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1.
IEEE J Biomed Health Inform ; 28(5): 3015-3028, 2024 May.
Article in English | MEDLINE | ID: mdl-38446652

ABSTRACT

The infant sleep-wake behavior is an essential indicator of physiological and neurological system maturity, the circadian transition of which is important for evaluating the recovery of preterm infants from inadequate physiological function and cognitive disorders. Recently, camera-based infant sleep-wake monitoring has been investigated, but the challenges of generalization caused by variance in infants and clinical environments are not addressed for this application. In this paper, we conducted a multi-center clinical trial at four hospitals to improve the generalization of camera-based infant sleep-wake monitoring. Using the face videos of 64 term and 39 preterm infants recorded in NICUs, we proposed a novel sleep-wake classification strategy, called consistent deep representation constraint (CDRC), that forces the convolutional neural network (CNN) to make consistent predictions for the samples from different conditions but with the same label, to address the variances caused by infants and environments. The clinical validation shows that by using CDRC, all CNN backbones obtain over 85% accuracy, sensitivity, and specificity in both the cross-age and cross-environment experiments, improving the ones without CDRC by almost 15% in all metrics. This demonstrates that by improving the consistency of the deep representation of samples with the same state, we can significantly improve the generalization of infant sleep-wake classification.


Subject(s)
Intensive Care Units, Neonatal , Sleep , Video Recording , Humans , Infant, Newborn , Video Recording/methods , Sleep/physiology , Monitoring, Physiologic/methods , Male , Female , Infant, Premature/physiology , Neural Networks, Computer , Wakefulness/physiology , Infant , Image Processing, Computer-Assisted/methods
2.
IEEE J Biomed Health Inform ; 28(5): 2794-2805, 2024 May.
Article in English | MEDLINE | ID: mdl-38412075

ABSTRACT

Heart rate variability (HRV) is a crucial metric that quantifies the variation between consecutive heartbeats, serving as a significant indicator of autonomic nervous system (ANS) activity. It has found widespread applications in clinical diagnosis, treatment, and prevention of cardiovascular diseases. In this study, we proposed an optical model for defocused speckle imaging, to simultaneously incorporate out-of-plane translation and rotation-induced motion for highly-sensitive non-contact seismocardiogram (SCG) measurement. Using electrocardiogram (ECG) signals as the gold standard, we evaluated the performance of photoplethysmogram (PPG) signals and speckle-based SCG signals in assessing HRV. The results indicated that the HRV parameters measured from SCG signals extracted from laser speckle videos showed higher consistency with the results obtained from the ECG signals compared to PPG signals. Additionally, we confirmed that even when clothing obstructed the measurement site, the efficacy of SCG signals extracted from the motion of laser speckle patterns persisted in assessing the HRV levels. This demonstrates the robustness of camera-based non-contact SCG in monitoring HRV, highlighting its potential as a reliable, non-contact alternative to traditional contact-PPG sensors.


Subject(s)
Electrocardiography , Heart Rate , Photoplethysmography , Signal Processing, Computer-Assisted , Humans , Heart Rate/physiology , Electrocardiography/methods , Adult , Photoplethysmography/methods , Male , Female , Young Adult
3.
Biomed Opt Express ; 15(1): 428-445, 2024 Jan 01.
Article in English | MEDLINE | ID: mdl-38223168

ABSTRACT

Regular and narrow-band RGB cameras are recently explored for contactless SpO2 monitoring. Regular RGB cameras with cross-band overlap provide a high signal-to-noise-ratio (SNR) in measuring the photoplethysmographic signals but possess high dependency on the spectra of incident light, whereas narrow-band RGB cameras have better spectral independence but lower SNR especially in dim lighting conditions, such as in the neonatal intensive care unit (NICU). This paper proposes a notch RGB camera based SpO2 measurement approach that uses an optical notch filter to attenuate the wavelengths of 580-605 nm of a regular RGB camera to improve the spectral independence while maintaining high SNR in signal measurement. The proposed setup was validated in the lab condition (e.g. dark chamber) against the existing solutions for visible-light based camera-SpO2 measurement and further verified in the NICU on preterm infants. The clinical trial conducted in the NICU with 22 preterm infants shows that the notch RGB camera can achieve a mean absolute error (MAE) less than 4% for SpO2 measurement. This is the first showcase of continuous monitoring of absolute camera-SpO2 values in the NICU.

4.
Bioengineering (Basel) ; 10(11)2023 Nov 09.
Article in English | MEDLINE | ID: mdl-38002421

ABSTRACT

BACKGROUND: The puncture procedure in percutaneous endoscopic lumbar discectomy (PELD) is non-visual, and the learning curve for PELD is steep. METHODS: An augmented reality surgical navigation (ARSN) system was designed and utilized in PELD. The system possesses three core functionalities: augmented reality (AR) radiograph overlay, AR puncture needle real-time tracking, and AR navigation. We conducted a prospective randomized controlled trial to evaluate its feasibility and effectiveness. A total of 20 patients with lumbar disc herniation treated with PELD were analyzed. Of these, 10 patients were treated with the guidance of ARSN (ARSN group). The remaining 10 patients were treated using C-arm fluoroscopy guidance (control group). RESULTS: The AR radiographs and AR puncture needle were successfully superimposed on the intraoperative videos. The anteroposterior and lateral AR tracking distance errors were 1.55 ± 0.17 mm and 1.78 ± 0.21 mm. The ARSN group exhibited a significant reduction in both the number of puncture attempts (2.0 ± 0.4 vs. 6.9 ± 0.5, p = 0.000) and the number of fluoroscopies (10.6 ± 0.9 vs. 18.5 ± 1.6, p = 0.000) compared with the control group. Complications were not observed in either group. CONCLUSIONS: The results indicate that the clinical application of the ARSN system in PELD is effective and feasible.

5.
Bioengineering (Basel) ; 10(9)2023 Sep 18.
Article in English | MEDLINE | ID: mdl-37760196

ABSTRACT

BACKGROUND: In minimally invasive spine surgery (MISS), where the surgeon cannot directly see the patient's internal anatomical structure, the implementation of augmented reality (AR) technology may solve this problem. METHODS: We combined AR, artificial intelligence, and optical tracking to enhance the augmented reality minimally invasive spine surgery (AR-MISS) system. The system has three functions: AR radiograph superimposition, AR real-time puncture needle tracking, and AR intraoperative navigation. The three functions of the system were evaluated through beagle animal experiments. RESULTS: The AR radiographs were successfully superimposed on the real intraoperative videos. The anteroposterior (AP) and lateral errors of superimposed AR radiographs were 0.74 ± 0.21 mm and 1.13 ± 0.40 mm, respectively. The puncture needles could be tracked by the AR-MISS system in real time. The AP and lateral errors of the real-time AR needle tracking were 1.26 ± 0.20 mm and 1.22 ± 0.25 mm, respectively. With the help of AR radiographs and AR puncture needles, the puncture procedure could be guided visually by the system in real-time. The anteroposterior and lateral errors of AR-guided puncture were 2.47 ± 0.86 mm and 2.85 ± 1.17 mm, respectively. CONCLUSIONS: The results indicate that the AR-MISS system is accurate and applicable.

6.
Dermatol Online J ; 29(2)2023 Apr 15.
Article in English | MEDLINE | ID: mdl-37220285

ABSTRACT

Without prompt diagnosis and treatment, patients with Lyme disease may develop life threatening multi-organ system complications. As such, we discuss the key diagnostic features of the condition along with patient-specific suggested treatment protocols. Additionally, Lyme disease is reportedly expanding to regions that were previously not impacted, key epidemiological features are outlined. We discuss a patient with severe Lyme disease who presented with widespread cutaneous involvement and atypical pathologic findings within an uncharacteristic geographic region. Erythematous, annular patches and plaques with dusky-to-clear centers were initially observed on the right thigh and later extended to the trunk and bilateral lower extremities. The diagnosis of Lyme disease was made clinically and confirmed with western blot testing that was positive for IgM antibodies. The patient additionally had a history of rheumatoid arthritis, for which he discontinued treatment prior to the current presentation with Lyme disease. During follow up visits, the patient noted lower extremity joint pain. Due to the overlapping clinical features of post-Lyme arthritis and rheumatoid arthritis, key differences are outlined to prevent misdiagnosis. Data revealing trends in the geographic distribution of the disease and possible need for increased surveillance and prevention strategies within previously unaffected areas are discussed.


Subject(s)
Arthritis, Rheumatoid , Lyme Disease , Male , Humans , Erythema , Immunoglobulin M , Lower Extremity , Pain
7.
Psychol Res Behav Manag ; 16: 1533-1543, 2023.
Article in English | MEDLINE | ID: mdl-37143904

ABSTRACT

Purpose: The link between academic self-efficacy and academic achievement and its potential mediation by learning engagement was investigated in college students in China. Methods: The Chinese versions of the Academic Self-Efficacy Scale, Academic Achievement Scale, and Learning Engagement Scale were administered to 1158 Chinese college students (544 men, 614 women; age [years]: M=19.37, SD=1.16, ranging from 17 to 30 years; college year: 641 freshmen, 302 sophomores, 197 juniors, 18 seniors). Results: The results showed that, among Chinese college students, there were positive correlations between academic self-efficacy and both academic achievement and learning engagement, and between learning engagement and academic achievement. Additionally, a structural equation model demonstrated that learning engagement could mediate the association between academic self-efficacy and achievement. Conclusion: Academic self-efficacy, learning engagement, and academic achievement were found to be significantly and positively associated in Chinese college students, with the association between self-efficacy and achievement observed to be significantly mediated by learning engagement, which mediates the link between self-efficacy and achievement. As the study was cross-sectional, causal inferences were difficult to determine; thus, longitudinal studies should be conducted in the future for further analysis of the causal relationships between these three variables. The present research results reveal the mechanism by which academic self-efficacy of college students impacts their academic achievement, expanding the research perspective of learning engagement, and can help guide the development of interventions to improve college students' academic achievement.

8.
Psychol Res Behav Manag ; 16: 1257-1270, 2023.
Article in English | MEDLINE | ID: mdl-37095845

ABSTRACT

Purpose: Previous studies show that intergroup contact, through common ingroup identity, has impact on intergroup processes such as reducing intergroup bias, improving intergroup relations, etc. The effect of intergroup contact on individual psychological process (through common ingroup identity), however, needs further exploration. Based on the positive effect of both intergroup contact and ingroup identification on mental health and well-being, this article proposes and tests a new model of individual loneliness reduction through intergroup contact by promoting common ingroup identity. Methods: A total of 263 majority ethnic members and 275 minority ethnic members from China participated in the survey. Intergroup contact, common ingroup identity and loneliness were measured at three time-points (T1-T3) over an 8-month period. Longitudinal mediation analysis and parallel process Latent Growth Curve Model for mediation are used for the examination of the indirect effect of common ingroup identity. Results: Longitudinal mediation analysis showed that intergroup contact quality at T1 positively predicted common ingroup identity at T2, and common ingroup identity at T2 alleviated loneliness at T3. Intergroup contact quality at T1 was indirectly linked to loneliness at T3 via common ingroup identity at T2. The parallel process latent growth curve model for mediation confirmed the robustness of the indirect effect of common ingroup identity. In addition, the growth rate of the quality of intergroup contact increased the growth rate of common ingroup identity, but reduced the growth rate of loneliness. Conclusion: The current study revealed the protectiveness of intergroup contact and common ingroup identity on loneliness, viz., intergroup contact reduces individual loneliness by promoting common ingroup identity, the implication being that intergroup contact and common ingroup identity should be taken into account in intervening process of loneliness prevention so that an individual's physical and mental health could be better safeguarded.

9.
Psychol Res Behav Manag ; 15: 51-69, 2022.
Article in English | MEDLINE | ID: mdl-35027853

ABSTRACT

PURPOSE: Intergroup contact is an effective strategy to improve intergroup relationships. Although intergroup relationships have been studied extensively, the individual roles of quantity and quality of contact in relationships with cognition, emotion, and intention of behavior toward other ethnic minority groups are not fully understood. This study explores the situation via network analysis among Zhuang and Yao ethnic minorities in Southwest China. METHODS: We investigated the quantity and quality of intergroup contact and cognition, emotion, and intention of behavior among a sample of 543 Zhuang and 490 Yao ethnic group members. Data were analyzed using the R-package. Network structures were analyzed via the Qgraph package, and the accuracy and stability of the network were measured via the Bootnet package; communities were detected via the Igraph package; bridge analyses were conducted via the Networktools package; and the network difference was compared via the Network Comparison Test package. RESULTS: The results indicated perceived intimacy is the central node. Quantity of contact constructed a community with "perceived connection," "sense of community," "knowledge about out-group," and "perceived similarity." Meanwhile, quality of contact constructed a community with "intergroup attitude" and a "feeling thermometer." The remainder of the nodes constructed two additional communities. The network global connectivity and structure between the two ethnic groups were highly similar. CONCLUSION: The study examined the quantity and quality of intergroup contact via network analysis for two ethnic minority groups. It was shown that the two groups' global network structures of intergroup contact and their effects are highly similar. Specifically, quantity and quality of contact produce different effects on intergroup relations. Quantity of contact has proximal effects, including instant cognitive and emotional response without depth cognition, while quality of contact has proximal effects that may change deep-seated cognition and subsequently improve intergroup relations.

10.
Comput Methods Programs Biomed ; 212: 106460, 2021 Nov.
Article in English | MEDLINE | ID: mdl-34736173

ABSTRACT

OBJECTIVE: Fluoroscopic guidance is a critical step for the puncture procedure in percutaneous endoscopic transforaminal discectomy (PETD). However, two-dimensional observations of the three-dimensional anatomic structure suffer from the effects of projective simplification. To accurately assess the spatial relations between the patient vertebra tissues and puncture needle, a considerable number of fluoroscopic images from different orientations need to be acquired by the surgeons. This process significantly increases the radiation risk for both the patient and surgeons. METHODS: In this paper, we propose an augmented reality (AR) surgical navigation system for PETD based on multi-modality information, which contains fluoroscopy, optical tracking, and depth camera. To register the fluoroscopic image with the intraoperative video, we design a lightweight non-invasive fiducial with markers and detect the markers based on the deep learning method. It can display the intraoperative video fused with the registered fluoroscopic images. We also present a self-adaptive calibration and transformation method between a 6-DOF optical tracking device and a depth camera, which are in different coordinate systems. RESULTS: With the substantially reduced frequency of fluoroscopy imaging, the system can accurately track and superimpose the virtual puncture needle on fluoroscopy images in real-time. From operating theatre in vivo animal experiments, the results illustrate that the system average positioning accuracy can reach 1.98mm and the orientation accuracy can reach 1.19∘. From the clinical validation results, the system significantly lower the frequency of fluoroscopy imaging (42.7%) and reduce the radiation risk for both the patient and surgeons. CONCLUSION: Coupled with the user study, both the quantitative and qualitative results indicate that our navigation system has the potential to be highly useful in clinical practice. Compared with the existing navigation systems, which are usually equipped with a variety of large and high-cost medical equipments, such as O-arm, cone-beam CT, and robots, our navigation system does not need special equipment and can be implemented with common equipment in the operating room, such as C-arm, desktop, etc., even in small hospitals.


Subject(s)
Imaging, Three-Dimensional , Surgery, Computer-Assisted , Animals , Diskectomy , Fluoroscopy , Humans , Tomography, X-Ray Computed
11.
Materials (Basel) ; 14(16)2021 Aug 09.
Article in English | MEDLINE | ID: mdl-34442972

ABSTRACT

Strain-induced internal electric fields present a significant path to boosting the separation of photoinduced electrons and holes. In addition, piezo-induced positive/negative pairs could be released smoothly, taking advantage of the excellent electroconductibility of some conductors. Herein, the hybrid piezo-photocatalysis is constructed by combining debut piezoelectric nanosheets (Bi4O5I2) and typical conductor multiwalled carbon nanotubes (CNT). The photocatalytic degradation efficiency that the hybrid CNT/Bi4O5I2 exhibits was remarkably increased by more than 2.3 times under ultrasonic vibration, due to the piezo-generated internal electric field. In addition, the transient photocurrent spectroscopy and electrochemical impedance measurement reveal that the CNT coating on Bi4O5I2 enhances the piezo-induced positive/negative migration. Therefore, the piezocatalytic activity of CNT/Bi4O5I2 could be improved by three times, compared with pure Bi4O5I2 nanosheets. Our results may offer promising approaches to sketching efficient piezo-photocatalysis for the full utilization of solar energy or mechanical vibration.

12.
J Forensic Sci ; 66(4): 1564-1569, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33729557

ABSTRACT

Acute iron toxicity in adults is rare, usually occurring due to intentional ingestion in suicide attempts. Few cases of the clinical and autopsy findings in acute iron toxicity have previously been reported in the literature. Ingestion of large amounts of iron salts can lead to hemorrhagic shock, multi-system organ failure, coagulopathy, and death. We present the case of a 25-year-old man who reportedly ingested a large quantity of iron tablets along with ethanol in a suicide attempt and subsequently died approximately 65.5 h later. His clinical course and laboratory findings demonstrated hepatic and renal compromise with markedly elevated serum iron levels. At autopsy, iron encrustations were present over the gastric rugae. Superficial deposits of stainable iron were present overlying areas of mucosal necrosis with underlying submucosal fibrin thrombi. No significant stainable iron was present in the liver. Literature review revealed that the clinical course and laboratory testing of severe acute iron overdose is fairly non-specific. The length and type of treatment may alter the clinical course and laboratory results. Peak serum iron levels may be helpful in differentiating acute toxicity from chronic iron overload states. Gross findings of gastric iron encrustation are specific for acute ingestion when present.


Subject(s)
Iron/poisoning , Suicide, Completed , Trace Elements/poisoning , Adult , Drug Overdose , Esophagus/pathology , Gastric Mucosa/pathology , Humans , Intestinal Mucosa/pathology , Iron/blood , Male , Stomach/pathology , Trace Elements/blood
13.
Am J Dermatopathol ; 42(10): 766-768, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32149834

ABSTRACT

Keloidal morphea is a rare variant of scleroderma, which often can be clinically confused with keloid or scar formation. We report a 34-year-old woman with a medical history of asthma and Raynaud's phenomenon, presented for the evaluation and management of multiple erythematous hyperpigmented annular plaques reportedly developed after taking trimethoprim/sulfamethoxazole. An initial skin biopsy showed findings supportive of a drug eruption. She was treated with oral prednisone and achieved some improvement. She presented 1 year later with enlargement of the plaques and emergence of new lesions. Skin biopsies revealed an unremarkable epidermis with marked fibrosis of the mid-to-deep dermis with sparing of the papillary dermis, and superficial and deep perivascular and perieccrine lymphoplasmacytic inflammation. Verhoeff-Van Gieson staining demonstrated the loss of elastin fibers within the fibrotic areas of the biopsy specimens, which supported the diagnosis of keloidal morphea. Her laboratory tests were positive for antinuclear antibody (greater than 1:1280). She continued treatment with oral prednisone and topical steroids, and she showed improvement. This case highlights the importance of differentiating keloidal scleroderma from a hypertrophic scar or keloid to reveal an underlying systemic process. A correlation of clinical and histopathological findings is paramount to reach a correct diagnosis, ensure appropriate treatment, and monitor for comorbid disease.


Subject(s)
Scleroderma, Localized/diagnosis , Scleroderma, Localized/pathology , Skin/pathology , Adult , Antibodies, Antinuclear/blood , Biopsy , Diagnosis, Differential , Erythema/pathology , Female , Humans , Hyperpigmentation/pathology , Keloid/diagnosis , Keloid/pathology , Scleroderma, Localized/drug therapy
14.
J Hazard Mater ; 378: 120669, 2019 10 15.
Article in English | MEDLINE | ID: mdl-31202057

ABSTRACT

Boron nitride (BN) has received tremendous attention as a promising adsorbent material. However, unsatisfactory uptake capacities over heavy metal ions limit their practical applications. Herein, we have synthesized a novel hierarchical meso/macroporous BN fibers (MBNFs) via a simple carbothermal reduction method using luffa sponge as a template. The as-obtained MBNFs comprise densely arranged parallel macrochannels on a micrometer scale, with mesopores on the surface of the channel. The resulting MBNFs exhibited remarkable adsorption performance for different heavy metal ions including Cd2+, Zn2+, Cr3+, and Pb2+ with maximum uptake capacities as high as 2989, 1885, 723, and 453 mg/g, respectively. In particular, the adsorption capacity for Cd2+ and Zn2+ exceed the highest values reported for BN materials. In addition, the MBNFs showed excellent stability to re-use for a few times. The present MBNFs materials prepared using cheap and earth abundant luffa sponge may find broad applications such as adsorbent for environmental remediation applications.

15.
RSC Adv ; 9(9): 5045-5052, 2019 Feb 05.
Article in English | MEDLINE | ID: mdl-35514666

ABSTRACT

Nobel metal (Au and Ag) nanoparticles are often used in semiconductor photocatalysis to enhance the photocatalytic activity, while inexpensive Cu attracts less attention due to its easy oxidization. Herein, an elaborate study was conducted using Cu-nanoparticle-dispersed amorphous BaTiO3 films as photocatalysts. Photocatalytic and photoelectrochemical measurements demonstrated that the degradation efficiency and photocurrent density of the nanocomposite films are approximately 3.5 and 10 times as high as the pristine BaTiO3 film, respectively, which can be ascribed to a synergetic effect of the surface plasmon resonance and interband excitation. In addition, a good stability was also demonstrated by cyclic tests for the degradation of rhodamine B, which may be due to the amorphous nature of the BaTiO3 matrix providing hole-trapping centers. The high photocatalytic stability suggests that Cu is a promising alternative metal to replace Au and Ag for the development of cost-effective photocatalysts. Our work demonstrates a simple and promising strategy for improving the photostability of Cu nanomaterials and may provide a useful guideline for designing Cu-based composite materials toward various photocatalytic applications such as water pollution treatment.

16.
Physiol Rep ; 6(8): e13677, 2018 04.
Article in English | MEDLINE | ID: mdl-29667749

ABSTRACT

Macrophages (MΦ) are key sentinels of respiratory exposure to inhaled environmental stimuli. In normal "healthy" tissues, MΦ are believed to be a dormant cell type that, upon exposure to stress-causing stimuli, may get activated to exhibit pro- or anti-inflammatory roles. To test whether stress present in chronic bronchitic (CB) airways triggers MΦ to manifest protective or detrimental responses, the DTA+ (LysM-regulated Diphtheria Toxin A expressing) strain with partial MΦ-deficiency was crossed with the Scnn1b-Tg mouse model of CB and the progenies were studied at 4-5 weeks of age. Compared with DTA- littermates, the DTA+ mice had ~50% reduction in bronchoalveolar lavage (BAL) MΦ, and the recovered MΦ were immature, phenotypically distinct, and functionally defective. DTA+/Scnn1b-Tg mice exhibited a similar depletion of LysM+ MΦ offset by a significant increase in LysM- MΦ in the BAL. In DTA+/Scnn1b-Tg mice, lung disease was more severe than in DTA-/Scnn1b-Tg littermates, as indicated by an increased incidence of mucus plugging, mucous cells, airway inflammation, higher levels of cytokines/chemokines (KC, TNF-α, MIP-2, M-CSF, IL-5, and IL-17), and worsened alveolar airspace enlargement. DTA+/Scnn1b-Tg mice exhibited increased occurrence of lymphoid nodules, which was concomitant with elevated levels of immunoglobulins in BAL. Collectively, these data indicate that numerical deficiency of MΦ in stressed airspaces is responded via compensatory increase in the recruitment of immature MΦ and altered non-MΦ effector cell-centered responses, for example, mucus production and adaptive immune defense. Overall, these data identify dynamic roles of MΦ in moderating, rather than exacerbating, the severity of lung disease in a model of CB.


Subject(s)
Bronchitis, Chronic/pathology , Lung/pathology , Macrophages/pathology , Animals , Disease Models, Animal , Mice , Mice, Transgenic
17.
Am J Respir Cell Mol Biol ; 59(3): 383-396, 2018 09.
Article in English | MEDLINE | ID: mdl-29579396

ABSTRACT

Understanding how expression of airway secretory mucins MUC5B and MUC5AC is regulated in health and disease is important to elucidating the pathogenesis of mucoobstructive respiratory diseases. The transcription factor SPDEF (sterile α-motif pointed domain epithelial specific transcription factor) is a key regulator of MUC5AC, but its role in regulating MUC5B in health and in mucoobstructive lung diseases is unknown. Characterization of Spdef-deficient mice upper and lower airways demonstrated region-specific, Spdef-dependent regulation of basal Muc5b expression. Neonatal Spdef-deficient mice exhibited reductions in BAL Muc5ac and Muc5b. Adult Spdef-deficient mice partially phenocopied Muc5b-deficient mice as they exhibited reduced Muc5b in nasopharyngeal and airway epithelia but not in olfactory Bowman glands, 75% incidence of nasopharyngeal hair/mucus plugs, and mild bacterial otitis media, without defective mucociliary clearance in the nasopharynx. In contrast, tracheal mucociliary clearance was reduced in Spdef-deficient mice in the absence of lung disease. To evaluate the role of Spdef in the development and persistence of Muc5b-predominant mucoobstructive lung disease, Spdef-deficient mice were crossed with Scnn1b-transgenic (Scnn1b-Tg) mice, which exhibit airway surface dehydration-induced airway mucus obstruction and inflammation. Spdef-deficient Scnn1b-Tg mice exhibited reduced Muc5ac, but not Muc5b, expression and BAL content. Airway mucus obstruction was not decreased in Spdef-deficient Scnn1b-Tg mice, consistent with Muc5b-dominant Scnn1b disease, but increased airway neutrophilia was observed compared with Spdef-sufficient Scnn1b-Tg mice. Collectively, these results indicate that Spdef regulates baseline Muc5b expression in respiratory epithelia but does not contribute to Muc5b regulation in a mouse model of Muc5b-predominant mucus obstruction caused by airway dehydration.


Subject(s)
Lung Diseases/metabolism , Mucin-5B/metabolism , Mucociliary Clearance/physiology , Proto-Oncogene Proteins c-ets/genetics , Animals , Epithelial Sodium Channels/genetics , Lung Diseases/genetics , Mice, Transgenic , Mucin-5B/genetics
18.
Am J Pathol ; 188(1): 95-110, 2018 01.
Article in English | MEDLINE | ID: mdl-29107074

ABSTRACT

Human subjects with pseudohypoaldosteronism-1 because of loss-of-function mutations in epithelial sodium channel (ENaC) subunits exhibit meibomian gland (MG) dysfunction. A conditional ßENaC MG knockout (KO) mouse model was generated to elucidate the pathogenesis of absent ENaC function in the MG and associated ocular surface disease. ßENaC MG KO mice exhibited a striking age-dependent, female-predominant MG dysfunction phenotype, with white toothpaste-like secretions observed obstructing MG orifices at 7 weeks of age. There were compensatory increases in tear production but higher tear sodium and indexes of mucin concentration in ßENaC MG KO mice. Histologically, MG acinar atrophy was observed with ductal enlargement and ductal epithelial hyperstratification. Inflammatory cell infiltration was observed in both MG and conjunctiva of ßENaC MG KO mice. In older ßENaC MG KO mice (5 to 11 months), significant ocular surface pathologies were noted, including corneal opacification, ulceration, neovascularization, and ectasia. Inflammation in MG and conjunctiva was confirmed by increased cytokine gene and protein expression and positive Ly-6B.2 immunostaining. Cell proliferation assays revealed lower proliferation rates of MG cells derived from ßENaC MG KO than control mice, suggesting that ßENaC plays a role in cell renewal of mouse MG. Loss of ßENaC function resulted in MG disease and severe ocular surface damage that phenocopied aspects of human pseudohypoaldosteronism-1 MG disease and was sex dependent.


Subject(s)
Epithelial Sodium Channels/genetics , Meibomian Glands/metabolism , Pseudohypoaldosteronism/genetics , Tears/metabolism , Animals , Cell Proliferation , Disease Models, Animal , Epithelial Sodium Channels/metabolism , Female , Male , Mice , Mice, Knockout , Phenotype , Pseudohypoaldosteronism/metabolism , Sex Factors
19.
J Phys Chem A ; 120(17): 2657-66, 2016 05 05.
Article in English | MEDLINE | ID: mdl-27070507

ABSTRACT

Today, research is increasingly focused on surface control of semiconductors; however, very little is known about the effect of bulk chemical bonds on photoelectrochemistry properties. In this report, Bi2O(OH)2SO4 with and without specific Bi-O-S bonds (WB and WOB) is synthesized via hydrothermal and water bath methods, respectively, and we reveal the Bi-O-S bond-dependent photoelectrochemistry properties. Both WB and WOB belong to a monoclinic space group (P21/c), but the newly synthesized WB has different unit cell parameters of a = 8.062 Å, b = 8.384 Å, and c = 5.881 Å, compared with WOB (a = 7.692(3) Å, b = 13.87(1) Å, c = 5.688(2) Å). Compared with WOB (4.18 eV), WB has a narrower band gap (3.6 eV), higher electrical conductivity, and an increased charge separation efficiency. It is found that the electrons are easy to transfer along the newly formed Bi-O-S bond in bulk; thus, the Bi-O-S bonds in WB have efficiently improved the photoelectrochemistry properties. As a result, WB exhibits a 1.1 times higher photocatalytic activity than WOB for the degradation of RhB under ultraviolet light irradiation (<420 nm). This helps us to understand the photoelectrochemistry properties from crystal bulk, but not merely from the crystal surface; thus, this study provides a new idea for improved photoelectrochemistry properties of semiconductors.

20.
Invest Ophthalmol Vis Sci ; 57(4): 2328-43, 2016 Apr 01.
Article in English | MEDLINE | ID: mdl-27127933

ABSTRACT

PURPOSE: We establish novel primary rat meibomian gland (MG) cell culture systems and explore the ion transport activities of the rat MG. METHODS: Freshly excised rat MG tissues were characterized as follows: (1) mRNA expression of selected epithelial ion channels/transporters were measured by RT-PCR, (2) localization of epithelial sodium channel (ENaC) mRNAs was performed by in situ hybridization, and (3) protein expression and localization of ßENaC, the Na+/K+/Cl- cotransporter (NKCC), and the Na+/K+ ATPase were evaluated by immunofluorescence. Primary isolated rat MG cells were cocultured with 3T3 feeder cells and a Rho-associated kinase (ROCK) inhibitor (Y-27632) for expansion. Passaged rat MG cells were cultured as planar sheets under air-liquid interface (ALI) conditions for gene expression and electrophysiologic studies. Passaged rat MG cells also were cultured in matrigel matrices to form spheroids, which were examined ultrastructurally by transmission electron microscopy (TEM) and functionally using swelling assays. RESULTS: Expression of multiple ion channel/transporter genes was detected in rat MG tissues. ß-ENaC mRNA and protein were localized more to MG peripheral acinar cells than central acinar cells or ductular epithelial cells. Electrophysiologic studies of rat MG cell planar cultures demonstrated functional sodium, chloride, and potassium channels, and cotransporters activities. Transmission electron microscopic analyses of rat MG spheroids revealed highly differentiated MG cells with abundant lysosomal lamellar bodies. Rat MG spheroids culture-based measurements demonstrated active volume regulation by ion channels. CONCLUSIONS: This study demonstrates the presence and function of ion channels and volume transport by rat MG. Two novel primary MG cell culture models that may be useful for MG research were established.


Subject(s)
Meibomian Glands/metabolism , 3T3 Cells/physiology , Amides/pharmacology , Animals , Cells, Cultured , Coculture Techniques , Fluorescent Antibody Technique , In Situ Hybridization , Ion Channels/physiology , Ion Transport/physiology , Male , Meibomian Glands/cytology , Meibomian Glands/physiology , Mice , Microscopy, Electron, Transmission , Pyridines/pharmacology , Rats , Rats, Sprague-Dawley , Sodium-Potassium-Chloride Symporters/physiology , Sodium-Potassium-Exchanging ATPase/physiology , rho-Associated Kinases/antagonists & inhibitors
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