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脑淀粉样血管病β淀粉样蛋白沉积特征及其与影像学标志物的关系
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作者 沙宇惠 梁梦琳 +5 位作者 贾琛皓 吴娟娟 张天昊 朱以诚 崔瑞雪 倪俊 《中华脑血管病杂志(电子版)》 2024年第4期301-308,共8页
目的定量分析脑淀粉样血管病(CAA)患者脑内β淀粉样蛋白(Aβ)示踪剂18F-florbetapir的摄取水平及其与脑小血管病影像学标志物的相关性,探究Aβ沉积与小血管病变严重程度的关系。方法纳入2021年1月至2024年3月登记于北京协和医院前瞻性... 目的定量分析脑淀粉样血管病(CAA)患者脑内β淀粉样蛋白(Aβ)示踪剂18F-florbetapir的摄取水平及其与脑小血管病影像学标志物的相关性,探究Aβ沉积与小血管病变严重程度的关系。方法纳入2021年1月至2024年3月登记于北京协和医院前瞻性脑小血管病研究队列,根据Boston 1.5版诊断标准诊断“很可能CAA”的患者,2例患者符合CAA相关炎症(CAA-ri)的诊断。所有患者在1个月内完成3.0T头颅MRI和18F-florbetapir正电子发射体层摄影(PET)/CT检查,并对PET图像进行视觉分析和定量分析,以大脑白质为参考区计算感兴趣脑区的标准化摄取值比(SUVr)。收集所有患者的人口统计学信息、临床和实验室检查、影像资料和PET图像数据,并分析18F-florbetapir与影像学标志物的关系,包括局限脑叶微出血(CMB)、皮质表面铁沉积(cSS)/凸面蛛网膜下腔出血(cSAH)等出血型标志物和白质高信号(WMH)等非出血型标志物。根据临床和影像学特征将CAA患者分为出血型、认知障碍型和CAA-ri型3组。采用单因素方差分析比较3组患者大脑皮层SUVr、小脑皮层SUVr的差异;采用t检验分别比较按照局限脑叶CMB、WMH Fazekas分级、有无小脑CMB分组的大脑或小脑皮层SUVr;采用Mann-Whitney U检验比较按照有无cSS/cSAH分组的大脑皮层SUVr。结果共纳入36例CAA患者,年龄为(67.94±8.10)岁,男性占69.4%,出血型9例(25.0%),认知障碍型21例(58.3%),CAA-ri型6例(16.7%)。认知障碍型和出血型CAA患者大脑皮层18F-florbetapir SUVr分别为0.89±0.13和0.84±0.16,组间差异无统计学意义(P>0.05);合并cSS/cSAH的患者大脑皮层18F-florbetapir摄取水平比未合并者更低[0.78(0.74,0.86)vs 0.90(0.84,0.99)],差异具有统计学意义(U=-2.322,P=0.02)。局限脑叶CMB数量≥5个和0~4个的CAA患者,大脑皮层SUVr分别为0.88±0.13和0.83±0.12;WMH Fazekas分级较高(5~6级)和较低(1~4级)的患者,大脑皮层SUVr分别为0.90±0.14和0.83±0.11,差异均无统计学意义(P均>0.05)。合并小脑CMB与不合并小脑CMB的患者,小脑皮层SUVr分别为0.79±0.11和0.74±0.14,差异无统计学意义(P>0.05)。结论表现脑叶出血或cSS/cSAH的CAA患者大脑皮层18F-florbetapir摄取水平更低,而脑叶CMB数量多、WMH严重的患者大脑皮层18F-florbetapir摄取水平有更高的趋势,表明18F-florbetapir摄取水平高低可能与不同的临床和影像学表型有关,或提示不同发病机制。 展开更多
关键词 脑淀粉样血管病 淀粉样蛋白 正电子发射体层摄影 脑小血管病 影像学标志物
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Low-loading gold in situ doped with sulfur by biomolecule-assisted approach for promoted electrochemical carbon dioxide reduction 被引量:1
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作者 Meijie Tan Xiaoqian Han +10 位作者 Sen Ru Chao Zhang Zhouru Ji Zhaolin Shi Guomeng Qiao Yunying Wang ruixue cui Qiquan Luo Jiqing Jiao Yaguang Li Tongbu Lu 《Nano Research》 SCIE EI CSCD 2023年第2期2059-2064,共6页
For electrochemical carbon dioxide reduction(CO_(2)RR),CO_(2)-to-CO conversion is considered an ideal route towards carbon neutrality for practical applications.Gold(Au)is known as a promising catalyst with high selec... For electrochemical carbon dioxide reduction(CO_(2)RR),CO_(2)-to-CO conversion is considered an ideal route towards carbon neutrality for practical applications.Gold(Au)is known as a promising catalyst with high selectivity for CO;however,it suffers from high cost and low mass-specific activity.In this study,we design and prepare a catalyst featuring uniform S-doped Au nanoparticles on N-doped carbon support(denoted as S-Au/NC)by an in situ synthesis strategy using biomolecules.The S-Au/NC displays high activity and selectivity for CO in CO_(2)RR with a Au loading as low as 0.4 wt.%.The Faradaic efficiency of CO(FECO)for S-Au/NC is above 95%at−0.75 V(vs.RHE);by contrast,the FECO of Au/NC(without S)is only 58%.The Tafel slope is 77.4 mV·dec−1,revealing a favorable kinetics process.Furthermore,S-Au/NC exhibits an excellent long-term stability for CO_(2)RR.Density functional theory(DFT)calculations reveal that the S dopant can boost the activity by reducing the free energy change of the potential-limiting step(formation of the*COOH intermediate).This work not only demonstrates a model catalyst featuring significantly reduced use of noble metals,but also establishes an in situ synthesis strategy for preparing high-performance catalysts. 展开更多
关键词 electrochemical CO_(2)reduction nanocomposites heterogeneous catalyst in situ sulfured HETEROATOMS
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