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1.
Drug Discov Today ; 29(6): 104018, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38723763

ABSTRACT

Text summarization is crucial in scientific research, drug discovery and development, regulatory review, and more. This task demands domain expertise, language proficiency, semantic prowess, and conceptual skill. The recent advent of large language models (LLMs), such as ChatGPT, offers unprecedented opportunities to automate this process. We compared ChatGPT-generated summaries with those produced by human experts using FDA drug labeling documents. The labeling contains summaries of key labeling sections, making them an ideal human benchmark to evaluate ChatGPT's summarization capabilities. Analyzing >14000 summaries, we observed that ChatGPT-generated summaries closely resembled those generated by human experts. Importantly, ChatGPT exhibited even greater similarity when summarizing drug safety information. These findings highlight ChatGPT's potential to accelerate work in critical areas, including drug safety.


Subject(s)
Drug Labeling , United States Food and Drug Administration , Humans , United States , Natural Language Processing , Drug-Related Side Effects and Adverse Reactions
2.
BMC Pulm Med ; 24(1): 197, 2024 Apr 22.
Article in English | MEDLINE | ID: mdl-38649913

ABSTRACT

BACKGROUND: High-flow nasal cannula (HFNC) has emerged as a promising noninvasive method for delivering oxygen to critically ill patients, particularly those with sepsis and acute lung injury. However, uncertainties persist regarding its therapeutic benefits in this specific patient population. METHODS: This retrospective study utilized a propensity score-matched cohort from the Medical Information Mart in Intensive Care-IV (MIMIC-IV) database to explore the correlation between HFNC utilization and mortality in patients with sepsis-induced acute lung injury. The primary outcome was 28-day all-cause mortality. RESULTS: In the propensity score-matched cohort, the 28-day all-cause mortality rate was 18.63% (95 out of 510) in the HFNC use group, compared to 31.18% (159 out of 510) in the non-HFNC group. The use of HFNC was associated with a lower 28-day all-cause mortality rate (hazard ratio [HR] = 0.53; 95% confidence interval [CI] = 0.41-0.69; P < 0.001). HFNC use was also associated with lower ICU mortality (odds ratio [OR] = 0.52; 95% CI = 0.38-0.71; P < 0.001) and lower in-hospital mortality (OR = 0.51; 95% CI = 0.38-0.68; P < 0.001). Additionally, HFNC use was found to be associated with a statistically significant increase in both the ICU and overall hospitalization length. CONCLUSIONS: These findings indicate that HFNC may be beneficial for reducing mortality rates among sepsis-induced acute lung injury patients; however, it is also associated with longer hospital stays.


Subject(s)
Acute Lung Injury , Cannula , Hospital Mortality , Intensive Care Units , Oxygen Inhalation Therapy , Propensity Score , Sepsis , Humans , Retrospective Studies , Male , Sepsis/mortality , Sepsis/therapy , Sepsis/complications , Female , Middle Aged , Aged , Acute Lung Injury/mortality , Acute Lung Injury/therapy , Acute Lung Injury/etiology , Oxygen Inhalation Therapy/methods , Critical Illness/mortality
3.
JAMA Neurol ; 2024 Apr 29.
Article in English | MEDLINE | ID: mdl-38683623

ABSTRACT

This case report describes hypointensity in the cerebellum and midbrain in a 56-year-old woman with double vision and weakness and ptosis of eyelids.

5.
Nat Chem ; 2024 Apr 24.
Article in English | MEDLINE | ID: mdl-38658798

ABSTRACT

Natural gap junctions are a type of channel protein responsible for intercellular signalling and mass communication. However, the scope of applications for these proteins is limited as they cannot be prepared at a large scale and are unable to spontaneously insert into cell membranes in vitro. The construction of artificial gap junctions may provide an alternative strategy for preparing analogues of the natural proteins and bottom-up building blocks necessary for the synthesis of artificial cells. Here we show the construction of artificial gap junction channels from unimolecular tubular molecules consisting of alternately arranged positively and negatively charged pillar[5]arene motifs. These molecules feature a hydrophobic-hydrophilic-hydrophobic triblock structure that allows them to efficiently insert into two adjacent plasma membranes and stretch across the gap between the two membranes to form gap junctions. Similar to natural gap junction channels, the synthetic channels could mediate intercellular signal coupling and reactive oxygen species transmission, leading to cellular activity.

6.
Genome Biol ; 25(1): 85, 2024 Apr 03.
Article in English | MEDLINE | ID: mdl-38570851

ABSTRACT

Cell type annotation and lineage construction are two of the most critical tasks conducted in the analyses of single-cell RNA sequencing (scRNA-seq). Four recent scRNA-seq studies of differentiating xylem propose four models on differentiating xylem development in Populus. The differences are mostly caused by the use of different strategies for cell type annotation and subsequent lineage interpretation. Here, we emphasize the necessity of using in situ transcriptomes and anatomical information to construct the most plausible xylem development model.


Subject(s)
Populus , Populus/genetics , Populus/metabolism , Gene Expression Profiling , Xylem/genetics , Xylem/growth & development , Transcriptome , Single-Cell Analysis
7.
Huan Jing Ke Xue ; 45(3): 1285-1292, 2024 Mar 08.
Article in Chinese | MEDLINE | ID: mdl-38471845

ABSTRACT

Achieving peak carbon dioxide emissions and accelerating decarbonization progress in the power industry is of paramount significance to Henan Province's objective of achieving carbon peak and neutrality. In this study, the Carbon Emission-Energy Integrated Model (iCEM) was employed to conduct scenario studies on the coal reduction and carbon reduction paths under the "dual-carbon" goal of Henan's power industry. The results indicated that, by considering measures such as optimizing the power source structure and technological progress, Henan Province's power industry carbon emissions will reach their peak between 2028-2033, with coal consumption in the power industry continuing to grow during the "14th Five-Year Plan" period. With a peak range between 2027-2031, the peak value increased by 1881, 1592, and 11.48 million tce, respectively, compared with that in 2020. To control coal in Henan Province under the constraint of carbon peak goals, it is proposed to develop clean energy sources such as wind and solar power, use more low-carbon or zero-carbon heat sources, increase the proportion of external electricity supply, and enhance energy-saving transformation in coal-fired power plants. Accelerating the elimination of backward units and energy-saving transformation of existing units, accelerating non-fossil energy development, advanced planning for external electricity supply, improving market mechanisms for the exit of coal-fired power plants and peak regulation, increasing system flexibility, and accelerating external policies to ensure clean energy security are effective paths for controlling coal and reducing carbon emissions in Henan's power industry. Additionally, inland nuclear power layout is one of the crucial paths to alleviate coal control pressure in Henan Province and achieve "dual-carbon" goals during the carbon-neutral stage. Therefore, it is imperative to conduct research on demonstrations in advance. Henan Province is highly dependent on energy from other provinces, and the power supply and demand situation in Henan Province will become increasingly tense in the future. It is necessary to support Henan Province from the State Grid and coordinate the construction of inter-provincial and inter-regional power transmission channels.

8.
Int J Gen Med ; 17: 663-667, 2024.
Article in English | MEDLINE | ID: mdl-38435116

ABSTRACT

Aim: This study examines the clinical and pathological characteristics, immune profile, histological occurrence, diagnosis, and differential diagnosis of vulvar hidradenoma papilliferum. Methods: An analysis was conducted on clinical data, histological patterns, and immunohistochemical findings from 45 cases of vulvar hidradenoma papilliferum, and relevant published articles were reviewed. Simultaneously, high-risk HPV typing was performed on these 45 cases. Results: The 45 cases of vulvar hidradenoma papilliferum displayed tumor sizes ranging from 0.3 to 2.0 cm and were observed to be pink or red in appearance. Vacuolated cytoplasm, large abnormal nuclei, distinct nucleoli, and scattered eosinophilic luminal secretions were observed in the glands. Positive staining for CK7 and progesterone receptor (PR) with focal mammaglobin and GCDFP-15 expression was found through immunohistochemistry. CK20 staining was noted as negative. Conclusion: Hidradenoma papilliferum is a rare benign tumor that originates in secretory glands. The diagnosis of this condition is aided by gross and immunohistochemical results, and differentiation from other conditions is necessary.

9.
Chin J Integr Med ; 30(4): 359-365, 2024 Apr.
Article in English | MEDLINE | ID: mdl-37528326

ABSTRACT

The transformation and implementation of clinical practice guidelines for integrated traditional Chinese medicine (TCM) and Western medicine (WM) is crucial to the adoption of medical science and technological findings and is an important way for TCM to be made available to the world. First, clinical practice guidelines (CPGs) of TCM and WM integration in recent years was analyzed to clarify the current situation and problems in the existing guidelines according to the following four perspectives: (1) perspective of TCM and WM integration in guidelines, (2) diagnosis Using integrated TCM and WM, (3) integration of TCM and WM treatment, (4) promoting TCM and WM integration. Secondly, the information and quality evaluation of CPGs for integrated Chinese and Western medicine in 2020-2022 were analyzed to explore the degree and methods of integration of Chinese and Western medicine guidelines. And last this study aimed to lay a foundation for the further establishment of Chinese characteristic, repeatable, and calculable clinical practice guidelines of TCM and WM integration.


Subject(s)
Drugs, Chinese Herbal , Medicine, Chinese Traditional , Humans , Medicine, Chinese Traditional/methods , Asian People , Drugs, Chinese Herbal/therapeutic use
10.
J Ethnopharmacol ; 319(Pt 3): 117282, 2024 Jan 30.
Article in English | MEDLINE | ID: mdl-37802374

ABSTRACT

ETHNOPHARMACOLOGICAL RELEVANCE: Cisplatin (CP) results in acute kidney injury (AKI) and negatively affects patients' therapy and survival. The dried rhizome of Gastrodia elata Blume has been used to treat clinical kidney diseases. Gastrodin (GAS) is an active ingredient of the G. elata tuber. It is unknown whether GAS can alleviate CP-induced AKI. AIM OF THE STUDY: This study aimed to investigate whether GAS, an active ingredient of G. elata Blume, can alleviate CP-induced AKI and to explore its underlying mechanisms. MATERIALS AND METHODS: Experiments were conducted with a CP-induced AKI mouse model and an immortalized human renal tubular epithelial cell line (HK-2). Serum creatinine, Periodic acid-Schiff staining, tissue iron, glutathione, malondialdehyde, and 4-Hydroxynonenal were detected in serum and kidney samples to observe whether GAS inhibits CP-induced tubule ferroptosis. The drug target was verified by detecting the effects of GAS on sirtuin-1 (SIRT1) activity in vitro. Transcriptional regulation of glutathione peroxidase 4 (GPX4) by forkhead box O3A (FOXO3A) was verified by siRNA knockdown, overexpression, and chromatin immunoprecipitation. The effects of FOXO3A, SIRT1, and GAS on CP-induced ferroptosis were measured with propidium iodide, dihydroethidium, monobromobimane, and dipyrromethene boron difluoride staining in HK-2 cells. The relationship between GAS and the SIRT1/FOXO3A/GPX4 pathway was studied using Western blotting. RESULTS: GAS treatment inhibited CP-induced reactive oxygen species, lipid peroxidation, and tubule death in the cell and animal models. GAS activated SIRT1 in vitro. The SIRT1 inhibitor blocked the protective role of GAS in reducing lipid peroxidation in HK-2 cells. FOXO3A transcriptionally regulated GPX4 expression and inhibited CP-induced cell ferroptosis. Compared to CP-damaged mouse kidneys, GAS-treated mice demonstrated significantly increased SIRT1 and GPX4 expression levels, decreased CP-induced acetylation of FOXO3A, and inhibited lipid peroxidation and cell death. CONCLUSIONS: GAS alleviated CP-induced AKI by inhibiting ferroptosis via the SIRT1/FOXO3A/GPX4 signaling pathway. The results offer new insights into the development of new anti-AKI drugs from traditional Chinese medicine.


Subject(s)
Acute Kidney Injury , Ferroptosis , Sirtuins , Humans , Mice , Animals , Cisplatin/toxicity , Sirtuin 1/metabolism , Sirtuins/metabolism , Cell Line , Signal Transduction , Acute Kidney Injury/chemically induced , Acute Kidney Injury/drug therapy , Acute Kidney Injury/metabolism
11.
Mol Plant ; 17(1): 112-140, 2024 01 01.
Article in English | MEDLINE | ID: mdl-38102833

ABSTRACT

Cell walls in plants, particularly forest trees, are the major carbon sink of the terrestrial ecosystem. Chemical and biosynthetic features of plant cell walls were revealed early on, focusing mostly on herbaceous model species. Recent developments in genomics, transcriptomics, epigenomics, transgenesis, and associated analytical techniques are enabling novel insights into formation of woody cell walls. Here, we review multilevel regulation of cell wall biosynthesis in forest tree species. We highlight current approaches to engineering cell walls as potential feedstock for materials and energy and survey reported field tests of such engineered transgenic trees. We outline opportunities and challenges in future research to better understand cell type biogenesis for more efficient wood cell wall modification and utilization for biomaterials or for enhanced carbon capture and storage.


Subject(s)
Lignin , Wood , Wood/genetics , Wood/metabolism , Lignin/metabolism , Ecosystem , Plants/metabolism , Cell Wall/metabolism , Trees/genetics
12.
Mil Med Res ; 10(1): 45, 2023 09 27.
Article in English | MEDLINE | ID: mdl-37752599

ABSTRACT

Integrated traditional Chinese medicine (TCM) and Western medicine (WM) is a new medical science grounded in the knowledge bases of both TCM and WM, which then forms a unique modern medical system in China. Integrated TCM and WM has a long history in China, and has made important achievements in the process of clinical diagnosis and treatment. However, the methodological defects in currently published clinical practice guidelines limit its development. The organic integration of TCM and WM is a deeper integration of TCM and WM. To realize the progression of "integration" to "organic integration", a targeted and standardized guideline development methodology is needed. Therefore, the purpose of this study is to establish a standardized development procedure for clinical practice guidelines for the organic integration of TCM and WM to promote the systematic integration of TCM and WM research results into clinical practice guidelines in order to achieve optimal results as the whole is greater than the sum of the parts.


Subject(s)
Medicine, Chinese Traditional , Practice Guidelines as Topic , Humans , China
13.
Nat Commun ; 14(1): 4697, 2023 08 04.
Article in English | MEDLINE | ID: mdl-37542077

ABSTRACT

Proteolytic activation of cytokines regulates immunity in diverse organisms. In animals, cysteine-dependent aspartate-specific proteases (caspases) play central roles in cytokine maturation. Although the proteolytic production of peptide cytokines is also essential for plant immunity, evidence for cysteine-dependent aspartate-specific proteases in regulating plant immunity is still limited. In this study, we found that the C-terminal proteolytic processing of a caspase-like substrate motif "CNYD" within Pathogenesis-related protein 1 (PR1) generates an immunomodulatory cytokine (CAPE9) in Arabidopsis. Salicylic acid enhances CNYD-targeted protease activity and the proteolytic release of CAPE9 from PR1 in Arabidopsis. This process involves a protease exhibiting caspase-like enzyme activity, identified as Xylem cysteine peptidase 1 (XCP1). XCP1 exhibits a calcium-modulated pH-activity profile and a comparable activity to human caspases. XCP1 is required to induce systemic immunity triggered by pathogen-associated molecular patterns. This work reveals XCP1 as a key protease for plant immunity, which produces the cytokine CAPE9 from the canonical salicylic acid signaling marker PR1 to activate systemic immunity.


Subject(s)
Arabidopsis Proteins , Arabidopsis , Cysteine Proteases , Animals , Humans , Arabidopsis Proteins/metabolism , Aspartic Acid/metabolism , Caspases/metabolism , Cysteine/metabolism , Cysteine Proteases/metabolism , Peptide Hydrolases/metabolism , Plant Immunity , Salicylic Acid/metabolism , Xylem/metabolism
14.
Article in English | WPRIM (Western Pacific) | ID: wpr-1007866

ABSTRACT

OBJECTIVE@#This study explored whether thyroglobulin and thyroid disease prevalence rates were higher in pregnant Chinese women with a median urinary iodine concentration of 100-149 µg/L, compared with those with a median urinary iodine concentration of 150-249 μg/L maintained through sustainable universal salt iodization.@*METHODS@#This was a cross-sectional study in which 812 healthy pregnant women were enrolled to collect samples of their household edible salt, urine, and blood during their routine antenatal care in the 18 counties in Fujian Province, China. The levels of salt iodine concentration, urinary iodine concentration (UIC), free triiodothyronine (FT3), free thyroid hormone (FT4), thyroid-stimulating hormone (TSH), thyroglobulin (Tg), thyroid peroxidase antibody and thyroglobulin antibody were assessed during the routine antenatal care visits.@*RESULTS@#The median UIC (mUIC) in pregnant women was 130.8 μg/L (interquartile range = 91.5-198.1 μg/L) in the counties with an mUIC of 100-149 μg/L (Group I), and 172.0 μg/L (interquartile range = 123.5-244.4 μg/L) in the counties with an mUIC of 150-249 μg/L (Group II). Goiter prevalence and thyroid nodule detection rates showed no difference between Group I and Group II ( P > 0.05). Except for FT4 values, the TSH, FT4, FT3, Tg and Tg values > 40 (μg/L) and the thyroid diseases prevalence rate (TDR) showed no significant differences between Group I and Group II ( P > 0.05), whether or not iodine supplementation measures were taken.@*CONCLUSION@#Compared with an mUIC of 150-249 μg/L, not only there was no difference in thyroid morphology, but also the Tg value, rate of Tg values > 40 µg/L, and TDR were not higher in pregnant women in the counties with an mUIC of 100-149 μg/L achieved through sustainable universal salt iodization in Fujian Province, China.


Subject(s)
Female , Humans , Pregnancy , Cross-Sectional Studies , Iodine/urine , Pregnant Women , Sodium Chloride, Dietary , Thyroglobulin , Thyroid Gland , Thyrotropin , East Asian People
15.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-1008874

ABSTRACT

In this study, ultra-performance liquid chromatography-quadrupole-time-of-flight tandem mass spectrometry(UPLC-Q-TOF-MS~E) was used to analyze the plasma components of Danzhi Xiaoyao Formula after oral administration. Forty-nine plasma components were found in the serum of rats by comparing the compound extract, drug-containing serum, and blank serum. Components, such as 6-hydroxycoumarin, poricoic acid F, deoxoglabrolide, 30-norhederagenin, kanzonol R, 3',6'-di-O-galloylpaeoniflorin, 16α-hydroxytrametenolic acid, 16-deoxyporicoic acid B, 3-O-acetyl-16α-hydroxytrametenolic acid, and 16α,25-dihydroxydehydroeburiconic acid, were first found in rat serum. Behavioral tests, including the tail suspension test, novel object recognition test, and novelty-suppressed feeding test, were conducted for behavioral analysis. It was confirmed that this formula had therapeutic effects on perimenopausal depression. Furthermore, in combination with the network pharmacology method, 53 core targets including MAPK1, HRAS, AKT1, EGFR, and ESR1 were screened, and these targets participated in 165 signaling pathways, including PI3K-AKT, AMPK, VEGFA, MAPK, and HIF-1. In summary, the potential effects of Danzhi Xiaoyao Formula in treating perimenopausal depression are associated with mechanisms in accelerating inflammation repair, improving neuroplasticity, affecting neurotransmitters, regulating estrogen levels, and promoting new blood vessel formation.


Subject(s)
Animals , Rats , Chromatography, High Pressure Liquid , Depression/drug therapy , Network Pharmacology , Perimenopause , Phosphatidylinositol 3-Kinases , Drugs, Chinese Herbal/pharmacology , Molecular Docking Simulation
16.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-1008787

ABSTRACT

This study aims to investigate the therapeutic effects and potential mechanisms of resveratrol(Res) on poor ovarian response(POR) in mice. The common target genes shared by Res and POR were predicted by network pharmacology, used for Gene Ontology(GO) annotation and Kyoto Encyclopedia of Genes and Genomes(KEGG) pathway enrichment, and then validated by animal experiments. The mice with regular estrous cycle after screening were randomized into normal, POR, and low-and high-dose(20 and 40 mg·kg~(-1), respectively) Res groups. The normal group was administrated with an equal volume of 0.9% sodium chloride solution by gavage, and the mice in other groups with tripterygium glycosides suspension(50 mg·kg~(-1)) by gavage for 2 weeks. After the modeling, the mice in low-and high-dose Res groups were treated with Res by gavage for 2 weeks, and the mice in normal and POR groups with an equal volume of 0.9% sodium chloride solution by gavage. Ovulation induction and sample collection were carried out on the day following the end of treatment. Vaginal smears were collected for observation of the changes in the estrous cycle, the counting of retrieved oocytes, and the measurement of ovarian wet weight and ovarian index. The enzyme-linked immunosorbent assay(ELISA) was employed to measure the levels of anti-mullerian hormone(AMH), follicle-stimulating hormone(FSH), estradiol(E_2), and luteinizing hormone(LH) in the serum. The ovarian tissue morphology and granulosa cell apoptosis were observed by hematoxylin-eosin(HE) staining and terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling(TUNEL), respectively. Western blot was employed to determine the protein levels of phosphatidylinositol 3-kinase(PI3K), protein kinase B(AKT), forkhead box O(FOXO) 3a, hypoxia-inducible factor(HIF)-1α, B-cell lymphoma-2(Bcl-2), and Bcl-2-associated X protein(Bax). A total of 222 common targets shared by Res and POR were collected. GO annotation indicated that these targets were mainly involved in oxidative stress response. KEGG enrichment analysis revealed that Res can intervene in POR via PI3K/AKT, HIF-1, and FOXO signaling pathways. Animal experiments showed that the model group had higher rate of estrous cycle disorders, lower number and poorer morphology of normally developed follicles at all levels, more atretic follicles, higher apoptosis of ovarian granulosa cells, lower number of retrieved oocytes, lower ovarian wet weight and ovarian index, higher serum levels of FSH and LH, lower levels of AMH and E_2, higher expression levels of HIF-1α, FOXO3a and Bax, and lower expression levels of PI3K, AKT, and Bcl-2 in the ovarian tissue than the normal group. Compared with the POR group, low-and high-dose Res decreased the rate of estrous cycle disorders, improved the follicle number and morphology, reduced atretic follicles, promoted the apoptosis of ovarian granulosa cells, increased retrieved oocytes, ovarian wet weight and ovarian index, and lowered serum FSH and LH levels. Moreover, Res down-regulated the expression levels of HIF-1α, FOXO3a and Bax, and up-regulated the expression levels of PI3K, AKT and Bcl-2 in the ovarian tissue. In summary, Res can inhibit apoptosis and mitigate poor ovarian response in mice by regulating the PI3K/AKT/FOXO3a and HIF-1α pathways.


Subject(s)
Female , Mice , Animals , Proto-Oncogene Proteins c-akt/metabolism , Resveratrol/pharmacology , bcl-2-Associated X Protein , Phosphatidylinositol 3-Kinases/metabolism , Sodium Chloride , Follicle Stimulating Hormone , Proto-Oncogene Proteins c-bcl-2
17.
Zhongguo Zhong Yao Za Zhi ; 48(24): 6765-6777, 2023 Dec.
Article in Chinese | MEDLINE | ID: mdl-38212036

ABSTRACT

In this study, ultra-performance liquid chromatography-quadrupole-time-of-flight tandem mass spectrometry(UPLC-Q-TOF-MS~E) was used to analyze the plasma components of Danzhi Xiaoyao Formula after oral administration. Forty-nine plasma components were found in the serum of rats by comparing the compound extract, drug-containing serum, and blank serum. Components, such as 6-hydroxycoumarin, poricoic acid F, deoxoglabrolide, 30-norhederagenin, kanzonol R, 3',6'-di-O-galloylpaeoniflorin, 16α-hydroxytrametenolic acid, 16-deoxyporicoic acid B, 3-O-acetyl-16α-hydroxytrametenolic acid, and 16α,25-dihydroxydehydroeburiconic acid, were first found in rat serum. Behavioral tests, including the tail suspension test, novel object recognition test, and novelty-suppressed feeding test, were conducted for behavioral analysis. It was confirmed that this formula had therapeutic effects on perimenopausal depression. Furthermore, in combination with the network pharmacology method, 53 core targets including MAPK1, HRAS, AKT1, EGFR, and ESR1 were screened, and these targets participated in 165 signaling pathways, including PI3K-AKT, AMPK, VEGFA, MAPK, and HIF-1. In summary, the potential effects of Danzhi Xiaoyao Formula in treating perimenopausal depression are associated with mechanisms in accelerating inflammation repair, improving neuroplasticity, affecting neurotransmitters, regulating estrogen levels, and promoting new blood vessel formation.


Subject(s)
Depression , Drugs, Chinese Herbal , Animals , Rats , Chromatography, High Pressure Liquid , Depression/drug therapy , Network Pharmacology , Perimenopause , Phosphatidylinositol 3-Kinases , Drugs, Chinese Herbal/pharmacology , Molecular Docking Simulation
18.
Am J Transl Res ; 14(10): 7504-7511, 2022.
Article in English | MEDLINE | ID: mdl-36398268

ABSTRACT

OBJECTIVE: To compare the therapeutic effect and safety of restrictive versus massive fluid resuscitation in patients with traumatic hemorrhagic shock (TSH). METHODS: Ninety TSH patients treated in the ICU of the Second Affiliated Hospital of Zhejiang University School of Medicine from June 2020 to January 2021 were recruited for this retrospective study. Among them, 47 cases received restrictive fluid resuscitation (RFR) after admission who were considered as the observation group (OG), while the other 43 cases were given massive fluid resuscitation (MFR) who were treated as the control group (CG). The clinical indices, coagulation function, blood gas analysis, mortality within 72 h, duration of mechanical ventilation, and ICU stay were compared between the two groups, and the amount of resuscitation fluid given and complications that occurred during treatment were recorded. Multivariate logistic regression analysis was used to screen the independent risk factors for complications. RESULTS: In comparison to the CG, the resuscitation time, infusion volume, and lactate level in the OG were lower after treatment, while the hemoglobin level and blood gas residual base value (BE) were higher. Besides, the activated partial thromboplastin time (APTT), thrombin time (TT) and prothrombin time (PT) levels and arterial blood carbon dioxide partial pressure (PaCO2) in the OG were lower, while arterial blood oxygen partial pressure (PaO2) and pH were higher. The duration of mechanical ventilation and ICU stay in the OG after treatment were lower, and there was no statistical difference in mortality and complication rates within 72 h. Lower mean arterial pressure (MAP), higher APACHE II (Acute Physiology and Chronic Health Evaluation II) and longer resuscitation time were independent risk factors for complications in patients with traumatic shock. CONCLUSION: TSH treatment with RFR can effectively accelerate patients' resuscitation with less volume of infusion of resuscitation fluid, reduced time of mechanical ventilation and ICU hospitalization, and promote the recovery of coagulation function. It has good effects and is very suitable for clinical application.

19.
Mol Immunol ; 152: 207-214, 2022 12.
Article in English | MEDLINE | ID: mdl-36375296

ABSTRACT

Nowadays, umbilical cord blood (UCB) cells has been increasingly replacing fetal and adult-derived cells in adoptive cell therapy. However, gene expression and chromatin accessibility in umbilical cord blood cells has not yet been fully elucidated. In this study, we used an integration of scRNA-seq with the scATAC-seq technology to perform unbiased analysis of UCBCs over developmental time from 31 gestational week (GW) to 37 GW in humans. We identified several distinct cell types (erythroid cell, T cell, B cell, erythroid precursor cells, NK cell, and endothelial progenitor cell) and subpopulations (6 different clusters of erythroid cells) in UCB cells. In addition, we also identified a series of differentially expressed genes and chromatin accessibility in each cell type between different gestational weeks. Interestingly, the gene expression pattern of umbilical cord blood cells from normal fetuses of similar gestational weeks were more consistent. In conclusion, our analysis presents a better understanding of the chromatin landscape and regulatory networks in UCB cells.


Subject(s)
Chromatin , Single-Cell Analysis , Adult , Humans , Pregnancy , Female , Fetal Blood , Gene Expression
20.
Huan Jing Ke Xue ; 43(10): 4392-4400, 2022 Oct 08.
Article in Chinese | MEDLINE | ID: mdl-36224125

ABSTRACT

The low-carbon green transformation and the earlier peak in coal consumption and carbon emissions of the steel industry will make important contributions to the overall carbon peaking goal and high-quality economic development in China. Based on the carbon emission-energy integration model, we conducted a scenario study on the path of coal control and carbon reduction under the "carbon peak and neutralization" target of the steel industry. The results showed that the steel industry is likely to achieve a carbon peak in the early stage of the "14th Five-Year Plan," with a peak value of 1.64-1.67 billion tons (including process and indirect emissions), and coal will also peak together as the main form of energy consumption, with a peak value of 460-470 million tons of standard coal (including coke). In the most aggressive intensification scenario, coal consumption and carbon emissions will drop to 38% and 49%, respectively, in 2035. The yield of crude steel will largely dominate the carbon peaking of the steel industry. Promoting the short process of all-scrap electric furnaces and increasing the utilization of scrap steel are the most important measures to control coal and reduce carbon in the carbon peak stage. The roadmap for coal control and carbon reduction based on the forecasted results showed that, on the demand side, the yield of crude steel will reach its peak and begin to decline, with the level of industrialization and urbanization gradually reaching the level of developed countries, even without considering the constraints of the carbon peak and neutralization target, the growth of steel demand brought about by the construction of new energy-related infrastructure during the period of achieving carbon neutrality is relatively limited. In terms of technological progress, promoting the application of long-process energy-saving and carbon-reducing technology is a cost-effective measure in the short term, and by increasing the average ratio of blast furnace pellets at the same time, the carbon capture and storage technology will have greater carbon emission reduction potential in the long term. In terms of production capacity structure, promoting the short process of all-scrap electric furnaces is the main measure of the steel industry in the carbon peak stage, and the proportion of electric furnace steel will increase to 15%-20% by the end of the "14th Five-Year Plan" period. Under the carbon neutrality target, hydrogen metallurgy is the only production process with ultra-low carbon emission potential. In the future, with the increase in the supply of green hydrogen produced by renewable energy or waste heat, hydrogen metallurgy will become a steel production process that is as important as the short process of electric furnaces based on scrap steel.

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