Comparative transcriptomic analysis reveals the molecular changes of acute pancreatitis in experimental models

BACKGROUND Acute pancreatitis(AP)encompasses a spectrum of pancreatic inflammatory conditions,ranging from mild inflammation to severe pancreatic necrosis and multisystem organ failure.Given the challenges associated with obtaining human pancreatic samples,research on AP predominantly relies on animal models.In this study,we aimed to elucidate the fundamental molecular mechanisms underlying AP using various AP models.AIM To investigate the shared molecular changes underlying the development of AP across varying severity levels.METHODS AP was induced in animal models through treatment with caerulein alone or in combination with lipopolysaccharide(LPS).Additionally,using Ptf1αto drive the specific expression of the hM3 promoter in pancreatic acinar cells transgenic C57BL/6J-hM3/Ptf1α(cre)mice were administered Clozapine N-oxide to induce AP.Subsequently,we conducted RNA sequencing of pancreatic tissues and validated the expression of significantly different genes using the Gene Expression Omnibus(GEO)database.RESULTS Caerulein-induced AP showed severe inflammation and edema,which were exacerbated when combined with LPS and accompanied by partial pancreatic tissue necrosis.Compared with the control group,RNA sequencing analysis revealed 880 significantly differentially expressed genes in the caerulein model and 885 in the caerulein combined with the LPS model.Kyoto Encyclopedia of Genes and Genomes enrichment analysis and Gene Set Enrichment Analysis indicated substantial enrichment of the TLR and NOD-like receptor signaling pathway,TLR signaling pathway,and NF-κB signaling pathway,alongside elevated levels of apoptosis-related pathways,such as apoptosis,P53 pathway,and phagosome pathway.The significantly elevated genes in the TLR and NOD-like receptor signaling pathways,as well as in the apoptosis pathway,were validated through quantitative real-time PCR experiments in animal models.Validation from the GEO database revealed that only MYD88 concurred in both mouse pancreatic tissue and human AP peripheral blood,while TLR1,TLR7,RIPK3,and OAS2 genes exhibited marked elevation in human AP.The genes TUBA1A and GADD45A played significant roles in apoptosis within human AP.The transgenic mouse model hM3/Ptf1α(cre)successfully validated significant differential genes in the TLR and NOD-like receptor signaling pathways as well as the apoptosis pathway,indicating that these pathways represent shared pathological processes in AP across different models.CONCLUSION The TLR and NOD receptor signaling pathways play crucial roles in the inflammatory progression of AP,notably the MYD88 gene.Apoptosis holds a central position in the necrotic processes of AP,with TUBA1A and GADD45A genes exhibiting prominence in human AP.

End-to-End Paired Ambisonic-Binaural Audio Rendering

Binaural rendering is of great interest to virtual reality and immersive media. Although humans can naturally use their two ears to perceive the spatial information contained in sounds, it is a challenging task for machines to achieve binaural rendering since the description of a sound field often requires multiple channels and even the metadata of the sound sources. In addition, the perceived sound varies from person to person even in the same sound field. Previous methods generally rely on individual-dependent head-related transferred function(HRTF)datasets and optimization algorithms that act on HRTFs. In practical applications, there are two major drawbacks to existing methods. The first is a high personalization cost, as traditional methods achieve personalized needs by measuring HRTFs. The second is insufficient accuracy because the optimization goal of traditional methods is to retain another part of information that is more important in perception at the cost of discarding a part of the information. Therefore, it is desirable to develop novel techniques to achieve personalization and accuracy at a low cost. To this end, we focus on the binaural rendering of ambisonic and propose 1) channel-shared encoder and channel-compared attention integrated into neural networks and 2) a loss function quantifying interaural level differences to deal with spatial information. To verify the proposed method, we collect and release the first paired ambisonic-binaural dataset and introduce three metrics to evaluate the content information and spatial information accuracy of the end-to-end methods. Extensive experimental results on the collected dataset demonstrate the superior performance of the proposed method and the shortcomings of previous methods.

单腔与双腔内镜下闭合内镜黏膜下剥离术相关创面或穿孔的疗效比较

目的观察比较单腔内镜(SCE)与双腔内镜(DCE)下荷包缝合内镜黏膜下剥离术(ESD)相关手术创面或穿孔的临床效果。方法胃黏膜或黏膜下肿块患者38例,随机分成A、B两组,并行ESD术。其中SCE组予以SCE下闭合创面或穿孔,DCE组予以DCE下闭合。结果 38例行ESD术后,创面或穿孔均予以SCE或DCE下尼龙绳成功闭合。结论应用SCE或DCE下尼龙绳和钛夹成功闭合ESD创面或大穿孔,两者疗效相当,但SCE应用更加广泛。SCE有望取代DCE用于ESD创面或大穿孔的闭合,这为内镜下闭合大面积胃肠穿孔或ESD创面提供了新的途径。

经自然腔道内镜下胰腺包裹性坏死引流清创术

感染性胰腺坏死(IPN)是急性胰腺炎(AP)的严重局部并发症,其死亡率达32.0%。目前的共识认为对于怀疑或确诊的IPN,有创的干预治疗(包括经皮引流、内镜或手术)应尽可能推迟至发病4周后进行,使坏死组织液化并形成包裹性坏死(WON)。随着内镜技术发展,经自然腔道(胃或十二指肠)内镜下引流及清创术已被国内外指南推荐为WON的首选方法之一。该文详细阐述了WON的诊断与评估;内镜下引流与清创术的适应证、禁忌证、操作步骤、术后评估和并发症处理,最后介绍了近年内镜引流与清创治疗的研究进展。

三清山世界地质公园地质遗迹分类及其地学意义

对地质遗迹进行科学分类是科学利用、保护地质遗迹的前提与基础。三清山世界地质公园内具有特色鲜明、极为丰富的地质遗迹,具有较高的旅游价值,对其研究具有一定的美学和地学意义。笔者在对地质遗迹调查的基础上,依据有关技术要求,将三清山地质公园地质遗迹划分为基础地质、地貌景观、地质灾害3大类、7类、16亚类,共计93处地质遗迹景点,分析了典型地质遗迹的地质学意义,以指导园区景点保护及旅游线路的规划,促进地质科学研究、地质遗迹开发与保护以及地学科普及地质旅游的可持续发展。

New Exact Traveling Wave Solutions of (2 + 1)-Dimensional Time-Fractional Zoomeron Equation

In this paper, the new mapping approach and the new extended auxiliary equation approach were used to investigate the exact traveling wave solutions of (2 + 1)-dimensional time-fractional Zoomeron equation with the conformable fractional derivative. As a result, the singular soliton solutions, kink and anti-kink soliton solutions, periodic function soliton solutions, Jacobi elliptic function solutions and hyperbolic function solutions of (2 + 1)-dimensional time-fractional Zoomeron equation were obtained. Finally, the 3D and 2D graphs of some solutions were drawn by setting the suitable values of parameters with Maple, and analyze the dynamic behaviors of the solutions.

Traveling Wave Solution of the Modified Benjamin-Bona-Mahony Equation

In this paper, the ansatze method is implemented to study the exact solutions for the modified Benjamin-Bona-Mahony equation (mBBM). The singular-shaped traveling wave solution, the Bell-shape is traveling wave solution, the kink-shaped traveling wave solution and the periodic traveling wave solution is obtained. With the assist of computational software MATLAB, the graphical exemplifications of solutions are illustrated of the two-dimension (2D) and three-dimension (3D) plots.

江西灵山地质公园花岗岩地质特征与地貌成因分析

灵山地区位于扬子板块与华夏板块碰撞对接带,灵山岩体属燕山晚期侵入岩,岩体侵入于复向斜轴部。岩体从中心到边缘演化规律明显,岩相分带清楚,属太平洋大陆边缘陆内深俯冲型的构造—岩浆作用形成的"I-S-A型"花岗岩序列。结合灵山山岩体形成动力、形成过程、发育阶段及特殊的环形结构特征等,将灵山岩体归类定名为灵山环形岭脊花岗岩地貌。

掺杂多孔碳材料催化硝基苯还原反应的研究进展

苯胺是重要的化工原料和合成中间体,通过硝基苯的催化还原反应可以方便地制备苯胺类化合物。多孔碳材料因其高比表面积、发达的孔隙结构和容易回收等特点在催化领域越来越受到重视,然而其应用受到自身活性位点缺乏和化学惰性的限制。杂原子掺杂可以增强碳材料的表面极性,调节电子结构,改善其催化性能,可作为硝基苯催化还原反应的有效催化剂。本文对近年来掺杂多孔碳材料在硝基苯催化还原反应中的研究进展进行了总结。本文概述了氮掺杂型多孔碳材料、共掺杂型多孔碳材料、负载贵金属的掺杂多孔碳材料和负载廉价金属的掺杂多孔碳材料这4种主要的掺杂多孔碳材料的制备方法,并详细介绍了不同掺杂多孔碳材料在催化硝基苯催化还原反应时的催化性能、可能的催化活性位点以及催化机理。最后,指出目前掺杂多孔碳材料催化硝基苯还原还需要解决反应选择性、催化剂催化活性和生产成本等问题,以生物质为前体,开发共掺杂型和二元双金属负载的掺杂多孔碳材料是未来的重要发展方向之一。

德兴九区铜金矿5000t/d采选工程地质灾害危险性评价

在研究了德兴九区铜金矿区地质环境特征的基础上,详细研究了区内的地质构造、节理裂隙、采矿等及其对边坡稳定性的影响程度,认为九区铜金矿地质灾害类型为崩塌、塌陷类的崩塌和采空塌陷,主要分布在陡切坡和采空区部位。预测区内工程切坡露采场北东和南切坡稳定性差,露采场北、北西和东切坡及枫树岭尾矿库主坝左坝肩等切坡稳定性相对较差,其余稳定性中等至好;工程区地基稳定性除露采场区局部、枫树岭尾矿库局部及废石运输公路局部等因采矿井巷及采空区和强风化岩等影响较差外,其余中等至较好。预测认为九区铜金矿采选工程建设引发或加剧及工程建设本身遭受地质灾害总体危险性中等,特殊情况下危险性大、威胁大;采选工程安全影响中等,特殊情况下安全影响大。拟建场地作九区铜金矿采选工程建设用地基本适宜。

江西“灵山式”花岗岩地貌景观特征及成因探讨

以上饶市幅1∶250000区域地质调查资料为基础,通过野外地质调查和室内综合研究,探讨江西灵山大型环状花岗岩的地貌景观特征及成因,并与黄山、三清山、天柱山花岗岩地貌景观进行对比。灵山花岗岩地貌景观主要分布在环形构造东南外环,海拔1000~1400 m,岩性为中粗粒黑云母碱长花岗岩,为世界罕见的大型环状花岗岩地貌景观,控制地貌形成的主要因素为构造作用、岩浆活动、风化侵蚀和重力崩塌作用。黄山、三清山是锥状峰林地貌景观的典型代表,天柱山以崩塌堆积地貌景观为特色,灵山以大型环状花岗岩峰林地貌景观为特色。天柱山、灵山锥状峰林和石锥地貌景观不如黄山和三清山发育,主要原因是天柱山、灵山比黄山、三清山海拔低400 m左右,冰川、融冻侵蚀作用不如黄山和三清山强烈。

Portosplenomesenteric vein thrombosis in patients with early-stage severe acute pancreatitis

AIM To investigate the incidence and risk factors of portosplenomesenteric vein thrombosis(PSMVT) in the early stage of severe acute pancreatitis(SAP).METHODS Patients with SAP in a tertiary care setting from January 2014 to December 2016 were retrospectively reviewed. All contrast-enhanced computed tomography(CT) studies were reassessed and reviewed. Clinical outcome measures were compared between SAP patients with and without PSMVT in the early stage of the disease. Univariate and multivariate logistic regression analyses were sequentially performed to assess potential risk factors for the development of PSMVT in SAP patients. A receiver operating characteristic(ROC) curve was generated for the qualifying independent risk factors.RESULTS Twenty-five of the one hundred and forty(17.86%) SAP patients developed PSMVT 6.19 ± 2.43 d after acute pancreatitis(AP) onset. PSMVT was confirmed by contrast-enhanced CT. Multivariate stepwise logistic regression analyses showed that Balthazar's CT severity index(CTSI) scores [odds ratio(OR): 2.742; 95% confidence interval(CI): 1.664-4.519; P = 0.000], hypoalbuminemia(serum albumin level < 25 g/L)(OR: 32.573; 95%CI: 2.711-391.353; P = 0.006) and gastrointestinal wall thickening(OR: 4.367, 95%CI: 1.218-15.658; P = 0.024) were independent risk factors for PSMVT developed in patients with SAP. The area under the ROC curve for Balthazar's CTSI scores was 0.777(P = 0.000), the sensitivity was 52%, and the specificity was 93% at a cut-off value of 5.5.CONCLUSION High Balthazar's CTSI scores, hypoalbuminemia and gastrointestinal wall thickening are independent risk factors for PSMVT developed in the early stage of SAP.

Role of gut microbiota on intestinal barrier function in acute pancreatitis

Acute pancreatitis(AP)is a common gastrointestinal disorder.Approximately15%-20%of patients develop severe AP.Systemic inflammatory response syndrome and multiple organ dysfunction syndrome may be caused by the massive release of inflammatory cytokines in the early stage of severe AP,followed by intestinal dysfunction and pancreatic necrosis in the later stage.A study showed that 59%of AP patients had associated intestinal barrier injury,with increased intestinal mucosal permeability,leading to intestinal bacterial translocation,pancreatic tissue necrosis and infection,and the occurrence of multiple organ dysfunction syndrome.However,the real effect of the gut microbiota and its metabolites on intestinal barrier function in AP remains unclear.This review summarizes the alterations in the intestinal flora and its metabolites during AP development and progression to unveil the mechanism of gut failure in AP.

Furazolidone-based triple and quadruple eradication therapy for Helicobacter pylori infection

AIM: To evaluate the efficacy of furazolidone-based triple and quadruple therapy in eradicating Helicobacter pylori (H. pylori) in a multi-center randomized controlled trial.

Severity of acute gastrointestinal injury grade is a good predictor of mortality in critically ill patients with acute pancreatitis

BACKGROUND Gastrointestinal(GI)dysfunction is a common and important complication of acute pancreatitis(AP),especially in patients with severe AP.Despite this,there is no consensus means of obtaining a precise assessment of GI function.AIM To determine the association between acute gastrointestinal injury(AGI)grade and clinical outcomes in critically ill patients with AP.METHODS Patients with AP admitted to our pancreatic intensive care unit from May 2017 to May 2019 were enrolled.GI function was assessed according to the AGI grade proposed by the European Society of Intensive Care Medicine in 2012,which is mainly based on GI symptoms,intra-abdominal pressure,and feeding intolerance in the first week of admission to the intensive care unit.Multivariate logistic regression analysis was performed to assess the association between AGI grade and clinical outcomes in critically ill patients with AP.RESULTS Among the 286 patients included,the distribution of patients with various AGI grades was 34.62%with grade I,22.03%with grade II,32.52%with grade III,and 10.84%with grade IV.The distribution of mortality was 0%among those with grade I,6.35%among those with grade II,30.11%among those with grade III,and 61.29%among those with grade IV,and AGI grade was positively correlated with mortality(χ2=31.511,P<0.0001).Multivariate logistic regression analysis showed that age,serum calcium level,AGI grade,persistent renal failure,and persistent circulatory failure were independently associated with mortality.Compared with the Acute Physiology and Chronic Health Evaluation II score(area under the curve:0.739 vs 0.854;P<0.05)and Ranson score(area under the curve:0.72 vs 0.854;P<0.01),the AGI grade was more useful for predicting mortality.CONCLUSION AGI grade is useful for identifying the severity of GI dysfunction and can be used as a predictor of mortality in critically ill patients with AP.

Clinical evaluation of endoscopic resection for treatment of large gastric stromal tumors

BACKGROUND Gastric stromal tumor is a digestive tract mesenchymal tumor with malignant potential, and endoscopic techniques have been widely used in the treatment of gastric stromal tumors, but there is still controversy over their use for large gastric stromal tumors(≥ 3 cm).AIM To evaluate the clinical long-term efficacy and safety of endoscopic resection for large(≥ 3 cm) gastric stromal tumors.METHODS All patients who underwent endoscopic resection or surgery at our hospital from 2012 to 2017 for pathologically confirmed gastric stromal tumor with a maximum diameter of ≥ 3 cm were collected. The clinical data, histopathologic characteristics of the tumors, and long-term outcomes were recorded.RESULTS A total of 261 patients were included, including 37 patients in the endoscopy group and 224 patients in the surgical group. In the endoscopy group, the maximum tumor diameter was 3-8 cm; the male: Female ratio was 21/16; 34 cases had low-risk tumors, 3 had intermediate-risk, and 0 had high-risk; the mean follow-up time was 30.29 ± 19.67 mo, no patient was lost to follow-up, and no patient received chemotherapy after operation; two patients with recurrence had low-risk stromal tumors, and neither had complete resection under endoscopy. In the surgical group, the maximum tumor diameter was 3-22 cm; the male: Female ratio was 121/103; 103 cases had low-risk tumors, 75 had intermediate-risk, and 46 had high-risk; the average follow-up time was 38.83 ± 21.50 mo, 53 patients were lost to follow-up, and 8 patients had recurrence after operation(6 cases had high-risk tumors, 1 had intermediate-risk, and 1 had low-risk). The average tumor volume of the endoscopy group was 26.67 ± 26.22 cm^3(3.75-120), all of which were less than 125 cm^3. The average volume of the surgical group was 273.03 ± 609.74 cm^3(7-4114). Among all patients with a tumor volume < 125 cm^3,7 with high-risk stromal tumors in the surgical group(37.625 cm^3 to 115.2 cm^3)accounted for 3.8%(7/183); of those with a tumor volume < 125 cm^3, high-risk patients accounted for 50%(39/78). We found that 57.1%(12/22) of patients with high-risk stromal tumors also had endoscopic surface ulcer bleeding and tumor liquefaction on ultrasound or abdominal computed tomography; the ratio of tumors positive for both in high-risk stromal tumors with a volume < 125 cm^3 was 60%(3/5).CONCLUSION Endoscopic treatment is safe for 95.5% of patients with gastric stromal tumors with a tumor diameter ≥ 3 cm and a volume of < 125 cm^3 without endoscopic surface ulcer bleeding or CT liquefaction.

抗紫外改性纳米纤维素填料的制备及其性能表征

以竹浆板为原料,利用硫酸在超声波辅助作用下制备纳米纤维素(NCC),再以高碘酸钠作为氧化剂,将NCC氧化为双醛纳米纤维素(DNCC),然后用肉桂酰肼进行接枝改性制备,得到肉桂酰肼接枝的纳米纤维素(CMH-NCC).研究了高碘酸钠用量对NCC氧化程度和得率的影响,结果表明当高碘酸钠与NCC的质量比为2∶1时,所得DNCC的氧化程度和得率较高,有利于NCC的接枝改性.同时采用FTIR、XRD、TG和UV对CMH-NCC进行测试,结果表明CMH成功地接枝在NCC上,其结晶度较DNCC大幅提高,热学性能也有明显增强,且接枝改性的纳米纤维素表现出良好的紫外光吸收性能.

Potential effect of chronic Helicobacter pylori infection on glucose metabolism of Mongolian gerbils

AIM: To assess the effect of Helicobacter pylori(H. pylori) infection on metabolic parameters in Mongolian gerbils.METHODS: A total of 40 male, 5- to 8-wk-old, specific-pathogen-free Mongolian gerbils(30-50 g) were randomly allocated into two groups: a control group(n = 20) and an H. pylori group(n = 20). After a two-week acclimation period, the control group was administered Brucella broth and the H. pylori group was challenged intra-gastrically five times every other day with approximately 109/CFU H. pylori ATCC43504(Cag A+, Vac A+). Each group was then divided into two subgroups, which were sacrificed at either 6 or 12 mo. The control and H. pylori subgroups each contained 10 Mongolian gerbils. Body weight, abdominal circumference, and body length were measured, and body mass index(BMI) and Lee's index were calculated. Biochemical assays were used to detect serum indexes, including glucose, glycated hemoglobin(GHb), glycated hemoglobin A1c(Hb A1c), triacylglycerol, and total cholesterol, using an automatic biochemistry analyzer. Inflammatory cytokines, including interleukin(IL)-1β, IL-2, IL-4,IL-10, IL-12, tumor necrosis factor-α(TNF-α) and interferon(IFN)-g, were assayed using ELISA. The expression of insulin and insulin-like growth factor 1(IGF-1) was detected by immunohistochemistry, and islet apoptosis was measured using the terminal deoxynucleotidyl transferase-mediated d UTP nick end labeling(TUNEL) assay.RESULTS: At each time point, body weight, abdominal circumference, BMI, and Lee's index were increased after H. pylori infection. However, these differences were not significant. H. pylori infection significantly increased the GHb(5.45 ± 0.53 vs 4.98 ± 0.22, P < 0.05) and Hb A1c(4.91 ± 0.61 vs 4.61 ± 0.15, P < 0.05) levels at 12 mo. We observed no significant differences in serum biochemical indexes, including fasting blood glucose, triacylglycerol and total cholesterol, at 6 or 12 mo after infection. H. pylori infection significantly increased the expression of IGF-1(P < 0.05). Insulin levels from the pancreas and the apoptotic rate of islet β-cells remained unchanged. Also, we observed no significant differences among cytokines levels, including IL-1β, IL-2, IL-4, IL-10, IL-12, TNF-α and IFN-g. IL-4 was the only exception, which increased at 6(44.36 ± 25.17 vs 17.38 ± 3.47, P < 0.05) and 12 mo(33.41 ± 10.00 vs 18.91 ± 5.31, P < 0.05) after H. pylori infection.CONCLUSION: Long-term H. pylori infection is significantly associated with high levels of Hb A1 c in Mongolian gerbils, indicating a potential role of H. pylori infection in glucose dysregulation.

Sheet Bulk Forming of Thin-Walled Components with External Gearing through Upsetting Using Controllable Deformation Zone Method

Sheet-bulk metal forming(SBMF)is a promising process for manufacturing complex sheet components with functional elements.In this study,the entire forming process for a typical thin-walled component with external gearing is investigated,including sheet forming and bulk forming processes.Deep drawn cups are prepared during sheet forming;subsequently,upsetting is performed on the sidewall to form external gearing.The upsetting method performed is known as upsetting with a controllable deformation zone(U-CDZ).Compared with the conventional upsetting method,a floating counter punch with a counter force is used in the U-CDZ method such that the forming mechanism is changed into the accumulation of the deformation zone instead of deformation throughout the entire sidewall.The effects of the counter force and material flow are investigated to understand the mechanism.The forming quality,i.e.,the formfilling and effective strain distribution,improved,whereas a high forming load is avoided.In addition,a punch with a lock bead is used to prevent folding at the inner corner during the experiment.

Pancreatic necrosis and severity are independent risk factors for pancreatic endocrine insufficiency after acute pancreatitis: A long-term follow-up study

BACKGROUND Pancreatic endocrine insufficiency after acute pancreatitis(AP) has drawn increasing attention in recent years.AIM To assess the impact of risk factors on the development of pancreatic endocrine insufficiency after AP.METHODS This retrospective observational long-term follow-up study was conducted in a tertiary hospital. Endocrine function was evaluated by the oral glucose tolerance test. The data, including age, sex, body mass index, APACHE II score, history of smoking and drinking, organ failure, pancreatic necrosis, debridement of necrosis(minimally invasive and/or open surgery), and time interval, were collected from the record database.RESULTS A total of 361 patients were included in the study from January 1, 2012 to December 30, 2018. A total of 150(41.6%) patients were diagnosed with dysglycemia(including diabetes mellitus and impaired glucose tolerance), while211(58.4%) patients had normal endocrine function. The time intervals(mo) of the above two groups were 18.73 ± 19.10 mo and 31.53 ± 27.27 mo, respectively(P= 0.001). The morbidity rates of pancreatic endocrine insufficiency were 46.7%,28.0%, and 25.3%, respectively, in the groups with different follow-up times. The risk factors for pancreatic endocrine insufficiency after AP were severity(odds ratio [OR] = 3.489;95% confidence interval [CI]: 1.501-8.111;P = 0.004) and pancreatic necrosis(OR = 4.152;95%CI: 2.580-6.684;P = 0.001).CONCLUSION Pancreatic necrosis and severity are independent risk factors for pancreatic endocrine insufficiency after AP. The area of pancreatic necrosis can affect pancreatic endocrine function.