Early warning of atrial fibrillation using deep learning.

Atrial fibrillation (AF), the most prevalent cardiac rhythm disorder, significantly increases hospitalization and health risks. Reverting from AF to sinus rhythm (SR) often requires intensive interventions. This study presents a deep-learning model capable of predicting the transition from SR to AF on average 30.8 min before the onset appears, with an accuracy of 83% and an F1 score of 85% on the test data. This performance was obtained from R-to-R interval signals, which can be accessible from wearable technology. Our model, entitled Warning of Atrial Fibrillation (WARN), consists of a deep convolutional neural network trained and validated on 24-h Holter electrocardiogram data from 280 patients, with 70 additional patients used for testing and further evaluation on 33 patients from two external centers. The low computational cost of WARN makes it ideal for integration into wearable technology, allowing for continuous heart monitoring and early AF detection, which can potentially reduce emergency interventions and improve patient outcomes.

Evaluation of the Effectiveness of In-Hospital Exercise Rehabilitation in Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus Combined with Sarcopenia Effect of Lifestyle Management on Disease Status in Patients with Type 2 Diabetes Mellitus.

OBJECTIVE: The aim of this study was to explore the effects of in-hospital exercise rehabilitation on glucose and lipid metabolism and healthy physical fitness in middle-aged and elderly patients with type 2 diabetes mellitus (T2DM) combined with sarcopenia, and to provide a reference for the effective implementation of exercise rehabilitation for middle-aged and elderly patients with T2DM combined with sarcopenia in healthcare institutions. METHODS: This study retrospectively included 122 patients with T2DM combined with sarcopenia treated at the General Hospital of Ningxia Medical University from August 2017 to August 2020 and randomly divided into a control group and an experimental group. The control group was given conventional treatment and the experimental group was given exercise rehabilitation in the hospital for 12 weeks to compare the indexes related to glucose and lipid metabolism and healthy fitness in the two groups. RESULTS: After the intervention, the experimental group showed significant decreases in fasting blood glucose (FBG), glycated hemoglobin (HbA1c), insulin resistance index (HOMA-IR), triglycerides (TG), total cholesterol (TC), low-density cholesterol (LDL-C) and body fat percentage (p < 0.05), while high-density cholesterol (HDL-C), grip strength, lower limb extension, lower limb flexion, peak oxygen uptake were significantly higher (p < 0.05) and were more significant at 12 weeks compared to the 6-week intervention (p < 0.05). However, there were no significant changes in any of the glucose metabolism indicators in the control group before and after the intervention. A two-way repeated measures ANOVA showed that at control baseline levels, HbA1c decreased significantly in the experimental group after both 6 and 12 weeks of intervention compared to the control group (p < 0.05). After 6 weeks of intervention, the experimental group showed a significant decrease in body fat percentage and a significant increase in grip strength. After 12 weeks of intervention, the experimental group showed an increase in glycemic control from 33.3% to 73.3%, a significant decrease in body fat percentage and a significant increase in grip strength, lower limb extension and lower limb flexion strength and peak oxygen uptake. CONCLUSION: In-hospital exercise rehabilitation can effectively improve the glycemic and lipid profiles of patients with T2DM combined with sarcopenia and enhance their health fitness, with good clinical rehabilitation effects.

Palladium/Lewis Acid Co-catalyzed Cyclocarbonylation of (2-Aminoaryl)(aryl)methanols: An Access to 3-Aryl-indolin-2-ones.

A benign approach to valuable 3-aryl-indolin-2-ones was developed based on palladium(II)/Lewis acid-cocatalyzed cyclocarbonylation of readily available (2-aminoaryl)(aryl)methanols. The protocol features producing water as the only byproduct, mild reaction conditions, and good efficiency, constituting an array of 3-arylindolin-2-ones in yields of 35 to 90%. The reaction can be easily scaled up to the gram scale in good yields.

Simple Way to Fabricate Emissive Boron-Containing Covalent Organic Frameworks.

Highly fluorescent covalent organic frameworks (COFs) are rarely obtained because of the π-π stacked layers with aggregation-caused quenching behavior. Unarguably, highly fluorescent COFs with tunable emission colors are even more rarely achieved. Herein, a general strategy to modify the classical COF material (named COF-1) by different fluorescent molecules via N → B interaction was developed. In this method, the boron-containing COF-1 acted as a porous and crystalline matrix as well as a reaction partner of Lewis acid; after interacting with fluorescent molecules with the anchoring group of pyridine (Lewis base), COF-1 takes a gorgeous transfiguration from a non-emissive powder into a highly fluorescent COF material with tunable emission colors. This disclosed method endowed the typical COFs with new emissive life and is speculated with the general research concept for all boron-containing COFs. Benefiting from the prominent fluorescent emission in the aggregation state, sensitive probes toward amines are achieved.

Copper-Catalyzed Asymmetric Boroprotonation of Phosphinylallenes.

Synthesis of chiral phosphorus compounds from readily available substrates by a facile method is an attractive strategy. In this study, an efficient route for copper-catalyzed asymmetric boroprotonation of phosphinylallenes with bis(pinacolato)diboron with high regioselectivity was developed, affording chiral allylphosphine oxides in high yields with high enantioselectivities of up to 98% ee. The synthetic utility was further demonstrated by the facile transformation of the chiral allylphosphine oxides to several stereospecific products.

The molecular mechanism of baicalein repressing progression of gastric cancer mediating miR-7/FAK/AKT signaling pathway.

BACKGROUND: Baicalein (BAI) has a significant anti-cancerous function in the treatment of gastric cancer (GC). Focal adhesion kinase (FAK) is a key regulatory molecule in integrin and growth factor receptor mediated signaling. MicroRNA-7 (miR-7), has been considered as a potential tumor suppressor in a variety of cancers. However, the possible mechanisms by which BAI inhibiting progression of gastric cancer mediating miR-7/FAK/AKT signaling pathway remain unclear. PURPOSE: To investigate the molecular mechanism and effects of BAI inhibiting progression of gastric cancer mediating miR-7/FAK/AKT signaling pathway. METHODS: Gastric cancer cell lines with FAK knockdown and overexpression were constructed by lentivirus transfection. After BAI treatment, the effects of FAK protein on proliferation, metastasis and angiogenesis of gastric cancer cells were detected by MTT, EdU, colony formation, wound healing, transwell and Matrigel tube formation assays. In vivo experiment was performed by xenograft model. Immunofluorescence and western blot assay were used to detect the effects of FAK protein on the expression levels of EMT markers and PI3K/AKT signaling pathway related proteins. qRT-PCR and luciferase reporter assay were used to clarify the targeting relationship between miR-7 and FAK. RESULTS: BAI can regulate FAK to affect proliferation, metastasis and angiogenesis of gastric cancer cells through PI3K/AKT signaling pathway. qRT-PCR showed BAI can upregulated the expression of miR-7 and luciferase reporter assay showed the targeting relationship between miR-7 and FAK. Additionally, miR-7 mediates cell proliferation, metastasis and angiogenesis by directly targeting FAK 3'UTR to inhibit FAK expression. CONCLUSION: BAI repressing progression of gastric cancer mediating miR-7/FAK/AKT signaling pathway.

Distinct impacts of vapor transport from the tropical oceans on the regional glacier retreat over the Qinghai-Tibet Plateau.

An influence of precipitation on the glacier changes over the Qinghai-Tibet Plateau (QTP) is investigated in this paper. The results show that the glacial loss rates of glaciers in the QTP are significantly correlated with the interannual changes of precipitation and low cloud cover. The water vapor, importing with the warm and wet airflows from the Asian Monsoon regions, significantly influence the precipitation in the southern and northern glacier areas of the QTP in the summer monsoon season. The three-dimensional changes of water vapor transport can lead to the difference of water balance between different glacier areas. Under global warming, the northwest QTP is in the ascending branch of the vertical water driven thermally by the tropical Indian Ocean. The warm water vapor from the tropical ocean climbs to the QTP, forming a significant supply effect of precipitation in the northwestern glacier area, which makes the glacier retreat at a relatively slow rate. Meanwhile, the southern and southeastern QTP regions are in the descending branch of vapor transport with the declining trend in the lower troposphere, which lead to the shortage water supply aggravating the glacier loss in the southern and southeastern QTP.

Effect of Amoxicillin and Clavulanate Potassium Combined with Bazhengsan on Pediatric Urinary Tract Infection.

OBJECTIVE: To explore the therapeutic effect of amoxicillin and clavulanate potassium combined with Bazhengsan on pediatric urinary tract infection (UTI). METHODS: The data of 120 UTI children treated in Wuhan Xinzhou District People's Hospital from February 2019 to February 2020 were retrospectively analyzed. They were equally split into experimental group (EG) and control group (CG) according to the order of admission. All children were treated with amoxicillin and clavulanate potassium for suspension (twice a day), and EG was additionally treated with one dose of Bazhengsan daily. Both groups were treated for 10 days. After treatment, the immune function indexes, inflammatory factor levels, and clinical efficacy were compared before and after treatment. RESULTS: No remarkable differences in the general data such as blood routine and urine routine results were observed between the two groups before treatment (P > 0.05). After treatment, EG achieved obviously better immune function indexes (P < 0.001) and lower levels of inflammatory factors (P < 0.05) compared with CG. Besides, the treatment effective rate in EG (96.7%) was higher than that in CG (P < 0.05). CONCLUSION: Amoxicillin and clavulanate potassium combined with Bazhengsan can improve the immune function of UTI children and reduce the levels of inflammatory factors, with remarkable effects, which should be popularized in practice.

Long non-coding RNA ABHD11-AS1 promotes colorectal cancer progression and invasion through targeting the integrin subunit alpha 5/focal adhesion kinase/phosphoinositide 3 kinase/Akt signaling pathway.

Long non-coding (lnc)RNA ABHD11-AS1 participates in the development and progress of various cancers, but its role in colorectal cancer (CRC) remains poorly known. In the present study, public database analysis and quantitative reverse transcription PCR of CRC and normal tissues showed that ABHD11-AS1 was overexpressed in CRC and associated with poor prognosis in CRC patients. Both in vitro and in vivo experiments demonstrated that loss-of-function of ABHD11-AS1 attenuated the proliferation, migration, and invasion of CRC cells and induced their apoptosis. Transcriptome sequencing and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis indicated that the phosphoinositide 3 kinase (PI3K)/Akt signaling pathway is a potential target of ABHD11-AS1. Additionally, we noted that ABHD11-AS1 deficiency reduced integrin subunit alpha (ITGA)5 expression, and impaired the phosphorylation of P85, focal adhesion kinase (FAK), and Akt1 in CRC cell lines and tumor tissues of nude mice. Furthermore, we observed that ITGA5 overexpression abrogated the effect of ABHD11-AS1 knockdown on the proliferation and invasion abilities of CRC cells. Taken together, our studies suggest that lncRNA ABHD11-AS1 promotes proliferation, migration, and invasion in CRC by activating the ITGA5/Fak/PI3K/Akt signaling pathway, and that the ITGA5/Fak/PI3K/Akt axis is a promising target for CRC therapy.

Functional Copolymers Married with Lanthanide(III) Ions: A Win-Win Pathway to Fabricate Rare Earth Fluorescent Materials with Multiple Applications.

Lanthanide(III)-based luminescent materials have attracted great research interests due to their unique optical, electronic, and chemical characteristics. Up to now, how to extend these materials into large, broad application fields is still a great challenging task. In this contribution, we are intended to present a simple but facile strategy to enhance the luminescence from lanthanide ions and impart lanthanide(III)-based luminescent materials with more applicable properties, leading to meet the requirements from different purposes, such as being used as highly emissive powders, hydrogels, films, and sensitive probes under external stimuli. Herein, a water soluble, blue color emissive, temperature sensitive, and film-processable copolymer (Poly-ligand) was designed and synthesized. Upon complexing with Eu3+ and Tb3+ ions, the red color-emitting Poly-ligand-Eu and green color-emitting Poly-ligand-Tb were produced. After finely tuning the ratios between them, a standard white color emitting Poly-ligand-Eu1:Tb4 (CIE = 0.33 and 0.33) was obtained. Furthermore, the resulted materials not only possessed the emissive luminescent property but also inherited functions from the copolymer of Poly-ligand. Thus, these lanthanide(III)-based materials were used for fingerprint imaging, luminescent soft matters formation, colorful organic light-emitting diode device fabrication, and acid/alkali vapors detection.

FERMT1 promotes gastric cancer progression by activating the NF-κB pathway and predicts poor prognosis.

Recent studies have reported that FERMT1, a newly discovered adhesion protein, contributes to an aggressive phenotype in several solid malignancies. However, the function and regulatory mechanism of FERMT1 in gastric cancer remain unknown. We found that FERMT1 was overexpressed in gastric cancer tissues compared with normal tissues. Clinical data analysis indicated that the expression of FERMT1 correlated with the overall survival of gastric cancer patients. Patients with higher FERMT1 expression had lower survival rates than patients with lower FERMT1 expression. We established stable cell lines with FERMT1 knockdown and overexpression. In vitro and in vivo experiments indicated that knockdown of FERMT1 inhibited the proliferation, invasion, metastasis, and epithelial-mesenchymal transition of gastric cancer cells. Mechanistically, FERMT1 was found to activate NF-κB signaling by promoting the degradation of IκBα, thereby promoting gastric cancer. These results provide new evidence of the oncogenic effects of FERMT1 in gastric cancer and suggest that FERMT1 might be a promising target for gastric cancer treatment.

Pd-Catalyzed Decarboxylative Cycloaddition of Vinylethylene Carbonates with Isothiocyanates.

An efficient route for formal [3 + 2] cycloaddition of vinylethylene carbonates with isothiocyanates was developed for the synthesis of 1,3-oxazolidine-2-thione derivatives. The zwitterionic π-allyl palladium intermediates formed in situ by decarboxylation of VECs acted as the three-membered synthons. In this transformation, the C-N bond formation was selectively realized over the C-S bond formation.

Facile Polymerization Strategy for the Construction of Eu3+-Based Fluorescent Materials with the Capability of Distinguishing D2O from H2O.

Aggregation-induced emission (AIE) and antenna effect (AE) are two important luminescence behaviors. Connecting them into polymers is a promising but challenging work, which can supply opportunities for luminescence materials with extensive applications. In this work, AIE-active Eu3+-coordinated polymers (Poly-Eu-1, -2, -3, and -4) have been synthesized, and the efficient AE was verified. This finding presents a facile approach to obtain the Ln3+-based solid luminescence materials due to the synergistic effect from AIE and AE. Also, benefiting from the film-processing ability and water solubility, Poly-Eu-1, -2, -3, and -4 could be employed with different application purposes. In the solution phase, they can be used as sensitive optical probes to detect trace amounts of H2O and D2O, and the limit of detection (LOD) of Poly-Eu-2 toward D2O in H2O is determined to be 7.8 ppm. This discovery is a novel strategy for the construction of D2O optical sensors with a totally intervention-free style.

Targeted molecular profiling of genetic alterations in colorectal cancer using next-generation sequencing.

Colorectal cancer (CRC) is a major contributor to cancer-associated mortality in China and remains a vast challenge worldwide. Although the genetic basis of CRC has been investigated, the uncommonly mutated genes in CRC remain unknown, in particular in the Asian population. In the present study, targeted region sequencing on 22 CRC and 10 paired non-cancerous tissues was performed to determine the genetic pattern of CRC samples in the Chinese population. Driver genes were detected by three distinct softwares, including MutSigCV, oncodriveFM and iCAGES. A total of 1,335 reliable somatic mutations were identified in tumour samples compared with normal samples. Furthermore, mismatch repair (MMR) mutant patients presented significantly higher mutation density compared with MMR wild-type patients. The results from MutSigCV, oncodriveFM and iCAGES analyses simultaneously detected 29 unique driver genes. In addition, the genes APC regulator of WNT signaling pathway, SMAD family member 4, neurofibromin 1, AT-rich interaction domain 5B and nuclear receptor corepressor 1 were the top five most frequently mutated genes in CRC samples, with mutation rates of 68, 36, 36, 32 and 27%, respectively. The findings from the present study may therefore serve as a basis for future investigation on the diagnosis and oncogenesis of CRC.

Synthesis of AIE-Active Materials with Their Applications for Antibacterial Activity, Specific Imaging of Mitochondrion and Image-Guided Photodynamic Therapy.

In comparison with fluorescence molecules with aggregation-caused quenching (ACQ), fluorescence molecules with aggregation-induced emission (AIE) have great advantages in cell imaging, image-guided photodynamic therapy (PDT), and antibacterial activity. However, the reasonable design and synthesis of related molecules are still of great challenges. Herein, a consecutive strategy via several reliable reactions to prepare a series of AIE-active luminogens by adjusting their structures is reported. Having concentrated on the factors for the principle purpose of 1O2 generation, TPA-18 is picked out within all triphenylamine (TPA) derivatives according to its longer emission wavelength (640 nm in solid), the lowest energy gap between HOMO and LUMO (calculated as 2.04 eV), the totally separated orbital distributions of HOMO and LUMO, and typical AIE characteristics. Meanwhile, owing to the presence of the positive structural charge and the bright emission color, TPA-18 in aggregated form is detected as an impressive probe for the mitochondria-targeted imaging and living zebrafish embryos imaging in vivo. Accordingly, TPA-18 can effectively generate 1O2 reactive oxygen species; it provides an effective application for image-guided photodynamic cancer treatment and antibacterial activity. Therefore, this study not only synthesized AIE photosensitizer with tunable emission wavelength (from blue to red color) but also raised a new concept for the constructing AIEgens with versatile applications in cell imaging, antibacterial activity, and image-guided PDT.

Detection and defense of active attacks for generating secret key from wireless channels in static environment.

In quasi-static or static environments, generating secret key from wireless channels is bad randomness and vulnerable to active attacks. To improve randomness of the generated secret key, singular value decomposition (SVD) techniques are used to construct equivalent wireless channels in multiple-input multiple-output (MIMO) systems. SVD techniques and private pilot are used to detect active attacks by authenticating sender based on wireless channels. To defend passive eavesdropping and active attacks, the concept of one time pad is used to encrypt wireless channels with private pilot. The proposed SKG scheme based on private pilot and SVD techniques can not only detect whether SKG suffers active attacks, but also defend man-in-the-middle attack, impersonation attack, signal injection attack, passive eavesdropping. What is more, the SKG scheme can obtain higher SKG rate and randomness than the approach via random beam-forming. Theoretical analysis and simulation results prove the above results again.

RBCK1 contributes to chemoresistance and stemness in colorectal cancer (CRC).

Chemotherapy is an essential treatment for colorectal cancer (CRC). However, colorectal cancer cells often develop resistance to chemotherapeutic drugs, resulting in relapse and poor patient prognosis. Growing studies indicate that tumor cells with stem cell-like features could promote resistance to chemotherapeutic agents. In this study, we demonstrated that RANBP2-type and C3HC4-type zinc finger-containing 1 (RBCK1) expression was markedly increased by cancer-associated fibroblasts (CAFs). First, we found that RBCK1 was over-expressed in chemoresistant CRC tumors and promoted chemoresistance in CRC cells. High RBCK1 expression was significantly correlated with poor prognosis in CRC patients. RBCK1 inhibition promoted sensitivity to chemotherapeutic drugs, and prevented migration and invasion in CRC cells. In addition, RBCK1 knockdown reduced cancer stemness by decreasing the expression of Nanog, Oct4, Sox2 and Klf4 in CRC cell lines. Furthermore, RBCK1 expression was significantly up-regulated in CRC cells cultured with conditioned medium (CM) derived from CAFs. Moreover, CAF-derived CM enhanced stemness and chemoresistance in CRC cells by over-expressing RBCK1. The in vivo experiments confirmed that RBCK1 knockdown promoted the chemotherapeutic drug sensitivity in a xenograft model. Taken together, these finding indicated that RBCK1 modulated chemosensitivity in CRC, and could be served as a promising therapeutic target for CRC prevention.

Palladium(II)/Lewis Acid Cocatalyzed Oxidative Annulation of 2-Alkenylanilines and Propargylic Esters: An Access to Benzo[b]azepines.

An attractive approach to valuable yet synthetically challenging benzo[b]azepines was established via palladium(II)/Lewis acid cocatalyzed oxidative [5 + 2] annulation of readily available 2-alkenylanilines and propargylic esters. The protocol features mild reaction conditions and good functional group tolerance, constituting an array of benzo[b]azepines in yields of 30-75%.

WITHDRAWN: STK33/ERK2 signal pathway contribute the tumorigenesis of colorectal cancer HCT15 cells.

Ahead of Print article withdrawn by publisher.

STK33/ERK2 signal pathway contribute the tumorigenesis of colorectal cancer HCT15 cells.

Serine/threonine kinase 33 (STK33) is a serine/threonine kinase and participates in many apoptotic process. Herein, we found that the extracellular signal-regulated kinase 2 (ERK2) was a substrate of STK33. STK33 phosphorylated ERK2 and increased the activity of ERK2 and promote the tumorigenesis of colorectal cancer HCT15 cells. Clinical simple showed that STK33 was highly expression in colorectal cells and tissues. Ex vivo and in vivo studies demonstrated that STK33 accelerate tumorigenic properties in NCM460 cells and athymic nude rats. In vitro kinase assay results indicated that STK33 can phosphorylate ERK2. Ex vivo studies further showed that STK33 can bind with ERK2 and take part in the regulation of ERKs signaling pathway. In short, our results showed that STK33 is a novel upstream kinase of ERK2. It may provide a better prospect for STK33 based prevention and treatment for colorectal cancer patients.