Basal Serum Anti-Miillerian Hormone Level as a Predictor of Clinical Outcomes in Freezing-all Embryo Transfer Program

As a novel biomarker,there is inconsistent evidence regarding the association between anti-Miillerian hormone (AMH) and live birth rate in freezing-all embryo transfer cycles.We aim to assess the prognostic effect of baseline AMH on clinical outcomes,especially live birth rate in freezing-all embryo transfer cycles.A total of 828 non-polycystic ovary patients that underwent their first frozen-thawed embryo transfers in our center between January 2010 and January 2015 were recruited in this retrospective analysis.Patients were stratified into three groups based on their baseline AMH concentration:low AMH group (<1.4ng/mL),middle AMH group (1.4-5.8 ng/mL)and high AMH group (>5.8 ng/mL).The results showed that low AMH level was associated With adverse clinical outcomes.The differences in implantation rate (21.9% vs.43.2% vs.58.8%,P<0.001),clinical pregnancy rate (32.0% vs.55.2% vs.65.7%, P<0.001),live birth delivery rate (21.8% vs.43.6% vs.52.7%,P<0.001)and miscarriage rate (31.8% vs.17.5% vs.15.4%,P=0.014)among the three groups were statistically significant.After adjusting confounders (i.e.age,baseline FSH level,AFC,endometrium thickness,endometriurn preparation protocols,number of embryos transferred,etiologies of infertility),differences in live birth rate,clinical pregnancy rate and implantation rate between groups remained significant.The further age subgroup analysis demonstrated that low AMH concentration was significantly associated with poor outcomes both in young and advanced patients.The area under the curve for serum AMH,age,AFC and FSH were 0.635,0.634,0.615 and 0.543 respectively,for predicting live birth.In conclusion, baseline AMH was an independent prognostic factor of live birth rate of freezing-all embryo transfers,but its predictive value on live birth rate was of limited clinical value.

First platelet transfusion refractoriness in a patient with acute myelocytic leukemia: A case report

BACKGROUND Platelet transfusion is of great significance in the treatment of thrombocytopenia caused by myelosuppression during intensive chemotherapy in patients with acute leukemia.In recent years,with platelet transfusion increasing,ineffective platelet transfusion has become increasingly prominent.Generally speaking,platelet antibodies can be produced after repeated transfusion,thus rendering subsequent platelet transfusion ineffective.We report a case of first platelet transfusion refractoriness(PTR)in a patient with acute myelocytic leukemia(AML).Due to the rarity of such cases in clinical practice,there have been no relevant case reports so far.CASE SUMMARY A 51-year-old female patient attended the hospital due to throat pain and abnormal blood cells for 4 d.Her diagnosis was acute myelocytic leukemia[M2 type Fms related receptor tyrosine kinase 3,Isocitrate Dehydrogenase 1,Nucleophosmin 1,Neuroblastoma RAS viral oncogene homolog(+)high-risk group].She was treated with"IA"(IDA 10 mg day 1-3 and Ara-C 0.2 g day 1-5)chemotherapy.When her condition improved,the patient was discharged from the hospital,instructed to take medicine as prescribed by the doctor after discharge,and returned to the hospital for further chemotherapy on time.CONCLUSION We report a rare case of first platelet transfusion failure in a patient with AML during induction chemotherapy,which may be related to the production of platelet antibodies induced by antibiotics and excessive tumor load.This also suggests that we should consider the influence of antibiotics when the rare situation of first platelet transfusion failure occurs in patients with AML.When platelet antibodies are produced,immunoglobulins can be used to block antibodies,thereby reducing platelet destruction.For patients with PTR,both immune and non-immune factors need to be considered and combined in clinical practice along with individualized treatment to effectively solve the problem.

2021年3月沈阳地区一次污染过程气溶胶垂直变化特征及成因分析

利用地面大气颗粒物质量浓度观测资料、探空和NECP再分析资料以及地面激光雷达探测资料,对2021年3月13—15日沈阳地区污染事件过程展开分析,探讨大气污染物质量浓度、大气环流背景与气溶胶垂直分布等特征。结果表明:3月13日PM_(2.5)质量浓度最高值出现在06:00—07:00,约为220.0—230.0μg·m^(-3),15日12:00开始显著降低,而PM_(10)质量浓度在15:00出现显著增加,为258.3μg·m^(-3)。SO_(2)和NO_(2)浓度较高值均出现在3月13日10:00时左右,分别为40.1μg·m^(-3)和101.3μg·m^(-3)。CO质量浓度最高值出现在13日16:00—17:00,约为8.8 mg·m^(-3)。沈阳地区臭氧的最高值均出现在午后,13日和14日午后(12:00—16:00)臭氧最大值为102.4—113.7μg·m^(-3)。蒙古气旋东移过程中逐渐发展加强,其后部西北风将沙尘向东南方向输送。沈阳地区沙尘发展旺盛时存在不稳定层结,同时伴有显著的上升运动,有利于沙尘粒子的垂直混合和向下游输送。3月15日02:00(北京时间15日10:00)气溶胶消光最大值出现在0.7 km处,消光系数约为6.0 km^(-1)。近地面激光雷达退偏比显著增加至0.4—0.5,近地面以非球形粒子(粗颗粒物)为主的沙尘或浮尘。

p53 mutations in colorectal cancer-molecular pathogenesis and pharmacological reactivation

Colorectal cancer(CRC) is one of the most common malignancies with high prevalence and low 5-year survival.CRC is a heterogeneous disease with a complex,genetic and biochemical background.It is now generally accepted that a few important intracellular signaling pathways,including Wnt/β-catenin signaling,Ras signaling,and p53 signaling are frequently dysregulated in CRC.Patients with mutant p53 gene are often resistant to current therapies,conferring poor prognosis.Tumor suppressor p53 protein is a transcription factor inducing cell cycle arrest,senescence,and apoptosis under cellular stress.Emerging evidence from laboratories and clinical trials shows that some small molecule inhibitors exert anti-cancer effect via reactivation and restoration of p53 function.In this review,we summarize the p53 function and characterize its mutations in CRC.The involvement of p53 mutations in pathogenesis of CRC and their clinical impacts will be highlighted.Moreover,we also describe the current achievements of using p53 modulators to reactivate this pathway in CRC,which may have great potential as novel anti-cancer therapy.

Impacts of air pollution and meteorological conditions on dry eye disease among residents in a northeastern Chinese metropolis:a six-year crossover study in a cold region

The purpose of this study is to explore the associations among dry eye disease(DED),air pollution,and meteorological conditions in the cold region of a northeastern Chinese metropolis(i.e.,Changchun).Data on ambient air pollutants and meteorological parameters as well as diagnosed DED outpatients during 2015–2021 were collected.The associations between DED and environmental factors were analysed at multiple time scales using various statistical methods(i.e.,correlation,regression and machine learning).Among the 10,809 DED patients(21,617 eyes)studied,64.60%were female and 35.40%were male.A higher frequency of DED was observed in March and April,followed by January,August and October.Individual and multiple factor models showed the positive importance of particles with aerodynamic diameters<10μm(PM10),carbon monoxide(CO),and ozone(O_(3))among normal air pollutants and air pressure(AP),air temperature(AT)and wind speed(WS)among normal meteorological parameters.Air pollutants(PM10,nitrogen dioxide:NO_(2))and meteorological parameters(AT,AP)have combined impacts on DED occurrence.For the first time,we further explored the associations of detailed components of atmospheric particles and DED,suggesting potential emission sources,including spring dust from bare soil and roads and precursor pollutants of summer O_(3)formation from vehicles and industry in Northeast China.Our results revealed the quantitative associations among air pollutants,meteorological conditions and DED outpatients in cold regions,highlighting the importance of coordinated policies in air pollution control and climate change mitigation.

Correlation of serum STMN1 and Cath-D levels with the invasive growth of cervical cancer

Objective:To study the correlation of serum stathmin 1 (STMN1) and cathepsin D (Cath-D) levels with the invasive growth of cervical cancer.Methods: The patients with cervical cancer and those with uterine fibroids who underwent surgical resection in the Second People's Hospital of Yichang between January 2013 and November 2017 were selected and enrolled in the malignant group and the benign group of the study respectively;the serum was collected before operation to detect the contents of STMN1 and Cath-D;the cervical cancer lesion tissues were collected from the malignant group and the normal cervical tissues were collected from the benign group to measure the expression of STMN1, Cath-D, invasion genes and invasion signal molecules.Results:STMN1 and Cath-D contents in serum as well as STMN1 and Cath-D mRNA expression in lesion tissue of malignant group were significantly higher than those of benign group, and serum STMN1 and Cath-D contents of malignant group were positively correlated with STMN1 and Cath-D mRNA expression in lesion tissue;RACK1, Twist, MMP9, mTOR, S6K1, Wnt andβ-catenin mRNA expression in lesion tissue of malignant group were significantly higher than those of benign group whereas E-cadherin, GRIM19 and GSK-3β mRNA expression were significantly lower than those of benign group, and serum STMN1 and Cath-D contents of malignant group were positively correlated with RACK1, Twist, MMP9, mTOR, S6K1, Wnt andβ-catenin mRNA expression in lesion tissue, and negatively correlated with E-cadherin, GRIM19 and GSK-3β mRNA expression. Conclusion:The abnormally elevated STMN1 and Cath-D in serum of patients with cervical cancer can evaluate the invasive growth of the lesion.

Determination of synthetic phenolic antioxidants in essence perfume by high performance liquid chromatography with vortex-assisted,cloud-point extraction using AEO-9

This study aimed to establish a rapid analytical method to determine antioxidants in essence. A simple,efficient and practical, vortex-assisted, cloud-point extraction（VACPE） procedure is proposed for extracting and pre-concentrating four different of synthetic phenolic antioxidants（SPAs）, propyl gallate（PG）, tert-butylhydroquinone（TBHQ）, butylated hydroxyanisole（BHA）, butylated hydroxytoluene（BHT） in essence prior to high performance liquid chromatography（HPLC） analysis. The non-ionic surfactant, fatty alcohol polyoxyethylene ether-9（AEO-9）, was used as extractant and vortex-mixing was utilized to reduce extraction time and improve extraction efficiency. The effective parameters of the extraction process, such as volume of extraction solvent, pH, vortex-mixing time, equilibration temperature and time, were optimized. Under the optimum conditions, the linear range of PG, TBHQ,BHA and BHT was 8.0–800 ng/mL. All correlation coefficients of the calibration curves were higher than0.996 and relative standard deviations（RSD, n = 5） were 2.36%–5.46%. The proposed method was successfully applied to the extraction and determination of antioxidants in essence samples with satisfactory relative recoveries of 89.4%–103.5%. The results confirmed the SPAs of essence could be effectively monitored by this method and also established good reference criteria for essence.

Logistic Regression Analysis of Risk Factors Associated with Spontaneous Abortion after In Vitro Fertilization/Intracytoplasmic Sperm Injection-Embryo Transfer in Polycystic Ovary Syndrome Patients

Objective:To analyze spontaneous abortion rate and its associated risk factors in patients with polycystic ovary syndrome(PCOS)after in vitro fertilization/intracytoplasmic sperm injection-embryo transfer(IVF/ICSI-ET).Methods:This was a retrospective cohort study on 2,231 PCOS patients undergoing IVF/ICSI treatment.For comparison,we enrolled another 2,231 patients with tubular factors in control group.Spontaneous abortion rate and chromosomal abnormality rate were compared between the two groups.Furthermore,clinical data were compared between the patients with spontaneous abortion and those with ongoing pregnancy using univariate and multivariate analysis for risk factors of spontaneous abortion in PCOS patients.Results:Patients in the PCOS group had significantly higher spontaneous abortion rate(24.15%)than that in the control group(12.75%,P<0.001).Chromosomal abnormality rate was significantly lower in the PCOS group(36.05%,31/86)than in the control group(55.56%,50/90,P=0.009).In the PCOS group,patients with spontaneous abortion had significantly elder age,higher body mass index(BMI),and homeostasis model assessment for insulin resistance(HOMA-IR)than those with ongoing pregnancy.The logistic regression analysis confirmed that the age,BMI,and HOMA-IR were the risk factors of spontaneous abortion in the PCOS patients.There were no significant differences between groups in the type of cycles,the quality of embryos transferred,the number of embryos transferred,fasting blood glucose,fasting insulin,and so on.Conclusions:Compared with non-PCOS patients,PCOS patients had higher spontaneous abortion rate,but the chromosomal abnormality was not a major factor for the high spontaneous abortion rate in the PCOS patients.Age,BMI,and HOMA-IR were risk factors for spontaneous abortion after IVF/ICSI-ET in PCOS patients.

分子模拟在聚酰亚胺研究中的应用

聚酰亚胺(PI)是一类通过酰亚胺键连接的环链状高分子聚合物,其化学组成可调,同时具有复杂的多尺度多层次结构特征,更进一步地影响了材料的热学、力学和光电性能.本文综述了近年来分子模拟方法在PI中的应用,辅助研究和解释了PI材料的结构和性能的关系.结构上,包括分子链结构、凝聚态的结晶、取向结构、自由体积以及相结构;性能上,介绍了分子模拟在PI材料热性能、机械性能、气体分离以及PI基复合材料的界面结合性能方面的应用.最后,对计算机模拟在聚酰亚胺研究中的发展趋势进行了展望,本文对于PI性能优化和功能性PI的设计制备具有一定的理论指导意义.

Thrombin induces ACSL4-dependent ferroptosis during cerebral ischemia/reperfusion

Ischemic stroke represents a significant danger to human beings,especially the elderly.Interventions are only available to remove the clot,and the mechanism of neuronal death during ischemic stroke is still in debate.Ferroptosis is increasingly appreciated as a mechanism of cell death after ischemia in various organs.

Air pollution and meteorological conditions significantly contribute to the worsening of allergic conjunctivitis:a regional 20-city,5-year study in Northeast China

This study is the first to explore the potential associations among allergic conjunctivitis(AC),air pollution,and meteorological conditions in Northeast China.Data of meteorology,ambient atmospheric pollutants,and the incidence of allergic conjunctivitis(IAC)in prefecture-level cities between the years 2014 and 2018 are analyzed.The results show an increasing trend in the AC of average growth rate per annum 7.6%,with the highest incidence in the provincial capitals.The IAC is positively correlated with atmospheric pollutants(i.e.,PM_(2.5),PM_(10),CO,SO_(2),NO_(2),and O_(3))and meteorological factors(i.e.,air temperature and wind speed),but negatively correlated with relative humidity.These results suggest that the IAC is directly proportional to pollution level and climatic conditions,and also the precedence of air pollution.We have further obtained the threshold values of atmospheric pollutants concentration and meteorological factors,a turning point above which more AC may be induced.Compared with the air quality standard advised by China and the World Health Organization(WHO),both thresholds of PM_(10)(70μg m^(-3))and PM_(2.5)(45μg m^(-3))are higher than current standards and pose a less environmental risk for the IAC.SO_(2) threshold(23μg m^(-3))is comparable to the WHO standard and significantly lower than that of China’s,indicating greater environmental risks in China.Both thresholds of NO_(2)(27μg m^(-3))and O_(3)(88μg m^(-3))are below current standards,indicating that they are major environmental risk factors for the IAC.Our findings highlight the importance of atmospheric environmental protection and reference for health-based amendment.

一种预测结肠腺癌系统性复发的11基因标记

背景:同一分期的结肠腺癌患者预后不尽相同,因此,需要寻找可靠的分子标记物来指导个体化治疗决策。本研究旨在鉴定出可用于结肠腺癌预后预测的基因特征。方法:分别从GEO数据库和TCGA数据库中获取332例和431例结肠腺癌患者的基因表达数据集。在训练集(93例)中分析基因特征与无复发生存之间的关系,并分别在内部验证集(94例)和两个外部验证集(145例和431例)中进行验证。结果:通过单变量和LASSO Cox回归分析,共鉴定出11个基因(NDRG1、FLT1、LBP、FABP4、ADIPOQ、AGT、ACVRL1、CCL11、CDC42、TRAV9_2和POMC)。根据风险评分模型,以中位数为临界值,将患者分为高危组和低危组。训练集1、3、5年复发的曲线下面积分别为0.970、0.849和0.859;训练集高危组患者无复发生存率明显低于低危组。此模型的预测准确性在各个验证集中均得到了验证。与其他四种模型相比,本模型对1、3、5年复发显示了更优的预测能力。结论:此基因模型对结肠腺癌复发有良好的预测作用,其预后分级的准确性有待进一步研究证实。