Graves’ Disease as a Late Manifestation of Immune Reconstitution Syndrome after Highly Active Antiretroviral Therapy in an HIV-1 Infected Patient

Context: Highly active antiretroviral therapy (HAART) inhibits the HIV replication and consequently increases CD4 levels and decreases viral load. This immune system improvement can trigger various immunological phenomena, entity called Immune Reconstitution Syndrome (IRS). Graves’ disease is a late Immune Reconstitution consequence. Patient: We report the case of a 48 years old man with HIV infection who developed Graves’ disease three years after he was on effective HAART because of the Immune Reconstitution Syndrome. At presentation he had a very low CD4 T-cell count (17 cells/μL). When he started HAART he presented a lipodystrophy syndrome. HAART was changed because of the persistent low CD4-T cells count (less than 100 cell/μL). Afterwards serum lipid levels began to decrease and that was the first manifestation of Graves’ disease, which was diagnosed when CD4 T-cells increased up to 343 cell/μL. Our patient developed Graves’ disease 36 months after initiating effective HAART with protease inhibitors which was coincident with viral suppression and a rise of CD4 T cells. Conclusion: The most immunosuppressed patients with a CD4 T cell count less than 100 cells/μL are at greatest risk for the development of Immune Reconstitution Syndrome after HAART initiation. We conclude that clinicians will have to consider the importance of the early diagnosis of thyroid disease to bring an adequate treatment.

Acute Respiratory Distress Syndrome (ARDS) Case Report after a Caesarean Section Related to the Immune Reconstitution Inflammatory Syndrome

During pregnancy, a cellular immunosuppressant status is produced. It is characterized by anti-inflammatory cellular responses that allow embryonic implantation. The reversal of these changes during the postpartum period may result in overt clinical manifestations of otherwise quiescent or latent infections. We present an Acute Respiratory Distress Syndrome (ARDS) case after a caesarean section related to the Immune Reconstitution Inflammatory Syndrome (IRIS) in a Guinean black woman. The patient was treated with large doses of corticosteroids showing a great clinical and radiological improvement.

Current knowledge on the multiform reconstitution of intestinal stem cell niche

The development of“mini-guts”organoid originates from the identification of Lgr5+intestinal stem cells(ISCs)and circumambient signalings within their specific niche at the crypt bottom.These in vitro self-renewing“mini-guts”,also named enteroids or colonoids,undergo perpetual proliferation and regulated differentiation,which results in a high-performance,self-assembling and physiological organoid platform in diverse areas of intestinal research and therapy.The triumphant reconstitution of ISC niche in vitro also relies on Matrigel,a heterogeneous sarcoma extract.Despite the promising prospect of organoids research,their expanding applications are hampered by the canonical culture pattern,which reveals limitations such as inaccessible lumen,confine scale,batch to batch variation and low reproducibility.The tumor-origin of Matrigel also raises biosafety concerns in clinical treatment.However,the convergence of breakthroughs in cellular biology and bioengineering contribute to multiform reconstitution of the ISC niche.Herein,we review the recent advances in the microfabrication of intestinal organoids on hydrogel systems.

Alpha-GalCer Administration after Allogeneic Bone Marrow Transplantation Improves Immune Reconstitution in Mice

Objective To explore the effect of α-galactosyleramide (α-GalCer) on immune reconstitu-tion under acute graft-versus-host disease (aGVHD). Methods BALB/c mice were transplanted with allogeneic C57BL/6 bone marrow cells and splenocytes (both 1×107) after receiving lethal total-body irradiation. α-GalCer (100 ug/kg) or vehicle (dimethylsulfoxide) was administered intraperitoneally immediately after transplantation. The effects of α-GalCer on immune reconstitution, proliferation of T cells and B cells, hemato-poiesis, and thymic microenvironment were assessed. Results The α-GalCer group exhibited higher percentages of CD3+, CD4+, CD8+, B220+, CD40+, and CD86+ cells compared with the vehicle group. The number of colony forming unit per 1000 CD34+ cells in the α-GalCer group was higher than in the vehicle group (P=0.0012). In vitro proliferation assays showed that the α-GalCer group had higher percentages of CD3+, CD4+, CD8+, and B220+ cells compared with the vehicle group. As for the results of in vivo prolifera-tion assays, the numbers of CD3+, CD4+, CD8+, and B220+ cells were higher in the α-GalCer group than in the normal group, especially the number of B220+ cells (P=0.007). Significant difference was not found in thymocyte count between the α-GalCer group and the vehicle group, nor in the percentages of CD3+, CD4+, and CD8+ cells. Conclusion Administration of α-GalCer after allogeneic bone marrow transplantation may promote immune reconstitution in the presence of aGVHD.

Influence of Wheat Protein Contents and Fractions on Dough RheologicalProperties as Determined by Using a Reconstitution Method

A strong gluten wheat cultivar Shannong 12 and a medium-strength wheat cultivar Shannong 11 were used to investigate the effects of wheat protein contents and protein fractions on dough rheological properties using a reconstitution method. The results indicated that the peak height, peak width, peak integral, resistance to extension and area under the curve were increased when protein content increased to 120, 140, and 160% （w/w） of the protein content in the base flours for doughs made from each wheat cultivar. All protein fractions were added to each of the base flours at three levels （0.25, 0.50 and 1.00%, w/w） based upon the protein content. The mixograph dough development time, peak width, and resistance to extension increased when the glutenin, insoluble glutenin, soluble glutenin, and glutenin macropolymer were added and increased systematically with increasing levels of these fractions. Peak integral increased by adding and increasing protein content, however, albumin-globulin had no obvious effects. Extensibility at rupture decreased when the glutenin, insoluble glutenin, soluble glutenin, and glutenin macropolymer were added, and decreased systematically with increasing levels of these fractions. However, extensibility at rupture increased when the monomeric protein, albumin-globulin, and gliadin were added, and increased systematically with increasing levels of these fractions.

Enhancing Effects of Ligustrazine on Expression of CD31 and Hematopoietic Reconstitution in Syngenic Bone Marrow Transplantation of Mice

Summary： The effect of ligustrazine on the expression of CD31 in syngenic bone marrow transplantation （BMT） mice was studied. Fifty-six Balb/c mice were divided into 3 groups： normal control group. BMT control group, and ligustrazine treated group. Syngenic BMT mouse models were established according to the literatures. In BMT control group and the ligustrazine treated group, the mice were given respecxively orally 0.2 mL saline and 2 mg ligustrazine twice a day. On the 7th, 14th, and 21st day after BMT, the mice were killed. The expression of CD31 on the surface of bone marrow nuclear cells （BMNC） was detected by flow cytometry. Peripheral blood leukocytes, platelets and BMNC were counted. Histological observation of bone marrow was made. The results showed thai in ligustrazine treated group the peripheral blood leukocylcs, platelets and BMNC counts, and the expression of CD31 on the day 7, 14, 21 after BMT were higher than in BMTcontrol group （P〈0.01 or P〈0.05）. In conclusion, ligustrazine could obviously enhance the CD31 expression on the surface of BMNC after syngcnic BMT in mice, which may be one of the mecha- nisms underlying the ligustrazine accelerating hematopoietic reconstitution in syngenic BMT.

Paleogeographic Reconstitution and Tangential Tectonic in the Backland of Tunisian Dorsal (Fahs Area: J. Rouas and Ruissate)

The Tunisian Dorsal backland is the Eastern Atlas side of maghrebides. Field data of Fahs area allowed us to develop new interpretations and to characterize the main structural features of the studied devices (Jebel Rouas and Ruissate). Heritage of Zaghouan accident, Triassic salt movements and strike-direction of major synsedimentary faults are the principal causes and results of the skinned and superimposed geometric architecture, generated by the reversed extensional (Jurassic-Cretaceous) tectonics. The actual geometry of Jebel Rouas and Ruissate represents a fault propagation fold, affecting Jurassic and Cretaceous sets. The backland of this thrust fault defines an imbrications structures of Barremian series. Tectonic records activities show the existence of angular unconformities (Oligocene and Eocene series on the Cretaceous sets considered as bedrock), slumps, tectonic breccias and synsedimentary faults are all of them controlled by a deep major accident;N-S to NE-SW and NW-SE. Features of the study area are probably related first;to the blockage of Zaghouan thrust oriented NE-SW in the foreland;then, to the intense halokinetic activity, which facilitates the layers displacement acting as decollment level. The detailed structural and stratigraphic study of Fahs area and its neighbors shows the presence of an intense tangential tectonic during upper Miocene, affecting Meso-Cenozoic sets, because all the structures involved are sealed by Oligocene and Miocene thinned series. This is accentuated by the existence of different sets of decollment at different depths, which are represented by a displacement to the SE through the backland of the Tunisian Dorsal. We define these features as an imbrication and thrusting Out of sequence system.

Effect of Cooking and Reconstitution Methods on the Loss of Bioactive Compounds in Pigmented and Unpigmented Potatoes

Total phenolics, anthocyanins and antioxidant capacity of five coloured/pigmented (AR2009-10, Adirondack Red, Adirondack Blue, Congo, and POROIPG22-1) and two unpigmented potato genotypes (“Anuschka” and “Russet Burbank”) were assessed in fresh (with and without skin) and commercially processed/cooked/reconstituted products. Ascorbate profiles of the seven genotypes also were investigated using fresh tuber/tissue only. The results showed that genotypes greatly varied in their contents of bioactive compounds. Ascorbate profiles of the genotypes were not associated to any particular flesh colour/pigment. However, the pigmented potatoes had 1.5 to 2.5 times more the phenolics, 2 to 3 times more antioxidant capacity and higher levels of anthocyanins (13.98 to 38.57 mg C3GE-100g FW) compared to unpigmented genotypes. No anthocyanins were detected in the unpigmented potatoes. Significant losses of total phenolics, anthocyanins and total antioxidant capacity were found during peeling (18% - 23%), blanching process (40% - 60%) and further cooking/ reconstitution (7% - 12%) with no prominent genotype differences. Together, 65 to 90% of these bioactive compounds were lost during processing. The results suggested that pigmented potatoes contained higher amounts of total phenolics and anthocyanins and blanching step took away the most of the original bioactive compounds.

Study on the Effect of Ligustrazine on Hematopoietic Reconstitution in Bone Marrow Transplantation Mice

To explore tile effects of ligustrazine on hematopoietic reconstitution and its mechanism after bone marrow transplantation (BMT), the allogenic BMT mice were given intra-abdominal injection of 2,mg ligustrazine twice a day. On the 1st, 7th, 14th, and 28th day after BMT, peripheral blood cells and bone marrow nuclear cells (BMNC) were counted, and the histological features were evaluated. On the 7th, 14th, 21st day after BMT, CXCR4 expression on the BMNC was assayed. The results showed that peripheral blood cell counts and BMNC counts in ligustrazine-treated group on the 7th, 14th, 28th day were higher than those in BMT group (P<0. 01 or P<O. 05). The percentage of hematopoietic tissue volume, fat tissue hyperplasia and congestion and dilation degree of microvessel in ligustrazine-treated group on the 7th, 14th, 21st, 28th day was higher than those in BMT group. The CXCR4 expression levels in ligustrazine-treated group were higher than in BMT group (P<0.01 or P<0. 05) on the 7th and 14th day, and were lower than in BMT group on the 21st day (P<0. 01 ). It is concluded that the ligustrazine can accelerate hematopoietic reconstruction, enhance growth of hematopoietic tissues and promote the repair of microvessels. The CXCR4 expres- sion levels on BMNC may be responsible for the effect of ligustrazine.

The in vitro reconstitution of nucleosome and its binding patterns with HMG1/2 and HMG14/17 proteins

Using atomic force microscopy (AFM), the dynamic process of the in vitro nucleosome reconstitution followed by slow dilution from high salt to low salt was visualized. Data showed that the histone octamers were dissociated from DNA at 1M NaCl. When the salt concentration was slowly reduced to 650 mMand 300 mM, the core histones bound to the naked DNA gradually. Once the salt concentration was reduced to 50 mM the classic 'beads-on-a-string' structure was clearly visualized. Furthermore, using the technique of the in vitro reconstitution ofnucleosome,the mono- and di- nucleosomes were assembled in vitro with both HS2core (-10681 to -10970 bp) and NCR2 (-372to -194 bp) DNA sequences in the 5'flanking sequence of human b-globin gene. Data revealed that HMG 1/2 and HMG 14/17 proteins binding to both DNA sequences are changeable following the assembly and disassembly of nucleosomes. We suggest that the changeable binding patterns of HMG 14/17 and HMG1/2 proteins with these regulatory elements may be critical in the process of nucleosome assembly, recruitment of chromatin-modifying activities, and the regulation of human b-globin gene expression.

Hematopoiesis reconstitution and anti-tumor effectiveness of Pai-Neng-Da capsule in acute leukemia patients with haploidentical hematopoietic stem cell transplantation

BACKGROUND With the rapid development of haploidentical hematopoietic stem cell transplantation(haplo-HSCT),primary poor graft function(PGF)has become a lifethreatening complication.Effective therapies for PGF are inconclusive.New Chinese patent medicine Pai-Neng-Da(PND)Capsule exerts dual effect in promoting hematopoiesis recovery and regulating immunity.Still,the application of PND capsule in hematopoietic stem cell transplantation,especially in the haplo-HSCT setting,has not yet been reported.AIM To evaluate the role of PND capsule in acute leukemia patients with haplo-HSCT.METHODS We retrospectively collected data of acute leukemia patients who underwent haplo-HSCT at the Affiliated People’s Hospital of Ningbo University between April 1,2015 and June 30,2020.Twenty-nine consecutive patients received oral PND capsule from the sixth day to the first month after haplo-HSCT were included in the PND group.In addition,31 patients who did not receive PND capsule during haplo-HSCT were included in the non-PND group.Subsequently,we compared the therapeutic efficacy according to the western medical evaluation indexes and Chinese medical symptom scores,and the survival between the PND group and the non-PND group,using the chi-square test,Fisher’s exact test,and the Kaplan-Meier method.RESULTS The duration of platelet engraftment was shorter in the PND group than in the non-PND group(P=0.039).The PND group received a lower frequency of red blood cells and platelet transfusions than the non-PND group(P=0.033 and P=0.035,respectively).In addition,PND capsule marginally reduced the rate of PGF(P=0.027)and relapse(P=0.043).After 33(range,4-106)months of follow-up,the 3-year relapse-free survival(P=0.046)and progression-free survival(P=0.049)were improved in the PND group than in the non-PND group.Also,the therapeutic efficacy of the PND group according to Chinese medical symptom scores was significantly better than that of the non-PND group(P=0.022).Moreover,the adverse events caused by PND capsule were mild.Nevertheless,there were no significant differences in the duration of neutrophil engraftment,the risk of infection within 100 days after haplo-HSCT,the acute graft-versus-host disease,or the 3-year overall survival between the two groups.CONCLUSION PND capsule could promote hematopoiesis reconstitution,improve the therapeutic efficacy of Chinese medical symptom scores,present anti-tumor effectiveness,and prolong the survival of acute leukemia patients with haplo-HSCT.

Role of traditional Chinese medicine in incomplete immune reconstitution of HIV/AIDS:a review

Despite continuous progress,the prevention and treatment of human immunodeficiency virus(HIV)/acquired immune deficiency syndrome(AIDS)remain the world’s most serious public health challenges.A key problem is the degree of immune function reconstruction after antiretroviral therapy.Antiretroviral therapy has enriched the treatment of HIV/AIDS and improved the present conditions and the life quality of HIV/AIDS patients.However,some patients still fail to achieve normalization of CD4+T lymphocyte counts although persistent virological suppression.These patients are referred to as immunological non-responders,and usually present with severe immunological dysfunction.To date,since the underlying mechanism of incomplete immune reconstitution in HIV/AIDS has not been fully elucidated,remaining to be the focus and difficulties of current research.It is still a challenge to explore a safe,effective,and reliable therapeutic method for immunological non-responders.Due to fewer side effects and lower drug resistance,traditional Chinese medicine is often sought to provide alternative pharmacotherapy for regulating the immunity of immunological non-responders in China.In this review,we aimed at summarizing the latest and most comprehensive information on traditional Chinese medicine therapeutic methods for promoting immune reconstruction.In addition,outlooks and perspectives for possible future research that related are also discussed.

Acceleration of Immune Reconstitution after Bone Marrow Transplantation in Mice by Bone Marrow Stromal Cell Line Transfected with IL-6 Gene

To observe potential effect of the engineered bone marrow stromal cell line QXMSC1 secreting IL-6 (QXMSCIL-6) on accelerating immune reconstitution in syngeneic bone marrow transplantation in mice, QXMSC1 was transfected with the eukaryocytic expression vector pcDNAIL-6, which contained hIL-6 cDNA by liposome-mediated gene transfecting technique. G418-resistance clone was selected by limiting dilution. The highest secreting clone was selected by ELISA assay and used in animal experiments. The recipient mice (BALB/c) were lethally irradiated and cotransplanted syngeneic bone marrow (10 7/mice) and the QXMSC1IL-6 (5×10 5/mice). Lymphocyte proliferation induced by ConA and LPS, helper T lymphocyte precursor (HTLp), cytotoxic T lymphocyte precursor (CTLp), plaque-forming cell (PFC), delayed type hypersensitivity (DTH) were examined 30, 60 days in post transplantation respectively. The results showed that lymphocytes proliferation to ConA and LPS, HTLp, CTLp increased, DTH and PFC were improved by cografted stromal cells QXMSC1IL-6 on 30, 60 days after BMT. These results demonstrated that the bone marrow stromal cell line QXMSC1IL-6 transfected with IL-6 (QXMSC1IL-6) accelerated immune reconstitution in syngeneic bone marrow transplantation.

纳米纤维素在造纸法再造烟叶基片中的应用

为提高再造烟叶的物理性能,使用2种纳米纤维素(纤维素纳米晶须CNC和纤维素纳米纤丝CNF)替代部分木桨纤维,比较其对再造烟叶松厚度、抗张强度的影响,选择添加效果较好的纤维素纤丝,然后考察其不同添加量对再造烟叶松厚度、抗张强度、热解性能的影响,最后研究纳米纤维素的添加对再造烟叶主流烟气粒相物成分的影响。结果表明,在同一木浆纤维添加量下,添加CNF对再造烟叶抗张强度的提升效果强于CNC,且两者的添加对再造烟叶松厚度均无显著影响;在烟草浆料中添加CNF可以有效提高再造烟叶基片的抗张强度,随着CNF添加量的增加,造纸法再造烟叶基片的抗张强度随之增大;再造烟叶的热稳定性随CNF添加量的增加而增强,质量损失达到5%时温度(T-5%)、质量损失达到50%的温度(T-50%)和最终残渣量逐渐增加,而质量损失最大时温度(Tmax)未发生明显变化;添加少量CNF对再造烟叶主流烟气粒相物成分没有显著影响。CNF的添加可有效替代部分木浆纤维,从而降低木浆纤维的添加量,在提升再造烟叶抗张强度的同时,还提高了烟草薄片的热稳定性,为开发一种满足加工工艺需求的新型再造烟叶提供新思路。

基于形状文法的荆楚青铜酒具重构设计

对传统荆楚青铜酒具的造型研究,通过对其风格演变与器型、纹饰特征进行分析,结合当下对白酒酒具设计新的需求进行实践。运用文献研究法和形状文法对荆楚青铜酒具元素进行提取、转换,通过案例实践分析传统酒具造型运用于现代白酒酒具的设计路径。构建出荆楚传统青铜酒具的创新形态及推演设计过程,丰富现代白酒酒具设计的文化内涵,为同类产品设计研究提供过程参考。

基于响应面-主成分分析法优化再造烟叶表面改性膜材料的配方研究

【背景和目的】针对加热卷烟用再造烟叶吸湿性过强的问题,克服其在制丝、卷包以及贮存过程中易吸潮的缺陷,确保其耐加工性以及感官质量的稳定性。【方法】以壳聚糖、石蜡、黄原胶为配方组分,在单因素实验的基础上,采用响应面-主成分分析法优化膜材料配方,开发出具有适中疏水性的膜材料涂布液,用于再造烟叶表面疏水改性。【结果】优化得到膜材料配方为:壳聚糖、石蜡和黄原胶的涂布量分别为0.6 g/m^(2)、1.5 g/m^(2)、1.6 g/m^(2),在此条件下制得改性再造烟叶的接触角87.542°、吸湿率10.98%、放湿率2.16%、感官质量得分87分。相比于传统再造烟叶,改性后再造烟叶的吸湿率和放湿率均显著降低,感官质量基本保持,抗张强度有所提升,再造烟叶的综合性能得到明显改善。

挤压工艺对碎米重组米品质特性的影响

向碎米中添加燕麦粉、大豆粉、马铃薯淀粉,利用双螺杆挤压技术制备重组米,并考察挤压温度、物料水分含量、螺杆转速对重组米质构、感官评分以及糊化度的影响。结果表明:随着机筒温度的升高,重组米的硬度、咀嚼性、黏聚性总体上呈下降趋势;随着物料水分含量的增加,重组米的硬度逐渐减小,咀嚼性和黏聚性先减小后增加,弹性总体上先增大后减小;硬度、咀嚼性、黏聚性总体上均随螺杆转速的增加而增大;糊化度和感官评分随着机筒温度、物料水分含量和螺杆转速增加,总体上先增大后减小。综合分析,机筒温度80℃、物料水分含量31%、螺杆转速160r/min为制备最佳工艺。

烟粉添加对烟草薄片固液耦合涂布效果的研究

为探究烟粉添加对固液耦合涂布效果的影响,本研究通过开展烟粉性能分析,主要探讨了烟粉添加对涂布效果、烟草薄片理化指标的影响。结果表明,烟粉的添加导致涂布液密度、固含量、黏度增加,且黏度增加最快,烟粉添加量对涂布液的影响大于其粒径。烟粉的添加引起烟草薄片抗张强度增加,柔软度和透气度减小。适宜的烟粉添加量应低于9%,粒径为500目左右。

不同来源的造血干细胞移植治疗230例儿童急性淋巴细胞白血病患者预后的比较

目的 比较四种造血干细胞来源的移植,即亲缘单倍体HSCT(Haplo-HSCT)、脐血HSCT(UCB-HSCT)、同胞全相合HSCT(MSD-HSCT)和无关全相合HSCT(MUD-HSCT)治疗儿童急性淋巴细胞白血病(ALL)后造血重建以及预后的差异。方法 回顾性分析2012年8月—2022年1月,在苏州大学附属儿童医院接受异基因造血干细胞移植(allo-HSCT)治疗的230例ALL患者的临床资料,分别比较不同移植方式患者移植后造血重建的差异,预后特征及预后的影响因素。结果 230例患者中,228例获得中性粒细胞植入,植入时间为13(9-33)d, 208例血小板植入成功,植入时间为16(3-93)d。接受UCB-HSCT的患者的中性粒细胞植入时间为16(10-33)d,血小板植入时间为34(15-93)d,均显著长于其他移植方式(P<0.05)。接受UCB-HSCT的患者血小板植入率为76%,显著低于其他移植方式(P<0.05)。接受Haplo-HSCT、UCB-HSCT、MSD-HSCT和MUD-HSCT的患者5年总生存率(OS)分别为75.6%、68%、70.6%和75%,差异均无统计学意义(P>0.05)。接受Haplo-HSCT、UCB-HSCT和MUD-HSCT的患者累计复发率(RR)没有显著差异(P>0.05),接受MSD-HSCT的患者累计RR显著高于其他三种移植方式(P<0.05)。结论 UCB-HSCT虽然造血重建时间和造血重建率显著低于其他移植方式,但是总体预后没有明显差异。Haplo-HSCT治疗ALL的疗效不劣于MSD-HSCT和MUD-HSCT,UCB-HSCT和Haplo-HSCT可作为ALL重要的替代供者。