Linked color imaging vs Lugol chromoendoscopy for esophageal squamous cell cancer and precancerous lesion screening: A noninferiority study

BACKGROUND Lugol chromoendoscopy(LCE)has served as a standard screening technique in high-risk patients with esophageal cancer.Nevertheless,LCE is not suitable for general population screening given its side effects.Linked color imaging(LCI)is a novel image-enhanced endoscopic technique that can distinguish subtle differences in mucosal color.AIM To compare the diagnostic performance of LCI with LCE in detecting esophageal squamous cell cancer and precancerous lesions and to evaluate whether LCE can be replaced by LCI in detecting esophageal neoplastic lesions.METHODS In this prospective study,we enrolled 543 patients who underwent white light imaging(WLI),LCI and LCE successively.We compared the sensitivity and specificity of LCI and LCE in the detection of esophageal neoplastic lesions.Clinicopathological features and color analysis of lesions were assessed.RESULTS In total,43 patients(45 neoplastic lesions)were analyzed.Among them,36 patients(38 neoplastic lesions)were diagnosed with LCI,and 39 patients(41 neoplastic lesions)were diagnosed with LCE.The sensitivity of LCI was similar to that of LCE(83.7%vs 90.7%,P=0.520),whereas the specificity of LCI was greater than that of LCE(92.4%vs 87.0%,P=0.007).The LCI procedure time in the esophageal examination was significantly shorter than that of LCE[42(34,50)s vs 160(130,189)s,P<0.001].The color difference between the lesion and surrounding mucosa in LCI was significantly greater than that observed with WLI.However,the color difference in LCI was similar in different pathological types of esophageal squamous cell cancer.CONCLUSION LCI offers greater specificity than LCE in the detection of esophageal squamous cell cancer and precancerous lesions,and LCI represents a promising screening strategy for general populations.

基于EPSTI1表达的临床病理特征列线图预测肾透明细胞癌预后

目的:构建基于上皮间质相互作用蛋白1(epithelial-stromal interaction protein 1,EPSTI1)预后列线图预测肾透明细胞癌的预后。方法:回顾性分析2012年1月至2015年12月于福建医科大学附属第一医院221例接受手术治疗的肾透明细胞癌患者和TCGA数据库中533例肾透明细胞癌患者数据,对癌旁正常组织和癌组织标本进行免疫组织化学(immunohistochemistry,IHC)染色,分析EPSTI1的表达差异及与临床病理特征的相关性。对EPSTI1高表达与低表达患者的总生存期(overall survival,OS)和无病生存期(disease-free survival,DFS)进行Kaplan-Meier生存分析,采用单因素和多因素Cox比例风险模型分析OS的预后因素,进一步构建列线图模型并验证。结果:与癌旁正常肾组织比较,肾透明细胞癌组织中EPSTI1的IHC评分和m RNA表达水平均显著高于正常组织(均P<0.001),且在高T分期的癌组织中表达更高(P=0.036,P=0.006);EPSTI1蛋白表达与肿瘤最大径、TNM分期相关(P=0.002,P=0.032);EPSTI1低表达组OS、DFS均优于高表达组(P=0.046,P=0.003,P=0.001);单因素和多因素Cox回归分析结果显示,EPSTI1蛋白高表达、WHO/ISUP分级、AJCC/TNM分期是影响肾透明细胞癌患者预后不良的独立危险因素(P=0.009,P=0.039,P<0.001);基于上述变量构建的预后列线图模型对患者5年OS预测能力优于AJCC/TNM分期,校准曲线显示模型预测值与实际值间具有良好的一致性。结论:基于EPSTI1、AJCC/TNM分期和WHO/ISUP分级建立的列线图模型对肾透明细胞癌预后具有较强的预测能力。

Comparative transcriptome analysis between rhesus macaques(Macaca mulatta) and crab-eating macaques(M. fascicularis)

Understanding gene expression variations between species is pivotal for deciphering the evolutionary diversity in phenotypes. Rhesus macaques(Macaca mulatta, MMU)and crab-eating macaques(M. fascicularis, MFA) serve as crucial nonhuman primate biomedical models with different phenotypes. To date, however, large-scale comparative transcriptome research between these two species has not yet been fully explored. Here, we conducted systematic comparisons utilizing newly sequenced RNA-seq data from84 samples(41 MFA samples and 43 MMU samples)encompassing 14 common tissues. Our findings revealed a small fraction of genes(3.7%) with differential expression between the two species, as well as 36.5% of genes with tissue-specific expression in both macaques. Comparison of gene expression between macaques and humans indicated that 22.6% of orthologous genes displayed differential expression in at least two tissues. Moreover,19.41% of genes that overlapped with macaque-specific structural variants showed differential expression between humans and macaques. Of these, the FAM220A gene exhibited elevated expression in humans compared to macaques due to lineage-specific duplication. In summary,this study presents a large-scale transcriptomic comparison between MMU and MFA and between macaques and humans. The discovery of gene expression variations not only enhances the biomedical utility of macaque models but also contributes to the wider field of primate genomics.

Microstructures and micromechanical behaviors of high -entropy alloys investigated by synchrotron X-ray and neutron diffraction techniques: A review

High-entropy alloys(HEAs)possess outstanding features such as corrosion resistance,irradiation resistance,and good mechan-ical properties.A few HEAs have found applications in the fields of aerospace and defense.Extensive studies on the deformation mech-anisms of HEAs can guide microstructure control and toughness design,which is vital for understanding and studying state-of-the-art structural materials.Synchrotron X-ray and neutron diffraction are necessary techniques for materials science research,especially for in situ coupling of physical/chemical fields and for resolving macro/microcrystallographic information on materials.Recently,several re-searchers have applied synchrotron X-ray and neutron diffraction methods to study the deformation mechanisms,phase transformations,stress behaviors,and in situ processes of HEAs,such as variable-temperature,high-pressure,and hydrogenation processes.In this review,the principles and development of synchrotron X-ray and neutron diffraction are presented,and their applications in the deformation mechanisms of HEAs are discussed.The factors that influence the deformation mechanisms of HEAs are also outlined.This review fo-cuses on the microstructures and micromechanical behaviors during tension/compression or creep/fatigue deformation and the application of synchrotron X-ray and neutron diffraction methods to the characterization of dislocations,stacking faults,twins,phases,and intergrain/interphase stress changes.Perspectives on future developments of synchrotron X-ray and neutron diffraction and on research directions on the deformation mechanisms of novel metals are discussed.

Lipid metabolism-related long noncoding RNA RP11-817I4.1 promotes fatty acid synthesis and tumor progression in hepatocellular carcinoma

BACKGROUND Hepatocellular carcinoma(HCC)is one of the most common types of tumors.The influence of lipid metabolism disruption on the development of HCC has been demonstrated in published studies.AIM To establish an HCC prognostic model for lipid metabolism-related long non-coding RNAs(LMR-lncRNAs)and conduct in-depth research on the specific role of novel LMR-lncRNAs in HCC.METHODS Correlation and differential expression analyses of The Cancer Genome Atlas data were used to identify differentially expressed LMR-lncRNAs.Quantitative real-time polymerase chain reaction analysis was used to evaluate the expression of LMR-lncRNAs.Nile red staining was employed to observe intracellular lipid levels.The interaction between RP11-817I4.1,miR-3120-3p,and ATP citrate lyase(ACLY)was validated through the performance of dual-luciferase reporter gene and RIP assays.RESULTS Three LMR-lncRNAs(negative regulator of antiviral response,RNA transmembrane and coiled-coil domain family 1 antisense RNA 1,and RP11-817I4.1)were identified as predictive markers for HCC patients and were utilized in the construction of risk models.Additionally,proliferation,migration,and invasion were reduced by RP11-817I4.1 knockdown.An increase in lipid levels in HCC cells was significantly induced by RP11-817I4.1 through the miR-3120-3p/ACLY axis.CONCLUSION LMR-lncRNAs have the capacity to predict the clinical characteristics and prognoses of HCC patients,and the discovery of a novel LMR-lncRNAs,RP11-817I4.1,revealed its role in promoting lipid accumulation,thereby accelerating the onset and progression of HCC.

血小板衍生生长因子BB参与生长板损伤修复的作用与机制

背景:在生长板损伤炎症初期,血小板衍生生长因子BB通过促进间充质祖细胞浸润、软骨形成、成骨反应以及调控骨重塑来促进生长板损伤的修复。目的:总结血小板衍生生长因子BB在生长板损伤修复中的作用机制。方法:检索PubMed、维普、万方数据和中国知网数据库,中文检索词为“生长板损伤,骨桥形成,血小板衍生因子BB,修复”,英文检索词为“growth plate injury,bone bridge,PDGF-BB,repair”,最终筛选66篇文章进行综述。结果与结论:生长板损伤经历早期炎症、血管重建、纤维骨化、结构重塑等病理进程,伴随着软骨细胞、血管内皮细胞、干细胞、成骨细胞、破骨细胞多种细胞交叉对话。血小板衍生生长因子BB作为损伤早期炎症反应的重要因子通过介导多种细胞炎症反应调控损伤修复过程,靶向血小板衍生生长因子BB介导的炎症刺激可能通过改善破骨细胞、成骨细胞、软骨细胞功能活性延缓生长板损伤骨桥形成进程,实现生长板损伤修复。血小板衍生生长因子BB对生长板损伤部位的血管生成和骨修复组织形成以及未损伤生长板的软骨内骨延长功能具有重要作用,抑制血小板衍生生长因子BB启动的血管形成与软骨内成骨之间的偶联效应将有可能实现生长板损伤修复。

Comparison of Microwave Imaging Algorithms for Short-Range Scenarios

Three dimensional(3-D)imaging algorithms with irregular planar multiple-input-multiple-output(MIMO)arrays are discussed and compared with each other.Based on the same MIMO array,a modified back projection algorithm(MBPA)is accordingly proposed and four imaging algorithms are used for comparison,back-projection method(BP),back-projection one in time domain(BP-TD),modified back-projection one and fast Fourier transform(FFT)-based MIMO range migration algorithm(FFT-based MIMO RMA).All of the algorithms have been implemented in practical application scenarios by use of the proposed imaging system.Back to the practical applications,MIMO array-based imaging system with wide-bandwidth properties provides an efficient tool to detect objects hidden behind a wall.An MIMO imaging radar system,composed of a vector network analyzer(VNA),a set of switches,and an array of Vivaldi antennas,have been designed,fabricated,and tested.Then,these algorithms have been applied to measured data collected in different scenarios constituted by five metallic spheres in the absence and in the presence of a wall between the antennas and the targets in simulation and pliers in free space for experimental test.Finally,the focusing properties and time consumption of the above algorithms are compared.

模拟电子技术课程设计课程AOT教学模式的改革及实践

目的:结合陆军军医大学模拟电子技术课程设计课程的特点,开展该课程AOT教学模式改革及实践。方法:结合AOT教学模式和模拟电子技术基础课程的特点,从教学内容、教学方法和过程评价等进行教学模式改革与实践,以满足部队卫勤保障和社会需求。实践结果:AOT教学模式调动了学员的学习热情,增强了学习效果,使学员更好地掌握理论知识。结论:AOT教学模式符合生物医学工程专业教学要求,可以有效提高教学质量。

输灰系统流场优化与节能降耗关键技术研究

输灰系统是燃煤发电厂中重要的环保设备,其流场优化与节能降耗是当前研究的热点问题。文章分析了输灰系统的流场特性,探索了输灰系统流场优化的关键技术,并对流场优化后的节能降耗效果进行了评估,提出了输灰系统流场优化的实施方案。研究结果表明,流场优化技术能够显著降低能耗,提高输灰效率。

协同烟羽治理烟气余热利用系统的节能分析

为控制烟囱冒白烟现象的发生,某330MW机组配备有冷凝-再热烟羽治理系统,系统包含烟气冷却器、烟气加热器和烟气冷凝器,成为纯环保设备。根据投运后系统运行特点和烟羽治理效果需求,为实现节能降耗,系统进行了协同余热利用改造。改造内容包括:(1)新增板式换热器A,用于非供暖期烟气冷却器出口热媒水和低加系统凝结水换热;(2)新增板式换热器B,用于供暖期烟气冷却器出口热媒水与供暖回水换热;(3)新增板式换热器C,用于供暖期冷凝器出口循环冷却水与供暖水补水换热。板式换热器A可排挤低加系统抽汽,板式换热器B和C可减少供暖抽汽耗量。性能试验结果显示,协同烟羽治理余热利用系统在非供暖期可降低机组发电煤耗1.09g/(kW·h),供暖期可降低机组发电煤耗2.30g/(kW·h),节能效益显著。

Study on structural characteristics and adsorption performance of ultrasonic treated Mn-containing sulfur transfer agent

To prepare manganese-containing spinel sulfur transfer agent with acid peptization, ultrasonic wave is used for the first time to modify the structure of sulfur transfer agent in this work. Mini fixed bed reactor was used to investigate the effect of ultrasonic power, time and temperature on the structure and oxidation adsorption performance of sulfur transfer agent and the adsorption kinetics and mechanism of SO2 were analyzed. SEM, TEM, XRD and N2 adsorption-desorption techniques were employed to characterize and analyse the function of sulfur transfer agent. The results indicated that manganese-containing spinel is a kind of promising sulfur transfer agent and exhibits higher sulfur capacity and desulfurization degree under the selected conditions of the ultrasonic wave power of 60%, and with the treatment period for 3 h at a temperature of 60 ℃.

老年全身麻醉患者血清ADP、S-100β蛋白及HIF-1α水平与术后认知功能障碍的相关性分析

目的探讨老年全身麻醉患者血清脂联素(ADP)、S-100β蛋白及缺氧诱导因子-1α(HIF-1α)水平与术后认知功能障碍(POCD)的相关性。方法选取南阳市中心医院2017年1月至2019年1月收治的159例接受手术治疗的老年患者,根据术后简易精神状态检查表(MMSE)评分分为POCD组(MMSE<27分,n=53)和非POCD组(MMSE≥27分,n=106),比较两组患者手术前后ADP、S-100β蛋白、HIF-1α水平变化,Pearson相关性分析MMSE评分与血清ADP、S-100β蛋白、HIF-1α水平的相关性,受试者操作特征(ROC)曲线分析血清ADP、S-100β蛋白、HIF-1α水平对老年全身麻醉POCD的预测价值。结果术后两组血清ADP水平和MMSE评分均明显降低,S-100β蛋白、HIF-1α水平明显提升,POCD组较非POCD组改变更明显(P<0.05);Pearson相关性分析显示,POCD组术后MMSE评分与血清ADP水平呈正相关,与S-100β蛋白、HIF-1α水平呈负相关(P<0.05);ROC曲线显示,ADP+S-100β蛋白+HIF-1α预测老年全身麻醉患者POCD的曲线下面积(AUC)、敏感度、特异度高于各指标单独预测。结论老年全身麻醉POCD患者血清ADP水平明显降低,S-100β蛋白和HIF-1α水平明显提升,与POCD发生密切相关,联合检测能提升POCD预测价值。

溴虫氟苯双酰胺对草地贪夜蛾的亚致死效应

为明确溴虫氟苯双酰胺对草地贪夜蛾Spodoptera frugiperda的亚致死效应,采用点滴法测定溴虫氟苯双酰胺对草地贪夜蛾3龄幼虫的室内毒力及亚致死剂量溴虫氟苯双酰胺(LD_(15)和LD_(30))对草地贪夜蛾生物学特性的影响,同时测定了亚致死剂量(LD_(15)、LD_(30))和半致死剂量(LD_(50))溴虫氟苯双酰胺对草地贪夜蛾3龄幼虫体内解毒酶(GST、EST、MFO)、保护酶(SOD、POD、CAT)活性的影响。结果表明,溴虫氟苯双酰胺对草地贪夜蛾3龄幼虫具有良好的触杀活性,LD_(50)值为0.50μg/g。亚致死剂量(LD_(15)和LD_(30))溴虫氟苯双酰胺处理草地贪夜蛾3龄幼虫后,幼虫存活率显著下降,较对照分别下降了6.7%和32.88%;LD_(30)处理的成虫畸形率(8.33%)较对照(1.75%)显著升高,产卵前期(3.31 d)较对照(2.88 d)显著延长。溴虫氟苯双酰胺3个不同剂量(LD_(15)、LD_(30)和LD_(50))处理均能显著诱导草地贪夜蛾体内GST比活力升高,LD_(30)和LD_(50)两个处理明显诱导EST和MFO比活力升高,但LD_(15)处理EST和MFO的比活力与对照无差异。保护酶活性测定结果表明,LD_(15)和LD_(30)处理能显著诱导CAT活性升高,LD_(30)处理能显著提高POD活性,但LD_(50)处理体内3种保护酶活性与对照无差异,所有剂量处理对SOD活性无影响。因此,亚致死剂量溴虫氟苯双酰胺能显著影响草地贪夜蛾当代的生物学特性及其体内解毒酶和代谢酶的活性。

Neurotoxicity mechanism of aconitine in HT22 cells studied by microfluidic chip-mass spectrometry

Aconitine,a common and main toxic component of Aconitum,is toxic to the central nervous system.However,the mechanism of aconitine neurotoxicity is not yet clear.In this work,we had the hypothesis that excitatory amino acids can trigger excitotoxicity as a pointcut to explore the mechanism of neurotoxicity induced by aconitine.HT22 cells were simulated by aconitine and the changes of target cell metabolites were real-time online investigated based on a microfluidic chip-mass spectrometry system.Meanwhile,to confirm the metabolic mechanism of aconitine toxicity on HT22 cells,the levels of lactate dehydrogenase,intracellular Ca^(2+),reactive oxygen species,glutathione and superoxide dismutase,and ratio of Bax/Bcl-2 protein were detected by molecular biotechnology.Integration of the detected results revealed that neurotoxicity induced by aconitine was associated with the process of excitotoxicity caused by glutamic acid and aspartic acid,which was followed by the accumulation of lactic acid and reduction of glucose.The surge of extracellular glutamic acid could further lead to a series of cascade reactions including intracellular Ca^(2+)overload and oxidative stress,and eventually result in cell apoptosis.In general,we illustrated a new mechanism of aconitine neurotoxicity and presented a novel analysis strategy that real-time online monitoring of cell metabolites can provide a new approach to mechanism analysis.

Resilient Event-Triggered Control of Connected Automated Vehicles Under Cyber Attacks

Dear Editor,This letter contributes to designing a resilient event-triggered controller for connected automated vehicles under cyber attacks,including denial-of-service(DoS)and deception attacks.To characterize the effect of DoS attacks,the effective intervals of the attack are redivided based on the sampling period.

军队医学院校生物医学工程专业电路分析课程建设研究

介绍了军队医学院校生物医学工程专业电路分析课程建设的特点,分析了该课程建设存在的问题,提出了增强教学内容与军队医疗卫生装备融合、优化教学方法、创新课程考核模式、升级教学条件的改进措施,为军队医学院校生物医学工程专业的课程建设提供了参考。

Syphilitic uveitis in HIV-positive patients: report of a case series, treatment outcomes, and comprehensive review of the literature

AIM:To report the clinical characteristics,treatment and outcomes of active syphilitic uveitis in human immunodeficiency virus(HIV)positive patients and compare them with the previously published data.METHODS:Retrospective analysis of the case series from an infectious disease center in southern China was conducted.Comprehensive review of previously published cases of HIV positive syphilitic uveitis was conducted using the PubMed and Web of Science databases and the references listed in the identified articles.RESULTS:Twelve HIV positive patients with active syphilitic uveitis were collected.All were male,with age of 36.3y(range 27 to 53y).Five(41.7%)had a history of syphilis,and three of them had received anti-syphilis treatment.Ocular manifestations included corneal epithelial defect(13%),complicated cataract(17.4%),vitreous opacity(82.6%),optic disc edema(26.1%),macular edema(30.4%),neuro-retinitis(43.5%),and retinal hemorrhage(26.1%).After standardized syphilitic treatment,intraocular inflammation was reduced and vision improved in all cases.The literature review summarizes 105 previously reported cases of HIV positive syphilitic uveitis.High serum rapid plasma regain(RPR)titers may be associated with severe uveitis and poor vision.Treatment with penicillin,ceftriaxone sodium,or penicillin plus benzylpenicillin instead of using benzylpenicillin alone can significantly improve bestcorrected visual acuity(BCVA)in HIV positive ocular syphilis patients.CONCLUSION:For HIV positive syphilitic uveitis patients,prompt diagnosis and appropriate treatment and follow-up are paramount.In our series,the clinical manifestations are diverse.Syphilis patients treated by penicillin G or long-acting penicillin before may still develop syphilitic uveitis.Patients who relapse after long-term penicillin treatment can still benefit from penicillin G.

CPAL, as a New Mediator of Cardiomyocyte Metabolic Alterations and Pyroptosis, Regulates Myocardial Infarction Injury in Mice

Myocardial infarction (MI), the most serious of the ischemic heart diseases, is accompanied by myocardial metabolic disorders and the loss of cardiomyocytes. Increasing evidence has shown that long noncoding RNAs (lncRNAs) are involved in various pathological conditions such as cancer and cardiovascular diseases (CVDs), and are emerging as a novel biomarker for these disorders. This study aims to investigate the regulatory role and mechanisms of lncRNAs in myocardial remodeling in the setting of MI. We find that post-infarcted hearts exhibit a reduction of adenosine triphosphate (ATP) and an alteration of the glucose and lipid metabolism genes cluster of differentiation 36 (CD36), hexokinase 1 (HK1), and clucose transporter 4 (GLUT4), accompanied by cardiomyocyte pyroptosis. We then identify a previously unknown conserved lncRNA, AK009126 (cardiomyocyte pyroptosis-associated lncRNA, CPAL), which is remarkably upregulated in the myocardial border zone of MI mice. Importantly, the adeno-associated virus 9 (AAV9)-mediated silencing of endogenous CPAL by its short hairpin RNA (shRNA) partially abrogates myocardial metabolic alterations and cardiomyocyte pyroptosis during MI in mice. Mechanistically, CPAL is shown to bind directly to nuclear factor kappa B (NFκB) and to act as an activator of NFκB to induce NFκB phosphorylation in cardiomyocytes. We also find that CPAL upregulates caspase-1 expression at the transcriptional level and consequently promotes the release of interleukin (IL)-18 and IL-1β from cardiomyocytes. Collectively, our findings reveal the conserved lncRNA CPAL as a new regulator of cardiac metabolic abnormalities and cardiomyocyte pyroptosis in the setting of MI and suggest CPAL as a new therapeutic target to protect cardiomyocytes against ischemic injury in infarcted hearts.

SGK3 overexpression correlates with a poor prognosis in endoscopically resected superficial esophageal squamous cell neoplasia:A long-term study

BACKGROUND The expression status of serum and glucocorticoid-induced protein kinase 3(SGK3)in superficial esophageal squamous cell neoplasia(ESCN)remains unknown.AIM To evaluate the SGK3 overexpression rate in ESCN and its influence on the prognosis and outcomes of patients with endoscopic resection.METHODS A total of 92 patients who had undergone endoscopic resection for ESCN with more than 8 years of follow-up were enrolled.Immunohistochemistry was used to evaluate SGK3 expression.RESULTS SGK3 was overexpressed in 55(59.8%)patients with ESCN.SGK3 overexpression showed a significant correlation with death(P=0.031).Overall survival and disease-free survival rates were higher in the normal SGK3 expression group than in the SGK3 overexpression group(P=0.013 and P=0.004,respectively).Cox regression analysis models demonstrated that SGK3 overexpression was an independent predictor of poor prognosis in ESCN patients(hazard ratio 4.729;95% confidence interval:1.042-21.458).CONCLUSION SGK3 overexpression was detected in the majority of patients with endoscopically resected ESCN and was significantly associated with shortened survival.Thus,it might be a new prognostic factor for ESCN.

High repetition granular Co/Pt multilayers with improved perpendicular remanent magnetization for high-density magnetic recording

Thanks to the strong perpendicular magnetic anisotropy(PMA), excellent processing compatibility as well as novel spintronic phenomenon, Co/Pt multilayers have been attracting massive attention and widely used in magnetic storage.However, reversed magnetic domains come into being with the increasing layer repetition ‘N’ to reduce magneto-static energy, resulting in the remarkable diminishment of the remanent magnetization(Mr). As a result, the product of Mrand thickness(i.e., the remanent moment-thickness product, Mrt), a key parameter in magnetic recording for reliable data storing and reading, also decreases dramatically. To overcome this issue, we deposit an ultra-thick granular [Co/Pt]80multilayer with a total thickness of 68 nm on granular SiNxbuffer layer. The Mrt value, Mrto saturation magnetization(Ms) ratio as well as out of plane(OOP) coercivity(Hcoop) are high up to 2.97 memu/cm^(2), 67%, and 1940 Oe(1 Oe = 79.5775 A·m^(-1)),respectively, which is remarkably improved compared with that of continuous [Co/Pt]80multilayers. That is because large amounts of grain boundaries in the granular multilayers can efficiently impede the propagation and expansion of reversed magnetic domains, which is verified by experimental investigations and micromagnetic simulation results. The simulation results also indicate that the value of Mrt, Mr/Msratio, and Hcoopcan be further improved through optimizing the granule size, which can be experimentally realized by manipulating the process parameter of SiNxbuffer layer. This work provides an alternative solution for achieving high Mrt value in ultra-thick Co/Pt multilayers, which is of unneglectable potential in applications of high-density magnetic recording.