1
|
Islam MZ, Räisänen SE, Schudel A, Wang K, He T, Kunz C, Li Y, Ma X, Serviento AM, Zeng Z, Wahl F, Zenobi R, Giannoukos S, Niu M. Exhalomics as a noninvasive method for assessing rumen fermentation in dairy cows: Can exhaled-breath metabolomics replace rumen sampling? J Dairy Sci 2024; 107:2099-2110. [PMID: 37949405 DOI: 10.3168/jds.2023-24124] [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: 09/05/2023] [Accepted: 10/20/2023] [Indexed: 11/12/2023]
Abstract
Previously, we used secondary electrospray ionization-mass spectrometry (SESI-MS) to investigate the diurnal patterns and signal intensities of exhaled (EX) volatile fatty acids (VFA) of dairy cows. The current study aimed to validate the potential of an exhalomics approach for evaluating rumen fermentation. The experiment was conducted in a switchback design, with 3 periods of 9 d each, including 7 d for adaptation and 2 d for sampling. Four rumen-cannulated original Swiss Brown (Braunvieh) cows were randomly assigned to 1 of 2 diet sequences (ABA or BAB): (A) low starch (LS; 6.31% starch on a dry matter basis) and (B) high starch (HS; 16.2% starch on a dry matter basis). Feeding was once per day at 0830 h. Exhalome (with the GreenFeed System), and rumen samples were collected 8 times to represent every 3 h of a day, and EX-VFA and ruminal (RM)-VFA were analyzed using SESI-MS and HPLC, respectively. Furthermore, the VFA concentration in the gas phase (HR-VFA) was predicted based on RM-VFA and Henry's Law (HR) constants. No interactions were identified between the types of diets (HS vs. LS) and the measurement methods on daily average VFA profiles (RM vs. EX or HR vs. EX), suggesting a consistent performance among the methods. Additionally, when the 3-h interval VFA data from HS and LS diets were analyzed separately, no interactions were observed between methods and time of day, indicating that the relative daily pattern of VFA molar proportions was similar regardless of the VFA measurement method used. The results revealed that the levels of acetate sharply increased immediately after feeding, trailed by an increase in the acetate:propionate ratio and a steady increase for propionate (2 h after feeding the HS diet, 4 h for LS), and butyrate. This change was more pronounced for the HS diet than the LS diet. However, there was no overall diet effect on the VFA molar proportions, although the measurement methods affected the molar proportions. Furthermore, we observed a strong positive correlation between the levels of RM and EX acetate for both diets (HS: r = 0.84; LS: r = 0.85), RM and EX propionate (r = 0.74), and RM and EX acetate:propionate ratio (r = 0.80). Both EX-VFA and RM-VFA exhibited similar responses to feeding and dietary treatments, suggesting that EX-VFA could serve as a useful proxy for characterizing RM-VFA molar proportions to evaluate rumen fermentation. Similar relationships were observed between RM-VFA and HR-VFA. In conclusion, this study underscores the potential of exhalomics as a reliable approach for assessing rumen fermentation. Moving forward, research should further explore the depth of exhalomics in ruminant studies to provide a comprehensive insight into rumen fermentation metabolites, especially across diverse dietary conditions.
Collapse
Affiliation(s)
- M Z Islam
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - S E Räisänen
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - A Schudel
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - K Wang
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - T He
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - C Kunz
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - Y Li
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - X Ma
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - A M Serviento
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - Z Zeng
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland
| | - F Wahl
- Food Microbial Systems Research Division, Agroscope, 3003 Bern, Switzerland
| | - R Zenobi
- Department of Chemistry and Applied Biosciences, Analytical Chemistry, ETH Zürich, 8093 Zürich, Switzerland
| | - S Giannoukos
- Department of Chemistry and Applied Biosciences, Analytical Chemistry, ETH Zürich, 8093 Zürich, Switzerland.
| | - M Niu
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, 8092 Zürich, Switzerland.
| |
Collapse
|
2
|
Wang K, Ruiz-González A, Räisänen SE, Ouellet V, Boucher A, Rico DE, Niu M. Dietary supplementation of vitamin D 3 and calcium partially recover the compromised time budget and circadian rhythm of lying behavior in lactating cows under heat stress. J Dairy Sci 2024; 107:1707-1718. [PMID: 37863290 DOI: 10.3168/jds.2023-23589] [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: 04/06/2023] [Accepted: 09/28/2023] [Indexed: 10/22/2023]
Abstract
Heat stress (HS) impedes cattle behavior and performance and is an animal comfort and welfare issue. The objective of this study was to characterize the time budget and circadian rhythm of lying behavior in dairy cows during HS and to assess the effect of dietary supplementation of vitamin D3 and Ca. Twelve multiparous Holstein cows (42.2 ± 5.6 kg milk/d; 83 ± 27 d in milk) housed in tiestalls were used in a split-plot design with the concentration of dietary vitamin E and Se as main plots (LESe: 11.1 IU/kg and 0.55 mg/kg, and HESe: 223 IU/kg and 1.8 mg/kg, respectively). Within each plot cows were randomly assigned to (1) HS with low concentrations of vitamin D3 and Ca (HS, 1,012 IU/kg and 0.73%, respectively), (2) HS with high concentrations of vitamin D3 and Ca (HS+D3/Ca; 3,764 IU/kg and 0.97%, respectively), or (3) thermoneutral pair-fed (TNPF) with low concentrations of vitamin D3 and Ca (1,012 IU/kg and 0.73%, respectively) in a Latin square design with 14-d periods and 7-d washouts. Lying behavior was measured with HOBO Loggers in 15-min intervals. Overall, cows in HS spent less time lying per day relative to TNPF from d 7 to 14. Daily lying time was positively correlated with milk yield, energy-corrected milk yield, and feed efficiency, and was negatively correlated with rectal temperature, respiratory rate, fecal calprotectin, tumor necrosis factor-α, and C-reactive protein. A treatment by time interaction was observed for lying behavior: the time spent lying was lesser for cows in HS than in TNPF in the early morning (0000-0600 h) and in the night (1800-2400 h). The circadian rhythm of lying behavior was characterized by fitting a cosine function of time into linear mixed model. Daily rhythmicity of lying was detected for cows in TNPF and HS+D3/Ca, whereas only a tendency in HS cows was observed. Cows in TNPF had the highest mesor (the average level of diurnal fluctuations; 34.2 min/h) and amplitude (the distance between the peak and mesor; 17.9 min/h). Both the mesor and amplitude were higher in HS+D3/Ca relative to HS (26.6 vs. 25.2 min/h and 3.91 min/h vs. 2.18 min/h, respectively). The acrophase (time of the peak) of lying time in TNPF, HS, and HS+D3/Ca were 0028, 0152, and 0054 h, respectively. Lastly, a continuous increase in daily lying time in TNPF was observed during the first 4 d of the experimental period in which DMI was gradually restricted, suggesting that intake restrictions may shift feeding behavior and introduce biases in the behavior of animals. In conclusion, lying behavior was compromised in dairy cows under HS, characterizing reduced daily lying time and disrupted circadian rhythms, and the compromised lying behavior can be partially restored by supplementation of vitamin D3 and Ca. Further research may be required for a more suitable model to study behavior of cows under HS.
Collapse
Affiliation(s)
- K Wang
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, Zürich 8092, Switzerland
| | - A Ruiz-González
- Centre de Recherche en Sciences Animales de Deschambault (CRSAD), Deschambault, QC, G0A 1S0, Canada; Département des Sciences Animales, Université Laval, Québec, QC, G1V 0A6, Canada
| | - S E Räisänen
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, Zürich 8092, Switzerland
| | - V Ouellet
- Département des Sciences Animales, Université Laval, Québec, QC, G1V 0A6, Canada
| | - A Boucher
- Département des Sciences Animales, Université Laval, Québec, QC, G1V 0A6, Canada
| | - D E Rico
- Centre de Recherche en Sciences Animales de Deschambault (CRSAD), Deschambault, QC, G0A 1S0, Canada.
| | - M Niu
- Department of Environmental Systems Science, Institute of Agricultural Sciences, ETH Zürich, Zürich 8092, Switzerland.
| |
Collapse
|
3
|
Wang JT, Li L, Niu M, Zhu QL, Zhao ZW, Kotani K, Yamamoto A, Zhang HJ, Li SX, Xu D, Kang N, Li XG, Zhang KP, Sun J, Wu FZ, Zhang HL, Liu DX, Lyu MH, Ji JS, Kawada N, Xu K, Qi XL. [HVPG minimally invasive era: exploration based on forearm venous approach]. Zhonghua Gan Zang Bing Za Zhi 2024; 32:35-39. [PMID: 38320789 DOI: 10.3760/cma.j.cn501113-20231220-00289] [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] [Subscribe] [Scholar Register] [Indexed: 02/15/2024]
Abstract
Objective: The transjugular or transfemoral approach is used as a common method for hepatic venous pressure gradient (HVPG) measurement in current practice. This study aims to confirm the safety and effectiveness of measuring HVPG via the forearm venous approach. Methods: Prospective recruitment was conducted for patients with cirrhosis who underwent HVPG measurement via the forearm venous approach at six hospitals in China and Japan from September 2020 to December 2020. Patients' clinical baseline information and HVPG measurement data were collected. The right median cubital vein or basilic vein approach for all enrolled patients was selected. The HVPG standard process was used to measure pressure. Research data were analyzed using SPSS 22.0 statistical software. Quantitative data were used to represent medians (interquartile ranges), while qualitative data were used to represent frequency and rates. The correlation between two sets of data was analyzed using Pearson correlation analysis. Results: A total of 43 cases were enrolled in this study. Of these, 41 (95.3%) successfully underwent HVPG measurement via the forearm venous approach. None of the patients had any serious complications. The median operation time for HVPG detection via forearm vein was 18.0 minutes (12.3~38.8 minutes). This study confirmed that HVPG was positively closely related to Child-Pugh score (r = 0.47, P = 0.002), albumin-bilirubin score (r = 0.37, P = 0.001), Lok index (r = 0.36, P = 0.02), liver stiffness (r = 0.58, P = 0.01), and spleen stiffness (r = 0.77, P = 0.01), while negatively correlated with albumin (r = -0.42, P = 0.006). Conclusion: The results of this multi-centre retrospective study suggest that HVPG measurement via the forearm venous approach is safe and feasible.
Collapse
Affiliation(s)
- J T Wang
- Hebei Province Key Laboratory of Hepatocirrhosis and Portal Hypertension, Xingtai People's Hospital Affiliated to Hebei Medical University, Xingtai 054000, China
| | - L Li
- Interventional Department, Lanzhou University First Hospital, Lanzhou 730000, China
| | - M Niu
- Interventional Department, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
| | - Q L Zhu
- Department of Gastroenterology, Affiliated Hospital of Southwest Medical University, Lanzhou 646000, China
| | - Z W Zhao
- Interventional Diagnosis and Treatment Center, Lishui Central Hospital,Lishui 323000, China
| | - K Kotani
- Department of Hepatology, Osaka Municipal University Hospital, Osaka City, Japan
| | - A Yamamoto
- Department of Interventional Radiology, Faculty of Medicine, Osaka City University, Osaka City, Japan
| | - H J Zhang
- Interventional Department, Lanzhou University First Hospital, Lanzhou 730000, China
| | - S X Li
- Interventional Department, Lanzhou University First Hospital, Lanzhou 730000, China
| | - D Xu
- Interventional Department, Lanzhou University First Hospital, Lanzhou 730000, China
| | - N Kang
- Interventional Department, Lanzhou University First Hospital, Lanzhou 730000, China
| | - X G Li
- Interventional Department, Lanzhou University First Hospital, Lanzhou 730000, China
| | - K P Zhang
- Hebei Province Key Laboratory of Hepatocirrhosis and Portal Hypertension, Xingtai People's Hospital Affiliated to Hebei Medical University, Xingtai 054000, China
| | - J Sun
- Interventional Department, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
| | - F Z Wu
- Interventional Diagnosis and Treatment Center, Lishui Central Hospital,Lishui 323000, China
| | - H L Zhang
- Interventional Diagnosis and Treatment Center, Lishui Central Hospital,Lishui 323000, China
| | - D X Liu
- Hebei Province Key Laboratory of Hepatocirrhosis and Portal Hypertension, Xingtai People's Hospital Affiliated to Hebei Medical University, Xingtai 054000, China
| | - M H Lyu
- Department of Gastroenterology, Affiliated Hospital of Southwest Medical University, Lanzhou 646000, China
| | - J S Ji
- Interventional Diagnosis and Treatment Center, Lishui Central Hospital,Lishui 323000, China
| | - N Kawada
- Department of Hepatology, Osaka Municipal University Hospital, Osaka City, Japan
| | - K Xu
- Interventional Department, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
| | - X L Qi
- Portal Hypertension Centers, Southeast University Affiliated Zhongda Hospital, Nanjing 210009,China
| |
Collapse
|
4
|
Islam MZ, Giannoukos S, Räisänen SE, Wang K, Ma X, Wahl F, Zenobi R, Niu M. Exhaled volatile fatty acids, ruminal methane emission, and their diurnal patterns in lactating dairy cows. J Dairy Sci 2023; 106:6849-6859. [PMID: 37210352 DOI: 10.3168/jds.2023-23301] [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: 01/25/2023] [Accepted: 04/08/2023] [Indexed: 05/22/2023]
Abstract
To date, the commonly used methods to assess rumen fermentation are invasive. Exhaled breath contains hundreds of volatile organic compounds (VOC) that can reflect animal physiological processes. In the present study, for the first time, we aimed to use a noninvasive metabolomics approach based on high-resolution mass spectrometry to identify rumen fermentation parameters in dairy cows. Enteric methane (CH4) production from 7 lactating cows was measured 8 times over 3 consecutive days using the GreenFeed system (C-Lock Technology Inc.). Simultaneously, exhalome samples were collected in Tedlar gas sampling bags and analyzed offline using a secondary electrospray ionization high-resolution mass spectrometry system. In total, 1,298 features were detected, among them targeted exhaled volatile fatty acids (eVFA; i.e., acetate, propionate, butyrate), which were putatively annotated using their exact mass-to-charge ratio. The intensity of eVFA, in particular acetate, increased immediately after feeding and followed a similar pattern to that observed for ruminal CH4 production. The average total eVFA concentration was 35.5 count per second (CPS), and among the individual eVFA, acetate had the greatest concentration, averaging 21.3 CPS, followed by propionate at 11.5 CPS, and butyrate at 2.67 CPS. Further, exhaled acetate was on average the most abundant of the individual eVFA at around 59.3%, followed by 32.5 and 7.9% of the total eVFA for propionate and butyrate, respectively. This corresponds well with the previously reported proportions of these VFA in the rumen. The diurnal patterns of ruminal CH4 emission and individual eVFA were characterized using a linear mixed model with cosine function fit. The model characterized similar diurnal patterns for eVFA and ruminal CH4 and H2 production. Regarding the diurnal patterns of eVFA, the phase (time of peak) of butyrate occurred first, followed by that of acetate and propionate. Importantly, the phase of total eVFA occurred around 1 h before that of ruminal CH4. This corresponds well with existing data on the relationship between rumen VFA production and CH4 formation. Results from the present study revealed a great potential to assess the rumen fermentation of dairy cows using exhaled metabolites as a noninvasive proxy for rumen VFA. Further validation, with comparisons to rumen fluid, and establishment of the proposed method are required.
Collapse
Affiliation(s)
- M Z Islam
- ETH Zürich, Department of Environmental Systems Science, Institute of Agricultural Sciences, 8092 Zürich, Switzerland
| | - S Giannoukos
- ETH Zürich, Department of Chemistry and Applied Biosciences, Analytical Chemistry, 8093 Zürich, Switzerland.
| | - S E Räisänen
- ETH Zürich, Department of Environmental Systems Science, Institute of Agricultural Sciences, 8092 Zürich, Switzerland
| | - K Wang
- ETH Zürich, Department of Environmental Systems Science, Institute of Agricultural Sciences, 8092 Zürich, Switzerland
| | - X Ma
- ETH Zürich, Department of Environmental Systems Science, Institute of Agricultural Sciences, 8092 Zürich, Switzerland
| | - F Wahl
- Food Microbial Systems Research Division, Agroscope, 3003 Bern, Switzerland
| | - R Zenobi
- ETH Zürich, Department of Chemistry and Applied Biosciences, Analytical Chemistry, 8093 Zürich, Switzerland
| | - M Niu
- ETH Zürich, Department of Environmental Systems Science, Institute of Agricultural Sciences, 8092 Zürich, Switzerland.
| |
Collapse
|
5
|
Wu ZY, Lu XM, Liu R, Han YX, Qian HY, Zhao Q, Niu M. Impaired Skeletal Muscle in Patients with Stable Chronic Obstructive Pulmonary Disease (COPD) Compared with Non-COPD Patients. Int J Chron Obstruct Pulmon Dis 2023; 18:1525-1532. [PMID: 37489239 PMCID: PMC10363356 DOI: 10.2147/copd.s396728] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Accepted: 07/03/2023] [Indexed: 07/26/2023] Open
Abstract
Purpose This study was designed to investigate the differences in skeletal-muscle atrophy between patients with stable chronic obstructive pulmonary disease (COPD) and healthy controls; associated factors were also considered. The study comprised selected residents of communities near the First Affiliated Hospital of Soochow University in Suzhou City, East China. Patients and Methods Included in this study were 123 COPD patients and 60 controls. All patients completed spirometry as well as examinations to determine their functional exercise capacity, body composition, and handgrip strength (HGS). Results COPD patients had less fat-free mass (FFM), a lower FFM index (FFMI), and a lower 6-min walking distance (6MWD) compared with controls (P = 0.007, P = 0.020, and P < 0.001, respectively) (FFMI: 17.59 ± 1.83 vs 18.34 ± 1.64). The HGS of these patients was also lower compared with that of controls (32.88 ± 7.84 vs 35.48 ± 7.42), and HGS tended toward statistical significance (P = 0.064, respectively). In multivariate analysis, age (β = -0.107, P < 0.001), gender (β = 0.212, P < 0.001), body mass index (BMI) (β = 0.462, P < 0.001), FEV1% (β = 0.108, P = 0.009), and calf circumference (CC) (β = 0.457, P < 0.001) were significantly associated with FFMI. Conclusion Impaired skeletal muscle mass was more common in COPD patients than in controls. Multiple regression analysis showed that CC may be used to detect the degree of impairment, particularly by health-care providers working outside of the hospital.
Collapse
Affiliation(s)
- Zhen-Yun Wu
- Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, People’s Republic of China
| | - Xiang-Min Lu
- School of Nursing, Suzhou Medical College of Soochow University, Suzhou, People’s Republic of China
| | - Rui Liu
- Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, People’s Republic of China
| | - Yan-Xia Han
- Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, People’s Republic of China
| | - Hong-Ying Qian
- Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, People’s Republic of China
| | - Qian Zhao
- Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, People’s Republic of China
| | - Mei’e Niu
- Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, People’s Republic of China
| |
Collapse
|
6
|
Zhang MJ, Xu ZK, Zong L, Wang J, Wang B, Qi SM, Wang HN, Niu M, Cui P, Hu WQ. [Research progress in anti-reflux reconstructions and mechanism after proximal gastrectomy]. Zhonghua Wei Chang Wai Ke Za Zhi 2023; 26:499-504. [PMID: 37217358 DOI: 10.3760/cma.j.cn441530-20221227-00547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
The electrophysiological activity of the gastrointestinal tract and the mechanical anti-reflux structure of the gastroesophageal junction are the basis of the anti-reflux function of the stomach. Proximal gastrectomy destroys the mechanical structure and normal electrophysiological channels of the anti-reflux. Therefore, the residual gastric function is disordered. Moreover, gastroesophageal reflux is one of the most serious complications. The emergence of various types of anti-reflux surgery through the mechanism of reconstructing mechanical anti-reflux barrier and establishing buffer zone, and the preservation of, the pacing area and vagus nerve of the stomach, the continuity of the jejunal bowel, the original gastroenteric electrophysiological activity of the gastrointestinal tract, and the physiological function of the pyloric sphincter, are all important measures for gastric conservative operations. There are many types of reconstructive approaches after proximal gastrectomy. The design based on the anti-reflux mechanism and the functional reconstruction of mechanical barrier, and the protection of gastrointestinal electrophysiological activities are important considerations for the selected of reconstructive approaches after proximal gastrectomy. In clinical practice, we should consider the principle of individualization and the safety of radical resection of tumor to select a rational reconstructive approaches after proximal gastrectomy.
Collapse
Affiliation(s)
- M J Zhang
- Graduate Department of Changzhi Medical College, Changzhi 046000, China
| | - Z K Xu
- Graduate Department of Changzhi Medical College, Changzhi 046000, China
| | - L Zong
- Clinical Medical Research Center for Malignant Tumor (Esophagogastric Junction Cancer) ,Changzhi 046000, China Department of gastrointestinal Surgery, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China
| | - J Wang
- Clinical Medical Research Center for Malignant Tumor (Esophagogastric Junction Cancer) ,Changzhi 046000, China
| | - B Wang
- Graduate Department of Changzhi Medical College, Changzhi 046000, China
| | - S M Qi
- Clinical Medical Research Center for Malignant Tumor (Esophagogastric Junction Cancer) ,Changzhi 046000, China
| | - H N Wang
- Graduate Department of Changzhi Medical College, Changzhi 046000, China
| | - M Niu
- Clinical Medical Research Center for Malignant Tumor (Esophagogastric Junction Cancer) ,Changzhi 046000, China
| | - P Cui
- Clinical Medical Research Center for Malignant Tumor (Esophagogastric Junction Cancer) ,Changzhi 046000, China Department of gastrointestinal Surgery, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China
| | - W Q Hu
- Clinical Medical Research Center for Malignant Tumor (Esophagogastric Junction Cancer) ,Changzhi 046000, China Department of gastrointestinal Surgery, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China
| |
Collapse
|
7
|
Bougouin A, Hristov A, Dijkstra J, Aguerre MJ, Ahvenjärvi S, Arndt C, Bannink A, Bayat AR, Benchaar C, Boland T, Brown WE, Crompton LA, Dehareng F, Dufrasne I, Eugène M, Froidmont E, van Gastelen S, Garnsworthy PC, Halmemies-Beauchet-Filleau A, Herremans S, Huhtanen P, Johansen M, Kidane A, Kreuzer M, Kuhla B, Lessire F, Lund P, Minnée EMK, Muñoz C, Niu M, Nozière P, Pacheco D, Prestløkken E, Reynolds CK, Schwarm A, Spek JW, Terranova M, Vanhatalo A, Wattiaux MA, Weisbjerg MR, Yáñez-Ruiz DR, Yu Z, Kebreab E. Prediction of nitrogen excretion from data on dairy cows fed a wide range of diets compiled in an intercontinental database: A meta-analysis. J Dairy Sci 2022; 105:7462-7481. [PMID: 35931475 DOI: 10.3168/jds.2021-20885] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 04/03/2022] [Indexed: 11/19/2022]
Abstract
Manure nitrogen (N) from cattle contributes to nitrous oxide and ammonia emissions and nitrate leaching. Measurement of manure N outputs on dairy farms is laborious, expensive, and impractical at large scales; therefore, models are needed to predict N excreted in urine and feces. Building robust prediction models requires extensive data from animals under different management systems worldwide. Thus, the study objectives were (1) to collate an international database of N excretion in feces and urine based on individual lactating dairy cow data from different continents; (2) to determine the suitability of key variables for predicting fecal, urinary, and total manure N excretion; and (3) to develop robust and reliable N excretion prediction models based on individual data from lactating dairy cows consuming various diets. A raw data set was created based on 5,483 individual cow observations, with 5,420 fecal N excretion and 3,621 urine N excretion measurements collected from 162 in vivo experiments conducted by 22 research institutes mostly located in Europe (n = 14) and North America (n = 5). A sequential approach was taken in developing models with increasing complexity by incrementally adding variables that had a significant individual effect on fecal, urinary, or total manure N excretion. Nitrogen excretion was predicted by fitting linear mixed models including experiment as a random effect. Simple models requiring dry matter intake (DMI) or N intake performed better for predicting fecal N excretion than simple models using diet nutrient composition or milk performance parameters. Simple models based on N intake performed better for urinary and total manure N excretion than those based on DMI, but simple models using milk urea N (MUN) and N intake performed even better for urinary N excretion. The full model predicting fecal N excretion had similar performance to simple models based on DMI but included several independent variables (DMI, diet crude protein content, diet neutral detergent fiber content, milk protein), depending on the location, and had root mean square prediction errors as a fraction of the observed mean values of 19.1% for intercontinental, 19.8% for European, and 17.7% for North American data sets. Complex total manure N excretion models based on N intake and MUN led to prediction errors of about 13.0% to 14.0%, which were comparable to models based on N intake alone. Intercepts and slopes of variables in optimal prediction equations developed on intercontinental, European, and North American bases differed from each other, and therefore region-specific models are preferred to predict N excretion. In conclusion, region-specific models that include information on DMI or N intake and MUN are required for good prediction of fecal, urinary, and total manure N excretion. In absence of intake data, region-specific complex equations using easily and routinely measured variables to predict fecal, urinary, or total manure N excretion may be used, but these equations have lower performance than equations based on intake.
Collapse
Affiliation(s)
- A Bougouin
- Department of Animal Science, University of California, Davis 95616.
| | - A Hristov
- Department of Animal Science, The Pennsylvania State University, University Park 16803
| | - J Dijkstra
- Animal Nutrition Group, Wageningen University and Research, 6700 AH Wageningen, the Netherlands
| | - M J Aguerre
- Department of Animal and Veterinary Sciences, Clemson University, Clemson, SC 29634
| | - S Ahvenjärvi
- Animal Nutrition, Production Systems, Natural Resources Institute Finland (Luke), FI-31600 Jokioinen, Finland
| | - C Arndt
- Mazingira Centre, International Livestock Research Institute (ILRI), 00100 Nairobi, Kenya
| | - A Bannink
- Wageningen Livestock Research, Wageningen University and Research, 6700 AH Wageningen, the Netherlands
| | - A R Bayat
- Animal Nutrition, Production Systems, Natural Resources Institute Finland (Luke), FI-31600 Jokioinen, Finland
| | - C Benchaar
- Sherbrooke Research and Development Centre, Agriculture and Agri-Food Canada, Sherbrooke, Quebec, Canada J1M 0C8
| | - T Boland
- School of Agriculture and Food Science, University College Dublin, Belfield, Dublin 4, Ireland
| | - W E Brown
- Department of Animal and Dairy Sciences, University of Wisconsin-Madison 53706-1205; Department of Animal Sciences, The Ohio State University, Columbus 43210
| | - L A Crompton
- School of Agriculture, Policy and Development, University of Reading, Reading RG6 6AR, United Kingdom
| | - F Dehareng
- Department of Valorisation of Agricultural Products, Walloon Agricultural Research Centre, 5030 Gembloux, Belgium
| | - I Dufrasne
- Department of Veterinary Management of Animal Resources, Faculty of Veterinary Medicine, Fundamental and Applied Research for Animal and Health (FARAH), University of Liège, 4000 Liège, Belgium
| | - M Eugène
- INRAE - Université Clermont Auvergne - VetAgroSup UMR 1213 Unité Mixte de Recherche sur les Herbivores, Centre de recherche Auvergne-Rhône-Alpes, Theix, 63122 Saint-Genès-Champanelle, France
| | - E Froidmont
- Department of Valorisation of Agricultural Products, Walloon Agricultural Research Centre, 5030 Gembloux, Belgium
| | - S van Gastelen
- Wageningen Livestock Research, Wageningen University and Research, 6700 AH Wageningen, the Netherlands
| | - P C Garnsworthy
- School of Biosciences, University of Nottingham, Loughborough LE12 5RD, United Kingdom
| | - A Halmemies-Beauchet-Filleau
- Faculty of Agriculture and Forestry, Department of Agricultural Sciences, University of Helsinki, 00014 Helsinki, Finland
| | - S Herremans
- Department of Valorisation of Agricultural Products, Walloon Agricultural Research Centre, 5030 Gembloux, Belgium
| | - P Huhtanen
- Department of Agricultural Science for Northern Sweden, Swedish University of Agricultural Sciences, SE-901 83, Umeå, Sweden
| | - M Johansen
- Department of Animal Science, Aarhus University, AU Foulum, Dk-8830 Tjele, Denmark
| | - A Kidane
- Department of Animal and Aquacultural Sciences, Norwegian University of Life Sciences, 1433 Ås, Norway
| | - M Kreuzer
- Institute of Agricultural Sciences, ETH Zurich, 8092 Zurich, Switzerland
| | - B Kuhla
- Institute for Farm Animal Biology (FBN), Institute of Nutritional Physiology "Oskar Kellner," Dummerstorf, Mecklenburg-Vorpommern, Germany
| | - F Lessire
- Department of Veterinary Management of Animal Resources, Faculty of Veterinary Medicine, Fundamental and Applied Research for Animal and Health (FARAH), University of Liège, 4000 Liège, Belgium
| | - P Lund
- Department of Animal Science, Aarhus University, AU Foulum, Dk-8830 Tjele, Denmark
| | - E M K Minnée
- DairyNZ Ltd., Private Bag 3221, Hamilton, New Zealand 3240
| | - C Muñoz
- Instituto de Investigaciones Agropecuarias, INIA Remehue, Ruta 5 S, Osorno, Chile
| | - M Niu
- Department of Animal Science, University of California, Davis 95616; Institute of Agricultural Sciences, ETH Zurich, 8092 Zurich, Switzerland
| | - P Nozière
- INRAE - Université Clermont Auvergne - VetAgroSup UMR 1213 Unité Mixte de Recherche sur les Herbivores, Centre de recherche Auvergne-Rhône-Alpes, Theix, 63122 Saint-Genès-Champanelle, France
| | - D Pacheco
- Ag Research, Palmerston North 4410, New Zealand
| | - E Prestløkken
- Department of Animal and Aquacultural Sciences, Norwegian University of Life Sciences, 1433 Ås, Norway
| | - C K Reynolds
- School of Agriculture, Policy and Development, University of Reading, Reading RG6 6AR, United Kingdom
| | - A Schwarm
- Department of Animal and Aquacultural Sciences, Norwegian University of Life Sciences, 1433 Ås, Norway
| | - J W Spek
- Wageningen Livestock Research, Wageningen University and Research, 6700 AH Wageningen, the Netherlands
| | - M Terranova
- AgroVet-Strickhof, ETH Zurich, 8315 Lindau, Switzerland
| | - A Vanhatalo
- Faculty of Agriculture and Forestry, Department of Agricultural Sciences, University of Helsinki, 00014 Helsinki, Finland
| | - M A Wattiaux
- Department of Animal and Dairy Sciences, University of Wisconsin-Madison 53706-1205
| | - M R Weisbjerg
- Department of Animal Science, Aarhus University, AU Foulum, Dk-8830 Tjele, Denmark
| | - D R Yáñez-Ruiz
- Estación Experimental del Zaidin, CSIC, 1, 18008 Granada, Spain
| | - Z Yu
- Department of Animal Sciences, The Ohio State University, Columbus 43210
| | - E Kebreab
- Department of Animal Science, University of California, Davis 95616
| |
Collapse
|
8
|
Zhang W, Liu FQ, Zhang LP, Ding HG, Zhuge YZ, Wang JT, Li L, Wang GC, Wu H, Li H, Cao GH, Lu XF, Kong DR, Sun L, Wu W, Sun JH, Liu JT, Zhu H, Li DL, Guo WH, Xue H, Wang Y, Gengzang CJC, Zhao T, Yuan M, Liu SR, Huan H, Niu M, Li X, Ma J, Zhu QL, Guo WW, Zhang KP, Zhu XL, Huang BR, Li JN, Wang WD, Yi HF, Zhang Q, Gao L, Zhang G, Zhao ZW, Xiong K, Wang ZX, Shan H, Li MS, Zhang XQ, Shi HB, Hu XG, Zhu KS, Zhang ZG, Jiang H, Zhao JB, Huang MS, Shen WY, Zhang L, Xie F, Li ZW, Hou CL, Hu SJ, Lu JW, Cui XD, Lu T, Yang SS, Liu W, Shi JP, Lei YM, Bao JL, Wang T, Ren WX, Zhu XL, Wang Y, Yu L, Yu Q, Xiang HL, Luo WW, Qi XL. [Status of HVPG clinical application in China in 2021]. Zhonghua Gan Zang Bing Za Zhi 2022; 30:637-643. [PMID: 36038326 DOI: 10.3760/cma.j.cn501113-20220302-00093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: The investigation and research on the application status of Hepatic Venous Pressure Gradient (HVPG) is very important to understand the real situation and future development of this technology in China. Methods: This study comprehensively investigated the basic situation of HVPG technology in China, including hospital distribution, hospital level, annual number of cases, catheters used, average cost, indications and existing problems. Results: According to the survey, there were 70 hospitals in China carrying out HVPG technology in 2021, distributed in 28 provinces (autonomous regions and municipalities directly under the central Government). A total of 4 398 cases of HVPG were performed in all the surveyed hospitals in 2021, of which 2 291 cases (52.1%) were tested by HVPG alone. The average cost of HVPG detection was (5 617.2±2 079.4) yuan. 96.3% of the teams completed HVPG detection with balloon method, and most of the teams used thrombectomy balloon catheter (80.3%). Conclusion: Through this investigation, the status of domestic clinical application of HVPG has been clarified, and it has been confirmed that many domestic medical institutions have mastered this technology, but it still needs to continue to promote and popularize HVPG technology in the future.
Collapse
Affiliation(s)
- W Zhang
- Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
| | - F Q Liu
- Department of Interventional Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
| | - L P Zhang
- Department of Radiology,Third Hospital of Taiyuan, Taiyuan 030012, China
| | - H G Ding
- Liver Disease Digestive Center,Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
| | - Y Z Zhuge
- Digestive Department,Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing 210008, China
| | - J T Wang
- Department of Hepatobiliary Surgery, Xingtai People's Hospital, Xingtai 054001, China
| | - L Li
- Department of Interventional Radiology, the First Hospital of Lanzhou University, Lanzhou 730013, China
| | - G C Wang
- Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
| | - H Wu
- Digestive Department, West China Hospital, Sichuan University, Chengdu 610044, China
| | - H Li
- Institute of Hepatology and Department of Infectious Disease, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - G H Cao
- Department of Radiology, Shulan Hospital, Hangzhou 310022, China
| | - X F Lu
- Digestive Department, West China Hospital, Sichuan University, Chengdu 610044, China
| | - D R Kong
- Digestive Department, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
| | - L Sun
- Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325001, China
| | - W Wu
- Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325001, China
| | - J H Sun
- Hepatobiliary and Pancreatic Intervention Center , the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
| | - J T Liu
- Digestive Department,Hainan Hospital of Chinese PLA General Hospital, Sanya 572013, China
| | - H Zhu
- The 1 st Department of Interventional Radiology, the Sixth People's Hospital of Shenyang, Shenyang 110006, China
| | - D L Li
- No. 900 Hospital of the Joint Logistic Support Force, Fuzhou 350025, China
| | - W H Guo
- Department of Interventional Radiology, Meng Chao Hepatobiliary Hospital of Fujian Medical University, Fuzhou 350025, China
| | - H Xue
- Digestive Department, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
| | - Y Wang
- Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - C J C Gengzang
- Department of Interventional Radiology, the Fourth People's Hospital of Qinghai Province, Xining 810007, China
| | - T Zhao
- Department of Radiology,Sir Run Shaw Hospital, Zhejiang University, Hangzhou 310016, China
| | - M Yuan
- Department of Interventional Radiology Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China
| | - S R Liu
- Department of Infectious Disease,Qufu People's Hospital, Qufu 273199, China
| | - H Huan
- Digestive Department, Chengdu Office Hospital of Tibet Autonomous Region People's Government, Chengdu 610041, China
| | - M Niu
- Department of Interventional Radiology, the First Affiliated Hospital of China Medical University, Shenyang 110001, China
| | - X Li
- Department of Radiology,Tianjin Second People's Hospital, Tianjin 300192, China
| | - J Ma
- Department of Interventional Vascular Surgerg, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan 750002, China
| | - Q L Zhu
- Digestive Department,the Affiliated Hospital of Southwest Medical University, Luzhou 646099, China
| | - W W Guo
- Department of Interventional Radiology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
| | - K P Zhang
- Department of Hepatobiliary Surgery, Xingtai People's Hospital, Xingtai 054001, China
| | - X L Zhu
- Department of Surgery, the First Hospital of Lanzhou University, Lanzhou 730013, China
| | - B R Huang
- Department of Interventional Vascular Surgery,Jingzhou First People's Hospital, Jingzhou, China
| | - J N Li
- Liver Diseases Department,Jiamusi Infectious Disease Hospital, Jiamusi 154015, China
| | - W D Wang
- Hepatobiliary, Pancreatic and Spleen Surgery Department,Shunde Hospital, Southern Medical University, Foshan 528427, China
| | - H F Yi
- Digestive Department,Wuhan First Hospital, Wuhan 430030, China
| | - Q Zhang
- Interventional Vascular Surgery Department, Affiliated Zhongda Hospital of Southeast University, Nanjing 210009, China
| | - L Gao
- Oncology and Vascular Interventional Department, First Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - G Zhang
- Digestive Department, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530016, China
| | - Z W Zhao
- Department of Interventional Radiology, Lishui Municipal Central Hospital, Zhejiang University School of Medicine, Lishui 323030, China
| | - K Xiong
- Digestive Department, the Second Affiliated Hospital of Nanchang University, Nanchang 330008, China
| | - Z X Wang
- Inner Mongolia Medical University Affiliated Hospital, Hohhot 010050, China
| | - H Shan
- Interventional Medicine Center, the Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai 519000, China
| | - M S Li
- Department of Endovascular Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - X Q Zhang
- Digestive Department, the Second Hospital of Hebei Medical University, Shijiazhuang 050004, China
| | - H B Shi
- Department of Interventional Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - X G Hu
- Interventional Radiology Department,Jinhua Municipal Central Hospital, Jinhua 321099, China
| | - K S Zhu
- Interventional Radiology Department, the Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510260, China
| | - Z G Zhang
- Department of Liver Surgery,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
| | - H Jiang
- Infectious Disease Department,Second Affiliated Hospital, Military Medical University of the Air Force, Xi'an 710038, China
| | - J B Zhao
- Department of Vascular and Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - M S Huang
- Interventional Radiology Department, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510000, China
| | - W Y Shen
- Digestive Department,Fuling Hospital Affiliated to Chongqing University, Chongqing 400030, China
| | - L Zhang
- Hepatobiliary Pancreatic Center,Tsinghua Changgung Hospital, Beijing 102200, China
| | - F Xie
- Function Department,Lanzhou Second People's Hospital, Lanzhou 730030, China
| | - Z W Li
- Hepatobiliary Surgery Department,Shenzhen Third People's Hospital, Shenzhen518112, China
| | - C L Hou
- Department of Interventional Radiology, the First Affiliated Hospital of USTC, Hefei 230001, China
| | - S J Hu
- Digestive Department,People's Hospital of Ningxia Hui Autonomous Region, Yinchuan 750002, China
| | - J W Lu
- Department of Interventional Radiology, Qufu People's Hospital, Qufu 273199, China
| | - X D Cui
- Department of Interventional Radiology, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530016, China
| | - T Lu
- Department of Gastroenterology, Yangquan Third People's Hospital, Yangquan 045099,China
| | - S S Yang
- Department of Gastroenterology, General Hospital of Ningxia Medical University , Yinchuan 750003, China
| | - W Liu
- Department of Interventional Radiology, Lishui People's Hospital, Zhejiang Province, Lishui 323050, China
| | - J P Shi
- Department of Liver Diseases, Affiliated Hospital of Hangzhou Normal University, Hangzhou 310015, China
| | - Y M Lei
- Interventional Radiology Department, People's Hospital of Tibet Autonomous Region, Lhasa 850001, China
| | - J L Bao
- Department of Gastroenterology, Shannan people's Hospital,Shannan 856004, China
| | - T Wang
- Department of Interventional Radiology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai 264099,China
| | - W X Ren
- Interventional Treatment Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011,China
| | - X L Zhu
- Interventional Radiology Department, the First Affiliated Hospital of Suzhou University, Suzhou 215006, China
| | - Y Wang
- Department of Interventional Vascular Surgery, the Second Affiliated Hospital of Hainan Medical College, Haikou 570216, China
| | - L Yu
- Department of Interventional Radiology, Sanming First Hospital Affiliated to Fujian Medical University,Sanming 365001,China
| | - Q Yu
- Interventional Radiology Department, Fifth Medical Center of PLA General Hospital, Beijing 100039, China
| | - H L Xiang
- Department of Gastroenterology, Tianjin Third Central Hospital, Tianjin 300170, China
| | - W W Luo
- Deparment of Infectious Diseases, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - X L Qi
- Center of Portal Hypertension Department of Radiology, Zhongda Hospital of Southeast University, Nanjing 210009, China
| |
Collapse
|
9
|
Yang QY, Lu Y, Xie XL, Lai HH, Tian C, Niu M, Tian JH, Li N, Li J, Ge L. [QUADAS-C-A tool for assessing risk of bias regarding Quality Assessment of Diagnostic Accuracy Studies-Comparative]. Zhonghua Liu Xing Bing Xue Za Zhi 2022; 43:938-944. [PMID: 35725353 DOI: 10.3760/cma.j.cn112338-20211101-00841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
This paper introduced the Quality Assessment of Diagnostic Accuracy Studies-Comparative (QUADAS-C), illustrated the comparison with the QUADAS-2, and using QUADAS-C together with QUADAS-2 to present QUADAS-C results through systematic reviews. Like the domain for QUADAS-2, QUADAS-C retained four domains, including patient selection, index test, reference standard, flow, and timing, and comprised additional questions for each QUADAS-2 part. Unlike the QUADAS-2 tool, the starting question of each domain for QUADAS-C was designed to summarize the risk of biased information captured by QUADAS-2. QUADAS-C only dealt with the risk of bias but did not include the part of concerns regarding applicability. The answers to signaling questions for each domain of QUADAS-C would lead to a 'low''high' or 'unclear' risk of biased judgment for the original study.
Collapse
Affiliation(s)
- Q Y Yang
- Evidence Based Nursing Centre, School of Nursing, Lanzhou University, Lanzhou 730000, China
| | - Y Lu
- Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, China Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - X L Xie
- The Second School of Clinical Medicine of Lanzhou University, Lanzhou 730000, China
| | - H H Lai
- Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, China Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - C Tian
- Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, China Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - M Niu
- Department of Radiology, the First Hospital of Lanzhou University, Lanzhou 730000, China
| | - J H Tian
- Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, China
| | - N Li
- National Cancer Center/National Cancer Clinical Medical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - J Li
- National Cancer Center/National Cancer Clinical Medical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
| | - Long Ge
- Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, China Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, China Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, China
| |
Collapse
|
10
|
McEwen M, Kafri D, Chen Z, Atalaya J, Satzinger KJ, Quintana C, Klimov PV, Sank D, Gidney C, Fowler AG, Arute F, Arya K, Buckley B, Burkett B, Bushnell N, Chiaro B, Collins R, Demura S, Dunsworth A, Erickson C, Foxen B, Giustina M, Huang T, Hong S, Jeffrey E, Kim S, Kechedzhi K, Kostritsa F, Laptev P, Megrant A, Mi X, Mutus J, Naaman O, Neeley M, Neill C, Niu M, Paler A, Redd N, Roushan P, White TC, Yao J, Yeh P, Zalcman A, Chen Y, Smelyanskiy VN, Martinis JM, Neven H, Kelly J, Korotkov AN, Petukhov AG, Barends R. Removing leakage-induced correlated errors in superconducting quantum error correction. Nat Commun 2021; 12:1761. [PMID: 33741936 PMCID: PMC7979694 DOI: 10.1038/s41467-021-21982-y] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [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: 09/29/2020] [Accepted: 02/23/2021] [Indexed: 11/30/2022] Open
Abstract
Quantum computing can become scalable through error correction, but logical error rates only decrease with system size when physical errors are sufficiently uncorrelated. During computation, unused high energy levels of the qubits can become excited, creating leakage states that are long-lived and mobile. Particularly for superconducting transmon qubits, this leakage opens a path to errors that are correlated in space and time. Here, we report a reset protocol that returns a qubit to the ground state from all relevant higher level states. We test its performance with the bit-flip stabilizer code, a simplified version of the surface code for quantum error correction. We investigate the accumulation and dynamics of leakage during error correction. Using this protocol, we find lower rates of logical errors and an improved scaling and stability of error suppression with increasing qubit number. This demonstration provides a key step on the path towards scalable quantum computing.
Collapse
Affiliation(s)
- M McEwen
- Department of Physics, University of California, Santa Barbara, CA, USA
- Google, Santa Barbara, CA, USA
| | | | - Z Chen
- Google, Santa Barbara, CA, USA
| | | | | | | | | | - D Sank
- Google, Santa Barbara, CA, USA
| | | | | | - F Arute
- Google, Santa Barbara, CA, USA
| | - K Arya
- Google, Santa Barbara, CA, USA
| | | | | | | | | | | | | | | | | | - B Foxen
- Google, Santa Barbara, CA, USA
| | | | - T Huang
- Google, Santa Barbara, CA, USA
| | - S Hong
- Google, Santa Barbara, CA, USA
| | | | - S Kim
- Google, Santa Barbara, CA, USA
| | | | | | | | | | - X Mi
- Google, Santa Barbara, CA, USA
| | - J Mutus
- Google, Santa Barbara, CA, USA
| | | | | | - C Neill
- Google, Santa Barbara, CA, USA
| | | | - A Paler
- Johannes Kepler University, Linz, Austria
- University of Texas at Dallas, Richardson, TX, USA
| | - N Redd
- Google, Santa Barbara, CA, USA
| | | | | | - J Yao
- Google, Santa Barbara, CA, USA
| | - P Yeh
- Google, Santa Barbara, CA, USA
| | | | - Yu Chen
- Google, Santa Barbara, CA, USA
| | | | - John M Martinis
- Department of Physics, University of California, Santa Barbara, CA, USA
| | - H Neven
- Google, Santa Barbara, CA, USA
| | - J Kelly
- Google, Santa Barbara, CA, USA
| | - A N Korotkov
- Google, Santa Barbara, CA, USA
- Department of Electrical and Computer Engineering, University of California, Riverside, CA, USA
| | | | | |
Collapse
|
11
|
Tian S, Niu M, Xie L, Song Q, Liu A. Diffusion-tensor imaging for differentiating uterine sarcoma from degenerative uterine fibroids. Clin Radiol 2020; 76:313.e27-313.e32. [PMID: 33358441 DOI: 10.1016/j.crad.2020.11.115] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Accepted: 11/20/2020] [Indexed: 01/07/2023]
Abstract
AIM To explore the applicability of diffusion-tensor imaging (DTI) sequence quantitative parameters in differentiating uterine sarcoma (USr) from degenerative uterine fibroids (DUF). MATERIALS AND METHODS Fourteen cases of USr and 30 cases of DUF were analysed retrospectively. The diffusion-weighted imaging (DWI) and DTI images were analysed by two observers using Functool software on a ADW4.6 workstation. The images were post-processed to generate an apparent diffusion coefficient (ADC) map of DWI, ADC map of DTI (ADCT map), and fractional anisotropy (FA) map. Three regions of interest (ROI) were selected from the ADC, ADCT, and FA maps to obtain the ADC, ADCT, and FA values. The receiver operating characteristic (ROC) curves of all parameters were used to analyse and compare the diagnostic value of USr and DUF. RESULTS The ADC value, ADCT value, and FA value of USr (1.190 ± 0.262 × 10-3mm2/s, 1.165 ± 0.270 × 10-9mm2/s, 0.168 ± 0.063) were significantly lower compared to the values for DUF (1.525 ± 0.314 × 10-3mm2/s, 1.650 ± 0.332 × 10-9mm2/s, 0.254 ± 0.111; all p<0.001). The diagnostic threshold values for USr were: ADC ≤1.290 × 10-3mm2/s, ADCT ≤1.322 × 10-9mm2/s and FA ≤0.192. The corresponding sensitivities and specificities were 78.6%/90%, 96.7%/92.9%, and 86.7%/85.7%, respectively. The areas under the curve (AUC) were 0.875, 0.974, and 0.831, respectively. CONCLUSIONS DTI quantitative parameters can be used to differentiate USr from DUF. The ADCT value had the highest diagnostic efficacy.
Collapse
Affiliation(s)
- S Tian
- The First Affiliated Hospital of Dalian Medical University, Department of Radiology, Dalian, China
| | - M Niu
- The First Affiliated Hospital of Xiamen University, Department of Radiology, Xiamen, China
| | - L Xie
- GE Healthcare, MR Research, Beijing, China
| | - Q Song
- The First Affiliated Hospital of Dalian Medical University, Department of Radiology, Dalian, China
| | - A Liu
- The First Affiliated Hospital of Dalian Medical University, Department of Radiology, Dalian, China.
| |
Collapse
|
12
|
Foxen B, Neill C, Dunsworth A, Roushan P, Chiaro B, Megrant A, Kelly J, Chen Z, Satzinger K, Barends R, Arute F, Arya K, Babbush R, Bacon D, Bardin JC, Boixo S, Buell D, Burkett B, Chen Y, Collins R, Farhi E, Fowler A, Gidney C, Giustina M, Graff R, Harrigan M, Huang T, Isakov SV, Jeffrey E, Jiang Z, Kafri D, Kechedzhi K, Klimov P, Korotkov A, Kostritsa F, Landhuis D, Lucero E, McClean J, McEwen M, Mi X, Mohseni M, Mutus JY, Naaman O, Neeley M, Niu M, Petukhov A, Quintana C, Rubin N, Sank D, Smelyanskiy V, Vainsencher A, White TC, Yao Z, Yeh P, Zalcman A, Neven H, Martinis JM. Demonstrating a Continuous Set of Two-Qubit Gates for Near-Term Quantum Algorithms. Phys Rev Lett 2020; 125:120504. [PMID: 33016760 DOI: 10.1103/physrevlett.125.120504] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 06/27/2020] [Accepted: 07/22/2020] [Indexed: 06/11/2023]
Abstract
Quantum algorithms offer a dramatic speedup for computational problems in material science and chemistry. However, any near-term realizations of these algorithms will need to be optimized to fit within the finite resources offered by existing noisy hardware. Here, taking advantage of the adjustable coupling of gmon qubits, we demonstrate a continuous two-qubit gate set that can provide a threefold reduction in circuit depth as compared to a standard decomposition. We implement two gate families: an imaginary swap-like (iSWAP-like) gate to attain an arbitrary swap angle, θ, and a controlled-phase gate that generates an arbitrary conditional phase, ϕ. Using one of each of these gates, we can perform an arbitrary two-qubit gate within the excitation-preserving subspace allowing for a complete implementation of the so-called Fermionic simulation (fSim) gate set. We benchmark the fidelity of the iSWAP-like and controlled-phase gate families as well as 525 other fSim gates spread evenly across the entire fSim(θ,ϕ) parameter space, achieving a purity-limited average two-qubit Pauli error of 3.8×10^{-3} per fSim gate.
Collapse
Affiliation(s)
- B Foxen
- Department of Physics, University of California, Santa Barbara, California 93106, USA
- Google Research, Santa Barbara, California 93117, USA
| | - C Neill
- Google Research, Santa Barbara, California 93117, USA
| | - A Dunsworth
- Google Research, Santa Barbara, California 93117, USA
| | - P Roushan
- Google Research, Santa Barbara, California 93117, USA
| | - B Chiaro
- Department of Physics, University of California, Santa Barbara, California 93106, USA
| | - A Megrant
- Google Research, Santa Barbara, California 93117, USA
| | - J Kelly
- Google Research, Santa Barbara, California 93117, USA
| | - Zijun Chen
- Google Research, Santa Barbara, California 93117, USA
| | - K Satzinger
- Google Research, Santa Barbara, California 93117, USA
| | - R Barends
- Google Research, Santa Barbara, California 93117, USA
| | - F Arute
- Google Research, Santa Barbara, California 93117, USA
| | - K Arya
- Google Research, Santa Barbara, California 93117, USA
| | - R Babbush
- Google Research, Santa Barbara, California 93117, USA
| | - D Bacon
- Google Research, Santa Barbara, California 93117, USA
| | - J C Bardin
- Google Research, Santa Barbara, California 93117, USA
- Department of Electrical and Computer Engineering, University of Massachusetts-Amherst, Amherst, Massachusetts 01003, USA
| | - S Boixo
- Google Research, Santa Barbara, California 93117, USA
| | - D Buell
- Google Research, Santa Barbara, California 93117, USA
| | - B Burkett
- Google Research, Santa Barbara, California 93117, USA
| | - Yu Chen
- Google Research, Santa Barbara, California 93117, USA
| | - R Collins
- Google Research, Santa Barbara, California 93117, USA
| | - E Farhi
- Google Research, Santa Barbara, California 93117, USA
| | - A Fowler
- Google Research, Santa Barbara, California 93117, USA
| | - C Gidney
- Google Research, Santa Barbara, California 93117, USA
| | - M Giustina
- Google Research, Santa Barbara, California 93117, USA
| | - R Graff
- Google Research, Santa Barbara, California 93117, USA
| | - M Harrigan
- Google Research, Santa Barbara, California 93117, USA
| | - T Huang
- Google Research, Santa Barbara, California 93117, USA
| | - S V Isakov
- Google Research, Santa Barbara, California 93117, USA
| | - E Jeffrey
- Google Research, Santa Barbara, California 93117, USA
| | - Z Jiang
- Google Research, Santa Barbara, California 93117, USA
| | - D Kafri
- Google Research, Santa Barbara, California 93117, USA
| | - K Kechedzhi
- Google Research, Santa Barbara, California 93117, USA
| | - P Klimov
- Google Research, Santa Barbara, California 93117, USA
| | - A Korotkov
- Google Research, Santa Barbara, California 93117, USA
| | - F Kostritsa
- Google Research, Santa Barbara, California 93117, USA
| | - D Landhuis
- Google Research, Santa Barbara, California 93117, USA
| | - E Lucero
- Google Research, Santa Barbara, California 93117, USA
| | - J McClean
- Google Research, Santa Barbara, California 93117, USA
| | - M McEwen
- Department of Physics, University of California, Santa Barbara, California 93106, USA
| | - X Mi
- Google Research, Santa Barbara, California 93117, USA
| | - M Mohseni
- Google Research, Santa Barbara, California 93117, USA
| | - J Y Mutus
- Google Research, Santa Barbara, California 93117, USA
| | - O Naaman
- Google Research, Santa Barbara, California 93117, USA
| | - M Neeley
- Google Research, Santa Barbara, California 93117, USA
| | - M Niu
- Google Research, Santa Barbara, California 93117, USA
| | - A Petukhov
- Google Research, Santa Barbara, California 93117, USA
| | - C Quintana
- Google Research, Santa Barbara, California 93117, USA
| | - N Rubin
- Google Research, Santa Barbara, California 93117, USA
| | - D Sank
- Google Research, Santa Barbara, California 93117, USA
| | - V Smelyanskiy
- Google Research, Santa Barbara, California 93117, USA
| | - A Vainsencher
- Google Research, Santa Barbara, California 93117, USA
| | - T C White
- Google Research, Santa Barbara, California 93117, USA
| | - Z Yao
- Google Research, Santa Barbara, California 93117, USA
| | - P Yeh
- Google Research, Santa Barbara, California 93117, USA
| | - A Zalcman
- Google Research, Santa Barbara, California 93117, USA
| | - H Neven
- Google Research, Santa Barbara, California 93117, USA
| | - J M Martinis
- Department of Physics, University of California, Santa Barbara, California 93106, USA
- Google Research, Santa Barbara, California 93117, USA
| |
Collapse
|
13
|
Jiang RM, Li J, Wang ZQ, Shen JF, Niu M. [Primary hypertrophic osteoarthropathy with renal hypokalemia: a case report]. Zhonghua Nei Ke Za Zhi 2020; 59:720-723. [PMID: 32838506 DOI: 10.3760/cma.j.cn112138-20190918-00637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- R M Jiang
- Department of Endocrinology, Fuyang People's Hospital of Anhui Province, Fuyang, Anhui 236003, China
| | - J Li
- Department of Endocrinology, Fuyang People's Hospital of Anhui Province, Fuyang, Anhui 236003, China
| | - Z Q Wang
- Department of Endocrinology, Fuyang People's Hospital of Anhui Province, Fuyang, Anhui 236003, China
| | - J F Shen
- Department of Endocrinology, Fuyang People's Hospital of Anhui Province, Fuyang, Anhui 236003, China
| | - M Niu
- Department of Endocrinology, Fuyang People's Hospital of Anhui Province, Fuyang, Anhui 236003, China
| |
Collapse
|
14
|
Niu M, Li Y, Li G, Zhou L, Luo N, Yao M, Kang W, Liu J. A longitudinal study on α-synuclein in plasma neuronal exosomes as a biomarker for Parkinson's disease development and progression. Eur J Neurol 2020; 27:967-974. [PMID: 32150777 DOI: 10.1111/ene.14208] [Citation(s) in RCA: 94] [Impact Index Per Article: 23.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Accepted: 03/05/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND AND PURPOSE The identification of reliable diagnostic and prognostic biomarkers for Parkinson's disease (PD) is urgently needed. Here, we explored the potential use of α-synuclein (α-syn) in plasma neuronal exosomes as a biomarker for early PD diagnosis and disease progression. METHODS This study included both cross-sectional and longitudinal designs. The subjects included 36 patients with early-stage PD, 17 patients with advanced PD, 20 patients with idiopathic rapid eye movement sleep behavior disorder and 21 healthy controls (HCs). α-syn levels were measured by electrochemiluminescence immunoassay. A subgroup of patients with early-stage PD (n = 18) participated in a follow-up examination with repeated blood collection and clinical assessments after an average of 22 months. RESULTS The α-syn levels in plasma neuronal exosomes were significantly higher in patients with early-stage PD compared with HCs (P = 0.007). Differences in α-syn levels between patients with idiopathic rapid eye movement sleep behavior disorder and HCs did not reach statistical significance (P = 0.08). In addition, Spearman correlation analysis revealed that neuronal exosomal α-syn concentrations were correlated with Movement Disorders Society Unified Parkinson's Disease Rating Scale III/(I + II + III) scores, Non-Motor Symptom Questionnaire scores and Sniffin' Sticks 16-item test scores of patients with PD (P < 0.05). After a mean follow-up of 22 months in patients with early-stage PD, a Cox regression analysis adjusted for age and gender showed that longitudinally increased α-syn rather than baseline α-syn levels were associated with higher risk for motor symptom progression in PD (P = 0.039). CONCLUSIONS Our results suggested that α-syn in plasma neuronal exosomes may serve as a biomarker to aid early diagnosis of PD and also as a prognostic marker for PD progression.
Collapse
Affiliation(s)
- M Niu
- Department of Neurology and Institute of Neurology, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Y Li
- Department of Neurology and Institute of Neurology, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - G Li
- Department of Neurology and Institute of Neurology, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - L Zhou
- Department of Neurology and Institute of Neurology, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - N Luo
- Department of Neurology and Institute of Neurology, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - M Yao
- Department of Neurology and Institute of Neurology, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - W Kang
- Department of Neurology and Institute of Neurology, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.,Ruijin Hospital North affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - J Liu
- Department of Neurology and Institute of Neurology, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.,CAS Center for Excellence in Brain Science and Intelligence Technology, Shanghai, China
| |
Collapse
|
15
|
Zhang Y, Niu M, Li Y, Wang J, Qu B, Zheng CX, Huang P, Yu WH. [Prevalence and risk factors of diabetic retinopathy in hospital patients]. Zhonghua Yi Xue Za Zhi 2018; 98:440-444. [PMID: 29429256 DOI: 10.3760/cma.j.issn.0376-2491.2018.06.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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 analyze the prevalence and risk factors of diabetic retinopathy (DR) in ophthalmic patients. Methods: A cross-sectional study was performed. Diabetic patients who were admitted to Department of Ophthalmology, Traditional Chinese Medicine Hospital of Muping between October 2012 and June 2013 were included. General information and medical history were obtained from each subject by questionaires. Laboratory and detailed ophthalmic examinations were performed during the study. DR was diagnosed and graded by mydriatic fundus photography. Prevalence of DR was calculated and logistic regression was used to analyze the relationship between DR and various factors. Results: A total of 676 diabetic patients were included, and 455 of them presented with DR at a morbidity rate of 67.31%. Among DR patients, the number of mild, moderate, severe non-proliferative diabetic retinopathy (NPDR) patients and proliferative diabetic retinopathy (PDR) patients were 211 (46.37%), 167 (36.70%), 57 (12.53%) and 20 (4.40%), respectively. There was no significant difference in the prevalence of DR among different age groups (χ(2)=6.527, P=0.089). However, there was a significant difference between different disease duration groups (χ(2)=39.401, P<0.001), as well as between insulin therapy group and non-insulin therapy group (χ(2)=7.378, P=0.007). The multivariate logistic regression analysis demonstrated the independent risk factors for DR occurrence were hemoglobin A1c (HbA1c) (OR=1.131, 95%CI: 1.022-1.252, P=0.011) and duration of diabetes (OR=1.077, 95%CI: 1.046-1.108, P<0.001). Conclusions: The prevalence of DR in ophthalmic patients was associated with duration of diabetes, HbA1c, obesity, smoke, nephropaty and insulin therapy. Increased HbA1c level and longer duration of diabetes were independent risk factors for DR in diabetic patients.
Collapse
Affiliation(s)
- Y Zhang
- Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
| | | | | | | | | | | | | | | |
Collapse
|
16
|
Zhao Y, Wang HY, Wang CB, Niu M, Wang YY, Li XF. [Analysis of clinicopathological characteristics of papillary thyroid carcinoma and BRAF V600E gene mutation]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 32:1472-1476. [PMID: 30550190 DOI: 10.13201/j.issn.1001-1781.2018.19.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Indexed: 11/12/2022]
Abstract
Objective: To study the correlation between the BRAF V600E mutation and the clinicopathological features of papillary thyroid carcinoma(PTC), and to explore the application value of BRAF V600E mutation in PTC. Method: The BRAF V600E gene mutation was detected in 108 PTC cases and 30 control cases by qPCR. The results were statistically analyzed by using SPSS 21.0 software. Result: The BRAF V600E mutation was absent in the control group. The BRAF V600E mutation rate was 72.20% in 108 PTC cases. Compared with patients with wild type,the mean age of patients with the mutant BRAF V600E was significantly older(P<0.05). BRAF V600E mutations were associated with PTC tissue subtypes and central area lymph node metastasis(P<0.05). BRAF V600E mutations were not correlated with tumor diameter, patient gender, multifocality, tumor site, concomitant disease, lymph node metastasis in side region of neck, capsule invasion, and TNM staging(P>0.05). Conclusion: The value of BRAF V600E mutation in the prognosis of PTC remains to be studied. BRAF V600E mutation is of value for pathological diagnosis of PTC.
Collapse
Affiliation(s)
- Y Zhao
- Department of Pathology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an,710061, China
| | - H Y Wang
- Department of Pathology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an,710061, China
| | - C B Wang
- Department of Pathology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an,710061, China
| | - M Niu
- Department of Pathology, the Fourth Hospital of Xi'an
| | - Y Y Wang
- Department of Pathology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an,710061, China
| | - X F Li
- Department of Pathology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an,710061, China
| |
Collapse
|
17
|
Cheng CF, Hussels J, Niu M, Bethlem HL, Eikema KSE, Salumbides EJ, Ubachs W, Beyer M, Hölsch N, Agner JA, Merkt F, Tao LG, Hu SM, Jungen C. Dissociation Energy of the Hydrogen Molecule at 10^{-9} Accuracy. Phys Rev Lett 2018; 121:013001. [PMID: 30028156 DOI: 10.1103/physrevlett.121.013001] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Indexed: 06/08/2023]
Abstract
The ionization energy of ortho-H_{2} has been determined to be E_{I}^{o}(H_{2})/(hc)=124 357.238 062(25) cm^{-1} from measurements of the GK(1,1)-X(0,1) interval by Doppler-free, two-photon spectroscopy using a narrow band 179-nm laser source and the ionization energy of the GK(1,1) state by continuous-wave, near-infrared laser spectroscopy. E_{I}^{o}(H_{2}) was used to derive the dissociation energy of H_{2}, D_{0}^{N=1}(H_{2}), at 35 999.582 894(25) cm^{-1} with a precision that is more than one order of magnitude better than all previous results. The new result challenges calculations of this quantity and represents a benchmark value for future relativistic and QED calculations of molecular energies.
Collapse
Affiliation(s)
- C-F Cheng
- Department of Physics and Astronomy, LaserLaB, Vrije Universiteit Amsterdam, de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands
| | - J Hussels
- Department of Physics and Astronomy, LaserLaB, Vrije Universiteit Amsterdam, de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands
| | - M Niu
- Department of Physics and Astronomy, LaserLaB, Vrije Universiteit Amsterdam, de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands
| | - H L Bethlem
- Department of Physics and Astronomy, LaserLaB, Vrije Universiteit Amsterdam, de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands
| | - K S E Eikema
- Department of Physics and Astronomy, LaserLaB, Vrije Universiteit Amsterdam, de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands
| | - E J Salumbides
- Department of Physics and Astronomy, LaserLaB, Vrije Universiteit Amsterdam, de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands
| | - W Ubachs
- Department of Physics and Astronomy, LaserLaB, Vrije Universiteit Amsterdam, de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands
| | - M Beyer
- Laboratorium für Physikalische Chemie, ETH Zürich, 8093 Zürich, Switzerland
| | - N Hölsch
- Laboratorium für Physikalische Chemie, ETH Zürich, 8093 Zürich, Switzerland
| | - J A Agner
- Laboratorium für Physikalische Chemie, ETH Zürich, 8093 Zürich, Switzerland
| | - F Merkt
- Laboratorium für Physikalische Chemie, ETH Zürich, 8093 Zürich, Switzerland
| | - L-G Tao
- Hefei National Laboratory for Physical Sciences at Microscale, iChem center, University of Science and Technology China, Hefei, 230026 China
| | - S-M Hu
- Hefei National Laboratory for Physical Sciences at Microscale, iChem center, University of Science and Technology China, Hefei, 230026 China
| | - Ch Jungen
- Laboratoire Aimé Cotton du CNRS, Bâtiment 505, Université de Paris-Sud, F-91405 Orsay, France and Department of Physics and Astronomy, University College London, London WC1E 6BT, United Kingdom
| |
Collapse
|
18
|
Hristov A, Kebreab E, Niu M, Oh J, Bannink A, Bayat A, Boland T, Brito A, Casper D, Crompton L, Dijkstra J, Eugène M, Garnsworthy P, Haque N, Hellwing A, Huhtanen P, Kreuzer M, Kuhla B, Lund P, Madsen J, Martin C, Moate P, Muetzel S, Muñoz C, Peiren N, Powell J, Reynolds C, Schwarm A, Shingfield K, Storlien T, Weisbjerg M, Yáñez-Ruiz D, Yu Z. Symposium review: Uncertainties in enteric methane inventories, measurement techniques, and prediction models. J Dairy Sci 2018; 101:6655-6674. [DOI: 10.3168/jds.2017-13536] [Citation(s) in RCA: 68] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Accepted: 03/25/2018] [Indexed: 01/21/2023]
|
19
|
Krishnan G, Patel M, Upadhyay B, Garcowski L, Anthony A, Derteano C, Niu M, Germann M, Nalamothu V. 1105 The effect of chemical penetration enhancers and dosage form on in vitro skin permeation. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1118] [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: 10/17/2022]
|
20
|
Biswas S, Niu M, Pandey P, Appuhamy JADRN, Leytem AB, Kebreab E, Dungan RS. Effect of Dairy Manure Storage Conditions on the Survival of E. coli O157:H7 and Listeria. J Environ Qual 2018; 47:185-189. [PMID: 29415095 DOI: 10.2134/jeq2017.06.0224] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Dairy manure is regularly applied to crop fields as a solid or liquid to improve the soil nutrient status. However, pathogens may survive during manure storage and enter the environment during application. In this study, three storage practices were evaluated to understand the survival patterns of O157:H7 and spp. in dairy manure using a culture-based approach. To replicate common farm manure storage techniques, solid manure was stacked as piles with periodic turning or as static piles without turning, whereas liquid manure (feces, urine, and water) was stored as a slurry in small tanks to simulate lagoon conditions. The and levels in the manure samples were determined for 29 wk. Results showed that there was an initial reduction in bacteria levels in the first month; however, both and managed to survive in the solid manure piles for the full study period. In slurry samples, was not detected after 14 wk, but survived until the end of the experiment at relatively lower levels than in the solid manure piles. Ambient weather and pile size were identified as the main reasons for bacteria survival during the course of the experiment. The outcome of this study is important in terms of understanding pathogen survival in manure piles and slurries prior to their application to crop fields.
Collapse
|
21
|
Niu M, Harvatine K. The effects of feeding a partial mixed ration plus a top-dress before feeding on milk production and the daily rhythm of feed intake and plasma hormones and metabolites in dairy cows. J Dairy Sci 2018; 101:164-171. [DOI: 10.3168/jds.2017-13482] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Accepted: 09/17/2017] [Indexed: 11/19/2022]
|
22
|
Niu M, Harvatine KJ. Short communication: The effects of morning compared with evening feed delivery in lactating dairy cows during the summer. J Dairy Sci 2017; 101:396-400. [PMID: 29128210 DOI: 10.3168/jds.2017-13635] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2017] [Accepted: 09/17/2017] [Indexed: 11/19/2022]
Abstract
Delivering fresh feed in the evening is a management strategy sometimes used during periods of heat stress, but previous experiments have observed that night feeding increased feed intake during the 2 h after feeding and did not change intake during the overnight period. The objective of this study was to determine the effect of night feeding on daily rhythms of the dairy cow during the summer season. Twelve Holstein cows were used in a crossover design with 14-d periods. An automated system recorded the timing of feed intake over the last 7 d of each period. Treatments were ad libitum feeding with fresh feed delivery 1×/d at 0830 h or 2030 h. Milk yield and composition were not changed by treatment, but night feeding decreased the concentration of preformed fatty acids in milk fat. Night feeding decreased feed intake 1.7 kg/d, and decreased total-tract dry matter and neutral detergent fiber (NDF) digestibility by 0.7 and 0.8 percentage units, respectively. The amount of feed consumed in the first 2 h after feeding was 64% greater with night feeding, but intake did not differ between treatments during the night or early afternoon. A treatment by time of day interaction was observed for fecal NDF and indigestible NDF concentration and plasma glucose, insulin, and urea concentrations. Night feeding resulted in an increase in plasma insulin after feeding, which decreased plasma glucose. The daily rhythm of core body temperature was entrained by treatment, with the phase shifted and the amplitude decreased by night feeding indicating alteration of the central clock. In conclusion, feeding cows once per day in the evening during the summer caused a similar increase in feed intake and plasma insulin after feeding as previously observed during non-heat stress seasons. Night feeding also decreased intake and total-tract digestibility. The daily pattern of feed intake and other behaviors should be considered before initiation of night feeding.
Collapse
Affiliation(s)
- M Niu
- Department of Animal Science, Penn State University, University Park 16802
| | - K J Harvatine
- Department of Animal Science, Penn State University, University Park 16802.
| |
Collapse
|
23
|
Ying Y, Niu M, Clarke A, Harvatine K. Short communication: Effect of a citrus extract in lactating dairy cows. J Dairy Sci 2017; 100:5468-5471. [DOI: 10.3168/jds.2016-12233] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2016] [Accepted: 04/02/2017] [Indexed: 11/19/2022]
|
24
|
Niu M, Ying Y, Bartell P, Harvatine K. The effects of feeding rations that differ in fiber and fermentable starch within a day on milk production and the daily rhythm of feed intake and plasma hormones and metabolites in dairy cows. J Dairy Sci 2017; 100:187-198. [DOI: 10.3168/jds.2016-11129] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Accepted: 09/23/2016] [Indexed: 11/19/2022]
|
25
|
Tewoldebrhan TA, Appuhamy JADRN, Lee JJ, Niu M, Seo S, Jeong S, Kebreab E. Exogenous β-mannanase improves feed conversion efficiency and reduces somatic cell count in dairy cattle. J Dairy Sci 2016; 100:244-252. [PMID: 28341045 DOI: 10.3168/jds.2016-11017] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [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: 02/10/2016] [Accepted: 09/10/2016] [Indexed: 01/30/2023]
Abstract
Exogenous fibrolytic enzymes have been shown to be a promising way to improve feed conversion efficiency (FCE). β-Mannanase is an important enzyme digesting the polysaccharide β-mannan in hemicellulose. Supplementation of diets with β-mannanase to improve FCE has been more extensively studied in nonruminants than in ruminants. The objective of this study was to investigate the effects of β-mannanase supplementation on nutrient digestibility, FCE, and nitrogen utilization in lactating Holstein dairy cows. Twelve post-peak-lactation multiparous Holstein cows producing 45.5±6.6kg/d of milk at 116±19.0d in milk were randomly allotted to 1 of 3 treatments in a 3×3 Latin square design with 3 periods of 18d (15d for adaptation plus 3d for sample collection). All cows were fed the same basal diet and the 3 treatments differed only by the β-mannanase dose: 0% dry matter (DM; control), 0.1% of DM (low supplement, LS), and 0.2% of DM (high supplement, HS) supplemented to the basal diet. Supplementation of β-mannanase enzyme at the LS dose reduced dry matter intake (DMI) but did not affect milk yield or milk composition. Cows receiving LS produced 90g more milk per kg of DMI compared with control cows. Somatic cell count (SCC) in milk was lower for cows fed the LS diet compared with cows fed control diets. Cows fed LS diet had lower DM, organic matter and crude protein digestibility compared with cows fed control diets. Starch, neutral detergent fiber, and acid detergent fiber digestibility were not affected by LS. Milk yield, DMI, SCC, and nutrient digestibility did not change for HS. Despite the reduced crude protein digestibility, reduced N intake led to similar fecal N excretions in LS cows and control cows (234 vs. 235g/cow per day). Urinary N excretions remained similar between enzyme-fed and control cows (~190g/cow per day), although the percentage of N intake partitioned to urinary N tended to be greater in LS than in control cows (31 vs. 27%). Cows fed LS significantly improved the percentage of apparently absorbed N partitioned to milk protein N (42 vs. 38%). When supplemented at 0.1% of dietary DM, β-mannanase can improve FCE and lower the SCC of dairy cows without affecting milk yield, milk composition, or total manure N excretions of dairy cows.
Collapse
Affiliation(s)
- T A Tewoldebrhan
- Department of Animal Science, University of California, Davis 95616
| | | | - J-J Lee
- CTCBio Inc., Seoul, Republic of Korea 05842
| | - M Niu
- Department of Animal Science, University of California, Davis 95616
| | - S Seo
- Department of Animal Biosystem Sciences, Chungnam National University, Daejeon 305-764, Republic of Korea
| | - S Jeong
- Department of Animal Biosystem Sciences, Chungnam National University, Daejeon 305-764, Republic of Korea
| | - E Kebreab
- Department of Animal Science, University of California, Davis 95616.
| |
Collapse
|
26
|
Kebreab E, Tewoldebrhan T, Appuhamy R, Niu M, Seo S, Jeong S, Lee JJ. 1362 Supplementation of β-mannanase (CTCZYME) to lactating dairy cattle diets improves feed conversion efficiency and somatic cell count. J Anim Sci 2016. [DOI: 10.2527/jam2016-1362] [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: 11/13/2022] Open
|
27
|
Niu M, Xu R, Wang J, Hou B, Xie A. MiR-133b ameliorates axon degeneration induced by MPP(+) via targeting RhoA. Neuroscience 2016; 325:39-49. [PMID: 27012608 DOI: 10.1016/j.neuroscience.2016.03.042] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [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: 12/15/2015] [Revised: 02/13/2016] [Accepted: 03/16/2016] [Indexed: 12/20/2022]
Abstract
Increasing evidence suggests that microRNAs (miRs) play a significant role in the pathogenesis of Parkinson's disease (PD). MiR-133b, which is significantly decreased in the PD midbrain, has recently been shown to promote neurite outgrowth and enhance neural functional recovery. However, the role of miR-133b in PD has not been clearly established. Here, using a well-established PD model culture based on the neurotoxin 1-methyl-4-phenyl-pyridinium (MPP(+)), we demonstrated that miR-133b could promote axon outgrowth in dopaminergic neurons (DNs) and ameliorated MPP(+)-induced axon degeneration. Additional experiments suggested that the mechanisms of this miR-133b-mediated effect might rely on RhoA inhibition. We demonstrated that RhoA, an inhibitor of axonal growth, was increased in DNs under MPP(+) treatment, and this increase could be attenuated by miR-133b overexpression. Moreover, we demonstrated that the induced expression of miR-133b could inhibit α-synuclein, which is critically involved in the pathological process of PD. Furthermore, we found that overexpression of miR-133b abrogated the MPP(+)-induced decrease in the Bcl-2/Bax ratio and upregulated phosphorylated Akt (p-Akt), which is a pro-survival kinase. Together these findings reveal novel roles for miR-133b in the pathogenesis of PD and provide new therapeutic avenues for the treatment of the disease.
Collapse
Affiliation(s)
- M Niu
- Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - R Xu
- Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - J Wang
- Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - B Hou
- Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - A Xie
- Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
| |
Collapse
|
28
|
Niu M, Appuhamy JADRN, Leytem AB, Dungan RS, Kebreab E. Effect of dietary crude protein and forage contents on enteric methane emissions and nitrogen excretion from dairy cows simultaneously. Anim Prod Sci 2016. [DOI: 10.1071/an15498] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The study aimed to examine, simultaneously, the effects of changing dietary forage and crude protein (CP) contents on enteric methane (CH4) emissions and nitrogen (N) excretion from lactating dairy cows. Twelve post-peak lactating Holstein cows (157 ± 31 days postpartum; mean ± s.d.) were randomly assigned to four treatments from a 2 × 2 factorial arrangement of two dietary forage levels [37.4% (LF) vs 53.3% (HF) of DM] and two dietary CP levels [15.2% (LP) vs 18.5% (HP) of DM] in a 4 × 4 Latin square design with four 18-day periods. Alfalfa hay was the sole source of dietary forage. Cows were fed ad libitum and milked twice daily. During the first 14 days, cows were housed in a free-stall barn, where enteric CH4 emissions were measured using the GreenFeed system from Days 8 to 14 in each period. Cows were then moved to metabolic cages, where faeces and urine output (kg/cow.day) were measured by total collection from Days 16 to 18 of each period. No dietary forage by CP interactions were detected for DM intake, milk production, enteric CH4 emissions, or N excretions. There was a tendency for DM intake to increase 0.6 kg/day in cows fed LF (P = 0.06). Milk production increased 2.1 kg/day in LF compared with HF (P < 0.01). Milk fat content decreased in cows fed LF compared with HF (1.07 vs 1.17 kg/day; P < 0.01). Milk contents of true protein, lactose and solid non-fat were greater in cows fed LF (P < 0.01). No difference in DM intake, milk yield and milk contents of true protein, lactose and solid non-fat was found between cows fed HP or LP. However, milk fat content increased 0.16 kg/day in cows fed HP (P < 0.05). Enteric CH4 emissions, and CH4 per unit of DM intake, energy-corrected milk, total digested organic matter and neutral detergent fibre were not affected by dietary CP, but decreased by LF compared with HF (P < 0.01). Milk true protein N was not affected by dietary CP content but was higher for LF compared with HF. Dietary N partitioned to milk true protein was greater in cows fed LF compared with HF (29.4% vs 26.7%; P < 0.01), also greater in cows fed LP compared with HP (30.8% vs 25.2%; P < 0.01). Dietary N partitioned to urinary N excretion was greater in cows fed HP compared with LP (39.5% vs 29.6%; P < 0.01) but was not affected by dietary CP content. Dietary N partitioned to faeces was not affected by dietary CP but increased in cows fed LP compared with HP (34.2% vs 27.8%; P < 0.01). Total N excretion (urinary plus faecal) as proportion to N intake did not differ between HP and LP, but tended to be lower in cows fed LF compared with the HF diet (64.2% vs 67.9%; P = 0.09). Both milk urea N (P < 0.01) and blood urea N (P < 0.01) declined with decreasing dietary CP or forage contents. Based on purine derivative analysis, there was a tendency for interaction between dietary CP and forage content on microbial protein synthesis (P < 0.09). Rumen microbial protein synthesis tended to be lower for high forage and low protein treatments. Increasing dietary forage contents resulted in greater CH4 emission (g/kg of energy-corrected milk) and manure N excretion (g/kg of energy-corrected milk) intensities of lactating dairy cows. Cows receiving reduced CP diets had low manure N outputs and improved milk true protein production efficiencies, regardless of dietary forage content.
Collapse
|
29
|
Zhang L, Zhou R, Niu M, Zheng J, Wu C. Difference of microbial community stressed in artificial pit muds for Luzhou
-flavour liquor brewing revealed by multiphase culture-independent technology. J Appl Microbiol 2015; 119:1345-56. [DOI: 10.1111/jam.12943] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Revised: 08/05/2015] [Accepted: 08/14/2015] [Indexed: 11/28/2022]
Affiliation(s)
- L. Zhang
- College of Light Industry, Textile & Food Engineering; Sichuan University; Chengdu China
- Key Laboratory for Leather Chemistry and Engineering of the Education Ministry; Sichuan University; Chengdu China
| | - R. Zhou
- College of Light Industry, Textile & Food Engineering; Sichuan University; Chengdu China
- Key Laboratory for Leather Chemistry and Engineering of the Education Ministry; Sichuan University; Chengdu China
- National Engineering Research Centre of Solid-State Brewing; Luzhou China
| | - M. Niu
- College of Light Industry, Textile & Food Engineering; Sichuan University; Chengdu China
- Key Laboratory for Leather Chemistry and Engineering of the Education Ministry; Sichuan University; Chengdu China
| | - J. Zheng
- College of Light Industry, Textile & Food Engineering; Sichuan University; Chengdu China
- Key Laboratory for Leather Chemistry and Engineering of the Education Ministry; Sichuan University; Chengdu China
| | - C. Wu
- College of Light Industry, Textile & Food Engineering; Sichuan University; Chengdu China
- Key Laboratory for Leather Chemistry and Engineering of the Education Ministry; Sichuan University; Chengdu China
| |
Collapse
|
30
|
Gong XJ, Song XY, Wei H, Wang J, Niu M. Serum S100A4 levels as a novel biomarker for detection of acute myocardial infarction. Eur Rev Med Pharmacol Sci 2015; 19:2221-2225. [PMID: 26166646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE Myocardial infarction causes significant mortality and morbidity. Timely diagnosis allows clinicians to risk stratify their patients and select appropriate treatment. Biomarkers have been used to assist with timely diagnosis, while an increasing number of novel markers have been identified to predict outcome following an acute myocardial infarction or acute coronary syndrome. The objective of this study was to determine S100A4 expression in AMI and determine whether S100A4 could be a biomarker for detection of acute myocardial infarction (AMI). PATIENTS AND METHODS We measured circulating S100A4 levels in 173 patients (median age 58.3 years) who presented with first-time AMI 8 hours after the incident. The circulating S100A4 levels in 173 healthy volunteers (median age 57.3 years) was also measured. S100A4 was detected using enzyme immunoassay in both groups. RESULTS Serum S100A4 levels were significantly higher in patients with AMI [89.6 (4.3-214.6) pg/ml] compared to controls [11.8 (0-41.5) pg/ml] (p < 0.001). We found that a S100A4 level > 41.5 pg/ml had a Sensitivity 76.3% and specificity 87.5% for predicting AMI. S100A4 revealed the higher sensitivity for diagnosing AMI. CONCLUSIONS Elevated S100A4 in plasma may be a novel biomarker for early detection of AMI.
Collapse
Affiliation(s)
- X-J Gong
- Department of Emergency Internal Medicine, the Affiliated Hospital of Qingdao University, Qingdao, China.
| | | | | | | | | |
Collapse
|
31
|
Peng XG, Chen ZF, Zhang KJ, Wang PG, Liu ZM, Chen ZJ, Hou GY, Niu M. VEGF Trapon inhibits tumor growth in papillary thyroid carcinoma. Eur Rev Med Pharmacol Sci 2015; 19:235-240. [PMID: 25683936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE Vascular endothelial growth factor (VEGF) is the most potent inducer of neovasculature, and its increased expression has been related to a worse clinical outcome in many disease. Angiogenesis from thyroid cancer cell plays the important roles in post-surgical persistent, recurrent, and metastatic papillary thyroid cancer (PTC). Vascular endothelial growth factor (VEGF) Trapon is a newly developed VEGF-blocking agent with stronger affinity and broader activity than the anti-VEGF antibody bevacizumab. In this study, we tested the activity of VEGF Trapon on a PTC model in vivo. MATERIALS AND METHODS BC-PAP (derived from papillary carcinomas) transfected with a luciferase-expressing vector were injected into the back to mice. I.p. treatment with VEGF Trapon or control protein (25 mg/kg twice weekly) was started shortly after tumor injection to prevent tumor development (prevention model) or after established tumors were formed to inhibit tumor growth and metastasis formation (intervention model). RESULTS In the prevention model, VEGF Trapon inhibited tumor growth by 73 ± 12% compared with control (p = 0.014) and significantly prolonged survival. In the intervention model, VEGF Trapon inhibited tumor growth by 68 ± 7% (p < 0.01). Microvascular density was reduced by 56% due to VEGF Trapon treatment (p < 0.01). CONCLUSIONS VEGF Trapon is a potent inhibitor of BC-PAP tumor growth, angiogenesis and blocks the biological function of VEGF in vivo. These results support further clinical development of VEGF Trapon for PTC and other cancer types.
Collapse
Affiliation(s)
- X-G Peng
- Emergency Department of General Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
| | | | | | | | | | | | | | | |
Collapse
|
32
|
Niu M, Ying Y, Bartell PA, Harvatine KJ. The effects of feeding time on milk production, total-tract digestibility, and daily rhythms of feeding behavior and plasma metabolites and hormones in dairy cows. J Dairy Sci 2014; 97:7764-76. [PMID: 25306274 DOI: 10.3168/jds.2014-8261] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [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: 04/21/2014] [Accepted: 09/02/2014] [Indexed: 12/21/2022]
Abstract
The timing of feed intake entrains circadian rhythms regulated by internal clocks in many mammals. The objective of this study was to determine if the timing of feeding entrains daily rhythms in dairy cows. Nine Holstein cows were used in a replicated 3 × 3 Latin square design with 14-d periods. An automated system recorded the timing of feed intake over the last 7 d of each period. Treatments were feeding 1×/d at 0830 h (AM) or 2030 h (PM) and feeding 2×/d in equal amounts at 0830 and 2030 h. All treatments were fed at 110% of daily intake. Cows were milked 2×/d at 0500 and 1700 h. Milk yield and composition were not changed by treatment. Daily intake did not differ, but twice-daily feeding tended to decrease total-tract digestibility of organic matter and neutral detergent fiber (NDF). A treatment by time of day interaction was observed for feeding behavior. The amount of feed consumed in the first 2h after feeding was 70% greater for PM compared with AM feeding. A low rate of intake overnight (2400 to 0500 h; 2.2 ± 0.74% daily intake/h, mean ± SD) and a moderate rate of intake in the afternoon (1200 to 1700 h; 4.8 ± 1.1% daily intake/h) was noted for all treatments, although PM slightly reduced the rate during the afternoon period compared with AM. A treatment by time of day interaction was seen for fecal NDF and indigestible NDF (iNDF) concentration, blood urea nitrogen, plasma glucose and insulin concentrations, body temperature, and lying behavior. Specifically, insulin increased and glucose decreased more after evening feeding than after morning feeding. A cosine function within a 24-h period was used to characterize daily rhythms using a random regression. Rate of feed intake during spontaneous feeding, fecal NDF and iNDF concentration, plasma glucose, insulin, NEFA, body temperature, and lying behavior fit a cosine function within a 24-h period that was modified by treatment. In conclusion, feeding time can reset the daily rhythms of feeding and lying behavior, core body temperature, fecal NDF and iNDF concentration, and plasma blood urea nitrogen, glucose, and insulin concentration of dairy cows, but has no effect on daily DMI and milk production.
Collapse
Affiliation(s)
- M Niu
- Department of Animal Science, Penn State University, University Park, PA16802
| | - Y Ying
- Department of Animal Science, Penn State University, University Park, PA16802
| | - P A Bartell
- Department of Animal Science, Penn State University, University Park, PA16802
| | - K J Harvatine
- Department of Animal Science, Penn State University, University Park, PA16802.
| |
Collapse
|
33
|
Jiao XL, Zhao C, Niu M, Chen D. Downregulation of CD24 inhibits invasive growth, facilitates apoptosis and enhances chemosensitivity in gastric cancer AGS cells. Eur Rev Med Pharmacol Sci 2013; 17:1709-1715. [PMID: 23852892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND AND AIM The human CD24 antigen is a small heavily glycosylated cell surface protein, which is expressed in a large variety of solid tumors,including gastric cancer. Enriched on the surface of many tumor cells,CD24 promotes tumor growth,invasion and metastasis and confers resistance to some chemotherapeutic drugs.In this study, we investigated the possible effect of CD24 suppression on proliferation, apoptosis, migration, invasion and chemosensitivity of gastric cancer (GC) cells. MATERIALS AND METHODS We down-regulated CD24 expression by RNA interference and investigated the effects on proliferation, apoptosis, chemosensitivity to doxorubicin, malignant and metastatic potential of a human gastric cancer cell line, AGS, CD24-suppressed clones, AGS-CD24-siRNA-C2, AGS-CD24-siRNA-C4 and AGS-CD24-siRNA-C5 in vitro. We evaluated the effects of CD24 suppression in vivo on xenograft tumor growth and metastatic properties following tail iv AGS-CD24-siRNA-C2, AGS-CD24-siRNA-C4 and AGS-CD24-siRNA-C5 clones. We also investigated the effect of CD24-siRNA followed by doxorubicin administration treatment on the xenograft tumor growth. RESULTS CD24 suppressed showed significantly decreased proliferation, invasion and increased apoptosis as well as increased chemosensitivity to doxorubicin in vitro and in vivo. CONCLUSIONS CD24 involves in proliferation, invasion and chemosensitivity of human gastric cancer cell line AGS, and that down-regulation of CD24 protein expression decreases the metastatic potential and increases chemosensitivity of gastric cancer (GC) cells. Thus, CD24 may be a promising therapeutic target for gastric cancer.
Collapse
Affiliation(s)
- X-L Jiao
- Department of General Surgery, Qingdao University, Qingdao, Shandong, Reople's Republic of China
| | | | | | | |
Collapse
|
34
|
Chen D, Jiao XL, Liu ZK, Zhang MS, Niu M. Knockdown of PLA2G2A sensitizes gastric cancer cells to 5-FU in vitro. Eur Rev Med Pharmacol Sci 2013; 17:1703-1708. [PMID: 23852891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND-AIM Elevated expression of the PLA2G2A phospholipase in gastric cancer (GC) is associated with improved patient survival. PLA2G2A is also an important regulator of proliferation, invasion and metastasis in GC. However, no relation about PLA2G2A and chemosensitivity in GC cells was reported. 5-Fluorouracil (5-FU) is widely used for treatment of advanced gastric cancer. However, it is common for such patients to develop resistance to 5-FU, and this drug resistance becomes a critical problem for chemotherapy. The mechanisms underlying this resistance are largely unknown. In the present study, we investigated whether PLA2G2A could confer 5-FU resistance or sensitise in GC cells in vitro. MATERIALS AND METHODS The 5-FU sensitivity of GC cell lines SGC-7901, MKN-45, RF-48, N87, AGS, MKN-28, RF-1, MGC-803 were determined by MTT assays. PLA2G2A levels were determined by western blot assays. The effects of 5-FU on PLA2G2A expression were determined in vitro. PLA2G2A was inhibited by silencing of the PLA2G2A using small interfering RNA in vitro. PLA2G2A was overexpressed by transfection of full-long PLA2G2A cDNA in vitro, and the effects were evaluated on 5-FU sensitivity. RESULTS The cell lines SGC-7901, MKN-45, RF-48 and N87 were sensitive, whereas AGS, MKN-28, RF-1 and MGC-803 were resistant to 5-FU. Significant correlation was observed between basal PLA2G2A and 5-FU sensitivity. Silencing of PLA2G2A increased 5-FU killing in 5-FU-treated cells, and overexpression of PLA2G2A decreased 5-FU killing in 5-FU-treated cells. CONCLUSIONS PLA2G2A was correlated with sensitivity to 5-FU. Silencing of PLA2G2A was sensitive to 5-FU treatment. Thus, PLA2G2A may be a useful therapeutic target for a subset of gastric cancers.
Collapse
Affiliation(s)
- D Chen
- Department of General Surgery, Qingdao University, Qingdao, Shandong, Reople's Republic of China.
| | | | | | | | | |
Collapse
|
35
|
Brazzatti JA, Klingler-Hoffmann M, Haylock-Jacobs S, Harata-Lee Y, Niu M, Higgins MD, Kochetkova M, Hoffmann P, McColl SR. Differential roles for the p101 and p84 regulatory subunits of PI3Kγ in tumor growth and metastasis. Oncogene 2011; 31:2350-61. [PMID: 21996737 DOI: 10.1038/onc.2011.414] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Phosphoinositide 3-kinase γ (PI3Kγ) consists of a catalytic subunit p110γ, which forms mutually exclusive dimers with one of the regulatory subunits called p101 and p84/p87(PIKAP). Recently, PI3Kγ emerged as being a potential oncogene because overexpression of the catalytic subunit p110γ or the regulatory subunit p101 leads to oncogenic cellular transformation and malignancy. However, the contribution of the individual subunits to tumor growth and metastasis and the mechanisms involved are not understood. We therefore individually knocked down the PI3Kγ subunits (p84, p101 and p110γ) in MDA-MB-231 cells, which reduced in vitro migration of the cell lines. Knockdown of p110γ or p101 inhibited apoptosis, Akt phosphorylation and lung colonization in SCID mice. Similarly, the knockdown of p110γ and p101 in murine epithelial carcinoma 4T1.2 cells inhibited primary tumor growth and spontaneous metastasis, as well as lung colonization. In contrast, knockdown of p84 in MDA-MB-231 cells enhanced Akt phosphorylation and lung colonization. These findings are the first to implicate differential functions of the two PI3Kγ regulatory subunits in the process of oncogenesis, and indicate that loss of p101 is sufficient to reduce in vivo tumor growth and metastasis to the same extent as that of p110γ.
Collapse
Affiliation(s)
- J A Brazzatti
- School of Molecular and Biomedical Science, University of Adelaide, Adelaide, South Australia, Australia
| | | | | | | | | | | | | | | | | |
Collapse
|
36
|
Niu M, Shi K, Sun Y, Wang J, Cui F. Preparation of CyA-loaded solid lipid nanoparticles and application on ocular preparations. J Drug Deliv Sci Technol 2008. [DOI: 10.1016/s1773-2247(08)50055-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
37
|
Guo Y, Chen M, Tu Y, Luo H, Li S, Yan D, Niu M. [Purification of conjugated bilirubin from human urine]. Hua Xi Yi Ke Da Xue Xue Bao 2001; 32:579-81. [PMID: 12528554] [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: 02/28/2023]
Abstract
OBJECTIVES To develop a simple, practical method with fine yield and purity for separating conjugated bilirubin(Bc) from a sustainable and facile material in order that it could serve as a calibrator for total and direct bilirubin determination. METHODS Isolating Bc from urine of patients with obstructive jaundice by CHCl3: CH3CH2OH(1:1, V/V) followed by CNBr activated Sepharose 4B-HAS affinity chromatography, we analyzed the products by the use of Doumas J-G diazo method and HPLC, respectively. RESULTS Determined by J-G diazo method, the crude product extracted by CHCl3: CH3CH2OH(1:1, V/V) yields 90.2 +/- 5.4%(n = 3) of urine Bc, the ratio of Bc to total dry weight being 67.9 +/- 6.4%(n = 3). The final product purified by affinity chromatography with the ratio of separation of 1.5, 1.737 and analyzed by HPLC has the yield of 46.9% and purity of 94.7%(BDG of 76.2%, BMG of 18.5%). CONCLUSION The above data demonstrate that urine conjugated bilirubin can be successfully purified by CHCl3: CH3CH2OH extraction followed by Sephrose-HSA affinity chromatography with sufficient purity and output.
Collapse
Affiliation(s)
- Y Guo
- School of Basic Medical Sciences, WCUMS, Chengdu 610041, China
| | | | | | | | | | | | | |
Collapse
|
38
|
Martin M, Weld LH, Tsai TF, Mootrey GT, Chen RT, Niu M, Cetron MS. Advanced age a risk factor for illness temporally associated with yellow fever vaccination. Emerg Infect Dis 2001; 7:945-951. [PMID: 11747720 PMCID: PMC2631902 DOI: 10.3201/eid0706.010605] [Citation(s) in RCA: 109] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
In 1998, the Centers for Disease Control and Prevention was notified of severe illnesses and one death, temporally associated with yellow fever (YF) vaccination, in two elderly U.S. residents. Because the cases were unusual and adverse events following YF vaccination had not been studied, we estimated age-related reporting rates for systemic illness following YF vaccination. We found that the rate of reported adverse events among elderly vaccinees was higher than among vaccinees 25 to 44 years of age. We also found two additional deaths among elderly YF vaccinees. These data signal a potential problem but are not sufficient to reliably estimate incidence rates or to understand potential underlying mechanisms; therefore, enhanced surveillance is needed. YF remains an important cause of severe illness and death, and travel to disease-endemic regions is increasing. For elderly travelers, the risk for severe illness and death due to YF infection should be balanced against the risk for systemic illness due to YF vaccine.
Collapse
Affiliation(s)
- M Martin
- Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
| | | | | | | | | | | | | |
Collapse
|
39
|
Niu M, Nachmias VT. Increased resistance to apoptosis in cells overexpressing thymosin beta four: A role for focal adhesion kinase pp125FAK. Cell Adhes Commun 2000; 7:311-20. [PMID: 10714392 DOI: 10.3109/15419060009015002] [Citation(s) in RCA: 29] [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] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Loss of adherence to substrate can, by itself, induce apoptosis (anoikis) in epithelial cells, but does not do so in fibroblasts. To test the idea that adherence transmits signals that inhibit apoptosis even in fibroblasts, we took advantage of the greatly increased adherence to the substratum observed in NIH3T3 cell lines that overexpress thymosin beta four. We treated overexpressing (OE) and vector control lines with either ultraviolet light (UV) or tumor necrosis factor alpha (TNF alpha). When the cells were on a substratum, the more adherent OE cells were 2-fold more resistant to apoptosis induced by either treatment than vector controls. In contrast, when the cells were treated with either agent while in suspension, the difference in resistance between OE cells and vector controls was lost. Thus the increased resistance to apoptosis was dependent on adherence. There was no difference in the content of bcl-2 in the OE cells vs the controls. A connection between pp125FAK and resistance to apoptosis has been previously shown in primary cultures of fibroblasts. The Tbeta4 overexpressing cells have approximately 1.4x more pp125FAK than the controls, and the kinase is approximately 2-fold more phosphorylated in adherent OE cells than in the vector controls. The phosphorylation of pp125FAK decreased strikingly when the cells were put into suspension. In addition, twice as much paxillin associated with pp125FAK in OE adherent cells as in vector controls, but this difference was also lost in suspended cells. Our results support the concept of an adherence dependent pp125FAK-paxillin signalling pathway in fibroblasts that inhibits damage-induced apoptosis.
Collapse
Affiliation(s)
- M Niu
- Department of Cell and Developmental Biology, School of Medicine, University of Pennsylvania, Philadelphia 19104-6058, USA
| | | |
Collapse
|
40
|
Devineni N, Minamide LS, Niu M, Safer D, Verma R, Bamburg JR, Nachmias VT. A quantitative analysis of G-actin binding proteins and the G-actin pool in developing chick brain. Brain Res 1999; 823:129-40. [PMID: 10095019 DOI: 10.1016/s0006-8993(99)01147-6] [Citation(s) in RCA: 43] [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: 11/18/2022]
Abstract
The large G-actin pool in individual actively motile cells has been shown to be maintained primarily by the actin sequestering protein thymosin beta four (Tbeta4). It is not clear whether Tbeta4 or an isoform also plays a primary role in neural tissue containing highly motile axonal growth cones. To address this question we have made a definitive analysis of the relative contributions of all the known G-actin sequestering proteins: Tbeta4, Tbeta10, profilin, and phosphorylated (inactive) and unphosphorylated (potentially active) forms of both ADF and cofilin, in relation to the G-actin pool in developing chick brain at embryonic days 13 and 17. From our measurements we estimate the intracellular concentration of G-actin as 30-37 microM and of Tbeta4 as 50-60 microM in an 'average' brain cell in embryonic chick brain. No other beta thymosin isoforms were detected in these brain extracts. The ratio of soluble, unphosphorylated ADF to Tbeta4 is only 1:7 at 13 embryonic days, but increases to 1:4 at 17 days. Profilin and cofilin concentrations are an order of magnitude lower than Tbeta4. Combining the contributions of Tbeta4, unphosphorylated ADF and unphosphorylated cofilin, we estimate a mean G-actin critical concentration of approximately 0.45 microM and approximately 0.2 microM, respectively, in day 13 and day 17 embryonic brain extracts, suggesting a significant developmental decrease. We conclude that (a) Tbeta4 is the major actin sequestering protein in embryonic chick brain and the only beta thymosin isoform present; (b) ADF may play a significant developmental role, as its concentration changes significantly with age; (c) the known G-actin binding proteins can adequately account for the G-actin pool in embryonic chick brain.
Collapse
Affiliation(s)
- N Devineni
- Department of Cell and Developmental Biology, School of Medicine, University of Pennsylvania, Philadelphia, PA 19104-6058, USA
| | | | | | | | | | | | | |
Collapse
|
41
|
Dun H, Zhai B, Deng C, Niu M, Li J. [Characterization of slowly-growing mycobacteria species by capillary gas chromatography]. Se Pu 1997; 15:502-4. [PMID: 15739332] [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: 05/01/2023] Open
Abstract
A method for the characterization of mycobacteria species by capillary gas chromatography is described. After strains of mycobacteria being hydrolyzed, saponified in an acidic solution, various methyl esters resulted from mycobacteria were studied on an OV-101 column at optimum chromatographic conditions. The constituents of 9 slowly-growing mycobacteria species were analyzed and the results showed that there were obvious differences between different mycobacteria species, but same characteristics were observed between strains of the same species. The 9 species can be identified by the ratio of peak height of C18:1, C18:0 and TBSA. They are C18:1>TBSA>C18:0 for M. tuberculosis, C18:0>C18:1>TBSA for M. triviale, TBSA>C18:1>C18:0 for M. intracellulare, TBSA>C18:0>C18:1 for M. avium and C18:1>C18:0>TBSA for M. bovis, M. kansasii, M. gordonae, M. nonchromogenicum and M. terrae respectively. The 5 latter species can be distinguished by the presence of characteristic peaks of iC16:1 and C19:0. 75 strains of clinical isolated mycobacteria were analysed at the same chromatographic conditions. The results showed that they belonged to 9 different species. The accuracy of the proposed method was examined according to biological analysis.
Collapse
Affiliation(s)
- H Dun
- Central Laboratory, Hebei Normal University, Shijiazhuang, 050016
| | | | | | | | | |
Collapse
|
42
|
Hammer SM, Katzenstein DA, Hughes MD, Gundacker H, Schooley RT, Haubrich RH, Henry WK, Lederman MM, Phair JP, Niu M, Hirsch MS, Merigan TC. A trial comparing nucleoside monotherapy with combination therapy in HIV-infected adults with CD4 cell counts from 200 to 500 per cubic millimeter. AIDS Clinical Trials Group Study 175 Study Team. N Engl J Med 1996; 335:1081-90. [PMID: 8813038 DOI: 10.1056/nejm199610103351501] [Citation(s) in RCA: 737] [Impact Index Per Article: 26.3] [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: 02/02/2023]
Abstract
BACKGROUND This double-blind study evaluated treatment with either a single nucleoside or two nucleosides in adults infected with human immunodeficiency virus type 1 (HIV-1) whose CD4 cell counts were from 200 to 500 per cubic millimeter. METHODS We randomly assigned 2467 HIV-1--infected patients (43 percent without prior antiretroviral treatment) to one of four daily regimens: 600 mg of zidovudine; 600 mg of zidovudine plus 400 mg of didanosine; 600 mg of zidovudine plus 2.25 mg of zalcitabine; or 400 mg of didanosine. The primary end point was a > or = 50 percent decline in the CD4 cell count, development of the acquired immunodeficiency syndrome (AIDS), or death. RESULTS Progression to the primary end point was more frequent with zidovudine alone (32 percent) than with zidovudine plus didanosine (18 percent; relative hazard ratio, 0.50; P<0.001), zidovudine plus zalcitabine (20 percent; relative hazard ratio, 0.54; P<0.001), or didanosine alone (22 percent; relative hazard ratio, 0.61; P<0.001). The relative hazard ratios for progression to an AIDS-defining event or death were 0.64 (P=0.005) for zidovudine plus didanosine, as compared with zidovudine alone, 0.77 (P=0.085) for zidovudine plus zalcitabine, and 0.69 (P=0.019) for didanosine alone. The relative hazard ratios for death were 0.55 (P=0.008), 0.71 (P=0.10), and 0.51 (P=0.003), respectively. For zidovudine plus zalcitabine, the benefits were limited to those without previous treatment. CONCLUSIONS Treatment with zidovudine plus didanosine, zidovudine plus zalcitabine, or didanosine alone slows the progression of HIV disease and is superior to treatment with zidovudine alone. Antiretroviral therapy can improve survival in patients with 200 to 500 CD4 cells per cubic millimeter.
Collapse
Affiliation(s)
- S M Hammer
- Harvard Medical School, Boston, MA 02215, USA
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
43
|
D'Aquila RT, Hughes MD, Johnson VA, Fischl MA, Sommadossi JP, Liou SH, Timpone J, Myers M, Basgoz N, Niu M, Hirsch MS. Nevirapine, zidovudine, and didanosine compared with zidovudine and didanosine in patients with HIV-1 infection. A randomized, double-blind, placebo-controlled trial. National Institute of Allergy and Infectious Diseases AIDS Clinical Trials Group Protocol 241 Investigators. Ann Intern Med 1996; 124:1019-30. [PMID: 8633815 DOI: 10.7326/0003-4819-124-12-199606150-00001] [Citation(s) in RCA: 228] [Impact Index Per Article: 8.1] [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: 02/01/2023] Open
Abstract
OBJECTIVE To study the addition of a third human immunodeficiency virus type 1 (HIV-1) reverse transcriptase inhibitor, nevirapine, to the combination of zidovudine and didanosine. DESIGN A 48-week, randomized, double-blind, placebo-controlled trial at 16 AIDS (acquired immunodeficiency syndrome) Clinical Trials Units. PATIENTS 398 adults who had HIV-1 infection, had 350 or fewer CD4+ T lymphocytes/mm3, and had had more than 6 months of previous nucleoside therapy. INTERVENTION 1) Either nevirapine or placebo (200 mg/d for 2 weeks, then 400 mg/d thereafter) and 2) open-label zidovudine (600 mg/d) and didanosine (400 mg/d for patients weighing > or = 60 kg). MEASUREMENTS CD4+ T lymphocyte counts, time to first HIV-1 disease progression event or death, adverse events, and nevirapine levels in plasma samples taken at random were measured in all patients. Plasma levels of HIV-1 RNA HIV-1 infectivity titer in peripheral blood mononuclear cells; serum p24 antigen levels; and plasma levels of zidovudine and didanosine were measured in patients enrolled at half the study sites. RESULTS After 48 weeks of study treatment the patients assigned to the triple-combination regimen (nevirapine, zidovudine, and didanosine) had an 18% higher mean absolute CD4 cell count (95% Cl, 7% to 29%; P = 0.001), a 0.32 log10 lower mean infectious HIV-1 titer in peripheral blood mononuclear cells (Cl, 0.05 to 0.59 log10 infectious units per million cells; P = 0.023), and a 0.25 log10 lower mean plasma HIV-1 RNA level (Cl, 0.03 to 0.48 log10 RNA copies/mL; P = 0.028) than did patients assigned to the double-combination regimen (zidovudine and didanosine). Severe rashes were more common among patients assigned to receive the triple combination (9% compared with 2%; P = 0.002). Risk for disease progression did not differ between the two groups (relative hazard of the triple-combination group, 1.24 [Cl, 0.75 to 2.06]; P > 0.2), although the study had only moderate power to detect a major difference. CONCLUSIONS Adding nevirapine to zidovudine and didanosine improved the long-term immunologic and virologic effects of therapy and was associated with severe rash among the patients studied, who had had extensive previous therapy. These results support 1) the continuing development of combinations of more than two antiretroviral drugs to increase and prolong HIV-1 suppression and 2) the potential utility of nevirapine in combination regimens.
Collapse
Affiliation(s)
- R T D'Aquila
- Infectious Disease Unit, Massachusetts General Hospital, Charlestown 02129, USA
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
44
|
|
45
|
Cohen OJ, Pantaleo G, Holodniy M, Fox CH, Orenstein JM, Schnittman S, Niu M, Graziosi C, Pavlakis GN, Lalezari J, Bartlett JA, Steigbigel RT, Cohn J, Novak R, McMahon D, Bilello J, Fauci AS. Antiretroviral monotherapy in early stage human immunodeficiency virus disease has no detectable effect on virus load in peripheral blood and lymph nodes. J Infect Dis 1996; 173:849-56. [PMID: 8603962 DOI: 10.1093/infdis/173.4.849] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [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: 01/31/2023] Open
Abstract
Initiation of antiretroviral monotherapy early in the course of infection with human immunodeficiency virus may result in a temporary slowing in the rate of disease progression; however, little is known about the virologic effects of early therapy. Virus load was measured in peripheral blood and lymph nodes from 16 antiretroviral-naive patients with a mean CD4 T lymphocyte count of 659 cells/microliter at baseline and after 8 weeks of either no treatment or zidovudine therapy. CD4 T lymphocyte counts and all virologic parameters examined remained unchanged regardless of zidovudine treatment status. Histopathology and virus distribution within lymph nodes remained constant between baseline and week 8 in each patient, indicating that the virologic and histologic parameters examined in a single lymph node are representative of a systemic process. Early antiretroviral monotherapy with zidovudine had no effect on virologic parameters in this group of patients with relatively high CD4 T lymphocyte counts and low measures of virus load at baseline.
Collapse
Affiliation(s)
- O J Cohen
- Laboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, Bethesda, MD 20892, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
46
|
Cohen OJ, Pantaleo G, Holodniy M, Schnittman S, Niu M, Graziosi C, Pavlakis GN, Lalezari J, Bartlett JA, Steigbigel RT. Decreased human immunodeficiency virus type 1 plasma viremia during antiretroviral therapy reflects downregulation of viral replication in lymphoid tissue. Proc Natl Acad Sci U S A 1995; 92:6017-21. [PMID: 7597072 PMCID: PMC41633 DOI: 10.1073/pnas.92.13.6017] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.4] [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
Although several immunologic and virologic markers measured in peripheral blood are useful for predicting accelerated progression of human immunodeficiency virus (HIV) disease, their validity for evaluating the response to antiretroviral therapy and their ability to accurately reflect changes in lymphoid organs remain unclear. In the present study, changes in certain virologic markers have been analyzed in peripheral blood and lymphoid tissue during antiretroviral therapy. Sixteen HIV-infected individuals who were receiving antiretroviral therapy with zidovudine for > or = 6 months were randomly assigned either to continue on zidovudine alone or to add didanosine for 8 weeks. Lymph node biopsies were performed at baseline and after 8 weeks. Viral burden (i.e., HIV DNA copies per 10(6) mononuclear cells) and virus replication in mononuclear cells isolated from peripheral blood and lymph node and plasma viremia were determined by semiquantitative polymerase chain reaction assays. Virologic and immunologic markers remained unchanged in peripheral blood and lymph node of patients who continued on zidovudine alone. In contrast, a decrease in virus replication in lymph nodes was observed in four of six patients who added didanosine to their regimen, and this was associated with a decrease in plasma viremia. These results indicate that decreases in plasma viremia detected during antiretroviral therapy reflect downregulation of virus replication in lymphoid tissue.
Collapse
Affiliation(s)
- O J Cohen
- Laboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, Bethesda, MD 20892, USA
| | | | | | | | | | | | | | | | | | | |
Collapse
|