barrier and accumulate in the brain. Therefore, the mechanism by which ICA protects against hippocampal injury in depression remains unclear. In this study, we performed proteomics analysis of cerebrospinal fluid to investigate the mechanism by which ICA prevents dysfunctional hippocampal neurogenesis in depression. A rat model of depression was established through exposure to chronic unpredictable mild stress for 6 weeks, after which 120 mg/kg ICA was administered subcutaneously every day. The results showed that ICA alleviated depressive symptoms, learning and memory dysfunction, dysfunctional neurogenesis, and neuronal loss in the dentate gyrus of rats with depression. Neural stem cells from rat embryonic hippocampi were cultured in media containing 20% cerebrospinal fluid from each group of rats and then treated with 100 µM corticosterone. The addition of cerebrospinal fluid from rats treated with ICA largely prevented the corticosterone-mediated inhibition of neuronal proliferation and differentiation. Fifty-two differentially expressed proteins regulated by chronic unpredictable mild stress and ICA were identified through proteomics analysis of cerebrospinal fluid. These proteins were mainly involved in the ribosome, PI3K-Akt signaling, and interleukin-17 signaling pathways. Parallel reaction monitoring mass spectrometry showed that Rps4x, Rps12, Rps14, Rps19, Hsp90b1, and Hsp90aa1 were up-regulated by chronic unpredictable mild stress and down-regulated by ICA. In contrast, HtrA1 was down-regulated by chronic unpredictable mild stress and up-regulated by ICA. These findings suggest that ICA can prevent depression and dysfunctional hippocampal neurogenesis through regulating the expression of certain proteins found in the cerebrospinal fluid. The study was approved by the Experimental Animal Ethics Committee of Guangzhou University of Chinese Medicine of China in March 2017.

2.
Phytomedicine ; 95: 153875, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34911003

RESUMO

BACKGROUND: Poria cocos (Schw.) Wolf (PC), a fungus, has been used for more than 2000 years as a food and medicine in China. It has a very good therapeutic effect for functional dyspepsia (FD). However, the material basis and mechanism of PC on FD were not reported. PURPOSE: To investigate the function and potential mechanisms of PC including its three extracts (triterpenoid, PCT; water-soluble polysaccharide, PCWP; acidic polysaccharide, PCAP) on FD. STUDY DESIGN: The study explored the therapeutic effect of PC and its three extracts on FD in rats for the first time and discussed its mechanisms based on brain-gut peptides, immunity and repair of the gastrointestinal mucosa. METHODS: The chemical components of PC extracts were analyzed and quantified using ultra high performance liquid chromatography coupled with quadrupole time of flight mass spectrometry (UPLC-Q-TOF-MS) and gel permeation chromatography coupled with size exclusion chromatography (GPC/SEC). The FD rat models were established using weight-loaded forced swimming and alternate-day fasting for 42 days. After 14 days of treatment, the effect and mechanisms were investigated using ELISA, histopathology, immunohistochemistry as well as Western blot. RESULTS: Seventy-seven triterpenoids in PCT were identified. PCWP was primarily composed of component A (Mw: 3.831 × 107 Da), component B (Mw: 5.650 × 106 Da) and component C (Mw: 113,117 Da). PCAP was a homogeneous composition with an average Mw of 74,320 Da. PCT, PCWP and PCAP alleviated the symptoms of FD. These extracts promoted the repair of gastrointestinal mucosa and regulated the balance between the T helper cell (Th)1/Th2 axis and the Th17/Treg axis. PCT and PCWP regulated brain-gut peptides more effectively, PCWP and PCAP enhanced immunity more effectively. Further study demonstrated that these extracts may have enhanced immunity via the Toll-like receptor (TLR) and c-Jun N-terminal kinase (JNK) signaling pathways. CONCLUSIONS: PC extracts showed therapeutic effects on FD rats, and the mechanism of action involved multiple pathways. PCAP, which is often discarded in traditional applications, was effective. Our study provides new ideas for the application and development of PC extracts.


Assuntos
Dispepsia , Poria , Wolfiporia , Animais , Encéfalo , Membrana Mucosa , Peptídeos/farmacologia , Extratos Vegetais/farmacologia , Ratos
3.
Anal Chem ; 94(2): 820-828, 2022 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-34931817

RESUMO

Phosphatidylethanolamines (PEs), ether-PEs, and phosphatidylserines (PSs) are glycerophospholipids harboring a primary amino group in their headgroups. They are key components of mammalian cell membranes and play pivotal roles in cell signaling and apoptosis. In this study, a liquid chromatography-mass spectrometry (LC-MS) workflow for deep profiling of PEs, ether-PEs, and PSs has been developed by integrating two orthogonal derivatizations: (1) derivatization of the primary amino group by 4-trimethylammoniumbutyryl-N-hydroxysuccinimide (TMAB-NHS) for enhanced LC separation and MS detection and (2) the Paternò-Büchi (PB) reaction for carbon-carbon double bond (C═C) derivatization and localization. Significant improvement of the limit of identification down to the C═C location has been achieved for the standards of PSs (3 nM) and ether-PEs (20 nM). This workflow facilitates an identification of more than 200 molecular species of aminophospholipids in the porcine brain, two times more than those identified without TMAB-NHS derivatization. Importantly, we discovered that the n-10 isomers in C16:1 and C18:1 of aminophospholipids showed elevated contribution among other isomers, which correlated well with an increased transcription of the corresponding desaturase (FADS2) in the human breast cancer cell line (MDA-MB-231) relative to that in the normal cell line (HMEC). The abovementioned data suggest that lipid reprograming via forming different C═C location isomers might be an alternative mechanism in cancer cells.

4.
J Neurosci Methods ; 367: 109426, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34902364

RESUMO

BACKGROUND: Recently, convolutional neural networks (CNN) are widely applied in motor imagery electroencephalography (MI-EEG) signal classification tasks. However, a simple CNN framework is challenging to satisfy the complex MI-EEG signal decoding. NEW METHOD: In this study, we propose a multiscale Siamese convolutional neural network with cross-channel fusion (MSCCF-Net) for MI-EEG classification tasks. The proposed network consists of three parts: Siamese cross-channel fusion streams, similarity module and classification module. Each Siamese cross-channel fusion stream contains multiple branches, and each branch is supplemented by cross-channel fusion modules to improve multiscale temporal feature representation capability. The similarity module is adopted to measure the feature similarity between multiple branches. At the same time, the classification module provides a strong constraint to classify the features from all Siamese cross-channel fusion streams. The combination of the similarity module and classification module constitutes a new joint training strategy to further optimize the network performance. RESULTS: The experiment is conducted on the public BCI Competition IV 2a and 2b datasets, and the results show that the proposed network achieves an average accuracy of 87.36% and 87.33%, respectively. COMPARISON WITH EXISTING METHODS AND CONCLUSIONS: The proposed network adopts cross-channel fusion to learn multiscale temporal characteristics and joint training strategy to optimize the training process. Therefore, the performance outperforms other state-of-the-art MI-EEG signal classification methods.

5.
World J Clin Cases ; 9(31): 9440-9451, 2021 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-34877279

RESUMO

BACKGROUND: The identification of risk factors for recurrence in patients with minor ischemic stroke (MIS) is a critical medical need. AIM: To develop a nomogram for individualized prediction of in-hospital recurrence in MIS patients. METHODS: Based on retrospective collection, a single-center study was conducted at the First Affiliated Hospital of Anhui Medical University from January 2014 to December 2019. Univariate and multivariate logistic regression analyses were used to determine the risk factors associated with MIS recurrence. The least absolute shrinkage and selection operator regression was performed for preliminary identification of potential risk factors. Uric acid, systolic blood pressure, serum total bilirubin (STBL), and ferritin were integrated for nomogram construction. The predictive accuracy and calibration of the nomogram model were assessed by the area under the receiver operating characteristic curve (AUC-ROC) and Hosmer-Lemeshow test, respectively. RESULTS: A total of 2216 MIS patients were screened. Among them, 155 were excluded for intravascular therapy, 146 for unknown National Institutes of Health Stroke Scale score, 195 for intracranial hemorrhage, and 247 for progressive stroke. Finally, 1244 patients were subjected to further analysis and divided into a training set (n = 796) and a validation set (n = 448). Multivariate logistic regression analysis revealed that uric acid [odds ratio (OR): 0.997, 95% confidence interval (CI): 0.993-0.999], ferritin (OR: 1.004, 95%CI: 1.002-1.006), and STBL (OR: 0.973, 95%CI: 0.956-0.990) were independently associated with in-hospital recurrence in MIS patients. Our model showed good discrimination; the AUC-ROC value was 0.725 (95%CI: 0.646-0.804) in the training set and 0.717 (95%CI: 0.580-0.785) in the validation set. Moreover, the calibration between nomogram prediction and the actual observation showed good consistency. Hosmer-Lemeshow test results confirmed that the nomogram was well-calibrated (P = 0.850). CONCLUSION: Our present findings suggest that the nomogram may provide individualized prediction of recurrence in MIS patients.

6.
Diabetes Metab Syndr Obes ; 14: 4747-4756, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34887672

RESUMO

Purpose: Non-alcoholic fatty liver disease (NAFLD) is a disease associated with genetic-environmental-metabolic stress, which severely damages the liver function of patients. This study aimed to explore the significance and probable functions of HCG18 in NAFLD. Patients and Methods: The expression of HCG18 and miR-197-3p was tested by qRT-PCR. The clinical signification of HCG18 was provided by the ROC curve and Pearson correlation. The corresponding mechanism was punctuated by the luciferase reporter assay and HFD-managed mice. Results: HCG18 expression was higher in the patients with NAFLD than in controls and in individuals with HOMA-IR score ≥2.5 than those with HOMA-IR score <2.5. HCG18 expression in NAFLD patients was related to BMI, HOMA-IR, ALT, FBG, TC, and TG. HCG18 showed satisfactory predictive accuracy in differentiating NAFLD patients and patients with HOMA-IR ≥2.5. Besides, HCG18 had protective impacts on blood glucose and fat deposition but not on body weight. MiR-197-3p is a direct gene of HCG18, and a reverse correlation was found between miR-197-3p and HCG18. Furthermore, miR-197-3p regulated the influence of HCG18 on insulin resistance and lipid accumulation. Conclusion: Increased levels of HCG18 might be an alternate indicator for NAFLD patients. The HCG18-miR-197-3p axis exerted effects on the progression of fat sedimentation and glucose disorder in NAFLD.

7.
Mol Cell Probes ; 61: 101787, 2021 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-34875349

RESUMO

Current human papillomavirus (HPV) detection methods require complex instruments, skilled staff and have a high cost. Therefore, novel testing approaches are needed which are easy to implement, highly sensitive, and low cost. Loop-mediated isothermal amplification (LAMP) is an isothermal amplification technique. In this study, according to the conditions in China, a novel LAMP method for detecting seven high-risk HPV subtypes (16, 18, 33, 39, 45, 52, and 58) was designed and evaluated. The DNA from plasmid and cervical specimens was extracted using Chelex 100 and measured by qPCR and LAMP assay. LAMP products were observed under ultraviolet light. HPV sequences were successfully amplified and a plateau time of 19-75 min was maintained. The concentration of positive reactions ranged between 20 copies/µL and 200000 copies/µL. Additionally, there was no cross-reactivity between HPV16, 18, 33, 39, 45, 52, 58, 31, 35, 45, 51, 56, 59, 66, or 68. For clinical samples, the LAMP assay had high sensitivity and specificity for HPV16, 18, 33, 39, 45, 52, and 58. However, 5% (72/1447) of the samples tested yielded false-positive results. In conclusion, the novel LAMP assay for HPV16, 18, 33, 39, 45, 52, and 58 has high sensitivity and specificity, a low cost, and is simple and rapid to perform. The LAMP assay can improve HPV detection in resource-limited settings, especially in primary care hospitals and rural areas.

8.
Front Microbiol ; 12: 783195, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34858382

RESUMO

Our previous study identified a new ß-galactosidase in Erwinia sp. E602. To further understand the lactose metabolism in this strain, de novo genome assembly was conducted by using a strategy combining Illumina and PacBio sequencing technology. The whole genome of Erwinia sp. E602 includes a 4.8 Mb chromosome and a 326 kb large plasmid. A total of 4,739 genes, including 4,543 protein-coding genes, 25 rRNAs, 82 tRNAs and 7 other ncRNAs genes were annotated. The plasmid was the largest one characterized in genus Erwinia by far, and it contained a number of genes and pathways responsible for lactose metabolism and regulation. Moreover, a new plasmid-borne lac operon that lacked a typical ß-galactoside transacetylase (lacA) gene was identified in the strain. Phylogenetic analysis showed that the genes lacY and lacZ in the operon were under positive selection, indicating the adaptation of lactose metabolism to the environment in Erwinia sp. E602. Our current study demonstrated that the hybrid de novo genome assembly using Illumina and PacBio sequencing technologies, as well as the metabolic pathway analysis, provided a useful strategy for better understanding of the evolution of undiscovered microbial species or strains.

9.
Genomics ; 114(1): 328-339, 2021 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-34933071

RESUMO

Aeromonas salmonicida (A. salmonicida) is a pathogenic bacterium that causes serious problems in the global Atlantic salmon aquaculture industry. In this study, we comprehensively analyzed the profiles of lncRNAs, miRNAs and mRNAs in gills of Atlantic salmon at high-dose A. salmonicida infection (3.06 × 108 CFU/mL), low-dose A. salmonicida infection (3.06 × 105 CFU/mL), and a PBS (100 µL) control. We identified 65 differentially expressed lncRNAs, 41 miRNAs, and 512 mRNAs between the control group and infection groups. Functional analysis showed that these genes were significantly enriched in the p53 signaling pathway, Wnt signaling pathway, mTOR signaling pathway, JAK-STAT signaling pathway, and Toll-like receptor signaling pathway. In addition, we predicted key genes in immune-related pathways and constructed a lncRNA-miRNA-mRNA network based on whole transcriptomic analysis. We further predicted three lncRNA-miRNA-mRNA axes as potential novel biomarkers in regulating the immune response of Atlantic salmon against A. salmonicida infection.

10.
Front Endocrinol (Lausanne) ; 12: 703167, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34925225

RESUMO

Osteoporosis is a complex multifactorial disorder linked to various risk factors and medical conditions. Bone marrow-derived mesenchymal stem cell (BMSC) dysfunction potentially plays a critical role in osteoporosis pathogenesis. Herein, the study identified that miR-4739 was upregulated in BMSC cultures harvested from osteoporotic subjects. BMSCs were isolated from normal and osteoporotic bone marrow tissues and identified for their osteogenic differentiation potential. In osteoporotic BMSCs, miR-4739 overexpression significantly inhibited cell viability, osteoblast differentiation, mineralized nodule formation, and heterotopic bone formation, whereas miR-4739 inhibition exerted opposite effects. Through direct binding, miR-4739 inhibited distal-less homeobox 3 (DLX3) expression. In osteoporotic BMSCs, DLX3 knockdown also inhibited BMSC viability and osteogenic differentiation. Moreover, DLX3 knockdown partially attenuated the effects of miR-4739 inhibition upon BMSCs. Altogether, the miR-4739/DLX3 axis modulates the capacity of BMSCs to differentiate into osteoblasts, which potentially plays a role in osteoporosis pathogenesis. The in vivo and clinical functions of the miR-4739/DLX3 axis require further investigation.

11.
Medicine (Baltimore) ; 100(50): e28279, 2021 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-34918703

RESUMO

BACKGROUND: Acupuncture combined with traditional Chinese medicine (TCM) bonesetting is an effective and more acceptable treatment method for distal radius fractures; this study aims to evaluate the clinical efficacy and other relevant factors of it compared with western medicine therapy such as operation. METHODS: Databases CNKI, Wanfang, VIP, SinoMed, and PubMed were searched for the current study. The retrieval time was from the establishment to November 14, 2021. Literature quality was evaluated according to the bias risk assessment criteria of Cochrane Collaboration network. RevMan 5.3 and Stata 12.0 were used to perform this research. RESULTS: This study will appraise the effectiveness and advantages of acupuncture combined with TCM bonesetting for distal radius fractures in terms of excellent and good rate, length of stay, hospitalization expenses, complication, and other factors. CONCLUSION: This study provides reliable evidence-based support for the clinical efficacy and advantages of acupuncture combined with TCM bonesetting for distal radius fractures. OSF REGISTRATION DOI: 10.17605/OSF.IO/BUPE8.

12.
Medicine (Baltimore) ; 100(51): e28285, 2021 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-34941113

RESUMO

BACKGROUND: Methotrexate and leflunomide are classic treatments for rheumatoid arthritis (RA), however, which is the best choice for patients of RA is still an important question clinically, and this meta-analysis is used to systematically evaluate and compare their efficacy and safety. METHODS: We searched PubMed, Cochrance Library, Embase, SinoMed, China National Knowledge Infrastructure, China Science and Technology Journal Database, WanFang Data databases. The retrieval time was from the establishment to September 7, 2021. Literature screening, data extraction, and quality assessment were performed according to the Cochrane risk of bias tool. Meta-analysis of the included studies was performed using RevMan 5.3 software and Stata 12.0 software. RESULTS: The clinical efficacy and safety of leflunomide and methotrexate are evaluated by American College of Rheumatology (ACR)20/50/70, DAS28, total effective rate, adverse reaction rate, morning stiffness, swollen joint count, tender joint count, erythrocyte sedimentation rate, C-reactive protein, and rheumatoid factor. CONCLUSION: The results of this meta-analysis will provide reliable evidence clinical efficacy and safety for RA. More high-quality randomized controlled trials are still needed to provide more reliable evidence for the treatment of RA. PROSPERO NUMBER: CRD42021270980.


Assuntos
Antirreumáticos/uso terapêutico , Artrite Reumatoide/tratamento farmacológico , Leflunomida/uso terapêutico , Metotrexato/uso terapêutico , Antirreumáticos/efeitos adversos , Humanos , Leflunomida/efeitos adversos , Metanálise como Assunto , Metotrexato/efeitos adversos , Revisões Sistemáticas como Assunto , Resultado do Tratamento
13.
Sci Total Environ ; 813: 152526, 2021 Dec 24.
Artigo em Inglês | MEDLINE | ID: mdl-34954168

RESUMO

The application of pyrolyzed sewage sludge for land remediation is increasingly being considered as a technical solution to reuse nutrients in the sludge and mitigate the burden of sludge treatment. In this study, the enhancement effect of Ca-based additives, via phosphorus pyrolysis transformation promotion, was systematically investigated for the growth of ryegrass and soil microbial diversity. In the pot experiment, pyrochar-modified methods mainly changed the content of available phosphorus and organic matter in the soil and then affected ryegrass growth. Soils treated with pyrochar prepared with CaO and Ca(OH)2 addition were dominated by phosphorus precipitation-capable Ramlibacter, while metal uptake-accelerating Massilia showed a high prevalence in the group treated with pristine sludge pyrochar. The results showed that the species composition of CaO and Ca(OH)2 treated groups were similar, while the groups treated with Ca3(PO4)2 and pristine sludge pyrochar exhibited similar compositional structures of microbial species. Furthermore, less than 3% of Pb accumulated in the shoots of the Ca-based additive-treated groups, but more than 35% of Pb was distributed in shoots treated with pristine sludge pyrochar. Therefore, the application of P-enhanced pyrochar adjusted by Ca-based additives to soil was beneficial to the growth of ryegrass and preventing metal transfer from soil to ryegrass. Based on both macroscopic and microscopic information, we summarized the promotion effect of P-enhanced pyrochar on ryegrass growth and soil physicochemical properties with the aim of designing a smart pyrochar for waste-to-resource applications.

14.
Ann Thorac Surg ; 2021 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-34906571

RESUMO

BACKGROUND: Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) has been used as a bridge to lung transplantation with acceptable outcomes. We hypothesized that VA ECMO, as part of a multidisciplinary ECMO program, yields similar outcomes as VV ECMO as a bridge in lung transplantation. METHODS: Records of all patients who had undergone ECMO with the intention to bridge to lung transplantation at University of California Los Angeles from January 1, 2012 to March 31, 2020 were reviewed. Baseline characteristics, in-hospital outcomes, long-term survival, and freedom from bronchiolitis obliterans syndrome (BOS) were assessed. RESULTS: During this interval, 58 patients were placed on ECMO with the intention to bridge to lung transplantation: 27 on VV ECMO, and 31 on VA ECMO with a median duration of 7 and 17 days of support, respectively(p=0.01). Successful bridge to lung transplantation occurred in 21(78%) VV and 26(84%) VA patients. Incidence of primary graft dysfunction III(PGD III) at 72 hours in the VV and the VA cohorts were 0% and 4%, respectively(p=0.99). In-hospital and 90-day survival of the VV and VA groups were 100% and 96%, respectively(p=0.99). Three-year survival of the two groups were not significantly different from a contemporary cohort of lung transplant recipients not bridged with ECMO. CONCLUSIONS: VA and VV ECMO can both be used as a bridge to lung transplantation with high success, with short and medium-term survival similar to non-bridged lung transplant recipients. Both modes should be considered effective at bridging select candidates to lung transplantation.

15.
Bioresour Technol ; 346: 126592, 2021 Dec 28.
Artigo em Inglês | MEDLINE | ID: mdl-34968643

RESUMO

In this study, the feasibility of three methods on enhancing the recovery performance of biofilter after the interference and starvation periods was evaluated. Results show that despite the pressure drop risk, supplementation of 7.5% (w/v) Polyethylene glycol-600 (PEG-600) resulted in quick recovery on removal efficiency in both short- and long-term interference shutdown experiments. Tinidazole Tablets (2 mg/L), a Bacteroidetes-specific antibiotic, are more suitable to apply as a one-time shot to improve recovery of biofilter as the second dose of Tinidazole Tablets was no longer effective presumably caused by the increased drug resistance. It is worth noting that the maximum elimination capacity of 134 g/(m3·h) was observed with Pseudomonas putida (P. putida) BRJC1032 addition. The biodegradation kinetic, biological characteristics and microbial community evolution in biofilters were systematically analyzed for finding the suitable methods to enhance recovery performance, which is of great value for the further industrial application of the biofilter technology.

16.
Medicine (Baltimore) ; 100(50): e28184, 2021 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-34918673

RESUMO

BACKGROUND: Qingshu Yiqi decoction combined with general western medicine are important and prevalent recently treatment method of corona virus disease 2019 (COVID-19) with Delta variant, but the efficacy and safety were not clear. This meta-analysis aims to clarify their clinical efficacy and safety thus to provide evidence for clinical application. METHODS: We searched Chinese databases CNKI, Wanfang, VIP and English databases PubMed, Cochrane Library, Embase for the current study. The retrieval time was from the establishment to November, 2021. Literature quality was evaluated according to the bias risk assessment criteria of Cochrane Collaboration network. RevMan 5.3 and Stata 12.0 were used to perform this research. RESULTS: The efficacy and safety of Qingshu Yiqi decoction combined with western medicine for COVID-19 with Delta variant were evaluated in terms of total effective rate, TCM syndrome score, negative conversation rate of viral nucleic acid, disappearance rate of clinical symptoms (such as fever, cough, and fatigue), CT improvement, white blood cell (WBC), lymphocyte (LYM) and adverse reaction rate. CONCLUSION: This study provides reliable evidence-based support for the clinical efficacy and safety of Qingshu Yiqi decoction as a complementary and alternative therapy for COVID-19 with Delta variant. PROSPERO REGISTRATION NUMBER: CRD42021271606.


Assuntos
COVID-19 , Medicamentos de Ervas Chinesas , COVID-19/tratamento farmacológico , Medicamentos de Ervas Chinesas/uso terapêutico , Humanos , Metanálise como Assunto , SARS-CoV-2 , Revisões Sistemáticas como Assunto , Resultado do Tratamento
17.
J Clin Lipidol ; 2021 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-34969652

RESUMO

BACKGROUND: Sitosterolemia is a rare autosomal recessive disease characterized by phytosterol accumulation in the blood and tissues. However, the detailed clinical and genetic spectra are lacking. OBJECTIVE: To describe and compare the clinical, biochemical, genetic, therapeutic, and follow-up characteristics of 55 pediatric and five adult sitosterolemia patients. METHODS: Clinical, genetic and therapeutic data from 60 patients at Xinhua Hospital from January 2016 to June 2021 were retrospectively collected. RESULTS: Pediatric patients' manifestations included xanthomas(93%), hematological disorders(30%), arthralgia(24%), splenomegaly(11%), atherosclerosis(10%). Adult patients had symptoms such as atherosclerosis(5/5), xanthomas(4/5), hematological disorders(3/5), arthralgia(3/5), splenomegaly(3/5). Elevated total cholesterol(TC) and low-density lipoprotein cholesterol(LDL-C) were observed in 96% patients (pediatric 98%, adult 3/4), and phytosterol levels in 100% patients. The age of onset was also negatively correlated with blood TC (P < 0.0001, r = -0.5548) and LDL-C (P = 0.0001, r = -0.4859) levels. Targeted treatments resulted in symptomatic remission(pediatric 96%, adult 4/5), and significantly decreased lipid and phytosterol levels(all P<0.05). In the dietary-therapy cohort(n=34), blood lipid levels decreased(all P<0.05). In the 13 pediatric patients from the dietary-therapy cohort who switched from dietary to combination therapy with ezetimibe, dietary therapy decreased TC and LDL-C levels by 54% and 52%, and ezetimibe further decreased them by 18% and 20%, respectively. Further, we identified 15 novel ABCG5/ABCG8 variants. CONCLUSIONS: This study expands the clinical and genetic spectra of sitosterolemia. The low-phytosterol diet is the cornerstone of sitosterolemia treatment. Ezetimibe can further decrease blood lipid levels and increase daily dietary phytosterol tolerance.

18.
Nanotechnology ; 2021 Dec 29.
Artigo em Inglês | MEDLINE | ID: mdl-34965518

RESUMO

Diurea modified h-BN nanosheet is a novel kind of 2D gelator that could gel the lubricating oils under the stimulus of ultrasound. Morphological analyzations in previous study confirmed that the ultrasound induced layer-by-layer (LBL) structure of BN gelator is critical for the gelation. However, the elastic response in LBL structure, which is crucial for the formation of a stable gel system, has not been explicitly illustrated yet. The challenge is that the LBL gelator structure is based on 2D material and thus lacks vertical linkage between gelator layers, which is significantly different from the traditional gel systems that generally possess highly crosslinked gelator network. In this work, by investigating the viscoelastic behavior of the BN-based gel via rheometer, it is found the solid-liquid interface interaction, which is regulated by the diurea molecular structure in the BN gelator, is the key factor for triggering the stable elastic response in the LBL structure, and the elasticity mainly originates from the interface interaction induced bending deformation of h-BN 2D material. The findings further elucidate the gelling mechanism of BN gelators and enlighten the structure design of ultrasound-responsive gelator based on 2D materials.

19.
Aging (Albany NY) ; 13(22): 24686-24709, 2021 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-34837690

RESUMO

Although endometrioid carcinoma (EC) and endometrioid ovarian carcinoma (EnOC) display similar pathological features, their molecular characteristics remain to be determined. Somatic mutation data from 2777 EC, 423 EnOC, and 57 endometriosis patients from the Catalogue of Somatic Mutations in Cancer (COSMIC) dataset were analyzed and showed similar profiles with different mutation frequencies among them. By using 275 overlapping mutated genes, EC was clustered into two groups with different disease outcomes and different clinical characteristics. Although BRCA-associated mutation characteristics were identified in both EC and EnOC, the mutation frequencies of BRCA1 (P=0.0146), BRCA2 (P=0.0321), ATR (P=3.25E-11), RAD51 (P=3.95E-08), RAD1 (P=0.0003), TP53 (P=6.11E-33), and BRIP1 (P=2.90E-09) were higher in EnOC. Further analysis showed that EnOC cell lines with BRCA-associated mutation characteristics were more sensitive to poly ADP-ribose polymerase (PARP) inhibitors than EC cell lines, including olaparib, talazoparib, rucaparib, and veliparib. Moreover, based on BRCA-associated mutational and transcriptomic profiles, EC with BRCA-associated mutational burdens shows lower levels of immune cell infiltration, higher expression of immunosuppressive checkpoint molecules and worse prognosis than EC without BRCA mutation. Our study comprehensively analyzed the genome mutation features of EC and EnOC and provide insights into the molecular characteristics of EC and EnOC.

20.
Sci Total Environ ; : 151605, 2021 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-34838562

RESUMO

BACKGROUND: Researchers have demonstrated that the built environment is associated with mental health outcomes. However, evidence concerning the effects of street environments on mood in fast-growing Asian cities is scarce. Traditional questionnaires and interview methods are labor intensive and time consuming and pose challenges for accurately and efficiently evaluating the impact of urban-scale street environments on mood. OBJECTIVE: This study aims to use street view images and machine learning methods to model the impact of street environments on mood states in a large urban area in Guangzhou, China, and to assess the effect of different street view elements on mood. METHODS: A total of 199,754 street view images of Guangzhou were captured from Tencent Street View, and street elements were extracted by pyramid scene parsing network. Data on six mood state indicators (motivated, happy, positive-social emotion, focused, relaxed, and depressed) were collected from 1590 participants via an online platform called Assessing the Effects of Street Views on Mood. A machine learning approach was proposed to predict the effects of street environment on mood in large urban areas in Guangzhou. A series of statistical analyses including stepwise regression, ridge regression, and lasso regression were conducted to assess the effects of street view elements on mood. RESULTS: Streets in urban fringe areas were more likely to produce motivated, happy, relaxed, and focused feelings in residents than those in city center areas. Conversely, areas in the city center, a high-density built environment, were more likely to produce depressive feelings. Street view elements have different effects on the six mood states. "Road" is a robust indicator positively correlated with the "motivated" indicator and negatively correlated with the "depressed" indicator. "Sky" is negatively associated with "positive-social emotion" and "depressed" but positively associated with "motivated". "Building" is a negative predictor for the "focused" and "happy" indicator but is positively related to the "depressed" indicator, while "vegetation" and "terrain" are the variables most robustly and positively correlated with all positive moods. CONCLUSION: Our findings can help urban designers identify crucial areas of the city for optimization, and they have practical implications for urban planners seeking to build urban environments that foster better mental health.

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