Correlation between plasma glutathione peroxidase 4 and N-acetylneuraminic acid levels with clinical risk stratification and prognosis of patients with acute coronary syndrome.

OBJECTIVES: To investigate the correlation between plasma glutathione peroxidase 4 (GPX4) and N-acetyl-neuraminic acid (Neu5Ac) with clinical risk stratification and outcomes of acute coronary syndrome (ACS) patients. METHODS: Between October 2018 and July 2019, 413 patients that were scheduled for coronary angiography were enrolled in this prospective study at the First Affiliated Hospital of Bengbu Medical College, Bengbu, China. Patients were divided into control and ACS groups. Patients with ACS were divided into 3 risk levels based on their thrombolysis in myocardial infarction risk score. After discharge, ACS patients were followed for the incidence of major adverse cardiac events (MACEs). For the analysis of cumulative endpoint event occurrences, the Kaplan-Meier method was applied. RESULTS: The ACS group had lower plasma GPX4 but higher Neu5Ac levels than the control group. There was a greater increase in plasma Neu5Ac in the high-risk group when compared with the medium-risk and low-risk groups, while GPX4 levels were higher in the low-risk group. The MACEs group had higher plasma Neu5Ac but lower GPX4 levels than the non-MACEs group. The plasma Neu5Ac was an independent risk factor but GPX4 was a protective factor for MACEs. CONCLUSION: Glutathione peroxidase 4 and Neu5Ac levels in plasma can be used to diagnose, stratify risks, and predict long-term outcomes in patients with ACS.

Construction of sustainable and multifunctional polyester fabrics via an efficiently and eco-friendly spray-drying layer-by-layer strategy.

Polyester fabric (PET fabric) has aroused widespread attention from people thanks to the advantages of smooth feel, easy washing, quick-drying, high strength, and chemical resistance. However, PET fabric's wide application has been limited by its hydrophobicity, poor resistance to bacterial contamination, and static accumulation. Herein, a super-hydrophilic PET fabric was achieved via a spray-drying layer-by-layer self-assembly method for comfortable garment manufacturing. The as-prepared PET fabric exhibited good superhydrophilicity, excellent antistatic property, and durable antibacterial performance. Moreover, the water contact angle of the treated fabric decreased to 0° from 121° of the original PET fabric, and the capillary height also increased from 7.1 cm to 21.4 cm. Besides, the treated fabric showed a durable antibacterial rate of 99.5% against both Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) after ten standard washing cycles. The prepared fabric was also identified with good cytocompatibility, making it a good material for garments in real life. Promisingly, this novel approach can be easily integrated into the finishing of textiles and is expected to be applied to various substrates with superhydrophilic and antibacterial properties.