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Chen Z, Gan K, Peng Y, Yang Z, Yang Y. Bifunctional Additive for Lithium-Sulfur Batteries Based on the Metal-Phthalocyanine Complex. ACS Appl Mater Interfaces 2023; 15:55703-55712. [PMID: 37991881 DOI: 10.1021/acsami.3c12121] [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] [Subscribe] [Scholar Register] [Indexed: 11/24/2023]
Abstract
With extremely high specific capacity and high energy density, lithium-sulfur batteries (LSBs) have attracted enormous interest as promising candidates for energy storage devices. However, several problems, such as the shuttle effect and sluggish redox kinetics, hinder the successful realization of LSBs on an industrial scale. Therefore, designing an efficient electrode material to inhibit the shuttle effect and improve the reaction kinetics of polysulfides (LiPS) is of utmost significance. Herein, a bifunctional additive with excellent polysulfide adsorption and superior catalytic behavior is developed using the phthalocyanine-tetrasulfonic acid nickel complex tetrasodium salt (Ni-PCTs) additive. Ni-PCTs provide effective trapping of LiPS due to their abundant sulfonic acid groups. Moreover, Ni-PCTs exhibit effective catalytic conversion of LiPS due to the presence of N atoms in the phthalocyanine ring as well as the central Ni atoms. Consequently, the as-assembled LSBs, with a 10 wt % Ni-PCTs additive, exhibit a significant increase in specific capacities, such as the high initial specific capacity of 1283 mA h g-1 at 0.15 mA/cm2 and a stable specific capacity of 623 mA h g-1 after 400 cycles. The current study demonstrates the promise of metal phthalocyanines for sulfur cathodes, opening up avenues for further research and development of LSBs.
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Affiliation(s)
- Zhuzuan Chen
- Key Laboratory for Biobased Materials and Energy of Ministry of Education, College of Materials and Energy, South China Agricultural University, Guangzhou 510642, China
- CAS Key Laboratory of Renewable Energy, Guangzhou Institute of Energy Conversion, Guangzhou 510640, China
| | - Kang Gan
- School of Physical Science and Engineering, Beijing Jiaotong University, Shangyuan Village, Haidian District, Beijing 100091, China
| | - Yuehai Peng
- Key Laboratory for Biobased Materials and Energy of Ministry of Education, College of Materials and Energy, South China Agricultural University, Guangzhou 510642, China
| | - Zhuohong Yang
- Key Laboratory for Biobased Materials and Energy of Ministry of Education, College of Materials and Energy, South China Agricultural University, Guangzhou 510642, China
| | - Yu Yang
- Key Laboratory for Biobased Materials and Energy of Ministry of Education, College of Materials and Energy, South China Agricultural University, Guangzhou 510642, China
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Hu G, Wu L, Xue K, Han H, Sun Y, Gan K, Zhu J, Shi Q, Du T. Differential expression of circular RNAs in interleukin 6-promoted osteogenic differentiation of human stem cells from apical papilla. Clin Oral Investig 2023; 27:7765-7776. [PMID: 37962668 DOI: 10.1007/s00784-023-05366-8] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 10/25/2023] [Indexed: 11/15/2023]
Abstract
INTRODUCTION Studies have shown that interleukin 6 (IL-6) can regulate stem cell osteogenic differentiation; however, the exact mechanism is not clear. Circular RNAs (circRNAs) are closed circular non-coding RNAs that are involved in the process of stem cell osteogenic differentiation. Therefore, the purpose of this present study was to investigate the effect of IL-6 treatment on osteogenic differentiation of human apical tooth papillae stem cells (hSCAPs), and to detect the difference in circRNA expression using gene microarray technology. METHODS After extraction and identification of hSCAPs, alkaline phosphatase (ALP) activity, alizarin red staining, and calcium ion quantitative assay were used to determine the changes of ALP enzyme, mineralized nodules, and matrix calcium levels before and after IL-6 treatment of hSCAPs gene microarray technology was used to analyze the changes in circRNA expression levels before and after IL-6 induction of mineralization. The four selected circRNAs were validated by qRT-PCR. Moreover, gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) were used to predict the potential functions and biological signaling pathways of circRNAs. Finally, these data are integrated and analyzed to construct circRNA-microRNA-mRNA networks. RESULTS Alp and Alizarin red staining confirmed that IL-6 promoted the osteogenic differentiation of hSCAPs. The gene microarray results identified 132 differentially expressed circRNAs, of which 117 were upregulated and 15 were downregulated. Bioinformatic analysis predicted that the circRNA-406620/miR-103a-3p/FAT atypical cadherin 4 (FAT4) pathway might be involved in regulating IL-6 to promote osteogenic differentiation of hSCAPs. CONCLUSION Differentially expressed circRNAs might be closely involved in regulating IL-6 to promote osteogenic differentiation of hSCAPs.
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Affiliation(s)
- Guang Hu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Laidi Wu
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
- School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Kaiyang Xue
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Hao Han
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Yuhui Sun
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Kang Gan
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Juanfang Zhu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Qi Shi
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
- School of Stomatology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
| | - Tianfeng Du
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China.
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Zhao H, Ran S, Gan K, Du Y, Li W. Pain sensitivity and quality of life of patients with burning mouth syndrome: a preliminary study in a Chinese population. BMC Oral Health 2023; 23:951. [PMID: 38041054 PMCID: PMC10693025 DOI: 10.1186/s12903-023-03689-2] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 11/21/2023] [Indexed: 12/03/2023] Open
Abstract
BACKGROUND Burning mouth syndrome (BMS) is an oral-facial pain disorder involving the central and peripheral nervous systems, but the evidence for altered pain sensitivity remains inconclusive. The aim of this study was to investigate pain sensitivity and oral health-related quality of life (OHRQoL) in patients with BMS and to assess the relationship between them. METHODS Fifty Chinese patients with BMS (57.82 ± 11.2 years) and fifty age- and gender-matched healthy subjects (55.64 ± 10.1 years) participated in the study. The Pain Sensitivity Questionnaire (PSQ) was used to assess participants' pain sensitivity. The Oral Health Impact Profile (OHIP-14) was used to evaluate participants' OHRQoL. RESULTS The PSQ total score (p = 0.009), the PSQ minor score (p = 0.003) and the OHIP-14 score (p<0.05) of patients with BMS were significantly higher than those of the healthy subjects. Simple linear regression showed that the PSQ minor score was significantly associated with the OHIP-14 score in patients with BMS (β = 0.338, p = 0.016). CONCLUSION Patients with BMS have higher pain sensitivity than healthy subjects. Reducing pain sensitivity might help to improve the quality of life of patients with BMS.
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Affiliation(s)
- Hongsen Zhao
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou City, 450052, China.
| | - Shujun Ran
- National Clinical Research Center for Oral Diseases, Shanghai, China
| | - Kang Gan
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou City, 450052, China
| | - Yajing Du
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou City, 450052, China
| | - Wenlu Li
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou City, 450052, China
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Tian X, Zhang P, Liu F, Yang L, Fu K, Gan K, Liu C. MicroRNA-4691-3p inhibits the inflammatory response by targeting STING in human dental pulp cells: A laboratory investigation. Int Endod J 2023; 56:1328-1336. [PMID: 37403426 DOI: 10.1111/iej.13953] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 06/28/2023] [Accepted: 06/29/2023] [Indexed: 07/06/2023]
Abstract
AIM The regulation of human dental pulp inflammation is not fully understood. This study aims to investigate the effect of miR-4691-3p on the cGAS-STING signalling cascade and its downstream cytokines production in human dental pulp cells (HDPCs). METHODOLOGY Normal dental pulp tissue and pulp tissue with irreversible pulpitis from third molars were collected. HDPCs were isolated from pulp tissue. The expression of STING mRNA and miR-4691-3p was measured by quantitative real-time PCR. Bioinformatic computation via TargetScanHuman 8.0 and a luciferase reporter assay was used to identify the targets of miR-4691-3p. A miR-4691-3p mimic and inhibitor were used to upregulate or downregulate miR-4691-3p expression in HDPCs. HDPCs were transfected with c-di-AMP, c-di-GMP, cGAMP, interferon stimulatory DNA (ISD) and bacterial genomic DNA. Immunoblot was performed to detect the phosphorylation of TBK1, p65 and IRF3. Enzyme-linked immunoassay was performed to detect the cytokines including IFN-β, TNF or IL-6 downstream of cGAS-STING. RESULTS MiR-4691-3p expression was increased in human dental pulp tissue with irreversible pulpitis. Treatment of HDPCs using recombinant human IFN-β, TNF or IL-6 also upregulated miR-4691-3p. The bioinformatic prediction and luciferase reporter assay confirmed that STING was a direct target of miR-4691-3p. The miR-4691-3p mimic suppressed STING expression, the phosphorylation of TBK1, p65 and IRF3, and the IFN-β, TNF or IL-6 production. In contrast, the miR-4691-3p inhibitor enhanced the STING expression, the phosphorylation of TBK1, p65 and IRF3 and the IFN-β, TNF or IL-6 production. CONCLUSIONS MiR-4691-3p negatively regulates the cGAS-STING pathway by directly targeting STING. This provides insight to utilize miRNA-dependent regulatory effect to treat endodontic disease as well as STING-dependent systemic inflammatory disease.
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Affiliation(s)
- Xinxin Tian
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, China
| | - Ping Zhang
- Department of Pediatric Dentistry, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Fei Liu
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, China
| | - Lijie Yang
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, China
| | - Kun Fu
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, China
| | - Kang Gan
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, China
| | - Chao Liu
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, China
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Xue K, Hu G, Wu L, Han H, Sun Y, Gan K, Zhu J, Du T. The bioceramic sealer iRoot SP promotes osteogenic differentiation of human stem cells from apical papilla via miR-141-3p/SPAG9/MAPK signalling pathway. Int Endod J 2023; 56:1241-1253. [PMID: 37357722 DOI: 10.1111/iej.13948] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 06/19/2023] [Accepted: 06/20/2023] [Indexed: 06/27/2023]
Abstract
AIM The premixed bioceramic sealer iRoot SP that is widely used clinically has been reported to kill bacterial biofilms and promote osteogenic differentiation of human stem cells from the apical papilla (hSCAPs). Although miR-141-3p has been substantiated to be involved in the osteogenic process, the underlying mechanisms remain unclear. The aim of this study was to investigate the role of miR-141-3p in osteogenic differentiation and underlying mechanisms of iRoot SP-treated hSCAPs. METHODOLOGY hSCAPs were extracted from tissue blocks with enzyme digestion and identified by using immunofluorescence, flow cytometry and alizarin red staining. The mRNA expression level of miR-141-3p in hSCPAs after culture with iRoot SP was examined by quantitative real-time PCR (qRT-PCR) assay. SPAG9 was identified as a downstream target gene of miR-141-3p by dual-luciferase report assay. Alkaline phosphatase (ALP) staining and activity detection, alizarin red staining, calcium concentration assay, qRT-PCR and western blot were used to estimate osteogenic differentiation ability and involved protein expression levels of the osteogenic makers and signalling pathway-related factors in iRoot SP-treated hSCAPs. Data were analysed by one-way anova and post hoc Tukey's test to determine any statistical differences between the experimental groups and the control group. p < .05 was considered statistically significant. RESULTS Expression of miR-141-3p was reduced in iRoot SP-treated hSCAPs with the increased exposure time up to 7 days, and the western blot and qRT-PCR results revealed that the osteogenic markers osteocalcin (OCN), osterix (OSX), runt-related transcription factor 2 (RUNX2) and dentin sialophosphoprotein (DSPP) were inversely correlated with miR-141-3p. The negative regulatory relationship between miR-141-3p and SPAG9/ mitogen-activated protein kinases (MAPK) signalling axis was validated in this in vitro experiments. CONCLUSIONS The bioceramic sealer iRoot SP promoted osteogenic differentiation of hSCAPs by inhibiting miR-141-3p following down-regulated SPAG9 expression, and activated MAPK pathway. These findings proposed a novel therapeutic impact of bioceramic sealer iRoot SP inducing bone regeneration in refractory periapical periodontitis.
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Affiliation(s)
- Kaiyang Xue
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Guang Hu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Laidi Wu
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hao Han
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Yuhui Sun
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Kang Gan
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Juanfang Zhu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Tianfeng Du
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
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Qin S, Lu Z, Gan K, Qiao C, Li B, Chen T, Gao Y, Jiang L, Liu H. Construction of a
BMP
‐2 gene delivery system for polyetheretherketone bone implant material and its effect on bone formation in vitro. J Biomed Mater Res B Appl Biomater 2022; 110:2075-2088. [PMID: 35398972 DOI: 10.1002/jbm.b.35062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 03/15/2022] [Accepted: 03/19/2022] [Indexed: 11/11/2022]
Affiliation(s)
- Shuang Qin
- Department of Oral Comprehensive Therapy, Hospital of Stomatology Jilin University Changchun China
| | - Zhengkuan Lu
- Department of Oral Comprehensive Therapy, Hospital of Stomatology Jilin University Changchun China
| | - Kang Gan
- Department of Stomatology The First Affiliated Hospital of Zhengzhou University Zhengzhou China
| | - Chunyan Qiao
- Department of Oral Pathology, Hospital of Stomatology Jilin University Changchun China
| | - Baosheng Li
- Department of Dental Implantology, Hospital of Stomatology Jilin University Changchun China
| | - Tianjie Chen
- Department of Oral Comprehensive Therapy, Hospital of Stomatology Jilin University Changchun China
| | - Yunbo Gao
- Department of Oral Comprehensive Therapy, Hospital of Stomatology Jilin University Changchun China
| | - Lingling Jiang
- Department of Oral Comprehensive Therapy, Hospital of Stomatology Jilin University Changchun China
| | - Hong Liu
- Department of Oral Comprehensive Therapy, Hospital of Stomatology Jilin University Changchun China
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Wu L, Xue K, Hu G, Du H, Gan K, Zhu J, Du T. Effects of iRoot SP on osteogenic differentiation of human stem cells from apical papilla. BMC Oral Health 2021; 21:407. [PMID: 34407774 PMCID: PMC8371802 DOI: 10.1186/s12903-021-01769-9] [Citation(s) in RCA: 6] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 08/09/2021] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Research shows that nano-bioceramics can modulate the differentiation of dental stem cells. The novel ready-to-use calcium-silicate-based root-canal sealer iRoot SP is widely used in root filling. Accordingly, the aim of this study was to evaluate the effects of iRoot SP on proliferation and osteogenic differentiation in human stem cells from the apical papilla (hSCAPs). METHODS hSCAPs were isolated and characterized in vitro, then cultured with various concentrations of iRoot SP extract. Cell proliferation was assessed by CCK-8 assay, and scratch-wound-healing assays were performed to evaluate cell-migration capacity. hSCAPs were then cultured in osteogenic medium supplemented with iRoot SP extracts. Alkaline phosphatase (ALP) activity assay was used to evaluate ALP enzyme levels. Alizarin red staining and cetylpyridinium chloride (CPC) assays were performed to assess calcified-nodule formation and matrix-calcium accumulation of hSCAPs. The mRNA and protein expression levels of the osteogenic markers OCN, OSX, Runx2, and DSPP were determined by qRT-PCR and Western blotting. The data were analyzed using one-way ANOVA and LSD-t tests. RESULTS iRoot SP at low concentrations (2, 0.2, and 0.02 mg/mL) is nontoxic to hSCAPs. iRoot SP at concentrations of 0.02 and 0.2 mg/mL significantly increases cell-migration capacity. In terms of osteogenic differentiation, 0.2 mg/mL iRoot SP promotes intracellular ALP activity and the formation of mineralized nodules. Moreover, the expression of osteogenic markers at the mRNA and protein levels are upregulated by iRoot SP. CONCLUSION iRoot SP is an effective filling material for periapical bone regeneration.
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Affiliation(s)
- Laidi Wu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Kaiyang Xue
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Guang Hu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Hanman Du
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Kang Gan
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Juanfang Zhu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China
| | - Tianfeng Du
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, Henan, China.
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Gan K, Dong GH, Wang N, Zhu JF. miR-221-3p and miR-222-3p downregulation promoted osteogenic differentiation of bone marrow mesenchyme stem cells through IGF-1/ERK pathway under high glucose condition. Diabetes Res Clin Pract 2020; 167:108121. [PMID: 32194220 DOI: 10.1016/j.diabres.2020.108121] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 02/28/2020] [Accepted: 03/11/2020] [Indexed: 12/23/2022]
Abstract
OBJECTIVE This study aims to investigate the roles of miR-221-3p and miR-222-3p in the regulation of osteogenic differentiation of bone marrow mesenchyme stem cells (BMSCs) under high glucose condition. MATERIALS AND METHODS The expreesions of miR-221-3p, miR-222-3p and insulin-like growth factor 1 (IGF-1) were detected by qRT-PCR. The protein levels of osteoblast-related proteins (Osterix, Runx-2 and Osteopontin) were detected by western blot. Whether miR-221-3p and miR-222-3p can target IGF-1 was assessed by dual luciferase reporter gene assay. RESULTS miR-221-3p and miR-222-3p were up-regulated in the mandibles of diabetic rats and BMSCs cultured in high glucose condition. Silencing miR-221-3p or/ and miR-222-3p increased ALP activity and up-regulated osteoblast-related protein levels, and the simultaneous silence the two miRNAs showed stronger effects on ALP activity and osteoblast-related protein levels. Next, we confirmed that miR-221-3p and miR-222-3p both targeted IGF-1 and cooperatively regulated its expression. Besides, miR-221-3p and miR-222-3p regulated ERK activation through IGF-1. Silencing miR-221-3p and miR-222-3p promoted osteogenic differentiation of BMSCs through IGF-1 under high glucose condition. CONCLUSION miR-221-3p and miR-222-3p inhibited osteogenic differentiation of BMSCs via IGF-1/ERK pathway under high glucose condition.
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Affiliation(s)
- Kang Gan
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, People's Republic of China
| | - Guan-Hua Dong
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, People's Republic of China
| | - Ning Wang
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, People's Republic of China
| | - Juan-Fang Zhu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, People's Republic of China.
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Du TF, Wu LD, Tang XZ, Shi Q, Gan K, Zhu JF, Cao YG. [Antibacterial effectiveness of calcium silicate-based root canal sealer against Enterococcus faecalis biofilms in infected dentinal tubules in vitro]. Zhonghua Kou Qiang Yi Xue Za Zhi 2019; 54:656-661. [PMID: 31607000 DOI: 10.3760/cma.j.issn.1002-0098.2019.10.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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 evaluate the antiseptic effect of combined using of 5% sodium hypochlorite and calcium silicate-based root canal sealer against Enterococcus faecalis (Ef) biofilms in infected dentinal tubules in vitro. Methods: Cells of Ef were inoculated into the dentinal tubules of single-rooted teeth (without caries, periapical lesions and malformations extracted due to periodontal disease or orthodontic reasons; collected from Department of Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University) with centrifugation and incubated in brain-heart infusion (BHI) to form 3-week-old biofilms. The infected samples were subjected to sodium hypochlorite or sterile water bathing for 10 minutes followed by calcium silicate-based root canal sealer (iRoot SP) (calcium silicate-based group), Gutta-percha group and sterile water group placed on the root canal wall for 1, 4 and 12 weeks. There were two samples in each treatment at each point. The antiseptic effectiveness of combined use of sodium hypochlorite and calcium silicate-based root canal sealer was analyzed by laser scanning confocal microscope (LSCM), ANOVA and LSD-t test. Results: After treatment with 5% sodium hypochlorite, in calcium silicate-based group for 4 and 12 weeks more Ef biofilm cells [(75.3±3.5)% and (74.8±3.8)%] were killed than in Gutta-percha group [(65.9±4.1)% and (63.0±3.7)%] and sterile water group [(63.9±4.0)% and (64.2±3.5)%] (P<0.05). After being treated with sterile water, the proportion of dead bacterial cells in calcium silicate-based group for 1, 4 and 12 weeks [(27.5±4.6)%, (43.0±4.4)% and (40.3±6.1)%] were more than those in Gutta-percha group and sterile water group (P<0.05). After being treated with 5% sodium hypochlorite or sterile water, more biofilm bacteria were killed in calcium silicate-based group for 4 and 12 weeks than in calcium silicate-based group for 1 week (P<0.05). Conclusions: The combined use of sodium hypochlorite and calcium silicate-based root canal sealer kills more biofilm cells in infected dentinal tubules.
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Affiliation(s)
- T F Du
- Department of Implantology and Prosthodontics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - L D Wu
- Department of Implantology and Prosthodontics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - X Z Tang
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Q Shi
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - K Gan
- Department of Implantology and Prosthodontics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - J F Zhu
- Department of Implantology and Prosthodontics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Y G Cao
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
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Zhang B, Du W, Gan K, Fang Q, Zhang X. Significance of the neutrophil-to-lymphocyte ratio in young patients with oral squamous cell carcinoma. Cancer Manag Res 2019; 11:7597-7603. [PMID: 31496814 PMCID: PMC6691951 DOI: 10.2147/cmar.s211847] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [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] [Received: 04/11/2019] [Accepted: 07/10/2019] [Indexed: 12/16/2022] Open
Abstract
Background The main goal of this study was to evaluate the prognosis of young patients with oral squamous cell carcinoma (SCC) with a focus on the value of the pretreatment neutrophil-to-lymphocyte ratio (NLR). Materials and methods Young (≤40 years old) patients with oral SCC were retrospectively enrolled, and each young patient was matched with an old (≥60 years old) oral SCC patient. Associations between the NLR and clinicopathological variables were analyzed by the chi-square test, and the Kaplan–Meier method was used to analyze recurrence-free survival (RFS) and disease-specific survival (DSS) rates. Results A total of 103 young patients were enrolled, and compared to the old group, the young group had a significantly lower NLR value (p=0.012). In the young group, the 5-year RFS and DSS rates were 82% and 85%, respectively. In the old group, the 5-year RFS and DSS rates were 65% and 71%, respectively, and the differences between the groups were significant (both p<0.05). In the young patients with an NLR≤2.56, the 5-year DSS rate was 93%, while in the young patients with an NLR >2.56, the 5-year DSS rate was 76%. This difference was significant (p=0.020). A further Cox model analysis confirmed that the NLR was an independent prognostic factor for DSS. Conclusion Young patients with oral SCC have a better prognosis than old oral SCC patients, and the NLR is significantly associated with DSS in young patients.
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Affiliation(s)
- Baixia Zhang
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, People's Republic of China
| | - Wei Du
- Department of Head Neck and Thyroid, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, Henan Province, People's Republic of China
| | - Kang Gan
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, People's Republic of China
| | - Qigen Fang
- Department of Head Neck and Thyroid, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, Henan Province, People's Republic of China
| | - Xu Zhang
- Department of Head Neck and Thyroid, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, Henan Province, People's Republic of China
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11
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Du TF, Tang XZ, Shi Q, Gan K, Zhu JF, Cao YG. [Killing activity of nonequilibrium plasma against young and old Enterococcus faecalis biofilms with long-term exposure in infected root canals in vitro]. Zhonghua Kou Qiang Yi Xue Za Zhi 2019; 53:681-687. [PMID: 30392225 DOI: 10.3760/cma.j.issn.1002-0098.2018.10.007] [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 evaluate the antimicrobial activity of nonequilibrium plasma against Enterococcus faecalis (Ef) biofilms in vitro and to obtain novel evidence of root canal disinfection with nonequilibrium plasma. Methods: Sterile cover slips and single-rooted canals were filled with Ef and incubated to form 1-week-old and 3-week-old biofilms, respectively. The infected samples were subjected to nonequilibrium plasma, 2% chlorhexidine digluconate (CHX) and saline for 3, 10 and 30 minutes, respectively. After treatment, the killing effectiveness of nonequilibrium plasma was analyzed by using laser scanning confocal microscopy (LSCM) and colony forming unit (CFU) counting. Results: The 3-dimentional reconstruction LSCM images showed that about 48.3%-79.8% of 1-week-old Ef biofilm cells and 40.0%-67.4% of 3-week-old biofilm cells were killed by nonequilibrium plasma and 2% CHX compared to saline (P<0.05). The proportion of killing activity was lower after 3 minutes (40.0%-50.9% killing) than after 10 minutes (65.3%-77.8% killing) and 30 minutes (66.4%-79.8% killing) (P<0.05). And the killing of biofilm bacteria was fastest during the first 3 minutes (13.3%-17.0% killing per minute) and slow down greatly after 10 minutes. Remarkably more bacteria were killed in 1-week-old Ef biofilms (48.3%-79.8% killing) than in 3-week-old biofilms (P<0.05). Conclusions: The nonequilibrium plasma killed more Ef biofilm cells in infected root canals showed promotional as an additional approach against bacterial biofilms during root canal disinfection.
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Affiliation(s)
- T F Du
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - X Z Tang
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Q Shi
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - K Gan
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - J F Zhu
- Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Y G Cao
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
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12
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Swanson HE, Heckel BR, Bass CD, Bass TD, Dawkins JM, Horton JC, Luo D, Snow WM, Walbridge SB, Crawford BE, Gan K, Micherdzinska AM, Huffer C, Markoff DM, Mumm HP, Nico JS, Sarsour M, Sharapov EI, Zhumabekova V. Experimental upper bound and theoretical expectations for parity-violating neutron spin rotation in 4He. Phys Rev C 2019; 100:10.1103/PhysRevC.100.015204. [PMID: 35005330 PMCID: PMC8739807 DOI: 10.1103/physrevc.100.015204] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Neutron spin rotation is expected from quark-quark weak interactions in the standard model, which induce weak interactions among nucleons that violate parity. We present the results from an experiment searching for the effect of parity violation via the spin rotation of polarized neutrons in a liquid 4He medium. The value for the neutron spin rotation angle per unit length in 4He, d ϕ / d z = [ + 2.1 ± 8.3 (stat.) - 0.2 + 2.9 (sys.) ] × 10 - 7 rad/m, is consistent with zero. The result agrees with the best current theoretical estimates of the size of nucleon-nucleon weak amplitudes from other experiments and with the expectations from recent theoretical approaches to weak nucleon-nucleon interactions. In this paper we review the theoretical status of parity violation in then → + 4He system and discuss details of the data analysis leading to the quoted result. Analysis tools are presented that quantify systematic uncertainties in this measurement and that are expected to be essential for future measurements.
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Affiliation(s)
- H E Swanson
- University of Washington and Center for Experimental Nuclear Physics and Astrophysics, Box 354290, Seattle, Washington 98195, USA
| | - B R Heckel
- University of Washington and Center for Experimental Nuclear Physics and Astrophysics, Box 354290, Seattle, Washington 98195, USA
| | - C D Bass
- LeMoyne College, 1419 Salt Springs Road, Syracuse, New York 13214, USA
| | - T D Bass
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - J M Dawkins
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - J C Horton
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - D Luo
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - W M Snow
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - S B Walbridge
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - B E Crawford
- Gettysburg College, 300 North Washington Street, Gettysburg, Pennsylvania 17325, USA
| | - K Gan
- The George Washington University, 2121 I Street N.W., Washington, DC 20052, USA
| | - A M Micherdzinska
- The George Washington University, 2121 I Street N.W., Washington, DC 20052, USA
| | - C Huffer
- North Carolina State University, 2401 Stinson Drive, Raleigh, North Carolina 27695, USA
| | - D M Markoff
- North Carolina Central University/TUNL, 1801 Fayetteville Street, Durham, North Carolina 27707, USA
| | - H P Mumm
- National Institute of Standards and Technology, 100 Bureau Drive, Gaithersburg, Maryland 20899, USA
| | - J S Nico
- National Institute of Standards and Technology, 100 Bureau Drive, Gaithersburg, Maryland 20899, USA
| | - M Sarsour
- Georgia State University, 29 Peachtree Center Avenue, Atlanta, Georgia 30303-4106, USA
| | - E I Sharapov
- Joint Institute for Nuclear Research, Joliot-Curie 6, 141980 Dubna, Russia
| | - V Zhumabekova
- Al-Farabi Kazakh National University, Al-Farabi Avenue 71, 050038 Almaty, Kazakhstan
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13
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Gong YP, Li R, Wang Y, Kang P, Cai JH, Liu YM, Gan K. [Clinic analysis of 198 elder patients with maxillofacial fracture]. Hua Xi Kou Qiang Yi Xue Za Zhi 2018; 36:671-674. [PMID: 30593116 DOI: 10.7518/hxkq.2018.06.017] [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: 11/21/2022]
Abstract
OBJECTIVE The purpose of the study was to analyze the characteristics of elder patients with maxillofacial fracture. METHODS We retrospectively analyzed the characteristics of maxillofacial fractures in the elder patients, who were treated from July 2010 to October 2017. The clinical characteristics of the etiology, fracture site, combined injury, systemic disease, and treatment method were analyzed. RESULTS In the 198 elderly patients with maxillofacial fractures, the male-to-female ratio was 3.95︰1, and the mean age was 66.15 years old. Traffic accident injury (78 patients, 39.39%), fall injury (49 patients, 24.75%), high fall injury (33 patients, 16.67%) were the main factors of maxillofacial fracture in elderly patients. The most frequently observed fracture site was the mandible (120 patients). A total of 60 patients demonstrated associated injuries, in which limb injuries were the most prevalent (28 patients); whereas 66 patients had other systemic medical conditions, in which cardiovascular diseases was the most frequent (50 patients). The main treatment method of 198 patients was rigid internal fixation with small or micro-plates. CONCLUSIONS Falling and traffic accidents are the main factors of maxillofacial fracture in elderly patients. Thus, interference measures should be observed for the prevention of maxillofacial fractures in elderly patients.
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Affiliation(s)
- Yu-Ping Gong
- Dept. of Oral and Maxillofacial Surgery, The First Affliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Rui Li
- Dept. of Oral and Maxillofacial Surgery, The First Affliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Ying Wang
- Dept. of Oral and Maxillofacial Surgery, The First Affliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Peng Kang
- Dept. of Oral and Maxillofacial Surgery, The First Affliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Jing-Hua Cai
- Dept. of Oral and Maxillofacial Surgery, The First Affliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Yi-Ming Liu
- Dept. of Oral and Maxillofacial Surgery, The First Affliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Kang Gan
- Dept. of Oral and Maxillofacial Surgery, The First Affliated Hospital of Zhengzhou University, Zhengzhou 450052, China
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Gan K, Wang HL, Du T, Zhu J, Gao B. Stress and Electrochemical Corrosion Resistance of Pure Titanium and Titanium Produced by Laser Rapid Forming. J BIOMATER TISS ENG 2018. [DOI: 10.1166/jbt.2018.1917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Liu X, Gan K, Liu H, Song X, Chen T, Liu C. Antibacterial properties of nano-silver coated PEEK prepared through magnetron sputtering. Dent Mater 2017; 33:e348-e360. [PMID: 28734568 DOI: 10.1016/j.dental.2017.06.014] [Citation(s) in RCA: 60] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 03/21/2017] [Accepted: 06/22/2017] [Indexed: 11/30/2022]
Abstract
OBJECTVE We aimed to investigate the cytotoxicity and antibacterial properties of nano-silver-coated polyetheretherketone (PEEK) produced through magnetron sputtering and provide a theoretical basis for its use in clinical applications. METHODS The surfaces of PEEKs were coated with nano-silver at varying thicknesses (3, 6, 9, and 12nm) through magnetron sputtering technology. The resulting coated PEEK samples were classified into the following groups according to the thickness of the nano-silver coating: PEEK-3 (3nm), PEEK-6 (6nm), PEEK-9 (9nm), PEEK-12 (12nm), and PEEK control group. The surface microstructure and composition of each sample were observed by scanning electron microscopy (SEM), atomic force microscopy (AFM), and energy dispersive spectrum (EDS) analysis. The water contact angle of each sample was then measured by contact angle meters. A cell counting kit (CCK-8) was used to analyze the cytotoxicity of the mouse fibroblast cells (L929) in the coated groups (n=5) and group test samples (n=6), negative control (polyethylene, PE) (n=6), and positive control group (phenol) (n=6). The antibacterial properties of the samples were tested by co-culturing Streptococcus mutans and Straphylococcus aureus. The bacteria that adhered to the surface of samples were observed by SEM. The antibacterial adhesion ability of each sample was then evaluated. RESULTS SEM and AFM analysis results showed that the surfaces of control group samples were smooth but compact. Homogeneous silver nano-particles (AgNPs) and nano-silver coating were uniformly distributed on the surface of the coated group samples. Compared with the control samples, the nano-silver coated samples had a significant increase in surface roughness (P<0.05) as the thickness of their nano-silver coating increased. EDS analysis showed that not only C and O but also Ag were present on the surface of the coated samples. Moreover, the water contact angle of modified samples significantly increased after nano-silver coating modification (P<0.01). CCK-8 cytotoxicity test results showed that coated samples did not exhibit cytotoxicity. The antibacterial experimental results showed that the nano-silver coating can significantly improve the antibacterial activity and bacterial adhesion ability of the PEEK samples. SIGNIFICANCE The compact and homogeneous nano-silver coating was successfully prepared on the surface of PEEK through magnetron sputtering. The nano-silver coated PEEKs demonstrated enhanced antibacterial activities and bacterial adhesion abilities and had no cytotoxic effects.
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Affiliation(s)
- Xiuju Liu
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University,1500 Qing Hua Road, Changchun 130021, PR China
| | - Kang Gan
- Dental Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, PR China
| | - Hong Liu
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University,1500 Qing Hua Road, Changchun 130021, PR China.
| | - Xiaoqing Song
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University,1500 Qing Hua Road, Changchun 130021, PR China
| | - Tianjie Chen
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University,1500 Qing Hua Road, Changchun 130021, PR China
| | - Chenchen Liu
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University,1500 Qing Hua Road, Changchun 130021, PR China
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Zhu J, Yang W, Gan K, Du T, Pei Y, Wang Y, Guo Q. Evaluation of the Corrosion Behavior of Titanium Produced Through Laser Rapid Forming. J BIOMATER TISS ENG 2017. [DOI: 10.1166/jbt.2017.1606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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17
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Wang B, Gan K, Liu H, Song X, Liu X, Niu D, Chen T, Liu C. Preparation and Mechanical Properties of Polyethereketone Biocomposite for Prosthodontics. J BIOMATER TISS ENG 2017. [DOI: 10.1166/jbt.2017.1537] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Guo J, Liu L, Liu H, Gan K, Liu X, Song X, Niu D, Chen T. Influence of femtosecond laser on the osteogenetic efficiency of polyetheretherketone and its composite. HIGH PERFORM POLYM 2016. [DOI: 10.1177/0954008316667460] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: This study aimed to evaluate the effect of a femtosecond laser on the osteogenetic efficiency of polyetheretherketone (PEEK) and its composite for clinical applications. Methods: One hundred pieces of PEEK and its composite (6 × 4 × 2 mm3) were randomly divided into four groups and treated as follows: group A1, PEEK; group A2, PEEK + femtosecond laser; group B1, PEEK composite; and group B2, PEEK composite + femtosecond. The surface morphology of the pieces of each group was observed through scanning electron microscopy. The surface roughness and wettability, which were considered as the main parameters affecting cell adhesion characteristics of implants, were measured. The animals whose mandibles were implanted with the four groups of materials were killed at the end of 6 and 12 weeks. Various characterization tests, such as Cone Beam Computed Tomography (CBCT), push-out test, microscope test, and bone implant contact , were conducted to investigate the healing effect between materials and bones. Results: In group B1, the nanoparticles in PEEK were uniformly distributed. In groups A2 and B2, many periodic nanostructures were observed. The surface roughness and wettability of group B2 were significantly increased compared to those of the other groups ( p < 0.05). At each time point, the number of trabecular bones, contact strength, and BIC of group B2 were higher than those of the three other groups ( p < 0.05). Compared with those of group A1, the test results of group B1 were significantly improved. Conclusion: Femtosecond lasers can effectively enhance the biological activity of PEEK and its composite; PEEK composite exhibits better biological activity than PEEK.
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Affiliation(s)
- Jing Guo
- School and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Lijun Liu
- School and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Hong Liu
- School and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Kang Gan
- School and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Xiuju Liu
- School and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Xiaoqing Song
- School and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Deli Niu
- School and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Tianjie Chen
- School and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
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Li MZ, Wang JR, Liu H, Wang X, Gan K, Liu XJ, Niu DL, Song XQ. Effects of light curing modes and ethanol-wet bonding on dentin bonding properties. J Zhejiang Univ Sci B 2016; 17:703-11. [PMID: 27604862 DOI: 10.1631/jzus.b1600055] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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: 11/11/2022]
Abstract
OBJECTIVE This study explored the effects of different light curing modes and ethanol-wet bonding on dentin bonding strength and durability. METHODS A total of 54 molars were randomly divided into three groups: Single Bond 2, Gluma Comfort Bond, and N-Bond. Based on the three light-curing modes and presence or absence of ethanol pretreatment, the samples were assigned to six subgroups: high-light mode, ethanol pretreatment+high-light mode, soft-start mode, ethanol pretreatment+soft-start mode, standard mode, and ethanol pretreatment+standard mode. All samples were bonded with resin based on the experimental groups. After 24 h and 6 months of water storage, a universal testing machine was used to measure microtensile bond strength. Scanning electron microscopy (SEM) was applied to observe mixed layer morphology. RESULTS The 24-h and 6-month microtensile bond strengths of the ethanol pretreatment groups were significantly higher than those of the non-ethanol pretreatment groups at the same light modes (P<0.05). With or without ethanol pretreatment, the microtensile bond strengths of the high-light modes were significantly lower than those of the soft-start modes and standard modes (P<0.05). The microtensile bond strengths of samples from the 6-month water storage group significantly decreased compared with those of samples from the 24-h water storage group (P<0.05). The soft-start groups and standard groups formed better mixed layers than the high-light mode groups, whereas the ethanol pretreatment groups formed more uniform mixed layers than those without ethanol pretreatment. CONCLUSIONS Ethanol-wet bonding technique, soft-start, and standard modes could improve dentin bonding properties.
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Affiliation(s)
- Mu-Zi Li
- School and Hospital of Stomatology, Jilin University, Changchun 130021, China.,Jilin Provincial Key Laboratory of Tooth Development and Remodeling, Changchun 130021, China
| | - Jin-Rui Wang
- School and Hospital of Stomatology, Jilin University, Changchun 130021, China
| | - Hong Liu
- School and Hospital of Stomatology, Jilin University, Changchun 130021, China.,Jilin Provincial Key Laboratory of Tooth Development and Remodeling, Changchun 130021, China
| | - Xia Wang
- School and Hospital of Stomatology, Jilin University, Changchun 130021, China
| | - Kang Gan
- School and Hospital of Stomatology, Jilin University, Changchun 130021, China
| | - Xiu-Ju Liu
- School and Hospital of Stomatology, Jilin University, Changchun 130021, China
| | - De-Li Niu
- School and Hospital of Stomatology, Jilin University, Changchun 130021, China
| | - Xiao-Qing Song
- School and Hospital of Stomatology, Jilin University, Changchun 130021, China
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Gan K, Liu H, Jiang L, Liu X, Song X, Niu D, Chen T, Liu C. Bioactivity and antibacterial effect of nitrogen plasma immersion ion implantation on polyetheretherketone. Dent Mater 2016; 32:e263-e274. [PMID: 27578287 DOI: 10.1016/j.dental.2016.08.215] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [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: 05/10/2016] [Revised: 06/20/2016] [Accepted: 08/13/2016] [Indexed: 11/17/2022]
Abstract
OBJECTIVE We aimed to investigate the bioactivity and antibacterial effect of nitrogen plasma immersion ion implantation (PIII) on polyetheretherketone (PEEK). METHODS According to the different modified parameters, the PEEK specimens were randomly divided into four main groups (n=49/group): PEEK-C, PEEK-I, PEEK-L, and PEEK-H. Then, N2-PIII surface modification was conducted using the corresponding parameters. The microstructure and composition of the modified PEEK surface was observed by scanning electron microscope (SEM), atomic force microscopy (AFM) and X-ray photoelectron spectroscopy (XPS). The water contact angle of the PEEK surface was also studied by contact angle meters. The bioactive ability of PEEK samples was evaluated by observing the attachment, proliferation, and differentiation of MG63 cells cultured on the PEEK samples. Antibacterial property of the samples against Staphylococcus aureus was detected with the plate colony-counting methods. RESULTS SEM and AFM analysis shows that PEEK-C surface is relatively smooth with the Ra value of 50.6±2.52nm. PEEK-I and PEEK-L surface is rough with the Ra value of 435.9±6.47nm and 443.23±5.49nm, respectively, and the PEEK-H surface is the most rough with the Ra value of 608.4±3.14nm. XPS element analysis demonstrated that nitrogen functional groups were successfully introduced into the surface of PIII-modified PEEK. Biological evaluation and the antibacterial results showed that nitrogen PIII treatment can significantly improve the biological activity of PEEK, and samples showed antibacterial properties against S. aureus. SIGNIFICANCE PEEK surface subjected to the N2-PIII treatment showed better biological activity and antibacterial effect. Therefore, N2-PIII-treated PEEK surface is promising in bone tissue engineering and dental applications.
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Affiliation(s)
- Kang Gan
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University, 1500 Qing Hua Road, Changchun 130021, PR China
| | - Hong Liu
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University, 1500 Qing Hua Road, Changchun 130021, PR China.
| | - Lingling Jiang
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University, 1500 Qing Hua Road, Changchun 130021, PR China
| | - Xiuju Liu
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University, 1500 Qing Hua Road, Changchun 130021, PR China
| | - Xiaoqing Song
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University, 1500 Qing Hua Road, Changchun 130021, PR China
| | - Deli Niu
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University, 1500 Qing Hua Road, Changchun 130021, PR China
| | - Tianjie Chen
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University, 1500 Qing Hua Road, Changchun 130021, PR China
| | - Chenchen Liu
- Department of General Dentistry, School and Hospital of Stomatology, Jilin University, 1500 Qing Hua Road, Changchun 130021, PR China
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Zhou L, Qian Y, Gan K, Liu H, Liu X, Niu D. Effect of different surface treatments and thermocycling on shear bond strength to polyetheretherketone. HIGH PERFORM POLYM 2016. [DOI: 10.1177/0954008316628966] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study was designed to evaluate the shear bond strength of an adhesive/composite system subjected to different pretreated polyetheretherketone (PEEK) surfaces using different thermocycling conditioning methods. A total of 128 specimens were equally divided into four main groups ( n = 32/group): control (no pretreatment), air abrasion, argon plasma pretreatment, and femtosecond laser groups. The surface topographies and surface roughness were observed by atomic force microscopy after different pretreatments. The specimens were bonded with SE Bond/Clearfil AP-X™. All bonded specimens were stored in distilled water at 37°C for 24 h. Afterward, each group was divided into three subgroups ( n = 8/group) as follows: (a) stored in water for 56 h (37°C); (b) thermal aging for 5000 cycles (5°C/55°C); and (c) thermal aging for 10,000 cycles (5°C/55°C). The shear bond strengths were measured. Air abrasion, argon plasma pretreatment, and femtosecond laser significantly strengthened the bond of SE Bond/Clearfil AP-X™ to PEEK composite compared with that without additional pretreatment. In the same surface pretreatment, the shear bond strengths of specimens conditioned using water storage were higher than that using thermocycles (TCs). Additionally, the specimens with 5000 TC showed significantly higher shear bond strength than that with 10000 TC.
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Affiliation(s)
- Li Zhou
- College and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
- Stomatological Hospital, Tianjin Medical University, He Ping, Tianjin, People’s Republic of China
| | - Yuetong Qian
- Clinical Medical College, Jilin University, Changchun, People’s Republic of China
| | - Kang Gan
- College and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Hong Liu
- College and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Xiuju Liu
- College and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
| | - Deli Niu
- College and Hospital of Stomatology, Jilin University, Changchun, People’s Republic of China
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Gan K, Yang L, Tan W, Zhang M. AB0102 Iguratimod (T-614) Suppresses Rankl-Induced Osteoclast Differentiation and Migration in RAW264.7 Cells via NF-κB and MAPK Pathways. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Snow WM, Anderson E, Barrón-Palos L, Bass CD, Bass TD, Crawford BE, Crawford C, Dawkins JM, Esposito D, Fry J, Gardiner H, Gan K, Haddock C, Heckel BR, Holley AT, Horton JC, Huffer C, Lieffers J, Luo D, Maldonado-Velázquez M, Markoff DM, Micherdzinska AM, Mumm HP, Nico JS, Sarsour M, Santra S, Sharapov EI, Swanson HE, Walbridge SB, Zhumabekova V. A slow neutron polarimeter for the measurement of parity-odd neutron rotary power. Rev Sci Instrum 2015; 86:055101. [PMID: 26026552 DOI: 10.1063/1.4919412] [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] [Received: 12/01/2014] [Accepted: 04/19/2015] [Indexed: 06/04/2023]
Abstract
We present the design, description, calibration procedure, and an analysis of systematic effects for an apparatus designed to measure the rotation of the plane of polarization of a transversely polarized slow neutron beam as it passes through unpolarized matter. This device is the neutron optical equivalent of a crossed polarizer/analyzer pair familiar from light optics. This apparatus has been used to search for parity violation in the interaction of polarized slow neutrons in matter. Given the brightness of existing slow neutron sources, this apparatus is capable of measuring a neutron rotary power of dϕ/dz = 1 × 10(-7) rad/m.
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Affiliation(s)
- W M Snow
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - E Anderson
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - L Barrón-Palos
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de México, D.F. 04510, México
| | - C D Bass
- LeMoyne College, 1419 Salt Springs Road, Syracuse, New York 13214, USA
| | - T D Bass
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - B E Crawford
- Gettysburg College, 300 North Washington Street, Gettysburg, Pennsylvania 17325, USA
| | - C Crawford
- University of Kentucky, 177 Chem.-Phys. Building, 505 Rose Street, Lexington, Kentucky 40506-0055, USA
| | - J M Dawkins
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - D Esposito
- University of Dayton, 300 College Park, Dayton, Ohio 45469, USA
| | - J Fry
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - H Gardiner
- Louisiana State University, Baton Rouge, Louisiana 70803, USA
| | - K Gan
- The George Washington University, 2121 I Street N.W., Washington, District of Columbia 20052, USA
| | - C Haddock
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - B R Heckel
- University of Washington/Center for Experimental Nuclear Physics and Astrophysics, Box 354290, Seattle, Washington 98195, USA
| | - A T Holley
- Tennessee Tech University, 1 William L. Jones Drive, Cookeville, Tennessee 38505, USA
| | - J C Horton
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - C Huffer
- North Carolina State University, 2401 Stinson Drive, Raleigh, North Carolina 27695, USA
| | - J Lieffers
- Embry-Riddle Aeronautical University, 600 South Clyde Morris Blvd., Daytona Beach, Florida 32114, USA
| | - D Luo
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - M Maldonado-Velázquez
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de México, D.F. 04510, México
| | - D M Markoff
- North Carolina Central University/Triangle Universities Nuclear Lab, 1801 Fayetteville Street, Durham, North Carolina 27707, USA
| | - A M Micherdzinska
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - H P Mumm
- National Institute of Standards and Technology, 100 Bureau Drive, Gaithersburg, Maryland 20899, USA
| | - J S Nico
- National Institute of Standards and Technology, 100 Bureau Drive, Gaithersburg, Maryland 20899, USA
| | - M Sarsour
- Georgia State University, 29 Peachtree Center Avenue, Atlanta, Georgia 30303-4106, USA
| | - S Santra
- Bhabha Atomic Research Centre, Trombay, Mumbai 400 085, India
| | - E I Sharapov
- Joint Institute for Nuclear Research, Joliot-Curie 6, 141980 Dubna, Russia
| | - H E Swanson
- University of Washington/Center for Experimental Nuclear Physics and Astrophysics, Box 354290, Seattle, Washington 98195, USA
| | - S B Walbridge
- Indiana University and Center for the Exploration of Energy and Matter, 2401 Milo B. Sampson Lane, Bloomington, Indiana 47408, USA
| | - V Zhumabekova
- Al-Farabi Kazakh National University, Al-Farabi Ave. 71, 050038 Almaty, Kazakhstan
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Zhou L, Qian Y, Zhu Y, Liu H, Gan K, Guo J. The effect of different surface treatments on the bond strength of PEEK composite materials. Dent Mater 2014; 30:e209-15. [DOI: 10.1016/j.dental.2014.03.011] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2013] [Revised: 12/26/2013] [Accepted: 03/26/2014] [Indexed: 11/15/2022]
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25
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Tan W, Gan K, Xu L, Feng X, Zhang Q, Wang F, Zhang M. FRI0367 Celastrol Inhibits Osteoclastogenesis and Bone Resorption in Rankl-Induced Raw264.7 via Nf-κB and MAPK Pathways and Attenuates Bone Erosion in Collagen-Induced Arthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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26
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Tan W, Gan K, Zhang M, Feng X, Wang F. AB0110 Iguratimod inhibits rankl-induced osteoclastogenesis in raw264.7 cells. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.2433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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27
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Cheng Y, Zhou Y, Zhang Y, Jiang X, Xi M, Gan K, Ren S. Study of knowledge and attitudes on medical abortion among Chinese health providers. Int J Gynaecol Obstet 2012; 118 Suppl 1:S28-32. [PMID: 22840267 DOI: 10.1016/j.ijgo.2012.05.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To investigate providers' knowledge and attitudes about medical abortion (MA) and their views regarding the main challenges to expanding the use of MA in urban and rural areas in China. METHODS A total of 658 abortion providers were surveyed from November 7, 2009, to May 29, 2010. RESULTS The providers' knowledge about MA was relatively poor, and most thought the risks of severe complications of MA were much higher than they are. Urban nonphysician providers were the least informed about MA. Most providers thought that the main challenges to an expanded use of MA were its lesser effectiveness in comparison to surgical abortion and women's lack of knowledge about it. In rural areas many providers thought that deficiencies of clinics, such as limited bed space and inadequate toilets and washing facilities, also posed serious obstacles to expanding MA use. CONCLUSION Abortion providers, especially urban nonphysician providers, need refresher training to strengthen their knowledge of the approved protocol for providing MA in China, and also of the indications, contraindications, and safety and efficacy of the method. Deficiencies at abortion facilities should be addressed as well, and they are more numerous in rural areas.
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Affiliation(s)
- Yimin Cheng
- Center for Social Medicine Research, National Research Institute for Family Planning (NRIFP), Beijing, China.
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28
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Triplett BM, Horwitz EM, Iyengar R, Turner V, Holladay MS, Gan K, Behm FG, Leung W. Effects of activating NK cell receptor expression and NK cell reconstitution on the outcomes of unrelated donor hematopoietic cell transplantation for hematologic malignancies. Leukemia 2009; 23:1278-87. [PMID: 19212329 DOI: 10.1038/leu.2009.21] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Inhibitory NK cell receptors are recognized as important determinants of NK cell activity in hematopoietic cell transplantation (HCT). The role of activating receptors and their acquisition after HCT is less certain. Therefore, we comprehensively evaluated both inhibitory and activating receptors in 59 patients receiving unrelated donor HCT. NK cell numbers normalized quickly relative to B and T cells; however, the expression of both inhibitory and activating isoforms of killer immunoglobulin-like receptors (KIRs) was delayed. Most NK cells expressed an immature phenotype during the first 6 months post-HCT; however, we found high expression of activating NKp46 and NKp44 natural cytotoxicity receptors (NCRs), and cytotoxicity was preserved. Early reconstituting NK cells from unmanipulated grafts showed lower cytotoxicity than those from T-cell-depleted grafts. Differences in NK cell reconstitution had significant effects on clinical outcomes. Patients whose NK cells reconstituted earlier had better survival and lower relapse rates. The best survival group was recipients who possessed HLA-C2 but their donor lacked the cognate-activating KIR2DS1. Collectively, our data underscore the clinical relevance of reconstituting NK cells and their activating KIRs and NCRs. In addition to NK cell quantification and genotyping, comprehensive assessment of NK cell functions and phenotypes, including activating receptors, is essential.
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Affiliation(s)
- B M Triplett
- Division of Hematology and Oncology, Department of Pediatrics, Saint Louis University, Saint Louis, MO, USA.
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Abstract
Farquhar and Gan have proposed a model for the spatial variation in the isotopic enrichment of H(2)(18)O across a leaf, which is specifically formulated for monocotyledoneous leaves. The model is based on the interaction between mass fluxes longitudinally within the xylem, and fluxes laterally through veinlets into the lamina mesophyll, where moisture leaves the leaf through transpiration. The lighter, more abundant, molecule H(2)(16)O escapes preferentially with the evaporating water, resulting in the enrichment of H(2)(18)O at these sites. Enriched water diffuses throughout the leaf, and it is this spatial distribution of enriched water which the model seeks to capture. In this paper we present a general formulation of the model in terms of mass flux, extending it to include variable transpiration rates across the leaf surface, as well as a tapering xylem. Solutions are developed for the general case and, since the solutions present in the form of Kummer functions, properties are established as well as methods for estimating the solutions under certain conditions relevant to the biology. The model output is compared with Gan's data collected from maize plants.
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Affiliation(s)
- B Barnes
- Research School of Biological Sciences, Institute of Advanced Studies, Australian National University, Canberra, ACT 0200, Australia.
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30
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Danko I, Cronin-Hennessy D, Park C, Park W, Thayer J, Thorndike E, Coan T, Gao Y, Liu F, Stroynowski R, Artuso M, Boulahouache C, Blusk S, Dambasuren E, Dorjkhaidav O, Mountain R, Muramatsu H, Nandakumar R, Skwarnicki T, Stone S, Wang J, Mahmood A, Csorna S, Bonvicini G, Cinabro D, Dubrovin M, Bornheim A, Lipeles E, Pappas S, Shapiro A, Sun W, Weinstein A, Briere R, Chen G, Ferguson T, Tatishvili G, Vogel H, Watkins M, Adam N, Alexander J, Berkelman K, Boisvert V, Cassel D, Duboscq J, Ecklund K, Ehrlich R, Galik R, Gibbons L, Gittelman B, Gray S, Hartill D, Heltsley B, Hsu L, Jones C, Kandaswamy J, Kreinick D, Kuznetsov V, Magerkurth A, Mahlke-Krüger H, Meyer T, Mistry N, Patterson J, Pedlar T, Peterson D, Pivarski J, Richichi S, Riley D, Sadoff A, Schwarthoff H, Shepherd M, Thayer J, Urner D, Wilksen T, Warburton A, Weinberger M, Athar S, Avery P, Breva-Newell L, Potlia V, Stoeck H, Yelton J, Eisenstein B, Gollin G, Karliner I, Lowrey N, Plager C, Sedlack C, Selen M, Thaler J, Williams J, Edwards K, Besson D, Gao K, Gong D, Kubota Y, Li S, Poling R, Scott A, Smith A, Stepaniak C, Urheim J, Metreveli Z, Seth K, Tomaradze A, Zweber P, Ernst J, Arms K, Eckhart E, Gan K, Gwon C, Severini H, Skubic P, Dytman S, Mueller J, Nam S, Savinov V, Huang G, Miller D, Pavlunin V, Sanghi B, Shibata E, Shipsey I. Measurement of the decay rate of Ξc0→pK-K-π+ relative to Ξc0→Ξ-π+. Int J Clin Exp Med 2004. [DOI: 10.1103/physrevd.69.052004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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31
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Rine RM, Cornwall G, Gan K, LoCascio C, O'Hare T, Robinson E, Rice M. Evidence of progressive delay of motor development in children with sensorineural hearing loss and concurrent vestibular dysfunction. Percept Mot Skills 2000; 90:1101-12. [PMID: 10939054 DOI: 10.2466/pms.2000.90.3c.1101] [Citation(s) in RCA: 87] [Impact Index Per Article: 3.6] [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: 11/15/2022]
Abstract
Gross motor development, and the effect of age, sex and vestibular function on it, was examined in 39 24- to 83-mo.-old children with sensorineural hearing impairment. Repeated testing was completed on 18 children. Delayed gross motor development was evident regardless of age, but only children less than 5 years of age had developmental balance deficits on initial testing. Both gross motor and balance development scores were lower on repeated testing. Furthermore, vestibular function scores facilitated identification of those children with a deficit in balance development as well as those with a progressive delay in motor or balance development. Implications for practice are discussed.
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Affiliation(s)
- R M Rine
- Department of Orthopedics and Rehabilitation, University of Miami School of Medicine, Coral Gables, USA.
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32
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Higami T, Kozawa S, Asada T, Obo H, Gan K, Iwahashi K. Minimally invasive direct coronary artery bypass grafting using the gastroepiploic artery for reoperation after the Cabrol procedure. Jpn J Thorac Cardiovasc Surg 1999; 47:514-7. [PMID: 10554423 DOI: 10.1007/bf03218053] [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: 10/15/2022]
Abstract
Obstruction of the right coronary ostial anastomosis is a rare late complication after composite graft replacement of the ascending aorta and the aortic valve with separate Dacron coronary grafts (Cabrol method). Occlusion at the right coronary ostial anastomosis in a 36-year-old woman with aortitis syndrome who underwent a composite graft with a Dacron coronary graft is described. She underwent a third successful operation for right coronary reconstruction by minimally invasive direct coronary artery bypass grafting technique using the right gastroepiploic artery. This approach is likely to be extremely useful in avoiding resternotomy and cardiopulmonary bypass in patients requiring coronary reoperation.
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Affiliation(s)
- T Higami
- Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan
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Higami T, Kozawa S, Asada T, Obo H, Gan K, Iwahashi K, Nohara H. Retrograde cerebral perfusion versus selective cerebral perfusion as evaluated by cerebral oxygen saturation during aortic arch reconstruction. Ann Thorac Surg 1999; 67:1091-6. [PMID: 10320256 DOI: 10.1016/s0003-4975(99)00135-6] [Citation(s) in RCA: 71] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND Time limits for neuroprotection by retrograde cerebral perfusion (RCP) and selective cerebral perfusion (SCP) in aortic arch aneurysm repair or dissection are undergoing definition. METHODS Using near-infrared optical spectroscopy, changes in regional cerebrovascular oxygen saturation (rSO2) were compared between the two perfusion methods. RESULTS Immediately before cardiopulmonary bypass, baseline rSO2 was 63.9%+/-6.9% for the RCP and 66.1%+/-5.3% for the SCP group (no significant difference). As patients were core-cooled to 20 degrees C, rSO2 increased to 73.1%+/-8.8% and 74.1%+/-7.9% in the RCP and SCP groups, respectively. With circulatory arrest, rSO2 suddenly decreased. After starting cerebral perfusion, rSO2 returned to prearrest values in the SCP group but continued decreasing steadily in the RCP group, to levels below baseline after about 25 minutes. At the end of perfusion, rSO2 was 57.4%+/-12.2% for the RCP group and 71.7%+/-6.9% for the SCP group, and the ratio of rSO2 to baseline value was 0.89 for RCP and 1.08 for SCP despite a shorter brain perfusion time for RCP (38.8+/-18.0 versus 103.3+/-43.3 minutes). Three of 5 patients whose ratios of rSO2 to baseline at the end of brain protection were 0.7 or less had neurologic deficits. CONCLUSIONS Although SCP showed no clinically important time limitation, rSO2 continued to decrease with time during RCP. An rSO2 ratio less than 0.7 could represent a critical lower limit.
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Affiliation(s)
- T Higami
- Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan
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Tokui T, Takao M, Shimamoto A, Fujinaga K, Yasuda F, Gan K, Gun R, Shimono T, Namikawa S, Yada I. [Results of surgical treatment for pT3 primary lung cancer]. Kyobu Geka 1998; 51:915-20. [PMID: 9789419] [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: 02/09/2023]
Abstract
We reviewed pT3 lung cancer for 86 cases (13.1%) out of 659 cases treated surgically for primary lung cancer between 1985 and march 1998. Five-year and ten-year survival rates for all pT3 cases were 48% and 40% respectively and those for pT3N0M0 cases were 67.2%. The operative mortality between 1990 and 1998 (2.4%) was better than that between 1985 and 1989 (6.7%). The extensive resection for pT3 lung cancer was evaluated to be appropriate. However, the prognosis of the patients who underwent combined resection of mediastinal pleura, pericardium or diaphragm was very poor. Five-year survival rate was significantly worse in patients with N2 disease (17.3%) than in patients with N0 disease (65.8%) (p < 0.05). Although the surgical indication for the patients with mediastinal pleura, pericardium or diaphragm disease and N2 disease is still controversial, there is not the extensive surgical indication.
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Affiliation(s)
- T Tokui
- Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Tsu, Japan
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Obo H, Kozawa S, Asada T, Mukohara N, Higami T, Gan K, Iwahashi K, Nohara H, Ogawa K. Emergency percutaneous cardiopulmonary bypass support for acute myocardial infarction. Surg Today 1998; 28:797-801. [PMID: 9718999 DOI: 10.1007/s005950050229] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [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: 02/08/2023]
Abstract
We assessed the efficacy of emergency percutaneous cardiopulmonary bypass support (PCPS) in the treatment of patients with acute myocardial infarction complicated by cardiogenic shock. Emergency PCPS was instituted in 21 consecutive patients beginning in 1991. After the stabilization of the hemodynamics, coronary reperfusion was performed by means of coronary artery bypass grafting or percutaneous transluminal coronary angioplasty. Of the seven patients with acute myocardial infarction involving either the left main or two-vessel territories, five survived more than 1 month, but only one patient remained alive and well after 20 months. The main cause of death for this group was low output syndrome. Four of 12 patients with acute left main trunkal occlusion in the catheter laboratory survived and showed a preserved cardiac function (mean followup 28.5 months). The main cause of death for this group was brain damage. Two patients with single-vessel territory acute myocardial infarction underwent PCPS to treat refractory ventricular fibrillation. Both patients were still alive and well at a 12-month followup. Percutaneous cardiopulmonary bypass support successfully stabilized the hemodynamics, allowing time to perform revascularization for all three groups of patients with life-threatening acute myocardial infarction. Recanalization was nevertheless unable to salvage the damaged myocardium in cases of prolonged ischemic time.
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Affiliation(s)
- H Obo
- Division of Cardiovascular Surgery, Brain and Heart Center at Himeji, Hyougo, Japan
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Abstract
The in vitro dissolution of ciprofloxacin from commercially available tablets and capsules in China was studied using the USP apparatus I to compare the product performance from nine different manufacturers. Cumulative release greater than 75% was obtained from all of the products tested within 45 min. However, statistically significant differences were found between some of the products when in vitro data were analyzed using the Weibull function, similarity factor (f2), and multivariate analysis of variances.
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Affiliation(s)
- Y Tang
- Department of Pharmacy, Chang Shu No. 1 People's Hospital, Jiangsu, People's Republic of China
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Abstract
During the past thirteen years, 29 patients underwent surgical intervention for Leriche syndrome. Fifteen patients (aged forty-two to seventy-two years, average 60.7 years) underwent anatomical bypass, and 9 of them whose thrombus was confined to the infrarenal aorta received a routine graft insertion. In the other 6 whose thrombus extended to the level of the renal arteries, an open thrombectomy of the juxtarenal aorta was first performed through a transection of the infrarenal aorta under renal ischemia (4-14 minutes, average 7). Twelve elderly or high-risk patients (aged sixty-eight to eighty-four years, average 75.3 years) underwent an axillobifemoral bypass, and another 2 (fifty-eight and sixty years old, respectively) who had been operated on at an earlier time received an ascending aortobifemoral bypass. In cases of anatomical bypass, no graft has occluded and all patients but 1, who died of cerebral infarction, have an active life now. In cases of extraanatomical bypass, 5 of the 28 grafts occluded and only 6 patients have survived. The other 8 patients died of malignancy, atherosclerotic complications, or unknown causes. The 10-year survival rate was 92.9% and 29.5% in the anatomical bypass and extraanatomical bypass group, respectively. In Leriche syndrome, anatomical bypass is preferred to extraanatomical bypass if conditions permit. In the juxtarenal type, an open thrombectomy under renal ischemia is mandatory for anatomical bypass, and a transection of the infrarenal aorta facilitates this procedure. Because the patients with Leriche syndrome are elderly and harbor arteriosclerotic lesions, a careful follow-up is mandatory.
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Affiliation(s)
- T Sugimoto
- Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan
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Sankaran K, Gan K, Rash B, Qi HY, Wu HC, Rick PD. Roles of histidine-103 and tyrosine-235 in the function of the prolipoprotein diacylglyceryl transferase of Escherichia coli. J Bacteriol 1997; 179:2944-8. [PMID: 9139912 PMCID: PMC179058 DOI: 10.1128/jb.179.9.2944-2948.1997] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Phosphatidylglycerol:prolipoprotein diacylglyceryl transferase (Lgt) is the first enzyme in the posttranslational sequence of reactions resulting in the lipid modification of lipoproteins in bacteria. A previous comparison of the primary sequences of the Lgt enzymes from phylogenetically distant bacterial species revealed several highly conserved amino acid sequences throughout the molecule; the most extensive of these was the region 103HGGLIG108 in the Escherichia coli Lgt (H.-Y. Qi, K. Sankaran, K. Gan, and H. C. Wu, J. Bacteriol. 177:6820-6824, 1995). These studies also revealed that the kinetics of inactivation of E. coli Lgt with diethylpyrocarbonate were consistent with the modification of a single essential histidine or tyrosine residue. The current study was conducted in an attempt to identify this essential amino acid residue in order to further define structure-function relationships in Lgt. Accordingly, all of the histidine residues and seven of the tyrosine residues of E. coli Lgt were altered by site-directed mutagenesis, and the in vitro activities of the altered enzymes, as well the abilities of the respective mutant lgt alleles to complement the temperature-sensitive phenotype of E. coli SK634 defective in Lgt activity, were determined. The data obtained from these studies, in conjunction with additional chemical inactivation studies, support the conclusion that His-103 is essential for Lgt activity. These studies also indicated that Tyr-235 plays an important role in the function of this enzyme. Although other histidine and tyrosine residues were not found to be essential for Lgt activity, alterations of His-196 resulted in a significant reduction of in vitro activity.
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Affiliation(s)
- K Sankaran
- Department of Microbiology and Immunology, The Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799, USA
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Sugimoto T, Ogawa K, Asada T, Mukohara N, Higami T, Obo H, Gan K. Surgical treatment of infective endocarditis complicated by annular infection and cerebral infarction. Surg Today 1996; 26:679-82. [PMID: 8883237 DOI: 10.1007/bf00312083] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [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: 02/02/2023]
Abstract
The surgical treatment of nine patients with infective endocarditis (IE) complicated by annular infection and five with IE complicated by cerebral infarction is described herein. In those with annular infection, after thorough débridement of the infected tissues, valve replacement was performed at the original position in five, at the supraannular position in three, and one underwent a translocation procedure. Aortic valve replacement was able to be performed at the original position in two patients by closing the defect at the aortic annulus with a patch after through débridement. The five patients who underwent original valve position replacement recovered well. Of the three who underwent supraannular position replacement, two died of septicemia after a redo operation, and one received pacemaker implantation. The patient undergoing the translocation procedure died of intestinal infarction. In the five patients who suffered cerebral infarction due to embolus of the vegetation, valve replacement was performed between 40 h and 5 months after its onset. Although one patient died of the rapid progression of brain damage, the other four are alive and well, including two who developed mycotic cerebral aneurysm in the infarcted areas. In conclusion, early surgery for IE is mandatory irrespective of active infection, due to the high mortality and morbidity associated with serious sequelae such as annular abscess or cerebral infarction.
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Affiliation(s)
- T Sugimoto
- Division of Cardiovascular Surgery, Hyogo Brain and heart Center, Himeji, Japan
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Higami T, Ozawa S, Asada T, Mukaihara N, Oho H, Gan K, Iwahashi K, Kawamura T, Ogawa K. [Methods of management of technically difficult cases and their outcome in relation to coronary anastomosis, myocardial protection, and extracorporeal circulation]. Nihon Kyobu Geka Gakkai Zasshi 1996; 44:369-72. [PMID: 8926426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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41
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Wang N, Razzouk AJ, Safavi A, Gan K, Van Arsdell GS, Burton PM, Fandrich BL, Wood MJ, Hill AC, Vyhmeister EE, Miranda R, Ahn C, Gundry SR. Delayed primary repair of intrathoracic esophageal perforation: is it safe? J Thorac Cardiovasc Surg 1996; 111:114-21; discussion 121-2. [PMID: 8551755 DOI: 10.1016/s0022-5223(96)70407-5] [Citation(s) in RCA: 61] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The management of intrathoracic esophageal perforation with delayed diagnosis is a subject of controversy. Because of the obvious advantages of primary repair as a simple single-stage operation, this technique was preferentially used to treat 18 of 22 consecutive patients with esophageal perforation. These patients were stratified into three groups according to the time interval between perforation and repair: group A, less than 6 hours, five patients (28%); group B, 6 to 24 hours, six patients (33%); and group C, more than 24 hours, seven patients (39%). Group A patients were older (p < 0.05) and group B had fewer iatrogenic perforations (B, 17%; A, 80%; C, 57%, p < 0.1). Additional tissue was used to buttress the repair site in all three groups (A, 3/5 patients, 60%; B, 4/6 patients, 67%; C, 6/7 patients, 86%; p = not significant). In seven patients (39%), a fundic wrap was used to reinforce the site of primary repair. The outcomes of the three groups were analyzed. Group A had the lowest proportion of postoperative leaks (A, 0/4 patients, 0%; B, 4/6 patients, 67%; C, 5/6 patients, 83%; p < 0.05) and postoperative morbidity (A, 2/5 patients, 40%; B, 6/6 patients, 100%; C, 6/7 patients, 86%; p < 0.1). However the increased incidence of leak and morbidity did not lead to an increase in mortality. One death occurred in each group, with an overall mortality of 17% (A, 1/5 patients, 20%; B, 1/6 patients, 17%; C, 1/7 patients, 14%; p = not significant). We conclude that in the era of advanced intensive care capabilities, primary repair of intrathoracic esophageal perforation can be safely accomplished in most patients regardless of the time interval between perforation and operation. Leakage at the suture site is common unless primary repair is carried out without delay. Postoperative leakage, however, is usually inconsequential and does not necessarily result in an adverse outcome.
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Affiliation(s)
- N Wang
- Department of Surgery, Loma Linda University Medical Center, Calif. 92354, USA
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42
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Mukohara N, Asada T, Higami T, Obo H, Gan K, Ogawa K. [Graft replacement of a thoracic aneurysm and coronary artery bypass grafting using retrograde cerebral perfusion through left thoracotomy--a case report]. Nihon Kyobu Geka Gakkai Zasshi 1996; 44:74-7. [PMID: 8683176] [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: 02/01/2023]
Abstract
A 67-year-old woman having descending thoracic aneurysm and 90% stenosis of the obtuse marginal artery underwent a concomitant operation of graft replacement of a thoracic aneurysm and coronary artery bypass grafting. The operation was performed through left posterolateral thoracotomy with total cardiopulmonary bypass using femoral artery, femoral vein and the pulmonary artery cannulation, deep hypothermia and retrograde cerebral perfusion (RGCP). RGCP was performed by high central venous pressure (17-18 mmHg) resulted from low flow perfusion of the lower body under clamping of the descending aorta. Distal coronary anastomosis was done during an initial 100ling period and proximal anastomosis was put on the replaced thoracic graft after coming off extracorporeal circulation (ECC). ECC time was 167 minutes, and RGCP time was 27 minutes. The patient did well after the operation. Postoperative coronary angiography showed the patent coronary bypass graft. We conclude that this method provides good exposure of the thoracic aorta and the coronary artery, and satisfactory brain protection.
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Higami T, Kozawa S, Asada T, Mukohara N, Obo H, Gan K, Iwahashi K, Ogawa K. [A comparison of changes of cerebrovascular oxygen saturation in retrograde and selective cerebral perfusion during aortic arch surgery]. Nihon Kyobu Geka Gakkai Zasshi 1995; 43:1919-23. [PMID: 8551072] [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: 01/31/2023]
Abstract
To evaluate the effect of retrograde cerebral perfusion (RCP) and selective cerebral perfusion (SCP) on brain protection, changes of cerebrovascular oxygen saturation (rSO2) were studied in 14 patients with aortic arch reconstruction during the procedure. The rSO2 was monitored with spectroscopy instrument (Invos 3100, Somanetics). The mean value of rSO2 measured just before cardiopulmonary bypass was 65.9 +/- 6.2% in 7 patients with RCP, and was 64.9 +/- 4.7% in 7 patients with SCP. The value of rSO2 during core cooling of cardiopulmonary bypass was increased step by step. Although RCP time with a mean of 38.9 +/- 9.7 min was statistically shorter than SCP time (80.7 +/- 45.1 min), the mean value of rSO2 during cerebral protection in RCP group was decreased from 80.3 +/- 8.1% to 63.4 +/- 10.2%, lowest 46% with a ratio of 21.1%. In contrast, the mean value of rSO2 in SCP group was well maintained from 79.9 +/- 6.5 to 75.6 +/- 6.8%, lowest 63% with a ratio of 5.4%. Although no neurological deficits were recognized after operation in both groups, rSO2 in SCP group was sustained above the control value (65% just before cardiopulmonary bypass) but rSO2 in RCP group was decreased below the control value after 35 min. So we conclude that with regard to brain protection assessed from rSO2 measured by Invos 3100 cerebral oximeter, there is no time limitation of SCP during the procedure but RCP had a limit of the duration.
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Affiliation(s)
- T Higami
- Division of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Japan
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Qi HY, Sankaran K, Gan K, Wu HC. Structure-function relationship of bacterial prolipoprotein diacylglyceryl transferase: functionally significant conserved regions. J Bacteriol 1995; 177:6820-4. [PMID: 7592473 PMCID: PMC177548 DOI: 10.1128/jb.177.23.6820-6824.1995] [Citation(s) in RCA: 50] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
The structure-function relationship of bacterial prolipoprotein diacylgyceryl transferase (LGT) Has been investigated by a comparison of the primary structures of this enzyme in phylogenetically distant bacterial species, analysis of the sequences of mutant enzymes, and specific chemical modification of the Escherichia coli enzyme. A clone containing the gene for LGT, lgt, of the gram-positive species Staphylococcus aureus was isolated by complementation of the temperature-sensitive lgt mutant of E. coli (strain SK634) defective in LGT activity. In vivo and in vitro assays for prolipoprotein diacylglyceryl modification activity indicated that the complementing clone restored the prolipoprotein modification activity in the mutant strain. Sequence determination of the insert DNA revealed an open reading frame of 837 bp encoding a protein of 279 amino acids with a calculated molecular mass of 31.6 kDa. S. aureus LGT showed 24% identity and 47% similarity with E. coli, Salmonella typhimurium, and Haemophilus influenzae LGT.S. aureus LGT, while 12 amino acids shorter than the E. coli enzyme, had a hydropathic profile and a predicted pI (10.4) similar to those of the E. coli enzyme. Multiple sequence alignment among E. coli, S. typhimurium, H. influenzae, and S. aureus LGT proteins revealed regions of highly conserved amino acid sequences throughout the molecule. Three independent lgt mutant alleles from E. coli SK634, SK635, and SK636 and one lgt allele from S. typhimurium SE5221, all defective in LGT activity at the nonpermissive temperature, were cloned by PCR and sequenced. The mutant alleles were found to contain a single base alteration resulting in the substitution of a conserved amino acid. The longest set of identical amino acids without any gap was H-103-GGLIG-108 in LGT from these four microorganisms. In E. coli lgt mutant SK634, Gly-104 in this region was mutated to Ser, and the mutant organism was temperature sensitive in growth and exhibited low LGT activity in vitro. Diethylpyrocarbonate inactivated the E. coli LGT with a second-order rate constant of 18.6 M-1S-1, and the inactivation of LGT activity was reversed by hydroxylamine at pH 7. The inactivation kinetics were consistent with the modification of a single residue, His or Tyr, essential for LGT activity.
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Affiliation(s)
- H Y Qi
- Department of Microbiology and Immunology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799, USA
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Safavi A, Wang N, Razzouk A, Gan K, Sciolaro C, Wood M, Vyhmeister EE, Miranda R, Ahn C, Gundry SR. One-stage primary repair of distal esophageal perforation using fundic wrap. Am Surg 1995; 61:919-24. [PMID: 7668469] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Esophageal leak following primary repair of esophageal perforation is a serious complication that can lead to severe mediastinitis and sepsis. Complete diversion with esophageal exclusion or resection is designed to minimize further mediastinal contamination. However, this approach is not necessarily associated with less morbidity or mortality. Furthermore, a second stage operation is required to restore esophageal continuity. From 1986 to 1994, we performed a one-stage primary repair of the distal esophagus in seven patients with either iatrogenic (n = 5) or spontaneous (n = 2) perforations and reinforced the repair by a fundic wrap. One patient underwent an additional modified Heller myotomy for achalasia. Delay between perforation and operation was less than 6 hours in 3 patients, 6 to 24 hours in 2 patients, and greater than 24 hours in 2 patients. Only one patient (14%) developed a small esophageal leak that spontaneously resolved with adequate mediastinal drainage, intravenous antibiotics, and aggressive nutritional support. One patient (14%), whose repair was delayed by 12 hours, died postoperatively of profound sepsis. This patient was moribund from sepsis preoperatively, and postmortem examination of the esophagus revealed no evidence of esophageal leak. Esophageal continuity was maintained in all patients. The median length of stay was 21 days (range, 15-58 days). We conclude that primary reinforced repair of esophageal perforation using a fundic wrap is an effective method of treatment for distal esophageal perforation, even when the repair is delayed by more than 24 hours.
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Affiliation(s)
- A Safavi
- Department of Surgery, Loma Linda University of Medical Center, California 92354, USA
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Asada T, Kozawa S, Mukouhara N, Higami T, Obo H, Gan K, Iwahashi K. [Mitral valve repair for the treatment of ischemic mitral regurgitation]. Kyobu Geka 1995; 48:694-700. [PMID: 7643509] [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: 01/26/2023]
Abstract
Twenty-six patients with moderate and severe ischemic mitral regurgitation due to papillary muscle dysfunction underwent mitral valve replacement (MVR) or mitral annuloplasty (MAP) using modified Kay method. Emergent operation was performed in 12 patients of whom 11 had severe congestive heart failure even under IABP, 5 had cardiogenic shock and 9 needed respiratory care with intubation preoperatively. Elective operation was performed in 14 patients of whom 6 had history of congestive heart failure and 1 had episodes of ventricular tachycardia. As intraoperative findings of mitral valve, mural annular dilatation in 84.6%, prolapse of anterior leaflet in 23.1%, papillary muscle scar in 15.4%, chordal elongation in 15.4% and chordal rupture in 3.8% were seen separately or in combination. In 22 patients MAP using modified Kay method and CABG were performed, but in 4 patients MVR was needed because of the prominent prolapse of the anterior leaflet. Fourteen patients who underwent MAP with CABG and one MVR with CABG survived. Hospital mortality was higher in emergent (58.5%) than elective operation (28.6%). In the 15 survivors, mitral regurgitation decreased below Sellers 2, pulmonary wedge pressure decreased significantly (p < 0.01) and NYHA functional class improved to I or II postoperatively. During the follow up period of 15-100 (mean 38.7 +/- 21.6) months, 2 MAP+CABG patients died suddenly, but the remaining 13 patients were in NYHA class I or II and no progression of MR was seen. These results indicated that MAP+CABG is recommendable in the treatment of ischemic mitral regurgitation due to papillary muscle dysfunction, in order to preserve cardiac function and to reduce valve related complications.
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Affiliation(s)
- T Asada
- Division of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Japan
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Horner RL, Brooks D, Kozar LF, Gan K, Phillipson EA. Respiratory-related heart rate variability persists during central apnea in dogs: mechanisms and implications. J Appl Physiol (1985) 1995; 78:2003-13. [PMID: 7665392 DOI: 10.1152/jappl.1995.78.6.2003] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.2] [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: 01/26/2023] Open
Abstract
The aim of this study was to determine the mechanism(s) responsible for the persistence of respiratory sinus arrhythmia (RSA) during central apnea. In five awake dogs, heart rate (HR) was recorded during constant mechanical ventilation (MV) and during central apneas produced by cessation of MV. For each of 10 control ventilator cycles before MV was stopped, instantaneous HR was plotted against the time from the onset of lung inflation; the fundamental and first harmonic of a sine wave (at the ventilator frequency) was then fitted to the HR data. For the control cycles, the mean r2 from the curve fits was 0.57 +/- 0.07, showing that a significant component of the HR variability was linked to the ventilator cycle. After MV was stopped, RSA persisted and only by the third "phantom" ventilator cycle during apnea had the degree of fit consistently decreased compared with control dogs (P < 0.02). The persistence of ventilator-linked RSA at the onset of central apnea supports the concept of a "memory" in the respiratory system. Toward the end of central apnea, HR variability reappeared and had the periodicity and rhythmic profile of RSA on 81% of occasions. The presence of RSA-like activity toward the end of central apnea suggests that subthreshold rhythmic respiratory-related activity may be present even before the onset of detectable lung volume changes.
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Affiliation(s)
- R L Horner
- Department of Medicine, University of Toronto, Ontario, Canada
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Gan K, Sankaran K, Williams MG, Aldea M, Rudd KE, Kushner SR, Wu HC. The umpA gene of Escherichia coli encodes phosphatidylglycerol:prolipoprotein diacylglyceryl transferase (lgt) and regulates thymidylate synthase levels through translational coupling. J Bacteriol 1995; 177:1879-82. [PMID: 7896715 PMCID: PMC176820 DOI: 10.1128/jb.177.7.1879-1882.1995] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
Using a combination of biochemical, physical, and genetic techniques, we have shown that the umpA gene of Escherichia coli is allelic with the lgt (phosphatidylglycerol:prolipoprotein diacylglyceryl transferase) of Salmonella typhimurium. These genes are essential for the viability of the respective organism and exhibit 92.8% sequence identity at the amino acid level. In E. coli, lgt and thyA (thymidylate synthase) form an operon. Thymidylate synthase levels are regulated by transcription from the lgt promoter and by translational coupling.
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Affiliation(s)
- K Gan
- Department of Microbiology and Immunology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799
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49
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Sugimoto T, Ogawa K, Asada T, Mukohara N, Higami T, Obo H, Gan K, Kawamura T. Mitral valve repair using an annuloplasty ring made of artificial woven Dacron graft. Jpn Circ J 1995; 59:176-179. [PMID: 7602754 DOI: 10.1253/jcj.59.176] [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: 05/21/2023]
Abstract
A woven Dacron ring made of artificial graft was successfully used in combination with a modified Kay's annuloplasty for mitral valve repair. In this procedure, after excision and repair of the redundant prolapsed leaflets, Kay's annuloplasty was performed at both commissures to reduce the posterior annulus and to coapt the leaflets. A woven Dacron ring was then seated and tied to the annulus to provide long-term stabilization and prevent its further dilatation. The mitral orifice of the patient was reduced from 33 mm to 21 mm in diameter, and neither mitral regurgitation nor stenosis was found in the postoperative evaluation.
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Affiliation(s)
- T Sugimoto
- Division of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Japan
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Kawamura T, Ogawa K, Asada T, Mukihara N, Higami T, Sugimoto T, Oho H, Gan K, Kitano I, Izumi I. [Efficacy and limitation of intra-operative pace mapping in sustained ventricular tachycardia combined with giant left ventricular aneurysm]. Rinsho Kyobu Geka 1994; 14:450-1. [PMID: 9454311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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