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Chen XN, Jin XX, Cui S, Liu DM. [Regulatory mechanisms and assessment of coronary artery calcification: a review]. Zhonghua Xin Xue Guan Bing Za Zhi 2024; 52:303-310. [PMID: 38514335 DOI: 10.3760/cma.j.cn112148-20231010-00291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Affiliation(s)
- X N Chen
- Department of Cardiology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
| | - X X Jin
- Department of Cardiology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
| | - S Cui
- Hebei Provincial Medical Examination Center, Shijiazhuang 050000, China
| | - D M Liu
- Department of Cardiology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
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Liu DM, Wu ZX, Guan JY. Intercellular competitive growth dynamics with microenvironmental feedback. Phys Rev E 2023; 108:054105. [PMID: 38115538 DOI: 10.1103/physreve.108.054105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 10/11/2023] [Indexed: 12/21/2023]
Abstract
Normal life activities between cells rely crucially on the homeostasis of the cellular microenvironment, but aging and cancer will upset this balance. In this paper we introduce the microenvironmental feedback mechanism to the growth dynamics of multicellular organisms, which changes the cellular competitive ability and thereby regulates the growth of multicellular organisms. We show that the presence of microenvironmental feedback can effectively delay aging, but cancer cells may grow uncontrollably due to the emergence of the tumor microenvironment (TME). We study the effect of the fraction of cancer cells relative to that of senescent cells on the feedback rate of the microenvironment on the lifespan of multicellular organisms and find that the average lifespan shortened is close to the data for non-Hodgkin's lymphoma in Canada from 1980 to 2015. We also investigate how the competitive ability of cancer cells affects the lifespan of multicellular organisms and reveal that there is an optimal value of the competitive ability of cancer cells allowing the organism to survive longest. Interestingly, the proposed microenvironmental feedback mechanism can give rise to the phenomenon of Parrondo's paradox: When the competitive ability of cancer cells switches between a too-high and a too-low value, multicellular organisms are able to live longer than in each case individually. Our results may provide helpful clues for targeted therapies aimed at the TME.
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Affiliation(s)
- De-Ming Liu
- Lanzhou Center for Theoretical Physics, Key Laboratory of Theoretical Physics of Gansu Province, and Key Laboratory of Quantum Theory and Applications of MoE, Lanzhou University, Lanzhou, Gansu 730000, China and Institute of Computational Physics and Complex Systems, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Zhi-Xi Wu
- Lanzhou Center for Theoretical Physics, Key Laboratory of Theoretical Physics of Gansu Province, and Key Laboratory of Quantum Theory and Applications of MoE, Lanzhou University, Lanzhou, Gansu 730000, China and Institute of Computational Physics and Complex Systems, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Jian-Yue Guan
- Lanzhou Center for Theoretical Physics, Key Laboratory of Theoretical Physics of Gansu Province, and Key Laboratory of Quantum Theory and Applications of MoE, Lanzhou University, Lanzhou, Gansu 730000, China and Institute of Computational Physics and Complex Systems, Lanzhou University, Lanzhou, Gansu 730000, China
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Liu DM, Li Q. [Updates and advances in the concept of gallbladder cancer treatment]. Zhonghua Wai Ke Za Zhi 2023; 61:749-752. [PMID: 37491166 DOI: 10.3760/cma.j.cn112139-20230131-00045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 07/27/2023]
Abstract
The gallbladder is the most common site of tumor occurrence among biliary tract cancer. Gallbladder cancer accounts for approximately 0.6% of new cancers and 0.9% of cancer-related deaths. The risk factors identified for the development of gallbladder cancer include being female,>65 years of age, asymptomatic gallstone disease,and obesity. Surgical resection is the only curative treatment for early-stage gallbladder cancer, and some intermediate or advanced gallbladder cancers can be radically cured by extended resection. However, the extent of liver resection or lymph node dissection and whether to combine it with bile duct removal, revascularisation,and multiple organ resection remain somewhat controversial. After neoadjuvant treatment, up to a third of patients with locally advanced gallbladder cancer benefit from secondary surgical treatment. Only a small proportion of patients with gallbladder cancer at high risk for recurrence will benefit from postoperative adjuvant therapy. With the advent of different target-targeted drugs and the use of genetic tests in biliary tract cancer, targeted therapy and PD-1/PD-L1 inhibitors may become the new standard of care for gallbladder cancer and need to be further explored.
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Affiliation(s)
- D M Liu
- National Clinical Research Center for Cancer,Tianjin's Clinical Research Center for Cancer,Tianjin Medical University Cancer Institute and Hospital,Key Laboratory of Cancer Prevention and Therapy,Department of Hepatobiliary Cancer, Liver Cancer Research Center, Tianjin 300060, China
| | - Q Li
- National Clinical Research Center for Cancer,Tianjin's Clinical Research Center for Cancer,Tianjin Medical University Cancer Institute and Hospital,Key Laboratory of Cancer Prevention and Therapy,Department of Hepatobiliary Cancer, Liver Cancer Research Center, Tianjin 300060, China
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Liu XW, Li DZ, Hu Y, Zhu R, Liu DM, Guo MY, Ren YY, Li YF, Li YW. [Molecular epidemiological characterization of hypervirulent carbapenem-resistant Klebsiella pneumoniae in a hospital in Henan Province from 2020 to 2022]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:1222-1230. [PMID: 37574316 DOI: 10.3760/cma.j.cn112150-20230320-00204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 08/15/2023]
Abstract
Objective: The study investigated the clinical distribution, antimicrobial resistance and epidemiologic characteristics of hypervirulent Carbapenem-resistant Klebsiella pneumoniae (hv-CRKP) in a hospital in Henan Province to provide a scientific basis for antibiotic use and nosocomial infection prevention and control. Methods: A retrospective analysis of the clinical data from the cases was carried out in this study. Clinical data of patients infected with the CRKP strain isolated from the clinical microbiology laboratory of Henan Provincial Hospital of Traditional Chinese Medicine from January 2020 to December 2022 were retrospectively analyzed. A string test, virulence gene screening, serum killing, and a G. mellonella infection model were used to screen hv-CRKP isolates. The clinical characteristics of hv-CRKP and the drug resistance rate of hv-CRKP to twenty-five antibiotics were analyzed using WHONET 5.6. Carbapenemase phenotypic characterization of the hv-CRKP was performed by colloidal gold immunochromatographic assay, and Carbapenemase genotyping, multi-locus sequence typing (MLST) and capsular serotyping of hv-CRKP isolates were performed by PCR and Sanger sequencing. Results: A total of non-duplicate 264 CRKP clinical isolates were detected in the hospital from 2020 to 2022, and 23 hv-CRKP isolates were detected, so the corresponding detection rate of hv-CRKP was 8.71% (23/264). The hv-CRKP isolates in this study were mainly from the intensive care unit (10/23) and neurosurgery department (8/23), and the main sources of hv-CRKP isolates were sputum (10/23) and bronchoalveolar lavage fluid (6/23). The hv-CRKP isolates in this study were highly resistant to β-lactam antibiotics, fluoroquinolones and aminoglycosides, and were only susceptible to colistin, tigecycline and ceftazidime/avibactam. The detection rate of the blaKPC-2 among 23 hv-CRKP isolates was 91.30% (21/23) and none of the class B and class D carbapenemases were detected. Results of MLST and capsular serotypes showed that ST11 type hv-CRKP was the dominant strain in the hospital, accounting for 56.52% (13/23), and K64 (9/13) and KL47 (4/13) were the major capsular serotypes. Conclusion: The hv-CRKP isolates from the hospital are mainly from lower respiratory tract specimens from patients admitted to the intensive care department and the drug resistance is relatively severe. The predominant strains with certain polymorphisms are mainly composed of the KPC-2-producing ST11-K64 and ST11-KL47 hv-CRKP isolates in the hospital.
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Affiliation(s)
- X W Liu
- Department of Laboratory Medicine, Henan Province Hospital of Traditional Chinese Medicine, Zhengzhou, Henan Provincial Engineering and Technology Research Center for Characterization of Clinical Pathogenic Microbes, The Key Laboratory of Pathogenic Microbes & Antimicrobial Resistance Surveillance of Zhengzhou, Zhengzhou 450002, China
| | - D Z Li
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450046, China
| | - Y Hu
- Department of Laboratory Medicine, Henan Province Hospital of Traditional Chinese Medicine, Zhengzhou, Henan Provincial Engineering and Technology Research Center for Characterization of Clinical Pathogenic Microbes, The Key Laboratory of Pathogenic Microbes & Antimicrobial Resistance Surveillance of Zhengzhou, Zhengzhou 450002, China
| | - R Zhu
- Department of Laboratory Medicine, Henan Province Hospital of Traditional Chinese Medicine, Zhengzhou, Henan Provincial Engineering and Technology Research Center for Characterization of Clinical Pathogenic Microbes, The Key Laboratory of Pathogenic Microbes & Antimicrobial Resistance Surveillance of Zhengzhou, Zhengzhou 450002, China
| | - D M Liu
- Department of Laboratory Medicine, Henan Province Hospital of Traditional Chinese Medicine, Zhengzhou, Henan Provincial Engineering and Technology Research Center for Characterization of Clinical Pathogenic Microbes, The Key Laboratory of Pathogenic Microbes & Antimicrobial Resistance Surveillance of Zhengzhou, Zhengzhou 450002, China
| | - M Y Guo
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450046, China
| | - Y Y Ren
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450046, China
| | - Y F Li
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450046, China
| | - Y W Li
- Department of Laboratory Medicine, Henan Province Hospital of Traditional Chinese Medicine, Zhengzhou, Henan Provincial Engineering and Technology Research Center for Characterization of Clinical Pathogenic Microbes, The Key Laboratory of Pathogenic Microbes & Antimicrobial Resistance Surveillance of Zhengzhou, Zhengzhou 450002, China The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450046, China
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Ren YY, Liu Y, Fei B, Guo MY, Liu XW, Liu DM, Li YW. [Constructions and advances of animal models of Pseudomonas aeruginosa infection]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:929-934. [PMID: 37357215 DOI: 10.3760/cma.j.cn112150-20220826-00843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/27/2023]
Abstract
Pseudomonas aeruginosa (P. aeruginosa) is an opportunistic pathogenic bacterium with complex pathogenesis and drug resistance mechanisms. It has high morbidity and mortality and can cause acute and chronic infections in immunocompromised individuals, with lung infections, wound infections, and bloodstream infections being the most common. The animal infection model of P. aeruginosa is of great value for in-depth research on the pathogenicity, drug resistance, and therapeutic measures of P. aeruginosa by simulating the pathways of human bacterial infections. This article firstly summarizes the selection, anesthesia, and disposal of experimental animals in the construction of animal models of P. aeruginosa infection, and then reviews the methods of construction, model evaluation, and applications of animal models of P. aeruginosa pulmonary infection, wound infection, and bloodstream infection, in order to provide a reference for scientific research related to P. aeruginosa infectious diseases.
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Affiliation(s)
- Y Y Ren
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450001, China
| | - Y Liu
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450001, China
| | - B Fei
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450001, China
| | - M Y Guo
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450001, China
| | - X W Liu
- Medicine Laboratory Center of Henan Province Hospital of Traditional Chinese Medicine, Henan Provincial Key Laboratory of Antibiotics-Resistant Bacterial Infection Prevention & Therapy with Traditional Chinese Medicine, The Key Laboratory of Pathogenic Microbes & Antimicrobial Resistance Surveillance of Zhengzhou, Zhengzhou 450002, China
| | - D M Liu
- Medicine Laboratory Center of Henan Province Hospital of Traditional Chinese Medicine, Henan Provincial Key Laboratory of Antibiotics-Resistant Bacterial Infection Prevention & Therapy with Traditional Chinese Medicine, The Key Laboratory of Pathogenic Microbes & Antimicrobial Resistance Surveillance of Zhengzhou, Zhengzhou 450002, China
| | - Y W Li
- The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450001, China
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Han XY, Li X, Zhao RY, Ma HZ, Yu M, Niu XD, Jin HJ, Wang YF, Liu DM, Cai H. Comprehensive analysis of prognostic value and immunotherapy prospect of brain cytoplasmic RNA1 in hepatocellular carcinoma. World J Gastrointest Oncol 2023; 15:644-664. [PMID: 37123057 PMCID: PMC10134208 DOI: 10.4251/wjgo.v15.i4.644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 02/18/2023] [Accepted: 03/16/2023] [Indexed: 04/12/2023] Open
Abstract
BACKGROUND The expression of brain cytoplasmic RNA1 (BCYRN1) is linked to the clinicopathology and prognosis of several types of cancers, among which hepatocellular carcinoma (HCC) is one of the most frequent types of cancer worldwide.
AIM To explore the prognostic value and immunotherapeutic potential of BCYRN1 in HCC by bioinformatics and meta-analysis.
METHODS Information was obtained from the Cancer Genome Atlas database. First, the correlation between BCYRN1 expression and prognosis and clinicopathologic characteristics of HCC patients was explored. Univariate and multivariate regression analyses were employed to examine the relationship between BCYRN1 and HCC prognosis. Secondly, potential functions and pathways were explored by means of enrichment analysis of differentially-expressed genes. The relationships between BCYRN1 expression and tumor microenvironment, immune cell infiltration, immune checkpoint, drug sensitivity and immunotherapy effect were also investigated. Finally, three major databases were searched and used to conduct a meta-analysis on the relationship between BCYRN1 expression and patient prognosis.
RESULTS BCYRN1 expression was significantly higher in HCC compared to normal tissues and was linked to a poor prognosis and clinicopathological characteristics. Enrichment analysis showed that BCYRN1 regulates the extracellular matrix and transmission of signaling molecules, participates in the metabolism of nutrients, such as proteins, and participates in tumor-related pathways. BCYRN1 expression was linked to the tumor microenvironment, immune cell infiltration, drug sensitivity and the efficacy of immunotherapy. Furthermore, the meta-analysis in this study showed that BCYRN1 overexpression was related to a worse outcome in HCC patients.
CONCLUSION Overexpression of BCYRN1 relates to poor prognosis and may be a potential prognostic factor and immunotherapeutic target in HCC.
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Affiliation(s)
- Xiao-Yong Han
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- Graduate School, Ningxia Medical University, Yinchuan 750004, Ningxia Hui Autonomous Region, China
- Key Laboratory of Molecular Diagnostics and Precision Medicine for Surgical Oncology in Gansu Province, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Xiong Li
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- Graduate School, Ningxia Medical University, Yinchuan 750004, Ningxia Hui Autonomous Region, China
| | - Rang-Yin Zhao
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- The First Clinical Medical College, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, China
| | - Hai-Zhong Ma
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- The First Clinical College of Medicine, Lanzhou University, Lanzhou 730000, Gansu Province, China
| | - Miao Yu
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- Key Laboratory of Molecular Diagnostics and Precision Medicine for Surgical Oncology in Gansu Province, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Xiang-Dong Niu
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Hao-Jie Jin
- The First Clinical College of Medicine, Lanzhou University, Lanzhou 730000, Gansu Province, China
| | - Yong-Feng Wang
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- Key Laboratory of Molecular Diagnostics and Precision Medicine for Surgical Oncology in Gansu Province, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- The First Clinical College of Medicine, Lanzhou University, Lanzhou 730000, Gansu Province, China
| | - De-Ming Liu
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Hui Cai
- Gansu General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- Key Laboratory of Molecular Diagnostics and Precision Medicine for Surgical Oncology in Gansu Province, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
- Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, Gansu Province, China
- NHC Key Laboratory of Diagnosis and Therapy of Gastrointestinal Tumor, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
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Jiao YJ, Lu TT, Liu DM, Xiang X, Wang LL, Ma SX, Wang YF, Chen YQ, Yang KH, Cai H. Comparison between laparoscopic uncut Roux-en-Y and Billroth II with Braun anastomosis after distal gastrectomy: A meta-analysis. World J Gastrointest Surg 2022; 14:594-610. [PMID: 35979420 PMCID: PMC9258235 DOI: 10.4240/wjgs.v14.i6.594] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 01/09/2022] [Accepted: 05/14/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Conventional Billroth II (BII) anastomosis after laparoscopic distal gastrectomy (LDG) for gastric cancer (GC) is associated with bile reflux gastritis, and Roux-en-Y anastomosis is associated with Roux-Y stasis syndrome (RSS). The uncut Roux-en-Y (URY) gastrojejunostomy reduces these complications by blocking the entry of bile and pancreatic juice into the residual stomach and preserving the impulse originating from the duodenum, while BII with Braun (BB) anastomosis reduces the postoperative biliary reflux without RSS. Therefore, the purpose of this study was to compare the efficacy and safety of laparoscopic URY with BB anastomosis in patients with GC who underwent radical distal gastrectomy.
AIM To evaluate the value of URY in patients with GC.
METHODS PubMed, Embase, Web of Science, Cochrane Library, Chinese National Knowledge Infrastructure, Wanfang, Chinese Biomedical Database, and VIP Database for Chinese Technical Periodicals (VIP) were used to search relevant studies published from January 1994 to August 18, 2021. The following databases were also used in our search: Clinicaltrials.gov, Data Archiving and Networked Services, the World Health Organization International Clinical Trials Registry Platform Search Portal (https://www.who.int/clinical-trials-registry-platform/the-ictrp-search-portal), the reference lists of articles and relevant conference proceedings in August 2021. In addition, we conducted a relevant search by Reference Citation Analysis (RCA) (https://www.referencecitationanalysis.com). We cited high-quality references using its results analysis functionality. The methodological quality of the eligible randomized clinical trials (RCTs) was evaluated using the Cochrane Risk of Bias Tool, and the non-RCTs were evaluated using the Newcastle-Ottawa scale. Statistical analyses were performed using Review Manager (Version 5.4).
RESULTS Eight studies involving 704 patients were included in this meta-analysis. The incidence of reflux gastritis [odds ratio = 0.07, 95% confidence interval (CI): 0.03-0.19, P < 0.00001] was significantly lower in the URY group than in the BB group. The pH of the postoperative gastric fluid was lower in the URY group than in the BB group at 1 d [mean difference (MD) = -2.03, 95%CI: (-2.73)-(-1.32), P < 0.00001] and 3 d [MD = -2.03, 95%CI: (-2.57)-(-2.03), P < 0.00001] after the operation. However, no significant difference in all the intraoperative outcomes was found between the two groups.
CONCLUSION This work suggests that URY is superior to BB in gastrointestinal reconstruction after LDG when considering postoperative outcomes.
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Affiliation(s)
- Ya-Jun Jiao
- School of Clinical Medicine, Ningxia Medical University, Yinchuan 750000, Ningxia Province, China
- General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Ting-Ting Lu
- Institution of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - De-Ming Liu
- School of Clinical Medicine, Ningxia Medical University, Yinchuan 750000, Ningxia Province, China
- General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Xue Xiang
- School of Clinical Medicine, Ningxia Medical University, Yinchuan 750000, Ningxia Province, China
- General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Liu-Li Wang
- General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Shi-Xun Ma
- General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Yong-Feng Wang
- General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Ya-Qiong Chen
- General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
| | - Ke-Hu Yang
- Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, Gansu Province, China
| | - Hui Cai
- General Surgery Clinical Medical Center, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
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Xu YY, Zhang JT, Xu M, Liu DM, Ding JP, Pei DL, Hong QC. First Report of Powdery Mildew Caused by Golovinomyces monardae on Scarlet Beebalm ( Monarda didyma) in China. Plant Dis 2022; 106:1525. [PMID: 34763518 DOI: 10.1094/pdis-08-21-1803-pdn] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Y Y Xu
- Henan Academician Workstation for Industrial Technology of Dry Chili, Key Laboratory of Plant-Microbe Interactions, School of Biology and Food, Shangqiu Normal University, Shangqiu 476000, China
| | - J T Zhang
- Henan Academician Workstation for Industrial Technology of Dry Chili, Key Laboratory of Plant-Microbe Interactions, School of Biology and Food, Shangqiu Normal University, Shangqiu 476000, China
| | - M Xu
- Henan Academician Workstation for Industrial Technology of Dry Chili, Key Laboratory of Plant-Microbe Interactions, School of Biology and Food, Shangqiu Normal University, Shangqiu 476000, China
| | - D M Liu
- Henan Academician Workstation for Industrial Technology of Dry Chili, Key Laboratory of Plant-Microbe Interactions, School of Biology and Food, Shangqiu Normal University, Shangqiu 476000, China
| | - J P Ding
- Henan Academician Workstation for Industrial Technology of Dry Chili, Key Laboratory of Plant-Microbe Interactions, School of Biology and Food, Shangqiu Normal University, Shangqiu 476000, China
| | - D L Pei
- Henan Academician Workstation for Industrial Technology of Dry Chili, Key Laboratory of Plant-Microbe Interactions, School of Biology and Food, Shangqiu Normal University, Shangqiu 476000, China
| | - Q C Hong
- Henan Academician Workstation for Industrial Technology of Dry Chili, Key Laboratory of Plant-Microbe Interactions, School of Biology and Food, Shangqiu Normal University, Shangqiu 476000, China
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Li Y, Liu DM, Ma XZ, Wu JF, Ji P, Bi HS. [Implantation of a monofocal intraocular lens after femtosecond laser intrastromal keratotomy and contralateral implantation of a trifocal IOL: a case report]. Zhonghua Yan Ke Za Zhi 2022; 58:218-220. [PMID: 35280032 DOI: 10.3760/cma.j.cn112142-20210901-00407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
An age-related cataract patient who underwent femtosecond laser intrastromal keratotomy in the right eye for presbyopia correction 8 years ago was subjected to femtosecond laser-assisted phacoemulsification, with implantation of a monofocal intraocular lens (IOL) and a trifocal IOL in the right and left eyes, respectively. The corneal stromal ring was complementary to the monofocal IOL, which recovered the distance and near visual acuity, in the right eye postoperatively. The trifocal IOL provided good intermediate visual acuity for the left eye. The vision of the patient reached an ideal level for all visual distances. The binocular fusion was within the normal range, and the stereoscopic vision was restored. We hope that this case report can act as a reference for the treatment of cataract after presbyopia corrective surgery.
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Affiliation(s)
- Y Li
- Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China
| | - D M Liu
- Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China
| | - X Z Ma
- Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China
| | - J F Wu
- Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China
| | - P Ji
- Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China
| | - H S Bi
- Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China
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Liu DM, Yang XH, Fu J, Liu LC, Lyu B. Real-time signal processing system based on FPGA for motional Stark effect diagnostic on EAST. Rev Sci Instrum 2021; 92:055105. [PMID: 34243340 DOI: 10.1063/5.0040814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Accepted: 05/03/2021] [Indexed: 06/13/2023]
Abstract
The plasma current density profile plays a key role in the development of a high poloidal beta scenario, which is essential for long-pulse and high-performance plasma operation on a tokamak. Based on the polarimetry technique, a Motional Stark Effect (MSE) diagnostic has been built on the Experimental Advanced Superconducting Tokamak. To be prepared for real-time (RT) feedback control of the plasma current density profile in the future, a RT signal processing system has been developed. The RT signal processing system is composed of three functional modules: analog-to-digital conversion (ADC) module, polarization information extraction module, and digital-to-analog conversion (DAC) module. The final objective of this system is to acquire the polarization information of the MSE. Based on the field-programmable gate array unit, fast Fourier transformation is adopted to process the Photoelastic Modulator (PEM) digital signal, which was converted from a PEM signal via the ADC module. By means of frequency spectrum separation, the components around double modulating frequencies are restored through inverse fast Fourier transformation. Furthermore, the two amplitudes of their corresponding components can be obtained through a digital harmonic analyzer technique. Afterward, the ratio of the two amplitudes is calculated by arc tangent so that the polarization angle is obtained. Finally, the information of this polarization angle is converted into a voltage signal by the DAC module and then output in RT. The test results based on the RT signal processing system are in good agreement with those based on the phase lock-in amplifiers. The working cycle of this system is shorter than 10 ms, which meets the requirements of the MSE diagnostic as a RT controller. The algorithm of RT signal processing and the relevant technology applied for building this system are presented in the main body of this paper in detail.
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Affiliation(s)
- D M Liu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, Anhui, China
| | - X H Yang
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, Anhui, China
| | - J Fu
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, Anhui, China
| | - L C Liu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, Anhui, China
| | - B Lyu
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, Anhui, China
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11
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Tang WY, Chen JM, Wang RR, Tan SL, Liu DM, Yu XY, Li HH, Zhang QF, Sheng YL, Xia WT. [Application of the Virtual Reality-Pattern Visual Evoked Potential in Forensic Visual Acuity Evaluation]. Fa Yi Xue Za Zhi 2021; 36:762-766. [PMID: 33550723 DOI: 10.12116/j.issn.1004-5619.2020.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Indexed: 11/30/2022]
Abstract
Abstract Objective To explore a kind of visual evoked potential test equipment and method that is more suitable for the application of forensic clinical visual acuity evaluation. Methods Thirty-four volunteers (68 eyes) were selected, including 15 males and 19 females, aged between 20 and 40 years. Test lenses were placed before the tested eyes of volunteers to induce refractive myopia with insert method, and the diopter lenses were adjusted so that the visual acuity level of one eye of volunteers was above 0.8, and the visual acuity of the other eye was at moderate damage level (<0.3 and ≥0.1). The tests were carried out under the binocular simultaneous asynchronous stimulation mode (hereinafter referred to as "binocular mode") and monocular separate stimulation mode (hereinafter referred to as "monocular mode") of virtual reality-pattern visual evoked potential (VR-PVEP), and the amplitude of PVEP of volunteers under the two modes was compared at four spatial frequencies of 8×8, 16×16, 24×24 and 32×32. Results The differences in the amplitude of P100 wave between monocular and binocular modes at 8×8 spatial frequency had no statistical significance and the differences in amplitude of P100 wave between monocular and binocular modes at 16×16, 24×24, and 32×32 spatial frequencies had statistical significance (P<0.05). The amplitude of the same eye in monocular mode was higher than that in binocular mode. Through correlation analysis, it was found that the amplitude of P100 wave in monocular mode was moderately correlated with amplitude of P100 wave in binocular mode. Conclusion In forensic identification practice, VR-PVEP is helpful for overcoming the disturbance of poor fixation, and to increase the reliability of PVEP evaluation results. It can greatly shorten the detection time of PVEP and improve work efficiency.
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Affiliation(s)
- W Y Tang
- Basic Medical College of Jiamusi University, Jiamusi 154007, Heilongjiang Province, China
| | - J M Chen
- Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - R R Wang
- Shanghai NCC Electronic Corp., Ltd, Shanghai 200063, China
| | - S L Tan
- Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - D M Liu
- Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - X Y Yu
- Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - H H Li
- Shanghai NCC Electronic Corp., Ltd, Shanghai 200063, China
| | - Q F Zhang
- Shanghai NCC Electronic Corp., Ltd, Shanghai 200063, China
| | - Y L Sheng
- Basic Medical College of Jiamusi University, Jiamusi 154007, Heilongjiang Province, China
| | - W T Xia
- Basic Medical College of Jiamusi University, Jiamusi 154007, Heilongjiang Province, China.,Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
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12
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Zhao ZJ, Liu XW, Zhang XQ, Guo MY, Hu Y, Liu DM, Li YW. [Research progress on the regulation mechanism of Pseudomonas aeruginosa biofilm]. Zhonghua Yu Fang Yi Xue Za Zhi 2020; 54:1469-1472. [PMID: 33333670 DOI: 10.3760/cma.j.cn112150-20200714-01002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Pseudomonas aeruginosa is one of the common multidrug-resistant bacteria in the clinic. Because it can produce a "protective" biofilm, it can affect the penetration and killing efficacy of antibacterial drugs, leading to the formation of a persistent and persistent chronic infection in the host. Biofilms make Pseudomonas aeruginosa resistant to antibacterials and evasive to the host's immune system. Therefore, traditional conventional antibacterials are difficult to achieve effective bactericidal treatment. Understanding the process of P. aeruginosa biofilm formation and the regulatory mechanisms that affect biofilms can provide ideas and methods for our future research on new antibacterial drugs.
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Affiliation(s)
- Z J Zhao
- Laboratory Center of the Second Clinical Medical College of Henan University of Traditional Chinese Medicine, Zhengzhou Key Laboratory of Pathogenic Microorganism and Bacterial Resistance Monitoring, Zhengzhou 450000, China
| | - X W Liu
- Laboratory Center of the Second Clinical Medical College of Henan University of Traditional Chinese Medicine, Zhengzhou Key Laboratory of Pathogenic Microorganism and Bacterial Resistance Monitoring, Zhengzhou 450000, China
| | - X Q Zhang
- Laboratory Center of the Second Clinical Medical College of Henan University of Traditional Chinese Medicine, Zhengzhou Key Laboratory of Pathogenic Microorganism and Bacterial Resistance Monitoring, Zhengzhou 450000, China
| | - M Y Guo
- Laboratory Center of the Second Clinical Medical College of Henan University of Traditional Chinese Medicine, Zhengzhou Key Laboratory of Pathogenic Microorganism and Bacterial Resistance Monitoring, Zhengzhou 450000, China
| | - Y Hu
- Laboratory Center of the Second Clinical Medical College of Henan University of Traditional Chinese Medicine, Zhengzhou Key Laboratory of Pathogenic Microorganism and Bacterial Resistance Monitoring, Zhengzhou 450000, China
| | - D M Liu
- Laboratory Center of the Second Clinical Medical College of Henan University of Traditional Chinese Medicine, Zhengzhou Key Laboratory of Pathogenic Microorganism and Bacterial Resistance Monitoring, Zhengzhou 450000, China
| | - Y W Li
- Laboratory Center of the Second Clinical Medical College of Henan University of Traditional Chinese Medicine, Zhengzhou Key Laboratory of Pathogenic Microorganism and Bacterial Resistance Monitoring, Zhengzhou 450000, China
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13
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Cardarelli-Leite L, Hadjivassiliou A, Klass D, Chung J, Ho SGF, Lim HJ, Kim PTW, Mujoomdar A, Liu DM. Current locoregional therapies and treatment strategies in hepatocellular carcinoma. ACTA ACUST UNITED AC 2020; 27:S144-S151. [PMID: 33343208 DOI: 10.3747/co.27.7171] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Locoregional therapies (lrts) play an important role in the treatment of hepatocellular carcinoma (hcc), with the aim of increasing overall survival while preserving liver function. Various forms of lrt are available, and choosing the best one depends on technical aspects, liver morphology, tumour biology, and the patient's symptoms. The purpose of the present review article is to provide an overview of the current evidence relating to the use of percutaneous ablation, transarterial chemoembolization, and transarterial radioembolization for the curative or palliative treatment of hcc. Special situations are also reviewed, including the combined use of systemic therapy and lrt, indications and techniques for bridging to transplant and downstaging, and the use of lrt to treat patients with hcc and macrovascular invasion.
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Affiliation(s)
| | - A Hadjivassiliou
- Department of Radiology, University of British Columbia, Vancouver, BC
| | - D Klass
- Department of Radiology, University of British Columbia, Vancouver, BC
| | - J Chung
- Department of Radiology, University of British Columbia, Vancouver, BC
| | - S G F Ho
- Department of Radiology, University of British Columbia, Vancouver, BC
| | - H J Lim
- Department of Medical Oncology, BC Cancer-Vancouver Centre, Vancouver, BC
| | - P T W Kim
- Department of Surgery, University of British Columbia, Vancouver, BC
| | - A Mujoomdar
- Department of Medical Imaging, Western University, London, ON
| | - D M Liu
- Department of Radiology, University of British Columbia, Vancouver, BC
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Liu DM, Hadjivassiliou A, Valenti D, Ho SG, Klass D, Chung JB, Kim PT, Boucher LM. Optimized nerve block techniques while performing percutaneous hepatic ablation: Literature review and practical use. J Interv Med 2020; 3:161-166. [PMID: 34557322 PMCID: PMC7420394 DOI: 10.1016/j.jimed.2020.06.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 06/19/2020] [Indexed: 01/11/2023] Open
Abstract
Percutaneous image guided thermal ablation has become a cornerstone of therapy for patients with oligometastatic disease and primary liver malignancies. Evolving from percutaneous ethanol injection (PEI), thermal ablation utilizing radiofrequency ablation (RFA) and microwave ablation (MWA) have become the standard approach in the treatment of isolated lesions that fit within the size criteria for curative intent therapy (typically 3-4cm). With the evolution of more intense thermal ablation, such as MWA, the dramatic increase in both the size of ablation zone and intensity of heat generation have extended the limits of this technique. As a result of these innovations, intra-procedural and post-procedural pain have also significantly increased, requiring either higher levels of intravenous sedation or, in some institutions, general anesthesia. In addition to the increase in therapeutic intensity, the use of intravenous sedation during aggressive ablation procedures carries the risk of over-sedation when the noxious insult (i.e. the ablation) is removed, adding further difficulty to post-procedural recovery and management. Furthermore, high subdiaphragmatic lesions become challenging in this setting due to issues relating to sedation and compliance with breath hold/breathing instructions. Although general anesthesia may mitigate these complications, the added resources associated with providing general anesthesia during ablation is not cost effective and may result in substantial delays in treatment. The reduction of Aerosol Generating Medical Procedures (AGMP), such as intubation due to the COVID-19 Pandemic, must also be taken into consideration. Due to the potential increased risk of infection transmission, alternatives to general anesthesia should be considered when safe and possible. Upper abdominal regional nerve block techniques have been used to manage pain related to trauma, surgery, and cancer; however, blocks of this nature are not well described in the interventional radiology literature. The McGill University group has developed experience in using such blocks as splanchnic, celiac and hepatic hilar nerve blocks to provide peri-procedural pain control [1]. Since incorporating these techniques (along with hydrodissection with tumescent anesthesia), we have also observed in our high volume ablation center a dramatic decrease in the amount of sedatives administered during the procedure, a decrease in patient discomfort during localization and ablation, as well as decreased pain post-procedure. Faster time to discharge and overall reduction in room procedural time serve as added benefits. The purpose of this publication is to outline and illustrate the practical application and use of nerve block/regional anesthesia techniques with respect to percutaneous hepatic thermal ablation.
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Affiliation(s)
- D M Liu
- Associate Professor, Faculty of Medicine, University of British Columbia, Canada.,Voluntary Professor, Miller School of Medicine, University of Miami, USA.,Department of Radiology - Division of Interventional Radiology, Vancouver General Hospital, Canada.,Associate Professor, Faculty of Applied Science, University of British Columbia, Canada
| | - A Hadjivassiliou
- Department of Radiology - Division of Interventional Radiology, Vancouver General Hospital, Canada
| | - D Valenti
- Assistant Professor, Faculty of Medicine, McGill University, Department of Radiology, Division of Interventional Radiology, McGill University Health Centre, Montreal, Canada
| | - S G Ho
- Department of Radiology - Division of Interventional Radiology, Vancouver General Hospital, Canada.,Clinical Professor, Faculty of Medicine, University of British Columbia, Canada
| | - D Klass
- Department of Radiology - Division of Interventional Radiology, Vancouver General Hospital, Canada.,Clinical Associate Professor, Faculty of Medicine, University of British Columbia, Canada
| | - J B Chung
- Department of Radiology, Vancouver General Hospital, Canada.,Associate Professor, Faculty of Applied Science, University of British Columbia, Canada
| | - P T Kim
- Department of Surgery Division of Hepatopancraticobiliary Surgery/Liver Transplantation, Vancouver General Hospital, Vancouver, Canada.,Clinical Associate Professor, Faculty of Medicine, University of British Columbia, Canada
| | - L M Boucher
- Assistant Professor, Faculty of Medicine, McGill University, Department of Radiology, Division of Interventional Radiology, McGill University Health Centre, Montreal, Canada
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Liu DM, Yang D, Zhou CY, Wu JS, Zhang GL, Wang P, Wang F, Meng XL. Aloe-emodin induces hepatotoxicity by the inhibition of multidrug resistance protein 2. Phytomedicine 2020; 68:153148. [PMID: 32028185 DOI: 10.1016/j.phymed.2019.153148] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Revised: 12/05/2019] [Accepted: 12/07/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Aloe-emodin (AE) is among the primary bioactive anthraquinones present in traditional Chinese medicinal plants such as Rheum palmatum L. Multidrug resistance protein 2 (ABCC2/ MRP2) is an important efflux transporter of substances associated with cellular oxidative stress. However, the effects of traditional Chinese medicine on this protein remain unclear. PURPOSE The aim of this research is to study the role of ABCC2 in AE-induced hepatotoxicity. METHODS The expression of ABCC2 protein and mRNA levels were analyzed by Western-Blotting and qRT-PCR, respectively. The intracellular oxidative stress caused by AE was evaluated by quantifying the levels of intracellular reactive oxygen species, malondialdehyde, glutathione reduced and oxidized glutathione. The levels of adenosine triphosphate, mitochondrial membrane potential and mitochondrial DNA were explored to evaluate the effects of AE on mitochondrial function. The effects of AE on cell apoptosis and cell cycle were detected by flow cytometry. To further clarify the key role of ABCC2 in AE induced cytotoxicity, we used pCI-neo-ABCC2 plasmid to over express ABCC2 protein, and small interfering RNA was used to knockdown ABCC2 in HepG2 cells. Additionally, we investigated the impact of AE on ABCC2 degradation pathway and the hepatotoxic effects of AE in mice. RESULTS AE was found to inhibit ABCC2 transport activity, downregulate ABCC2 expression and altered intracellular redox balance. Induction of oxidative stress resulted in depletion of intracellular glutathione reduced, mitochondria dysfunction and activation of apoptosis. ABCC2 overexpression significantly reduced AE-induced intracellular oxidative stress and cell death, which was enhanced by ABCC2 knockdown. Furthermore, AE was observed to promote ABCC2 degradation through induction of autophagy and hepatotoxicity was induced in mice by promoting ABCC2 degradation. CONCLUSIONS The inhibition of ABCC2 is a novel effect of AE that triggers oxidative stress and apoptosis. These findings are helpful in understanding the toxicological effects of AE-containing medicinal plants.
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Affiliation(s)
- De-Ming Liu
- College Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 610037, China; Department of Dermatology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400011, China
| | - Dong Yang
- College Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 610037, China
| | - Chun-Yan Zhou
- Department of Dermatology, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400011, China
| | - Jia-Si Wu
- College Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 610037, China
| | - Guo-Lin Zhang
- Center for Natural Products Research, Chengdu Institute of Biology, Chinese Academy of Sciences, Chengdu 610041, China
| | - Ping Wang
- College Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 610037, China
| | - Fei Wang
- Center for Natural Products Research, Chengdu Institute of Biology, Chinese Academy of Sciences, Chengdu 610041, China.
| | - Xian-Li Meng
- College Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 610037, China.
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16
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Wu XY, Li Q, Yan H, Liu DM, Gao JY, Zhao YL. [Association between family history and the risk of hypertension in rural districts of Hanzhong in Shaanxi province]. Zhonghua Liu Xing Bing Xue Za Zhi 2019; 38:1050-1054. [PMID: 28847052 DOI: 10.3760/cma.j.issn.0254-6450.2017.08.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To understand the prevalence of hypertension and quantitative relationship between family history and the risk of hypertension among rural residents living in Hanzhong District, Shaanxi province. Methods: A multistage random sampling survey was conducted. Data on the characteristics related to hypertension were collected and physical examination was conducted. Logistic regression was used to analyze the relationship between family history and hypertension. Results: A total number of 2 817 rural residents aged 18-80 with complete information were recruited. The crude prevalence of hypertension was 33.7%. Results from the logistic regression analysis showed that the OR was 2.06 (95% CI: 1.70-2.50) between family histories with or without hypertension. When the first-degree relatives were with the degrees of family history of hypertention as Ⅰ, Ⅱ or Ⅲ, the OR values of hypertension appeared as 1.83 (95% CI: 1.47-2.27), 2.94 (95% CI: 2.09-4.13) and 4.48 (95% CI: 2.17-9.27) respectively. Either father or mother having the positive family history of hypertension, the corresponding OR values appeared as 2.50 (95% CI: 1.84-3.40), 1.61(95% CI: 1.22-2.12) seen in mothers. However, when both father and mother having the family history of hypertention, the OR value was seen 2.82 (95%CI: 1.76-4.51) in the mothers. Conclusion: Family history appeared as a risk factor for hypertension. The number of first-degree relatives with positive family history showed a dose-response relationship to the occurrence of hypertension. Family history in both father or mother might further affect the incidence of hypertension.
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Affiliation(s)
- X Y Wu
- Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an 710061, China
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17
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Liu DM, Zhou CY, Meng XL, Wang P, Li W. Thymol exerts anti-inflammatory effect in dextran sulfate sodium-induced experimental murine colitis. TROP J PHARM RES 2018. [DOI: 10.4314/tjpr.v17i9.18] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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18
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Huang X, Liu DM, Liu C, Fu J, Wan BN, Lyu B, Wu ZW, Holcomb CT, Ko J, Rowan WL, Huang H, Miao GZ. Four-dimensional calibration turntable of the motional Stark effect diagnostic on EAST. Rev Sci Instrum 2018; 89:10B108. [PMID: 30399705 DOI: 10.1063/1.5036938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Accepted: 07/11/2018] [Indexed: 06/08/2023]
Abstract
The motional Stark effect (MSE) diagnostic is applied to measure the safety factor q and current density profile of a tokamak device, which are important parameters in realizing the high-performance and long-pulse steady state of a tokamak. A single-channel MSE diagnostic based on dual photoelastic modulators, whose sightline meets with the neutral beam injection at a major radius of R = 2.12 m, has been built for the D window of the Experimental Advanced Superconducting Tokamak (EAST). According to the requirements of MSE diagnostic polarimetric calibration, a high-precision four-dimensional calibration turntable, driven by four stepping motors and controlled by software running on the computer, was designed for EAST. The turntable allows us to rapidly calibrate the MSE diagnostic in a series of positions and angles during EAST maintenance. The turntable can move in four dimensions of translation, yaw, pitch, and roll of the polarizer and can create linearly polarized light at any given angle with accuracy of ∼0.05° for the MSE system offline calibration. The experimental results of the MSE diagnostic calibration in the laboratory show that the turntable has the advantages of high positioning accuracy, flexible spatial movement, and convenient control and fully meets the calibration requirements of an MSE diagnosis system.
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Affiliation(s)
- X Huang
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - D M Liu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - C Liu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - J Fu
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - B N Wan
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - B Lyu
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - Z W Wu
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - C T Holcomb
- Lawrence Livermore National Laboratory, 7000 East Ave., Livermore, California 94550, USA
| | - J Ko
- National Fusion Research Institute, Yuseong, Daejeon 305-333, South Korea
| | - W L Rowan
- Institute for Fusion Studies, The University of Texas at Austin, Austin, Texas 78712, USA
| | - H Huang
- Institute for Fusion Studies, The University of Texas at Austin, Austin, Texas 78712, USA
| | - G Z Miao
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
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Fu X, Lu P, Zhang L, Ni WJ, Liu DM, Zhang JS. Analysis on Fourier characteristics of wavelength-scanned optical spectrum of low-finesse Fabry-Pérot acoustic sensor. Opt Express 2018; 26:22064-22074. [PMID: 30130906 DOI: 10.1364/oe.26.022064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Accepted: 08/07/2018] [Indexed: 06/08/2023]
Abstract
In this work, we investigate the Fourier characteristics of wavelength-scanned optical spectrum of low-finesse Fabry-Pérot (FP) acoustic sensor both theoretically and experimentally. The wavelength scanning will transform the time-domain acoustic signal into phase modulation loaded on the FP sensor spectrum distributed along wavelength. Therefore the interference spectrum can be regarded as carrier signal in the wavelength domain. From this perspective, it is intelligible that the phase modulation loaded on the spectrum (carrier signal) will introduce sidebands in Fourier domain. The spatial frequency and phase of sideband components contain unique information of both acoustic signal and the corresponding sensor. These conclusions are experimentally proved by single sensor head as well as two parallel sensors. The Fourier characteristics of sideband components can be utilized to recognize and distinguish acoustic signals received by different sensors, indicating that it has potential applications in multiplexed FP sensor array and source localization, and so forth.
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20
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Liu DM, Li JM, Qu PF, Dang SN, Wu XY, Zhang R, Yan H, Yan H. [Prenatal supplementations of iron, iron-containing multimicronutrients and antianemic Chinese patent medicines in women in Shaanxi province, 2010-2013]. Zhonghua Liu Xing Bing Xue Za Zhi 2017; 38:1466-1470. [PMID: 29141330 DOI: 10.3760/cma.j.issn.0254-6450.2017.11.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To understand the prevalence of prenatal supplementations of iron, iron-containing multi-micronutrients (IMMN) and antianemic Chinese patent medicines (ACPM) and associated factors in women in Shaanxi province. Methods: A sample of 28 367 childbearing-age women who gave birth during 2010-2013 and had specific information of the prenatal nutrients supplementation were recruited using stratified multistage cluster random sampling in Shaanxi province. The information about their basic characteristics and prenatal supplementation of nutrients were collected by a questionnaire survey. Descriptive analysis method was used to analyze the intake rate of iron, IMMN and ACPM during each period of pregnancy, and logistic regression model was used to identify associated factors. Results: The overall prevalence of prenatal iron, IMMN and ACPM supplementation was low (28.99%), and the intake rate of iron was the lowest (5.33%). The prevalence of prenatal supplementation of iron, IMMN and ACPM were lower before pregnancy and in the first trimester than in the second and third trimester. The intake rates for consecutive 2 periods were very low (all were lower than 2.00%). The intake rates of iron, IMMN and ACPM significantly increased year by year. Women living in central Shaanxi had relatively high intake rates of iron (7.22%) and IMMN (16.55%), and women in southern Shaanxi had relatively high intake rate of ACPM (18.50%). The results of logistic regression analysis showed that higher educational level (OR=1.920, 95%CI: 1.617-2.279), antenatal care times≥6 (OR=1.832, 95%CI: 1.604-2.091), etc. were the positive factors for iron intake, and these positive factors were similar to those for IMMN intake. Additionally, rural residence was the negative factor for IMMN intake (compared with urban residence, OR=0.872, 95%CI: 0.788-0.966). Conversely, higher educational level (OR=0.855, 95%CI: 0.746-0.979), higher household income (OR=0.864, 95%CI: 0.796-0.938) were negative factors for ACPM intake, and rural residence was its positive factor (OR=1.285, 95%CI: 1.141-1.447). Conclusions: The prevalence of prenatal supplementation of iron, IMMN and ACPM were low in women in Shaanxi, especially the intake rate of iron was the lowest. The prophylactic iron supplementation before pregnancy or in the first trimester was rare. Measures should be taken to improve the prenatal supplementation of iron in Shaanxi and to standardize the clinical use of ACPM.
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Affiliation(s)
- D M Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Health Science Center of Xi'an Jiaotong University, Xi'an 710061, China
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21
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Yan LJ, Chen F, Liu DM, Huang JF, Liu FP, Wu JF, Liu FQ, Ye JZ, Qiu Y, Lin LS, He BC. [Tea, coffee intakes and risk of oral squamous cell carcinoma: a case-control study]. Zhonghua Liu Xing Bing Xue Za Zhi 2017; 37:1531-1535. [PMID: 28057147 DOI: 10.3760/cma.j.issn.0254-6450.2016.11.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the effects of tea and coffee intakes on oral squamous cell carcinoma (OSCC) stratified by milk intake. Methods: A case-control study involving 593 OSCC patients confirmed by pathological diagnoses and 1 128 gender-age frequency matched controls was conducted in Fujian province during September 2010-March 2016. Unconditional logistic regression was used to calculate adjusted odds ratios (aORs) and corresponding 95% confidence intervals (CIs) to assess the effects of coffee, tea intakes and related variables on OSCC. Additive interaction was estimated by relative excess risk interaction (RERI), attributable proportions interaction (API) and synergy index (SI). Results: Tea intake was significantly associated with decreased risk of OSCC: the adjusted ORs were 0.54 for all subjects (95%CI: 0.41-0.71), 0.47 for milk consumers (95%CI: 0.31-0.71) and 0.57 for non-milk consumers (95%CI: 0.40-0.81). Moreover, starting tea drinking at age ≥25 years, moderate tea concentration and water temperature, drinking green tea and oolong tea showed effects to decrease the risk for OSCC in three groups. Additionally, there was a tendency of a reduced risk with increased daily tea drinking and longer tea-drinking period (all trend P<0.05). No significant association was observed between coffee intake and OSCC. A multiplicative but not additive interactions was found between tea drinking and milk intake. Additionally, we did not observe multiplicative and additive interaction between coffee drinking and milk intake. Conclusion: Tea drinking is a protective factor for OSCC, and there is a multiplicative interaction between tea drinking and milk intake. Therefore, tea drinking and increasing intake of milk can reduce the risk of OSCC at certain extent.
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Affiliation(s)
- L J Yan
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
| | - F Chen
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
| | - D M Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
| | - J F Huang
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
| | - F P Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
| | - J F Wu
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
| | - F Q Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
| | - J Z Ye
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
| | - Y Qiu
- Department of Stomatology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350004, China
| | - L S Lin
- Department of Stomatology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350004, China
| | - B C He
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China
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Li JM, Liu DM, Zhang XF, Qu PF, Yan H. [Study on the relationship between frequencies of prenatal care and neonatal low birth weight in women of childbearing age from rural areas of Shaanxi province]. Zhonghua Liu Xing Bing Xue Za Zhi 2017; 38:478-481. [PMID: 28468066 DOI: 10.3760/cma.j.issn.0254-6450.2017.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the relationship between frequencies of prenatal care and neonatal low birth weight (LBW) among women of childbearing age from the rural areas of Shaanxi province. Methods: A questionnaire survey was conducted among the childbearing-aged women from the rural areas. Samples were selected through multi stage stratified random sampling method. The childbearing aged women were in pregnancy or having had definite outcomes of pregnancy. Measurement of data was described by median±standard deviation, and chi square test was used to compare the rates. Neonatal low birth weight and frequencies of prenatal care were dependent variables and independent variables grouped into the generalized Poisson regression model. Confounding factors were under control. Results: The overall incidence rate of LBW was 3.75% among 18 911 rural women of childbearing age during 2010-2013. Frequencies on pregnancy care were up to 15 times (0.70%), with a minimum of 0 (0.70%), an average of 5.65±2.74 times (including ≥10 times accounted for 12.37%; ≥7 times accounted for 28.52%; ≥5 times accounted for 62.80% and <4 times accounted for 21.49%). After controlling confounding factors, results from the generalized Poisson regression analysis revealed that the difference was statistically significant when compared to the reference group. The incidence of neonatal LBW in the <4 group was 1.61 times of the one in the >7 group (OR=1.61, 95%CI:1.31-2.00) while in the <4 group it was 1.23 times of the 4-7 group (OR=1.23, 95% CI:1.04-1.45). Conclusion: In the rural areas of Shaanxi province, the incidence of neonatal LBW was gradually reduced through the increasing number of frequencies on prenatal care, among women of childbearing age.
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Affiliation(s)
- J M Li
- Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an 710061, China
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Liu DM, Wan BN, Li J, Wang Y, Shen B, Gong XZ, He YG. Electromagnetic interference reduction design of alternating integrator for EAST. Rev Sci Instrum 2016; 87:11D839. [PMID: 27910590 DOI: 10.1063/1.4962249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
An alternating integrator has been designed for the Experimental Advanced Superconducting Tokamak that is intended for long pulse operation of up to 1000 s. The electromagnetic operating environment for the device is so complex that it could affect the performance of the integrator. The new integrator system is carefully designed and actualized based on specific reduced electromagnetic interference requirements, which were formulated based on consideration of processing of the input signals, the isolation properties, and the circuit board layout and grounding. The developed integrator shows excellent electromagnetic compatibility and low-drift properties.
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Affiliation(s)
- D M Liu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, People's Republic of China
| | - B N Wan
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, People's Republic of China
| | - J Li
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, People's Republic of China
| | - Y Wang
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, People's Republic of China
| | - B Shen
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, People's Republic of China
| | - X Z Gong
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, People's Republic of China
| | - Y G He
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, People's Republic of China
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Liu DM, Li J, Wan BN, Lu Z, Wang LS, Jiang L, Lu CH, Huang J. Performance of current measurement system in poloidal field power supply for Experimental Advanced Superconducting Tokamak. Rev Sci Instrum 2016; 87:11D842. [PMID: 27910616 DOI: 10.1063/1.4963868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
As one of the core subsystems of the Experimental Advanced Superconducting Tokamak (EAST), the poloidal field power system supplies energy to EAST's superconducting coils. To measure the converter current in the poloidal field power system, a current measurement system has been designed. The proposed measurement system is composed of a Rogowski coil and a newly designed integrator. The results of the resistor-inductor-capacitor discharge test and the converter equal current test show that the current measurement system provides good reliability and stability, and the maximum error of the proposed system is less than 1%.
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Affiliation(s)
- D M Liu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - J Li
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - B N Wan
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - Z Lu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - L S Wang
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - L Jiang
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - C H Lu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - J Huang
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
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Zhu FB, Fang XJ, Liu DW, Shao Y, Zhang HY, Peng Y, Zhong QL, Li YT, Liu DM. Substance P combined with epidermal stem cells promotes wound healing and nerve regeneration in diabetes mellitus. Neural Regen Res 2016; 11:493-501. [PMID: 27127492 PMCID: PMC4829018 DOI: 10.4103/1673-5374.179073] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Exogenous substance P accelerates wound healing in diabetes, but the mechanism remains poorly understood. Here, we established a rat model by intraperitoneally injecting streptozotocin. Four wounds (1.8 cm diameter) were drilled using a self-made punch onto the back, bilateral to the vertebral column, and then treated using amniotic membrane with epidermal stem cells and/or substance P around and in the middle of the wounds. With the combined treatment the wound-healing rate was 100% at 14 days. With prolonged time, type I collagen content gradually increased, yet type III collagen content gradually diminished. Abundant protein gene product 9.5- and substance P-immunoreactive nerve fibers regenerated. Partial nerve fiber endings extended to the epidermis. The therapeutic effects of combined substance P and epidermal stem cells were better than with amniotic membrane and either factor alone. Our results suggest that the combination of substance P and epidermal stem cells effectively contributes to nerve regeneration and wound healing in diabetic rats.
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Affiliation(s)
- Fei-Bin Zhu
- Burns Institute, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China; Department of Burns, Huizhou Central People's Hospital, Huizhou, Guangdong Province, China
| | - Xiang-Jing Fang
- Department of Burns, Huizhou Central People's Hospital, Huizhou, Guangdong Province, China
| | - De-Wu Liu
- Burns Institute, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China
| | - Ying Shao
- Department of Burns, Huizhou Central People's Hospital, Huizhou, Guangdong Province, China
| | - Hong-Yan Zhang
- Burns Institute, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China
| | - Yan Peng
- Burns Institute, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China
| | - Qing-Ling Zhong
- Burns Institute, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China
| | - Yong-Tie Li
- Burns Institute, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China
| | - De-Ming Liu
- Medical College of Nanchang University, Nanchang, Jiangxi Province, China
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Ning P, Peng Y, Liu DW, Hu YH, Liu Y, Liu DM. Tetrandrine induces microRNA differential expression in human hypertrophic scar fibroblasts in vitro. Genet Mol Res 2016; 15:gmr7288. [PMID: 26909951 DOI: 10.4238/gmr.15017288] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
MicroRNAs (miRNAs) have recently been shown to play a role in normal wound healing process. miRNAs may be linked to pathologic wound healing and closely related to the formation of hypertrophic scars. This study aimed to explore the effects of tetrandrine on the miRNA expression profile in human hypertrophic scar fibroblasts (HSFs) in vitro. HSFs were randomly divided into two groups: the tetrandrine treatment group and the control group. The experimental and control groups were collected and analyzed by miRNA array after a 48-h culture. Real-time reverse transcriptase-polymerase chain reaction (RT-PCR) was performed to confirm the array results. The targets of differentially expressed miRNA were functionally annotated using bioinformatic approaches. miRNA microarray analysis identified 193 differentially expressed miRNAs and the expression of 186 miRNAs in the experimental group decreased while that of 7 miRNAs increased compared to the control group. The most significantly downregulated miRNA was hsa-miR-1246, and hsa-miR-27b had the highest expression level. Significant differentially expressed miRNAs were predicted to be related to several important signaling pathways related to scar wound healing. The differential miRNA expression identified in this study provides the experimental basis for further understanding the anti-fibrosis effect of tetrandrine.
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Affiliation(s)
- P Ning
- Burns Institute, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.,Department of ICU, Qingyuan People's Hospital, Qingyuan, Guangdong, China
| | - Y Peng
- Burns Institute, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - D W Liu
- Burns Institute, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Y H Hu
- Burns Institute, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.,Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi, China
| | - Y Liu
- Burns Institute, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - D M Liu
- Medical College of Nanchang University, Nanchang, Jiangxi, China
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Duan HY, Liu DM, Qian P, Wang SL, Yan LJ, Wu JT, Yang HT, Fan XW, Chu YJ. Effect of atorvastatin on plasma NT-proBNP and inflammatory cytokine expression in patients with heart failure. Genet Mol Res 2015; 14:15739-48. [PMID: 26634541 DOI: 10.4238/2015.december.1.25] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The aim of this study was to explore the effect of atorvastatin intervention on plasma N-terminal pro-B-type natriuretic peptide (NT-proBNP) and inflammatory cytokine levels in patients with heart failure (HF). One hundred and twenty-three HF patients were selected from our hospital and randomly divided into control (N = 61) and observation (N = 62) groups; the former received conventional treatment, while the latter were given conventional treatment combined with atorvastatin. Plasma NT-proBNP, inflammatory cytokines [high-sensitive C-reactive protein (hs-CRP), interleukin (IL)-6, IL-10] and cardiac function [left ventricular end-diastolic dimension (LVEDD), left ventricular ejection fraction (LVEF), end-diastolic maximum flow rate ratio (E/A)] were compared among groups. The effective rate of treating HF significantly increased after atorvastatin treatment. The plasma NT-proBNP, IL-6, IL-10, hs-CRP, and LVEDD levels significantly decreased (P < 0.05), while the LVEF and E/A levels significantly increased (P < 0.05) in the observation group compared to the control group and before intervention. The NT-proBNP and cytokine levels significantly differed among patients with different classes of heart function (P < 0.05); the NT-proBNP and cytokine levels increased with the severity of heart function. Pearson's correlation analysis revealed a negative correlation between the NT-proBNP and inflammatory cytokine levels and LVEF and E/A values, and a positive correlation between these factors and LVEDD (P < 0.05). In conclusion, atorvastatin significantly improves cardiac function; the mechanism atorvastatin action was related to the decrease in plasma NT-proBNP and inflammatory cytokine levels.
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Affiliation(s)
- H Y Duan
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
| | - D M Liu
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
| | - P Qian
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
| | - S L Wang
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
| | - L J Yan
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
| | - J T Wu
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
| | - H T Yang
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
| | - X W Fan
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
| | - Y J Chu
- Department of Cardiovascular Medicine, Henan Provincial People's Hospital, Zhengzhou, China
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Zhao H, Yang BL, Liu ZX, Yu Q, Zhang WJ, Yuan K, Zeng HH, Zhu GC, Liu DM, Li Q. Microencapsulation improves inhibitory effects of transplanted olfactory ensheathing cells on pain after sciatic nerve injury. Neural Regen Res 2015; 10:1332-7. [PMID: 26487865 PMCID: PMC4590250 DOI: 10.4103/1673-5374.162769] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Olfactory bulb tissue transplantation inhibits P2X2/3 receptor-mediated neuropathic pain. However, the olfactory bulb has a complex cellular composition, and the mechanism underlying the action of purified transplanted olfactory ensheathing cells (OECs) remains unclear. In the present study, we microencapsulated OECs in alginic acid, and transplanted free and microencapsulated OECs into the region surrounding the injured sciatic nerve in rat models of chronic constriction injury. We assessed mechanical nociception in the rat models 7 and 14 days after surgery by measuring paw withdrawal threshold, and examined P2X2/3 receptor expression in L4–5 dorsal root ganglia using immunohistochemistry. Rats that received free and microencapsulated OEC transplants showed greater withdrawal thresholds than untreated model rats, and weaker P2X2/3 receptor immunoreactivity in dorsal root ganglia. At 14 days, paw withdrawal threshold was much higher in the microencapsulated OEC-treated animals. Our results confirm that microencapsulated OEC transplantation suppresses P2X2/3 receptor expression in L4–5 dorsal root ganglia in rat models of neuropathic pain and reduces allodynia, and also suggest that transplantation of microencapsulated OECs is more effective than transplantation of free OECs for the treatment of neuropathic pain.
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Affiliation(s)
- Hao Zhao
- Department of Anatomy, Basic Medical School, Nanchang University, Nanchang, Jiangxi Province, China ; Medical Department, Graduate School, Nanchang University, Nanchang, Jiangxi Province, China
| | - Bao-Lin Yang
- Department of Anatomy, Basic Medical School, Nanchang University, Nanchang, Jiangxi Province, China
| | - Zeng-Xu Liu
- Department of Anatomy, Basic Medical School, Nanchang University, Nanchang, Jiangxi Province, China
| | - Qing Yu
- Library, Nanchang University, Nanchang, Jiangxi Province, China
| | - Wen-Jun Zhang
- Medical Department, Graduate School, Nanchang University, Nanchang, Jiangxi Province, China
| | - Keng Yuan
- Medical Office, Nanchang University, Nanchang, Jiangxi Province, China
| | - Hui-Hong Zeng
- Department of Histology and Embryology, Basic Medical School, Nanchang University, Nanchang, Jiangxi Province, China
| | - Gao-Chun Zhu
- Department of Anatomy, Basic Medical School, Nanchang University, Nanchang, Jiangxi Province, China
| | - De-Ming Liu
- Department of Anatomy, Basic Medical School, Nanchang University, Nanchang, Jiangxi Province, China
| | - Qing Li
- Medical Department, Graduate School, Nanchang University, Nanchang, Jiangxi Province, China
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Liu DM, Wan BN, Zhao WZ, Shen B, He YG, Chen B, Huang J, Liu HQ. Development of an alternating integrator for magnetic measurements for experimental advanced superconducting tokamak. Rev Sci Instrum 2014; 85:11E826. [PMID: 25430391 DOI: 10.1063/1.4891706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
A high-performance integrator is one of the key electronic devices for reliably controlling plasma in the experimental advanced superconducting tokamak for long pulse operation. We once designed an integrator system of real-time drift compensation, which has a low integration drift. However, it is not feasible for really continuous operations due to capacitive leakage error and nonlinearity error. To solve the above-mentioned problems, this paper presents a new alternating integrator. In the new integrator, the integrator system of real-time drift compensation is adopted as one integral cell while two such integral cells work alternately. To achieve the alternate function, a Field Programmable Gate Array built in the digitizer is utilized. The performance test shows that the developed integrator with the integration time constant of 20 ms has a low integration drift (<15 mV) for 1000 s.
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Affiliation(s)
- D M Liu
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - B N Wan
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - W Z Zhao
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - B Shen
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - Y G He
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - B Chen
- School of Electrical Engineering and Automation, Hefei University of Technology, Hefei 230009, China
| | - J Huang
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
| | - H Q Liu
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, China
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Abstract
Numerous studies have evaluated the association between the human interleukin-10 gene -592C>A polymorphism and gastric cancer risk. However, the results have been inconsistent. This meta-analysis was designed to resolve these controversies. Systematic searches of the electronic databases Embase, PubMed, and Google Scholar were performed to identify relevant studies. A meta-analysis was performed to examine the association between the interleukin-10 gene -592C>A polymorphism and gastric cancer risk. Odds ratios (OR) and its 95% confidence intervals (CI) were used for statistical analysis. Twelve studies were included in the meta-analysis, which included 2116 gastric cancer cases and 4077 controls. No significant association was found between the interleukin-10 gene -592C>A polymorphism and gastric cancer risk in total population analysis. In stratified analysis, a significant association was found in the Asian subgroup (AA vs AC: OR = 0.79, 95%CI = 0.64-0.98; dominant model: OR = 1.26, 95%CI = 1.04-1.57), and no significant association was observed among Caucasians. In addition, the corresponding pooled ORs were not substantially altered after excluding one study that deviated from Hardy-Weinberg equilibrium in the control group. This meta-analysis supports an association between the interleukin-10 gene -592C>A polymorphism and gastric cancer risk in Asians but not in Caucasians. Further large and well-designed studies are needed to confirm these conclusions.
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Affiliation(s)
- M Qi
- Department of Gastroenterology, Jinan Central Hospital, Jinan, China
| | - D M Liu
- Department of Gastroenterology, Jinan Central Hospital, Jinan, China
| | - L L Pan
- Department of Gastroenterology, Jinan Central Hospital, Jinan, China
| | - Y X Lin
- Department of Gastroenterology, Jinan Central Hospital, Jinan, China
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Liu DM, Torchen LC, Sung Y, Paparodis R, Legro RS, Grebe SK, Singh RJ, Taylor RL, Dunaif A. Evidence for gonadotrophin secretory and steroidogenic abnormalities in brothers of women with polycystic ovary syndrome. Hum Reprod 2014; 29:2764-72. [PMID: 25336708 DOI: 10.1093/humrep/deu282] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
STUDY QUESTION Are there abnormalities in gonadotrophin secretion, adrenal steroidogenesis and/or testicular steroidogenesis in brothers of women with polycystic ovary syndrome (PCOS)? SUMMARY ANSWER Brothers of women with PCOS have increased gonadotrophin responses to gonadotrophin releasing hormone (GnRH) agonist stimulation and alterations in adrenal and gonadal steroidogenesis. WHAT IS KNOWN ALREADY PCOS is a complex genetic disease. Male as well as female first-degree relatives have reproductive features of the syndrome. We previously reported that brothers of affected women have elevated circulating dehydroepiandrosterone sulfate levels. STUDY DESIGN, SIZE, DURATION This was a case-control study performed in 29 non-Hispanic white brothers of 22 women with PCOS and 18 control men. PARTICIPANTS/MATERIALS, SETTING, METHODS PCOS brothers and control men were of comparable age, weight and ethnicity. Adrenocorticotrophic hormone (ACTH) and GnRH agonist stimulation tests were performed. Gonadotrophin responses to GnRH agonist as well as changes in precursor-product steroid pairs (delta, Δ) across steroidogenic pathways in response to ACTH and GnRH agonist were examined. MAIN RESULTS AND THE ROLE OF CHANCE Basal total (T) levels did not differ, but dehydroepiandrosterone (DHEA) levels (0.13 ± 0.08 brothers versus 0.22 ± 0.09 controls, nmol/l, P = 0.03) were lower in brothers compared with control men. ACTH-stimulated Δ17-hydroxypregnenolone (17Preg)/Δ17-hydroxyprogesterone (17Prog) (7.8 ± 24.2 brothers versus 18.9 ± 21.3 controls, P = 0.04) and ΔDHEA/Δandrostenedione (AD) (0.10 ± 0.05 brothers versus 0.14 ± 0.08 controls, P = 0.04) were lower in brothers than in the controls. GnRH agonist-stimulated Δ17Prog/ΔAD (0.28 ± 8.47 brothers versus 4.79 ± 10.28 controls, P = 0.003) was decreased and luteinizing hormone (38.6 ± 20.6 brothers versus 26.0 ± 9.8 controls, IU/l, P = 0.02), follicle-stimulating hormone (10.2 ± 7.5 brothers versus 4.8 ± 4.1 controls, IU/l P = 0.002), AD (1.7 ± 1.4 brothers versus 0.9 ± 1.5 controls, nmol/l, P = 0.02) and ΔAD/ΔT (0.16 ± 0.14 brothers versus 0.08 ± 0.12 controls, P = 0.005) responses were increased in brothers compared with controls. LIMITATIONS, REASONS FOR CAUTION The modest sample size may have limited our ability to observe other possible differences in steroidogenesis between PCOS brothers and control men. WIDER IMPLICATIONS OF THE FINDINGS Decreased ACTH-stimulated Δ17Preg/Δ17Prog and ΔDHEA/ΔAD responses suggested increased adrenal 3β-hydroxysteroid dehydrogenase activity in the brothers. Decreased Δ17Prog/ΔAD and increased ΔAD/ΔT responses to GnRH agonist stimulation suggested increased gonadal 17,20-lyase and decreased gonadal 17β-hydroxysteroid dehydrogenase activity in the brothers. Increased LH and FSH responses to GnRH agonist stimulation suggested neuroendocrine alterations in the regulation of gonadotrophin secretion similar to those in their proband sisters. These changes in PCOS brothers may reflect the impact of PCOS susceptibility genes and/or programming effects of the intrauterine environment. STUDY FUNDING/COMPETING INTERESTS This research was supported by P50 HD044405 (A.D.), K12 HD055884 (L.C.T.), U54 HD034449 (A.D., R.S.L.) from the National Institute of Child Health and Development. Some hormone assays were performed at the University of Virginia Center for Research in Reproduction Ligand Assay and Analysis Core that is supported by U54 HD28934 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Partial support for some of the clinical studies was provided by UL1 RR025741 and UL1 TR000150 (Northwestern University Clinical and Translational Sciences Institute) from the National Center for Research Resources, National Institutes of Health, which is now the National Center for Advancing Translational Sciences. The authors have no conflict of interest to declare.
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Affiliation(s)
- D M Liu
- Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University, Chicago, IL 60611, USA
| | - L C Torchen
- Division of Endocrinology, Ann & Robert H Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
| | - Y Sung
- Division of Endocrinology, Ewha Womans University College of Medicine, Seoul, 158-710, Korea
| | - R Paparodis
- Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA
| | - R S Legro
- Department of Obstetrics and Gynecology, Pennsylvania State University College of Medicine, Hershey, PA 17033, USA
| | - S K Grebe
- Department of Laboratory Medicine and Pathology and Department of Medicine, Mayo Clinic and Foundation, Rochester, MN 55905, USA
| | - R J Singh
- Department of Laboratory Medicine and Pathology, Mayo Clinic and Foundation, Rochester, MN 55905, USA
| | - R L Taylor
- Department of Laboratory Medicine and Pathology, Mayo Clinic and Foundation, Rochester, MN 55905, USA
| | - A Dunaif
- Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University, Chicago, IL 60611, USA
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Wang P, Lin SL, Zhang LH, Li Z, Liu Q, Gao JX, Liu DM, Bo JJ, Huang YR. The prognostic value of P-cadherin in non-muscle-invasive bladder cancer. Eur J Surg Oncol 2014; 40:255-9. [PMID: 24429027 DOI: 10.1016/j.ejso.2013.12.018] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2013] [Revised: 11/28/2013] [Accepted: 12/18/2013] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES This research aims to specify the prognostic value of P-cadherin on recurrence and progression in non-muscle-invasive bladder cancers (NMIBC). METHODS A total of 110 NMIBC cases were collected and P-cadherin protein was assessed by immunohistochemical test in these samples. Correlations between P-cadherin expression and clinicopathologic features were analyzed. For recurrence-free and progression-free survival, Kaplan-Meier log-rank test was used. Then Cox univariate and multivariate analyses were further performed. RESULTS P-cadherin high expression correlated with tumor progression (P = 0.031). Kaplan-Meier results showed that patients with high P-cadherin expression had worse progression-free survival (P = 0.034) but not recurrence-free survival (P = 0.133) than low-expression patients. Cox regression results showed P-cadherin expression was an independent predictor for progression (P = 0.042) but not recurrence (P = 0.139) in NMIBC. CONCLUSIONS Our results demonstrated that P-cadherin expression correlated with tumor progression and could be taken as an independent predictor for progression in NMIBC.
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Affiliation(s)
- P Wang
- Department of Urology, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - S L Lin
- Department of Urology, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - L H Zhang
- Department of Urology, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - Z Li
- Department of Urology, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - Q Liu
- Department of Pathology, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - J X Gao
- Clinical Stem Cell Research Center, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - D M Liu
- Department of Urology, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - J J Bo
- Department of Urology, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China.
| | - Y R Huang
- Department of Urology, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China
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Liu GJ, Wan BN, Sun YW, Xiao BJ, Wang Y, Luo ZP, Qian JP, Liu DM. Analysis of uncertainty in equilibrium reconstruction in the EAST superconducting tokamak. Rev Sci Instrum 2013; 84:073502. [PMID: 23902058 DOI: 10.1063/1.4811657] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The analysis of uncertainties of magnetic measurements in equilibrium reconstruction is carried out on the EAST (Experimental Advanced Superconducting Tokamak) tokamak. It is shown that uncertainties of magnetic diagnostics are about 0.2% and 10 mWb for flux loops and 0.6% and 20 G for magnetic probes. Analyzing the sensitivity of the magnetic data uncertainty in the plasma shape reconstruction is presented, based on EFIT fixed boundary and fitting mode and applying overall uncertainty as fitting weight in EFIT. It is found that reconstruction uncertainties are ranged in 0.5-1.4 cm for 6 control segments, less than 0.8 cm for X-points, and 1.0-1.6 cm for strike points with 95% confidence, in the last experimental campaign on the EAST tokamak.
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Affiliation(s)
- G J Liu
- Institute of Plasma Physics, Chinese Academy of Sciences, PO Box 1126, Hefei 230031, People's Republic of China
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Wu XR, Sha JJ, Liu DM, Chen YH, Yang GL, Zhang J, Chen YY, Bo JJ, Huang YR. High expression of P53-induced Ring-h2 protein is associated with poor prognosis in clear cell renal cell carcinoma. Eur J Surg Oncol 2012; 39:100-6. [PMID: 23102595 DOI: 10.1016/j.ejso.2012.10.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2012] [Revised: 08/02/2012] [Accepted: 10/03/2012] [Indexed: 11/19/2022] Open
Abstract
PURPOSE This study was carried out to examine P53-induced Ring-h2 protein (Pirh2) expression and investigate its clinical and prognostic significance in patients with clear cell renal cell carcinoma (ccRCC). METHODS Pirh2 mRNA and protein expressions were detected by quantitative reverse-transcription polymerase chain reaction (Q-RT PCR) and Western blotting in 35 frozen renal cancer tissue specimens and 35 adjacent normal renal tissue specimens of the same patients. Pirh2 protein expression was assessed by immunohistochemical analysis in 92 paraffin-embedded specimens of human ccRCC and 30 specimens of adjacent normal renal tissue. Correlations between Pirh2 and clinicopathologic features and prognosis were analyzed statistically. RESULTS Pirh2 mRNA and protein levels in ccRCC samples were increased significantly as compared with the adjacent normal renal tissues (P < 0.001). Pirh2 mRNA overexpression correlated with high stage and grade of the renal cancer (P < 0.001 and P < 0.001 respectively). Pirh2 protein expression was negative in most normal renal tissue specimens (23/30) but positive in 52.2% (48/92) of ccRCC specimens (P = 0.006). Pirh2 protein expression correlated with tumor grade and stage (P < 0.001 and P < 0.001 respectively). The median follow-up interval was 42.0 months. Overexpression of Pirh2 protein in ccRCC was significantly associated with shorter overall survival and recurrence-free survival (P = 0.001 and P = 0.003, respectively). Multivariate analysis showed that Pirh2 expression was an independent prognostic factor for ccRCC patients (P = 0.037). CONCLUSIONS Pirh2 was up-regulated in ccRCC at both transcriptional and translational levels compared with normal renal tissues, suggesting that Pirh2 may be a potential prognostic marker for ccRCC.
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Affiliation(s)
- X R Wu
- Department of Urology, Renji Hospital, Shanghai Jiaotong University, Shanghai 200001, China
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Li YT, Liu DW, Liu DM, Mao YG, Peng Y, Ning P, Hu X, Zou P, Zou YH, Yu QH. [Experimental study on the differentiation of human induced pluripotent stem cells into epidermal-like stem cells]. Zhonghua Shao Shang Za Zhi 2012; 28:274-277. [PMID: 23248961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
OBJECTIVE To investigate the feasibility of differentiation of human induced pluripotent stem cells (iPSCs) into epidermal-like stem cells. METHODS (1) Human strain of iPSCs were plated on-to trophoblast of inactivated Fb strain of mouse embryos and cultured in complete medium of embryonic stem cells, iPSCs were subcultured by collagenase IV digestion method. The morphology and growth of iPSCs were observed under inverted phase contrast microscope, and the cells were stained with alkaline phosphatase (AKP). iPSCs were cultured in incomplete medium of embryonic stem cells to observe the ability of embryoid body formation. (2) Human iPSCs were inoculated onto 6-well plate covered with human amniotic membrane to culture as induction group. Other iPSCs were cultured on 6-well plate without human amniotic membrane as control group. Morphological changes in iPSCs in two groups were observed. Expressions of integrin beta1 and CK19 of iPSCs in two groups were determined by immunocytochemical staining. RESULTS Human iPSCs showed a typical stem cell clone-like growth with a clear boundary, and they proliferated vigorously in complete medium of embryonic stem cells. These cells were AKP-positive. iPSCs formed embryoid body in trophoblast-free and suspension culture conditions. After 4 days of co-culture, stem cell clones were formed on the surface of amniotic membrane in induction group, and part of the cells were integrin beta1 and CK19 positive. Most of the cells died, and no integrin beta1 and CK19 positive cells were found in control group. CONCLUSIONS Human iPSCs can be differentiated into epidermal-like stem cells by amniotic membrane induction, and it lays an experimental basis for providing new source of seed cells of skin tissue engineering.
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Affiliation(s)
- Yong-Tie Li
- Institute of Burns, First Affiliated Hospital of Nanchang University, Nanchang 330006, China
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Yang GL, Zhang LH, Bo JJ, Hou KL, Cai X, Chen YY, Li H, Liu DM, Huang YR. Overexpression of HMGA2 in bladder cancer and its association with clinicopathologic features and prognosis HMGA2 as a prognostic marker of bladder cancer. Eur J Surg Oncol 2011; 37:265-71. [PMID: 21273026 DOI: 10.1016/j.ejso.2011.01.004] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 12/14/2010] [Accepted: 01/04/2011] [Indexed: 10/18/2022]
Abstract
PURPOSE To examine HMGA2 expression and investigate its clinical and prognostic significance in human urothelial bladder cancer (BUC). METHODS We detected HMGA2 mRNA and protein expression by quantitative reverse-transcription polymerase chain reaction and western blotting, respectively in 44 frozen bladder cancer tissues and 18 adjacent normal bladder tissues. HMGA2 protein expression was assessed by immunohistochemical analysis of 148 paraffin-embedded specimens of human BUC and 30 specimens of adjacent normal bladder tissue. Correlations between HMGA2 and clinicopathologic features and prognosis were tested by statistical analyses. RESULTS HMGA2 mRNA and protein levels in bladder cancer samples were significantly increased compared with adjacent normal bladder tissues (P < 0.001). mRNA overexpression correlated with high stage and grade of the bladder cancer (P < 0.001 and P = 0.002 respectively). HMGA2 protein expression was negative in all normal urothelial tissue samples, but positive in 52% (77/148) of bladder cancers (P < 0.001). HMGA2 expression correlated with tumor grade and stage (P < 0.001 and P = 0.003 respectively), Overexpression of HMGA2 protein in non-muscle-invasive bladder cancer was significantly associated with shorter recurrence-free survival (P < 0.001), and progression-free survival (P = 0.0004). Multivariate analysis showed that HMGA2 expression was an independent prognostic factor for both tumor recurrence (P < 0.001) and tumor progression (P = 0.006). CONCLUSIONS HMGA2 is up-regulated in bladder cancer at both the transcriptional and translational levels compared with normal bladder tissue, HMGA2 protein is thus a potential prognostic marker for predicting tumor recurrence and progression.
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Affiliation(s)
- G L Yang
- Department of Urology, Ren Ji Hospital, Shanghai Jiao Tong University, China
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Liu DM, Wan BN, Wang Y, Wu YC, Shen B, Ji ZS, Luo JR. A new low drift integrator system for the Experiment Advanced Superconductor Tokamak. Rev Sci Instrum 2009; 80:053506. [PMID: 19485506 DOI: 10.1063/1.3131627] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
A new type of the integrator system with the low drift characteristic has been developed to accommodate the long pulse plasma discharges on Experiment Advanced Superconductor Tokamak (EAST). The integrator system is composed of the Ethernet control module and the integral module which includes one integrator circuit, followed by two isolation circuits and two program-controlled amplifier circuits. It compensates automatically integration drift and is applied in real-time control. The performance test and the experimental results in plasma discharges show that the developed integrator system can meet the requirements of plasma control on the accuracy and noise level of the integrator in long pulse discharges.
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Affiliation(s)
- D M Liu
- Institute of Plasma Physics, Chinese Academy of Sciences, Hefei 230031, People's Republic of China
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Wang HY, Liu DM, Liu Y, Cheng CF, Ma QY, Huang Q, Zhang YZ. Screening and mutagenesis of a novel Bacillus pumilus strain producing alkaline protease for dehairing. Lett Appl Microbiol 2007; 44:1-6. [PMID: 17209806 DOI: 10.1111/j.1472-765x.2006.02039.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
AIMS To characterize and optimize a novel Bacillus pumilus strain isolated from biological waste which produces protease with excellent dehairing effect. This newly isolated strain could be utilized in the industrial leather dehairing process. METHODS AND RESULTS Bacterial strains secreting proteases were screened from biological wastes. Positive clones were further characterized by analysing their efficacy in dehairing and effects on collagen integrity. Among 171 colonies tested, a strain BA06, identified as B. pumilus, was picked owing to its efficient dehairing capabilities with minimal impact on collagen. By combined mutagenesis using UV, N-methyl-N'-nitro-N-nitrosdguanidine and Co(60)-gamma-rays, this strain was further improved with regard to its alkaline protease production. The alkaline protease activity of the mutant strain SCU11was greatly improved up to 6000 U ml(-1), in comparison with its parent strain BA06 of 1200 U ml(-1). CONCLUSIONS By using screening and mutagenesis methods, we have successfully created a B. pumilus strain that can produce high levels of alkaline proteases that are able to efficiently remove hair from skin with minimal damage on the collagen. SIGNIFICANCE AND IMPACT OF THE STUDY This strain could be used in commercial alkaline protease production for leather dehairing.
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Affiliation(s)
- H Y Wang
- College of Life Science, Sichuan University, Chengdu 610064, P.R. China
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Cui FY, Lin T, Liu DM, Zhang LQ. Excess propagation and biological control of zooplanktonic Cyclops in drinking water sources. Water Sci Technol 2005; 52:151-9. [PMID: 16312962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Starting with the occurrence of Cyclops in drinking water sources and its danger to drinking water safety, we extensively investigated the nature of its excess propagation by analyzing the effect of living space and predator pressure in the food chain on its survival. Then we developed an ecological project using fish biomanipulation, different to the conventional fishery culture technique, to control excess propagation of Cyclops. The control effects on Cyclops of four species of fish were investigated experimentally at a stocking density of 30 g/m3 of water. Results showed that the food habit of the fish had a significant influence on the biological control of Cyclops. The propagation of Cyclops could be controlled effectively and also the water quality improved simultaneously by stocking filter-feeding fish, such as silver carp (Hypophthalmichthys molitrix) and bighead carp (Aristichthys nobilis). However, herbivorous Ctenopharyngodon idellus and omnivorous Cyprinus carpio had no obvious biological effects on controlling the growth of Cyclops and restoring water quality. The results further proved that under conditions of proper poly-culture densities of silver carp and bighead carp, the number of Cyclops might be controlled at very low levels and eutrophication might be abated by removing nutrients from the water body.
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Affiliation(s)
- F Y Cui
- School of Municipal and Environmental Engineering, Harbin Institute of Technology, P R China.
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Abstract
The pre- and postsynaptic actions of exogenously applied ATP were investigated in intact and dissociated parasympathetic neurones of rat submandibular ganglia. Nerve-evoked excitatory postsynaptic potentials (EPSPs) were not inhibited by the purinergic receptor antagonists, suramin and pyridoxal-phosphate-6-azophenyl-2',4'-disulphonic acid (PPADS), or the desensitising agonist, alpha,beta-methylene ATP. In contrast, EPSPs were abolished by the nicotinic acetylcholine receptor antagonists, hexamethonium and mecamylamine. Focal application of ATP (100 microM) had no effect on membrane potential of the postsynaptic neurone or on the amplitude of spontaneous EPSPs. Taken together, these results suggest the absence of functional purinergic (P2) receptors on the postganglionic neurone in situ. In contrast, focally applied ATP (100 microM) reversibly inhibited nerve-evoked EPSPs. Similarly, bath application of the non-hydrolysable analogue of ATP, ATP gamma S, reversibly depressed EPSPs amplitude. The inhibitory effects of ATP and ATP gamma S on nerve-evoked transmitter release were antagonised by bath application of either PPADS or suramin, suggesting ATP activates a presynaptic P2 purinoceptor to inhibit acetylcholine release from preganglionic nerves in the submandibular ganglia. In acutely dissociated postganglionic neurones from rat submandibular ganglia, focal application of ATP (100 microM) evoked an inward current and subsequent excitatory response and action potential firing, which was reversibly inhibited by PPADS (10 microM). The expression of P2X purinoceptors in wholemount and dissociated submandibular ganglion neurones was examined using polyclonal antibodies raised against the extracellular domain of six P2X purinoceptor subtypes (P2X(1-6)). In intact wholemount preparations, only the P2X(5) purinoceptor subtype was found to be expressed in the submandibular ganglion neurones and no P2X immunoreactivity was detected in the nerve fibres innervating the ganglion. Surprisingly, in dissociated submandibular ganglion neurones, high levels of P2X(2) and P2X(4) purinoceptors immunoreactivity were found on the cell surface. This increase in expression of P2X(2) and P2X(4) purinoceptors in dissociated submandibular neurones could explain the increased responsiveness of the neurones to exogenous ATP. We conclude that disruption of ganglionic transmission in vivo by either nerve damage or synaptic blockade may up-regulate P2X expression or availability and alter neuronal excitability.
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Affiliation(s)
- A B Smith
- School of Biomedical Sciences, Department of Physiology and Pharmacology, University of Queensland, Brisbane, Qld 4072, Australia
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Torreggiani WC, Liu DM, Lyburn ID, Rowley VA, Munk PI. Serendipitous computed tomographic diagnosis of an underlying cause for diabetes mellitus. Hosp Med 2001; 62:508-9. [PMID: 11530594 DOI: 10.12968/hosp.2001.62.8.1632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A 62-year-old man presented with non-specific abdominal pain, which was most marked in the left iliac fossa. He had a 15-year history of diabetes and had been jointly managed by an endocrinologist and his family physician. He was known to have mild renal impairment, which was felt to be secondary to his diabetes. He also had a past history of diverticular disease that had been diagnosed clinically without the use of imaging and had been managed conservatively.
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Affiliation(s)
- W C Torreggiani
- Department of Radiology, University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia
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Abstract
1. The relative permeability of the native P2X receptor channel to monovalent and divalent inorganic and organic cations was determined from reversal potential measurements of ATP-evoked currents in parasympathetic neurones dissociated from rat submandibular ganglia using the dialysed whole-cell patch clamp technique. 2. The P2X receptor-channel exhibited weak selectivity among the alkali metals with a selectivity sequence of Na(+) > Li(+) > Cs(+) > Rb(+) > K(+), and permeability ratios relative to Cs(+) (P(X)/P(Cs)) ranging from 1.11 to 0.86. 3. The selectivity for the divalent alkaline earth cations was also weak with the sequence Ca(2+) > Sr(2+) > Ba(2+) > Mn(2+) > Mg(2+). ATP-evoked currents were strongly inhibited when the extracellular divalent cation concentration was increased. 4. The calculated permeability ratios of different ammonium cations are higher than those of the alkali metal cations. The permeability sequence obtained for the saturated organic cations is inversely correlated with the size of the cation. The unsaturated organic cations have a higher permeability than that predicted by molecular size. 5. Acidification to pH 6.2 increased the ATP-induced current amplitude twofold, whereas alkalization to 8.2 and 9.2 markedly reduced current amplitude. Cell dialysis with either anti-P2X(2) and/or anti-P2X(4) but not anti-P2X(1) antibodies attenuated the ATP-evoked current amplitude. Taken together, these data are consistent with homomeric and/or heteromeric P2X(2) and P2X(4) receptor subtypes expressed in rat submandibular neurones. 6. The permeability ratios for the series of monovalent organic cations, with the exception of unsaturated cations, were approximately related to the ionic size. The relative permeabilities of the monovalent inoganic and organic cations tested are similar to those reported previously for cloned rat P2X(2) receptors expressed in mammalian cells.
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Affiliation(s)
- D M Liu
- School of Biomedical Sciences, Department of Physiology and Pharmacology, University of Queensland, Brisbane, Queensland 4072, Australia
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Abstract
Hydroxyapatite (HA) ceramics were synthesized using a sol-gel route with triethyl phosphite and calcium nitrate as phosphorus and calcium precursors, respectively. Two solvents, water and anhydrous ethanol, were used as diluting media for HA sol preparation. The sols were stable and no gelling occurred in ambient environment for over 5 days. The sols became a white gel only after removal of the solvents at 60 degrees C. X-ray diffraction showed that apatitic structure first appeared at a temperature as low as 350 degrees C. The crystal size and the HA content in both gels increase with increasing calcination temperature. The type of initial diluting media (i.e., water vs. anhydrous ethanol) did not affect the microstructural evolution and crystallinity of the resulting HA ceramic. The ethanol-based sol dip-coated onto a Ti substrate, followed by calcination at 450 degrees C, was found to be porous with pore size ranging from 0.3 to 1 microm. This morphology is beneficial to the circulation of physiological fluid when the coating is used for biomedical applications. The satisfactory adhesion between the coating and substrate suggests its suitability for load-bearing uses.
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Affiliation(s)
- D M Liu
- Department of Metals and Materials Engineering, University of British Columbia, Vancouver, Canada.
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Liu DM, Torreggiani WC, Rowley VA. Hydrostatic reduction of iatrogenic intussusception of the ureter secondary to percutaneous nephrostomy catheter exchange. J Vasc Interv Radiol 2000; 11:1076-8. [PMID: 10997474 DOI: 10.1016/s1051-0443(07)61342-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- D M Liu
- Department of Radiology, Vancouver General Hospital, British Columbia, Canada
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Abstract
Pre-eclampsia remains a major cause of perinatal morbidity and mortality worldwide. Proposed predicting tests for early detection of pregnant women destined to develop pre-eclampsia remain unsatisfactory. The aim of this study was to investigate the clinical utility of combining mid-trimester maternal serum beta-human chorionic gonadotrophin (MShCG) levels with selected clinical determining factors as a multifactorial predictive test for pre-eclampsia. Thirty-nine cases with mild pre-eclampsia and 56 with severe pre-eclampsia were recruited as the study groups. Normotensive women (957) were enrolled as controls. Potential determining risk factors for severe pre-eclampsia were selected using a multiple logistic regression to build various combined prediction models. A receiver-operator characteristic curve was employed to assess the performance of each prediction test for pre-eclampsia. The prediction efficacy of each test was examined by the area under the curve (AUC). Our data show that mid-trimester MShCG levels significantly correlated with severity of pre-eclampsia (Spearman rank correlation coefficient=0.195, p<0.001). Women with mild pre-eclampsia had a 2.61-times greater chance, while women with severe pre-eclampsia had a 6.13-times greater chance of having MShCG exceeding 2.0 multiples of the median than did women with a normal pregnancy. A combined prediction model composed of MShCG levels, body mass index (BMI), parity, and age as a predictive test for severe pre-eclampsia was superior to MShCG levels alone (AUC 0.765 versus 0.648). The integrated multifactorial model could identify women at risk early on for developing severe pre-eclampsia, with a sensitivity of 70% and a specificity of 71%. Thus, we demonstrate a potentially effective and convenient method by which women at risk for developing severe pre-eclampsia can be identified early, based on a multifactorial predictive model composed of midtrimester MShCG levels, BMI, parity, and age.
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Affiliation(s)
- L C Lee
- Department of Obstetrics and Gynaecology, Taipei Municipal Women and Children's Hospital, Taipei, Taiwan
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Liu DM, Katnik C, Stafford M, Adams DJ. P2Y purinoceptor activation mobilizes intracellular Ca2+ and induces a membrane current in rat intracardiac neurones. J Physiol 2000; 526 Pt 2:287-98. [PMID: 10896718 PMCID: PMC2270009 DOI: 10.1111/j.1469-7793.2000.00287.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
1. The mobilization of Ca2+ by purinoceptor activation and the relative contributions of intra- and extracellular sources of Ca2+ were investigated using microfluorimetric measurements of fura-2 loaded in cultured neurones from rat intracardiac ganglia. 2. Reverse transcriptase-polymerase chain reaction (RT-PCR) revealed expression of mRNA for the G protein-coupled P2Y2 and P2Y4 receptors. 3. Brief application of either 300 microM ATP or 300 microM UTP caused transient increases in [Ca2+]i of 277 +/- 22 nM and 267 +/- 39 nM, respectively. Removal of external Ca2+ did not significantly reduce these [Ca2+]i responses. 4. The order of purinoceptor agonist potency for [Ca2+]i increases was ATP = UTP > 2-MeSATP > ADP >> adenosine, consistent with the profile for P2Y2 purinoceptors. ATP- and UTP-induced rises in [Ca2+]i were completely and reversibly blocked by 10 microM PPADS (a P2 purinoceptor antagonist) and partially inhibited by 100 microM suramin (a relatively non-specific purinoceptor antagonist). 5. In the presence of the endoplasmic reticulum Ca2+-ATPase inhibitor cyclopiazonic acid (10 microM) in Ca2+-free media, the [Ca2+]i responses evoked by ATP were progressively decreased and abolished. 6. ATP- and UTP-induced [Ca2+]i rises were insensitive to pertussis toxin, caffeine (5 mM) and ryanodine (10 microM) but were significantly reduced by U-73122, a phospholipase C (PLC) inhibitor. 7. In fura-2-loaded cells, perforated patch whole-cell recordings show that ATP and UTP evoked slow outward currents at -60 mV, concomitant with the rise in [Ca2+]i, in approximately 30 % of rat intracardiac neurones. 8. In conclusion, these results suggest that in r intracardiac neurones, ATP binds to P2Y2 purinoceptors to transiently raise [Ca2+]i and activate an outward current. The signalling pathway appears to involve a PTX-insensitive G protein coupled to PLC generation of IP3 which triggers the release of Ca2+ from a ryanodine-insensitive Ca2+ store(s).
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Affiliation(s)
- D M Liu
- Department of Physiology and Pharmacology, University of Queensland, Brisbane, QLD 4072, Australia
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Liu DM, Cuevas J, Adams DJ. VIP and PACAP potentiation of nicotinic ACh-evoked currents in rat parasympathetic neurons is mediated by G-protein activation. Eur J Neurosci 2000; 12:2243-51. [PMID: 10947803 DOI: 10.1046/j.1460-9568.2000.00116.x] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The effects of vasoactive intestinal polypeptide (VIP) and pituitary adenylate cyclase-activating polypeptide (PACAP27 and PACAP38) on isolated parasympathetic neurons of rat intracardiac and submandibular ganglia were examined under voltage clamp using whole-cell patch-clamp recording techniques. VIP and PACAP (</= 10 nM) selectively and reversibly increased the affinity of nicotinic acetylcholine receptor channels (nAChRs) for their agonists resulting in a potentiation of acetylcholine (ACh)-evoked whole-cell currents at low agonist concentrations. VIP-induced potentiation was observed with either ACh or nicotine as the cholinergic agonist. The VIP- but not the PACAP-induced potentiation of ACh-evoked currents was inhibited by [Ac-Tyr1, D-Phe2]-GRF 1-29, amide (100 nM), a selective antagonist of VPAC1 and VPAC2 receptors; whereas the PACAP38- but not the VIP-induced potentiation was inhibited by 100 nM PACAP6-38, a PAC1 and VPAC2 receptor antagonist. The signal transduction pathway mediating VIP- and PACAP-induced potentiation of nicotinic ACh-evoked currents involves a pertussis toxin (PTX)-sensitive G-protein. Intracellular application of 200 microM GTPgammaS or GDPbetaS inhibited VIP-induced potentiation of ACh-evoked whole-cell currents. GTPgammaS alone potentiated ACh- and nicotine-evoked currents and the magnitude of these currents was not further increased by VIP or PACAP. The G-protein subtype modulating the neuronal nAChRs was examined by intracellular dialysis with antibodies directed against alphao, alphai-1,2, alphai-3 or beta G-protein subunits. Only the anti-Galphao and anti-Gbeta antibodies significantly inhibited the effect of VIP and PACAP on ACh-evoked currents. The potentiation of ACh-evoked currents by VIP and PACAP may be mediated by a membrane-delimited signal transduction cascade involving the PTX-sensitive Go protein.
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Affiliation(s)
- D M Liu
- Department of Physiology and Pharmacology, University of Queensland, Brisbane, Australia
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Zhang FC, Wang N, Liu DM, Jian Y, Chen YZ, Shen XZ, Cao YQ, Wang B. Development of Female Contraceptive Vaccine Through DNA Inoculation of Human Chorionic Gonadotropin Beta Subunit (hCGß). Methods Mol Med 2000; 29:439-449. [PMID: 21374340 DOI: 10.1385/1-59259-688-6:439] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Human chorionic gonadotropin (hCG) has been considered as a primary target molecule for a contraceptive vaccine by the World Health Organization because of its physiological and temporal specificity. hCG is an essential factor for the successful implantation and establishment of early pregnancy. For a decade, the most advanced works in development of a contraceptive vaccine have been concentrated on polypeptide based vaccines targeted directly against hCG. Although many studies have reached the stage of clinical testing using a number of prototype vaccines based on different parts of hCG molecule, their efficacy has been disappointing (1-4).
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Affiliation(s)
- F C Zhang
- State Key Laboratory of Reproductive Biology, Institute of Zoology, Chinese Academy of Sciences, Beijing, China
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Abstract
PURPOSE To determine the accuracy of helical computed tomography (CT) without the oral, intravenous, or rectal administration of contrast material in confirming suspected acute appendicitis. MATERIALS AND METHODS Three hundred consecutive patients referred from the departments of surgery and emergency medicine were examined for suspected acute appendicitis by using thin-section nonenhanced helical CT. All transverse CT scans were obtained in a single breath hold from the upper abdomen (T12 vertebra) to the pubic symphysis with 5-mm collimation and a pitch of 1.6. All scans were obtained without oral, intravenous, or rectal contrast material. Criteria for diagnosis of acute appendicitis included an enlarged appendix (> 6 mm) and periappendiceal inflammation. CT diagnoses were recorded prospectively. Final diagnoses were established with the results of surgical or clinical follow-up or both. RESULTS There were 110 true-positive diagnoses, 181 true-negative diagnoses (63 of which were an alternative diagnosis correctly established prospectively), five false-negative diagnoses, and four false-positive diagnoses, which yielded a sensitivity of 96%, a specificity of 99%, and an accuracy of 97%. CONCLUSION Nonenhanced helical CT is a highly accurate technique for diagnosing or excluding acute appendicitis. Developing experience with the technique and understanding the subtleties of interpretation can further improve diagnostic accuracy.
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Affiliation(s)
- M J Lane
- Department of Radiology, Brooke Army Medical Center, Ft Sam Houston, TX 78234-6200, USA
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