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Objective: To investigate the relationship between amino acid variations of respiratory syncytial virus (RSV) nonstructural protein (NS) 1 and the clinical characteristics. Method: A retrospective case review was conducted. From December 2018 to January 2020, a total of 81 cases of hospitalized children who were tested only positive for RSV by RT-PCR or PCR at the Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University were included in the study. The NS1 genes of RSV subtype A and subtype B were amplified by PCR and sequenced. The amino acid sequences were analyzed. The Chi-square test and Mann-Whitney rank sum test were used to compare the clinical characteristics and type Ⅰ interferon levels of children with or without NS1 variation in the variation and non-variation groups. Results: Among 81 cases, there were 58 males and 23 females. There were 11 cases in the variation group, the age of onset was 2.0 (1.0, 11.0) months, included 4 cases of subtype A (variant sites were: 2 cases for Lys33Gln, one case for Gly2Asp, Pro67Ser, Leu137Phe, respectively) and 7 cases of subtype B (variant sites were: two cases for Val121Ile, one case for Tyr30Cys, Val65Met, Asn85Ser, Ser118Asn, Asp124Asn, respectively). These variant sites all appeared at a very low frequency 0.08 (0.04, 0.29) % in the NCBI PROTEIN database. There were 70 cases in non-variation group, the onset age was 3.5 (1.0, 7.0) months. The proportion of dyspnea in the variation group was higher than that in the non-variation group (10/11 vs. 47% (33/70), χ 2 =7.31, P <0.01). Conclusions: There are some variant sites in nonstructural protein NS1 of RSV. Children may be prone to have dyspnea with NS1 variations.

The patient was found to develop a migrating mass in the lower abdomen without any known cause in 2000, and the cause had not been identified following multiple diagnoses since then. The mass was found to migrate to the left anterior axillary regions on August 11, 2020. Then, three segments of incomplete white worms were resected through minimally invasive surgery, and metagenomic sequencing revealed sparganosis mansoni. After surgical resection of complete worms was performed on October 21, 2021, the case was cured and discharged from the hospital. Follow-up revealed satisfactory outcomes and no new mass was found throughout the body.

Objective: To explore the relationship between the daily incidence of human respiratory syncytial virus (HRSV) and meteorological parameters in the main urban area of Chongqing. Methods: This study took 3 107 children hospitalized with acute lower respiratory tract infections from June 2009 to June 2019 in department of Respiratory medicine, Children's Hospital of Chongqing Medical University (CHCMU). Nasopharyngeal aspirate (NPA) was collected on the day of admission to detect HRSV and common respiratory virus; combined with the meteorological data of the main urban area of ​​Chongqing during the same period, the correlation and distribution lag nonlinear model analysis of the daily incidence of HRSV and meteorological parameters were carried out. Results: Among 3 107 children, HRSV positive accounted for 34.53% (1 073 cases), the age was 6 (3, 13) months, and males accounted for 64.31% (690 cases). The daily incidence of HRSV was negatively correlated with minimum temperature ( r =-0.220, P <0.001), maximum temperature ( r =-0.221, P <0.001), average temperature ( r =-0.221, P <0.001) and precipitation ( r =-0.052, P <0.001), and positively correlated with sunshine time ( r =0.011, P <0.001) and average relative humidity ( r =0.095, P <0.001). Compared with the reference temperature (20 ℃), when the lowest temperature of 6-10 ℃ lags for 4-8 d, the RR value of HRSV was 1.11-1.14, and when the lowest temperature of 5-19 ℃ lags for 5 d and 2-19 ℃ lags for 10 d, the RR values were 1.02-1.14 and 1.00-1.03. When the cumulative lag is 5, 10, 15 and 21 d, compared with the reference temperature (20 ℃), the RR (95% CI ) values at the lowest temperature of 10.4 ℃ were 1.93 (1.08-3.46), 3.49 (1.64-7.45), 5.00 (2.01-12.46) and 6.69 (2.18-20.48); the RR (95% CI ) values of the lowest temperature of 22.1 ℃ were 0.87 (0.77-0.98), 0.77 (0.66-0.90), 0.74 (0.62-0.89) and 0.68 (0.55-0.85). In the cumulative effect, compared with the reference temperature (20 ℃), the gender stratification showed that the maximum RR (95% CI ) values of the lowest temperature for boys and girls under different lag days were 7.24 (1.84-28.51) and 2.19 (1.07-4.46), the age stratification showed that the maximum RR (95% CI ) values of the lowest temperature for children<6 months old and children ≥6 months old under different lag days were 4.72 (1.05-21.23) and 11.98 (1.70-84.35) . Conclusions: In the main urban area of Chongqing, the daily incidence of HRSV in children is correlated with climatic parameters. Among them, the lowest temperature has a delayed and cumulative effect on HRSV infection. 6-10 ℃ has a greater impact on the incidence of HRSV when the lag is 4-8 days. The effect has a more obvious impact on the incidence of HRSV in boys and children ≥ 6 months.

Objective: Recently, the vital role of circular RNAs is discovered in many diseases including tumor progression and metastasis. Hepatocellular carcinoma (HCC) is one of the most ordinary malignant tumors. The purpose of our study is to detect the potential function of hsa&#95;circ&#95;0011946 in HCC to offer new biomarkers and targets., Patients and Methods: The level of hsa&#95;circ&#95;0011946 in HCC tissues and cell lines was monitored by Real Time Quantitative Polymerase Chain Reaction (RT-qPCR). Pearson's Chi-square test was used to determine the association between hsa&#95;circ&#95;0011946 expression and several clinicopathological factors. Then, hsa&#95;circ&#95;0011946 was knocked down in HCC cells to uncover its function in metastasis of HCC. Cell migrated and invaded ability was measured through transwell assay, Matrigel assay and wound healing assay. Western blot assay was performed to analyze the effect of hsa&#95;circ&#95;0011946 on the epithelial-to-mesenchymal transition (EMT) process., Results: In this research, the expression level of hsa&#95;circ&#95;0011946 was significantly increased in HCC tissues compared to that in adjacent samples. The expression of hsa&#95;circ&#95;0011946 was also increased in HCC cell lines. The hsa&#95;circ&#95;0011946 expression was associated with lymphatic metastasis in HCC patients. Knockdown of hsa&#95;circ&#95;0011946 led to the inhibition of cell migration and invasion in HCC. In addition, results of further experiments revealed that the EMT-related proteins were regulated via the knockdown of hsa&#95;circ&#95;0011946 in HCC., Conclusions: The hsa&#95;circ&#95;0011946 could enhance cell migration and invasion of HCC by inducing the EMT process.

Background and Aims: Therapeutic possibilities now exist to lower low-density lipoprotein cholesterol (LDL-C) to very low levels. However, substantial controversy remains in clinical practice with regard to its safety, and the question of whether low LDL-C levels per se may provoke adverse effects in humans arises. We aimed to explore the association of LDL-C with androgen and erectile dysfunction (ED) in a general population of men., Methods and Results: A total of 4203 men without hormone replacement therapy were enrolled from 22 sites in East China. Total testosterone (T) and Free T were assessed. Free androgen index (FAI) was calculated. The IIEF-5 questionnaire was used to assess ED. We found that free T and FAI gradually and markedly increased with increasing LDL-C levels. Using linear regression, after adjusting for age, educational level, economic status, smoking status, drinking status, BMI, diabetes, and use of lipid-lowering medication, LDL-C was positively associated with free T (B = 0.175, 95% CI: 0.084, 0.266) and FAI (B = 0.064, 95% CI: 0.016, 0.112). Meanwhile, there was a U-shaped curvilinear relationship between LDL-C and prevalence of ED. In the logistic regression analysis, compared to those with LDL-C among the 10th-90th percentile, the ORs of ED in men in the lowest and highest deciles were 1.938 (95% CI: 1.121, 3.349) and 1.804 (95% CI: 1.117, 2.916), respectively., Conclusion: Lower LDL-C levels were significantly associated with lower free T and lower FAI in a general population of men. Moreover, both low and high levels of LDL-C might be risk factors for ED., (Copyright © 2018 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.)

The histone methyltransferase Enhancer of Zeste Homolog 2 (EZH2) is frequently dysregulated in cancers, and gain-of-function (GOF) EZH2 mutations have been identified in non-Hodgkin lymphomas. Small-molecule inhibitors against EZH2 demonstrated anti-tumor activity in EZH2-mutated lymphomas and entered clinical trials. Here, we developed models of acquired resistance to EZH2 inhibitor EI1 with EZH2-mutated lymphoma cells. Resistance was generated by secondary mutations in both wild-type (WT) and GOF Y641N EZH2 alleles. These EZH2 mutants retained the substrate specificity of their predecessor complexes but became refractory to biochemical inhibition by EZH2 inhibitors. Resistant cells were able to maintain a high level of H3K27Me3 in the presence of inhibitors. Interestingly, mutation of EZH2 WT alone generated an intermediate resistance phenotype, which is consistent with a previously proposed model of cooperation between EZH2 WT and Y641N mutants to promote tumorigenesis. In addition, the findings presented here have implications for the clinical translation of EZH2 inhibitors and underscore the need to develop novel EZH2 inhibitors to target potential resistance emerging in clinical settings.

The objective of this study was to determine the true digestible P requirement of 40- to 60-kg (Exp. 1) and 60- to 80-kg (Exp. 2) pigs by broken-line analysis of growth performance data using 6 levels of true digestible P. In each 3-wk experiment, 108 barrows and gilts were used, and 6 levels of monocalcium phosphate were added to a corn-soybean meal-based diet to establish 6 graded levels of true total tract digestible P ranging from 1.26 to 3.98 g/kg of diet in Exp. 1 or from 1.21 to 3.31 g/kg in Exp. 2. The true digestible P content was calculated using true total tract digestibility of 40.53%, 35.96%, and 84.31% for P in corn, soybean meal, and monocalcium phosphate, respectively. Limestone was added accordingly to maintain a constant Ca level across all diets of each experiment. The results of Exp. 1 showed that with graded supplementation of monocalcium phosphate, ADG linearly increased ( < 0.001) in wk 1 and both linearly and quadratically increased ( < 0.01) in wk 2, wk 3, and wk 0 to 3, and G:F linearly improved ( < 0.001) in wk 1, quadratically improved ( < 0.05) in wk 3, and both linearly and quadratically improved ( < 0.05) in wk 2 and wk 0 to 3 ( < 0.05). In Exp. 2, ADG linearly increased ( < 0.001) in wk 1 and both linearly and quadratically increased ( < 0.05) in wk 2, wk 3, and wk 0 to 3, with the graded supplementation of monocalcium phosphate, and G:F linearly improved ( < 0.01) in wk 1 and wk 3 and both linearly and quadratically improved ( < 0.001) in wk 2 and wk 0 to 3. In Exp. 1, the true digestible P requirement was estimated to be 2.66, 2.79, and 2.51 g/kg of diet (884 g DM/kg) for pigs of mixed sex, barrows, and gilts, respectively, on the basis of broken-line regression of ADG data for wk 0 to 3 against 6 true digestible P levels. Using G:F, the P requirement estimate was correspondingly 2.67, 2.51, and 2.93 g/kg of diet. In Exp. 2, the true digestible P requirement was estimated to be 2.29, 2.20, and 2.39 g/kg of diet (884 g DM/kg) using ADG data for wk 0 to 3 as the response variable and to be 2.33, 2.19, and 2.47 g/kg using wk 0 to 3 G:F data for pigs of mixed sex, barrows, and gilts, respectively. In conclusion, the mean TTTD-based P requirement was 2.66 and 2.31 g/kg of diet (884 g DM/kg) for 40- to 60-kg and 60- to 80-kg pigs, respectively.