Effect of Human Cytomegalovirus on Invasive Capability of Early Pregnant Extravillous Cytotrophoblasts

The effect of human cytomegalovirus （HCMV） on invasive capability of early pregnant extravillous cytotrophoblasts （EVTs） was investigated in vitro. Primary EVTs were obtained by complex phosphoesterasum digestion and gradient centrifugation from villous tissue aseptically taken from healthy pregnant women. Cytokeratin7 （CK7）, vimentin （Vim） and cerbB-2 were immunocytochemically detected to identify source of cells, and HCMVpp65 antigen was assayed to determine the infection state of primary EVTs by immunocytochemical staining. The EVTs were divided into two groups： control group and HCMV group, and the expression of c-erbB-2, matrix metalloproteinase-2 （MMP-2） and MMP-9 proteins was detected in two groups by immunocytochemistry and Western blotting. Enzymic activity changes of MMP-2 and MMP-9 were tested by gelatin zymography in primary EVTs infected with HCMV. The invasion of primary EVTs was detected by cell invasion assay in vitro after they were infected by HCMV. The cell source identification showed that the cells obtained were highly-pure primary EVTs, and primary EVTs could be infected by HCMV. Primary EVTs could express c-erbB-2, MMP-2 and MMP-9 proteins, and as compared with control group, the protein expression was decreased significantly in HCMV groups （P〈0.05）. Primary EVTs could secrete active MMP-2 and MMP-9 in vitro, and the activity of two MMPs was decreased sig- nificantly in HCMV groups （P〈0.05）. The in vitro cell invasion assay showed that the number of primary EVTs permeating Matrigel in HCMV group was decreased （P〈0.05）. We are led to conclude that HCMV can infect primary EVTs and inhibit their invasion capability, suggesting that the im- paired EVT＇s invasion capability might be related to the abnormal expression of c-erbB-2, MMP-2 and MMP-9 proteins.

Coinfection of SARS-CoV-2 Omicron variant and other respiratory pathogens in children

Since the outbreak of coronavirus disease 2019(COVID-19),the entire world has been affected by the epidemic[1,2].On November 9,2021,a variant of the novel coronavirus B.1.1.529 was detected for the first time from case samples in South Africa.The Omicron strain spread and mutated significantly fast.This variant has the characteristics of escape immunity,which can induce relatively extreme disease and reduce the neutralization of antibodies in vaccinators,and is more likely to be reinfected[3,4].The clinical presentation of severe acute respiratory syndrome coronavirus 2(SARSCoV-2)in children has mild symptoms and a lower risk of hospitalization and death.

医院HIS网络和医保网络数据安全交换的实现路径

随着医疗卫生改革的稳步发展,地方医疗保险管理系统更加完善。为实现医保网络与医院HIS网络实时交换数据,文中从医院HIS网络与医保网络发现情况入手,深入分析医院与医保网络间的安全风险,提出医院HIS网络与医保网络数据安全交换的策略。

A Multi-scale Corrosion Fatigue Damage Model of Aluminum Alloy Considering Multiple Pits and Cracks

A multi-scale model is developed to link the continuum damage variable in macroscale to the number density of multiple pits and cracks in microscale for studying the corrosion fatigue of aluminum alloy from multi-scale viewpoint.The developed model is used to predict the coherent multi-scale corrosion fatigue process of aluminum alloy component in the 3.5 wt% NaC1water solution under constant stress amplitude at a nominal frequency of 5Hz, and the numerical prediction results are compared with the experimental results.It shows that the model is effective and can be used to study the corrosion fatigue mechanisms of alurninum alloy from both macro and microscale viewpoints.

Mis-estimation of coronary lesions and rectification by SYNTAX score feedback for coronary revascularization appropriateness

Background::Imprecise interpretation of coronary angiograms was reported and resulted in inappropriate revascularization.Synergy Between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery(SYNTAX)score is a comprehensive system to evaluate the complexity of the overall lesions.We hypothesized that a real-time SYNTAX score feedback from image analysts may rectify the mis-estimation and improve revascularization appropriateness in patients with stable coronary artery disease(CAD).Methods::In this single-center,historical control study,patients with stable CAD with coronary lesion stenosis≥50%were consecutively recruited.During the control period,SYNTAX scores were calculated by treating cardiologists.During the intervention period,SYNTAX scores were calculated by image analysts immediately after coronary angiography and were provided to cardiologists in real-time to aid decision-making.The primary outcome was revascularization deemed inappropriate by Chinese appropriate use criteria for coronary revascularization.Results::A total of 3245 patients were enrolled and assigned to the control group(08/2016-03/2017,n=1525)or the intervention group(03/2017-09/2017,n=1720).For SYNTAX score tertiles,17.9%patients were overestimated and 4.3%were underestimated by cardiologists in the control group.After adjustment,inappropriate revascularization significantly decreased in the intervention group compared with the control group(adjusted odds ratio[OR]:0.83;95%confidence interval[CI]:0.73-0.95;P=0.007).Both inappropriate percutaneous coronary intervention(adjusted OR:0.82;95%CI:0.74-0.92;P<0.001)and percutaneous coronary intervention utilization(adjusted OR:0.88;95%CI:0.79-0.98;P=0.016)decreased significantly in the intervention group.There was no significant difference in 1-year adverse cardiac events between the control group and the intervention group.Conclusions::Real-time SYNTAX score feedback significantly reduced inappropriate coronary revascularization in stable patients with CAD.Clinical trial registration::Nos.NCT03068858 and NCT02880605;https://www.clinicaltrials.gov.

Fc fragment of immunoglobulin G receptor IIa(FCGR2A)as a new potential prognostic biomarker of esophageal squamous cell carcinoma

To the Editor: Esophageal squamous cell carcinoma (ESCC) is one of the most aggressive cancer types and places a heavy burden on human health. The early diagnosis and prognosis monitoring of ESCC is important for therapy. Despite recent progress in treatment regimens for ESCC, the prognosis of ESCC remains poor.[1] Therefore, it is important to find new molecular therapeutic targets and prognostic monitoring biomarkers for ESCC patients. In this study, we aimed to explore new prognostic biomarkers for ESCC.

Assessing the association of appropriateness of coronary revascularization and 1-year clinical outcomes for patients with stable coronary artery disease in China

Background:The Chinese appropriate use criteria(AUC)for coronary revascularization was released in 2016 to improve the use of coronary revascularization.This study aimed to evaluate the association between the appropriateness of coronary revascularization based on the Chinese AUC and 1-year outcomes in stable coronary artery disease(CAD)patients.Methods:We conducted a prospective,multi-center cohort study of stable CAD patients with coronary lesion stenosis≥50%.After the classification of appropriateness based on Chinese AUC,patients were categorized into the coronary revascularization group or the medical therapy group based on treatment received.The primary outcome was a composite of death,myocardial infarction,stroke,repeated revascularization,and ischemic symptoms with hospital admission.Results:From August 2016 to August 2017,6085 patients were consecutively enrolled.Coronary revascularization was associated with a lower adjusted hazard of 1-year major adverse cardiovascular and cerebrovascular events(MACCEs;hazard ratio[HR]:0.62;95%confidence interval[CI]:0.45-0.86;P=0.004)than medical therapy in patients with appropriate indications(n=1617).No significant benefit in 1-year MACCEs was found after revascularization compared to after medical therapy in patients with uncertain indications(n=2658,HR:0.81;95%CI:0.52-1.25;P=0.338)and inappropriate indications(n=1810,HR:0.80;95%CI:0.51-1.23;P=0.308).Conclusions:In patients with appropriate indications according to Chinese AUC,coronary revascularization was associated with significantly lower risk of MACCEs at 1 year.No benefit was found in coronary revascularization in patients with inappropriate indications.Our findings provide evidence for using Chinese AUC to guide clinical decision-making.

Global scientific trends on portal hypertension and cirrhosis in the 21st century: A bibliometric and visualized analysis

To the Editor,Cirrhosis develops histologically as regenerative nodules surrounded by fibrous bands because of chronic liver injury,resulting in portal hypertension and end‐stage liver failure.Liver cirrhosis imposes a heavy health and economic burden on many countries.In 2014,Mokdad et al.1 reported the results of the 2010 Global Burden of Disease Study(GBD).Global deaths from cirrhosis increased monotonically from just over 676,000 deaths in 1980(1.54%of global deaths)to more than 1 million deaths in 2010,or 1.95%.Portal hypertension is a group of disorders characterized by symptoms,such as hepatic encephalopathy.Cirrhosis is the main cause of portal hypertension,accounting for 80%–90%of cases.In addition,cirrhosis has fatal complications that greatly affect the quality of life of patients.

Grid Services Trusted Authentication Algorithm Based on Image Trusted Root in Scale Space

A new authentication algorithm for grid identity trusted computing unlimited by hardware is presented;the trusted root is made as an image data.The grid entity is trusted in the soft platform when its feature of image root is entirely matched with that from the other entities＇ feature database in a scale space process.To recognize and detect the stable image root feature,the non-homogeneous linear expandable scale space is proposed.Focusing on relations between the scale parameter of the inhomogeneous Gaussian function terms and the space evolution of thermal diffusion homogeneous equations,three space evolution operators are constructed to exact and mark the feature from image root.Analysis and verification are carried on the new scale space,operators and the core of making decisions for grid entities certifications.