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OBJECTIVE@#To investigate the changes of functional connectivity (FC) in the suprachiasmatic nucleus (SCN) of patients with bipolar disorder and perform a cluster analysis of patients with bipolar disorder based on FC.@*METHODS@#The study recruited 138 patients with bipolar disorder (BD) diagnosed according to the 4th edition of Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) and 150 healthy control subjects. All the participants underwent resting-state functional magnetic resonance brain scans. DPARSF software was used to generate the FC diagram of the SCN. Based on the FC data, principal components analysis (PCA) and k-means in scikit-learn 0.20.1 were used for cluster analysis of the patients with bipolar disorder.@*RESULTS@#Compared with the healthy controls, the patients showed enhanced functional connections between the SCN and the paraventricular nucleus and between the SCN and the dorsomedial hypothalamus nucleus. Based on these FC values, the optimal cluster of unsupervised k-means machine learning for bipolar disorder was 2, and the Silhouette coefficient was 0.49.@*CONCLUSIONS@#Patients with bipolar disorder have changes in the FC of the SCN, and the FC of the rhythm pathway can divide bipolar disorder into two subtypes, suggesting that biological rhythm is one of the potential biomarkers of bipolar disorder.
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Humans , Bipolar Disorder , Brain , Circadian Rhythm , Magnetic Resonance Imaging , NeuroimagingABSTRACT
Objective To investigate the protective effects and mechanisms of propofol and Xingnaojing injection on different characteristic injuries in cerebrocortical slices of newborn rats in vitro. Methods The cerebral cortex of the 7 days-old Sprague-Dawley(SD)neonatal rat was cut into slices. 2,3,5-Triphenyl Tetrazolium(TTC) was used to stain the slices to judge their activities,afterwards they were randomly divided into seven different groups (each,n=12):normal control group(group A),glutamate(Glu)injury group(group B),hydrogen dioxide(H2O2) injury group(group C),propofol preconditioning before Glu injury group(group D),Xingnaojing preconditioning before Glu injury group(group E),propofol preconditioning before H2O2 injury group(group F), Xingnaojing preconditioning before H2O2 injury group(group G). On the 3rd day,the pre-medical treatments or pre-conditionings for D,E,F and G groups were carried out for 24 hours(the concentration of propofol:20 mg/L,the concentration of Xingnaojing:10 μg/mL);the slices were successfully incubated for 4 days,afterwards they were immersed in 1 mmol/L Glu and 0.1 mmol/L H2O2 for 30 minutes respectively to establish the injury models which had no pre-treatment,finally all the groups were transferred into normal cultural medium to incubate till the 7th day. In the above processes,the group A had no specific medical treatment. After all the operations,the changes in brain tissue and cell morphology,the quantity of Nissl body(NISSL)stained by its stain,and the proportion of cells stained with red and green dye after the slices in various groups stained with propidium iodide-acridine orange(PI-AO)were observed,and the apoptosis rate was tested by flow cytometry. Results ①Morphological observation of brain slices:on the 3rd day,the slices appeared mild edematous,3-5 days later,the edema gradually disappeared. Until the 6th day, a large number of typical nerve cells and a few glial cells were seen;on the 7th day,the growth of cells reached the peak,and afterwards,gradually apoptosis played the leading role.②Morphological observation of brain slices stained by hematoxylin-eosin(HE)stain:the neurons of group A presented multilateral-or shuttle-shaped. The cell numbers of groups B and C were significantly lower than the number of group A. In the neuron number sequence,the positions of the numbers of groups D,E,F,G were located in the interval between the number of group A and those of groups B and C,and there were differences in number among groups.③NISSL:Nissl-body of group A could be clearly seen. The numbers of Nissl-body in groups B and C were significantly reduced compared with the number in group A(cell/HP:8.8±2.5,10.3±2.5 vs. 28.9±5.1,both P<0.05). The numbers of Nissl-body in groups D and E were obviously increased compared with the number in group B,and the greater increase being in group D(21.5±4.7 vs. 13.4±3.1, P<0.05). The numbers of Nissl-body in groups F and G were markedly increased compared with the number in group C ,and the greater increase being in group F(23.9±1.9 vs. 19.2±4.1,P<0.05). ④ Double staining with PI-AO:in group A,nearly the total number of nuclei presented fluorescent green in color. In groups B and C,a large number of neurons appeared two types of fluorescence and their edges blurred. The proportions of red staining of neuron cytoplasm in groups D and E were lower than the proportion in group B,and the greater decrease being in group D. The proportions of red staining of neuron cytoplasm in groups F and G were lower than the proportion in group C ,and the greater decrease being in group F.⑤Apoptosis rate:the apoptosis rates of groups B and C were higher than the rate of group A〔(22.00±0.64)%,(21.28±1.44)%vs.(8.57±0.67)%,P<0.05〕;the apoptosis rates of groups D and E were lower than group B,the decrease in group D being greater〔(11.94±0.57)%vs.(18.17±0.65)%,P<0.05〕;the apoptosis rates of groups F and G were much lower than the rate of group C,the decrease in group F being greater〔(10.54±1.24)% vs.(13.12±0.13)%,P<0.05〕. Conclusion The pre-treatment of propoful or Xingnaojing injection has protective effect on Glu or H2O2 injury of in vitro rat cerebrocortical slices,and upon the same injury,the brain protective effect of propoful is more powerful than that of Xingnaojing injection.
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Background Choroidal thickness is closely associated with ametropia,and to study the influence of subfoveal choroidal thickness (SFCT) on refraction is very important for understanding the mechanism of refractive error more clearly.Objective This study was to investigate the relationship between SFCT and refraction.Methods A retrospective serial cases analysis was performed.Forty anisometrope patients were recruited in Zhongshan Ophthalmic Center from June 2012 to August 2012.The subjects were divided into 6-13 years group and 14-21 years group.Vision acuity was tested by the EDTRS visual acuity chart and ocular anterior segment was examined under the slit lamp microscope,and the fundus examination was performed by direct ophthalmoscope.Subjective and objective optometry was performed after pupils were dilated.EDI OCT was used to illuminate choroidal image.Ocular axial length (AL) was obtained by Lenstar 900.The difference in SFCT between myopic eyes and hyperopic eyes was compared using Student t test,and the correlations between SFCT and refraction were analyzed by Pearson linear analysis and linear regression analysis.Results The average SFCT was (307.82±88.47) μm in all the tested eyes,and the SFCT of myopic eyes and hyperopic eyes was (270.60±70.57) μm and (376.95±76.59) μm,respectively,with a significant difference between them (P =0.000).In the 6-13 years group,positive correlations were found between SFCT and diopters with the regression coefficient 18.60 and regression equation Y =18.60X +310.79 (r=0.345,F=21.110,P=0.000) as well as between SFCT and AL with the regression coefficient -31.76 and regression equation Y =-31.76X+1 039.97 (r=0.262,F=17.320,P=0.000).In the 14-21 years group,SFCT showed positive correlation with diopters,with the regression coefficient 23.38 and regression equation Y=23.38X+353.17 (r =0.430,F =27.210,P =0.000) and negative correlation with AL,with the regression coefficient-35.82 and regression equation Y =-35.82X+1 132.75 (r=0.237,F=15.650,P=0.000).Conclusions SFCT seems to be positive correlated with diopter.When the diopter shifts toward positive value,SFCT value increases,and whenever diopter increases-1 D,SFCT decreases 20 μm approximately.SFCT decreases with the increase of AL.
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As an exposing part of the human body,facial surface is easy to be injured in our daily lives.With the increase of living standards,the patients have an ever more urgent require for aesthetic treatment for the medical and plastic surgical treatment for the exposing parts of body,especially for the facial surface.But we found in the clinical work some aesthetic treatment were not satisfying,and some patients even needed a second restitution.We have analyzed the reasons for this phenomenon and proposed some corresponding solving methods.
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Objective To investigate the effect of curcumine on the expression of matrix metalloproteinase-9 (MMP-9) in human umbilical vein endothelial cell (HUVEC). Methods HUVEC were cultured and identified in vitro .After cultured with curcumine at different concentration for 24 hours, the expression of MMP-9 in HUVEC was detected by cytoimmunochemical staining method and ELISA . Results All concentrations of curcumine can restrain the expression of HUVEC after co- culturing with the cells for 24 hours. The inhibitory effect got stronger with the increase of the concentration of curcumine. Conclusion The curcumine can depress the expression of matrix metalloproteinase-9 in HUVEC obviously.