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1.
J Cell Mol Med ; 28(13): e18454, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-39010253

RESUMO

Studies have demonstrated a close correlation between MicroRNA and the occurrence of aortic dissection (AD). However, the molecular mechanisms underlying this relationship have not been fully elucidated and further exploration is still required. In this study, we found that miR-485-3p was significantly upregulated in human aortic dissection tissues. Meanwhile, we constructed in vitro AD models in HAVSMCs, HAECs and HAFs and found that the expression of miR-485-3p was increased only in HAVSMCs. Overexpression or knockdown of miR-485-3p in HAVSMCs could regulate the expression of inflammatory cytokines IL1ß, IL6, TNF-α, and NLRP3, as well as the expression of apoptosis-related proteins BAX/BCL2 and Cleaved caspase3/Caspase3. In the in vivo AD model, we have observed that miR-485-3p regulates vascular inflammation and apoptosis, thereby participating in the modulation of AD development in mice. Based on target gene prediction, we have validated that SIRT1 is a downstream target gene of miR-485-3p. Furthermore, by administering SIRT1 agonists and inhibitors to mice, we observed that the activation of SIRT1 alleviates vascular inflammation and apoptosis, subsequently reducing the incidence of AD. Additionally, functional reversal experiments revealed that overexpression of SIRT1 in HAVSMCs could reverse the cell inflammation and apoptosis mediated by miR-485-3p. Therefore, our research suggests that miR-485-3p can aggravate inflammation and apoptosis in vascular smooth muscle cells by suppressing the expression of SIRT1, thereby promoting the progression of aortic dissection.


Assuntos
Dissecção Aórtica , Apoptose , MicroRNAs , Músculo Liso Vascular , Miócitos de Músculo Liso , Sirtuína 1 , Animais , Humanos , Masculino , Camundongos , Dissecção Aórtica/genética , Dissecção Aórtica/metabolismo , Dissecção Aórtica/patologia , Apoptose/genética , Modelos Animais de Doenças , Regulação da Expressão Gênica , Camundongos Endogâmicos C57BL , MicroRNAs/genética , MicroRNAs/metabolismo , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/patologia , Miócitos de Músculo Liso/metabolismo , Miócitos de Músculo Liso/patologia , Sirtuína 1/metabolismo , Sirtuína 1/genética
2.
J Surg Res ; 296: 66-77, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38219508

RESUMO

INTRODUCTION: The aim of this study is to develop a model for predicting the risk of prolonged mechanical ventilation (PMV) following surgical repair of acute type A aortic dissection (AAAD). METHODS: We retrospectively collected clinical data from 381 patients with AAAD who underwent emergency surgery. Clinical features variables for predicting postoperative PMV were selected through univariate analysis, least absolute shrinkage and selection operator regression analysis, and multivariate logistic regression analysis. A risk prediction model was established using a nomogram. The model's accuracy and reliability were evaluated using the area under the curve of the receiver operating characteristic curve and the calibration curve. Internal validation of the model was performed using bootstrap resampling. The clinical applicability of the model was assessed using decision curve analysis and clinical impact curve. RESULTS: Among the 381 patients, 199 patients (52.2%) experienced postoperative PMV. The predictive model exhibited good discriminative ability (area under the curve = 0.827, 95% confidence interval: 0.786-0.868, P < 0.05). The calibration curve confirmed that the predicted outcomes of the model closely approximated the ideal curve, indicating agreement between the predicted and actual results (with an average absolute error of 0.01 based on 1000 bootstrap resampling). The decision curve analysis curve demonstrated that the model has significant clinical value. CONCLUSIONS: The nomogram model established in this study can be used to predict the risk of postoperative PMV in patients with AAAD. It serves as a practical tool to assist clinicians in adjusting treatment strategies promptly and implementing targeted therapeutic measures.


Assuntos
Dissecção Aórtica , Respiração Artificial , Humanos , Reprodutibilidade dos Testes , Estudos Retrospectivos , Dissecção Aórtica/cirurgia , Nomogramas , Stents/efeitos adversos
3.
BMC Cardiovasc Disord ; 24(1): 132, 2024 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-38424531

RESUMO

BACKGROUND: There is a paucity of Chinese studies evaluating the quality of life (QoL) in young acute type A aortic dissection (AAAD) patients with Marfan syndrome. METHODS: Young adult AAAD patients (younger than 45 years old) underwent surgical treatment at our institution from January 2017 to December 2020 were consecutive enrolled. The hospital survivors completed 1 year of follow up. Patients were divided into two groups according to the presence or absence of Marfan syndrome (MFS). A 1:1 propensity score matching (PSM) with a caliper 0.2 was conducted to balance potential bias in baseline. The follow-up data were analyzed primarily for change in quality of life and anxiety status. RESULTS: After PSM, 32 comparable pairs were matched. The baseline data were comparable and postoperative complications were similar between groups. In terms of SF-36 scale, the role physical, bodily pain, role emotional and mental health subscales were no significantly improved in MFS patients over time. At 1 year after discharged, the subscale of mental health and bodily pain were significantly lower in the MFS group than in the non-MFS group. In terms of HADS assessments, the level of anxiety in MFS patients was significantly higher than in non-MFS patients at 1 year after discharged. CONCLUSIONS: The QoL in young AAAD patients with MFS is lower than those without MFS after surgery. This may be associated with the uncontrollable persistent chronic pain and the uncertainty and concerns for the disease's progression.


Assuntos
Dissecção Aórtica , Síndrome de Marfan , Adulto Jovem , Humanos , Pessoa de Meia-Idade , Síndrome de Marfan/complicações , Síndrome de Marfan/diagnóstico , Qualidade de Vida , Dissecção Aórtica/diagnóstico por imagem , Dissecção Aórtica/cirurgia , Dor , China
4.
Br J Haematol ; 202(5): 1018-1023, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37423903

RESUMO

Haemoglobin H (Hb H) disease (intermediate status of α-thalassemia) shows marked phenotypic variability from asymptomatic to severe anaemia. Apart from the combined ß-thalassemia allele ameliorating clinical severity, reports of genetic modifier genes affecting the phenotype of Hb H disease are scarce which bring inconvenience to precise diagnosis and genetic counselling of the patients. Here, we present a novel mutation (c.948C>A, p.S316R) in the PIP4K2A gene in a female Hb H disease patient who displayed moderate anaemia and a relatively high Hb H level. Haematological analysis in her family members revealed that individuals carrying this mutation have upregulated ß-globin expression, leading to a more imbalanced ß/α-globin ratio and more Hb H inclusion bodies in peripheral red blood cells. According to functional experiments, the mutant PIP4K2A protein exhibits enhanced protein stability, increased kinase activity and a stronger regulatory effect on downstream proteins, suggesting a gain-of-function mutation. Moreover, introduction of the S316R mutation into HUDEP-2 cells increased expression of ß-globin, further inhibiting erythroid differentiation and terminal enucleation. Thus, the S316R mutation is a novel genetic factor associated with ß-globin expression, and the PIP4K2A gene is a new potential modifier gene affecting the α-thalassemia phenotype.


Assuntos
Talassemia alfa , Talassemia beta , Feminino , Humanos , Talassemia alfa/genética , Mutação com Ganho de Função , Globinas beta/genética , Mutação , Talassemia beta/genética , Fenótipo , Fosfotransferases (Aceptor do Grupo Álcool)/genética
5.
J Assist Reprod Genet ; 40(7): 1747-1754, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37273165

RESUMO

PURPOSE: In this study, we aimed to identify sterility-related variants in a Chinese pedigree with male infertility and to reveal the different phenotypes and intracytoplasmic sperm injection (ICSI) outcomes of the affected members. METHODS: Physical examinations were performed on male patients. G-band karyotype analysis, copy number variation sequencing, and quantitative fluorescent PCR were conducted to detect common chromosomal disorders in the probands. Whole-exome sequencing and Sanger sequencing were applied to identify the pathogenic genes and the protein expression changes caused by the very mutation were identified by Western Blot in vitro. RESULTS: A novel nonsense mutation (c.908C > G: p.S303*) in the ADGRG2 was identified in all infertile male patients of the pedigree, which was inherited from their mothers. This variant was absent from the human genome databases. This mutation was also unexpectedly found in a male member with normal reproductive capability. Members with the mutation had different genitalia phenotypes, ranging from normal to dilated phenotypes of the vas deferens, spermatic veins and epididymis. There was a truncated ADGRG2 protein in vitro after mutation. Of the three patients' wives treated with ICSI, only one successfully gave birth. CONCLUSIONS: Our study is the first to report the c.908C > G: p.S303* mutation in the ADGRG2 in an X-linked azoospermia pedigree and is the first to report normal fertility in a member with this mutation, expanding the mutation spectrum and phenotype spectrum of this gene. In our study, ISCI had a success rate of only one-third in couples including men with azoospermia with this mutation.


Assuntos
Azoospermia , Infertilidade Masculina , Humanos , Masculino , Azoospermia/genética , Variações do Número de Cópias de DNA , População do Leste Asiático , Infertilidade Masculina/genética , Mutação/genética , Linhagem , Sêmen
6.
Curr Atheroscler Rep ; 22(10): 57, 2020 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-32772195

RESUMO

PURPOSE OF REVIEW: Atherosclerosis (AS) is a chronic inflammatory disease that contributes to the development of coronary artery disease, which has become a leading health burden worldwide. Though several strategies such as pharmacological treatment, exercise intervention, and surgery have been used in clinical practice, there is still no effective strategy to cure AS. Exosomes are extensively studied both as diagnostic markers as well as for therapeutic purposes due to their role in pathological processes related to AS. To elucidate the role of exosomes in AS and thus provide a new insight into AS therapy, we review recent advances concerning exosome targets and their function in mediating intercellular communication in AS, and expect to provide a reference for novel effective strategies to cure AS. RECENT FINDINGS: Exosomes exert important roles in the diagnosis, development, and potential therapy of AS. For AS development, (1) activation of CD-137 in endothelial cells represses exosomal-TET2 production, causing a phenotypic switch of vascular smooth muscle cells (VSMC) and promoting plaque formation; (2) exosomal-MALTA1 derived from endothelial cells causes neutrophil extracellular traps (NETs) and M2 macrophage polarization, which aggravates AS; and (3) exosomal-miR-21-3p derived from macrophages inhibits PTEN expression and further promotes VSMC migration/proliferation, leading to AS development. For AS diagnosis, plasma exosomal-miR30e and miR-92a are considered to be potential diagnostic markers. For AS therapy, adipose mesenchymal stem cell-derived exosomes protect endothelial cells from AS aggravation, via inhibiting miR-342-5p. Exosome-mediated cross-talk between different cells within the vasculature exerts crucial roles in regulating endothelial function, proliferation and differentiation of vascular smooth muscle cells, and platelet activation as well as macrophage activation, collectively leading to the development and progression of AS. Exosomes can potentially be used as diagnostic biomarkers and constitute as a new therapeutic strategy for AS.


Assuntos
Aterosclerose/metabolismo , Exossomos/metabolismo , Animais , Biomarcadores/metabolismo , Movimento Celular , Proliferação de Células , Progressão da Doença , Células Endoteliais/metabolismo , Humanos , Macrófagos/metabolismo , MicroRNAs/metabolismo , Miócitos de Músculo Liso/metabolismo , PTEN Fosfo-Hidrolase/metabolismo
7.
Arch Toxicol ; 94(10): 3359-3379, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32638039

RESUMO

Modern living challenges female reproductive health. We are witnessing a rise in reproductive disorders and drop in birth rates across the world. The reasons for these manifestations are multifaceted and most likely include continuous exposure to an ever-increasing number of chemicals. The cause-effect relationships between chemical exposure and female reproductive disorders, however, have proven problematic to determine. This has made it difficult to assess the risks chemical exposures pose to a woman's reproductive development and function. To address this challenge, this review uses the adverse outcome pathway (AOP) concept to summarize current knowledge about how chemical exposure can affect female reproductive health. We have a special focus on effects on the ovaries, since they are essential for lifelong reproductive health in women, being the source of both oocytes and several reproductive hormones, including sex steroids. The AOP framework is widely accepted as a new tool for toxicological safety assessment that enables better use of mechanistic knowledge for regulatory purposes. AOPs equip assessors and regulators with a pragmatic network of linear cause-effect relationships, enabling the use of a wider range of test method data in chemical risk assessment and regulation. Based on current knowledge, we propose ten putative AOPs relevant for female reproductive disorders that can be further elaborated and potentially be included in the AOPwiki. This effort is an important step towards better safeguarding the reproductive health of all girls and women.


Assuntos
Rotas de Resultados Adversos , Segurança Química , Exposição Materna , Ovário/efeitos dos fármacos , Saúde Reprodutiva , Animais , Doenças do Sistema Endócrino/induzido quimicamente , Feminino , Humanos , Camundongos , Doenças Ovarianas/induzido quimicamente , Ovário/fisiopatologia , Gravidez , Medição de Risco , Testes de Toxicidade
8.
Int J Mol Sci ; 21(9)2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32370092

RESUMO

Currently available test methods are not well-suited for the identification of chemicals that disturb hormonal processes involved in female reproductive development and function. This renders women's reproductive health at increasing risk globally, which, coupled with increasing incidence rates of reproductive disorders, is of great concern. A woman's reproductive health is largely established during embryonic and fetal development and subsequently matures during puberty. The endocrine system influences development, maturation, and function of the female reproductive system, thereby making appropriate hormone levels imperative for correct functioning of reproductive processes. It is concerning that the effects of human-made chemicals on the endocrine system and female reproductive health are poorly addressed in regulatory chemical safety assessment, partly because adequate test methods are lacking. Our EU-funded project FREIA aims to address this need by increasing understanding of how endocrine disrupting chemicals (EDCs) can impact female reproductive health. We will use this information to provide better test methods that enable fit-for-purpose chemical regulation and then share our knowledge, promote a sustainable society, and improve the reproductive health of women globally.


Assuntos
Disruptores Endócrinos/farmacologia , Reprodução/efeitos dos fármacos , Saúde Reprodutiva , Animais , Sistema Endócrino/efeitos dos fármacos , Exposição Ambiental , Poluentes Ambientais/efeitos adversos , Feminino , Humanos , Puberdade/efeitos dos fármacos , Medição de Risco , Fatores de Risco
9.
Inorg Chem ; 57(18): 11633-11645, 2018 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-30156097

RESUMO

A new low-spin (LS) cobalt(II) outer-sphere redox shuttle (OSRS) [Co(PY5Me2)(CN)]+, where PY5Me2 represents the pentadentate ligand 2,6-bis(1,1-bis(2-pyridyl)ethyl)pyridine, has been synthesized and characterized for its potential application in dye-sensitized solar cells (DSSCs). Introduction of the strong field CN- ligand into the open axial coordination site forced the cobalt(II) complex, [Co(PY5Me2)(CN)]+, to become LS based upon the complex's magnetic susceptibility (1.91 ± 0.02 µB), determined by the Evans method. Interestingly, dimerization and subsequent cobalt hexacyanide cluster formation of the [Co(PY5Me2)(CN)]+ monomer was observed upon long-term solvent exposure or addition of a supporting electrolyte for electrochemical characterization. Although long-term stability of the [Co(PY5Me2)(CN)]+ complex made it difficult to fabricate liquid electrolytes for DSSC applications, short-term stability in neat solvent afforded the opportunity to isolate the self-exchange kinetics of [Co(PY5Me2)(CN)]2+/+ via stopped-flow spectroscopy. Use of Marcus theory provided a smaller than expected self-exchange rate constant of 20 ± 5.5 M-1 s-1 for [Co(PY5Me2)(CN)]2+/+, which we attribute to a Jahn-Teller effect observed from the collected monomer crystallographic data. When compared side-by-side to cobalt tris(2,2'-bipyridine), [Co(bpy)3]3+, DSSCs employing [Co(PY5Me2)(CN)]2+ are expected to achieve superior charge collection, which result from a smaller rate constant, ket, for recombination based upon simple dark J- E measurements of the two redox shuttles. Given the negative redox potential (0.254 V vs NHE) of [Co(PY5Me2)(CN)]2+/+ and the slow recombination kinetics, [Co(PY5Me2)(CN)]2+/+ becomes an attractive OSRS to regenerate near IR absorbing sensitizers in solid-state DSSC devices.

10.
Drug Dev Ind Pharm ; 42(3): 464-72, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26507935

RESUMO

OBJECTIVE: To explore the effect of the pore size of three-dimensionally ordered macroporous chitosan-silica (3D-CS) matrix on the solubility, drug release, and oral bioavailability of the loaded drug. METHODS: 3D-CS matrices with pore sizes of 180 nm, 470 nm, and 930 nm were prepared. Nimodipine (NMDP) was used as the drug model. The morphology, specific surface area, and chitosan mass ratio of the 3D-CS matrices were characterized before the effect of the pore size on drug crystallinity, solubility, release, and in vivo pharmacokinetics were investigated. RESULTS: With the pore size of 3D-CS matrix decreasing, the drug crystallinity decreased and the aqueous solubility increased. The drug release was synthetically controlled by the pore size and chitosan content of 3D-CS matrix in a pH 6.8 medium, while in a pH 1.2 medium the erosion of the 3D-CS matrix played an important role in the decreased drug release rate. The area under the curve of the drug-loaded 3D-CS matrices with pore sizes of 930 nm, 470 nm, and 180 nm was 7.46-fold, 5.85-fold, and 3.75-fold larger than that of raw NMDP respectively. CONCLUSION: Our findings suggest that the oral bioavailability decreased with a decrease in the pore size of the matrix.


Assuntos
Quitosana/farmacocinética , Liberação Controlada de Fármacos/fisiologia , Nimodipina/farmacocinética , Dióxido de Silício/farmacocinética , Administração Oral , Animais , Disponibilidade Biológica , Quitosana/administração & dosagem , Quitosana/química , Portadores de Fármacos/administração & dosagem , Portadores de Fármacos/química , Portadores de Fármacos/farmacocinética , Liberação Controlada de Fármacos/efeitos dos fármacos , Conformação Molecular , Nimodipina/administração & dosagem , Nimodipina/química , Porosidade , Ratos , Ratos Sprague-Dawley , Dióxido de Silício/administração & dosagem , Dióxido de Silício/química
11.
J Clin Lab Anal ; 29(6): 493-7, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25277551

RESUMO

BACKGROUND: The serological detection of specific antibodies against Treponema pallidum is of particular importance in the diagnosis of syphilis. The chemiluminescence immunoassay (CLIA) has been widely used for clinical diagnosis because they remit no radical waste products, cause no enzyme precipitation, and exhibit an excellent sensitivity. METHODS: A one-step CLIA was established to detect T. pallidum IgG antibody based on microplate coated with a mixture of recombinant T. pallidum antigens TpN15, TpN17, and TpN47. The Chinese national reference substances standard panel for T. pallidum diagnosis was applied to test the accuracy, stability, interference, and cross-reactivity of the established CLIA. The validation of efficacy for clinical application was performed by comparing the established method with the marketed T. pallidum particle agglutination (TPPA) kit and the Abbott ARCHITEC Auto System. RESULTS: The established method met the requirement of the Chinese national reference substances standard for T. pallidum diagnosis. When compared with TPPA (n = 1,052), the specificity, sensitivity, and overall concordance were 99.7%, 99.0%, and 98.8% respectively, showing a great agreement with a kappa value of 0.81. When compared with the Abbott ARCHITEC Auto System (n = 352), the results showed that the specificity, sensitivity, and overall concordance were 98.6.0%, 96.6% and 98.6% respectively, and a high-degree agreement was observed (kappa value = 0.95). CONCLUSION: The established rapid, specific, sensitive, and stable microplate CLIA method to detect IgG antibody against T pallidum will provide an efficient alternative to the treponemal tests and wide application in clinical laboratory.


Assuntos
Anticorpos Anti-Idiotípicos/análise , Anticorpos Antibacterianos/sangue , Técnicas de Laboratório Clínico/métodos , Imunoensaio/métodos , Luminescência , Sífilis/diagnóstico , Treponema pallidum/imunologia , Antígenos de Bactérias/imunologia , Humanos , Sífilis/sangue , Sorodiagnóstico da Sífilis
12.
Water Environ Res ; 96(2): e11004, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38369667

RESUMO

Microbial communities living in different environments can affect the transformation of nitrogen and phosphorus in sewage pipes. Two different environments were simulated to investigate the differences in the transformation of nitrogen and phosphorus under different microbial communities in the pipe. Results showed that the concentration of nitrogen and phosphorus changed greatly in the first 25-33 days and the first 21 days, respectively, and then remained stable. The decrease in amino acid nitrogen (AAN) concentration and the increase in ammonia nitrogen (NH4 + -N) concentration in the sediments were evident in the contrast group. The concentrations of total phosphorus (TP), dissolved total phosphorus (DTP), and dissolved reactive phosphorus (DRP) in the overlying water and interstitial water decreased, and that of TP in the sediment increased. Some microorganisms in the sediments of both groups are related to the transformation of nitrogen and phosphorus, such as Clostridium_sensu_stricto_1, Sporacetigenium, Norank_f__Anaerolineaceae, Norank_f__norank_o__PeM15, and Caldisericum. The relative abundance of these microorganisms was remarkably differed between the two groups, which partly caused the difference in nitrogen and phosphorus transformation among overlying water, interstitial water, and sediment in the two environments. PRACTITIONER POINTS: The concentration of N and P changed greatly in the first 20-30 days. AAN and NH4 + -N in sediments had greater concentration variation in contrast group. In two groups, TP, DTP, and DRP of water decreased, and TP of sediment increased. Microbe related to the transformation of N and P differed between the two groups.


Assuntos
Microbiota , Poluentes Químicos da Água , Esgotos , Fósforo/análise , Nitrogênio/análise , Sedimentos Geológicos/química , Poluentes Químicos da Água/química , Água , China
13.
Water Environ Res ; 96(1): e10976, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38225832

RESUMO

In this work, the transformation law of nitrogen in sediment-water system under different flow rates and wastewater concentrations were investigated in a simulated sewage pipeline system. Results showed that the different flow rates and wastewater concentrations in the pipeline caused differences in microbial community in sediments and nitrogen transformation. When the flow rate increased from 0.05 to 0.2 m/s, the scouring effect was enhanced, resulting in higher concentrations of NH4 + -N and NO3 - -N in the overlying water. At 0.2 m/s, the relative abundance of Clostridium_sensu_stricto_1 in sediments was higher, resulting in a greater conversion of amino acid nitrogen (AAN) to NH4 + -N. Meanwhile, many denitrifying bacteria (Trichococcus, Dechloromonas, norank_f__norank_o__Gaiellales, Thiobacillus) had high relative abundance in the sediments, and the denitrification process was common. When the wastewater concentration was high, the nitrification reaction was great in overlying and interstitial water. Moreover, the ammoniation process was great in the sediments, and the variation flux of AAN was large (remarkably reduced). PRACTITIONER POINTS: AAN transformed to NH4 + -N in sediment under different flow rate and concentration. Scouring was enhanced at 0.2 m/s, increasing nitrogen contents in overlying water. Difference in microbial community led to more AAN conversion to NH4 + -N at 0.2 m/s. The ammoniation process was greater in sediment at a high concentration of sewage. NH4 + -N migrated from overlying water to sediment at a high concentration of sewage.


Assuntos
Esgotos , Águas Residuárias , Desnitrificação , Água , Nitrogênio/análise , Nitrificação , Bactérias
14.
J Thorac Dis ; 16(6): 3722-3731, 2024 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-38983146

RESUMO

Background: Sarcopenia has emerged as a comprehensive predictor of mortality in diseased populations. The aim of this study was to evaluate the prognostic and predictive value of psoas muscle thickness/height (PMTH) measurement in patients with acute type A aortic dissection (AAAD). Methods: A retrospective analysis of patients (from January 2020 to December 2020) who underwent AAAD surgery at our institution was conducted. PMTH, as a measure of sarcopenia, was measured by preoperative computed tomography. Patients were classified into two groups according to the cut-off value of PMTH. To balance potential bias, a 1:1 propensity score matching (PSM) with a caliper 0.05 was conducted. Results: PSM analysis created 68 pairs of patients. In short-term outcomes, a lower PMTH value was strongly correlated with higher in-hospital mortality and renal failure. Receiver operating characteristic (ROC) analysis suggested that sarcopenia had good predictive capabilities in in-hospital mortality, with the area under curve (AUC) of 0.81 [95% confidence interval (CI): 0.64-0.97]. During a median follow-up of 37 months, 24 (19.4%) patients died, including 16 in low PMTH group and 8 in high PMTH group. Kaplan-Meier analysis indicated the sarcopenia significantly affected long-term survival [log-rank P=0.02; hazard ratio (HR) 2.53 (95% CI: 1.13-5.66)]. Multivariable Cox regression analysis revealed that sarcopenia was an independent predictor for decreased survival [HR 2.73 (95% CI: 1.15-8.78)]. Conclusions: Sarcopenia defined from the PMTH may be a useful tool for predicting short- and long-term mortality in patients after AAAD surgery.

15.
J Clin Hypertens (Greenwich) ; 26(3): 251-261, 2024 03.
Artigo em Inglês | MEDLINE | ID: mdl-38341621

RESUMO

Acute type A aortic dissection (AAAD) has a high probability of postoperative adverse outcomes (PAO) after emergency surgery, so exploring the risk factors for PAO during hospitalization is key to reducing postoperative mortality and improving prognosis. An artificial intelligence approach was used to build a predictive model of PAO by clinical data-driven machine learning to predict the incidence of PAO after total arch repair for AAAD. This study included 380 patients with AAAD. The clinical features that are associated with PAO were selected using the LASSO regression analysis. Six different machine learning algorithms were tried for modeling, and the performance of each model was analyzed comprehensively using receiver operating characteristic curves, calibration curve, precision recall curve, and decision analysis curves. Explain the optimal model through Shapley Additive Explanation (SHAP) and perform an individualized risk assessment. After comprehensive analysis, the authors believe that the extreme gradient boosting (XGBoost) model is the optimal model, with better performance than other models. The authors successfully built a prediction model for PAO in AAAD patients based on the XGBoost algorithm and interpreted the model with the SHAP method, which helps to identify high-risk AAAD patients at an early stage and to adjust individual patient-related clinical treatment plans in a timely manner.


Assuntos
Dissecção Aórtica , Hipertensão , Humanos , Inteligência Artificial , Aprendizado de Máquina , Algoritmos , Dissecção Aórtica/diagnóstico , Dissecção Aórtica/cirurgia
16.
Front Nutr ; 11: 1428532, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39027660

RESUMO

Objective: This study aims to develop a predictive model for the risk of major adverse events (MAEs) in type A aortic dissection (AAAD) patients with malnutrition after surgery, utilizing machine learning (ML) algorithms. Methods: We retrospectively collected clinical data from AAAD patients with malnutrition who underwent surgical treatment at our center. Through least absolute shrinkage and selection operator (LASSO) regression analysis, we screened for preoperative and intraoperative characteristic variables. Based on the random forest (RF) algorithm, we constructed a ML predictive model, and further evaluated and interpreted this model. Results: Through LASSO regression analysis and univariate analysis, we ultimately selected seven feature variables for modeling. After comparing six different ML models, we confirmed that the RF model demonstrated the best predictive performance in this dataset. Subsequently, we constructed a model using the RF algorithm to predict the risk of postoperative MAEs in AAAD patients with malnutrition. The test set results indicated that this model has excellent predictive efficacy and clinical applicability. Finally, we employed the Shapley additive explanations (SHAP) method to further interpret the predictions of this model. Conclusion: We have successfully constructed a risk prediction model for postoperative MAEs in AAAD patients with malnutrition using the RF algorithm, and we have interpreted the model through the SHAP method. This model aids clinicians in early identification of high-risk patients for MAEs, thereby potentially mitigating adverse clinical outcomes associated with malnutrition.

17.
Sci Rep ; 14(1): 2304, 2024 01 27.
Artigo em Inglês | MEDLINE | ID: mdl-38280905

RESUMO

Increased sequencing depth can improve the detection rate of noninvasive prenatal testing (NIPT) for chromosome aneuploidies and copy number variations (CNVs). However, due to the technical limitations of NIPT, false-positives and false-negatives are inevitable. False-positives for aneuploidy and CNVs have been widely reported, but few missed cases have been reported. In this study, we report 3 patients missed by NIPT, which were still missed after increasing the sequencing depth. To verify the detection efficiency of the platform, the results of NIPT in 32,796 patients treated in Yulin Women and Children Health Care Hospital from 2020 to 2022 were retrospectively analyzed. Data on false-negative cases found by postnatal follow-up or amniocentesis were collected, and the sequencing data, pregnancy examination data, and postnatal follow-up results of these missed patients were summarized. Five patients missed by NIPT were found, and they were missed again by retesting or increasing the sequencing depth. Except for hypospadias found in 1 patient, ultrasonography of the other 4 patients showed no obvious abnormalities during the whole pregnancy. Our results suggest that pregnant women should be fully informed of the benefits and limitations of NIPT before undergoing the examination to avoid unnecessary medical disputes.


Assuntos
Variações do Número de Cópias de DNA , Teste Pré-Natal não Invasivo , Masculino , Criança , Gravidez , Feminino , Humanos , Estudos Retrospectivos , Aneuploidia , Amniocentese , Diagnóstico Pré-Natal
18.
Environ Pollut ; 337: 122596, 2023 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-37748641

RESUMO

Transformation of sulfur in sewage pipeline was affected by water flow, and the transformation laws at different locations in the sediment-water system were different. This work studied the changes of sulfur in sediments, sewage, and upper space of the sewage pipeline, analyzed the differences in microbial community under different hydraulic retention time (HRT) and depth, and focused on the transformation law of sulfur. Results showed that sulfate and sulfide concentrations in sewage were higher than those in sediments under anaerobic conditions. Moreover, sulfate and sulfide concentrations in sediments decreased with depth. When HRT decreased from 3 h to 1 h, H2S concentration increased evidently, whereas sulfate concentration decreased in the sewage and sediment, and sulfide concentration increased in sewage and surface sediment. Those differences were related to the relative abundances of the two microbial communities. The relative abundances of sulfate-reducing bacteria (SRB), such as Desulfobacter, Desulfovibrio, and Desulfomicrobium, were higher in surface sediment. Correspondingly, those of Thiobacillus, Bacillus, and other sulfur-oxidizing bacteria (SOB) and Smithella were higher in deep sediment. The decrease of HRT might worsen the mass transfer effect of dissolved oxygen, thereby increasing the production rate of sulfur and causing H2S to easily escape from sewage.


Assuntos
Esgotos , Água , Esgotos/microbiologia , Enxofre , Sulfetos , Sulfatos , Oxirredução
19.
J Cardiovasc Transl Res ; 16(1): 51-62, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-35921051

RESUMO

Exercise is a preferred strategy for improving cardiac function, especially for patients with cardiovascular diseases. Increasing evidence indicates that oxidative stress is involved in exercise-induced cardioprotection, while the underlying mechanism remains unclear. Furthermore, the effect of antioxidant supplementation during or post-exercise still exists despite divergences. To explore the effect of oxidative stress and antioxidant supplementation on cardiovascular homeostasis during or post-exercise, we take insights into the progress of exercise-induced oxidative stress, antioxidant supplementation, and cardiovascular homeostasis. In particular, antioxidants such as vitamin C or E, gamma-oryzanol, and other natural antioxidants are discussed concerning regulating exercise-associated oxidative stress. Additionally, our present study reviewed and discussed a meta-analysis of antioxidant supplementation during exercise. Overall, we take an insight into the essential biological adaptations in response to exercise and the effects of antioxidant supplementation on cardiac function, which aid us in giving recommendations on antioxidant supplementation for exercisers and exercised people. A better understanding of these issues will broaden our knowledge of exercise physiology.


Assuntos
Antioxidantes , Amigos , Humanos , Antioxidantes/farmacologia , Suplementos Nutricionais , Exercício Físico/fisiologia , Estresse Oxidativo , Homeostase
20.
Sci Rep ; 13(1): 19065, 2023 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-37925528

RESUMO

Salt stress is one unfavorable factor of global climate change that adversely affects rice plant growth and yield. To identify novel salt-tolerant genes and new varieties of salt-tolerant rice, a better understanding of the molecular regulation mechanism of salt tolerance in rice is needed. In this study we used transcriptome analyses to examine changes in gene expression of salt-tolerant and salt-sensitive rice plants. The salt-tolerant cultivar HH11 and salt-sensitive cultivar IR29 were treated with 200 mM NaCl solution for 0 h, 6 h, 24 h and 48 h at the three leaf stage. Physiological parameters and transcriptome were measured and analyzed after each treatment. Activity of SOD and POD, as well as the MDA and protein content of the two rice cultivars generally increased with increasing time of exposure to NaCl. Meanwhile, the APX activity first increased, then decreased in both cultivars, with maximum values seen at 6 h for IR29 and at 24 h for HH11. The GR and GPX activity of HH11 were stronger than that of IR29 in response to salt stress. The H2O2 content first increased at 0-6 h, then decreased at 6-24 h, and then increased again at 24-48 h under salt stress. Compared with IR29, SOD, POD and APX activity of HH11 was more sluggish in response to salt stress, reaching the maximum at 24 h or 48 h. The MDA, H2O2 and proline content of HH11 was lower than that of IR29 under salt stress. Relative to untreated HH11 plants (0 h) and those exposed to salt for 6 h, 24 h, and 48 h (H0-H6, H0-H24 and H0-H48), 7462, 6363 and 6636, differentially expressed genes (DEGs), respectively, were identified. For IR29, the respective total DEGs were 7566, 6075 and 6136. GO and KEGG enrichment analysis showed that metabolic pathways related to antioxidative responses and osmotic balance played vital roles in salt stress tolerance. Sucrose and starch metabolism, in addition to flavonoid biosynthesis and glutathione metabolism, showed positive responses to salt stress. Expression of two SPS genes (LOC_Os01g69030 and LOC_Os08g20660) and two GST genes (LOC_Os06g12290 and LOC_Os10g38740) was up-regulated in both HH11 and IR29, whereas expression of LOC_Os09g12660, a glucose-1-phosphate adenylyltransferase gene, and two SS genes (LOC_Os04g17650 and LOC_Os04g24430) was up-regulated differential expression in HH11. The results showed that HH11 had more favorable adjustment in antioxidant and osmotic activity than IR29 upon exposure to salt stress, and highlighted candidate genes that could play roles in the function and regulation mechanism of salt tolerance in rice.


Assuntos
Oryza , Transcriptoma , Oryza/metabolismo , Peróxido de Hidrogênio/metabolismo , Cloreto de Sódio/farmacologia , Cloreto de Sódio/metabolismo , Estresse Salino/genética , Perfilação da Expressão Gênica , Antioxidantes/metabolismo , Superóxido Dismutase/metabolismo , Regulação da Expressão Gênica de Plantas
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