Characteristics and prognostic implications of peripheral blood lymphocyte subsets in patients with anti-MDA5 antibody positive dermatomyositis-interstitial lung disease.

OBJECTIVES: To examine the characteristics of blood lymphocyte subsets in dermatomyositis-interstitial lung disease (DM-ILD) inflicted patients with positive anti-melanoma differentiation-associated gene 5 (anti-MDA5), as well as its prognosis value in this set of patients. METHODS: Data were retrospectively collected from 253 DM-ILD patients from three hospitals in China between January 2016 to January 2021. Patients were grouped into anti-MDA5 antibody positive group (MDA5+ DM-ILD) and anti-MDA5 antibody negative group (MDA5- DM-ILD) based on myositis-specific autoantibody test results. Demographic characteristics, lymphocyte subsets patterns and other clinical features were compared between the two groups. The association of lymphocyte subsets with 180-day mortality was investigated using survival analysis in MDA5+ DM-ILD. RESULTS: Out of 253 eligible patients with DM-ILD, 59 patients were anti-MDA5+ and 194 were anti-MDA5-. Peripheral blood lymphocyte count, CD3+ count, percentage of CD3+, CD3+CD4+ count, and CD3+CD8+ count was lower in MDA5+ DM-ILD than in MDA5- DM-ILD- (all P < 0.001) as well as CD3-CD19+ count (P = 0.04). In MDA5+ DM-ILD, CD3+CD8+ count ≤ 49.22 cell/µL (HR = 3.81, 95%CI [1.20,12.14]) and CD3-CD19+ count ≤ 137.64 cell/µL (HR = 3.43, 95%CI [1.15,10.24]) were independent predictors of mortality. CD3+CD8+ count ≤ 31.38 cell/µL was associated with a higher mortality risk in all DM-ILD patients (HR = 8.6, 95%CI [2.12,31.44]) after adjusting for anti-MDA5 and other clinical characteristics. CONCLUSION: Significant lymphocytes decrease was observed in MDA5+ DM-ILD patients. CD3+CD8+ cell count was associated with worse prognosis in both MDA5+ DM-ILD and all DM-ILD patients.

Manganese Pollution and Its Remediation: A Review of Biological Removal and Promising Combination Strategies.

Manganese (Mn), as a cofactor of multiple enzymes, exhibits great significance to the human body, plants and animals. It is also a critical raw material and alloying element. However, extensive employment for industrial purposes leads to its excessive emission into the environment and turns into a significant threat to the ecosystem and public health. This review firstly introduces the essentiality, toxicity and regulation of Mn. Several traditional physicochemical methods and their problems are briefly discussed as well. Biological remediation, especially microorganism-mediated strategies, is a potential alternative for remediating Mn-polluted environments in a cost-efficient and eco-friendly manner. Among them, microbially induced carbonate precipitation (MICP), biosorption, bioaccumulation, bio-oxidation are discussed in detail, including their mechanisms, pivotal influencing factors along with strengths and limitations. In order to promote bioremediation efficiency, the combination of different techniques is preferable, and their research progress is also summarized. Finally, we propose the future directions of Mn bioremediation by microbes. Conclusively, this review provides a scientific basis for the microbial remediation performance for Mn pollution and guides the development of a comprehensive competent strategy towards practical Mn remediation.

Non-fasting changes of Hs-CRP level in Chinese patients with coronary heart disease after a daily meal.

High-sensitivity C-reactive protein (hs-CRP) is a key inflammatory factor in atherosclerotic cardiovascular diseases. In Chinese patients with coronary heart disease (CHD), the changes in hs-CRP levels after a daily meal and the effect of statins on those were never explored. A total of 300 inpatients with CHD were included in this study. Hs-CRP levels were measured in the fasting and non-fasting states at 2 h and 4 h after a daily breakfast. All inpatients were divided into two groups according to fasting hs-CRP ≤ 3 mg/L or not. Group with fasting hs-CRP ≤ 3 mg/L had a significantly higher percentage of patients with statins using ≥ 1 month (m) before admission than that with fasting hs-CRP > 3 mg/L (51.4% vs. 23.9%, P < 0.05). Hs-CRP levels increased significantly in the non-fasting state in two groups (P < 0.05). About 32% of patients with non-fasting hs-CRP > 3 mg/L came from those with fasting hs-CRP ≤ 3 mg/L. In conclusion, hs-CRP levels increased significantly in CHD patients after a daily meal. It suggested that the non-fasting hs-CRP level could be a better parameter to evaluate the inflammation state of CHD patients rather than fasting hs-CRP level.

Deterministic generation of large scale atomic W states.

We present a deterministic scheme for generating large-scale atomic W states in a cavity QED system via a simple expansion mechanism, which is realized only by a detuned interaction between two identical atoms and a vacuum cavity mode. With the presented scheme, a W-type Bell pair can be created and an n-atom W state can be expanded to a 2n-atom W state with a unit probability of success in principle. No multi-atom gates, quantum memories or quantum non-demolition measurements are required, greatly simplifying the experimental realization of the scheme. The feasibility analysis shows that our expansion scheme can be implemented with state-of-the-art technologies. Our scheme enables advances not only in quantum information and communication but also in quantum thermodynamics, where atomic W states plays a crucial role.

Complete mitochondrial genome and phylogenic analysis of Odontobutis yaluensis, Perciformes, Odontobutidae.

The complete mitochondrial genome of Odontobutis yaluensis was sequenced as to be 16,909 bp in length with (A + T) content of 55.73%, and it contained 13 protein-coding genes, 2 rRNAs, 22 tRNAs and a control region. The gene order and orientation are similar to some typical fish species. The data will provide the useful molecular information for phylogenetic relationships of O. yaluensis with Odontobutis potamophila first clustered into a small branch, and then with Odontobutis platycephala clade, and finally with Odontobutis sinensis clade. Odontobutidae and Rhyacichthyidae formed the sister group, and Eleotridae and Gobiidae formed the sister group.

The complete mitochondrial genome of the hybrid of Pelteobagrus fulvidraco (♀) × Pelteobagrus vachelli (♂).

In the present of study, we have reported the complete mitochondrial DNA sequence of the hybrid of Pelteobagrus fulvidraco (♀) × Pelteobagrus vachelli (♂) that is obtained by artificial hybridization. The total length of the mitochondrial genome is 16,527 bp, with the base compositions of 30.84% A, 25.54% T, 28.22% C, and 15.40% G. It contains two ribosomal RNA genes, 13 protein-coding genes, 22 transfer RNA genes, and a major non-coding control region (D-loop region). The arrangement of these genes is same as that observed in the teleosts. All protein initiation codons are ATG, except for COX1 that begins with GTG. The complete mitogenome of the hybrid of P. fulvidraco (♀) × P. vachelli (♂) provides an important data set for the exploration of mitochondrial inheritance mechanism. The termination-associated sequence and critical central conserved sequences (CSB-D, CSB-E and CSB-F) are also detected.

Complete mitochondrial DNA sequence and phylogenic analysis of Oxyeleotris lineolatus (Perciformes, Eleotridae).

In this study, the mitochondrial genome of Oxyeleotris lineolatus was first determined. The length of entire mtDNA sequence was 16,522 bp with (A + T) content of 53.81%, and it contained 13 protein-coding genes, two rRNAs, 22 tRNAs, and a control region. The gene order and the orientation are similar to some typical fish species. The data will provide useful molecular information for phylogenetic studies concerning O. lineolatus and its related species.

Generating multi-atom entangled W states via light-matter interface based fusion mechanism.

W state is a key resource in quantum communication. Fusion technology has been proven to be a good candidate for preparing a large-size W state from two or more small-size W states in linear optical system. It is of great importance to study how to fuse W states via light-matter interface. Here we show that it is possible to prepare large-size W-state networks using a fusion mechanism in cavity QED system. The detuned interaction between three atoms and a vacuum cavity mode constitute the main fusion mechanism, based on which two or three small-size atomic W states can be fused into a larger-size W state. If no excitation is detected from those three atoms, the remaining atoms are still in the product of two or three new W states, which can be re-fused. The complicated Fredkin gate used in the previous fusion schemes is avoided here. W states of size 2 can be fused as well. The feasibility analysis shows that our fusion processes maybe implementable with the current technology. Our results demonstrate how the light-matter interaction based fusion mechanism can be realized, and may become the starting point for the fusion of multipartite entanglement in cavity QED system.

Using physiologically based pharmacokinetic models to estimate the health risk of mixtures of trihalomethanes from reclaimed water.

To estimate the health risk of mixture of trihalomethanes (THMs) from reclaimed water during toilet flushing, the interaction-based Hazard Index (HI(interaction-based)) and the mixture carcinogenic risk (CRM) according to tissue dose were conducted through the integrated use of both the exposure concentrations model and the physiologically based pharmacokinetic (PBPK) model of THMs. Monte Carlo simulations were employed to implement the probabilistic risk analysis and sensitivity analysis. Nine samples were analyzed, which were collected from J Water Reclamation Plant (JWRP) in Tianjin of China. The results indicated that the mean HI(interaction-based) (=0.85) was lower than the acceptable risk level (=1). The probability that the HI(interaction-based) exceeded the acceptable risk level is 22.97%. For carcinogenic risk, the CRM ranges from 9.41×10(-7) to 3.54×10(-5), with a mean of 5.49×10(-6). Moreover, the probability of exceeding the acceptable risk level (1×10(-6)) is near 100%. And the values of HI(interaction-based) from sample no. 1, 5, and 7 exceeded 1, while the values of CRM for all samples exceeded 1×10(-6). Consequently, the reclaimed water used for flushing toilets should be paid more attention, though non-carcinogenic effect is relatively small. Furthermore, the concentrations of DBCM had greater impact on both the carcinogenic and non-carcinogenic risk based on sensitivity analysis.

Computed tomography for the diagnosis of solitary thin-walled cavity lung cancer.

BACKGROUND AND AIM: Lung cancer is the most commonly diagnosed neoplasm and the leading cause of cancer-related death worldwide. Despite the high incidence of lung cancer, the diagnosis of solitary thin-walled cavity lung cancer is rare. The aim of this review is to explore the potentials of computed tomography (CT) as diagnostic tool for solitary thin-walled cavity lung cancer. METHOD: The literature search was made in electronic databases including PudMed, Ovid SP, Embase, Web of Sciences, EBSCO and Wiley online by using relevant key terms. Because of the rarity of the subject, no precise exclusion or inclusion criteria were used for article selection and the outcome dissemination was decided to be more descriptive rather than quantitative. RESULTS: The detection of cavitation in lungs is frequently done utilizing chest radiographs CT scans. However, the diagnostic challenge remains the accurate detection of solitary thin-walled cavity lung cancer among the prevalence of cavitary lung lesions in multiple thoracic disorders including benign disorders, infectious disease and malignant tumors. Moreover, an accurate diagnosis of solitary thin-walled cavity lung cancer is further complicated by its subjective classification within the literature. In order to facilitate early diagnosis of this disease and circumvent the need for more invasive tests that may not be warranted, the overarching goal is to establish definitive radiological features of lung cavities that are indicative of malignancy. Herein, we describe the benefits of using CT to identify and diagnose solitary thin-walled cavity lung cancer, as well as explore the underlying mechanisms that contribute to thin-walled cavity formation in oncology patients. CONCLUSION: CT is the best modality for the noninvasive differentiation between malignant and nonmalignant cavities as it provides reliable information regarding the morphology and density of lesions. Besides, CT densitometry can efficiently detect the calcifications in lesions.

Health risk assessment of exposure to organic matter from the use of reclaimed water in toilets.

To estimate the carcinogenic and non-carcinogenic risks of six volatile organic compounds (VOCs) found in reclaimed water used for flushing toilets, a probabilistic health risk assessment based on Monte Carlo simulations was used. Before Monte Carlo simulations, the contaminant volatilization model was applied to estimate the concentration of the pollutants in air. Moreover, a questionnaire was used to acquire daily exposure time and the Batch Fit tool of Crystal Ball software was applied to find the best-fitting distribution of a part of the input parameters. The risk analysis indicated that the health risks from six VOCs were lower than the negligible risk level (1 × 10(-8)) in all cases, and the health risk for females was slightly higher than that for males. Overall, exposure to organic pollutants in reclaimed water during toilet flushing does not currently pose a significant carcinogenic risk to humans. In this study, we want to provide some information on the health risk from reclaimed water used for toilet flushing in China and hope that it will be useful to promote the application of reclaimed water in water-deficient areas.

Pulmonary arterial hypertension and microRNAs--an ever-growing partnership.

Pulmonary arterial hypertension (PAH) is a debilitating condition with progressive remodeling of the pulmonary resistance vessels. PAH is characterized by multifocal, polyclonal lesions inhabited by cells that underwent phenotypic transition, resulting in altered cell proliferation and contractility, ultimately resulting in increased vascular resistance. Diagnosis of PAH is confounded by the fact that it is largely asymptomatic in the initial stages. In fact, idiopathic PAH patients >65 years of age cannot be diagnosed hemodynamically due to high pulmonary capillary wedge pressure. This highlights the need for defining more robust molecular biomarkers for PAH diagnosis and progression. Recent studies have indicated that microRNAs (miRNAs), a class of small noncoding RNAs that regulate gene expression, play a discrete role in vascular inflammation and in the etiology of cardiovascular pathologies inclusive of PAH and can potentially serve as diagnostic biomarkers. However, a cohesive understanding of global miRNA-mediated molecular events that control pulmonary vasculature plasticity is lacking which, if addressed systematically, can lead to detailed elucidation of the downstream cellular pathways that are affected by activation/silencing of silenced cognate transcripts. In turn, this can lead to not only robust biomarkers, but also to novel therapeutic strategies targeting more upstream regulators than the existing ones targeting more downstream effectors. The current review aims to provide a summary understanding of PAH, its associated pathophysiology, current knowledge of the role of miRNAs in PAH, and identifies grey areas that need further research for successful bench-to-bedside transition of these exciting new discoveries.

Expression patterns of histone deacetylases in experimental stroke and potential targets for neuroprotection.

1. Histone deacetylase (HDAC) inhibitors exert neuroprotection in both cellular and animal models of ischaemic stroke. However, which HDAC isoform (or isoforms) mediates this beneficial effect has not yet been determined. 2. In the present study, gene levels of the HDAC isoforms were determined in the mouse cortex using reverse transcription-polymerase chain reaction (RT-PCR), whereas changes in the expression of individual zinc-dependent HDAC family members were evaluated by western blotting, 3, 12, 24 and 48 h after cerebral ischaemia induced by transient middle cerebral artery occlusion in male Kunming mice. 3. The HDAC isoforms HDAC1-11 were all expressed in the mouse cortex and differentially affected by cerebral ischaemia. Notably, there was a substantial increase in HDAC3, HDAC6 and HDAC11 expression during the early phases of experimental stroke, indicating their contribution to stroke pathogenesis. Furthermore, induction of HDAC3 and HDAC6 in cortical neurons by ischaemic stroke was confirmed in vivo and in vitro using double-labelled immunostaining and RT-PCR, respectively. Therefore, small hairpin (sh) RNAs were used to selectively knock down HDAC3 or HDAC6. This knockdown appreciably promoted the survival of cortical neurons subjected to oxygen and glucose deprivation. 4. The findings of the present study demonstrate the expression patterns of HDAC isoforms during experimental ischaemic stroke. Furthermore, HDAC3 and HDAC6 were identified as potential mediators in the neurotoxicity of ischaemic stroke, suggesting that specific therapeutic approaches may be considered according to HDAC subtype.

[Application of latissimus dorsi-myocutaneous flap in breast reconstruction].

OBJECTIVE: To investigate the design, procedures and effect of latissimus dorsi-myocutaneous flap (LDMF) for breast reconstruction. METHODS: From May, 2005 to April, 2006, 18 consecutive patients underwent breast reconstruction with LDMF. Combined breast implants were also inserted in 8 of the 18 cases. The procedure duration, complication and aesthetic results were assessed. RESULTS: The mean procedure duration was 147 minutes. There was no flap loss and no severe complications. The reconstructed breast was a little over high in one patient. All the other 17 patients (94.4%) were very satisfied with the aesthetic result. CONCLUSIONS: LDMF or a combination of LDMF with breast implants is a reliable method for breast reconstruction with low complication. The procedure is easily performed with good aesthetic result.