BACKGROUND Macrophage activation syndrome(MAS),a sub-type of hemophagocytic lymphohistiocytosis(HLH)secondary to autoimmune rheumatic diseases,is a critical and potentially fatal condition characterized by an excessiv...BACKGROUND Macrophage activation syndrome(MAS),a sub-type of hemophagocytic lymphohistiocytosis(HLH)secondary to autoimmune rheumatic diseases,is a critical and potentially fatal condition characterized by an excessive inflammatory response.Despite the established efficacy of the HLH-2004 guideline in diagnosing and treating HLH over the years,ongoing discussion persists regarding its application,especially for HLH secondary to complicated conditions,such as autoimmune rheumatic diseases combined with severe infection.Etoposide(VP-16),a topoisomerase II inhibitor that effectively induces DNA damage and subsequent apoptosis in hyperactivated immune cells,has been widely used for the treatment of HLH.However,its suppressive effect on immune system may also cause potential exacerbation of infection in autoimmune rheumatic disease-induced HLH patients complicated with severe infection.Therefore,the use of VP-16 in such cases was inconclusive.CASE SUMMARY In this case study,we propose a potentially effective strategy for managing a patient diagnosed with secondary HLH complicated with systemic lupus erythematosus(SLE)and chronic coronavirus disease 2019 infection.Our approach involves early administration of low-dose VP-16(100 mg twice a week,300 mg in total),combined with methylprednisolone,cyclophosphamide,and cyclosporine A.The administration of etoposide effectively led to improvements in various indices of HLH.CONCLUSION Low dose etoposide proves to be an effective approach in alleviating HLH while mitigating the risk of infection.展开更多
AIM To investigate the role of embryonic liver fordin(ELF) in liver fibrosis by regulating hepatic stellate cells(HSCs) glucose glycolysis.METHODS The expression of ELF and the glucose glycolysisrelated proteins were ...AIM To investigate the role of embryonic liver fordin(ELF) in liver fibrosis by regulating hepatic stellate cells(HSCs) glucose glycolysis.METHODS The expression of ELF and the glucose glycolysisrelated proteins were evaluated in activated HSCs. si RNA was used to silence ELF expression in activated HSCs in vitro and the subsequent changes in PI3K/Akt signaling and glucose glycolysis-related proteins were observed.RESULTS The expression of ELF increased remarkably in HSCs of the fibrosis mouse model and HSCs that were cultured for 3 wk in vitro. Glucose glycolysis-related proteins showed an obvious increase in the activated HSCs, such as phosphofructokinase, platelet and glucose transporter 1. ELF-si RNA, which perfectly silenced the expression of ELF in activated HSCs, led to the induction of glucose glycolysis-related proteins and extracellular matrix(ECM) components. Moreover, p Akt, which is an important downstream factor in PI3K/Akt signaling, showed a significant change in response to the ELF silencing. The expression of glucose glycolysisrelated proteins and ECM components decreased remarkably when the PI3K/Akt signaling was blocked by Ly294002 in the activated HSCs. CONCLUSION ELF is involved in HSC glucose glycolysis by regulating PI3K/Akt signaling.展开更多
Objective: The aim of this study was to investigate whether astrecyte elevated gene 1 (AEG1) regulates COX-2 expression in human hepatoma HepG2 cells and related pathways involved in this process. Methods: Human h...Objective: The aim of this study was to investigate whether astrecyte elevated gene 1 (AEG1) regulates COX-2 expression in human hepatoma HepG2 cells and related pathways involved in this process. Methods: Human hepatoma HepG2 cells were transfected with pcDNA3.1(-)-AEG1 plasmid or psilencer2.0-AEGl-shRNA1 plasmid to up/down-regulate AEG1 expression, pcDNA3.1(-) and psilencer 2.0 empty vector plasmids were transfected respectively as control. Real-time RT-PCR was carried out to measure the expression levels of AEG1 and COX-2 mRNA. The expression levels of AEG1 and COX-2 protein were detected by Western blot. NF-KB signaling was blocked by PDTC, and AP-1 signaling was blocked by curcumin. Results: AEG1 mRNA and protein levels were increased after pcDNA3.1(-)-AEG1 transfection, and decreased after psilencer2.0-AEGl-shRNAs transfection. COX-2 mRNA and protein levels were increased in AEGl-overexpressing cells and decreased in AEGl-knockdown cells. Phosphorylations of p65 and c-jun were up-regulated in AEGl-overexpressing cells. Both PDTC and curoumin reduced COX-2 expression in HepG2 cells with AEG1 overexpression. Conclusion: AEG1- overexpressing and -knockdown HepG2 cells are established successfully. AEG1 could induce COX-2 expression though activating NF-KB and AP-1 in human hepatoma HepG2 cells.展开更多
The multiwavelength characteristics of stimulated Raman scattering(SRS)in YVO4 crystal excited by a picosecond laser at 1064nm are investigated theoretically and experimentally.Laser output with seven wavelengths is a...The multiwavelength characteristics of stimulated Raman scattering(SRS)in YVO4 crystal excited by a picosecond laser at 1064nm are investigated theoretically and experimentally.Laser output with seven wavelengths is achieved coaxially and synchronously at 894,972,1175,1312,1486,1713 and 2022 nm in a YVO4 crystal.The maximum total Raman output energy is as high as 2.77mJ under the pump energy of 7.75mJ.A maximum total Raman conversion efficiency of 47.8%is obtained when the pump energy is 6.54 mj.This is the highest order of Stokes components and the highest output energy generated by YVO4 reported up to date.This work expands the Raman spectrum of YVO4 crystal to the near-IR regime,with seven wavelengths covered at the same time,paving the way for new wavelength generation in the near-IR regime and its multiwavelength application.展开更多
Objective:To assess the effects of laparoscopic hepatectomy(LH)and open hepatectomy(OH)on liver function of patients.Methods:From July 2016 to December 2017 in our hospital,a total 47 cases of patients match the inclu...Objective:To assess the effects of laparoscopic hepatectomy(LH)and open hepatectomy(OH)on liver function of patients.Methods:From July 2016 to December 2017 in our hospital,a total 47 cases of patients match the inclusion and exclusion standards,were divided into laparoscopic hepatectomy(LH group,51)and open hepatectomy(OH group,59)randomly.Data of pre-and post-operative liver function of two groups were compared.Results:On the first,second and third day after surgery,the postoperative medians value of ALT in LH group was significantly reduced than in OH group(113.98U/L vs 133.30U/L,Z=-2.086,P=0.037;97.55U/L vs 189.50U/L,Z=-2.341,P=0.019;62.66U/L vs 109.20U/L,Z=-2.171,P=0.030).Meanwhile,the value of AST in LH group was significantly lower than in OH group(75.70U/L vs 141.00U/L,Z=-2.245,P=0.025;61.25U/L vs 147.20U/L,Z=-3.193,P=0.001;30.85U/L vs 51.20U/L,Z=-2.331,P=0.020).However,the differences of aminotransferase were not statistically significant in two groups on the seventh day after surgery(P>0.05).The degree of elevations of TBIL,DBIL and PT were remarkably lower in LH group than OH group(P<0.05),as well as,all of index recovered in LH group faster than in OH group.Conclusions:Compared with OH,the effects of LH on liver function in patients are lesser,and LH is beneficial for recovery of patients after hepatectomy.展开更多
Background:Pulmonary embolism(PE)is a severe and acute cardiovascular syndrome with high mortality among patients with autoimmune inflammatory rheumatic diseases(AIIRDs).Accurate prediction and timely intervention pla...Background:Pulmonary embolism(PE)is a severe and acute cardiovascular syndrome with high mortality among patients with autoimmune inflammatory rheumatic diseases(AIIRDs).Accurate prediction and timely intervention play a pivotal role in enhancing survival rates.However,there is a notable scarcity of practical early prediction and risk assessment systems of PE in patients with AIIRD.Methods:In the training cohort,60 AIIRD with PE cases and 180 age-,gender-,and disease-matched AIIRD non-PE cases were identified from 7254 AIIRD cases in Tongji Hospital from 2014 to 2022.Univariable logistic regression(LR)and least absolute shrinkage and selection operator(LASSO)were used to select the clinical features for further training with machine learning(ML)methods,including random forest(RF),support vector machines(SVM),neural network(NN),logistic regression(LR),gradient boosted decision tree(GBDT),classification and regression trees(CART),and C5.0 models.The performances of these models were subsequently validated using a multicenter validation cohort.Results:In the training cohort,24 and 13 clinical features were selected by univariable LR and LASSO strategies,respectively.The five ML models(RF,SVM,NN,LR,and GBDT)showed promising performances,with an area under the receiver operating characteristic(ROC)curve(AUC)of 0.962-1.000 in the training cohort and 0.969-0.999 in the validation cohort.CART and C5.0 models achieved AUCs of 0.850 and 0.932,respectively,in the training cohort.Using D-dimer as a pre-screening index,the refined C5.0 model achieved an AUC exceeding 0.948 in the training cohort and an AUC above 0.925 in the validation cohort.These results markedly outperformed the use of D-dimer levels alone.Conclusion:ML-based models are proven to be precise for predicting the onset of PE in patients with AIIRD exhibiting clinical suspicion of PE.Trial Registration:Chictr.org.cn:ChiCTR2200059599.展开更多
Lithium-oxygen(Li-O_(2))batteries have been considered as an ideal solution to solving the global energy crisis.Silver(Ag)and Agbased catalyst have been extensively studied due to their high catalytic activities in Li...Lithium-oxygen(Li-O_(2))batteries have been considered as an ideal solution to solving the global energy crisis.Silver(Ag)and Agbased catalyst have been extensively studied due to their high catalytic activities in Li-O_(2)batteries.However,it remains a challenge to track the catalytic mechanism during the charge/discharge process.Here,a nanoscale processing method was used to assemble a Li-O_(2)nanobattery in an aberration-corrected environmental transmission electron microscope(ETEM),where a single Ag nanowire(NW)was used as catalyst for O_(2)electrode.A visualization of the lithium ion insertion process during the electrochemical reactions was achieved in this nanobattery.Numerous Ag nanoparticles(NPs)were observed on the surface of the Ag NW,which were covered by the discharge product Li2O_(2).By simultaneously studying the evolution of the interface and the phase transformation,it can be concluded that these Ag NPs wrapped around Ag NW acted as catalyst during the subsequent charge/discharge reaction.Based on these studies,Ag NPs decorated on porous carbon were synthesized,it can simultaneously improve the cycling stability(100 cycles)and the maximum specific capacity(17,371 mAh·g^(−1)at a current density of 100 mA·g^(−1))in a coin cell Li-O_(2)battery.This study suggests that nanoscale Ag may be a promising catalyst for Li-O_(2)battery.展开更多
Aging is a significant risk factor for various diseases,including asthma,and it often leads to poorer clinical outcomes,particularly in elderly individuals.It is recognized that age-related diseases are due to a time-...Aging is a significant risk factor for various diseases,including asthma,and it often leads to poorer clinical outcomes,particularly in elderly individuals.It is recognized that age-related diseases are due to a time-dependent accumulation of cellular damage,resulting in a progressive decline in cellular and physiological functions and an increased susceptibility to chronic diseases.The effects of aging affect not only the elderly but also those of younger ages,posing significant challenges to global healthcare.Thus,understanding the molecular mechanisms associated with aging in different diseases is essential.One intriguing factor is the aryl hydrocarbon receptor(AhR),which serves as a cytoplasmic receptor and ligand-activated transcription factor and has been linked to the aging process.Here,we review the literature on several major hallmarks of aging,including mitochondrial dysfunction,cellular senescence,autophagy,mitophagy,epigenetic alterations,and microbiome disturbances.Moreover,we provide an overview of the impact of AhR on these hallmarks by mediating responses to environmental exposures,particularly in relation to the immune system.Furthermore,we explore how aging hallmarks affect clinical characteristics,inflammatory features,exacerbations,and the treatment of asthma.It is suggested that AhR signaling may potentially play a role in regulating asthma phenotypes in elderly populations as part of the aging process.展开更多
China is experiencing accelerated urbanisation,with a large number of people moving from rural to urban areas[1].It has resulted in large losses in the net primary production(NPP),biodiversity and carbon stocks and an...China is experiencing accelerated urbanisation,with a large number of people moving from rural to urban areas[1].It has resulted in large losses in the net primary production(NPP),biodiversity and carbon stocks and an increase in environmental pollution and CO_(2)emissions[2–4].In 2015,196 countries signed the Paris Agreement and committed to setting long-term goals to jointly manage climate change and reduce their individual emissions,aiming to control the increase in global average temperature from the pre-industrial level to below 2℃and to curtail the temperature rise within 1.5℃till the end of the 21st century[5].China is bolstering its efforts to achieve the climate change mitigation goals and has announced a plan for achieving carbon neutrality by 2060[6].The carbon neutrality goal poses a challenge to the current policies promoting rapid urbanisation across China.展开更多
Human marrow stromal cells (hMSCs) are multipotential stem cells, capable of differentiating into bone, cartilage, fat and muscle. Several recent reports demonstrated that hMSCs have been also differentiated into ne...Human marrow stromal cells (hMSCs) are multipotential stem cells, capable of differentiating into bone, cartilage, fat and muscle. Several recent reports demonstrated that hMSCs have been also differentiated into neural cells. However, only a few reported inducers are applicable for clinical use. This work is to explore the effects of sodium ferulate (SF) on differentiation of hMSCs into neural cells in vitro. We found that hMSCs could be induced to the cells with typical neural morphology when cultured with SF. The cells express neural proteins, such as nestin, neuron-specific enolase (NSE) and glial fibrillary acidic protein (GFAP). About 30% of the hMSC-derived cells expressed nestin when cultured with SF for 3 h, but no expression was detected after 24 h. The percentages of positive cells for NSE or GFAP were about 67% and 39% separately at 6 h, and reached the plateau phage after treatment with SF for 3 days. The data suggest that SF can induce hMSCs to differentiate into neural-like cells in vitro. Cellular & Molecular Immunology. 2005;2(3):225-229.展开更多
Background:Clinical outcomes of undifferentiated arthritis(UA)are diverse,and only 40%of patients with UA develop rheumatoid arthritis(RA)after 3 years.Discovering predictive markers at disease onset for further inter...Background:Clinical outcomes of undifferentiated arthritis(UA)are diverse,and only 40%of patients with UA develop rheumatoid arthritis(RA)after 3 years.Discovering predictive markers at disease onset for further intervention is critical.Therefore,our objective was to analyze the clinical outcomes of UA and ascertain the predictors for RA development.Methods:We performed a prospective,multi-center study from January 2013 to October 2016 among Chinese patients diagnosed with UA in 22 tertiary-care hospitals.Clinical and serological parameters were obtained at recruitment.Follow-up was undertaken in all patients every 12 weeks for 2 years.Predictive factors of disease progression were identified using multivariate Cox proportional hazards regression.Results:A total of 234 patients were recruited in this study,and 17(7.3%)patients failed to follow up during the study.Among the 217 patients who completed the study,83(38.2%)patients went into remission.UA patients who developed RA had a higher rheumatoid factor(RF)-positivity(42.9%vs.16.8%,χ^2=8.228,P=0.008),anti-cyclic citrullinated peptide(CCP)antibodypositivity(66.7%vs.10.7%,χ^2=43.897,P<0.001),and double-positivity rate of RF and anti-CCP antibody(38.1%vs.4.1%,χ^2=32.131,P<0.001)than those who did not.Anti-CCP antibody but not RF was an independent predictor for RA development(hazard ratio 18.017,95%confidence interval:5.803–55.938;P<0.001).Conclusion:As an independent predictor of RA,anti-CCP antibody should be tested at disease onset in all patients with UA.展开更多
Recent urban transformations have led to critical reflections on the blighted urban infrastruc-tures and called for re-stimulating vital urban places.Especially,the metro has been recognized as the backbone infrastruc...Recent urban transformations have led to critical reflections on the blighted urban infrastruc-tures and called for re-stimulating vital urban places.Especially,the metro has been recognized as the backbone infrastructure for urban mobility and the associated economy agglomeration.To date,limited research has been devoted to investigating the relationship between metro vitality and built environment in mega-cities empirically.This paper presents a multisource urban data-driven approach to quantify the metro vibrancy and its association with the underlying built environment.Massive smart card data is processed to extract metro ridership,which denotes the vibrancy around the metro station in physical space.Social media check-ins are crawled to measure the vitality of metros in virtual spaces.Both physical and virtual vibrancy are integrated into a holistic metro vibrancy metric using an entropy-based weighting method.Certain built environment characteristics,including land use,transportation and buildings are modeled as independent variables.The significant influences of built environ-mental factors on the metro vibrancy are unraveled using the ordinary least square regression and the spatial lag model.With experiments conducted in Shenzhen,Singapore and London,this study comes up with a conclusion that spatial distributions of metro vibrancy metrics in three cities are spatially autocorrelated.The regression analysis suggests that in all the three cities,more affluent urban areas tend to have higher metro virbrancy,while the road density,land use and buildings tend to impact metro vibrancy in only one or two cities.These results demonstrate the relationship between the metro vibrancy and built environment is affected by complex urban contexts.These findings help us to understand metro vibrancy thus make proper policy to re-stimulate the important metro infrastructure in the future.展开更多
This paper proposes a novel data indexing scheme,the distributed access pattern R-tree(DAPR-tree),for spatial data retrieval in a distributed computing environment.As compared to traditional distributed indexing schem...This paper proposes a novel data indexing scheme,the distributed access pattern R-tree(DAPR-tree),for spatial data retrieval in a distributed computing environment.As compared to traditional distributed indexing schemes,the DAPR-tree introduces the data access patterns during the indexing utilization stage so that a more balanced indexing structure can be provided for spatial applications(e.g.Digital Earth data warehouse).In this new indexing scheme,(a)an indexing penalty matrix is proposed by considering the balance of data number,topology and access load between different indexing nodes;(b)an‘access possibility’element is integrated to a classic‘Master-Client’structure for a distributed indexing environment;and(c)indexing algorithm for the DAPR-tree is provided for index implementations.By using a duplication of official GEOSS Clearinghouse system as a case study,the DAPR-tree was evaluated in a number of scenarios.The results show that our indexing schemes generally outperform(around 9%)traditional distributed indices with the utilization of data access patterns.Finally,we discuss the applicability of the DARP-tree and document DARP-tree shortcomings to encourage researchers pursuing related topics in Big Data indexing for Digital Earth and other geospatial initiatives.展开更多
基金Supported by Hubei Provincial Natural Science Foundation of China,No.2023AFB771National Natural Science Foundation of China,No.82270903 and No.81974254.
文摘BACKGROUND Macrophage activation syndrome(MAS),a sub-type of hemophagocytic lymphohistiocytosis(HLH)secondary to autoimmune rheumatic diseases,is a critical and potentially fatal condition characterized by an excessive inflammatory response.Despite the established efficacy of the HLH-2004 guideline in diagnosing and treating HLH over the years,ongoing discussion persists regarding its application,especially for HLH secondary to complicated conditions,such as autoimmune rheumatic diseases combined with severe infection.Etoposide(VP-16),a topoisomerase II inhibitor that effectively induces DNA damage and subsequent apoptosis in hyperactivated immune cells,has been widely used for the treatment of HLH.However,its suppressive effect on immune system may also cause potential exacerbation of infection in autoimmune rheumatic disease-induced HLH patients complicated with severe infection.Therefore,the use of VP-16 in such cases was inconclusive.CASE SUMMARY In this case study,we propose a potentially effective strategy for managing a patient diagnosed with secondary HLH complicated with systemic lupus erythematosus(SLE)and chronic coronavirus disease 2019 infection.Our approach involves early administration of low-dose VP-16(100 mg twice a week,300 mg in total),combined with methylprednisolone,cyclophosphamide,and cyclosporine A.The administration of etoposide effectively led to improvements in various indices of HLH.CONCLUSION Low dose etoposide proves to be an effective approach in alleviating HLH while mitigating the risk of infection.
基金Supported by National Natural Science Foundation of China,No.81300329 and No.81401992
文摘AIM To investigate the role of embryonic liver fordin(ELF) in liver fibrosis by regulating hepatic stellate cells(HSCs) glucose glycolysis.METHODS The expression of ELF and the glucose glycolysisrelated proteins were evaluated in activated HSCs. si RNA was used to silence ELF expression in activated HSCs in vitro and the subsequent changes in PI3K/Akt signaling and glucose glycolysis-related proteins were observed.RESULTS The expression of ELF increased remarkably in HSCs of the fibrosis mouse model and HSCs that were cultured for 3 wk in vitro. Glucose glycolysis-related proteins showed an obvious increase in the activated HSCs, such as phosphofructokinase, platelet and glucose transporter 1. ELF-si RNA, which perfectly silenced the expression of ELF in activated HSCs, led to the induction of glucose glycolysis-related proteins and extracellular matrix(ECM) components. Moreover, p Akt, which is an important downstream factor in PI3K/Akt signaling, showed a significant change in response to the ELF silencing. The expression of glucose glycolysisrelated proteins and ECM components decreased remarkably when the PI3K/Akt signaling was blocked by Ly294002 in the activated HSCs. CONCLUSION ELF is involved in HSC glucose glycolysis by regulating PI3K/Akt signaling.
基金Supported by grants from the National Science Foundation of China (No.81070333)the Natural Science Foundation of Hubei Province of China (No.2012FFB02318)
文摘Objective: The aim of this study was to investigate whether astrecyte elevated gene 1 (AEG1) regulates COX-2 expression in human hepatoma HepG2 cells and related pathways involved in this process. Methods: Human hepatoma HepG2 cells were transfected with pcDNA3.1(-)-AEG1 plasmid or psilencer2.0-AEGl-shRNA1 plasmid to up/down-regulate AEG1 expression, pcDNA3.1(-) and psilencer 2.0 empty vector plasmids were transfected respectively as control. Real-time RT-PCR was carried out to measure the expression levels of AEG1 and COX-2 mRNA. The expression levels of AEG1 and COX-2 protein were detected by Western blot. NF-KB signaling was blocked by PDTC, and AP-1 signaling was blocked by curcumin. Results: AEG1 mRNA and protein levels were increased after pcDNA3.1(-)-AEG1 transfection, and decreased after psilencer2.0-AEGl-shRNAs transfection. COX-2 mRNA and protein levels were increased in AEGl-overexpressing cells and decreased in AEGl-knockdown cells. Phosphorylations of p65 and c-jun were up-regulated in AEGl-overexpressing cells. Both PDTC and curoumin reduced COX-2 expression in HepG2 cells with AEG1 overexpression. Conclusion: AEG1- overexpressing and -knockdown HepG2 cells are established successfully. AEG1 could induce COX-2 expression though activating NF-KB and AP-1 in human hepatoma HepG2 cells.
基金Supported by the Key Laboratory Foundation from Technical Institute of Physics and Chemistry,Chinese Academy of Sciences.
文摘The multiwavelength characteristics of stimulated Raman scattering(SRS)in YVO4 crystal excited by a picosecond laser at 1064nm are investigated theoretically and experimentally.Laser output with seven wavelengths is achieved coaxially and synchronously at 894,972,1175,1312,1486,1713 and 2022 nm in a YVO4 crystal.The maximum total Raman output energy is as high as 2.77mJ under the pump energy of 7.75mJ.A maximum total Raman conversion efficiency of 47.8%is obtained when the pump energy is 6.54 mj.This is the highest order of Stokes components and the highest output energy generated by YVO4 reported up to date.This work expands the Raman spectrum of YVO4 crystal to the near-IR regime,with seven wavelengths covered at the same time,paving the way for new wavelength generation in the near-IR regime and its multiwavelength application.
基金National Natural Science Foundation of China(No:81860514).
文摘Objective:To assess the effects of laparoscopic hepatectomy(LH)and open hepatectomy(OH)on liver function of patients.Methods:From July 2016 to December 2017 in our hospital,a total 47 cases of patients match the inclusion and exclusion standards,were divided into laparoscopic hepatectomy(LH group,51)and open hepatectomy(OH group,59)randomly.Data of pre-and post-operative liver function of two groups were compared.Results:On the first,second and third day after surgery,the postoperative medians value of ALT in LH group was significantly reduced than in OH group(113.98U/L vs 133.30U/L,Z=-2.086,P=0.037;97.55U/L vs 189.50U/L,Z=-2.341,P=0.019;62.66U/L vs 109.20U/L,Z=-2.171,P=0.030).Meanwhile,the value of AST in LH group was significantly lower than in OH group(75.70U/L vs 141.00U/L,Z=-2.245,P=0.025;61.25U/L vs 147.20U/L,Z=-3.193,P=0.001;30.85U/L vs 51.20U/L,Z=-2.331,P=0.020).However,the differences of aminotransferase were not statistically significant in two groups on the seventh day after surgery(P>0.05).The degree of elevations of TBIL,DBIL and PT were remarkably lower in LH group than OH group(P<0.05),as well as,all of index recovered in LH group faster than in OH group.Conclusions:Compared with OH,the effects of LH on liver function in patients are lesser,and LH is beneficial for recovery of patients after hepatectomy.
基金supported by grants from National Natural Science Foundation of China(Nos.81703058 and 81974254)Tongji Hospital Clinical Research Flagship Program(No.2019CR206).
文摘Background:Pulmonary embolism(PE)is a severe and acute cardiovascular syndrome with high mortality among patients with autoimmune inflammatory rheumatic diseases(AIIRDs).Accurate prediction and timely intervention play a pivotal role in enhancing survival rates.However,there is a notable scarcity of practical early prediction and risk assessment systems of PE in patients with AIIRD.Methods:In the training cohort,60 AIIRD with PE cases and 180 age-,gender-,and disease-matched AIIRD non-PE cases were identified from 7254 AIIRD cases in Tongji Hospital from 2014 to 2022.Univariable logistic regression(LR)and least absolute shrinkage and selection operator(LASSO)were used to select the clinical features for further training with machine learning(ML)methods,including random forest(RF),support vector machines(SVM),neural network(NN),logistic regression(LR),gradient boosted decision tree(GBDT),classification and regression trees(CART),and C5.0 models.The performances of these models were subsequently validated using a multicenter validation cohort.Results:In the training cohort,24 and 13 clinical features were selected by univariable LR and LASSO strategies,respectively.The five ML models(RF,SVM,NN,LR,and GBDT)showed promising performances,with an area under the receiver operating characteristic(ROC)curve(AUC)of 0.962-1.000 in the training cohort and 0.969-0.999 in the validation cohort.CART and C5.0 models achieved AUCs of 0.850 and 0.932,respectively,in the training cohort.Using D-dimer as a pre-screening index,the refined C5.0 model achieved an AUC exceeding 0.948 in the training cohort and an AUC above 0.925 in the validation cohort.These results markedly outperformed the use of D-dimer levels alone.Conclusion:ML-based models are proven to be precise for predicting the onset of PE in patients with AIIRD exhibiting clinical suspicion of PE.Trial Registration:Chictr.org.cn:ChiCTR2200059599.
基金the National Natural Science Foundation of China(No.22279111)the China Postdoctoral Science Foundation(No.2021M702756)the Natural Science Foundation of Hebei Province(No.B2020203037).
文摘Lithium-oxygen(Li-O_(2))batteries have been considered as an ideal solution to solving the global energy crisis.Silver(Ag)and Agbased catalyst have been extensively studied due to their high catalytic activities in Li-O_(2)batteries.However,it remains a challenge to track the catalytic mechanism during the charge/discharge process.Here,a nanoscale processing method was used to assemble a Li-O_(2)nanobattery in an aberration-corrected environmental transmission electron microscope(ETEM),where a single Ag nanowire(NW)was used as catalyst for O_(2)electrode.A visualization of the lithium ion insertion process during the electrochemical reactions was achieved in this nanobattery.Numerous Ag nanoparticles(NPs)were observed on the surface of the Ag NW,which were covered by the discharge product Li2O_(2).By simultaneously studying the evolution of the interface and the phase transformation,it can be concluded that these Ag NPs wrapped around Ag NW acted as catalyst during the subsequent charge/discharge reaction.Based on these studies,Ag NPs decorated on porous carbon were synthesized,it can simultaneously improve the cycling stability(100 cycles)and the maximum specific capacity(17,371 mAh·g^(−1)at a current density of 100 mA·g^(−1))in a coin cell Li-O_(2)battery.This study suggests that nanoscale Ag may be a promising catalyst for Li-O_(2)battery.
基金supported by grants from the US National Institutes of Health(NIH)(Nos.1R01AI153331 and R01AI141642)the Department of Science and Technology of Yunnan Province,China(No.202201AY070001-260)
文摘Aging is a significant risk factor for various diseases,including asthma,and it often leads to poorer clinical outcomes,particularly in elderly individuals.It is recognized that age-related diseases are due to a time-dependent accumulation of cellular damage,resulting in a progressive decline in cellular and physiological functions and an increased susceptibility to chronic diseases.The effects of aging affect not only the elderly but also those of younger ages,posing significant challenges to global healthcare.Thus,understanding the molecular mechanisms associated with aging in different diseases is essential.One intriguing factor is the aryl hydrocarbon receptor(AhR),which serves as a cytoplasmic receptor and ligand-activated transcription factor and has been linked to the aging process.Here,we review the literature on several major hallmarks of aging,including mitochondrial dysfunction,cellular senescence,autophagy,mitophagy,epigenetic alterations,and microbiome disturbances.Moreover,we provide an overview of the impact of AhR on these hallmarks by mediating responses to environmental exposures,particularly in relation to the immune system.Furthermore,we explore how aging hallmarks affect clinical characteristics,inflammatory features,exacerbations,and the treatment of asthma.It is suggested that AhR signaling may potentially play a role in regulating asthma phenotypes in elderly populations as part of the aging process.
基金supported by the National Natural Science Foundation of China(42201319,42001281,42201347 and 42001324)the Guangdong Basic and Applied Basic Research Foundation(2023A1515011946 and 2023A1515011216)+1 种基金the Open Funding Project of the Key Laboratory of Marine Environmental Survey Technology and Application,Ministry of Natural Resources(MESTA-2021-B003)Independent Research Project of Guangming Laboratory Project:Moonshot Carbon Credit Rating Driven by AI and Remote Sensing Big Data(23400002)。
文摘China is experiencing accelerated urbanisation,with a large number of people moving from rural to urban areas[1].It has resulted in large losses in the net primary production(NPP),biodiversity and carbon stocks and an increase in environmental pollution and CO_(2)emissions[2–4].In 2015,196 countries signed the Paris Agreement and committed to setting long-term goals to jointly manage climate change and reduce their individual emissions,aiming to control the increase in global average temperature from the pre-industrial level to below 2℃and to curtail the temperature rise within 1.5℃till the end of the 21st century[5].China is bolstering its efforts to achieve the climate change mitigation goals and has announced a plan for achieving carbon neutrality by 2060[6].The carbon neutrality goal poses a challenge to the current policies promoting rapid urbanisation across China.
基金This work was supported by National Natural Science Foundation of China(No.30 1 60084)by the Natural Science Foundation of Jiangxi Province(No.0240047).
文摘Human marrow stromal cells (hMSCs) are multipotential stem cells, capable of differentiating into bone, cartilage, fat and muscle. Several recent reports demonstrated that hMSCs have been also differentiated into neural cells. However, only a few reported inducers are applicable for clinical use. This work is to explore the effects of sodium ferulate (SF) on differentiation of hMSCs into neural cells in vitro. We found that hMSCs could be induced to the cells with typical neural morphology when cultured with SF. The cells express neural proteins, such as nestin, neuron-specific enolase (NSE) and glial fibrillary acidic protein (GFAP). About 30% of the hMSC-derived cells expressed nestin when cultured with SF for 3 h, but no expression was detected after 24 h. The percentages of positive cells for NSE or GFAP were about 67% and 39% separately at 6 h, and reached the plateau phage after treatment with SF for 3 days. The data suggest that SF can induce hMSCs to differentiate into neural-like cells in vitro. Cellular & Molecular Immunology. 2005;2(3):225-229.
基金The study was supported by the grants from the Ministry of Science and Technology of China(No.2008BAI59800 and 2014BAI07B01)the National Natural Science Foundation of China(No.81671609)Beijing Municipal Science and Technology Project(No.Z171100000417007).
文摘Background:Clinical outcomes of undifferentiated arthritis(UA)are diverse,and only 40%of patients with UA develop rheumatoid arthritis(RA)after 3 years.Discovering predictive markers at disease onset for further intervention is critical.Therefore,our objective was to analyze the clinical outcomes of UA and ascertain the predictors for RA development.Methods:We performed a prospective,multi-center study from January 2013 to October 2016 among Chinese patients diagnosed with UA in 22 tertiary-care hospitals.Clinical and serological parameters were obtained at recruitment.Follow-up was undertaken in all patients every 12 weeks for 2 years.Predictive factors of disease progression were identified using multivariate Cox proportional hazards regression.Results:A total of 234 patients were recruited in this study,and 17(7.3%)patients failed to follow up during the study.Among the 217 patients who completed the study,83(38.2%)patients went into remission.UA patients who developed RA had a higher rheumatoid factor(RF)-positivity(42.9%vs.16.8%,χ^2=8.228,P=0.008),anti-cyclic citrullinated peptide(CCP)antibodypositivity(66.7%vs.10.7%,χ^2=43.897,P<0.001),and double-positivity rate of RF and anti-CCP antibody(38.1%vs.4.1%,χ^2=32.131,P<0.001)than those who did not.Anti-CCP antibody but not RF was an independent predictor for RA development(hazard ratio 18.017,95%confidence interval:5.803–55.938;P<0.001).Conclusion:As an independent predictor of RA,anti-CCP antibody should be tested at disease onset in all patients with UA.
基金supported by the National Natural Science Foundation of China[grant numbers 42071360 and 71961137003]Natural Science Foundation of Guangdong Provinces[grant number 2019A1515011049]+2 种基金the ESRC under JPI Urban Europe/NSFC[grant number ES/T000287/1]the European Research Council(ERC)under the European Union’s Horizon 2020 research and innova-tion programme[grant number 949670]the Basic Research Program of Shenzhen Science and Technology Innovation Committee[JCYJ20180305125113883].
文摘Recent urban transformations have led to critical reflections on the blighted urban infrastruc-tures and called for re-stimulating vital urban places.Especially,the metro has been recognized as the backbone infrastructure for urban mobility and the associated economy agglomeration.To date,limited research has been devoted to investigating the relationship between metro vitality and built environment in mega-cities empirically.This paper presents a multisource urban data-driven approach to quantify the metro vibrancy and its association with the underlying built environment.Massive smart card data is processed to extract metro ridership,which denotes the vibrancy around the metro station in physical space.Social media check-ins are crawled to measure the vitality of metros in virtual spaces.Both physical and virtual vibrancy are integrated into a holistic metro vibrancy metric using an entropy-based weighting method.Certain built environment characteristics,including land use,transportation and buildings are modeled as independent variables.The significant influences of built environ-mental factors on the metro vibrancy are unraveled using the ordinary least square regression and the spatial lag model.With experiments conducted in Shenzhen,Singapore and London,this study comes up with a conclusion that spatial distributions of metro vibrancy metrics in three cities are spatially autocorrelated.The regression analysis suggests that in all the three cities,more affluent urban areas tend to have higher metro virbrancy,while the road density,land use and buildings tend to impact metro vibrancy in only one or two cities.These results demonstrate the relationship between the metro vibrancy and built environment is affected by complex urban contexts.These findings help us to understand metro vibrancy thus make proper policy to re-stimulate the important metro infrastructure in the future.
基金funded by the National Key R&D Program of China[grant number 2018YFB2100704]Science,Technology and Innovation Commission of Shenzhen Municipality[grant numbers JCYJ20170412142239369,JCYJ20170818101704025]the National Natural Science Foundation of China[grant numbers 41701444,71961137003,41971341].
文摘This paper proposes a novel data indexing scheme,the distributed access pattern R-tree(DAPR-tree),for spatial data retrieval in a distributed computing environment.As compared to traditional distributed indexing schemes,the DAPR-tree introduces the data access patterns during the indexing utilization stage so that a more balanced indexing structure can be provided for spatial applications(e.g.Digital Earth data warehouse).In this new indexing scheme,(a)an indexing penalty matrix is proposed by considering the balance of data number,topology and access load between different indexing nodes;(b)an‘access possibility’element is integrated to a classic‘Master-Client’structure for a distributed indexing environment;and(c)indexing algorithm for the DAPR-tree is provided for index implementations.By using a duplication of official GEOSS Clearinghouse system as a case study,the DAPR-tree was evaluated in a number of scenarios.The results show that our indexing schemes generally outperform(around 9%)traditional distributed indices with the utilization of data access patterns.Finally,we discuss the applicability of the DARP-tree and document DARP-tree shortcomings to encourage researchers pursuing related topics in Big Data indexing for Digital Earth and other geospatial initiatives.