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The important function of the endplate is to transmit stress and supply nutrition. Endplate degeneration might induce or promote degeneration of the intervertebral disc, causing a series of spine diseases that seriously impair people’s health and life quality. Endplate chondrocytes can respond to mechanical stimulation, which is an important factor affecting endplate degeneration. Inappropriate mechanical stimulation will accelerate endplate degeneration. This review summarized the effects of mechanical stimulation on vertebral endplate chondrocyte apoptosis, synthesis inhibition, calcification, and extracellular matrix degradation. The endplate degeneration induced by mechanical stimulation is regulated by a complex network of signal pathways composed of various signal transduction factors. The signal pathways involved in this review included NF-κB, Wnt, Hedgehog, MAPK, RhoA/Rock-1, AKT/mTOR, TGF-β signaling pathway and miRNA related signals. The interconnection of these pathways was highlighted and summarized. Multiple signaling pathways work together to regulate endplate chondrocyte metabolism, which ultimately leads to the endplate degeneration. This review might shed light on early diagnosis and precise treatment of cartilage endplate degeneration.
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OBJECTIVE@#To study the clinical features of coronavirus disease 2019 (COVID-19) in children aged <18 years.@*METHODS@#A retrospective analysis was performed from the medical data of 23 children, aged from 3 months to 17 years and 8 months, who were diagnosed with COVID-19 in Jiangxi, China from January 21 to February 29, 2020.@*RESULTS@#Of the 23 children with COVID-19, 17 had family aggregation. Three children (13%) had asymptomatic infection, 6 (26%) had mild type, and 14 (61%) had common type. Among these 23 children, 16 (70%) had fever, 11 (48%) had cough, 8 (35%) had fever and cough, and 8 (35%) had wet rales in the lungs. The period from disease onset or the first nucleic acid-positive detection of SARS-CoV-2 to the virus nucleic acid negative conversion was 6-24 days (median 12 days). Of the 23 children, 3 had a reduction in total leukocyte count, 2 had a reduction in lymphocytes, 2 had an increase in C-reactive protein, and 2 had an increase in D-dimer. Abnormal pulmonary CT findings were observed in 12 children, among whom 9 had patchy ground-glass opacities in both lungs. All 23 children received antiviral therapy and were recovered.@*CONCLUSIONS@#COVID-19 in children aged <18 years often occurs with family aggregation, with no specific clinical manifestation and laboratory examination results. Most of these children have mild symptoms and a good prognosis. Epidemiological history is of particular importance in the diagnosis of COVID-19 in children aged <18 years.
Subject(s)
Adolescent , Child , Child, Preschool , Humans , Infant , Betacoronavirus , China , Coronavirus Infections , Pandemics , Pneumonia, Viral , Retrospective StudiesABSTRACT
BACKGROUND: Different decellularization methods can affect the integrity and the biomechanical and biocompatible properties of the tracheal matrix. Natural cross-linking with genipin can be applied to improve those properties. The goals of this study were to evaluate the effects of different decellularization methods on the properties of genipin-cross-linked decellularized tracheal matrices in rabbits. METHODS: The tracheas of New Zealand rabbits were decellularized by the Triton-X 100-processed method (TPM) and the detergent-enzymatic method (DEM) and were then cross-linked with genipin. Mechanical tests, haematoxylin-eosin staining, Masson trichrome staining, Safranin O staining, DAPI staining, scanning electronic microscopy (SEM), and biocompatibility tests were used to evaluate the treatment. The bioengineered trachea and control trachea were then implanted into allogeneic rabbits for 30 days. The structural and functional analyses were performed after transplantation. RESULTS: The biomechanical tests demonstrated that the biomechanical properties of the decellularized tracheas decreased and that genipin improved them (p < 0.05). The histological staining results revealed that most of the mucosal epithelial cells were removed and that the decellularized trachea had lower immunogenicity than the control group. The analysis of SEM revealed that the decellularized trachea retained the micro- and ultra-structural architectures of the trachea and that the matrices cross-linked with genipin were denser. The biocompatibility evaluation and in vivo implantation experiments showed that the decellularized trachea treated with the DEM had better biocompatibility than that treated with the TPM and that immunogenicity in the cross-linked tissues was lower than that in the uncross-linked tissues (p < 0.05). CONCLUSION: Compared with the trachea treated with the TPM, the rabbit trachea processed by the DEM had better biocompatibility and lower immunogenicity, and its structural and mechanical characteristics were effectively improved after the genipin treatment, which is suitable for engineering replacement tracheal tissue.
Subject(s)
Rabbits , Epithelial Cells , Methods , Microscopy , Tissue Engineering , TracheaABSTRACT
OBJECTIVE@#This study aimed to provide foundation for interproximal bone preservation to improve esthetic effects of inter-implant papillar by alveolar ridge preservation following tooth extraction of maxillary single anterior teeth.@*METHODS@#A total of 30 patients requiring maxillary single anterior teeth extraction were randomly divided into test and control groups (15 cases in each group). The test group underwent alveolar ridge preservation after tooth extraction (Bio-Oss bone powder was implanted in alveolar fossa and fixed with surface free gingival graft suture). No other treatment was performed on the control group after tooth extraction. All patients were scanned using cone beam computed tomography with personalized digital radiographic template at 7 days and 6 months after tooth extraction. Then, measurement of height changes at the interproximal and middle buccal was performed.@*RESULTS@#At the mesial and distal interproximal site, ridge height reduction in the test group measured (0.358±0.151) mm, (0.322±0.180) mm, whereas that of control group reached (0.653±0.260) mm, (0.667±0.274) mm, indicating statistical significance (P<0.05). At the middle buccal site, the ridge height reduction of test group amounted to (0.826±0.307) mm, whereas that of control group totaled (1.510±0.625) mm, also presenting statistical significance (P<0.05).@*CONCLUSIONS@#Alveolar ridge preservation can reduce absorption of alveolar crest height after tooth extraction, which could improve esthetic effects of inter-implant papillae gingiva.
Subject(s)
Humans , Alveolar Bone Loss , Alveolar Process , Cone-Beam Computed Tomography , Esthetics, Dental , Tooth Extraction , Tooth SocketABSTRACT
Objective: To prepare compounded nanosuspensions of paclitaxel and betulinic acid nanosuspension and optimize the preparation process. Methods: Nanosuspension was prepared by high pressure homogenization with poloxamer 188 and lecithin as stabilizer. Stabilizer concentration, stabilizer ratio, homogeneous pressure, and cycle times were selected as investigation factors and the particle size and PDI of nanosuspension were selected as evaluation index to optimize the prescription by Box-Behnken design-response surface method and the in vitro evaluation was determined. Results: The optimal formulation was as follows: stabilizer concentration 0.6 mg/mL, poloxamer 188-lecithin (2∶1), homogenous pressure 100 MPa, cycle times 20 times. The average particle size was (282.54 ± 5.40) nm, PDI was 0.242 ± 0.020. The nano-particles in the paclitaxel-betulinic acid compounded nanosuspension were rod-shaped. The nanosuspension had perfect redispersibility and satisfactory short-term stability. Paclitaxel and betulinic acid in nano lyophilized powders all existed in amorphous form. After being prepared into nanosuspension formulation, the solubility of paclitaxel in water was increased by about 90 times while that of betulinic acid was increased by about 100 times. In 2 h, the cumulative dissolution rate of paclitaxel and betulinic acid in nanosuspension of paclitaxel and betulinic acid were all up to 95%. Conclusion: Optimizing the preparation process of nano-suspension with Box-Behnken design-response surface method is effective and feasible and nanosuspension formulation can improve the dissolution of paclitaxel and betulinic acid observably.
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Objective: To establish HPLC fingerprint of antipyretic lotion for children and determine the content of 10 components (neochlorogenic acid, chlorogenic acid, cryptochlorogenic acid, caffeic acid, forsythiae A, isochlorogenic acid B, isochlorogenic acid A, isochlorogenic acid C, rosmarinic acid and forsythin). Methods: The analysis of antipyretic lotion for children was performed on the Kromasil 100-5 C18 (250 mm × 4.6 mm, 5 μm) chromatographic column, with mobile phase comprising of 0.1% phosphate acid-acetonitrile flowing at 1 mL/min in a gradient elution manner, and the column temperature was 35 ℃, and detection wavelength was set at 330 nm. With forsythia A as reference peak, HPLC fingerprint of 11 batches of preparations was established; Based on the conditions of fingerprint chromatogram, the content of 10 components was determined at the detection wavelength of 330 and 280 nm and the multi-index content of 11 batches of the preparation was determined. Results: HPLC fingerprint was established, a total of 37 peaks were selected as the common peaks, of which 22 peaks were identified, and the similarities of 11 batches of preparations were between 0.987 and 0.999. The linear relationships of neochlorogenic acid, chlorogenic acid, cryptochlorogenic acid, caffeic acid, forsythiae A, isochlorogenic acid B, isochlorogenic acid A, isochlorogenic acid C, rosmarinic acid, and forsythioside were good in the range of 14.18-141.78, 20.53-205.63, 14.38-143.78, 5.62-56.19, 22.22-222.22, 8.40-83.98, 5.70-57.02, 7.46-76.36, 16.95-169.48, 8.59-85.94 g/mL, respectively. The average recoveries were 109.51%, 98.73%, 99.41%, 90.63%, 92.73%, 95.39%, 91.87%, 106.50%, 95.23%, and 108.71%. The content of neochlorogenic acid, chlorogenic acid, cryptochlorogenic acid, caffeic acid, forsythiae A, isochlorogenic acid B, isochlorogenic acid A, isochlorogenic acid C, rosmarinic acid, and forsythin in the 11 batches were in the range of 306.38-457.85, 607.67-854.71, 306.81-469.02, 95.65-170.64, 484.41-819.44, 234.28-322.01, 145.42-226.85, 219.11-292.21, 347.94-507.74, 201.35-261.94 mg/mL, respectively. Conclusion: The method is accurate, simple, stable and reliable, which can be used for the quality control of antipyretic lotion for children.
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Objective: To investigate the adsorption performance and purification effect of macroporous adsorption resin on total polyphenols in Acanthopanan trifoliates leaves, and to determine the technological conditions for the purification of total polyphenols from A. trifoliates leaves. Methods: The Folin-Ciocalteu colorimetric method was used to quantify the adsorption and desorption effects of five macroporous adsorption resins on the total polyphenols in the A. trifoliates leaves. The resin suitable for separation and purification of total polyphenols in A. trifoliates leaves was screened, and the adsorption and desorption conditions were investigated and optimized. The final optimized parameters were determined by single factor experiments. Results: The best purification parameters of total polyphenols were determined as follows: the concentration of sample solution was 1.0 mg/mL (crude drug) with pH 3.0, sample flow rate was at 2 mL/min, and the sample loading was controlled to 30 mL, the elution was 50% ethanol at a flow rate of 2.0 mL/min with pH 6.0, and the elution amount was 40 mL. The polyphenol sample of the A. trifoliates leaves was purified by HPD100 resin, and the purity increased from 11.7% to 49.7%, and the purification effect was 4.25 times than before. After 30 times enlargement experiment, the purity of the A. trifoliates leaves polyphenol sample increased from 12.5% before purification to 54.5%, and the purification effect was 4.4 times than before. The amount of macroporous resin did not affect the purification efficiency, which provided reference for HPD100 macroporous resin for industrial production of total polyphenols purification of A. trifoliates leaves. Conclusion: HPD100 is the best resin for purifying total polyphenols from A. trifoliates leaves, and the process technology result in this experiment can be applied to industrial production.
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Objective To compare the efficacy of icodextrin-based solution (ico) and glucose-based solution (GLU) in peritoneal dialysis patients. Methods Pubmed (1996-2016.12), MEDLINE (1996-2016.12), Embase (1974-2016.12) and Cochrane library were searched by two independent investigators who conducted quality assessment and data mining and performed Meta-analysis using RevMan 5.2. Results Ten randomized controlled trials with 825 participants were included in this study, and 661 patients completed the trials at last. The Meta-analysis showed that there were no significant differences in body weight (WMD=-1.88, 95%CI:-4.68-0.93, P=0.19), fasting plasma glucose (WMD=-0.76, 95%CI:-1.79-0.28, P=0.15), plasma triglycerides (WMD=-0.56, 95%CI:-1.18-0.06, P=0.08), plasma total cholesterol (WMD=-0.17, 95%CI:-0.63-0.29, P=0.47) and adverse events (RR=1.06, 95%CI:0.86-1.29, P=0.59) between ICO group and GLU group. The peritoneal creatinine clearance (WMD=0.48, 95%CI:0.27-0.68,P<0.001) and peritoneal urea clearance (WMD=0.44, 95%CI:0.23-0.66, P<0.001) were better in ICO group than those of GLU group. Conclusion ICO can provide a better peritoneal creatinine clearance and peritoneal urea clearance, and which has the same safety compared with GLU.
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Objective To compare the efficacy of icodextrin-based solution (ico) and glucose-based solution (GLU) in peritoneal dialysis patients. Methods Pubmed (1996-2016.12), MEDLINE (1996-2016.12), Embase (1974-2016.12) and Cochrane library were searched by two independent investigators who conducted quality assessment and data mining and performed Meta-analysis using RevMan 5.2. Results Ten randomized controlled trials with 825 participants were included in this study, and 661 patients completed the trials at last. The Meta-analysis showed that there were no significant differences in body weight (WMD=-1.88, 95%CI:-4.68-0.93, P=0.19), fasting plasma glucose (WMD=-0.76, 95%CI:-1.79-0.28, P=0.15), plasma triglycerides (WMD=-0.56, 95%CI:-1.18-0.06, P=0.08), plasma total cholesterol (WMD=-0.17, 95%CI:-0.63-0.29, P=0.47) and adverse events (RR=1.06, 95%CI:0.86-1.29, P=0.59) between ICO group and GLU group. The peritoneal creatinine clearance (WMD=0.48, 95%CI:0.27-0.68,P<0.001) and peritoneal urea clearance (WMD=0.44, 95%CI:0.23-0.66, P<0.001) were better in ICO group than those of GLU group. Conclusion ICO can provide a better peritoneal creatinine clearance and peritoneal urea clearance, and which has the same safety compared with GLU.
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Objective To evaluate the value of spiral CT and panoramic radiographs in preoperative assessment the jaw condition of patients for dental implantation.Methods 80 patients required dental implant restoration,these patients were Manned by CT and panoramic radiographs in preoperative,then selected suitable patients for dental implant restoration,reconstructed the jaw based on spiral CT data and guided the dental implant design and implanration.Results The spiral CT examination could be more accurate selection criteria for the patients needed dental implant restoration and more accurately showed the situation of edentulous ridge bone.Conclusion The reconstructed of three-dimensional imaging of spiral CT could precisely show the bone situation in the jaw needed dental implant and the important anatomic structures,could effectively assist denture design and the direction and depth of dental implants.was more superiority than panoramic radiographs.
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<p><b>BACKGROUND</b>Echinococcosis, coenurosis and cysticercosis are debilitating diseases which prevail in China. Immunological diagnosis of metacestodosis is important in disease control. The 8-kDa glycoproteins from taeniid cestodes have successfully been used for diagnosis of human cysticercosis in immunological assays. The aim of the present study was to investigate genetic variations and phylogenetic relationships of the 8-kDa proteins for evaluating the possibility of utilizing these proteins as diagnostic antigens for other metacestode infections.</p><p><b>METHODS</b>The genes and complementary DNAs (cDNAs) encoding the 8-kDa proteins from Echinococcus (E.) granulosus, Taenia (T.) multiceps and T. hydatigena were amplified using PCR method. Their amplicons were cloned into the vector pMD18 and the positive clones were sequenced. Sequence data were analyzed with the SeqMan program, and sequence homology searches were performed using the BLAST program. Alignments were conducted using the ClustalX program, and the phylogenetic analyses were performed with the Protein Sequences Program and the Puzzle Program using the Neighbor-joining method.</p><p><b>RESULTS</b>Fifteen, 18 and 22 different genomic DNA sequences were identified as members of the 8-kDa protein gene family from E. granulosus, T. multiceps and T. hydatigena, respectively. Eight, four and six different cDNA clones respectively from E. granulosus, T. multiceps and T. hydatigena were characterized. Analysis of these sequences revealed 54 unique 8-kDa protein sequences. Phylogenetic trees demonstrated that the taeniid 8-kDa proteins are clustered into eight clades at least: Ts18, Ts14, TsRS1, TsRS2, T8kDa-1, T8kDa-2, T8kDa-3 and T8kDa-4.</p><p><b>CONCLUSION</b>We found that the gene family encoding for the taeniid 8-kDa antigens is comprised of many members with high diversity, which will provide molecular evidence for cross-reaction or specific reaction among metacestode infections and may contribute to the development of promising immunological methods for diagnosis of metacestodosis.</p>
Subject(s)
Animals , Amino Acid Sequence , DNA, Helminth , Genetics , Echinococcus granulosus , Genetics , Metabolism , Genetic Variation , Genetics , Glycoproteins , Chemistry , Classification , Genetics , Helminth Proteins , Chemistry , Classification , Genetics , Molecular Sequence Data , Phylogeny , Sequence Homology, Amino Acid , Taenia , Genetics , MetabolismABSTRACT
<p><b>OBJECTIVE</b>To study the effect of piezosurgery in the extraction of mandibular impacted third molars.</p><p><b>METHODS</b>228 mandibular impacted third molars with relative difficulty for extraction according to the scheme of degree of difficulty for extraction were included in the study, and were divided into two groups (114 teeth each group): Test group (treated by piezosurgery), control group (treated by traditional chisel osteotomy). The surgery time and pain, restriction of mouth opening and facial swelling after surgery, were evaluated in both groups.</p><p><b>RESULTS</b>The average surgery time was (16 +/- 5.2) min in test group and (30 +/- 8.7) min in control group. The surgery time, pain, facial swelling rate, and restriction of mouth opening were lower than control group (P<0.05).</p><p><b>CONCLUSION</b>Compared with traditional chisel osteotomy, the average surgery time with piezosurgery was significantly shorter and the complications are obviously reduced.</p>
Subject(s)
Adult , Female , Humans , Male , Mandible , Molar, Third , Osteotomy , Piezosurgery , Tooth Extraction , Tooth, ImpactedABSTRACT
OBJECTIVE@#To examine the influence of exogenous fat (lard) on the bone mineral density (BMD) of lumbar spine measured by dual energy X-ray absorptiometer (DXA) Hologic QDR 4500A in different sites in healthy women.@*METHODS@#Lard packets (5 cm or 10 cm thick) were prepared. The lumbar spine (LS) DXA scans were performed on 37 women(Group A), who were repeated with lard packets (5 cm or 10 cm thick) placed over the abdomen, and the hip DXA scans were performed on 18 women(Group B), who were repeated with lard packets (5 cm or 10 cm thick) placed over the left thigh. Whole body DXA scans were performed on 8 women(Group C), who were repeated with 5 cm thick lard packets over the abdomen. The pair t-test was used to compare the value of BMD with and without lard.@*RESULTS@#After lard was placed over abdomen, the bone area (BA), bone mineral content (BMC), and BMD of the LS decreased significantly (P0.05).@*CONCLUSION@#Lard impacted the BMD by DXA Hologic QDR 4500A, BMD of the LS significantly decreases, but BMD of the whole body has no significant change. BMD of the hip significantly increases with lard.
Subject(s)
Adult , Aged , Female , Humans , Middle Aged , Absorptiometry, Photon , Adiposity , Physiology , Bone Density , Lumbosacral Region , Diagnostic Imaging , Phantoms, ImagingABSTRACT
OBJECTIVE@#To explore the regional homogeneity of resting state brain activity in early onset schizophrenia using functional magnetic resonance imaging.@*METHODS@#Schizophrenia or schizophreniform disorder was diagnosed according to DSM-IV-TR (diagnostic and statistical manual of mental disorders, fourth edition, text revision). A total of 18 adolescents with early-onset schizophrenia (EOS; onset of psychotic symptoms by age 18) and 18 age- and gender-matched healthy volunteers were tested in a resting-state fMRI scan. Regional homogeneity approach was used to analyze the functional imaging data,and statistical parametric mapping 5 (SPM5)was used to perform t-test in ReHo maps between the patients and controls.@*RESULTS@#In comparison with the controls, the early-onset patients showed significantly decreased regional homogeneity in bilateral medial prefrontal cortex(P20), but no brain regions showed significantly increased regional homogeneity in the patients.@*CONCLUSION@#Regional homogeneity of resting state brain activities in EOS was decreased in bilateral medial prefrontal cortex. These abnormal changes may be involved in the psychopathology of schizophrenia.
Subject(s)
Adolescent , Child , Female , Humans , Male , Young Adult , Brain , Case-Control Studies , Magnetic Resonance Imaging , Methods , Prefrontal Cortex , Schizophrenia , Time FactorsABSTRACT
OBJECTIVE@#To evaluate the effect of herceptin(trastuzumab) plus adjuvant chemotherapy on the prognosis of patients with human epithelial growth factor receptor 2 (HER2) positive early-stage breast cancer by Meta-analysis.@*METHODS@#Search all of randomized clinical trials (RCTs) on herceptin plus adjuvant chemotherapy for HER2 positive early-stage breast cancer in MEDLINE, EMBase, Cochrane library, Clinical Trails, ASCO Conference data, CHKD, Wanfang Database, VIP information, scholar.google.com and SIGLE. A Meta-analysis was carried out by collecting information based on the inclusion and exclusion criteria from all papers available.@*RESULTS@#The Meta-analysis included 4 trials. A total of 9116 patients were included in the analysis(4555 in the study group and 4561 in the control group). There were statistical differences between the study group(herceptin plus adjuvant chemotherapy) and the control group(adjuvant chemotherapy) in the disease-free survival rate [relative risk(RR)=1.08, 95% CI, 1.06-1.09, P<0.001], the overall survival rate(RR=1.01, 95% CI, 1.01-1.02, P=0.0003), the distant recurrence rate(RR=0.49, 95% CI, 0.42-0.57, P<0.001), and the cardiac events rate (RR=3.93,95% CI, 1.03-15.06, P=0.05).@*CONCLUSION@#Herceptin plus adjuvant chemotherapy can improve the disease-free survival rate and the overall survival rate, decrease distant recurrence rate of patients with HER2 positive early-stage breast cancer, but may cause heart toxicity, especially when combined with anthracycline (doxorubicin).
Subject(s)
Female , Humans , Antibodies, Monoclonal, Humanized , Therapeutic Uses , Breast Neoplasms , Drug Therapy , Genetics , Metabolism , Chemotherapy, Adjuvant , Prognosis , Receptor, ErbB-2 , Genetics , TrastuzumabABSTRACT
<p><b>BACKGROUND</b>Early diagnosis and timely treatment are important for improving therapeutic efficiency of prostate cancer. DNA array is a new bio-technology for disease diagnosis. This study was conducted to diagnose prostate cancer with cDNA macroarray and analysis gene expression profiles of some selective genes in prostate cancer.</p><p><b>METHODS</b>Total RNA was isolated from patients with prostate cancer and from normal people, and poly (A) RNA was further purified. Then it was analyzed for differentially expressed genes in prostate cancer and normal prostate by cDNA macroarray system.</p><p><b>RESULTS</b>There were different expressions in the nine prostate-associated specific genes in prostate cancer as compared with normal prostate, in which, 7 were significantly upregulated and 2 were down-regulated.</p><p><b>CONCLUSION</b>As a diagnostic approach at molecular level, the cDNA macroarray is an effectively diagnostic method for prostate cancer.</p>