[Effects of macrophage glycolytic reprogramming on tuberculosis granuloma formation].

The formation of granulomatous lesions is a typical pathological feature of tuberculosis, and infection with Mycobacterium tuberculosis is the main cause. Although the mechanism underlying granuloma formation remains unclear, increasing evidence suggests that immune metabolism plays an important role. In this review, we summarized the latest advances in macrophage glycolytic reprogramming in tuberculosis granuloma formation to discover new methods for early diagnosis and provided new ideas for tuberculosis therapeutics based on the regulation of immune metabolism.

[Relationship between systolic blood pressure load and sleep stability in patients with essential hypertension].

Objective: To explore the relationship between blood pressure load and sleep stability in hypertensive patients by cardiopulmonary coupling monitoring (CPC) and 24-hour ambulatory blood pressure monitoring. Methods: One hundred and fifty-five patients with essential hypertension were divided into high load group and low load group according to whether the blood pressure load was higher than 50%. The relationship between sleep stability and systolic blood pressure load was analyzed by logistic regression. Results: After adjusting for sex, age and body mass index (BMI), logistic regression analysis showed that stable sleep was the protective factor (OR=0.736,P=0.047) for the decrease of nocturnal blood pressure load, and unstable sleep was the risk factor for increasing day time blood pressure load (OR=1.336, P=0.037) in patients with hypertension. Conclusions: The effect of sleep stability on blood pressure load is different between day and night. Stable sleep is the protective factor of nocturnal systolic blood pressure load decrease, and unstable sleep is the harmful factor of daytime systolic blood pressure load increase. Increasing sleep stability helps to reduce systolic blood pressure load.

[Advances in the application of minimal residual disease in non-metastatic colorectal cancer].

In recent years, the application of minimal residual disease (MRD) in solid tumors has gained widespread attention. MRD typically refers to the presence of residual cancer cells that remain undetectable by imaging after curative treatments, such as surgical resection. The presence of MRD post-surgery is significantly associated with an increased risk of tumor recurrence. In colorectal cancer, circulating tumor DNA (ctDNA) serves as an effective marker for assessing MRD, particularly in non-metastatic (stages I-III) colorectal cancer. As a real-time, accurate, and convenient biomarker, ctDNA can effectively predict tumor recurrence, guide postoperative adjuvant chemotherapy decisions, and provide crucial information for recurrence monitoring. The application prospects of ctDNA detection technology are vast, promising more precise and individualized treatment plans for colorectal cancer patients. This article comprehensively analyzes the progress in the application of ctDNA for detecting MRD in non-metastatic colorectal cancer patients, elaborates on its guiding role in clinical treatment decisions, and envisions the future development directions in this field.

[Physiopathology and pharmacological perspectives in the treatment of radiation enteritis]. / Physiopathologie et modulation pharmacologique de l'entérite radique.

The small intestine is an organ frequently exposed in abdominal and pelvic irradiations. Acute and late toxicity can sometimes be difficult to manage and can significantly affect the quality of life of patients. Currently there is no guideline on the management of acute and late side effects induced by therapeutic irradiation. The aim of this review is to summarize available data on the pathophysiology of radiation enteritis, and to highlight potential preventive strategies and principles of treatment of radiation enteritis.

[Medical prevention and treatment of radiation-induced urological and nephrological complications]. / Prévention médicale et traitement des complications urologiques et néphrologiques secondaires à la radiothérapie.

Abdominal and pelvic irradiations play a major place in the management of patients with cancer and present a risk of acute and late side effects. Radiation-induced lesions can affect kidney or urological structures. These side effects can have an impact in the quality of life of patients. The aim of this article is to describe the physiopathology, the symptomatology, and the principles of management of radiation-induced nephropathy, uretheritis, cystitis, and urethritis.

Use of 4D-CT for radiotherapy planning and reality in France: Data from a national survey.

PURPOSE: Lung and some digestive tumours move during a respiratory cycle. Four-dimensional scanography (4D-CT) is commonly used in treatment planning to account for respiratory motion. Although many French radiotherapy centres are now equipped, there are no guidelines on this subject to date. We wanted to draw up a description of the use of the 4D-CT for the treatment planning in France. METHODS AND MATERIAL: We conducted a survey in all French radiotherapy centres between March and April 2017. RESULTS: One hundred and seventy-two were contacted. The participation rate was 88.37%. The use of the 4D-CT seems to be common and concerned planning for 15.28% of kidney and adrenal cancers, 19.72% of pancreatic cancers, 27.78% of oesophageal cancers and 73.24% of lung cancers in case of normofractionated treatments. The use of the 4D-CT was also widespread in the case of stereotactic body radiation therapy: with 61.11% in the case of pulmonary irradiation and 34.72% in the case of hepatic irradiation. Many centres declared they carried out several 4D-CT for treatment planning (29, 55% in case of stereotactic body radiation therapy for lung tumours and 20% for liver tumours). Private centres tend to repeat 4D-CT more. CONCLUSION: Although the use of the 4D-CT appears to be developing, it remains very heterogeneous. To date, the repetition of the 4D-CT has been very poorly studied and could be the subject of clinical studies, allowing to define in which indications and for which populations there is a real benefit.

Harnessing drug/radiation interaction through daily routine practice: Leverage medical and methodological point of view (MORSE 02-17 study).

BACKGROUND: Safety profile of the interaction between anticancer drugs and radiation is a recurrent question. However, there are little data regarding the non-anticancer treatment (NACT)/radiation combinations. The aim of the present study was to investigate concomitant NACTs in patients undergoing radiotherapy in a French comprehensive cancer center. METHODS: A prospective cross-sectional study was conducted. All cancer patients undergoing a palliative or curative radiotherapy were consecutively screened for six weeks in 2016. Data on NACTs were collected. RESULTS: Out of 214 included patients, a NACT was concomitantly prescribed to 155 patients (72%), with a median number of 5 NACTs per patient (range: 1-12). The most prescribed drugs were anti-hypertensive drugs (101 patients, 47.2%), psychotropic drugs (n = 74, 34.6%), analgesics (n = 78, 36.4%), hypolipidemic drugs (n = 57, 26.6%), proton pump inhibitors (n = 46, 21.5%) and antiplatelet drugs (n = 38, 17.8%). Although 833 different molecules were reported, only 20 possible modifiers of cancer biological pathways (prescribed to 74 patients (34.5%)) were identified. Eight out of the 833 molecules (0.9%), belonging to six drug families, have been investigated in 28 ongoing or published clinical trials in combo with radiotherapy. They were prescribed to 63 patients (29.4%). CONCLUSION: Drug-radiation interaction remains a subject of major interest, not only for conventional anticancer drugs, but also for NACTs. New trial designs are thus required.

Mechanisms governing the inelastic deformation of cortical bone and application to trabecular bone.

To understand the inelastic response of bone, a three-part investigation has been conducted. In the first, unload/reload tests have been used to characterize the hysteresis and provide insight into the mechanisms causing the strain. The second part devises a model for the stress/strain response, based on understanding developed from the measurements. The model rationalizes the inelastic deformation in tension, as well as the permanent strain and hysteresis. In the third part, a constitutive law representative of the deformation is selected and used to illustrate the coupled buckling and bending of ligaments that arise when trabecular bone is loaded in compression.

Allopolyploidy in wheat induces rapid and heritable alterations in DNA methylation patterns of cellular genes and mobile elements.

Whereas accumulating recent evidences indicate that allopolyploid formation in plants is accompanied by rapid and non-Mendelian genomic changes, some other works showed genomic stasis in both nascent and natural allopolyploids. To further study the issue, we performed global DNA fingerprinting of a newly synthesized allohexaploid wheat and its natural counterpart, the common wheat, by AFLP analysis. It was found that ca. 20% bands showed deviation from parental additivity in both synthetic and the natural common wheat. Sequence analysis indicates that a majority of the changed bands represent known-function genes and transposable elements. DNA gel blot analysis showed that the main type of changes in the amphiploid is epigenetic in nature, i.e., alteration in DNA methylation patterns. Two types of alterations in methylation, random and non-random, were detected, and both types were stably inherited. Possible causes and implications of the epigenetic changes in allopolyploid genome evolution and speciation are discussed.

Medetomidine analogs as alpha 2-adrenergic ligands. 3. Synthesis and biological evaluation of a new series of medetomidine analogs and their potential binding interactions with alpha 2-adrenoceptors involving a "methyl pocket".

The synthesis and the biological evaluation of a new series of medetomidine analogs are reported. The substitution pattern at the phenyl ring of the tetralin analogs had a distinct influence on the alpha 2-adrenoceptor binding affinity. 4-Methylindan analog 6 was the most potent alpha 2-adrenoceptor binding ligand among these 4-substituted imidazoles, and its alpha 2-adrenoceptor selectivity was greater than the 5-methyl tetralin analog 4c. Ligand-pharmacophore and receptor modeling were combined to rationalize alpha 2-adrenoceptor binding data of the imidazole analogs in terms of ligand-receptor interactions. The structure-activity relationships that were apparent from this and previous studies were qualitatively rationalized by the binding site models of the alpha 2-adrenoceptor. The benzylic methyl group of medetomidine or the naphthyl analog 2a was superimposable with the alpha-methyl group of (-)-alpha-methylnorepinephrine and fit into the proposed "methyl pocket" of the alpha 2-adrenoceptor defined by the residues Leu110, Leu169, Phe391, and Thr395.

Co-expression of a precursor and the mature protein of wheat ribulose-1,5-bisphosphate carboxylase small subunit from a single gene in Escherichia coli.

The cDNA encoding a precursor of wheat ribulose-1,5-bisphosphate carboxylase/oxygenase was inserted in-phase with prokaryotic expression elements in four different vectors. Five expression vectors encoding the small subunit precursors were cloned in Escherichia coli. None of these constructs expressed detectable amounts of the precursor protein, but all directed synthesis of the mature small subunit. The expression of the small subunit was a consequence of an independent, intragenic Shine-Dalgarno sequence optimally located upstream from an ATG specifying the first codon of the mature small subunit portion in the precursor transcript. Similar internal translation signals have been identified in the nuclear-encoded cDNAs of the small-subunit precursors of numerous higher plant genes. The 5' end of the wheat small-subunit precursor was linked with a consensus E. coli DNA sequence such that the modified gene encoded a partial hybrid precursor carrying four additional residues at its amino terminus. The resultant construct, pEI-W3, directed abundant synthesis of both the partially hybrid small-subunit precursor and the mature small subunit, constituting as much as 10% of the total bacterial protein. The bacterially synthesized small subunit precursor was purified to homogeneity. The authenticity of the recombinant protein was verified by its size, immunological properties, amino-terminal sequence, and amino acid composition.

Structural analysis of the Björk-Shiley Delrin heart valve occluder.

BACKGROUND AND AIMS OF THE STUDY: Impact wear grooves were evident in some Delrin occluder discs of explanted Björk-Shiley Delrin (BSD) heart valves. This study focuses on the finite element analysis (FEA) method to understand the maximum principal stresses experienced during the peak in vivo loading of valves in the closed position. MATERIALS AND METHODS: The maximum pressure difference across the valve was measured to be 130 mmHg in a pulse duplicator simulating normal sinus rhythm obtained clinically by cardiac catheterization. The corresponding measured strain was 1.81 x 10(-3). The FEA model incorporated four points of contact between the disc and the orifice ring to estimate the maximum principal stresses in the disc of the BSD heart valve. A linear pressure distribution averaging 130 mmHg was applied so that the finite element results gave a strain of 1.81 x 10(-3) at the gauge location as experimentally observed. RESULTS: The largest stress in the Delrin disc of the BSD valve occurred when the occluder made four-point contact with the orifice ring struts. The resulting localized compressive stress on the inflow side could be as high as 42 ksi, assuming the Hertzian contact theory. The magnitude of tensile stresses were less, but were highest on the outlet surface opposite the point of contact. The highest tensile stress for an ungrooved disc was found to be 8.35 ksi, which was below the ultimate tensile strength and yield stress in flexure for Delrin. Therefore, it is unlikely that yielding or tensile failure will occur at this level of stress. Maximum tensile stresses were found to be 1.442 and 1.448 ksi for discs with single and multiple grooves respectively. CONCLUSION: The model predicts that as a wear groove is created, the area of contact between the disc and the inlet strut of the BSD valve will increase, thereby reducing average compressive contact stress and hence, the wear rate.

[Studies on medicinal plant resources of heizhu ravine in Ebian County and their sustainable utilization].

OBJECTIVE: To find out the medicinal plant resources of Heizhu Ravine in Ebian County and put forward some principles and measures for their sustainable utilization. METHOD: On-the-spot investigation and sample measuring, calculating, visiting and assessing. RESULTS: The general situation about these resources was expounded. New curative effects of 3 species, distribution and region output of 7 superiority resource species, 1 plant pesticide species, 3 species suitable for extensive propagation and 7 rare species on the verge of extinction were also reported. CONCLUSION: This area has more than 1500 species of medicinal plants, of which about 300 are original traditional Chinese medicinal herb in most use and 1200 are used in folk medicine or as important medicinal raw mAterials.

An optimized method of venous anastomosis for right donor kidney transplantation in rat.

BACKGROUND: Insufficient length of right renal vein (RV) increases the difficulty of venous anastomosis and blocks the promotion of transplantation of both kidneys, which could significantly reduce operative time and donor numbers. This study sought to discover a quick, safe method of venous anastomosis for right kidney donation. METHODS: Three venous anastomotic methods (n = 20 in each group) were used for right donor kidney heterotopic transplantation: End-to-side, vena cava bypass, and modified end-to-end, namely, harvesting the right donor kidney with a part of the vena cava and then anastomosing the proximal end to the recipient RV followed by a ligation of the distal end. The conventional end-to-end venous anastomosis was used for left donor kidney orthotopic transplantation as a control (n = 60). We compared operative times and complications. RESULTS: The operative time of the modified end-to-end group (18.45 ± 0.69 minutes) and end-to-side group (17.95 ± 1.54 minutes) were both less than the vena caval bypass group (32.60 ± 2.84 minutes); (P < .05), but equal to the control group (17.60 ± 1.89; P > .05). The overall complication rate among the modified end-to-end group (2/20) was less than those for the end-to-side (8/20) and vena caval bypass groups (9/20; P < .05), but similar to the control group (7/60; P > .05). CONCLUSION: A modified end-to-end technique is the preferred venous anastomotic method for right donor kidney transplantation.

Experimental study on air-stream gasification of biomass micron fuel (BMF) in a cyclone gasifier.

Based on biomass micron fuel (BMF) with particle size of less than 250 microm, a cyclone gasifier concept has been considered in our laboratory for biomass gasification. The concept combines and integrates partial oxidation, fast pyrolysis, gasification, and tar cracking, as well as a shift reaction, with the purpose of producing a high quality of gas. In this paper, experiments of BMF air-stream gasification were carried out by the gasifier, with energy for BMF gasification produced by partial combustion of BMF within the gasifier using a hypostoichiometric amount of air. The effects of ER (0.22-0.37) and S/B (0.15-0.59) and biomass particle size on the performances of BMF gasification and the gasification temperature were studied. Under the experimental conditions, the temperature, gas yields, LHV of the gas fuel, carbon conversion efficiency, stream decomposition and gasification efficiency varied in the range of 586-845 degrees C, 1.42-2.21 N m(3)/kg biomass, 3806-4921 kJ/m(3), 54.44%-85.45%, 37.98%-70.72%, and 36.35%-56.55%, respectively. The experimental results showed that the gasification performance was best with ER being 3.7 and S/B being 0.31 and smaller particle, as well as H(2)-content. And the BMF gasification by air and low temperature stream in the cyclone gasifier with the energy self-sufficiency is reliable.