Based on the primary principle of anti-vibration on vehicles, a chaos description on the vibration in suspensions is put forward. The vibration curve of the suspensions of test vehicles is obtained based on the data f...Based on the primary principle of anti-vibration on vehicles, a chaos description on the vibration in suspensions is put forward. The vibration curve of the suspensions of test vehicles is obtained based on the data from a test rig for vehicle braking vs. suspension anti-vibration efficiency. The system parameters such as first inherent frequency and damp rate, as well as the chaos parameters such as the minimum embedding dimension and correlation dimension, are calculated by the vibration curve. The relationship among anti-vibration performance, chaos parameters and system parameters of vehicle suspension is presented. The research results show that the minimum embedding dimension Mmin can be used to estimate the change of the anti-vibration performance of the front suspension of the off-road jeep. The smaller Min is, the worse anti-vibration performance is. The corresponding stiffness and damp of the front suspension of the off-road jeep is smaller. Correlation dimension D2 can be used to identify different suspension types such as those of the off-road jeep and the car. The D2 of the off-road jeep is larger than the one of the car.展开更多
To achieve better anti-vibration performance in a low frequency region and expand the range of vibration isolation,a bilateral supported bio-inspired anti-vibration(BBAV)structure composed of purely linear elements is...To achieve better anti-vibration performance in a low frequency region and expand the range of vibration isolation,a bilateral supported bio-inspired anti-vibration(BBAV)structure composed of purely linear elements is proposed,inspired by the motion form of bird legs and the nonlinear extension and compression of muscles and tendons.The kinematic relations and nonlinear dynamic model considering vertical and rotational vibrations are established.The loading capacity and equivalent stiffness are investigated with key parameters.The amplitude-frequency characteristics and force transmissibility are used to evaluate the stability and anti-vibration performance with the effects of the excitation amplitude,rod length,installation angle,and spring stiffness.The results show that the loading requirements and resonant characteristics of the BBAV structure are adjustable,and superior vibration isolation performance can be achieved readily by tuning the parameters.The X-shaped vibration structure is sensitive to the spring stiffness,which exhibits a wider vibration isolation bandwidth with smaller spring stiffness.Besides,depending on the parameters,the nonlinear behavior of the BBAV system can be interconverted between the softening type and the hardening type.The theoretical analysis in this study demonstrates the advantages and effectiveness of the vibration isolation structure.展开更多
In the harsh environment,the structural health of the anti-vibration hammer,which suffers from the coupled effects of corrosion and fatigue damage,is significantly reduced.As part of the conductor structure,the anti-v...In the harsh environment,the structural health of the anti-vibration hammer,which suffers from the coupled effects of corrosion and fatigue damage,is significantly reduced.As part of the conductor structure,the anti-vibration hammer is rigidly attached to the conductor,effectively suppressing conductor vibration.The conductor’s breeze vibration law and natural modal frequency are altered damage to the anti-vibration hammer structure.Through built a vibration experiment platform to simulate multiple faults such as anti-vibration hammer head drop off and position slippage,which to obtained the vibration acceleration signal of the conductor.The acceleration vibration signal is processed and analyzed in the time and frequency domains.The results are used to derive the breeze vibration law of the conductor under multiple faults and propose an anti-vibration hammer damage online monitoring technology.The results show that the vibration acceleration value and vibration intensity of the conductor are significantly increased after the anti-vibration hammer damage.The natural frequency increases for each order,with an absolute change ranging from 0.15 to 6.49 Hz.The anti-vibration hammer slipped due to a loose connection,the 1st natural frequency increases from 8.18 to 16.62 Hz.Therefore,in engineering applications,there can be no contact to determine the anti-vibration hammer damage situation by monitoring the modal natural frequency of the conductor.This is even a tiny damage that cannot be seen.This method will prevent the further expansion of the damage that can cause accidents.展开更多
The cubic stiffness force model(CSFM)and Bouc-Wen model(BWM)are introduced and compared innovatively.The unknown coefficients of the nonlinear models are identified by the genetic algorithm combined with experiments.B...The cubic stiffness force model(CSFM)and Bouc-Wen model(BWM)are introduced and compared innovatively.The unknown coefficients of the nonlinear models are identified by the genetic algorithm combined with experiments.By fitting the identified nonlinear coefficients under different excitation amplitudes,the nonlinear vibration responses of the system are predicted.The results show that the accuracy of the BWM is higher than that of the CSFM,especially in the non-resonant region.However,the optimization time of the BWM is longer than that of the CSFM.展开更多
Objective:A novel technique was explored using an airbag-selective portal vein blood arrester that circumvents the need for an intraoperative assessment of anatomical variations in patients with complex intrahepatic s...Objective:A novel technique was explored using an airbag-selective portal vein blood arrester that circumvents the need for an intraoperative assessment of anatomical variations in patients with complex intrahepatic space-occupying lesions.Methods:Rabbits undergoing hepatectomy were randomly assigned to 4 groups:intermittent portal triad clamping(PTC),intermittent portal vein clamping(PVC),intermittent portal vein blocker with an airbag-selective portal vein blood arrester(APC),and without portal blood occlusion(control).Hepatic ischemia and reperfusion injury were assessed by measuring the 7-day survival rate,blood loss,liver function,hepatic pathology,hepatic inflammatory cytokine infiltration,hepatic malondialdehyde levels,and proliferating cell nuclear antigen levels.Results:Liver damage was substantially reduced in the APC and PVC groups.The APC animals exhibited transaminase levels similar to or less oxidative stress damage and inflammatory hepatocellular injury compared to those exhibited by the PVC animals.Bleeding was significantly higher in the control group than in the other groups.The APC group had less bleeding than the PVC group because of the avoidance of portal vein skeletonization during hepatectomy.Thus,more operative time was saved in the APC group than in the PVC group.Moreover,the total 7-day survival rate in the APC group was higher than that in the PTC group.Conclusion:Airbag-selective portal vein blood arresters may help protect against hepatic ischemia and reperfusion injury in rabbits undergoing partial hepatectomy.This technique may also help prevent liver damage in patients requiring hepatectomy.展开更多
Objective:To highlight the role of hyper accuracy three-dimensional(3D)reconstruction in facilitating surgical planning and guiding selective clamping during robot-assisted partial nephrectomy(RAPN).Methods:A transper...Objective:To highlight the role of hyper accuracy three-dimensional(3D)reconstruction in facilitating surgical planning and guiding selective clamping during robot-assisted partial nephrectomy(RAPN).Methods:A transperitoneal RAPN was performed in a 62-year-old male patient presenting with a 4 cm right anterior interpolar renal mass(R.E.N.A.L nephrometry score 7A).An abnormal vasculature was observed,with a single renal vein and two right renal arteries originating superiorly to the vein and anterior,when dividing in their segmental branches.According to the hyper accuracy 3D(HA3D^(®))rainbow model(MEDICS Srl,Turin,Italy),one branch belonging to one of the segmental arteries was feeding the tumor.This allowed for an accurate prediction of the area vascularized by each arterial branch.The 3D model was included in the intraoperative console view during the whole procedure,using the TilePro feature.A step-by-step explanation of the procedure is provided in the video attached to the present article.Results:The operative time was 90 min with a warm ischemia time on selective clamping of 13 min.Estimated blood loss was 180 mL.No intraoperative complication was encountered and no drain was placed at the end of the procedure.The patient was discharged on postoperative Day 2,without any early postoperative complications.The final pathology report showed a pathological tumor stage 1 clear cell renal cell carcinoma with negative surgical margins.Conclusion:The present study and the attached video illustrate the value of 3D rainbow model during the planning and execution of a RAPN with selective clamping.It shows how the surgeon can rely on this model to be more efficient by avoiding unnecessary surgical steps,and to safely adopt a“selective”clamping strategy that can translate in minimal functional impact.展开更多
背景:膜片钳技术作为研究离子通道的“金标准”,已有40多年的发展历史。然而,科研机构的研究内容相对独立,没有对现有研究成果进行系统总结,导致现有研究存在重复性高、创新性弱的现象。因此,急需对膜片钳技术做一个全面的回顾,以明晰...背景:膜片钳技术作为研究离子通道的“金标准”,已有40多年的发展历史。然而,科研机构的研究内容相对独立,没有对现有研究成果进行系统总结,导致现有研究存在重复性高、创新性弱的现象。因此,急需对膜片钳技术做一个全面的回顾,以明晰现今的研究现状、热点和未来发展方向。目的:总结近10年膜片钳技术领域的研究现状和发展趋势。方法:使用Web of Science核心合集数据库收集了2013-2023年关于膜片钳技术的出版物。采用CiteSpace和VOSviewer软件对出版物数量进行量化分析,并分析文献条目网络,包括国家、机构、期刊、作者、关键词、高被引文献和共被引参考文献。结果与结论:①近10年间,膜片钳技术领域研究已逐步进入稳定发展阶段。②中国和美国是这方面的领先国家,中国科学院是具有核心影响力的机构,《Journal of Neuroscience》是主要出版刊物,PARK,WON SUN团队(韩国全北国立大学)和CHU,LI团队(中国河北省心脑血管病中医药防治研究重点实验室)在该领域作出了杰出的贡献,但团队之间的协作与交流较少,尚未形成网络合作模式。③膜片钳技术主要应用在神经系统的电生理特性及其疾病的病理机制方面,是研究人员持续关注的焦点。④在心血管系统电生理特性及其疾病病理机制的研究方面,对原代心肌细胞、诱导多能干细胞衍生的心肌细胞的电生理特性和心房颤动、心脏毒性、心源性猝死和高血压等心血管疾病的病理机制方面的研究,是近几年来研究的热点。⑤在膜片钳技术与其他生物技术的结合应用方面,关注的是与光遗传学、双光子钙成像等技术的交叉融合,将是一个重要的研究方向。⑥在药物筛选及治疗靶点的识别研究方面,尤其对于膜片钳技术和中药复方的研究,将成为未来组分中药研究中的一大助力。展开更多
The paper deduced a calculation formula by the classic control theory on the Reproducibility Error of parts processing in the technology system,the flexible clamp system, with the clamping device on the gas power,and ...The paper deduced a calculation formula by the classic control theory on the Reproducibility Error of parts processing in the technology system,the flexible clamp system, with the clamping device on the gas power,and analyzed its influencing factor with examples,the Reproducibility Error law:\ The larger the diameter of the cylinder,the smaller the error; the slower the tool speed,(k values smaller),the smaller the error.展开更多
In order to determine the best loading density of tobacco leaf with cage clamp in bulk-curing barns, a curing test was conducted on middle-part tobacco leaves. The results showed that for good appearance quality of cu...In order to determine the best loading density of tobacco leaf with cage clamp in bulk-curing barns, a curing test was conducted on middle-part tobacco leaves. The results showed that for good appearance quality of cured tobacco, the loading density at 59.52 kg/m2 (4 000 kg/barn) was the best, fol owed by 66.96 kg/m2 (4 500 kg/barn) and 74.40 kg/m2 (5 000 kg/barn). As leaf loading density increased, the contents of leaf nicotine and total nitrogen increased, sugar content had smal changes, the ratio of sugar to nicotine decreased and tended to be balanced and the content of neutral aroma substances was decreasing, but the difference among treatments was not significant. With the increase of loading density, the sensory quality of cured leaf was better. When leaf loading density was 66.96 kg/m2 (4 500 kg/barn), apperance quality of cured leaf improved considerably, with prominent aro-ma. Therefore, the best loading density of tobacco leaf in cage clamp of bulk-curing barn would be 66.96 kg/m2 (4 500 kg/barn) .展开更多
BACKGROUND Insulin therapy plays a crucial role in managing diabetes.Regulatory guidelines mandate assessing the pharmacokinetics(PK)and pharmacodynamics(PD)of new insulin formulations with euglycemic clamp techniques...BACKGROUND Insulin therapy plays a crucial role in managing diabetes.Regulatory guidelines mandate assessing the pharmacokinetics(PK)and pharmacodynamics(PD)of new insulin formulations with euglycemic clamp techniques before entry into the market.Typically,blood glucose(BG)levels are maintained at 5%below baseline to suppress endogenous insulin secretion in healthy volunteers.However,in scenarios where BG baseline is relatively low,maintaining it at 5%below baseline can increase hypoglycemic risk.Consequently,we adjusted to maintain it at 2.5%below a baseline of<4.00 mmol/L.It remains uncertain whether this adjustment impacts endogenous insulin inhibition or the PD of study insulin.AIM To evaluate and compare the PD and C-peptide status using two different target BG setting methods.METHODS Data came from euglycemic clamp trials assessing the PK/PD of insulin aspart(IAsp)in healthy participants.Target BG was set at 2.5%below baseline for those with a basal BG of<4.00 mmol/L(group A),and at 5%below baseline for others(group B).The area under the curve(AUC)of IAsp(AUC_(IAsp,0-8 h))and GIR from 0 to 8 hours(AUCGIR,0-8 h)was used to characterize the PK and PD of IAsp,respectively.The C-peptide reduction and PK/PD of IAsp were compared between the two groups.RESULTS Out of 135 subjects,15 were assigned to group A and 120 to group B;however,group B exhibited higher basal Cpeptide(1.59±0.36 vs 1.32±0.42 ng/mL,P=0.006).Following propensity score matching to adjust for basal Cpeptide differences,71 subjects(15 in group A and 56 in group B)were analyzed.No significant differences were observed in demographics,IAsp dosage,or clamp quality.Group B showed significantly higher baseline(4.35±0.21 vs 3.91±0.09 mmol/L,P<0.001),target(4.13±0.20 vs 3.81±0.08 mmol/L,P<0.001),and clamped(4.10±0.17 vs 3.80±0.06 mmol/L,P<0.001)BG levels.Both groups exhibited comparable C-peptide suppression(32.5%±10.0%vs 35.6%±12.1%,P=0.370)and similar IAsp activity(AUCGIR,0-8 h:1433±400 vs 1440±397 mg/kg,P=0.952)under nearly equivalent IAsp exposure(AUC_(IAsp,0-8 h):566±51 vs 571±85 ng/mL×h,P=0.840).CONCLUSION Maintaining BG at 2.5%below a baseline of<4.00 mmol/L did not compromise the endogenous insulin suppression nor alter the observed pharmacodynamic effects of the study insulin.展开更多
基金The Natural Science Foundation of Higher Educa-tion Institutions of Jiangsu Province (No.04KJB580037)the NaturalScience Foundation of Hunan Province (No.03JJY3006).
文摘Based on the primary principle of anti-vibration on vehicles, a chaos description on the vibration in suspensions is put forward. The vibration curve of the suspensions of test vehicles is obtained based on the data from a test rig for vehicle braking vs. suspension anti-vibration efficiency. The system parameters such as first inherent frequency and damp rate, as well as the chaos parameters such as the minimum embedding dimension and correlation dimension, are calculated by the vibration curve. The relationship among anti-vibration performance, chaos parameters and system parameters of vehicle suspension is presented. The research results show that the minimum embedding dimension Mmin can be used to estimate the change of the anti-vibration performance of the front suspension of the off-road jeep. The smaller Min is, the worse anti-vibration performance is. The corresponding stiffness and damp of the front suspension of the off-road jeep is smaller. Correlation dimension D2 can be used to identify different suspension types such as those of the off-road jeep and the car. The D2 of the off-road jeep is larger than the one of the car.
基金Project supported by the National Natural Science Foundation of China(No.52275091)the Fundamental Research Funds for the Central Universities of China(No.N2103008)the Natural Science Foundation of Liaoning Province of China(No.2020-MS-125)。
文摘To achieve better anti-vibration performance in a low frequency region and expand the range of vibration isolation,a bilateral supported bio-inspired anti-vibration(BBAV)structure composed of purely linear elements is proposed,inspired by the motion form of bird legs and the nonlinear extension and compression of muscles and tendons.The kinematic relations and nonlinear dynamic model considering vertical and rotational vibrations are established.The loading capacity and equivalent stiffness are investigated with key parameters.The amplitude-frequency characteristics and force transmissibility are used to evaluate the stability and anti-vibration performance with the effects of the excitation amplitude,rod length,installation angle,and spring stiffness.The results show that the loading requirements and resonant characteristics of the BBAV structure are adjustable,and superior vibration isolation performance can be achieved readily by tuning the parameters.The X-shaped vibration structure is sensitive to the spring stiffness,which exhibits a wider vibration isolation bandwidth with smaller spring stiffness.Besides,depending on the parameters,the nonlinear behavior of the BBAV system can be interconverted between the softening type and the hardening type.The theoretical analysis in this study demonstrates the advantages and effectiveness of the vibration isolation structure.
基金supported by the National Natural Science Foundation of China(No.52007138)the Natural Science Basis Research Plan in Shaanxi Province of China(No.2022JQ-568)the Key Research and Development Program of Shaanxi Province(No.2023-YBGY-069).
文摘In the harsh environment,the structural health of the anti-vibration hammer,which suffers from the coupled effects of corrosion and fatigue damage,is significantly reduced.As part of the conductor structure,the anti-vibration hammer is rigidly attached to the conductor,effectively suppressing conductor vibration.The conductor’s breeze vibration law and natural modal frequency are altered damage to the anti-vibration hammer structure.Through built a vibration experiment platform to simulate multiple faults such as anti-vibration hammer head drop off and position slippage,which to obtained the vibration acceleration signal of the conductor.The acceleration vibration signal is processed and analyzed in the time and frequency domains.The results are used to derive the breeze vibration law of the conductor under multiple faults and propose an anti-vibration hammer damage online monitoring technology.The results show that the vibration acceleration value and vibration intensity of the conductor are significantly increased after the anti-vibration hammer damage.The natural frequency increases for each order,with an absolute change ranging from 0.15 to 6.49 Hz.The anti-vibration hammer slipped due to a loose connection,the 1st natural frequency increases from 8.18 to 16.62 Hz.Therefore,in engineering applications,there can be no contact to determine the anti-vibration hammer damage situation by monitoring the modal natural frequency of the conductor.This is even a tiny damage that cannot be seen.This method will prevent the further expansion of the damage that can cause accidents.
文摘The cubic stiffness force model(CSFM)and Bouc-Wen model(BWM)are introduced and compared innovatively.The unknown coefficients of the nonlinear models are identified by the genetic algorithm combined with experiments.By fitting the identified nonlinear coefficients under different excitation amplitudes,the nonlinear vibration responses of the system are predicted.The results show that the accuracy of the BWM is higher than that of the CSFM,especially in the non-resonant region.However,the optimization time of the BWM is longer than that of the CSFM.
基金supported by the Hainan Provincial Natural Science Foundation of China(No.821QN0982 and No.2019RC373)。
文摘Objective:A novel technique was explored using an airbag-selective portal vein blood arrester that circumvents the need for an intraoperative assessment of anatomical variations in patients with complex intrahepatic space-occupying lesions.Methods:Rabbits undergoing hepatectomy were randomly assigned to 4 groups:intermittent portal triad clamping(PTC),intermittent portal vein clamping(PVC),intermittent portal vein blocker with an airbag-selective portal vein blood arrester(APC),and without portal blood occlusion(control).Hepatic ischemia and reperfusion injury were assessed by measuring the 7-day survival rate,blood loss,liver function,hepatic pathology,hepatic inflammatory cytokine infiltration,hepatic malondialdehyde levels,and proliferating cell nuclear antigen levels.Results:Liver damage was substantially reduced in the APC and PVC groups.The APC animals exhibited transaminase levels similar to or less oxidative stress damage and inflammatory hepatocellular injury compared to those exhibited by the PVC animals.Bleeding was significantly higher in the control group than in the other groups.The APC group had less bleeding than the PVC group because of the avoidance of portal vein skeletonization during hepatectomy.Thus,more operative time was saved in the APC group than in the PVC group.Moreover,the total 7-day survival rate in the APC group was higher than that in the PTC group.Conclusion:Airbag-selective portal vein blood arresters may help protect against hepatic ischemia and reperfusion injury in rabbits undergoing partial hepatectomy.This technique may also help prevent liver damage in patients requiring hepatectomy.
文摘Objective:To highlight the role of hyper accuracy three-dimensional(3D)reconstruction in facilitating surgical planning and guiding selective clamping during robot-assisted partial nephrectomy(RAPN).Methods:A transperitoneal RAPN was performed in a 62-year-old male patient presenting with a 4 cm right anterior interpolar renal mass(R.E.N.A.L nephrometry score 7A).An abnormal vasculature was observed,with a single renal vein and two right renal arteries originating superiorly to the vein and anterior,when dividing in their segmental branches.According to the hyper accuracy 3D(HA3D^(®))rainbow model(MEDICS Srl,Turin,Italy),one branch belonging to one of the segmental arteries was feeding the tumor.This allowed for an accurate prediction of the area vascularized by each arterial branch.The 3D model was included in the intraoperative console view during the whole procedure,using the TilePro feature.A step-by-step explanation of the procedure is provided in the video attached to the present article.Results:The operative time was 90 min with a warm ischemia time on selective clamping of 13 min.Estimated blood loss was 180 mL.No intraoperative complication was encountered and no drain was placed at the end of the procedure.The patient was discharged on postoperative Day 2,without any early postoperative complications.The final pathology report showed a pathological tumor stage 1 clear cell renal cell carcinoma with negative surgical margins.Conclusion:The present study and the attached video illustrate the value of 3D rainbow model during the planning and execution of a RAPN with selective clamping.It shows how the surgeon can rely on this model to be more efficient by avoiding unnecessary surgical steps,and to safely adopt a“selective”clamping strategy that can translate in minimal functional impact.
文摘背景:膜片钳技术作为研究离子通道的“金标准”,已有40多年的发展历史。然而,科研机构的研究内容相对独立,没有对现有研究成果进行系统总结,导致现有研究存在重复性高、创新性弱的现象。因此,急需对膜片钳技术做一个全面的回顾,以明晰现今的研究现状、热点和未来发展方向。目的:总结近10年膜片钳技术领域的研究现状和发展趋势。方法:使用Web of Science核心合集数据库收集了2013-2023年关于膜片钳技术的出版物。采用CiteSpace和VOSviewer软件对出版物数量进行量化分析,并分析文献条目网络,包括国家、机构、期刊、作者、关键词、高被引文献和共被引参考文献。结果与结论:①近10年间,膜片钳技术领域研究已逐步进入稳定发展阶段。②中国和美国是这方面的领先国家,中国科学院是具有核心影响力的机构,《Journal of Neuroscience》是主要出版刊物,PARK,WON SUN团队(韩国全北国立大学)和CHU,LI团队(中国河北省心脑血管病中医药防治研究重点实验室)在该领域作出了杰出的贡献,但团队之间的协作与交流较少,尚未形成网络合作模式。③膜片钳技术主要应用在神经系统的电生理特性及其疾病的病理机制方面,是研究人员持续关注的焦点。④在心血管系统电生理特性及其疾病病理机制的研究方面,对原代心肌细胞、诱导多能干细胞衍生的心肌细胞的电生理特性和心房颤动、心脏毒性、心源性猝死和高血压等心血管疾病的病理机制方面的研究,是近几年来研究的热点。⑤在膜片钳技术与其他生物技术的结合应用方面,关注的是与光遗传学、双光子钙成像等技术的交叉融合,将是一个重要的研究方向。⑥在药物筛选及治疗靶点的识别研究方面,尤其对于膜片钳技术和中药复方的研究,将成为未来组分中药研究中的一大助力。
基金Tianjin Nature Science Date(08JCYBJC 11700) "CAD System of Fixture on New Fixture Design Theory of Accuracy Design"
文摘The paper deduced a calculation formula by the classic control theory on the Reproducibility Error of parts processing in the technology system,the flexible clamp system, with the clamping device on the gas power,and analyzed its influencing factor with examples,the Reproducibility Error law:\ The larger the diameter of the cylinder,the smaller the error; the slower the tool speed,(k values smaller),the smaller the error.
文摘In order to determine the best loading density of tobacco leaf with cage clamp in bulk-curing barns, a curing test was conducted on middle-part tobacco leaves. The results showed that for good appearance quality of cured tobacco, the loading density at 59.52 kg/m2 (4 000 kg/barn) was the best, fol owed by 66.96 kg/m2 (4 500 kg/barn) and 74.40 kg/m2 (5 000 kg/barn). As leaf loading density increased, the contents of leaf nicotine and total nitrogen increased, sugar content had smal changes, the ratio of sugar to nicotine decreased and tended to be balanced and the content of neutral aroma substances was decreasing, but the difference among treatments was not significant. With the increase of loading density, the sensory quality of cured leaf was better. When leaf loading density was 66.96 kg/m2 (4 500 kg/barn), apperance quality of cured leaf improved considerably, with prominent aro-ma. Therefore, the best loading density of tobacco leaf in cage clamp of bulk-curing barn would be 66.96 kg/m2 (4 500 kg/barn) .
基金This retrospective analysis incorporated data from two clinical trials(CTR20220854 and CTR20222843)sponsored by Chongqing Chenan Biopharmaceutical Co.,Ltd.and Jiangsu Hengrui Pharmaceuticals Co.,Ltd.However,these sponsors did not partake in the study design,data interpretation,or manuscript preparation.
文摘BACKGROUND Insulin therapy plays a crucial role in managing diabetes.Regulatory guidelines mandate assessing the pharmacokinetics(PK)and pharmacodynamics(PD)of new insulin formulations with euglycemic clamp techniques before entry into the market.Typically,blood glucose(BG)levels are maintained at 5%below baseline to suppress endogenous insulin secretion in healthy volunteers.However,in scenarios where BG baseline is relatively low,maintaining it at 5%below baseline can increase hypoglycemic risk.Consequently,we adjusted to maintain it at 2.5%below a baseline of<4.00 mmol/L.It remains uncertain whether this adjustment impacts endogenous insulin inhibition or the PD of study insulin.AIM To evaluate and compare the PD and C-peptide status using two different target BG setting methods.METHODS Data came from euglycemic clamp trials assessing the PK/PD of insulin aspart(IAsp)in healthy participants.Target BG was set at 2.5%below baseline for those with a basal BG of<4.00 mmol/L(group A),and at 5%below baseline for others(group B).The area under the curve(AUC)of IAsp(AUC_(IAsp,0-8 h))and GIR from 0 to 8 hours(AUCGIR,0-8 h)was used to characterize the PK and PD of IAsp,respectively.The C-peptide reduction and PK/PD of IAsp were compared between the two groups.RESULTS Out of 135 subjects,15 were assigned to group A and 120 to group B;however,group B exhibited higher basal Cpeptide(1.59±0.36 vs 1.32±0.42 ng/mL,P=0.006).Following propensity score matching to adjust for basal Cpeptide differences,71 subjects(15 in group A and 56 in group B)were analyzed.No significant differences were observed in demographics,IAsp dosage,or clamp quality.Group B showed significantly higher baseline(4.35±0.21 vs 3.91±0.09 mmol/L,P<0.001),target(4.13±0.20 vs 3.81±0.08 mmol/L,P<0.001),and clamped(4.10±0.17 vs 3.80±0.06 mmol/L,P<0.001)BG levels.Both groups exhibited comparable C-peptide suppression(32.5%±10.0%vs 35.6%±12.1%,P=0.370)and similar IAsp activity(AUCGIR,0-8 h:1433±400 vs 1440±397 mg/kg,P=0.952)under nearly equivalent IAsp exposure(AUC_(IAsp,0-8 h):566±51 vs 571±85 ng/mL×h,P=0.840).CONCLUSION Maintaining BG at 2.5%below a baseline of<4.00 mmol/L did not compromise the endogenous insulin suppression nor alter the observed pharmacodynamic effects of the study insulin.