23 results on '"Zhang Jin-Li"'
Search Results
2. Vertebrate extracellular matrix protein hemicentin-1 interacts physically and genetically with basement membrane protein nidogen-2
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Zhang, Jin-Li, Richetti, Stefania, Ramezani, Thomas, Welcker, Daniela, Lütke, Steffen, Pogoda, Hans-Martin, Hatzold, Julia, Zaucke, Frank, Keene, Douglas R., Bloch, Wilhelm, Sengle, Gerhard, and Hammerschmidt, Matthias
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- 2022
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3. Therapeutic effects of triptolide from Tripterygium wilfordii Hook. f. on interleukin-1-beta-induced osteoarthritis in rats
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Li, En-qi and Zhang, Jin-li
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- 2020
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4. Enhanced catalytic activity and stability over P-modified alumina supported Pd for anthraquinone hydrogenation
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Li, Ang, Wang, Yun-hao, Ren, Jia, Zhang, Jin-li, Li, Wei, and Guo, Cui-li
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- 2020
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5. Study on transport of Cr(VI) through the landfill liner composed of two-layer soils
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Lu, Hai Jun, Luan, Mao Tian, and Zhang, Jin Li
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- 2011
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6. Study on the adsorption of Cr(VI) onto landfill liners containing granular activated carbon or bentonite activated by acid
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LU, Hai-jun, LUAN, Mao-tian, ZHANG, Jin-li, and YU, Yong-xian
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- 2008
- Full Text
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7. Growth of SnO 2 thin films on self-assembled layers of the short-chain alkoxysilane
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Zhang, Jin-Li, Li, Wei, Zhai, Yi, Yang, Hong, and Wang, Yi-Ping
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- 2005
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8. Structure, binding, and antagonists in the IL-4/IL-13 receptor system
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Mueller, Thomas D, Zhang, Jin-Li, Sebald, Walter, and Duschl, Albert
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- 2002
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9. Eu(III) complex-doped PMMA having fast radiation rate and high emission quantum efficiency
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Zhang, Jin Li, Chen, Bo Wei, Luo, Xuan, and Du, Kai
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- 2012
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10. Interactions of daidzin with intramolecular G-quadruplex
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Li, Wei, Zhang, Ming, Zhang, Jin-li, Li, Hui-qing, Zhang, Xiao-chen, Sun, Qian, and Qiu, Chun-mei
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- 2006
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11. Genome-wide identification and characterization of terpene synthase genes in Gossypium hirsutum.
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Zhang, Cui-Ping, Zhang, Jin-Li, Sun, Zheng-Ran, Liu, Xiu-Yan, Shu, Li-Zhe, Wu, Hao, Song, Yin, and He, Dao-Hua
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COTTON , *TERPENES , *PLANT genes , *GENES , *GENE silencing , *CIS-regulatory elements (Genetics) , *AMINO acid sequence - Abstract
• Eighty-five TPS genes were identified in G. hirsutum , including 47 previously unidentified genes. • Members of each subgroup shared similar gene structure and motif arrangement, implying similar functions. • Segmental and tandem duplications, followed by purifying selection, contributed to the expansion of TPS genes. • TPS-a subfamily played important roles in gland activity and contributed disease resistance. • VIGS assays showed that 3 genes were involved in the gland activity in G. hirsutum. Terpenoids are widely distributed in plants and play important roles in the regulation of plant growth and development and in the interactions between plants and both the environment and other organisms. However, terpene synthase (TPS) genes have not been systematically investigated in the tetraploid Gossypium hirsutum. In this study, whole genome identification and characterization of the TPS family from G. hirsutum were carried out. Eighty-five TPS genes, including 47 previously unidentified genes, were identified in the G. hirsutum genome and classified into 5 subfamilies according to protein sequence similarities, as follows: 43 GhTPS-a , 29 GhTPS-b , 4 GhTPS-c , 7 GhTPS-e/f , and 2 GhTPS-g members. These 85 TPS genes were mapped onto 19 chromosomes of the G. hirsutum genome. Segmental duplications and tandem duplications contributed greatly to the expansion of TPS genes in G. hirsutum and were followed by intense purifying selection during evolution. Indentification of cis -acting regulatory elements suggest that the expression of TPS genes is regulated by a variety of hormones. RNA sequencing (RNA-seq) expression profile analysis revealed that the TPS genes had distinct spatiotemporal expression patterns, and several genes were highly and preferentially expressed in the leaves of cotton with gossypol glands (glanded cotton) versus a glandless strain. Virus-induced gene silencing (VIGS) of three TPS genes yielded plants characterized by fewer, smaller, and lighter gossypol glands, which indicated that these three genes were responsible for gland activity. Taken together, our results provide a solid basis for further elucidation of the biological functions of TPS genes in relation to gland activity and gossypol biosynthesis to develop cotton cultivars with low cottonseed gossypol contents. [ABSTRACT FROM AUTHOR]
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- 2022
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12. Crystal Structure Analysis Reveals How the Chordin Family Member Crossveinless 2 Blocks BMP-2 Receptor Binding
- Author
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Zhang, Jin-li, Qiu, Li-yan, Kotzsch, Alexander, Weidauer, Stella, Patterson, Lucy, Hammerschmidt, Matthias, Sebald, Walter, and Mueller, Thomas D.
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GENETIC mutation , *EXTRACELLULAR matrix proteins , *RADIOLIGAND assay , *VON Willebrand factor , *PROTEINS - Abstract
Summary: Crossveinless 2 (CV-2) is an extracellular BMP modulator protein belonging to the Chordin family. During development it is expressed at sites of high BMP signaling and like Chordin CV-2 can either enhance or inhibit BMP activity. CV-2 binds to BMP-2 via its N-terminal Von Willebrand factor type C (VWC) domain 1. Here we report the structure of the complex between CV-2 VWC1 and BMP-2. The tripartite VWC1 binds BMP-2 only through a short N-terminal segment, called clip, and subdomain (SD) 1. Mutational analysis establishes that the clip segment and SD1 together create high-affinity BMP-2 binding. All four receptor-binding sites of BMP-2 are blocked in the complex, demonstrating that VWC1 acts as competitive inhibitor for all receptor types. In vivo experiments reveal that the BMP-enhancing (pro-BMP) activity of CV-2 is independent of BMP-2 binding by VWC1, showing that pro- and anti-BMP activities are structurally separated in CV-2. [Copyright &y& Elsevier]
- Published
- 2008
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13. Molecular dynamics simulation guiding the improvement of EVA-type pour point depressant
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Wu, Chuanjie, Zhang, Jin-li, Li, Wei, and Wu, Nan
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MOLECULAR dynamics , *DIESEL fuels , *WAXES , *FUEL - Abstract
Abstract: Addition of pour point depressants (PPDs) has been proved to be an efficient way to inhibit wax deposition of diesel fuels. However, the complexity of the oil is far beyond current commercial PPD products. So far it mainly depends on syntheses of numerous candidate compounds followed by repeating experimental measurements in order to improve the efficiency of PPDs. In this article, molecular dynamic simulation was successfully used to investigate the interaction between crystal planes of wax and EVA, as well as its derivatives with different branches, based on the model of wax. Side chain effects on adsorption energy and equilibrium adsorption conformations were studied under different kind and number of branches. It was concluded that side chains introduced by propylene were benefit to the affinity between the EVA-type molecules and alkanes in the wax plane, comparing with those branches introduced by butylenes. MD simulation calculations indicated that EVAP with one branch adjacent to the VA group would be a better PPD additive than EVA in diesel fuels, which has been proved in our experimental measurements. Therefore, the MD simulation is a promising method not only for exploring the interaction mechanism in polymer system, but also for directing the design of new candidates of PPD. [Copyright &y& Elsevier]
- Published
- 2005
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14. Synthesis of mesoporous silica membranes oriented by self-assembles of surfactants
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Zhang, Jin-Li, Li, Wei, Meng, Xiang-Kun, Wang, Li, and Zhu, Li
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SILICA , *ALUMINUM oxide , *BIOLOGICAL membranes , *AMMONIUM compounds - Abstract
The mesoporous silica/alumina membrane was prepared by the template-tailored sol–gel method, using the surfactant of cetyltrimethyl ammonium bromide (CTAB) as the template. Further a novel procedure was explored to synthesize free-standing mesoporous silica oriented by the self-assembles of surfactants. Characterization of SEM and BET indicated that this free-standing silica films had good development of mesoporosity and a special asymmetric structure, which make it not only an attractive materials for preparing new types of catalysts, medical carriers and chemical sensors, etc. but also has promising applications in manufacturing asymmetric mesoporous membranes. [Copyright &y& Elsevier]
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- 2003
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15. Roles of central orexinergic system on cardiovascular function and acupuncture on intervention of cardiovascular risk: Orexinergic system mediate the role of acupuncture?
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Gao, He-Ren, Wu, Zi-Jian, Wu, Sheng-Bing, Gao, He-Yuan, Wang, Jie, Zhang, Jin-Li, and Zhou, Mei-Qi
- Abstract
Central orexinergic system contributes to the regulation of cardiovascular function. Orexinergic neurons receiving projections of nerve fibers from multiple structures of brain which involved in control and regulation of cardiovascular function locate in hypothalamus, and their axon terminals widely project to various central structures where orexins receptors are expressed. Here, we summarize the present knowledge that describes the influence of central orexinergic system on cardiovascular activity, the relevance of dysfunction in central orexinergic system with hypertension and psychological stress induced cardiovascular reactivity which are serious risk factors for cardiovascular disease and cardiovascular death. We propose that central orexinergic system may be potentially important targets for the prevention of cardiovascular disease and cardiovascular death, and different orexinergic system involved neuronal circuits may be involved in distinct cardiovascular functions. Acupuncture having bidirectional regulatory ability and a much lower incidence of side effects can prevent disease. We review the improvement of acupuncture on hypertension and psychological stress induced cardiovascular reactivity. We think that acupuncture intervenes hypertension and psychological stress induced cardiovascular reactivity to prevent cardiovascular disease and cardiovascular death. We also summarize relation between acupuncture and central orexinergic system. We propose a hypothesis that acupuncture improve hypertension and psychological stress induced cardiovascular reactivity through regulating central orexinergic system. The knowledge is beneficial for the development of potential therapeutic targets and methods to prevent cardiovascular disease and cardiovascular death. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
16. Pion generalized parton distributions and light-front wave functions in the Nambu–Jona-Lasinio model.
- Author
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Zhang, Jin-Li, Lai, Meng-Yun, Zong, Hong-Shi, and Ping, Jia-Lun
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NAMBU-Jona-Lasinio model , *PARTONS , *WAVE functions , *PIONS , *MAGNETIC moments , *DISTRIBUTION (Probability theory) - Abstract
Pion generalized parton distributions and light-front wave functions are investigated in the framework of Nambu–Jona-Lasinio model. The properties of pion generalized parton distributions and light-front wave functions are examined separately. Proceeding from generalized parton distributions and light-front wave functions to form factors, parton distribution functions, parton distribution amplitudes and transverse momentum dependent parton distributions, giving a complete picture of pion structure. Moreover, comparing these distributions from the two different methods and examining their peculiarities, finding that the two methods give the same distributions. This means that generalized parton distributions and light-front wave functions give the same multi-dimensional mapping of pion in the Nambu–Jona-Lasinio model. In addition, we studied generalized form factors of pion: the quark pressure distribution θ 1 and the quark mass distribution θ 2 , both are harder than electromagnetic form factor. The tensor anomalous magnetic moment B 1 , 0 and the tensor generalized form factor B 2 , 0 are harder than corresponding lattice data. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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17. Functional analysis of Ultrabithorax in the wing-dimorphic planthopper Nilaparvata lugens (Stål, 1854) (Hemiptera: Delphacidae).
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Fu, Sheng-Jie, Zhang, Jin-Li, Chen, Sun-Jie, Chen, Hao-Hao, Liu, Yi-Lai, and Xu, Hai-Jun
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NILAPARVATA lugens , *FUNCTIONAL analysis , *PLANTHOPPERS , *ARTHROPODA , *INSECTS , *HEMIPTERA - Abstract
• Two Ubx isoforms (NlUbx) were identified in the planthopper (BPH) Nilaparvata lugens. • Knockdown of NlUbx in short-winged BPH nymphs induced the development of T3 wingbuds. • Knockdown of NlUbx in long-winged BPH nymphs transformed hindwings to forewings. • Parental RNAi of NlUbx induced leg-like appendages in the A1 of offspring nymphs. The homeotic complex (Hox) gene Ultrabithorax (Ubx) plays pivotal roles in modifying specific morphological differences among the second (T2), the third thoracic (T3), and the first abdomen (A1) segment in several insects. Whether Ubx regulates wing dimorphism and other morphological traits in the delphacid family (order Hemiptera) remains elusive. In this study, we cloned a full-length Ubx ortholog (NlUbx) from the wing-dimorphic planthopper Nilaparvata lugens , and identified two NlUbx isoforms. RNA-interference (RNAi)-mediated silencing of NlUbx in short-winged BPH nymphs significantly induced the development of wing-like appendages from T3 wingbuds, and this effect is likely mediated by the insulin/insulin-like signaling pathway. RNAi knockdown of NlUbx in long-winged BPH nymphs led to a transformation from hindwings to forewings. Additionally, silencing of NlUbx not only dramatically changed the T3 morphology, but also led to jumping defect of T3 legs. First-instar nymphs derived from parental RNAi had an additional leg-like appendages on A1. These results suggest that Ubx plays a role in determining some morphological traits in delphacid planthoppers, and thus help in understanding evolution of morphological characteristics in arthropods. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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- View/download PDF
18. Highly active and stable CeO2–SiO2 supported Cu catalysts for the hydrogenation of methyl acetate to ethanol.
- Author
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Ye, Chen-Liang, Guo, Cui-Li, and Zhang, Jin-Li
- Subjects
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COPPER catalysts , *CERIUM oxides , *SILICA , *CATALYST supports , *HYDROGENATION , *METHYL acetate , *ETHANOL - Abstract
A series of Cu–CeO 2 –SiO 2 catalysts for the hydrogenation of methyl acetate to ethanol with different CeO 2 contents was prepared by an ammonia-evaporation method. Compared with the Cu–SiO 2 catalyst, the catalytic activity and stability of the Cu–CeO 2 –SiO 2 catalyst were greatly enhanced with an optimized CeO 2 content of about 30 wt.%. The structures of the catalysts were characterized by N 2 physisorption, N 2 O chemisorption, X-ray diffraction, H 2 temperature-programmed reduction, NH 3 -temperature programmed desorption and X-ray photoelectron spectroscopy. The results showed that adding an appropriate amount of cerium to Cu–SiO 2 catalysts strengthened the interaction between the cupreous species and the support, diminished the copper crystallite size, improved the copper dispersion and enriched the surface Cu + species. In addition, several characterizations were performed to investigate the structure changes of the catalysts after stability test, which demonstrated that the CeO 2 -modified Cu–SiO 2 catalyst restrained the aggregation and valence change of cupreous species under reaction conditions. [ABSTRACT FROM AUTHOR]
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- 2016
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19. AMACO Is a Component of the Basement Membrane-Associated Fraser Complex.
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Richardson, Rebecca J, Gebauer, Jan M, Zhang, Jin-Li, Kobbe, Birgit, Keene, Douglas R, Karlsen, Kristina Røkenes, Richetti, Stefânia, Wohl, Alexander P, Sengle, Gerhard, Neiss, Wolfram F, Paulsson, Mats, Hammerschmidt, Matthias, and Wagener, Raimund
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HUMAN abnormalities , *SYNDACTYLY , *COLLAGEN , *GENETIC mutation , *EXTRACELLULAR matrix proteins - Abstract
Fraser syndrome (FS) is a phenotypically variable, autosomal recessive disorder characterized by cryptophthalmus, cutaneous syndactyly, and other malformations resulting from mutations in FRAS1, FREM2, and GRIP1. Transient embryonic epidermal blistering causes the characteristic defects of the disorder. Fras1, Frem1, and Frem2 form the extracellular Fraser complex, which is believed to stabilize the basement membrane. However, several cases of FS could not be attributed to mutations in FRAS1, FREM2, or GRIP1, and FS displays high clinical variability, suggesting that there is an additional genetic, possibly modifying contribution to this disorder. An extracellular matrix protein containing VWA-like domains related to those in matrilins and collagens (AMACO), encoded by the VWA2 gene, has a very similar tissue distribution to the Fraser complex proteins in both mouse and zebrafish. Here, we show that AMACO deposition is lost in Fras1-deficient zebrafish and mice and that Fras1 and AMACO interact directly via their chondroitin sulfate proteoglycan (CSPG) and P2 domains. Knockdown of vwa2, which alone causes no phenotype, enhances the phenotype of hypomorphic Fras1 mutant zebrafish. Together, our data suggest that AMACO represents a member of the Fraser complex. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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20. Metabolomics analysis of the nutraceutical diversity and physiological quality of Torreya yunnanensis seeds during cold storage.
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Zhou, Bing-Jiang, Li, Jing, Ma, Chang-Le, Wang, Yu-Jie, Zhang, Jin-li, Chen, Hong-Hui, Lao, Qing-Xiang, Wu, Jun-Duo, and Duan, Run-Mei
- Subjects
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COLD storage , *AMINO acid derivatives , *SHIKIMIC acid , *METABOLOMICS , *SEED storage , *ORGANIC acids , *AMINO acids , *FUNCTIONAL foods - Abstract
This study investigated how cold storage affects the nutraceutical diversity and physiological quality of Torreya yunnanensis seeds, using a widely targeted UPLC-MS/MS-based metabolomics analysis. The 373 identified metabolites were divided into nine categories: lipids, phenolic acids, amino acids and derivatives, organic acids, nucleotides, saccharides, vitamins and alcohols. Among them, 49 metabolites showed significant changes after 3 months of cold storage, affecting 28 metabolic pathways. The content of amino acid-related metabolites significantly increased, while the content of sugar-related metabolites decreased during storage. Notably, the content of proline acid, shikimic acid, α-linolenic acid and branched-chain amino acids showed significant changes, indicating their potential role in seed storage. This study deepens our understanding of the nutraceutical diversity and physiological quality of T. yunnanensis seeds during storage, providing insight for conservation efforts and habitat restoration. • A widely targeted UPLC-MS/MS-based metabolomics analysis was used to identify 373 metabolites, which were divided into 9 categories. After 3 months of cold storage, 49 metabolites showed significant changes affecting 27 metabolic pathways. • Amino acid-related metabolite levels significantly increased while sugar-related metabolite levels decreased during storage. • Proline acid, shikimic acid, α-linolenic acid and branched-chain amino acids levels significantly changed during cold storage, indicating their potential role in seed storability. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
21. CRISPR/Cas9-mediated knockout of two eye pigmentation genes in the brown planthopper, Nilaparvata lugens (Hemiptera: Delphacidae).
- Author
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Xue, Wen-Hua, Xu, Nan, Yuan, Xiao-Bo, Chen, Hao-Hao, Zhang, Jin-Li, Fu, Sheng-Jie, Zhang, Chuan-Xi, and Xu, Hai-Jun
- Subjects
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NILAPARVATA lugens , *HEMIPTERA , *CRISPRS , *INSECT fertility , *INSECT pests , *CROP losses - Abstract
The brown planthopper Nilaparvata lugens is one of the most destructive insect pests in Asia, demonstrating high fertility and causing huge crop losses by sucking sap of rice as well as transmitting viruses. However, functional genomic studies on N. lugens are seriously constrained by lack of genetic tools. Here, we employed two eye pigmentation genes to generate germ-line mutations in N. lugens using the CRISPR/Cas9 (clustered regularly interspaced palindromic repeats/CRISPR-associated) system. We showed that injection of single guide RNA of the cinnabar gene of N. lugens ( Nl-cn ) into pre-blastoderm eggs induced insertion and deletion (indels) in the founder generation (G 0 ), which were heritably transmitted to the following G 1 generation, leading to bright red compound eyes and ocelli. Mutations of N. lugens white ( Nl-w ) generated a high mutant rate of up to 27.3%, resulting in mosaic eyes consisting of white and lightly pigmented ommatidia in both G 0 and G 1 individuals. The specificity of CRISPR/Cas9-mediated mutagenesis was further bolstered by PCR and RNA interference-based knockdown analysis. These results show that CRISPR/Cas9-mediated gene editing is achievable in a hemipteran insect, offering a valuable tool for the study of functional genomics and pest management in this planthopper species. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
22. Intensive blood pressure reduction in acute cerebral haemorrhage trial (INTERACT): a randomised pilot trial
- Author
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Anderson, Craig S, Huang, Yining, Wang, Ji Guang, Arima, Hisatomi, Neal, Bruce, Peng, Bin, Heeley, Emma, Skulina, Christian, Parsons, Mark W, Kim, Jong Sung, Tao, Qing Ling, Li, Yue Chun, Jiang, Jian Dong, Tai, Li Wen, Zhang, Jin Li, Xu, En, Cheng, Yan, Heritier, Stephane, Morgenstern, Lewis B, and Chalmers, John
- Subjects
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BLOOD pressure , *CEREBRAL hemorrhage , *HEMATOMA , *THERAPEUTICS , *CLINICAL trials - Abstract
Summary: Background: There is much uncertainty about the effects of early lowering of elevated blood pressure (BP) after acute intracerebral haemorrhage (ICH). Our aim was to assess the safety and efficiency of this treatment, as a run-in phase to a larger trial. Methods: Patients who had acute spontaneous ICH diagnosed by CT within 6 h of onset, elevated systolic BP (150–220 mm Hg), and no definite indication or contraindication to treatment were randomly assigned to early intensive lowering of BP (target systolic BP 140 mm Hg; n=203) or standard guideline-based management of BP (target systolic BP 180 mm Hg; n=201). The primary efficacy endpoint was proportional change in haematoma volume at 24 h; secondary efficacy outcomes included other measurements of haematoma volume. Safety and clinical outcomes were assessed for up to 90 days. Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT00226096. Findings: Baseline characteristics of patients were similar between groups, but mean haematoma volumes were smaller in the guideline group (12·7 mL, SD 11·6) than in the intensive group (14·2 mL, SD 14·5). From randomisation to 1 h, mean systolic BP was 153 mm Hg in the intensive group and 167 mm Hg in the guideline group (difference 13·3 mm Hg, 95% CI 8·9–17·6 mm Hg; p<0·0001); from 1 h to 24 h, BP was 146 mm Hg in the intensive group and 157 mm Hg in the guideline group (10·8 mm Hg, 95% CI 7·7–13·9 mm Hg; p<0·0001). Mean proportional haematoma growth was 36·3% in the guideline group and 13·7% in the intensive group (difference 22·6%, 95% CI 0·6–44·5%; p=0·04) at 24 h. After adjustment for initial haematoma volume and time from onset to CT, median haematoma growth differed between the groups with p=0·06; the absolute difference in volume between groups was 1·7 mL (95% CI −0·5 to 3·9, p=0·13). Relative risk of haematoma growth ≥33% or ≥12·5 mL was 36% lower (95% CI 0–59%, p=0·05) in the intensive group than in the guideline group. The absolute risk reduction was 8% (95% CI −1·0 to 17%, p=0·05). Intensive BP-lowering treatment did not alter the risks of adverse events or secondary clinical outcomes at 90 days. Interpretation: Early intensive BP-lowering treatment is clinically feasible, well tolerated, and seems to reduce haematoma growth in ICH. A large randomised trial is needed to define the effects on clinical outcomes across a broad range of patients with ICH. Funding: National Health and Medical Research Council of Australia. [Copyright &y& Elsevier]
- Published
- 2008
- Full Text
- View/download PDF
23. Acute hypertensive response in intracerebral haemorrhage: is treatment safe and helpful?
- Author
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Ezzeddine, Mustapha, Anderson, Craig S, Huang, Yining, Wang, Ji Guang, Arima, Hisatomi, Neal, Bruce, Peng, Bin, Heeley, Emma, Skulina, Christian, Parsons, Mark W, Kim, Jong Sung, Tao, Qing Ling, Li, Yue Chun, Jiang, Jian Dong, Tai, Li Wen, Zhang, Jin Li, Xu, En, Cheng, Yan, Heritier, Stephane, and Morgenstern, Lewis B
- Subjects
- *
ACE inhibitors , *ANTIHYPERTENSIVE agents , *DIURETICS , *AMBULATORY blood pressure monitoring , *ANALYSIS of variance , *BEHAVIOR , *BLOOD pressure , *CEREBRAL hemorrhage , *COMPARATIVE studies , *CRITICAL care medicine , *DRUG administration , *RESEARCH methodology , *MEDICAL cooperation , *RESEARCH , *TIME , *PILOT projects , *EVALUATION research , *RANDOMIZED controlled trials , *BLIND experiment , *GLASGOW Coma Scale , *THERAPEUTICS - Abstract
Background: There is much uncertainty about the effects of early lowering of elevated blood pressure (BP) after acute intracerebral haemorrhage (ICH). Our aim was to assess the safety and efficiency of this treatment, as a run-in phase to a larger trial.Methods: Patients who had acute spontaneous ICH diagnosed by CT within 6 h of onset, elevated systolic BP (150-220 mm Hg), and no definite indication or contraindication to treatment were randomly assigned to early intensive lowering of BP (target systolic BP 140 mm Hg; n=203) or standard guideline-based management of BP (target systolic BP 180 mm Hg; n=201). The primary efficacy endpoint was proportional change in haematoma volume at 24 h; secondary efficacy outcomes included other measurements of haematoma volume. Safety and clinical outcomes were assessed for up to 90 days. Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT00226096.Findings: Baseline characteristics of patients were similar between groups, but mean haematoma volumes were smaller in the guideline group (12.7 mL, SD 11.6) than in the intensive group (14.2 mL, SD 14.5). From randomisation to 1 h, mean systolic BP was 153 mm Hg in the intensive group and 167 mm Hg in the guideline group (difference 13.3 mm Hg, 95% CI 8.9-17.6 mm Hg; p<0.0001); from 1 h to 24 h, BP was 146 mm Hg in the intensive group and 157 mm Hg in the guideline group (10.8 mm Hg, 95% CI 7.7-13.9 mm Hg; p<0.0001). Mean proportional haematoma growth was 36.3% in the guideline group and 13.7% in the intensive group (difference 22.6%, 95% CI 0.6-44.5%; p=0.04) at 24 h. After adjustment for initial haematoma volume and time from onset to CT, median haematoma growth differed between the groups with p=0.06; the absolute difference in volume between groups was 1.7 mL (95% CI -0.5 to 3.9, p=0.13). Relative risk of haematoma growth >or=33% or >or=12.5 mL was 36% lower (95% CI 0-59%, p=0.05) in the intensive group than in the guideline group. The absolute risk reduction was 8% (95% CI -1.0 to 17%, p=0.05). Intensive BP-lowering treatment did not alter the risks of adverse events or secondary clinical outcomes at 90 days.Interpretation: Early intensive BP-lowering treatment is clinically feasible, well tolerated, and seems to reduce haematoma growth in ICH. A large randomised trial is needed to define the effects on clinical outcomes across a broad range of patients with ICH.Funding: National Health and Medical Research Council of Australia. [ABSTRACT FROM AUTHOR]- Published
- 2008
- Full Text
- View/download PDF
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