Efficacy and safety of low-dose interleukin-2 in combination with methotrexate in patients with active rheumatoid arthritis:a randomized,double-blind,placebo-controlled phase 2 trial

Rheumatoid arthritis(RA)is an aggressive autoimmune arthritis,and current therapies remain unsatisfactory due to low remission rate and substantially adverse effects.Low-dose interleukin-2(Ld-IL2)is potentially a therapeutic approach to further improve the disease.This randomized,double-blind,placebo-controlled trial was undertaken to evaluate the efficacy and safety of Ld-IL2 in patients with active RA.Patients were randomly assigned(1:1)to receive Ld-IL2,defined as a dose of 1 million IU,or placebo in a 12-week trial with a 12-week follow-up.Three cycles of Ld-IL2 or placebo were administered subcutaneously every other day for 2 weeks(a total of 7 doses),followed by a 2-week break.All patients received a stable dose of methotrexate(MTX).The primary outcomes were the proportion of patients achieving the ACR20,DAS28-ESR<2.6,and the change from baseline in CDAI or SDAI at week 24.Secondary endpoints included other clinical responses and safety.The primary outcomes were achieved in the perprotocol population.The improvements from baseline in CDAI and SDAI were significantly greater across time points for the LdIL2+MTX group(n=17)than for the placebo+MTX group(n=23)(P=0.018 and P=0.015,respectively).More patients achieved ACR20 response in the Ld-IL2+MTX group than those in the placebo+MTX group at week 12(70.6%vs 43.5%)and at week 24(76.5%vs 56.5%)(P=0.014).In addition,low Treg and high IL-21 were associated with good responses to Ld-IL2.Ld-IL-2 treatment was well-tolerated in this study.These results suggested that Ld-IL2 was effective and safe in RA.ClinicalTrials.gov number:NCT 02467504.

Impacts of nano-scale pore structure and organic amine assembly in porous silica on the kinetics of CO_(2) adsorptive separation

Nano structure including pore structure and amine assembly is critical for improving sorption and desorption kinetics for adsorptive CO_(2) separation.The present work delineates(1)the influence of the nano-scale pore structure of amine-functionalized solid sorbents,and(2)effect of changing the assembly of amine molecules on surface of nano-porous SiO_(2) on the rates of adsorption and desorption of CO_(2).50PEI-MSN sorbent with inverted cone-shaped pores was prepared by using mesoporous silica nanospheres(MSN)with inverted cone-shaped pores for the loading of polyethyleneimine(PEI).Co-structure-directing(CSD)method was used to synthesize the sorbent with arranged amine assembly at nano-scale(2N-CSD).By comparison with 50PE卜SBA15 as a benchmark sorbent,both sorbents have improved sorption and desorption kinetics.There are significant effects of nano pore structure and amine assembly on the sorption and desorption kinetics.The inverted cone-shaped pores in MSN allow loading polymeric amines in their narrower ends and leaving larger pore mouths open for the transport of CO_(2);50PEI-MSN shows a maximum sorption rate of 81.4 mg·g^(-1)·min^(-1) with average sorption rate of 25.4mg·g^(-1)·min^(-1) at 80℃ which are 34%and 59%higher than the corresponding values for 50PEI-SBA15;a maximum desorption rate of 38.4mg·g^(-1)·min^(-1) with average desorption rate of 11.8 mg·g^(-1)·min^(-1) ramping from 30 to 95℃ which are 37%and 156%higher than the corresponding values for 50PEI-SBA15.The arranged monolayer-like amine assembly on surface of nanoporous SiO_(2) likely provides high amine sorption sites through improved accessibility of amine,and 2N-CSD shows a maximum sorption rate of 60.5 mg·g^(-1)·min^(-1),with average sorption rate of 12.8mg·g^(-1)·min^(-1) at 300C which are 108%and 205%higher than the corresponding values for 50PEI-SBA15;a lower maximum desorption rate of 9.7 mg g'1min"1 and average desorption rate of 9.8mg·g^(-1)·min^(-1) ramping from 30 to 95℃ which is 250%higher than the corresponding value for 50PEI-SBA15.The present work demonstrates the importance of tailoring nano-scale pore structure and amine assembly for significantly improving sorption and desorption kinetics of adsorptive CO_(2) separation.

公平竞争审查的法律化路径研究

一、问题的缘起政府通过各种公权力行为或其他形式的行为,故意或无意地扭曲市场竞争机制的情形,在世界上几乎所有市场经济国家中都普遍存在,在我国这样的从计划经济体制向市场经济体制过渡的国家更为明显。为了解决这一难题,《反垄断法》已经作出了有益的尝试,即对行政垄断行为从《反垄断法》的角度进行纠正,但从规制路径来说,这种尝试仍然是保守的,《反垄断法》寄希望于实施行政垄断行为的行政主体可以自行发觉行政垄断的不适当,并进行自我纠正。