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Zhang S, Chen XF, Chen XF, Wu X, Chang XY, Lyu J, Yu CQ, Pei P, Sun DJY, Wu XP. [A prospective study on the relationship between exposure to solid fuels for heating and its duration and the risk of morbidity of respiratory diseases among residents aged 30-79 years]. Zhonghua Liu Xing Bing Xue Za Zhi 2024; 45:490-497. [PMID: 38678343 DOI: 10.3760/cma.j.cn112338-20231212-00349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 04/29/2024]
Abstract
Objective: To research the association between exposure to solid fuels for heating and its duration and the risk of respiratory diseases morbidity. Methods: Data from the China Kadoorie Biobank project sited in Pengzhou City, Sichuan Province. Cox proportional hazard regression model was used to analyze the association between exposure to solid fuels for heating and its duration and the risk of total respiratory diseases and the association between exposure to solid fuels for heating and the risk of chronic obstructive pulmonary disease (COPD) and pneumonia among respiratory diseases. Results: A total of 46 082 participants aged 30-79 years were enrolled, with 11 634 (25.25%) heating during the winter, of whom 8 885 (19.28%) used clean fuels and 2 749 (5.97%) used solid fuels, of whom 34 448 (74.75%) did not heat. After controlling for multiple confounding factors, Cox proportional hazard regression model was used, which revealed that compared with clean fuels, unheating could reduce the risk of total respiratory disease (HR=0.81,95%CI:0.77-0.86), COPD (HR=0.86,95%CI:0.78-0.95) and pneumonia (HR=0.80,95%CI:0.74-0.86), respectively. Exposure to solid fuels increased the risk of total respiratory disease (HR=1.10, 95%CI:1.01-1.20) and were not associated with COPD and pneumonia. Compared with no solid fuel exposure, the risk of total respiratory disease (1-19 years:HR=1.23, 95%CI:1.10-1.37; 20-39 years:HR=1.25, 95%CI:1.16-1.35; ≥40 years:HR=1.26, 95%CI:1.15-1.39) and COPD (1-19 years: HR=1.21, 95%CI:1.03-1.42; 20-39 years: HR=1.30, 95%CI:1.16-1.46; ≥40 years:HR=1.35, 95%CI:1.18-1.54) increased with the length of exposure of solid fuels (trend test P<0.001). Solid fuels exposure for 1-19 years and 20-39 years increased the risk of COPD by 23% (HR=1.23,95%CI:1.02-1.49) and 16% (HR=1.16, 95%CI:1.00-1.35). Conclusion: Heating solid fuels exposure increases the risk of total respiratory disease, COPD, and pneumonia.
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Affiliation(s)
- S Zhang
- School of Public Health, Chengdu Medical College, Chengdu 610500, China
| | - X F Chen
- School of Public Health, Chengdu Medical College, Chengdu 610500, China
| | - X F Chen
- Pengzhou Center for Disease Control and Prevention of Sichuan Province, Pengzhou 611930, China
| | - X Wu
- Pengzhou Center for Disease Control and Prevention of Sichuan Province, Pengzhou 611930, China
| | - X Y Chang
- Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China
| | - J Lyu
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing 100191, China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China
| | - C Q Yu
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing 100191, China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China
| | - P Pei
- Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China
| | - D J Y Sun
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing 100191, China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China
| | - X P Wu
- Health Commission of Sichuan Province, Chengdu 610031, China
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Zhou J, Chen XF, Gao YH, Yan F, Xi HQ. [Prevalence and risk factors of sarcopenia after radical gastrectomy for gastric cancer]. Zhonghua Wei Chang Wai Ke Za Zhi 2024; 27:189-195. [PMID: 38413088 DOI: 10.3760/cma.j.cn441530-20230324-00093] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
Objective: To investigate the prevalence and risk factors of sarcopenia in patients following radical gastrectomy with the aim of guiding clinical decisions. Methods: This was a retrospective observational study of data of patients who had undergone radical gastrectomy between June 2021 and June 2022 at the Department of General Surgery, First Medical Center of Chinese PLA General Hospital. Participants were reviewed 9-12 months after surgery. Inclusion criteria were as follows: (1) radical gastrectomy with a postoperative pathological diagnosis of primary gastric cancer; (2) no invasion of neighboring organs, peritoneal dissemination, or distant metastasis confirmed intra- or postoperatively; (3) availability of complete clinical data, including abdominal enhanced computed tomography and pertinent blood laboratory tests 9-12 after surgery. Exclusion criteria were as follows: (1) age <18 years; (2) presence of gastric stump cancer or previous gastrectomy; (3) history of or current other primary tumors within the past 5 years; (4) preoperative diagnosis of sarcopenia (skeletal muscle index [SMI) ≤52.4 cm²/m² for men, SMI ≤38.5 cm²/m² for women). The primary focus of the study was to investigate development of postoperative sarcopenia in the study cohort. Univariate and multivariate logistic regression were used to identify the factors associated with development of sarcopenia after radical gastrectomy. Results: The study cohort comprised 373 patients of average age of 57.1±12.3 years, comprising 292 (78.3%) men and 81 (21.7%) women. Postoperative sarcopenia was detected in 81 (21.7%) patients in the entire cohort. The SMI for the entire group was (41.79±7.70) cm2/m2: (46.40±5.03) cm2/m2 for men and (33.52±3.63) cm2/m2 for women. According to multivariate logistic regression analysis, age ≥60 years (OR=2.170, 95%CI: 1.175-4.007, P=0.013), high literacy (OR=2.512, 95%CI: 1.238-5.093, P=0.011), poor exercise habits (OR=3.263, 95%CI: 1.648-6.458, P=0.001), development of hypoproteinemia (OR=2.312, 95%CI: 1.088-4.913, P=0.029), development of hypertension (OR=2.169, 95%CI: 1.180-3.984, P=0.013), and total gastrectomy (OR=2.444, 95%CI:1.214-4.013,P=0.012) were independent risk factors for postoperative sarcopenia in post-gastrectomy patients who had had gastric cancer (P<0.05). Conclusion: Development of sarcopenia following radical gastrectomy demands attention. Older age, higher education, poor exercise habits, hypoproteinemia, hypertension, and total gastrectomy are risk factors for its development post-radical gastrectomy.
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Affiliation(s)
- J Zhou
- Division of Gastric Surgery, Senior Department of General Surgery, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
| | - X F Chen
- Division of Gastric Surgery, Senior Department of General Surgery, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
| | - Y H Gao
- Division of Gastric Surgery, Senior Department of General Surgery, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
| | - F Yan
- Department of Diagnostic Radiology,the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
| | - H Q Xi
- Division of Abdominal Trauma Surgery, Senior Department of General Surgery, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
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Wang LY, Le YS, Li HY, Liu ZW, Weng TT, Chen XF, Liu PN, Dong L. [Study on transcriptome characteristics of respiratory syncytial virus bronchiolitis in children by RNA sequencing]. Zhonghua Yu Fang Yi Xue Za Zhi 2024; 58:71-80. [PMID: 38228552 DOI: 10.3760/cma.j.cn112150-20230126-00057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/18/2024]
Abstract
To explore the biological characteristics related to the pathogenesis and severity of respiratory syncytial virus (RSV) bronchiolitis by RNA sequencing of white blood cells in children with RSV bronchiolitis. This study is a case-control study. A total of 87 children diagnosed with bronchiolitis and RSV antigen positive and/or RSV nucleic acid positive in the pediatric respiratory department of the Second Affiliated Hospital of Wenzhou Medical University from October 2019 to April 2022 were selected as the case group. The case group was divided into three groups based on the condition: mild, moderate, and severe, and there were two groups according to the presence or absence of atopic symptoms: the atopic group and the non-atopic group, forty healthy children in the same period were selected as the control group. The whole blood leukocyte RNA of the children in the case group and the control group was extracted for RNA sequencing, and the data were analyzed to obtain differentially expressed genes (DEGs). Then, the immunobiological pathways and genes related to the pathogenesis, disease condition, and atopy were screened through Gene Ontology (GO) annotation, Kyoto Gene and Genome Encyclopedia (KEGG) annotation, and protein interaction network (PPI) construction methods. Construct the weighted gene co-expression network analysis (WGCNA) module to identify potential biological indicators related to disease severity.Compared with the control group, the case group had a total of 1 782 DEGs, including 1 586 upregulated genes and 196 downregulated genes. The GO pathway enrichment of DEGs is mainly enriched in molecular functions such as peroxidase activity and oxidoreductase activity. In the cytological components, it is mainly enriched in cytoplasmic vesicle lumen and secretory granule lumen. In biological processes, it is mainly enriched in processes such as neutrophil activation involved in immune responses, neutrophil degranulation, and neutrophil activation. KEGG analysis is mainly concentrated in the signal pathway of the viral protein interaction with cytokine and cytokine receptor. A PPI network was constructed to screen four genes at the core position, including CCL2, IL-10, MMP9 and JUN. The DEGs obtained by comparing different disease groups with the control group are mainly enriched in retrograde endocannabinoid signaling and cell apoptosis pathways. WGCNA analysis showed that the brown module related to oxygen saturation was most closely related to the disease, and its gene was mainly enriched in the RNA helicase retinoic acid inducible gene-I (RIG-I) like receptor signal pathway. There are 230 specific DEGs in the atopic group and 444 in the non-atopic group. KEGG enrichment analysis results show that both groups are enriched to NF-κB signaling pathway, the characteristic does not cause significant changes in immune response and transcriptome characteristics in children with RSV bronchiolitis. In conclusion, neutrophil activation, degranulation pathway and signal pathway of interaction between viral protein and cytokine and cytokine receptor are involved in the immune response of RSV bronchiolitis host. CCL2, IL-10, MMP9 and JUN genes may be associated with the pathogenesis. They might be potential biomarkers related to disease severity in RIG-I like receptors, cell apoptosis, and endogenous cannabinoid related signaling pathways.
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Affiliation(s)
- L Y Wang
- Department of Pediatric Pulmonology, the Second Affiliated Hospital and Yuying Children' s Hospital of Wenzhou Medical University, Wenzhou 325027, China
| | - Y S Le
- Department of Pediatric Pulmonology, the Second Affiliated Hospital and Yuying Children' s Hospital of Wenzhou Medical University, Wenzhou 325027, China
| | - H Y Li
- Department of Pediatric Pulmonology, the Second Affiliated Hospital and Yuying Children' s Hospital of Wenzhou Medical University, Wenzhou 325027, China
| | - Z W Liu
- Institute of Genomic Medicine, Wenzhou Medical University, Wenzhou 325025, China
| | - T T Weng
- Department of Pediatric Pulmonology, the Second Affiliated Hospital and Yuying Children' s Hospital of Wenzhou Medical University, Wenzhou 325027, China
| | - X F Chen
- Department of Pediatric Pulmonology, the Second Affiliated Hospital and Yuying Children' s Hospital of Wenzhou Medical University, Wenzhou 325027, China
| | - P N Liu
- Department of Child Health Care Department, the Second Affiliated Hospital and Yuying Children' s Hospital of Wenzhou Medical University, Wenzhou 325027, China
| | - L Dong
- Department of Pediatric Pulmonology, the Second Affiliated Hospital and Yuying Children' s Hospital of Wenzhou Medical University, Wenzhou 325027, China
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Pan H, Chen XF, Han J, Ji Y, Zeng MS, Wang ML. [Analysis of MRI features of hepatocyte nuclear factor 1α-inactivated hepatocellular adenoma]. Zhonghua Gan Zang Bing Za Zhi 2023; 31:1192-1197. [PMID: 38238954 DOI: 10.3760/cma.j.cn501113-20220718-00386] [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] [Subscribe] [Scholar Register] [Indexed: 01/23/2024]
Abstract
Objective: To investigate the MRI imaging features of hepatocyte nuclear factor 1α- inactivated hepatocellular adenoma (H-HCA). Methods: Clinical data and MRI images of 19 H-HCA cases who were pathologically confirmed at Zhongshan Hospital Affiliated to Fudan University between August 2014 and July 2020 were retrospectively analyzed. Among them, there were 15 females and 4 males, aged 16-47 (32± 7) years old. Tumor number, location, shape, size, boundary, MRI plain scan signal intensity, dynamic enhancement features of each phase, presence or absence of intratumoral fat content, pseudocapsule, and others were analyzed. The differences in apparent diffusion coefficient (ADC) values between the lesion and the surrounding normal liver parenchyma were compared for statistical significance. t-test was used for statistical analysis. Results: There were a total of 24 lesions in 19 cases. 14 cases had solitary lesions, and five cases had multiple lesions. 15 and nine lesions were located in the right and left lobes of the liver, respectively. 20 lesions were round or quasi-round, and four were irregular or lobulated. The tumor's maximal diameter was 0.6-8.6 (3.5 ± 2.4) cm. T(1)-weighted image (WI) showed hyperintense to iso-intense signals in 20 lesions and hypointense signals in four. T(2)WI showed iso-to-slightly high signal intensity in 16 lesions, with two hyperintense and six hypointense signals. Diffusion-weighted image (DWI) revealed hyperintense to iso-intense signals. Lesions mean ADC value was (1.289 ± 0.222)×10(-3) mm(2)/s, while the adjacent normal liver parenchyma's mean ADC value was (1.307 ± 0.236)×10(-3) mm(2)/s, with no statistically significant difference between the two (P > 0.05). During the arterial phase, 15 of the 18 lesions that underwent dynamic contrast-enhanced scanning with gadoxetate disodium (Gd-DTPA) were mildly to moderately enhanced and three were strongly enhanced. The portal and hepatic venous phases had no continuous enhancement, while the delayed phase showed a hypointense signal. During the arterial phase, two of the six lesions scanned by gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid ((Gd-EOB-DTPA) dynamic enhancement were mildly to moderately enhanced, while four were strongly enhanced. The portal and hepatic venous phases had no continuous enhancement, while the transition and hepatobiliary-specific phases showed hypointense signals. Intracellular steatosis occurred in 21 lesions, of which 19 were diffuse steatosis and 16 formed pseudocapsules in the delayed phase. Conclusion: H-HCA often occurs in young females as solitary lesions and has certain MRI features. T1WI anti-phase diffuse signal reduction and post-enhanced hypovascular withdrawal enhancement patterns can aid in accurately diagnosing the disease condition.
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Affiliation(s)
- H Pan
- Department of Radiology, The Second Affiliated Hospital of Jiaxing University, Jiaxing 314000, China
| | - X F Chen
- Department of Radiology, The Second Affiliated Hospital of Jiaxing University, Jiaxing 314000, China
| | - J Han
- Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
| | - Y Ji
- Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
| | - M S Zeng
- Department of Radiology, Zhongshan Hospital, Fudan University; Department of Radiology, Shanghai Geriatric Medical Center, Shanghai 200032, China
| | - M L Wang
- Department of Radiology, Zhongshan Hospital, Fudan University; Department of Radiology, Shanghai Geriatric Medical Center, Shanghai 200032, China
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Chen XF, Lu M, Hong YM, Zheng CH, Liang ZY, Li YY. [Coiled tube of femoral anterolateral flap for repair of circumferential defect after operation of advanced hypopharyngeal carcinoma]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2023; 58:998-1004. [PMID: 37840164 DOI: 10.3760/cma.j.cn115330-20230214-00068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 10/17/2023]
Abstract
Objective: To investigate the clinical application value of coiled tube of femoral anterolateral flap in the repair of circumferential defect after resection of advanced hypopharyngeal carcinoma. Methods: Clinical data of 42 patients with advanced hypopharyngeal cancer admitted to the Second Affiliated Hospital of Fujian Medical University from January 2016 to April 2022 were retrospectively analyzed, including 41 males and 1 female, aged from 33 to 82 years old. All patients received surgical treatment, including total laryngectomy plus total laryngopharyngectomy in 20 cases, total laryngectomy, total laryngopharyngectomy and resection of partial tongue base in 8 cases, total laryngectomy, total laryngopharyngectomy and resection of cervical esophagus in 9 cases, total laryngectomy, total laryngopharyngectomy, and resection of partial tongue base and cervical esophagus in 5 cases. The postoperative circumferential defects were repaired with the coil tube of anterolateral femoral skin flap in phase Ⅰ, and the healing status of the flap, wound healing and swallowing function were observed. All cases were followed up. Results: The lengths of the hypopharyngeal defects were 7-18 cm and the sizes of the harvested flaps were 6 cm×9.5 cm-10 cm×20 cm. Flaps survived in 41 cases, flap necrosis occurred in one case, and the survival rate of flaps was 97.6%. One artery and one vein were anastomosed in 40 cases, and one artery and two veins were anastomosed in 2 cases. Postoperative cervical wound infection occurred in 5 cases, and pharyngeal fistula occurred in 2 cases. Three months of follow-up after surgery, 31 cases had normal diet, 9 cases presented with semi-liquid diet and 2 cases with liquid diet. Following up for 6-65 months, recurrence and metastasis occurred in 14 patients (33.3%), including primary site recurrence in 4 cases (9.5%), cervical lymph node recurrence in 6 cases (14.3%), and distant metastasis in 4 cases (9.5%). The 1-year and 3-year overall survival rates were respectively 79.4% and 60.5%. Conclusion: Coiled tube of femoral anterolateral flap is an ideal skin flap for repair of circumferential defects after resection of advanced hypopharyngeal carcinoma.
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Affiliation(s)
- X F Chen
- Department of Otolaryngology, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
| | - M Lu
- Department of Otolaryngology, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
| | - Y M Hong
- Department of Otolaryngology, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
| | - C H Zheng
- Department of Otolaryngology, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
| | - Z Y Liang
- Department of Otolaryngology, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
| | - Y Y Li
- Department of Otolaryngology, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
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Wei GJ, Chen XF, Chen XF, Wu X, Chang XY, Pei P, Wu XP. [Relationship between smoking and the risk of morbidity of chronic obstructive pulmonary diseases among residents aged 30 years and above in Sichuan Province: a prospective study]. Zhonghua Liu Xing Bing Xue Za Zhi 2023; 44:778-785. [PMID: 37221067 DOI: 10.3760/cma.j.cn112338-20221123-00994] [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: 05/25/2023]
Abstract
Objective: To investigate the morbidity of chronic obstructive pulmonary diseases (COPD) in residents aged 30 years and above in Sichuan Province, and analyze the effect of smoking on the risk of morbidity on COPD. Methods: From 2004 to 2008, people were randomly selected from Pengzhou, Sichuan Province. All the local people aged 30-79 years were asked to receive questionnaire survey, physical examination and pulmonary function testing, and long-term follow-up to determine the morbidity of COPD. Cox proportional hazard regression model was used to analyze the relationship between smoking and COPD. Results: In 46 540 participants, the current smoking rates were 67.31% in males and 8.67% in females, there were 3 101 new cases of COPD, with a cumulative incidence of 6.66%. Adjusted for age, gender, occupation, marriage, income level, educational level, BMI, daily total physical activity, current cooking frequency, whether there was smoke exhaust device at present and frequency of passive smoking exposure, multivariate Cox proportional hazard regression analysis showed that compared with the non-smoking population, current smoking and quitting smoking increased the risk of COPD, with HR of 1.42 (95%CI:1.29-1.57) and 1.34 (95%CI:1.16-1.53). Compared with people who never or occasionally smoke, the risk of morbidity on COPD increased with the increase of average daily smoking volume, mixed smoking at present, mixed smoking at the beginning increased the risk of COPD, with HR of 1.79 (95%CI: 1.42-2.25) and 2.12 (95%CI: 1.53-2.92), started smoking at the age of <18 years old and ≥18 years old increased the risk of COPD, with HR of 1.61 (95%CI:1.43-1.82) and 1.34 (95%CI: 1.22-1.48), inhaling into the mouth, throat and lung during smoking increased the risk of COPD, with HR of 1.30 (95%CI: 1.16-1.45), 1.63 (95%CI: 1.45-1.83) and 1.37 (95%CI: 1.21-1.55). Adjusted for multiple confounding factors and adjusted for regression dilution bias, the average daily smoking volume, the age of starting smoking and the depth of smoking inhalation had an impact on the incidence of COPD, and the gender difference was particularly prominent. Conclusions: Smoking increased the risk of morbidity on COPD, which was related to the average daily smoking volume, the type of smoking, the age of starting smoking and the depth of smoking inhalation. Tobacco control should comprehensively consider the specific characteristics of smoking, so as to prevent COPD.
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Affiliation(s)
- G J Wei
- School of Public Health, Chengdu Medical College, Chengdu 610500, China
| | - X F Chen
- School of Public Health, Chengdu Medical College, Chengdu 610500, China
| | - X F Chen
- Pengzhou Center for Disease Control and Prevention, Sichuan Province, Pengzhou 611930, China
| | - X Wu
- Pengzhou Center for Disease Control and Prevention, Sichuan Province, Pengzhou 611930, China
| | - X Y Chang
- Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China
| | - P Pei
- Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China
| | - X P Wu
- Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China
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He JC, Chen XF, Wang TP, Gao FH, Tao W, Dai B, Ding SJ, Liu T, Li Y, Wang H, Mao WF, Zhang LS, Xu XJ, Zhang SQ. [Investigation on prevalence of Schistosoma japonicum infections in wild mice in Shitai County, Anhui Province, 2018]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2022; 34:622-625. [PMID: 36642903 DOI: 10.16250/j.32.1374.2022039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
OBJECTIVE To investigate the prevalence of Schistosoma japonicum infection in wild mice in Shitai County, Anhui Province, so as to provide insights into precise control of the source of S. japonicum infections. METHODS Wild mice were captured using the trapping method for three successive nights at snail-infested settings from Jitan Village of Jitan Township, and Shiquan Village and Xibai Village of Dingxiang Township, Shitai County, Anhui Province in June and October, 2018. All trapped wild mice were sacrificed and liver and mesenteric vein specimens were collected for detection of S. japonicum eggs using microscopy, while the fecal samples in mouse intestines were collected for identification of S. japonicum infections using Kato-Katz technique. In addition, the population density of trapped wild mice was estimated and the prevalence of S. japonicum infection was calculated in trapped wild mice. RESULTS A total of 376 wild mice were trapped from three villages in Shitai County. The population density of trapped wild mice was 9.1% (376/4 124), and the prevalence of S. japonicum infection was 24.2% (91/376) in trapped wild mice. The highest prevalence of S. japonicum infection was detected in Shiquan Village of Dingxiang Township (30.1%), and the lowest prevalence was seen in Xibai Village of Dingxiang Township; however, there was no significant difference in the prevalence of S. japonicum infection in trapped wild mice among three villages (χ2= 4.111, P > 0.05). In addition, there was no significant difference in the prevalence of S. japonicum infection in wild mice captured between on June (26.8%, 34/127) and October (22.9%, 57/249) (χ2 = 0.690, P = 0.406). The trapped wild mice included 6 species, including Rattus norvegicus, Niviventer niviventer, R. losea, Apodemus agrarius, Mus musculus and N. coning, and the two highest prevalence of S. japonicum infection was detected in R. losea (34.9%, 22/63) and R. norvegicus (31.2%, 44/141). CONCLUSIONS The prevalence of S. japonicum infections is high in wild mice in Shitai County, and there is a natural focus of schistosomiasis transmission in Shitai County.
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Affiliation(s)
- J C He
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China.,Co-first authors
| | - X F Chen
- Shitai County Station of Schistosomiasis Control, Shitai, Anhui 245100, China.,Co-first authors
| | - T P Wang
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
| | - F H Gao
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
| | - W Tao
- Shitai County Station of Schistosomiasis Control, Shitai, Anhui 245100, China
| | - B Dai
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
| | - S J Ding
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
| | - T Liu
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
| | - Y Li
- Chizhou Center for Disease Control and Prevention, Anhui Pmvince, China
| | - H Wang
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
| | - W F Mao
- Chizhou Center for Disease Control and Prevention, Anhui Pmvince, China
| | - L S Zhang
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
| | - X J Xu
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
| | - S Q Zhang
- Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230000, China
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Sun H, Wang T, Xu ZX, Chen XF, Cao JB, Li H. [Effective dose and adverse reactions analysis of Remimazolam for sedation in elderly patients undergoing gastroscopy]. Zhonghua Yi Xue Za Zhi 2022; 102:332-335. [PMID: 35092973 DOI: 10.3760/cma.j.cn112137-20211111-02509] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the 50% effective dose (ED50) and 95% effective dose (ED95) of Remimazolam during gastroscopic sedation in elderly patients, and to observe the adverse reactions during anesthesia. Methods: From July to November 2020, 39 elderly patients, of which there were 18 males and 21 females, aged from 65 to 82 (72±5) years, were examined by gastroscopy in the Second Affiliated Hospital of Hainan Medical University, who American Society of Anesthesiologists (ASA) was grade Ⅰ or Ⅱ. Sufentanil 0.1 μg/kg and test dose Remimazolam were injected intravenously, and the initial dose of Remimazolam was 0.17 mg/kg. The dose of the next patient was determined according to the modified Dixon sequential method. If the former patient had a positive reaction during gastroscopy, such as cough, nausea, vomiting and/or body movement reaction occurred when the gastroscope was placed into the pharynx or in the 2 min, the next patient would increase the dose, otherwise, the dose would be reduced. The dose increase and decrease gradient of Remimazolam was 0.01 mg/kg, and the test was stopped after 12 times of return. At the same time, the occurrence of adverse reactions during anesthesia was observed. Results: A total of 39 elderly patients completed the trial, of which 21 were effective and 18 were ineffective. When the elderly patients were sedated by gastroscopy, the ED50 of single intravenous injection of Remimazolam was 0.153 mg/kg (95%CI:0.151-0.154 mg/kg) and the ED95 was 0.164 mg/kg (95%CI:0.160-0.166 mg/kg). The total dose of Remimazolam was (10.6±2.8) mg, the recovery time was (10.0±3.4) min, and the stay time in resuscitation room was (8.2±2.6) min. During anesthesia, nausea and vomiting occurred in 1 case, transient hypotension in 4 cases, and no other adverse reactions were found. Conclusion: The ED50 of Remimazolam during gastroscopic sedation in elderly patients is 0.153 mg/kg, ED95 is 0.162 mg/kg, and the incidence of adverse reactions is low.
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Affiliation(s)
- H Sun
- Department of Anesthesiology, the Second Affiliated Hospital of Hainan Medical University,Haikou 570311, China
| | - T Wang
- Department of Anesthesiology, the Second Affiliated Hospital of Hainan Medical University,Haikou 570311, China
| | - Z X Xu
- Department of Anesthesiology, the Second Affiliated Hospital of Hainan Medical University,Haikou 570311, China
| | - X F Chen
- Department of Anesthesiology, the Second Affiliated Hospital of Hainan Medical University,Haikou 570311, China
| | - J B Cao
- Anesthesia and Operation Center, the First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
| | - H Li
- Anesthesia and Operation Center, the First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
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Abstract
OBJECTIVE To investigate the effect of electrical pulse stimulation (EPS) on lipid accumulation and alteration of fatty acid-related enzymes in C2C12 myotubes incubated with fatty acids. METHODS Mouse C2C12 myotubes were incubated with oleic acid and palmitic acid, and differentiated C2C12 myotubes were treated with EPS, oil-red O (ORO), BODIPY staining and triglyceride (TG) content were examined. Total RNA was isolated, and real-time polymerase chain reaction analysis was performed. RESULTS (1) EPS decreased TG content (p < .01). (2) EPS significantly induced the mRNA expression of FAD/CD36 (p < .05), FATP4 (p < .001), FABP1 (p < .01) and FABP5 (p < .01). (3) EPS significantly inhibited the mRNA expression of fatty acid synthase (p < .01). (4) Adipose triglyceride lipase and hormone-sensitive lipase expression were significantly elevated (p < .001), and induced the mRNA expression of CPT1 (p < .01), ACOX1 (p < .05), UCP3 (p < .05) and PPARα (p < .001) after EPS. CONCLUSION EPS reduced lipid droplet accumulation; enhanced CD36, FATP4, FABP1 and FABP5 expression; inhibited C2C12 myotube fatty acid re-esterification; and promoted fatty acid oxidation in C2C12 myotubes.
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Affiliation(s)
- Ling-Jie Li
- College of P.E. and Sports, Beijing Normal University, Beijing, China
| | - Jin Ma
- College of P.E. and Sports, Beijing Normal University, Beijing, China
| | - Song-Bo Li
- China Academy of Sport and Health Science, Beijing Sport University, Beijing, China
| | - Xue-Fei Chen
- College of P.E. and Sports, Beijing Normal University, Beijing, China
| | - Jing Zhang
- College of P.E. and Sports, Beijing Normal University, Beijing, China
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10
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Chen HY, Bao Y, Zou JJ, Cong XL, Zhang XX, Zheng JY, Chen XF, Shi YQ. Activated Th9 cells in diabetic coronary heart disease. J BIOL REG HOMEOS AG 2021; 35:1137-1144. [PMID: 34120675 DOI: 10.23812/20-703-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- H Y Chen
- Department of Endocrinology, Changzheng Hospital, Naval Medical University, Shanghai, China
| | - Y Bao
- Department of Endocrinology, Changzheng Hospital, Naval Medical University, Shanghai, China
| | - J J Zou
- Department of Endocrinology, Changzheng Hospital, Naval Medical University, Shanghai, China
| | - X L Cong
- Department of Cardiology, Changzheng Hospital, Naval Medical University, Shanghai, China
| | - X X Zhang
- Department of Endocrinology, Changzheng Hospital, Naval Medical University, Shanghai, China
| | - J Y Zheng
- Department of Endocrinology, Changzheng Hospital, Naval Medical University, Shanghai, China
| | - X F Chen
- Department of Endocrinology, Changzheng Hospital, Naval Medical University, Shanghai, China
| | - Y Q Shi
- Department of Endocrinology, Changzheng Hospital, Naval Medical University, Shanghai, China
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11
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Guo MY, Sun XY, Wu B, Chen XF, Zhang HM, Zhang MM, Zhou RN, Zhou QY, Ruan GC, Bai XY, Yang H. [Reoperation rate and related factors in patients with Crohn's disease]. Zhonghua Yi Xue Za Zhi 2021; 101:1683-1689. [PMID: 34126717 DOI: 10.3760/cma.j.cn112137-20210302-00525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To analyze the cumulative reoperation rate of postoperative Crohn's disease (CD) patients and investigate the operation reasons and the effects of drugs on surgical recurrence. Method: Patients with Crohn's disease who had undergone intestinal resection from January 2000 to March 2020 in Peking Union Medical College Hospital were enrolled. Patients were divided into reoperation and non-reoperation group according to whether they had a second operation. And the basic characteristics and the reasons for the primary and second operation were retrospectively analyzed. Meanwhile, patients were divided into low-risk reoperation group and high-risk group based on risk stratification. Kaplan-Meier methods were performed to analyze the cumulative surgical recurrence rate and to compare the recurrence rate in different risk stratification and chi-square tests was used to analyze the effects of different maintenance drugs on reoperation. Result: A total of 160 patients were enrolled in the study. There were 110 males and 50 females, and the age at first operation was (35.6±14.1) years old. There were 40 patients in the reoperation group and 120 patients in the non-reoperation group. According to univariate analysis, the proportion of male gender(P=0.030), penetrating phenotype(P<0.001), history of appendectomy before the primary surgery(P=0.035) and no postoperative maintenance therapy (P<0.001) were higher in surgical recurrence group. In terms of the operation reasons, intestinal obstruction accounted for the highest proportion in the primary operation (26.9%, 43/160), while the intestinal fistula was the most common reason for reoperation (42.5%, 17/40). After the primary surgery, the cumulative reoperation rates at 1, 3, 5 and 10 years were 5.9% (9 cases), 12.3% (17 cases), 21.8% (25 cases) and 37.6% (34 cases), respectively. The ten years cumulative reoperation rate of the high-risk group was 42.8% (31 cases), which was much higher than that of low-risk group (19.8%, 3 cases), and the difference was statistically significant (P=0.006). There was no statistically significant difference in the surgical recurrence rate of low-risk group patients(P=0.076)whether maintenance therapies were added or not, while the recurrence rate of high-risk group patients who did not receive maintenance therapy was higher than those who received immunosuppressant with or without (±) 5-aminosalicylic acid (ASA) (P=0.001) and biological agent±5-ASA (P=0.001), and the difference was statistically significant. Conclusion: Patients with CD are still at risk of reoperation after surgery. Immunosuppressive agents and biologics can prevent patients from reoperation in high-risk groups.
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Affiliation(s)
- M Y Guo
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - X Y Sun
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - B Wu
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - X F Chen
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - H M Zhang
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - M M Zhang
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - R N Zhou
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - Q Y Zhou
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - G C Ruan
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - X Y Bai
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - H Yang
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
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Lin H, Zhou XL, Zhang L, Chen XF, Huang K, Dong GP, Fu JF, Wang YS, Wu W. [A child with hypercalcemia associated with pneumocystis jirovecii pneumonia]. Zhonghua Er Ke Za Zhi 2020; 58:1021-1023. [PMID: 33256328 DOI: 10.3760/cma.j.cn112140-20200425-00430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- H Lin
- Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
| | - X L Zhou
- Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
| | - L Zhang
- Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
| | - X F Chen
- Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
| | - K Huang
- Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
| | - G P Dong
- Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
| | - J F Fu
- Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
| | - Y S Wang
- Department of Respiratory Medicine, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
| | - W Wu
- Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou 310052, China
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Li JP, Chen XF, Yan Q, Zhang YJ, Xie ZW, Xia Y, Guan YJ. [Effectiveness and safety of sofosbuvir/velpatasvir combination ± ribavirin in the treatment of Chinese adults with chronic hepatitis C virus infection]. Zhonghua Gan Zang Bing Za Zhi 2020; 28:831-837. [PMID: 33105927 DOI: 10.3760/cma.j.cn501113-20200831-00486] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To understand the effectiveness and safety sofosbuvir/velpatasvir (SOF/VEL) combination ±ribavirin in the treatment of chronic hepatitis C virus (HCV) infection in China. Methods: A total of 96 Chinese adults with chronic HCV infection who were treated with SOF/VEL combination ± ribavirin for 12 weeks between July 2018 and February 2020 were selected. HCV RNA, routine blood test, liver, kidney and coagulation function, abdominal Color Doppler ultrasound or CT and liver stiffness were detected at baseline, 4 weeks of treatment, end of treatment and 12 weeks of follow-up. Adverse events and laboratory abnormalities during the treatment were recorded. A t-test was used to compare the measurement data between the two groups, and the analysis of variance was used for multiple group comparison. Results: A total of 93 cases (96.9%) achieved sustained virological response (SVR12), of which 3 cases had relapsed. 88 cases (91.7%, 88/96) had achieved rapid virological response (RVR). 96 cases (100%) had achieved virological response by the end of treatment (EOT). In patients with decompensated liver cirrhosis, the average baseline Child-Pugh score and Model for End-Stage Liver Disease score was 7.4±1.0, and 11.4±1.7, respectively. Among them, 12 cases of the SOF/VEL combined with RBV treatment had achieved SVR12 (100%) at 12 weeks, while only 3 of the 5 cases of single-tablet regimen of SOF/VEL had achieved SVR12 (60%). There was no significant difference between creatinine levels and baseline during or 12 weeks after treatment. The incidence of adverse events in patients with chronic hepatitis C and compensated cirrhosis was 6.3% (5/79), while that in patients with decompensated cirrhosis was 35.3% (6/17). The most common adverse events were hyperbilirubinemia, fatigue and anemia. There were no serious adverse events, deaths or discontinuation of treatment due to adverse events. Conclusion: SOF/VEL combination ± ribavirin in the treatment of various common genotypes of chronic hepatitis C, compensated cirrhosis, decompensated cirrhosis and hepatocellular carcinoma has higher SVR12 in China, and the tolerance and safety are good.
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Affiliation(s)
- J P Li
- Department of Hepatology, Guangzhou Eighth People's Hospital Affiliated to Guangzhou Medical University, Guangzhou 510060, China
| | - X F Chen
- Infectious Department of Guangdong General Hospital, Guangzhou 510080, China
| | - Q Yan
- Department of Liver Diseases, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen 518052 , China
| | - Y J Zhang
- Department of Hepatology, Guangzhou Eighth People's Hospital Affiliated to Guangzhou Medical University, Guangzhou 510060, China
| | - Z W Xie
- Department of Hepatology, Guangzhou Eighth People's Hospital Affiliated to Guangzhou Medical University, Guangzhou 510060, China
| | - Y Xia
- Department of Hepatology, Guangzhou Eighth People's Hospital Affiliated to Guangzhou Medical University, Guangzhou 510060, China
| | - Y J Guan
- Department of Hepatology, Guangzhou Eighth People's Hospital Affiliated to Guangzhou Medical University, Guangzhou 510060, China
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Zhang TY, Chen XF, Zhan SZ, Wang YH, Xue F, Zhang DY. Validate the score presented by Yu et al.: "Risk factors and score for recollapse of the augmented vertebrae after percutaneous vertebroplasty in osteoporotic vertebral compression fractures". Osteoporos Int 2020; 31:2059-2060. [PMID: 32803315 DOI: 10.1007/s00198-020-05598-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 08/11/2020] [Indexed: 12/21/2022]
Affiliation(s)
- T Y Zhang
- Department of Traumatic Orthopaedics, Peking University People's Hospital, Beijing, 100044, China
| | - X F Chen
- Department of Traumatic Orthopaedics, Peking University People's Hospital, Beijing, 100044, China
| | - S Z Zhan
- Department of Traumatic Orthopaedics, Peking University People's Hospital, Beijing, 100044, China
| | - Y H Wang
- Department of Traumatic Orthopaedics, Peking University People's Hospital, Beijing, 100044, China
| | - F Xue
- Department of Traumatic Orthopaedics, Peking University People's Hospital, Beijing, 100044, China.
| | - D Y Zhang
- Department of Traumatic Orthopaedics, Peking University People's Hospital, Beijing, 100044, China
- Institute of Trauma and Nerve Regeneration, Peking University People's Hospital, Beijing, 100044, China
- Department of Orthopaedics, Peking University Binhai Hospital, Tianjin, 300450, China
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15
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Huang CB, Shi WJ, Wang CJ, Chen XF, Sun TP. Association of adenylate cyclase-2 gene polymorphism with bipolar disorder. Asian J Psychiatr 2020; 52:102150. [PMID: 32447269 DOI: 10.1016/j.ajp.2020.102150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 04/30/2020] [Indexed: 11/28/2022]
Abstract
The pathogenesis of the Bipolar Disorder(BPD) is still unclear. Some studies suggest that abnormal signal transduction in specific pathways may play an important role in the pathogenesis of BPD (Sui et al., 2015). Adenylate cyclase (ADCY) is an essential component of the adenylate signaling pathway. Previous studies have shown that some SNPs within the adenylate cyclase gene could affect the therapeutic response to mood stabilizers and antidepressants. Moreover, in 2014, one whole-genome study suggested that the ADCY-2 gene may be associated with BPD (Mühleisen et al., 2014). This study aims to investigate the association between ADCY-2 gene polymorphism and BPD in Chinese Han population.
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Affiliation(s)
- Cheng-Bing Huang
- Department of Psychiatry, Huai'an No. 3 People's Hospital, Huaian City 223001, Jiangsu Province, China
| | - Wen-Jie Shi
- Department of Psychiatry, Huai'an No. 3 People's Hospital, Huaian City 223001, Jiangsu Province, China
| | - Cong-Jie Wang
- Department of Psychiatry, Huai'an No. 3 People's Hospital, Huaian City 223001, Jiangsu Province, China
| | - Xue-Fei Chen
- Department of Psychiatry, Huai'an No. 3 People's Hospital, Huaian City 223001, Jiangsu Province, China
| | - Tai-Peng Sun
- Department of Psychiatry, Huai'an No. 3 People's Hospital, Huaian City 223001, Jiangsu Province, China.
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Wu MX, Chen XF, Zhang HM, Yang H. [Evaluation of the effect of sleep on inflammatory bowel disease patients based on propensity score matching]. Zhonghua Yi Xue Za Zhi 2020; 100:1551-1556. [PMID: 32450643 DOI: 10.3760/cma.j.cn112137-20200226-00459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the sleep status and the correlation of sleep status with inflammatory bowel disease (IBD). Methods: A case-control study was carried out, including 568 IBD patients including 188 ucerative colitis (UC) patients and 380 Crohn's disease (CD) patients at 36 hospitals from January 1, 2018 to August 31, 2019, and 671 family members and healthy controls from the same cities. The survey consisted of three parts including general demographic data, clinical characteristics and sleep related factors by questionnaires. The items for sleep related factor included sleep duration on work days, sleep duration on weekends, sleep quality, sleep adequacy, snoring, sleep apnea and sleep hand foot movement. R language was used for propensity score and SPSS was used for statistical analysis. Results: The proportion of poor sleep quality before onset in UC and CD was higher than that in healthy control group (CD: 14.5% vs 5.3%, P<0.001; UC: 15.1% vs 5.4%, P<0.001). In CD group, the proportion of snoring before onset (31.3% vs 44.3%, P<0.001) and apnea (0.9% vs 5.5%, P=0.001) was lower than that in heathy control group. The proportion of athetosis in CD was higher than that in healthy control group (35.4% vs 28.9%, P=0.045). Conclusion: Patients with UC and CD have poor sleep quality before the onset of the disease, especially in CD patients.
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Affiliation(s)
- M X Wu
- Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China
| | - X F Chen
- Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China
| | - H M Zhang
- Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China
| | - H Yang
- Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China
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Zhang HM, Han W, Yang H, Wang L, Bai XY, Ruan GC, Wu MX, Chen XF, Guo MY, Zhou RN, Zhou QY, Qian JM. [Analysis on clinical features of patients with ulcerative colitis associated colorectal cancer]. Zhonghua Yi Xue Za Zhi 2020; 100:599-603. [PMID: 32164114 DOI: 10.3760/cma.j.issn.0376-2491.2020.08.007] [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] [Indexed: 11/05/2022]
Abstract
Objective: To analyze the clinical features of ulcerative colitis associated colorectal cancer (UC-CRC). Methods: A total of 869 inpatients with Ulcerative Colitis (UC) in Peking Union Medical Hospital from January 1998 to January 2018 were continuously enrolled. Clinical data and the outcome of colorectal cancer (CRC) were collected via medical records and telephone follow-up. Chi-square test and logistic regression model were used to analyze the data. Results: There were 16 patients in 869 UC inpatients who were diagnosed with CRC during a period of 7 548 person years and the incidence rate of UC-CRC was 1.84%. Compared to UC inpatients without CRC, a longer course of disease (OR=1.087, 95% CI:1.046-1.129) , a lower usage rate of 5-Aminosalicylic Acid(5-ASA) (OR=0.218, 95% CI:0.052-0.915) and a higher incidence rate of intestinal stenosis (OR=16.533, 95% CI:3.824-71.478) were found in UC inpatients with CRC. Conclusions: A long disease course is a risk factor for UC patients developing CRC, while 5-ASA therapy can reduce the risk of suffering from CRC. For UC patients with intestinal stenosis, CRC should be warned for occurring.
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Affiliation(s)
- H M Zhang
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - W Han
- Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences, Peking Union Medical College, Chinese Academy of Medical Sciences, School of Basic Medicine, Beijing 100730, China
| | - H Yang
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - L Wang
- Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences, Peking Union Medical College, Chinese Academy of Medical Sciences, School of Basic Medicine, Beijing 100730, China
| | - X Y Bai
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - G C Ruan
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - M X Wu
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - X F Chen
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - M Y Guo
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - R N Zhou
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - Q Y Zhou
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - J M Qian
- Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
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Chen XF, Kou SC. Sulfur Dioxide Degradation by Composite Photocatalysts Prepared by Recycled Fine Aggregates and Nanoscale Titanium Dioxide. Nanomaterials (Basel) 2019; 9:E1533. [PMID: 31671817 PMCID: PMC6915600 DOI: 10.3390/nano9111533] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 10/26/2019] [Accepted: 10/28/2019] [Indexed: 12/02/2022]
Abstract
To alleviate the heavy burden on landfilling, construction and demolition wastes (C&DWs) are recycled and reused as aggregates in cementitious materials. However, the inherent characteristics of recycled fine aggregates (RFA), such as the high crushing index and high-water absorption, magnify the reusing difficulty. Nevertheless, attributing to the high porosity and high level of calcium hydroxides existing in the old mortar, RFA is featured with a high specific surface area and a high alkalinity. These features are useful to augment the total photo-degradation of SO2 by nano-TiO2 (NT) intermixed mortar, leading RFA to be an excellent potential carrier to load nano-TiO2 and prepare the composite photocatalyst. Hence, this study proposed to load NT onto the surface of RFAs and river sands (RSs) (the control) by the soaking method, preparing composite photocatalysts denoted as NT@RFA and NT@RS, respectively. The prepared composite photocatalysts were then utilized as sands in photocatalytic mortar to evaluate for SO2 degradation. Experiments identified a 50% higher amount of NT was loaded onto the surface of FRA relative to the control. This higher loading amount plus higher alkalinity ultimately translated into a higher photocatalytic activity. In addition, the mortar containing NT@RFA exhibited 46.3% higher physiochemical absorption and 23.9% higher photocatalytic activity than that containing NT@RS. In addition, the durability, embodied by the reuse and anti-abrasive properties, of NT@RFA exceeded that of NT@RS. The overall findings reveal that the NT@RFA not only garners beneficial effect from the high porosity but also generates positive effect from the high alkalinity. Though a number of studies deal with building materials with NT, this study is the first to load NT onto RFA and prepare composite photocatalysts which were then used as fine aggregates in building materials. Consequently, this study proves the potential high-added-value reusability of RFA in green construction materials and provides a low-cost, high-efficiency approach to degrade atmospheric SO2.
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Affiliation(s)
- Xue-Fei Chen
- School of Materials Science and Engineering, Nanjing University of Science and Technology, Nanjing 210094, China.
- College of Civil and Transportation Engineering, Shenzhen University, Shenzhen 518000, China.
| | - Shi-Cong Kou
- School of Materials Science and Engineering, Nanjing University of Science and Technology, Nanjing 210094, China.
- College of Civil and Transportation Engineering, Shenzhen University, Shenzhen 518000, China.
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Chen XF, Chen MH, Wang LM. [Periodontal bone grafting for the treatment of mandibular anterior teeth with horizontal bone resorption: a case report]. Zhonghua Kou Qiang Yi Xue Za Zhi 2019; 54:487-491. [PMID: 31288330 DOI: 10.3760/cma.j.issn.1002-0098.2019.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- X F Chen
- Department of Periodontology, Shanghai Stomatological Hospital, Fudan University & Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai 200001, China
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Luo XD, Chen XP, Chen XF. [Optimal treatment regimen for patients with HBeAg-positive chronic hepatitis B after suboptimal response to 24 weeks of Peg-IFN α-2a]. Zhonghua Gan Zang Bing Za Zhi 2019; 25:896-901. [PMID: 29325289 DOI: 10.3760/cma.j.issn.1007-3418.2017.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the optimal treatment regimen for patients with HBeAg-positive chronic hepatitis B (CHB) after suboptimal response to 24 weeks of pegylated interferon (Peg-IFN) α-2a. Methods: A total of 188 patients with HBeAg-positive CHB who had suboptimal response to 24 weeks of Peg-IFN α-2a were randomly divided into entecavir group (n = 93) and telbivudine group (n = 95). The two groups received entecavir 0.5 mg/d and telbivudine 0.6 g/d, respectively, for 208 weeks. After 208 weeks of treatment, the following indices were assessed: HBeAg clearance rate and seroconversion rate, hepatitis B virus (HBV) DNA clearance rate (HBV DNA < 500 IU/ml), safety, and drug resistance rate. The data were subjected to intention-to-treat (ITT) analysis and per protocol (PP) analysis. Univariate and multivariate logistic regression analyses were performed for the drugs used and baseline characteristics in patients with or without HBeAg seroconversion, and stratification analysis was performed based on the baseline HBeAg level. Results: Six cases in the entecavir group and four cases in the telbivudine group did not complete the treatment. Sequential entecavir and telbivudine were well tolerated and safe for all patients. There was a significant difference in HBV DNA clearance rate at 52 weeks of treatment between the entecavir group and the telbivudine group (ITT analysis: 93.55% [87/93] vs 77.89% [74/95], χ (2) = 9.363, P = 0.002; PP analysis: 93.10% [81/87] vs 76.92% [70/91], χ (2) = 9.049, P = 0.003). The suppression rates of HBV DNA at 208 weeks of treatment were 95.70% (89/93) vs 92.63% (88/95) (ITT analysis) and 95.40% (83/87) vs 92.31% (84/91) (PP analysis). There was a significant difference in HBeAg seroconversion rate at 208 weeks of treatment between the entecavir group and the telbivudine group (ITT analysis: 38.71% [36/93] vs 62.11% [59/95], χ (2) = 10.290, P = 0.001; PP analysis: 41.38% [36/87] vs 64.84% [59/91], χ (2) = 9.833, P = 0.002). Univariate and multivariate logistic regression analyses suggested that sequential use of telbivudine, male sex, and the baseline level of HBeAg were significantly associated with HBeAg seroconversion at 208 weeks of treatment (P = 0.003, hazard ratio [HR] = 0.386; P = 0.009, HR = 0.303; P = 0.001, HR = 3.502). Conclusion: For patients with HBeAg-positive CHB after suboptimal response to 24 weeks of Peg-IFNα-2a, sequential use of telbivudine is the optimal treatment regimen according to the baseline level of HBeAg (baseline guidance). The incidence of HBeAg seroconversion during 208 weeks of sequential treatment can be significantly increased according to the HBeAg decline curve in early treatment (24 weeks) and 104 weeks (response guidance).
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Affiliation(s)
- X D Luo
- Department of Infectious Diseases, Guangdong Academy of Medical Science, Guangdong General Hospital, Guangzhou 510000, China
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21
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Chen XF, Song YM, Zou CC. [Schaaf-Yang syndrome caused by the new variation of MAGEL2 gene in a case]. Zhonghua Er Ke Za Zhi 2019; 57:155-157. [PMID: 30695895 DOI: 10.3760/cma.j.issn.0578-1310.2019.02.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- X F Chen
- Department of Endocrinology, the Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310051, China
| | - Y M Song
- Department of Pediatrics, Huzhou Central Hospital, Huzhou 313000, China
| | - C C Zou
- Department of Endocrinology, the Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310051, China
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Chen XF, Kou SC, Xing F. Effect of Agriculture and Construction Wastes on the Properties of Magnesium Oxychloride Cement Mortar with Tourmaline Powder. Materials (Basel) 2018; 12:E115. [PMID: 30602685 PMCID: PMC6337293 DOI: 10.3390/ma12010115] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Revised: 12/24/2018] [Accepted: 12/25/2018] [Indexed: 11/17/2022]
Abstract
This research attempted to develop an environmentally-friendly functional building mortar by the combined use of agriculture wastes (agro-wastes) and construction wastes in magnesium oxychloride cement (MOC). The agro-wastes referred to corn stalk (CS) and saw dust (SD), which were used to improve the flexural properties of host cementitious material, whilst the construction wastes referred to recycled clay brick powder (CBP), which was employed to enhance compressive strength and water resistance. Moreover, tourmaline powder (TP) was added as a negative ion-inducing admixture, at a fixed dosage of 10% by weight of MgO, to bestow air-improving functions on the end products. Results showed the flexural strength of MOC was enhanced by the addition of CS and SD. Besides, the incorporation of CBP improved the water resistance in a dosage-dependent way. In addition, the specimens containing CS and SD also had better negative ion-inducing performance due to their higher porosity. Overall, the study provided a feasible and attractive approach to recycle agro- and construction wastes for the production of air purifying mortar. The developed mortar possesses an eco-friendly nature (simultaneous reuse of various waste materials and improvement of the air quality).
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Affiliation(s)
- Xue-Fei Chen
- School of Materials Science and Engineering, Nanjing University of Science and Technology, Nanjing 210094, China.
- Department of Civil Engineering, Shenzhen University, Shenzhen 518000, China.
| | - Shi-Cong Kou
- School of Materials Science and Engineering, Nanjing University of Science and Technology, Nanjing 210094, China.
- Department of Civil Engineering, Shenzhen University, Shenzhen 518000, China.
| | - Feng Xing
- Department of Civil Engineering, Shenzhen University, Shenzhen 518000, China.
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Wang ZC, Zhong XY, Jin L, Chen XF, Moritomo Y, Mayer J. Retraction notice to "Effects of dynamic diffraction conditions on magnetic parameter determination in a double perovskite Sr 2FeMoO 6 using electron energy-loss magnetic chiral dichroism" [Ultramicroscopy 176, 2017, pp. 212-217]. Ultramicroscopy 2018:S0304-3991(18)30397-8. [PMID: 30527954 DOI: 10.1016/j.ultramic.2018.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 11/23/2018] [Indexed: 10/27/2022]
Affiliation(s)
- Z C Wang
- National Center for Electron Microscopy in Beijing, Key Laboratory of Advanced Materials (MOE), The State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
| | - X Y Zhong
- National Center for Electron Microscopy in Beijing, Key Laboratory of Advanced Materials (MOE), The State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
| | - L Jin
- Peter Grünberg Institute and Ernst Ruska-Centre for Microscopy and Spectroscopy with Electrons (ER-C), Forschungszentrum Jülich, 52425 Jülich, Germany
| | - X F Chen
- National Center for Electron Microscopy in Beijing, Key Laboratory of Advanced Materials (MOE), The State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
| | - Y Moritomo
- Graduate School of Pure & Applied Science and Faculty of Pure & Applied Science, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki 305-7571, Japan
| | - J Mayer
- Peter Grünberg Institute and Ernst Ruska-Centre for Microscopy and Spectroscopy with Electrons (ER-C), Forschungszentrum Jülich, 52425 Jülich, Germany; Central Facility for Electron Microscopy, RWTH Aachen University, 52074 Aachen, Germany
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Li ZZ, Zhong WL, Hu H, Chen XF, Zhang W, Huang HY, Yu B, Dou X. Aryl hydrocarbon receptor polymorphisms are associated with dry skin phenotypes in Chinese patients with atopic dermatitis. Clin Exp Dermatol 2018; 44:613-619. [PMID: 30499126 DOI: 10.1111/ced.13841] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/20/2018] [Indexed: 01/23/2023]
Abstract
BACKGROUND Epidermal barrier dysfunction is the initial event in the development of atopic dermatitis (AD). Recent studies have identified a crucial role for the aryl hydrocarbon receptor (AHR) in controlling the gene expression of filaggrin and other skin barrier proteins, suggesting an underlying association between AHR and AD pathogenesis. AIM To investigate the role of AHR gene polymorphisms in the susceptibility to AD and in AD-associated phenotypes. METHODS We enrolled 487 patients with AD, 210 patients with psoriasis and 226 healthy controls (HCs) from the Han Chinese population, and genotyped two AHR single-nucleotide polymorphisms (rs10249788 and rs2066853) by PCR and subsequent DNA sequencing. RESULTS The AHR rs10249788 and rs2066853 polymorphisms were found in both sets of patients (AD and psoriasis) and in HCs, but no significant differences were detected in genotype or allele frequencies between the three groups. However, patients with AD with the rs10249788 (CT/TT) or rs2066853 (AG + AA) genotype were more likely to have severe dry skin scores. In the stratification analysis, the AHR rs2066853 (AG + AA) and rs10249788 (CT + TT) genotypes could predict a higher risk of severe dry skin phenotypes in the male, early-onset and allergic rhinitis subgroups. Furthermore, the combined rs10249788 (CT + TT) and rs2066853 (AG + AA) genotypes led to a higher risk for severe dry skin in patients with AD. CONCLUSION AHR polymorphisms are not associated with the risk of AD; however, they may predict a dry skin phenotype in patients with AD.
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Affiliation(s)
- Z Z Li
- Department of Dermatology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.,Shenzhen Key Laboratory for Translational Medicine of Dermatology, Shenzhen-Peking University-The Hong Kong University of Science and Technology Medical Center, Shenzhen, Guangdong, China
| | - W L Zhong
- Department of Dermatology, Peking University First Hospital, Beijing, China
| | - H Hu
- Shenzhen Key Laboratory for Translational Medicine of Dermatology, Shenzhen-Peking University-The Hong Kong University of Science and Technology Medical Center, Shenzhen, Guangdong, China
| | - X F Chen
- Shenzhen Key Laboratory for Translational Medicine of Dermatology, Shenzhen-Peking University-The Hong Kong University of Science and Technology Medical Center, Shenzhen, Guangdong, China
| | - W Zhang
- Shenzhen Key Laboratory for Translational Medicine of Dermatology, Shenzhen-Peking University-The Hong Kong University of Science and Technology Medical Center, Shenzhen, Guangdong, China
| | - H Y Huang
- Department of Dermatology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China
| | - B Yu
- Department of Dermatology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China
| | - X Dou
- Department of Dermatology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China
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Tang LJ, Lou JG, Yu JD, Zhao H, Peng KR, Jiang LQ, Ma M, Chen XF, Chen J. [Effect of enteral nutrition on accidental upper gastrointestinal injury in children]. Zhonghua Er Ke Za Zhi 2018; 56:861-865. [PMID: 30392212 DOI: 10.3760/cma.j.issn.0578-1310.2018.11.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Objective: To evaluate the effectiveness of enteral nutrition in children with accidental upper gastrointestinal injury. Methods: The medical records of 128 patients with mechanical or chemical gastrointestinal mucosal injury, who were hospitalized in Department of Gastroenterology, Children's Hospital of Zhejiang University School of Medicine from January 1, 2011 to December 30, 2017, were collected. All cases were treated with enteral nutrition. The clinical features and etiologies were retrospectively analyzed. Weight-for-age Z score and lab findings including white blood cells, C-reactive protein, neutrophils, albumin, prealbumin, urea nitrogen and hemoglobin before and after treatment were extracted. The clinical characteristics, the duration of enteral nutrition and gastrointestinal mucosal healing between different etiologies were further analyzed. Normal distribution variables and categorized variables were compared with t test and χ(2) test respectively, and abnormal distribution data was compared with Wilcoxon test. Results: Among all the cases, 77 were males and 51 were females. The average age was (29±22) months. The mean duration of hospitalization and enteral nutrition were (11±7)d and (27±20)d respectively. Vomiting was the most common clinical presentation (72 cases, 56.3%). In 79 cases the problems were caused by mechanical injury, among which coins were most commonly seen. The rest 49 cases were caused by chemical injury. However, the duration of hospitalization ((13±8) d vs. (10±6)d, t=-3.089, P=0.002) and enteral nutrition ((39±22) vs. (19±14) d, t=-5.365, P=0.000) were longer in children with chemical injury than those with mechanical injury. A total of 112 cases got complete blood count and C-reactive protein both before and after enteral nutrition. Inflammatory markers, including leukocytes ((7.7±2.7) ×10(9)/L vs. (13.7±5.0) ×10(9)/L, t=12.244, P <0.05), neutrophils ((3.4±1.9)×10(9)/L vs. (9.4±4.6) ×10(9)/L, t=13.655, P<0.05), and C-reactive proteins (5.0(3.0,7.8) vs. 13.5(6.0,40.5) mg/L, Z=7.776, P <0.05) were significantly decreased. The nutritional markers, including the weight-for-age z score (-0.1 ± 1.0 vs. 0.0 ± 1.0, t=-2.622, P=0.010) and the prealbumin (0.1 ± 0.1 vs. 0.2 ± 0.0 g/L, t=-3.671, P=0.001) were significantly increased. Fifty-five (82.1%) children in mechanical injury group recovered in 4 weeks, while 27 (79.4%) children in chemical injury group recovered in 7 weeks. Conclusion: Enteral nutrition can provide adequate nutritional requirements for children with upper gastrointestinal injury, and may help to decrease imflammation and improve mucosal healing.
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Affiliation(s)
- L J Tang
- Department of Gastroenterology, Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China
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Wang D, Yue DL, Wang D, Chen XF, Yin XY, Wang YP, Yang L, Zhang Y. [Aspirin inhibits cell stemness of esophageal cancer by downregulation of chemokine CCL2]. Zhonghua Zhong Liu Za Zhi 2018; 40:744-749. [PMID: 30392338 DOI: 10.3760/cma.j.issn.0253-3766.2018.10.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the effect of tumor-associated macrophages on the stemness of esophageal cancer cells and the potential mechanism of antiproliferative effects of aspirin (ASA). Methods: The effects of aspirin on the stemness characteristics of KYSE-450 cells and KYSE-450 cells co-cultured with M2 macrophages (KYSE-450+ M2) were performed using spheroid formation assay. After treatment with aspirin, the expression of different chemokines, the core pluripotency gene Nanog and the stem cell marker CD90 in different cell groups were determined by real-time quantitative PCR, flow cytometry and Western blot. Results: The number of spheres formed in the ASA and KYSE-450+ M2 cell groups were 7.00±1.23 and 34.33±2.33, respectively, showing statistically significant difference compared with that of control group (14.50±2.33, all P<0.05). The number of spheres in KYSE-450+ M2+ ASA cell group were 20.67±2.33, which was significantly lower than that of KYSE-450+ M2 group (P<0.05). The expression levels of Nanog gene in control and ASA groups were 1.00 and 0.50±0.10, respectively, and the difference was statistically significant (P<0.05). Moreover, the expression of Nanog gene in cells of KYSE-450+ M2 group and M2+ KYSE-450+ ASA group was 1.74±0.13 and 1.43±0.05, showing statistically significant difference (P<0.05). When chemokine CCL2 was knocked down, the levels of Nanog gene in M2+ shCCL2-KYSE450+ ASA group and M2+ shCCL2-KYSE450 group were decreased to 1.22±0.11 and 1.17±0.08, respectively, and there was no statistically significant difference between them (P=0.69). Flow cytometry analyses showed that the expression levels of CD90 in control and ASA cells were (2.93±0.52)% and (1.30±0.17)%, respectively, and the difference was statistically significant (P<0.05). Moreover, the expression levels of CD90 in M2+ shCCL2-KYSE450 cells and M2+ shCCL2-KYSE450+ ASA cells were (4.07±0.12)% and (4.73±0.38)%, respectively, showing no statistically significant difference (P=0.17). Conclusions: Tumor-associated macrophages enhances the stemness of esophageal cancer cells, whereas aspirin attenuates the stemness by suppressing the expression of CCL2. Aspirin plays an anti-tumor effect in esophageal cancer cells.
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Affiliation(s)
- D Wang
- Biotherapy Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - D L Yue
- Department of Oncology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - D Wang
- Biotherapy Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - X F Chen
- Biotherapy Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - X Y Yin
- Department of Clinical Medicine, Zhengzhou University, Zhengzhou 450052, China
| | - Y P Wang
- Department of Clinical Medicine, Zhengzhou University, Zhengzhou 450052, China
| | - L Yang
- Biotherapy Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
| | - Y Zhang
- Biotherapy Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
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Chen XF, Li H, Teng LP, Dan HX, Xiong RC. First Report of a Fruit Spot of Elaeagnus angustifolia Caused by Alternaria tenuissima in Xinjiang, China. Plant Dis 2018; 102:PDIS03180435PDN. [PMID: 30145952 DOI: 10.1094/pdis-03-18-0435-pdn] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- X F Chen
- College of Plant Science, Tarim University, Xinjiang Alaer 843300, P.R. China
| | - H Li
- College of Plant Science, Tarim University, Xinjiang Alaer 843300, P.R. China
| | - L P Teng
- College of Plant Science, Tarim University, Xinjiang Alaer 843300, P.R. China
| | - H X Dan
- College of Plant Science, Tarim University, Xinjiang Alaer 843300, P.R. China
| | - R C Xiong
- College of Plant Science, Tarim University, Xinjiang Alaer 843300, P.R. China
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Chen XF, Peng HS. [The study of crude drugs producing regions, genuine producing regions and its distribution in Bencao Tujing]. Zhonghua Yi Shi Za Zhi 2018; 48:147-152. [PMID: 30317824 DOI: 10.3760/cma.j.issn.0255-7053.2018.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Bencao Tujing (Illustrated Classic of Materia Medica)《》 is one of the famous Chinese herbalism works in the Song Dynasty. This book contains a total of 814 kinds of medicinal herbs, recorded a lot of crude drugs and the producing regions information. The records of crude drugs can be divided into two parts: the text and the attached drawings.So we carries on the statistics, the comparison and the analysis to the crude drugs producing regions and the genuine producing regions two aspects.The results show that there are 537 producing regions in the text, of which the specific producing regions about 3/4, generally referred producing regions only about 1/4. There are 90 genuine producing regions.About 80% of the text has medicinal producing regions records. The producing regions, genuine producing regions and the producing regions of attached drawings showed high consistency, has a relatively high preciseness and scientific reference significance.The distribution of the producing regions of crude drugs in the book reflects the utilization of medicinal resources in the Song Dynasty is unbalanced. The patterns of the utilization of medicinal resources of the Central Plains cultural area and border area are different from each other.It also has certain reference significance to the exploitation and utilization of the traditional Chinese medicine resources.In addition, the information about the producing regions of these medicinal herbs, especially the genuine producing regions, provides valuable historical experience for the study and utilization of traditional Chinese medicine resources.
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Affiliation(s)
- X F Chen
- School of Pharmacy, Anhui University of Chinese Medicine, Hefei, 230012, China
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Shi HF, Zhang JX, Wang XL, Xu YY, Dong SL, Zhao CX, Huang XN, Zhao Q, Chen XF, Zhou Y, O'Sullivan M, Pouwels R, Scherpbier RW. [Effectiveness of integrated early childhood development intervention on nurturing care for children aged 0-35 months in rural China]. Zhonghua Er Ke Za Zhi 2018; 56:110-115. [PMID: 29429198 DOI: 10.3760/cma.j.issn.0578-1310.2018.02.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [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 explore whether Integrated Early Childhood Development (IECD) program has effectively improved the nurturing care for children aged 0-35 months in rural China. Methods: IECD has been implemented by the government of China with support from the United Nations Children's Fund (UNICEF) in four poverty-stricken rural counties since 2014. The interventions targeting the five key components of nurturing care (i.e. child and caregiver health, child nutrition, early learning support, child protection and social security) were delivered through the IECD program to children aged 0 to 35 months and their caregivers. A population-based intervention trial was designed to evaluate intervention effectiveness with data collected in 2013 (baseline) and 2016 (mid-term). The changes of nurturing care in the intervention and control group were analyzed by using a difference-in-differences (DID) model. This approach provided adjustment for sociodemographic and other confounding factors. Results: The baseline and mid-term survey enrolled 1 468 and 1 384 children in the intervention group, and 1 485 and 1 361 in the control group. After two years of implementation, the prevalence of caregiver's depression in the intervention group showed a decrease of 9.1% (mid-term 34.8% (479/1 377) vs. baseline 43.9% (621/1 414)), whereas that in control group showed a decrease of 1.6% (mid-term 34.3% (464/1 353) vs. baseline 35.9% (509/1 419)). With the confounding adjusted in the difference-in-differences model, the decrease of the caregiver's depression prevalence in the intervention group was 7.0% greater than that in the control group (P=0.008). The qualified rate of minimum meal frequency in the intervention group showed an increase of 10.4% (mid-term 69.0% (532/771) vs. baseline 58.6% (481/821)), whereas the qualified rate in the intervention group showed an increase of 2.9% (mid-term 66.4% (469/706) vs. baseline 63.5% (508/800)). With the confounding adjusted in the difference-in-differences model, the increase of the qualified rate in the intervention group was 8.2% greater than that in the control group (P=0.021). The proportion of violent discipline by caregivers in the intervention group showed a decrease of 6.2% (mid-term 49.1% (478/973) vs. baseline 55.3% (554/1 001)), whereas the proportion in control group showed an increase of 4.5% (mid-term 58.4% (560/959) vs. baseline 53.9% (558/1 036)), and with the confounding adjusted in the difference-in-differences model, the difference in increase rate between two groups was 11.0% (P=0.001). The proportion of families with three or more children's books in the intervention group showed an increase of 12.7% (mid-term 42.7% (588/1 378) vs. baseline 30.0% (432/1 440)), whereas the proportion of the control group showed an increase of 4.2% (mid-term 25.7% (349/1 357) vs. baseline 21.5% (298/1 388)), and with the confounding adjusted in the difference-in-differences model, the difference in increase rate between two groups was 6.1% (P=0.007). Conclusions: The IECD intervention strategy implemented in rural China effectively improved the mental health of caregivers, optimizes families' child feeding and early stimulation behaviors, while reducing violent discipline and other risk factors. IECD provides better nurturing care for the early development of children aged 0-35 months in rural China.
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Affiliation(s)
- H F Shi
- Department of Maternal and Child Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China
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Zhu L, Wang YD, Dong YM, Chen XF. [Mesoporous nano-bioactive glass microspheres as a drug delivery system of minocycline]. Beijing Da Xue Xue Bao Yi Xue Ban 2018; 50:249-253. [PMID: 29643523] [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: 06/08/2023]
Abstract
OBJECTIVE To construct mesoporous nano-bioactive glass (MNBG) microspheres load-release minocycline as an antibacterial drug delivery system. METHODS Sol-gel method was used to synthesze MNBG microspheres as drug carrier. The MNBG consisted of SiO2, CaO, and P2O5. According to the content of silicon, MNBG microspheres were divided into four groups (60S, 70S, 80S and 90S). Scanning electron microscopy (SEM) was used to observe the surface characteristic and particle size of MNBG; Nitrogen adsorption-desorption experiment was performed to calculate the MNBG's specific surface area and the pore sizes; The Fourier transform infrared spectrum (FT-IR) and the thermogravimetric analysis were conducted to calculate the loading efficiencies of minocycline hydrochloride; UV spectrophotometric was used to determine the cumulative release of minocycline from drug-loaded particles in PBS solution within 21 d. Agar diffusion test (ADT) was performed to evaluate the antibacterial properties on Enterococcus faecalis. The inhibition zone was observed and the diameter was measured. RESULTS The MNBG microspheres had good dispersion, large surface area, and even particle size. The pore sizes ranged from 4.77 nm to 7.33 nm. The loading experiment results showed that the minocycline hydrochloride loading efficiency of MNBG was related to the pore size of the microspheres. Among 60S, 70S, 80S and 90S, 60S MNBG had the highest loading efficiency of 16.33% due to its high calcium content and large pore sizes. A slow minocycline release rate from MNBG particles in PBS solution until d 21 was observed. It was showed that a burst release of 28% of the total drug for the first 24 h. A cumulative release of 35% was found, and the final concentration of minocycline maintained at about 47 mg/L. ADT showed that mino-MNBG had inhibitory effect on the growth of Enterococcus faecalis. 1 g/L minocycline, 1 g/L mino-MNBG, and 0.1 g/L minocycline presented inhibition zone, however, PBS and 1 g/L MNBG didn't. The diameter of the inhibition zone of minocycline groups was significant larger than that of mino-MNBG group (P<0.05), which was also significant larger than those of PBS and MNBG groups (P<0.05). It showed that mino-MNBG drug delivery system had antibacterial properties on Enterococcus faecalis. CONCLUSION The 60S MNBG that can effectively load and release minocycline may be an ideal drug carrier.
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Affiliation(s)
- L Zhu
- Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
| | - Y D Wang
- National Engineering Research Center for Human Tissue Restoration & Reconstruction, South China University of Technology, Guangzhou 510640, China
| | - Y M Dong
- Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
| | - X F Chen
- National Engineering Research Center for Human Tissue Restoration & Reconstruction, South China University of Technology, Guangzhou 510640, China
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Gong WY, Liu SQ, Dong YM, Gao XJ, Chen XF. [Nano-sized bioactive glass enhances osteogenesis of critical bone defect in rabbits]. Beijing Da Xue Xue Bao Yi Xue Ban 2018; 50:42-48. [PMID: 29483720] [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: 06/08/2023]
Abstract
OBJECTIVE To compare the osteogenic effects of a nano-sized 58S bioactive glass (nano-58S BG) and a traditional 45S5 bioactive glass(45S5 BG) in penetrating parietal critical bone defects. METHODS Critical bone defect with 9 mm diameter was created in the parietal bone of New Zealand rabbits. The bone defects were then filled with either nano-58S BG, or 45S5 BG, or nothing but the newly-formed blood clot as the blank control at random. For histological observation, specimens were gained 4 and 8 weeks after the surgery, sectioned and stained by HE. The amount of collagen type I was observed with Picric-Sirius Red staining through polarimetry. To observe the new bone formation with fluorescence under the laser confocal microscope, we injected fluorescent markers 14, 28, and 42 days after the surgery. The markers were tetracycline hydrochloride, alizarin red and calcin individually in chronological order. Image J software was used to quantify the bone regeneration. RESULTS HE staining showed that BG particulates were integrated with the surrounding tissue without any inflammatory cells infiltration 4 weeks after surgery. New bone regeneration was observed both from the border and in the center of the defects in both BG groups. No bone regeneration in defect center was observed in control group. At the end of 8 weeks, there was more bone regeneration in nano-58S group compared with 45S5 group and control group. The structure of the new bone in BG groups was hollow, which was similar to the natural normal parietal bone. No hollow structure was observed in the new bone of control group. Picric-sirius Red polarimetry showed that more amount of collagen type I was found in nano-58S group than in either 45S5 or control group. The fluorescent observation of the hard tissue slices at the end of 8 weeks showed statistically larger scope and faster new bone formation in nano-58S group with (29.4±4.48) μm thickness from 4-6 weeks and (35.3±3.74) μm from 6-8 weeks compared with 45S5 group [(13.43±3.44) μm and (17.64±4.13) μm] and control group [(5.88±2.92) μm and (6.07±3.02) μm, P<0.01]. CONCLUSION Compared with the traditional 45S5 bioactive glass, 58S nano-sized bioactive glass showed better osteogenic effect in bone regeneration in parietal bones of rabbits.
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Affiliation(s)
- W Y Gong
- Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing, 100081, China
| | - S Q Liu
- Department of Stomatology, Peking University Third Hospital, Beijing 100191, China
| | - Y M Dong
- Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing, 100081, China
| | - X J Gao
- Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing, 100081, China
| | - X F Chen
- National Engineering Research Center of Human Tissue Restoration & Reconstruction, South China University of Technology, Guangzhou 510641, China
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Luo XD, Chen XF, Zhou Y, Chen XP. Comparison of 208-week sequential therapy with telbivudine and entecavir in HBeAg-positive chronic hepatitis B patients with suboptimal responses to 24 weeks of Peg-IFNα-2a therapy: An open-labelled, randomized, controlled, "real-life" trial. J Viral Hepat 2017; 24 Suppl 1:36-42. [PMID: 29082651 DOI: 10.1111/jvh.12790] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Accepted: 09/17/2017] [Indexed: 01/05/2023]
Abstract
The purpose of the study was to compare the efficacy and safety of 208-week sequential therapy with telbivudine and entecavir in HBeAg-positive chronic hepatitis B (CHB) patients with suboptimal responses to 24 weeks of Peg-IFNα-2a therapy. This was an open-label, randomized, controlled, "real-life" trial. HBeAg-positive CHB patients with serum HBV DNA ≥5.0 lg IU/mL and a < 1 lg IU/mL decline of HBsAg level from baseline who underwent at least 24 weeks of Peg-IFNα-2a therapy were included. Enrolled patients were randomized to receive either telbivudine (600 mg/d, n = 95) or entecavir (0.5 mg/d, n = 95) for 208 consecutive weeks. Six patients were lost to follow-up (4 patients in the telbivudine group and 2 in the entecavir group). Treatment was combined with adefovir when week 24 HBV DNA levels declined to <2 lg IU/mL versus baseline, when viral breakthrough occurred during treatment,or when HBV DNA remained detectable at 52 weeks (HBV DNA ≥500 IU/mL). Responses and safety were assessed after 208 weeks of treatment. There were no significant differences among the baseline characteristics, including age, gender, and ALT, HBV DNA, HBsAg or HBeAg levels. After 208 weeks of treatment, there was no significant difference in the rates of undetectable HBV DNA (HBV DNA<500 IU/mL) between the telbivudine group and the entecavir group (84/91,92.31% vs 88/93,94.62%, respectively, P = .525). More patients in the telbivudine group than the entecavir group achieved HBeAg clearance (74.73% vs 46.24%, respectively, P < .001) and HBeAg seroconversion (64.84% vs 38.71%, respectively, P < .001). Univariate analysis (Enter, a = 0.05) of both groups showed that telbivudine, male gender and baseline HBeAg levels were significantly correlated with HBeAg seroconversion after 208 weeks of sequential therapy. Cox regression analysis (Enter, a = 0.05) of the telbivudine group showed that the HBeAg seroconversion rate at 208 weeks was significantly correlated with gender (male) (P = .006, HR=4.406), baseline HBeAg level (P = .005, HR=0.433) and 24 w-HBeAg level reduction of more than 0.5 lg IU/ml from baseline (P = .027, HR=0.487). All patients tolerated sequential telbivudine treatment; only slightly elevated creatine kinase levels were observed. Stratification analysis found that patients with baseline HBeAg levels less than 3 lg COI who switched to telbivudine may have had significantly improved HBeAg seroconversion rates. In conclusion, telbivudine promotes HBeAg seroconversion that merits investigation in HBeAg-positive CHB patients with suboptimal responses to 24 weeks of Peg-IFNα-2a therapy. We would suggest that patients with baseline HBeAg levels under 3 lg COI switch to telbivudine to achieve higher HBeAg seroconversion rates and use the early reductions in HBeAg levels (24 weeks) to guide treatment.
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Affiliation(s)
- X D Luo
- Department of Infectious Diseases, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangzhou, China
| | - X F Chen
- Department of Infectious Diseases, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangzhou, China
| | - Y Zhou
- Department of Infectious Diseases, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangzhou, China
| | - X P Chen
- Department of Infectious Diseases, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangzhou, China
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Chen XF, Chen YM, Gokavarapu S, Shen QC, Ji T. Free flap reconstruction for patients aged 85 years and over with head and neck cancer: clinical considerations for comprehensive care. Br J Oral Maxillofac Surg 2017; 55:793-797. [PMID: 28735639 DOI: 10.1016/j.bjoms.2017.07.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [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: 09/13/2016] [Accepted: 07/07/2017] [Indexed: 11/27/2022]
Abstract
We aimed to identify and evaluate the clinical challenges involved in microvascular flap reconstructions of defects caused by resection of head and neck cancer among patients aged 85 and over. We designed a retrospective study of patients who were treated in the head and neck department of a tertiary referral centre from 2005 to 2015, and all patients aged 85 years and over who had reconstructions with microvascular flaps for head and neck cancer were entered into the study. A total of 24 patients fulfilled the criteria, of whom 15 were men and nine were women. The median (range) duration of stay in hospital was 23 (14-59) days. Eighteen patients had an American Society of Anesthesiologists (ASA) score grade II and six patients grade III. The median (range) operating time was 420 (310-705)minutes, and operative blood loss 550 (200-1500)ml. Sixteen patients had prophylactic tracheostomies, nine of whom developed postoperative surgical complications, seven associated with the tracheostomy (p=0.005). Resections of head and neck cancer and microvascular reconstructions in patients aged 85 and over are associated with a high incidence of postoperative complications. Medical complications tend to be associated with the tracheostomy while surgical complications are potentially associated with the ASA score. Although the morbidity is high, complex resections and microvascular reconstructions are successful with optimum recovery, and age did not seem to influence the outcome. However, it is necessary to avoid prophylactic tracheostomy if possible in these patients.
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Affiliation(s)
- X F Chen
- Department of Otolaryngology, The Affiliated Second Hospital of Fujian Medical University, Quanzhou, 362000.
| | - Y M Chen
- Department of Oral and Maxillofacial-Head and Neck Oncology, Ninth People's Hospital School of Medicine, Shanghai Jiao Tong University.
| | - S Gokavarapu
- Department of Oral and Maxillofacial-Head and Neck Oncology, Ninth People's Hospital School of Medicine, Shanghai Jiao Tong University.
| | - Q C Shen
- Medical Record Office, Ninth People's Hospital School of Medicine, Shanghai Jiao Tong University.
| | - T Ji
- Department of Oral and Maxillofacial-Head and Neck Oncology, Ninth People's Hospital School of Medicine, Shanghai Jiao Tong University.
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Qian ZY, Wei B, Wang JR, Wang QL, Gao Y, Chen XF. [Autophagy regulated by JWA influenced sensitivity of esophageal cancer to cisplatin]. Zhonghua Yi Xue Za Zhi 2017; 97:2141-2144. [PMID: 28763891 DOI: 10.3760/cma.j.issn.0376-2491.2017.27.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the effect of JWA on cisplatin sensitivity and its potential molecular mechanism in esophageal cancer. Methods: The siRNA was used to inhibit the JWA expression, then cisplatin sensitivity and LC3 (autophagy related protein) expression levels were observed in TE1 cells.Further, the effect of autophagy inhibitor tamoxifen (3-MA) on above process was determined.Cisplatin sensitivity of 20 fresh esophageal cancer samples was evaluated by histoculture drug response assay (HDRA). Result: Silencing JWA gene increased the sensitivity of TE1 cells to cisplatin (P<0.05), and decreased the LC3-Ⅰ and LC3-Ⅱ proteins induced by cisplatin.Furthermore, combined with 3-MA increased the inhibition rate of cisplatin in JWA silencing group (P<0.05). Additionally, the inhibition rate of cisplatin on tissues with low JWA expression were higher than those with high expression (45.6% vs 25.6%, P=0.005). Conclusions: JWA could influence the cisplatin sensitivity by regulating autophagy in esophageal cancer.
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Affiliation(s)
- Z Y Qian
- Department of Hematology, Nanjing Medical University Affiliated Huai'an First Hospital, Huai'an 223300, China
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Liang Y, Wei J, Hu YX, Chen XF, Zhang J, Zhang XY, Jiang SP, Tao SW, Wang HT. Metal-polydopamine frameworks and their transformation to hollow metal/N-doped carbon particles. Nanoscale 2017; 9:5323-5328. [PMID: 28398436 DOI: 10.1039/c7nr00978j] [Citation(s) in RCA: 75] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
We present a new strategy for in situ transformation of metal-organic framework (MOF) crystals to hollow metal-organic structures through polycondensation of dopamine. The hollow metal-polydopamine (PDA) particles are formed by a coordination assembly of metal ions (Co and Zn) and PDA, inheriting the morphology of MOF (ZIF-67 and ZIF-8) crystals. The hollow porous metal/N-carbon particles morphosynthetically transformed from hollow metal-PDA particles exhibit excellent oxygen reduction electrocatalytic activity. The strategy presented here is promising for synthesizing hollow metal-organic polymer (metal-carbon) particles with diverse morphologies for energy and environmental applications.
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Affiliation(s)
- Y Liang
- Department of Chemical Engineering, Monash University, Clayton, Vitoria 3800, Australia.
| | - J Wei
- Department of Chemical Engineering, Monash University, Clayton, Vitoria 3800, Australia.
| | - Y X Hu
- Department of Chemical Engineering, Monash University, Clayton, Vitoria 3800, Australia.
| | - X F Chen
- Department of Chemical Engineering, Monash University, Clayton, Vitoria 3800, Australia.
| | - J Zhang
- Fuels and Energy Technology Institute & Department of Chemical, Engineering, Curtin University, Perth, WA 6102, Australia
| | - X Y Zhang
- School of Chemistry, Monash University, Clayton, Victoria 3800, Australia
| | - S P Jiang
- Fuels and Energy Technology Institute & Department of Chemical, Engineering, Curtin University, Perth, WA 6102, Australia
| | - S W Tao
- Department of Chemical Engineering, Monash University, Clayton, Vitoria 3800, Australia.
| | - H T Wang
- Department of Chemical Engineering, Monash University, Clayton, Vitoria 3800, Australia.
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Zhou BB, Liu X, Guo HR, Zeng XL, Chen XF, Chung HP, Chen YH, Bache M. Parametrically Tunable Soliton-Induced Resonant Radiation by Three-Wave Mixing. Phys Rev Lett 2017; 118:143901. [PMID: 28430470 DOI: 10.1103/physrevlett.118.143901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2016] [Indexed: 06/07/2023]
Abstract
We show that a temporal soliton can induce resonant radiation by three-wave mixing nonlinearities. This constitutes a new class of resonant radiation whose spectral positions are parametrically tunable. The experimental verification is done in a periodically poled lithium niobate crystal, where a femtosecond near-IR soliton is excited and resonant radiation waves are observed exactly at the calculated soliton phase-matching wavelengths via the sum- and difference-frequency generation nonlinearities. This extends the supercontinuum bandwidth well into the mid IR to span 550-5000 nm, and the mid-IR edge is parametrically tunable over 1000 nm by changing the three-wave mixing phase-matching condition. The results are important for the bright and broadband supercontinuum generation and for the frequency comb generation in quadratic nonlinear microresonators.
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Affiliation(s)
- B B Zhou
- DTU Fotonik, Technical University of Denmark, DK-2800 Kgs. Lyngby, Denmark
| | - X Liu
- DTU Fotonik, Technical University of Denmark, DK-2800 Kgs. Lyngby, Denmark
| | - H R Guo
- DTU Fotonik, Technical University of Denmark, DK-2800 Kgs. Lyngby, Denmark
| | - X L Zeng
- DTU Fotonik, Technical University of Denmark, DK-2800 Kgs. Lyngby, Denmark
| | - X F Chen
- Department of Physics and Astronomy, Shanghai Jiao Tong University, Shanghai 200240, China
| | - H P Chung
- Department of Optics and Photonics, National Central University, Jhongli 320, Taiwan
| | - Y H Chen
- Department of Optics and Photonics, National Central University, Jhongli 320, Taiwan
| | - M Bache
- DTU Fotonik, Technical University of Denmark, DK-2800 Kgs. Lyngby, Denmark
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Wang ZC, Zhong XY, Jin L, Chen XF, Moritomo Y, Mayer J. Effects of dynamic diffraction conditions on magnetic parameter determination in a double perovskite Sr 2FeMoO 6 using electron energy-loss magnetic chiral dichroism. Ultramicroscopy 2016; 176:212-217. [PMID: 28089306 DOI: 10.1016/j.ultramic.2016.12.024] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [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: 08/26/2016] [Revised: 12/23/2016] [Accepted: 12/29/2016] [Indexed: 10/20/2022]
Abstract
Electron energy-loss magnetic chiral dichroism (EMCD) spectroscopy, which is similar to the well-established X-ray magnetic circular dichroism spectroscopy (XMCD), can determine the quantitative magnetic parameters of materials with high spatial resolution. One of the major obstacles in quantitative analysis using the EMCD technique is the relatively poor signal-to-noise ratio (SNR), compared to XMCD. Here, in the example of a double perovskite Sr2FeMoO6, we predicted the optimal dynamical diffraction conditions such as sample thickness, crystallographic orientation and detection aperture position by theoretical simulations. By using the optimized conditions, we showed that the SNR of experimental EMCD spectra can be significantly improved and the error of quantitative magnetic parameter determined by EMCD technique can be remarkably lowered. Our results demonstrate that, with enhanced SNR, the EMCD technique can be a unique tool to understand the structure-property relationship of magnetic materials particularly in the high-density magnetic recording and spintronic devices by quantitatively determining magnetic structure and properties at the nanometer scale.
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Affiliation(s)
- Z C Wang
- National Center for Electron Microscopy in Beijing, Key Laboratory of Advanced Materials (MOE), The State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
| | - X Y Zhong
- National Center for Electron Microscopy in Beijing, Key Laboratory of Advanced Materials (MOE), The State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China.
| | - L Jin
- Peter Grünberg Institute and Ernst Ruska-Centre for Microscopy and Spectroscopy with Electrons (ER-C), Forschungszentrum Jülich, 52425 Jülich, Germany
| | - X F Chen
- National Center for Electron Microscopy in Beijing, Key Laboratory of Advanced Materials (MOE), The State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China
| | - Y Moritomo
- Graduate School of Pure & Applied Science and Faculty of Pure & Applied Science, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki 305-7571, Japan
| | - J Mayer
- Peter Grünberg Institute and Ernst Ruska-Centre for Microscopy and Spectroscopy with Electrons (ER-C), Forschungszentrum Jülich, 52425 Jülich, Germany; Central Facility for Electron Microscopy, RWTH Aachen University, 52074 Aachen, Germany
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Luo XD, Chen XP, Chen R, Chen XF, Huang J. [Efficacy of 104-week sequential therapy with telbivudine or entecavir in HBeAg-positive chronic hepatitis B patients with suboptimal responses to 24-week therapy with pegylated interferon-α-2a]. Zhonghua Gan Zang Bing Za Zhi 2016; 24:241-5. [PMID: 27470620 DOI: 10.3760/cma.j.issn.1007-3418.2016.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To investigate the efficacy and safety of 104-week sequential therapy with telbivudine or entecavir in HBeAg-positive chronic hepatitis B (CHB) patients with suboptimal responses to 24-week pegylated interferon-α-2a (PEG-IFN-α-2a) therapy. METHODS A total of 130 HBeAg-positive CHB patients with HBV DNA≥5.0 lg IU/ml and a reduction in HBsAg quantitation < 1 lg IU/ml compared with baseline who received PEG-IFN-α-2a therapy for 24 weeks were enrolled and randomly divided into telbivudine group and entecavir group, and 5 of them were lost. HBeAg clearance rate and seroconversion rate, HBV DNA clearance rate, safety, and drug resistance rate at week 104 were observed. The t-test, chi-square test, or multivariate Cox regression analysis were used for statistical analysis of different types of data. RESULTS At week 104 of treatment, HBV DNA clearance rate showed no significant difference between the telbivudine group and entecavir group (P = 0.363), and the telbivudine group had significantly higher HBeAg clearance rate and HBeAg seroconversion rate than the entecavir group (HBeAg clearance rate: 61.29% vs 23.81%, P < 0.01; HBeAg seroconversion rate: 51.61% vs 19.05%, P < 0.01). Male sex and telbivudine therapy were baseline predictors of HBeAg seroconversion. The multivariate Cox regression analysis (Forward LR, a = 0.05) showed that the presence or absence of HBeAg seroconversion at week 104 was significantly associated with male sex (HR = 4.917), a reduction in HBsAg > 0.5 lg IU/ml at week 12 of treatment compared baseline (HR = 3.514), and a reduction in HBeAg > 1 lg COI at week 12 of treatment compared baseline (HR = 8.651). CONCLUSION In HBeAg-positive CHB patients with suboptimal responses to 24-week PEG-IFNα-2a therapy, the sequential therapy with telbivudine helps achieve better HBeAg clearance rate and seroconversion rate compared with the sequential therapy with entecavir and can be used as a therapeutic regimen for such patients. A reduction in HBeAg > 1 lg COI at week 12 of treatment compared baseline can be used as a predictive factor for HBeAg seroconversion at week 104.
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Affiliation(s)
- X D Luo
- Department of Infectious Diseases, Guangdong Academy of Medical Science, Guangdong General Hospital, Guangzhou 050110, China
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Wei J, Qian XP, Zou ZY, Wang LF, Yu LX, You CW, Song Y, Lu HY, Hu WJ, Yan J, Xu XX, Chen XF, Li XY, Wu QF, Zhou Y, Zhang FL, Liu BR. [Chinese multicenter randomized trial of customized chemotherapy based on BRCA1 (breast cancer susceptibility gene 1)-RAP80 (receptor-associated protein 80) mRNA expression in advanced non-small cell lung cancer (NSCLC) patients]. Zhonghua Zhong Liu Za Zhi 2016; 38:868-873. [PMID: 27998448 DOI: 10.3760/cma.j.issn.0253-3766.2016.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: BRCA1 (breast cancer susceptibility gene 1) and RAP80 (receptor-associated protein 80) play key roles in predicting chemosensitivity of platinum and taxanes. A randomized trial was carried out to compare non-selected cisplatin-based chemotherapy with therapy customized according to BRCA1 and RAP80 expression. Methods: Advanced stage NSCLC patients whose tumor specimen was sufficient for molecular analysis were randomized (1∶3) to the control or experimental arm. Patients in the control arm received docetaxel/cisplatin; in the experimental arm, patients with low RAP80 expression received gemcitabine/cisplatin (Arm 1), those with intermediate/high RAP80 expression and low/intermediate BRCA1expression received docetaxel/cisplatin (Arm 2), and those with intermediate/high RAP80 expression and high BRCA1 expression received docetaxel alone (Arm 3). The primary end point was progression-free survival (PFS). Results: 226 patients were screened and 124 were randomized in this trial. ORR in the four subgroups was 22.6%, 48.4%, 30.3% and 19.2%, respectively (P=0.08); PFS was 4.74, 5.59, 3.78 and 2.73 months, respectively (P=0.55); and OS was 10.82, 14.44, 10.86 and 10.86 months, respectively (P=0.84). The common adverse effects included neutropenia, nausea, anemia and fatigue. Conclusions: No statistically significant difference of ORR, PFS or OS is observed in the experimental arms compared with the control arm. Patients with low RAP80 mRNA levels have a trend of better survival and higher response rate to gemcitabine/cisplatin chemotherapy.
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Affiliation(s)
- J Wei
- The Comprehensive Cancer Center, Affiliated Drum Tower Hospital to Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing 210008, China
| | - X P Qian
- The Comprehensive Cancer Center, Affiliated Drum Tower Hospital to Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing 210008, China
| | - Z Y Zou
- The Comprehensive Cancer Center, Affiliated Drum Tower Hospital to Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing 210008, China
| | - L F Wang
- The Comprehensive Cancer Center, Affiliated Drum Tower Hospital to Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing 210008, China
| | - L X Yu
- The Comprehensive Cancer Center, Affiliated Drum Tower Hospital to Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing 210008, China
| | - C W You
- Department of Oncology, Suqian General Hospital, Suqian 223800, China
| | - Y Song
- Department of Respiratory Medicine, Jinlin Hospital, Nanjing 210002, China
| | - H Y Lu
- Department of Oncology, Taizhou General Hospital, Taizhou 225300, China
| | - W J Hu
- The Comprehensive Cancer Center, Affiliated Drum Tower Hospital to Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing 210008, China
| | - J Yan
- The Comprehensive Cancer Center, Affiliated Drum Tower Hospital to Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing 210008, China
| | - X X Xu
- Department of Respiratory Medicine, Northern Jiangsu People's Hospital, Yangzhou 225001, China
| | - X F Chen
- Department of Oncology, Huaian General Hospital, Huaian 223300, China
| | - X Y Li
- Department of Oncology, Affiliated Hospital to Zhengzhou University, Zhengzhou 450052 , China
| | - Q F Wu
- Department of Oncology, Yixing General Hospital, Yixing 214200, China
| | - Y Zhou
- Department of Oncology, Yixing General Hospital, Yixing 214200, China
| | - F L Zhang
- Department of Oncology, Maanshan General Hospital, Maanshan 243000, China
| | - B R Liu
- The Comprehensive Cancer Center, Affiliated Drum Tower Hospital to Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing 210008, China
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Wang FW, Wang ML, Guo C, Wang N, Li XW, Chen H, Dong YY, Chen XF, Wang ZM, Li HY. Cloning and characterization of a novel betaine aldehyde dehydrogenase gene from Suaeda corniculata. Genet Mol Res 2016; 15:gmr7848. [PMID: 27420939 DOI: 10.4238/gmr.15027848] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Glycine betaine is an important quaternary ammonium compound that is produced in response to several abiotic stresses in many organisms. The synthesis of glycine betaine requires the catalysis of betaine aldehyde dehydrogenase (BADH), which can convert betaine aldehyde into glycine betaine in plants, especially in halotolerant plants. In this study, we isolated the full-length cDNA of BADH from Suaeda corniculata (ScBADH) using reverse transcriptase-polymerase chain reaction and rapid amplification of cDNA ends. Next, we analyzed the expression profile of ScBADH using real-time PCR. The results showed that ScBADH expression was induced in the roots, stems, and leaves of S. corniculata seedlings under salt and drought stress. Next, ScBADH was overexpressed in Arabidopsis, resulting in the transgenic plants exhibiting enhanced tolerance over wild-type plants under salt and drought stress. We then analyzed the levels of glycine betaine and proline, as well as superoxide dismutase (SOD) activity, during salt stress in WT and transgenic Arabidopsis. The results indicated that overexpression of ScBADH produced more glycine betaine and proline, and increased SOD activity under NaCl treatment. Our results suggest that ScBADH might be a positive regulator in plants during the response to NaCl.
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Affiliation(s)
- F W Wang
- College of Life Sciences, Engineering Research Center of the Chinese Ministry of Education for Bioreactor and Pharmaceutical Development, Jilin Agricultural University, Changchun, Jilin, China
| | - M L Wang
- College of Life Sciences, Engineering Research Center of the Chinese Ministry of Education for Bioreactor and Pharmaceutical Development, Jilin Agricultural University, Changchun, Jilin, China
| | - C Guo
- College of Life Sciences, Engineering Research Center of the Chinese Ministry of Education for Bioreactor and Pharmaceutical Development, Jilin Agricultural University, Changchun, Jilin, China
| | - N Wang
- College of Life Sciences, Engineering Research Center of the Chinese Ministry of Education for Bioreactor and Pharmaceutical Development, Jilin Agricultural University, Changchun, Jilin, China
| | - X W Li
- College of Life Sciences, Engineering Research Center of the Chinese Ministry of Education for Bioreactor and Pharmaceutical Development, Jilin Agricultural University, Changchun, Jilin, China
| | - H Chen
- College of Life Sciences, Engineering Research Center of the Chinese Ministry of Education for Bioreactor and Pharmaceutical Development, Jilin Agricultural University, Changchun, Jilin, China
| | - Y Y Dong
- College of Life Sciences, Engineering Research Center of the Chinese Ministry of Education for Bioreactor and Pharmaceutical Development, Jilin Agricultural University, Changchun, Jilin, China
| | - X F Chen
- Jilin Technology Innovation Center for Soybean Region, Jilin Agricultural University, Changchun, Jilin, China
| | - Z M Wang
- Jilin Technology Innovation Center for Soybean Region, Jilin Agricultural University, Changchun, Jilin, China
| | - H Y Li
- College of Life Sciences, Engineering Research Center of the Chinese Ministry of Education for Bioreactor and Pharmaceutical Development, Jilin Agricultural University, Changchun, Jilin, China
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Luo GJ, Luo M, Chen XF, Wang J, Chen XF, Bian Z, Guo Y, Wu XP. [Prevalence and risk factors of hypertension among residents of 30 years or above years old in Pengzhou city of Sichuan province]. Zhonghua Yu Fang Yi Xue Za Zhi 2016; 50:404-10. [PMID: 27141895 DOI: 10.3760/cma.j.issn.0253-9624.2016.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To investigate the prevalence and risk factors of hypertension among residents in Pengzhou city of Sichuan province. METHODS Among 20 townships in Pengzhou city of Sichuan Province, 14 townships were selected using a clustered sampling based on the economic level and distance. The registered residents in the selected townships aged 30-79 years were recruited for a comprehensive survey from 2004 to 2007. A total of 55 687 residents (21 315 males and 34 372 females) were selected based on a face to face questionnaire interview and physical examination; the patient group included 14 151 residents with hypertension and the control group had 41 536 residents without hypertension were selected. Multivariate logistic regression model was used to investigate the influence factors for hypertension. OR (95%CI) values were calculated. Different levels of risk exposure factors were transformed into the risk scores using a statistical model. RESULTS The prevalence rate of hypertension was 25.41% among residents aged 30 years or above in Pengzhou (14 151/55 687), 28.95% (6 170/21 315) for male residents and 23.22% (7 981/34 372) for female residents. Multivaraite logistic regression analysis showed that main risk factors for hypertension in male residents were age, low educational level, widower, low household income, no medical insurance, no fresh fruits intake, high body mass index (BMI), high waist to hip ratio, and low physical activity, which was less than 3 metabolic equivalent of task (MET) level, among which the highest three riskswere (not including the social demographic characteristics) BMI≥28 kg/m(2), waist to hip ratio ≥0.90, and not consuming fresh fruits. OR (95% CI) values for these three key factors were 3.74 (3.27-4.28), 1.34 (1.24-1.44), and 1.27 (1.14-1.41), respectively. The corresponding risk scores for these factors were 2.993, 1.102, and 1.237, respectively. Main risk factors for hypertension in female residents were age, working hours, no medical insurance, fewer number of family members, no fresh fruits intake, smoking, never drinking tea, no dairy products intake, high BMI, highwaist to hip ratio and low physical activity, among which the highest three risks were (not including the social demographic characteristics) BMI ≥28 kg/m(2), MET level, and waist to hip ratio ≥0.85. OR (95% CI) values for these three key factors were 3.30 (3.02-3.60), 1.35 (1.22-1.51), and 1.33 (1.23-1.44), respectively. The corresponding risk scores for these factors were 2.390, 1.263, and 1.051, respectively. CONCLUSION The prevalence rate of hypertension among the residents over 30 years of age in Pengzhou city was 25.41%. The main risk factors were age, not consuming fresh fruits, high BMI, high waist to hip ratio, and low MET level.
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Affiliation(s)
- G J Luo
- Department of Chronic Diseases and Health Education, Pengzhou Center for Disease Control and Prevention, Pengzhou 611930, China
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Wu J, Lin LY, Yang J, Chen XF, Ge JY, Wu JR, Sun WB. Multiple idiopathic cervical root resorption: a case report. Int Endod J 2015; 49:189-202. [PMID: 25688929 DOI: 10.1111/iej.12440] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Accepted: 05/11/2014] [Indexed: 11/28/2022]
Abstract
AIM To report a severe and rare case of multiple idiopathic cervical root resorption (MICRR) in an adult female. SUMMARY A healthy 27-year-old Chinese female, with no significant associated factors, presented with MICRR. Resorption progressed quickly and lesions varied in severity, involving 29 teeth and leading to the loss of 23 teeth over a period of only 3 years. The inner surface of the crown showed extensive areas with worm-eaten lacunar resorption, and the resorptive lesions had abundant lysosomes throughout their cytoplasm. Further, heavy deposits of reaction products were shown in variously sized lysosomes.
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Affiliation(s)
- J Wu
- Department of Periodontology, Hospital of Stomatology, Medical School, Nanjing University, Nanjing, Jiangsu Province, China
| | - L Y Lin
- Department of Stomatology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian Province, China
| | - J Yang
- Department of Periodontology, Hospital of Stomatology, Medical School, Nanjing University, Nanjing, Jiangsu Province, China
| | - X F Chen
- Department of Periodontology, Hospital of Stomatology, Medical School, Nanjing University, Nanjing, Jiangsu Province, China
| | - J Y Ge
- Department of Endodontics, Hospital of Stomatology, Medical School, Nanjing University, Nanjing, Jiangsu Province, China
| | - J R Wu
- Department of Pathology, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing, Jiangsu Province, China
| | - W B Sun
- Department of Periodontology, Hospital of Stomatology, Medical School, Nanjing University, Nanjing, Jiangsu Province, China
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Ma XJ, Tao L, Chen X, Li W, Peng ZY, Chen Y, Jin J, Zhang XL, Xiong QF, Zhong ZL, Chen XF. Clinical application of three-dimensional reconstruction and rapid prototyping technology of multislice spiral computed tomography angiography for the repair of ventricular septal defect of tetralogy of Fallot. Genet Mol Res 2015; 14:1301-9. [PMID: 25730069 DOI: 10.4238/2015.february.13.9] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Three-dimensional (3D) reconstruction and rapid prototyping technology (RPT) of multislice spiral computed tomography angiography (CTA) was applied to prepare physical models of the heart and ventricular septal defects of tetralogy of Fallot (ToF) patients in order to explore their applications in the diagnosis and treatment of this complex heart disease. CTA data of 35 ToF patients were collected to prepare l:l 3D solid models using digital 3D reconstruction and RPT, and the resultant models were used intraoperatively as reference. The operations of all 35 patients were completed under the guidance of the 3D solid model, without difficulty. Intraoperative findings of the patients were consistent with the morphological and size changes of the 3D solid model, and no significant differences were found between the patches obtained from the 3D solid model and the actual intraoperative measurements (t = 0.83, P = 0.412). 3D reconstruction and RPT of multislice spiral CTA can accurately and intuitively reflect the anatomy of ventricular septal defects in ToF patients, providing the foundation for a solid model of the complex congenital heart.
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Affiliation(s)
- X J Ma
- Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - L Tao
- Department of Cardiac Surgery, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - X Chen
- Department of Cardiac Surgery, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - W Li
- Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - Z Y Peng
- Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - Y Chen
- Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - J Jin
- Department of Cardiac Surgery, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - X L Zhang
- Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - Q F Xiong
- Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - Z L Zhong
- Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
| | - X F Chen
- Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei Province, China
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Yang J, Xie GD, Chen XF, Wu D, Lin XM, Zhang G, Cai YP. A series of variable coordination polymers based on flexible aromatic carboxylates. CrystEngComm 2015. [DOI: 10.1039/c4ce01994f] [Citation(s) in RCA: 7] [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: 11/21/2022]
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Abstract
A bacterial pathogen, Dickeya solani, emerged as a major threat to potato (Solanum tuberosum) production in Europe in 2004 and has spread to many potato-growing regions via international trade. In December 2013, soft rot symptoms were observed in hyacinth (Hyacinthus orientalis) bulbs imported from the Netherlands into China at Ningbo Port. Diseased bulbs gave off an offensive odor. The base and internal parts of diseased bulbs rotted, and the margins of diseased tissues showed brown discoloration. Isolation on nutrient agar glucose (NAG) medium resulted in dominating colonies of characteristic "fried egg" morphology (1). One colony was chosen for further investigation and tentatively named "isolate 6165-3." Under microscopic visualization after gram stain, the cells of isolate 6165-3 were gram-negative, motile, and rod shaped. The isolate was then identified as a member of genus Dickeya using the Biolog GN microplate. The 16S rRNA, recA, and dnaX sequences of isolate 6165-3 were subsequently determined and deposited in GenBank with accession numbers KM405240, KM405241, and KM405242, sharing 99% (16S rRNA), 100% (recA), and 100% (dnaX) nucleotide identity with those of known D. solani isolates, respectively. By this means, the isolate 6165-3 was identified as D. solani (1,2). To confirm the pathogenicity of the isolate, four plants each of 30-day-old hyacinth, 14-day-old potato, and 60-day-old moth orchid (Phalaenopsis amabilis) were inoculated with suspensions of the isolate with a concentration of 108 CFU/ml in sterile water by stabbing. Plants were incubated in a climate chamber at 28°C during the day and 24°C during the night with a relative humidity of 93% and a photoperiod of 12/12 h. Plants inoculated with sterile water were included as negative controls. After 2 or 3 days, typical symptoms such as water-soaked lesions and soft rot developed around the inoculation point, while the negative controls remained symptomless. Koch's postulates were fulfilled by re-isolating bacteria from lesions, which had identical sequence and morphology characters with the inoculated isolate. This is the first report of intercepted D. solani on hyacinth bulbs imported from the Netherlands into China, indicating that D. solani can spread via hyacinth. Further spread of the pathogen into potato production might lead to immeasurable economic consequences for China. References: (1) P. F. Sarris et al. New Dis. Rep. 24:21, 2011. (2) J. M. van der Wolf et al. Int. J. Syst. Evol. Microbiol. 64:768, 2014.
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Affiliation(s)
- X F Chen
- Laboratory of Biochemistry and Molecular Biology, School of Marine Sciences, Ningbo University, Ningbo, 315211, China, and Ningbo Academy of Inspection and Quarantine, Ningbo, 315012, China
| | - H L Zhang
- Ningbo Academy of Inspection and Quarantine
| | - J Chen
- Laboratory of Biochemistry and Molecular Biology, School of Marine Sciences, Ningbo University
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Chen XF, Huang ST, Zhu WF. Cost-Effectiveness of the Treatment of Respiratory Diseases of Xiyanping Injection : A Systematic Review. Value Health 2014; 17:A779. [PMID: 27202889 DOI: 10.1016/j.jval.2014.08.365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- X F Chen
- Jiangxi University of Traditional Chinese Medicine, Nanchang, China
| | - S T Huang
- Jiangxi University of Traditional Chinese Medicine, Nanchang, China
| | - W F Zhu
- Jiangxi University of Traditional Chinese Medicine, Nanchang, China
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Deng ML, Ling Y, Chen XF, Giddings RP, Hong YH, Yi XW, Qiu K, Tang JM. Self-seeding-based 10Gb/s over 25km optical OFDM transmissions utilizing face-to-face dual-RSOAs at gain saturation. Opt Express 2014; 22:11954-11965. [PMID: 24921316 DOI: 10.1364/oe.22.011954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Self-seeded passive optical networks (PONs) are currently attracting extensive research interest. In this paper, a novel self-seeded PON transmitter is, for the first time, proposed and experimentally demonstrated, which incorporates two face-to-face-positioned reflective semiconductor optical amplifiers (RSOAs) operating at their gain saturation regions: one RSOA directly driven by an upstream electrical signal and the other RSOA biased at a fixed current. Detailed experimental explorations are undertaken of the dynamic performance characteristics of the proposed transmitter. It is shown that, in comparison with previously reported self-seeded transmitters each employing a reflective mirror and a single electrical signal-driven RSOA, the proposed transmitter has a number of salient advantages including, considerably narrowed optical signal spectra, up to 16dB reduction in RINs of intensity-modulated optical signals, and residual intensity modulation crosstalk suppression as high as 10.7dB. The aforementioned features enable experimental demonstrations of real-time self-seeded 10Gb/s optical OFDM (OOFDM) transmitters. In particular, by making use of two low-cost RSOAs having their 3-dB modulation bandwidths as small as 1.125GHz, 10Gb/s over 25km adaptive OOFDM transmissions with power penalties of 0.6dB are experimentally achieved in the simple self-seeded IMDD PON systems.
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Wang L, Wan C, Lee DJ, Liu X, Zhang Y, Chen XF, Tay JH. Biosorption of antimony(V) onto Fe(III)-treated aerobic granules. Bioresour Technol 2014; 158:351-354. [PMID: 24630496 DOI: 10.1016/j.biortech.2014.02.046] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2014] [Revised: 02/13/2014] [Accepted: 02/15/2014] [Indexed: 06/03/2023]
Abstract
Iron precipitate was produced with 0.1M FeCl3 and bound with the amino or hydroxyl groups of the granules surface, accompanied with removal of Ca, Mg, K and Na from the biomass matrix. The Fe(III)-treated granules exhibited much higher adsorption capacity of antimony(V) than the untreated granules, peaked at pH 3.4 at a maximum capacity of 22.6 mg g(-1) of dry mass. The intraparticle diffusion and film diffusion resistances controlled the Sb(V) adsorption onto the Fe(III)-treated granules. Fe(III) treatment is a cost-effective and easy-to-implement process to modify the surface of aerobic granules to enhance their adsorption capacity to Sb(V).
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Affiliation(s)
- Li Wang
- Department of Environmental Science and Engineering, Fudan University, Shanghai 200433, China; Center of Analysis and Measurement, Fudan University, Shanghai 200433, China
| | - Chunli Wan
- Department of Environmental Science and Engineering, Fudan University, Shanghai 200433, China
| | - Duu-Jong Lee
- Department of Environmental Science and Engineering, Fudan University, Shanghai 200433, China; Department of Chemical Engineering, National Taiwan University of Science and Technology, Taipei 106, Taiwan.
| | - Xiang Liu
- Department of Environmental Science and Engineering, Fudan University, Shanghai 200433, China
| | - Yi Zhang
- Department of Environmental Science and Engineering, Fudan University, Shanghai 200433, China
| | - X F Chen
- Center of Analysis and Measurement, Fudan University, Shanghai 200433, China
| | - Joo-Hwa Tay
- Department of Civil Engineering, University of Calgary, Calgary, Canada
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Zhang QW, Zeng XL, Wang M, Wang TY, Chen XF. Retrieving quasi-phase-matching structure with discrete layer-peeling method. Opt Express 2012; 20:15826-15832. [PMID: 22772272 DOI: 10.1364/oe.20.015826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
An approach to reconstruct a quasi-phase-matching grating by using a discrete layer-peeling algorithm is presented. Experimentally measured output spectra of Šolc-type filters, based on uniform and chirped QPM structures, are used in the discrete layer-peeling algorithm. The reconstructed QPM structures are in agreement with the exact structures used in the experiment and the method is verified to be accurate and efficient in quality inspection on quasi-phase-matching grating.
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Affiliation(s)
- Q W Zhang
- The Key Lab of Specialty Fiber Optics and Optical Access Network, Shanghai University, Shanghai 200072, China
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Wang WL, Wu ZH, Sun Q, Wei JF, Chen XF, Zhou DK, Zhou L, Xie HY, Zheng SS. Meta-analysis: the use of carbon dioxide insufflation vs. room air insufflation for gastrointestinal endoscopy. Aliment Pharmacol Ther 2012; 35:1145-54. [PMID: 22452652 DOI: 10.1111/j.1365-2036.2012.05078.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2011] [Revised: 09/13/2011] [Accepted: 03/07/2012] [Indexed: 12/14/2022]
Abstract
BACKGROUND Carbon dioxide (CO(2)) insufflation has been proposed as an alternative to air insufflation to distend the lumen in gastrointestinal (GI) endoscopy. AIM To perform a systematic review with meta-analysis of randomised controlled trials (RCTs) in which CO(2) insufflation was compared with room air insufflation in GI endoscopy. METHODS Electronic and manual searches were combined to search RCTs. After methodological quality assessment and data extraction, the efficacy and safety of CO(2) insufflation were systematically assessed. RESULTS Twenty-one RCTs [13 on colonoscopy, four on endoscopic retrograde cholangiopancreatography (ERCP), two on double-balloon enteroscopy (DBE), one on oesophagogastroduodenoscopy, and one on flexible sigmoidoscopy] were identified. For colonoscopy, CO(2) insufflation resulted lower postprocedural pain intensity, and increased the proportion of patient without pain at 1 h (RR: 1.84, 95% CI: 1.37-2.47) and 6 h (RR: 1.28; 95% CI: 1.14-1.44) postprocedure. For ERCP, the pain-releasing effect of CO(2) insufflation was not obvious (SMD: -1.48, 95% CI: -3.56, 0.59). CO(2) insufflation revealed no consistent advantages in the RCTs of DBE, but was shown as safe as air insufflation in oesophagus/stomach endoscopic submucosal dissection in one study. pCO(2) level showed no significant variation during these procedures. CONCLUSIONS Compared with air insufflation, CO(2) insufflation during colonoscopy causes lower postprocedural pain and bowel distension without significant pCO(2) variation. More RCTs are needed to assess its advantages in other GI endoscopic procedures.
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Affiliation(s)
- W L Wang
- Key Laboratory of Combined Multi-organ Transplantation, Ministry of Public Health, Hangzhou, China
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