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Salidroside (Sal), the active ingredient of Rhodiola rosea L, has various pharmacological activities, including antioxidant, anti-inflammatory and anti-tumor activities. Recently, studies have shown that oxidative stress and apoptosis are related to the pathogenesis of inflammatory bowel disease. Therefore, we evaluated the effects of Sal on oxidative stress and apoptosis in colitis mice through the SIRT1/FoxOs pathway. To induce the colitis model, mice continuously consumed water containing 3% DSS for 7 days; some mice were also treated with Sal and the SIRT1/FoxOs pathway blocker selisistat (Ex527). Changes in body weight, DAI, colon length and colon tissue histology as well as SOD, GSH-Px and CAT activities were measured. The expression of SIRT1, FoxO1, FoxO3a, FoxO4, caspase-3, cleaved-caspase-3, Bax and Bcl-2 in colorectal tissues was detected by RT-PCR and Western blotting. The study showed that Sal decreased the DAI score, weight loss, colon shortening and colon tissue damage in colitis mice. Sal inhibited oxidative stress by upregulating SOD, GSH-Px and CAT while suppressing colonic apoptosis by downregulating the expression of Bax, caspase-3, and cleaved-caspase-3 and upregulating the expression of Bcl-2. Sal also activated SIRT1/FoxOs signaling, which increased the expression of SIRT1, FoxO1, FoxO3a and FoxO4 in colon tissue. Furthermore, SIRT1/FoxOs pathway inhibition using Ex527 partially eliminated the effect of Sal on colitis mice. The study manifested that Sal may protect colitis mice by activating the SIRT1/FoxOs pathway, which is related to oxidative stress and apoptosis in colon tissues.

Background and aim Reported incidence and prevalence rates of autoimmune hepatitis (AIH) have been sparse and heterogeneous. The aim of this meta-analysis was to estimate the worldwide incidence and prevalence rates of AIH and reveal population difference. Methods Published articles on the epidemiology of AIH in PubMed, Embase, and Cochrane Library were systematically searched from inception to April 28, 2019. Two investigators independently reviewed these literatures and evaluated their quality. A random-effects model was used to pool the overall incidence and prevalence rates. The impact of population difference, gender, age, study period, study quality, diagnostic criteria, and study design was further analyzed with subgroup analysis and meta-regression. Results A total of 22 studies were included in the meta-analysis. The pooled worldwide annual incidence and prevalence of AIH were 1.37 (95% confidence interval [CI]: 0.95-1.80) and 17.44 (95% CI: 12.01-22.87) per 100 000 persons, respectively. Subgroup analysis showed that the pooled annual incidence for Asian, European, and American population was 1.31 (95% CI: 0.42-2.20), 1.37 (95% CI: 1.10-1.64), and 1.00 (95% CI: 0.44-1.56) per 100 000 persons, respectively; the pooled prevalence for Asian, European, and American population was 12.99 (95% CI: 2.05-23.92), 19.44 (95% CI: 15.63-23.24), and 22.80 (95% CI: -13.48 to 59.07) per 100 000 persons, respectively. In addition, higher incidence and prevalence rates were observed in women than men, and a higher prevalence rate was observed in elderly than young people. Conclusions Autoimmune hepatitis is a rare disease, with a similar incidence worldwide and a higher prevalence in European and American than in Asian population.

Introduction Wilson Disease (WD) is an autosomal recessive inherited metabolic disease caused by mutations in the ATPase copper transporting beta gene (ATP7B). WD can cause fatal neurological and hepatic disorders if not diagnosed and treated. Objective To analyze the disease-causing mutations of 14 Chinese WD children, 11 of whom are diagnosed with hepatic disorders, 2 with neurological degeneration and 1 with both hepatic and neurological disorders. Methods All ATP7B coding regions were analyzed by Sanger sequencing. Single nucleotide polymorphisms (SNPs) functional impacts were assessed by combining the results of four bioinformatics tools (Poly-phen-2, SIFT, PANTHER-PSEP and PhD-SNPs) in an index that reflects the combined probability (cPdel) of an amino acid change to be deleterious to the protein function. Results Two novel variants involved in WD development, c.1448_1455del (p.Arg483SerfsX19) and c.4144G>T (p.Glu1382Stop), and 11 previously reported mutations were detected. Both new variants result in shortened and dysfunctional ATP7B proteins. cPdel score suggests that SNPs may be deleterious to the ATP7B functionality. Conclusions This study enriches the library of the ATP7B mutations that lead to WD and can be used as a basis for genetic counseling, for WD prevention and clinical and prenatal diagnosis. Those SNPs that are believed to be harmless to ATP7B protein may be involved in the pathogenesis of WD.

A photonic quasi-crystal fiber (PQF) consisting of Ge20Sb15Se65 and all circular air holes exhibits high birefringence and low confinement loss(CL). The design which incorporates a simple eight-fold Penrose photonic quasi-crystal structure and six symmetrical circular air holes around the core is analyzed and optimized numerically using the full-vector finite element method by adopting the perfectly matched layer boundary condition. The maximum birefringence of 1.33 × 10−1 is achieved at 1.55 μm and CLs of the X-polarization and Y-polarization modes are less than 10−3 and 10−6 dB/m, respectively, in the wavelength range between 1.41 and 1.69 μm. To the best of our knowledge, this structure shows the highest birefringence among PQFs with all circular holes reported so far and has great potential in high-performance optical devices.

Broadband control of polarization state is essential for terahertz applications ranging from non-destructive testing to imaging in medicine and wireless communications. We present a single-layered terahertz anisotropic metasurface quarter-wave plate consisting of hybrid metallic wire grating arrays, which enables broadband linear to pure circular polarization conversion with an ellipticity over 0.99 and 43% bandwidth of the central wavelength. The broadband effect is robust across a wide range of incident angles. Interestingly, angle-tunable arbitrary polarization states are implemented by changing the angle of incidence at other frequencies. Such single-layered broadband quarter-wave plate provides a route to develop broadband polarization conversion components, facilitating compact applications of terahertz technologies.

Reciprocal asymmetric transmission (AT) phenomenon has received much attention due to various polarization applications, however, high-efficiency AT still remains out of reach in the optical range. In order to improve AT of linearly polarized light, low-loss dielectric metamaterial with twisted resonators should be designed and investigated. The stereometamaterial is constructed by an array of bilayer 90° twisted H-shaped Ge dimers. Based on the transmission matrix, numerical simulation and multipolar resonances analysis, the polarization responses in all-dielectric stereometamaterial are characterized. The simulated results show that the AT parameter reaches up to 98% around 194 THz. In addition, the AT can be engineered via geometrical parameters. The proposed stereometamaterial also exhibits strong circular dichroism that is direction-independent. The multipole decomposition calculations can be utilized to understand the resonant mechanism.

We design and demonstrate a thermally switchable terahertz metamaterial absorber consisting of an array of orthogonal coupled split-ring metal resonators involving a VO2 phase transition. Numerical results indicate that the active metamaterial always absorbs the TE wave in dual-band regardless of insulating and metallic VO2, while the insulator-to-metal phase transition enables a switchable effect between dual-band and broadband absorption of the TM wave with the resonant frequency tunability of 33%. Especially under the metallic VO2 state, the absorption properties are polarization-dependent and exhibit a switching effect between dual-band and broadband absorption with the increase of the polarization angle. The tunable absorption mechanism can be explained by effective impedance theory and electric energy density distributions. The proposed dual-band to broadband metamaterial switching absorber may have broad applications in sensors, imaging and emitters.

Validation is an essential process to evaluate the quality of waterbody remote sensing products, and the reliability and effective application of the in situ data of waterbody parameters are an important part of validation. Based on the in situ data of chlorophyll-a (Chl-a), total suspended solids (TSS) and other environmental variables (EVs) measured at the fixed station in Taihu Lake, we attempt to develop a prediction model to determine whether the in situ measurement has enough representativeness for validating waterbody remote sensing products. Key EVs that affect the changes of Chl-a and TSS are firstly identified by using correlation analysis, which participate in modeling as variables. In addition, three multi-parameter modeling approaches are selected to simulate the daily changes of Chl-a and TSS under different EVs configurations. The results indicate that the highest prediction accuracy can be achieved through the generalized regression neural network (GRNN) based model. In the all-valid dataset, the testing absolute average relative errors (AEs) of GRNN-based Chl-a and TSS prediction model are 11.4% and 11.3%, respectively, and in the sunny-day dataset, the testing AEs are 8.6% and 8.2%, respectively. Meanwhile, the application example proves that the prediction model in this paper can be effectively used to screen the in situ data and determine the time window for satellite&ndash, ground data matching.

The role of CD147 in regulation of rheumatoid arthritis (RA) is not fully elucidated. The aim of this study was to investigate the effect of cell-to-cell contact of activated CD14+ monocytes with CD4+ T cells, and the modulatory role of CD147 on T-helper 17 (Th17) cells differentiation in patients with RA. Twenty confirmed active RA patients and twenty normal controls were enrolled. CD4+ T cells and CD14+ monocytes were purified by magnetic beads cell sorting. Cells were cultured under different conditions in CD4+ T cells alone, direct cell-to-cell contact co-culture of CD4+ and CD14+ cells, or indirect transwell co-culture of CD4+ /CD14+ cells in response to LPS and anti-CD3 stimulation with or without anti-CD147 antibody pretreatments. The proportion of IL-17-producing CD4+ T cells (defined as Th17 cells) was determined by flow cytometry. The levels of interleukin (IL)-17, IL-6, and IL-1β in the supernatants of cultured cells were measured by ELISA. The optimal condition for in vitro induction of Th17 cells differentiation was co-stimulation with 0.1 μg/mL of LPS and 100 ng/mL of anti-CD3 for 3 days under direct cell-to-cell contact co-culture of CD4+ and CD14+ cells. Anti-CD147 antibody reduced the proportion of Th17 cells, and also inhibited the productions of IL-17, IL-6, and IL-1β in PBMC culture from RA patients. The current results revealed that Th17 differentiation required cell-to-cell contact with activated monocytes. CD147 promoted the differentiation of Th17 cells by regulation of cytokine production, which provided the evidence for pathogenesis and potential therapeutic targets for RA.

The major problem is the non-line-of-sight (NLOS) propagation in indoor localization. In order to perform NLOS identification, in this paper, we propose a novel NLOS identification technique based on the maximum energy block of the received signal using energy detector. In particular, the IEEE 802.15.3c 60 GHz channel models are used as examples and the above statistics is found to be explained in detail. The simplicity of the proposed approach lies in the use of the parameters of the energy-based time of arrival (TOA) estimation algorithm. The CM1 and CM2 channel models of the IEEE 802.15.3c channel models are used. Numerical simulations results show the correct identification with the proposed approach is better than with the multipath channel statistics based approach.

Hyperbranched polymer with amino end groups (HBPA) and core-shell particle (CSP, which is fabricated through grafting HBPA onto the surface of silica nanoparticle) were incorporated into an epoxy matrix to fabricate a high performance composite. The effects of CSPs contents on the mechanical properties of composites were studied, discussing the results from tensile, flexural, and impact tests. The composites revealed noticeable improvements in tensile strength, elongation, flexural strength and impact strength in comparison to the neat epoxy or epoxy/HBPA system. The glass transition temperature (Tg) was also improved by the addition of CSP. Field emission scanning electron micrograph (FESEM) indicated that HBPA could favorable improve the compatibility between CSP and epoxy matrix. And the toughening mechanisms were the synergic effect of shearing deformation, phase separation, crack propagation, crack deflection, and crack pinning.

The performance of a magnetic ion-imprinted chitosan resins (MICR) have been investigated for the adsorption processes of Th(IV) ions from aqueous solution. Infrared spectra (IR) and energy dispersive spectrometer (EDS) show that it is a successful cross-linking and ion-imprinting process, and Th(IV) has been adsorbed onto the MICR. Experimental equilibrium data has been obtained and the results have shown that the Langmuir isotherm model better fits the experimental data compared with the Freundlich isotherm. Two simplified models including pseudo-first order and pseudo-second order equations were selected to simulate the adsorption process.

In this study, glass-fiber, grafted by epoxide-terminated hyperbranched polymer (GF-HBPE), was incorporated into epoxy resins for reinforcement purpose. The effects of GF-HBPE content on mechanical properties of the resulting epoxy-based composites, such as tensile strength, percentage elongation at break, flexural strength, and impact strength, were investigated. The experimental results revealed that GF-HBPE substantially outperformed impact resistance in both tensile and flexural tests. For instance, the tensile strength, percentage elongation at break, flexural strength, and impact strength of the epoxy composite with 1 wt% GF-HBPE increase by about 23.6%, 125%, 26%, and 74.5%, respectively, compared to the unmodified epoxy thermoset.

To compare the efficacies of electrical pudendal nerve stimulation (EPNS) vs electromyogram biofeedback (BF)-assisted pelvic floor muscle training (PFMT) plus transvaginal electrical stimulation (TES) in treating female stress urinary incontinence (SUI) and to evaluate the posttreatment and long-term efficacies of EPNS for female SUI.Forty-two female SUI patients were randomized into groups I and II, 21 in each group. The two groups were treated by EPNS and BF-assisted PFMT plus TES, respectively, for comparison of their effects. Group III (196 patients) were treated by EPNS for evaluation of its effects. To perform EPNS, long acupuncture needles were deeply inserted into four sacrococcygeal points and electrified to stimulate pudendal nerves. Outcome measures were stress test, 24-hour pad test, and a questionnaire to measure the severity of symptoms and quality of life in women with SUI.After 4 weeks of treatment, the questionnaire score was lower and the therapeutic effect was better in group I (questionnaire score 0 [0, 6] and a ≥ 50% symptom improvement rate of 85.7%, respectively) than in group II (questionnaire score 9 [5.5, 15.5] and a ≥ 50% symptom improvement rate of 28.6%) (both P .01). In group III, complete resolution occurred in 94 cases (48.0%), with a ≥ 50% symptom improvement rate of 85.7%, after 20.3 ± 16.8 sessions of treatment. At the mean follow-up of 52.9 months, complete resolution occurred in 32 (47.1%) of the 68 patients in group III who attained ≥50% posttreatment improvement.EPNS is more effective than BF-assisted PFMT plus TES in treating female SUI. It has good posttreatment and long-term effects on female SUI.

In the field of sensor networks, impulse radio 60 GHz wide band signals which is even much more practical for ranging and localization systems due to high time and multipath resolution. Typically, the 60GHz accurate ranging estimation is very important. In order to improve the precision of the ranging, a new threshold selection algorithm using neural network (NN) is proposed which is based on a joint metric of the skewness, kurtosis and standard deviation after energy detector (ED). Simulation results are presented which show the proposed NN algorithm provides better precision and robustness in both high and low SNR environments than other ED-based algorithms in the IEEE 802.15.3c channel models.

Glass fiber, GF, which was first hydroxylated and silanized, was incorporated into epoxy resin modified with amino-terminated hyperbranched polymer (ATHBP) to obtain high performance composite. The effects of GFs content on the mechanical properties of composites were investigated, discussing the results from flexural, tensile, and impact tests. The composites revealed noticeable improvement in flexural strength, tensile strength as well as impact strength but slow decrease in elongation at break, compared to the epoxy/ATHBP thermoset. FESEM morphology results indicated the good compatibility between epoxy matrix and GF in the appearance of ATHBP and showed that the toughening mechanism was mainly attributed to the stress transfer mechanism.

Whether can the received signal be done with in an even better fashion or not, which is a key factor that can make impact on the accuracy of the ranging and positioning in the 60GHz wireless communication system. There are two mainstream algorithms that may be used for dealing with the signals, which can be segmented into Matched Filtering algorithm and Energy Detection algorithm according to the principle. In order to get the signal processing algorithm that is more suitable for 60GHz millimeter wave. These two algorithms were studied deeply from five aspects respectively such as the distance between nodes, sampling frequency, normalized threshold, the integration period, Signal-to-Noise Ratio. The previous Maximum Energy Selection algorithm and fixed Threshold-Crossing algorithm were compared with the Matched Filtering algorithm in the IEEE 802.15.3c standard indoor channel models. Performance results that are presented verify that it is obvious to improve the accuracy of ranging so long as the received signal is better processed.

A novel amino-terminated hyperbranched polymer (ATHBP) was synthesized through the end-capping reaction between hyperbranched polymer with hydroxyl group (HBPH) and diethylenetriamine. The chemical structure of ATHBP was characterized by attenuated total internal reflectance infrared spectroscopy (ATR-IR) and 1H nuclear magnetic resonance spectroscopy (1H NMR). The effect of ATHBP content (0–30 wt%) on the impact resistance and glass transition temperature (Tg) of diglycidyl ether of bisphenol-A epoxy resin was studied. The toughness mechanism was discussed by observing the fracture surface morphologies of epoxy thermosets using field emission scanning electron microscopy (FESEM). The results showed that the degree of branching of ATHBP was 0.56. And the introduction of ATHBP could favorably improve the impact strength but not sacrifice the Tg of epoxy resin. For example, the impact strength of 25 wt% formulation was 60.7 % higher than that of the neat epoxy thermoset. FESEM analysis indicated that the toughening mechanism may be attributed to plastic deformation mechanism.

In order to promote the information and digital construction of coal geological work, promote the rapid development of green coal mines and smart coal mines. In this study, we developed the Coal Geology Cloud (CGC) using key technologies such as elastic computing, mass storage of map data, and cloud message queues. The research and development process is based on the secondary development of Openstack and mature cloud computing platform technology. The researchers adopted the four-layer technical architecture of Iaas, PaaS, SaaS and Client. At the same time, it combines coal mine GIS series software and cloud computing IaaS platform to form an object-oriented Coal Geology Cloud GIS solution. CGC realizes the collection, aggregation, storage, analysis, processing and display of coal geology and related information, and provides convenient online cloud services for the exploration, development, research and management of coal resources.

We theoretically report that asymmetric transmission phenomenon of linearly polarized light enables an ultrasensitive and background-free metamaterial sensor with a sensitivity of 47.5 THz/RIU in the optical range. The asymmetric transmission in the metamaterial arises from the twist arrangement of two cascaded ring apertures and its asymmetric factor can reach 0.47. Importantly, by detecting the direction-dependent polarization conversion, the metamaterial is capable of sensing refractive index of surrounding medium. The sensing principle dictated by cross-polarization makes the sensor background-free since co-polarization background noise is easily removed. The proposed metamaterial may open up opportunities to develop novel sensors and polarization modulators in the optical regime.

In this work, we numerically demonstrate tunable chiroptical responses in a transmissive asymmetrically split ring metamaterial composed of metal/phase change material Ge2Sb2Te5(GST)/metal multilayer stack. The pronounced optical contrast between the amorphous and crystalline GSTs results in a large frequency tuning range of both resonant asymmetric transmission and circular dichroism up to 38.7%. Additionally, the hybrid metamaterial can be employed to explore phase transition process between amorphous and crystalline GSTs via detecting polarization conversion or circular dichroism with low background noise since the resonant signal is quite sensitive to proportions of amorphous and crystalline GSTs. The polarization conversion efficiencies and resonant frequencies can be tuned via parameter study. This work pays a way towards the realization of GST-enabled dynamic polarization control in the optical region.

To ascertain the number and percentage of angiogenic T (Tang) cell subsets by flow cytometry in systemic sclerosis (SSc), and their relation with specific clinical features. Thirty SSc patients and 15 healthy controls (HCs) were included. Luminex was performed to analyze the levels of interleukin (IL)-17A, vascular endothelial growth factor (VEGF), tumor necrosis factor-α, and vascular cell adhesion molecule (VCAM). The ratio of circulating CD3 + CD31 + CXCR4 + T (CD3 + Tang) cells and CD8+ CD31 + CXCR4 + T (CD8+ Tang) cells in SSc patients was enlarger than in HCs, while CD4 + CD31 + CXCR4 + T cells (CD4 + Tang) exhibited no difference between SSc patients and HCs. The number and percentage of Tang cells were higher in SSc patients with pulmonary artery hypertension (PAH) than in non-PAH SSc patients and HCs. The ratios of Tang cell subsets in nucleolar pattern-positive SSc patients were markedly raised as compared with their negative ones and HCs. Additionally, the percentage of circulating CD3 + Tang cells was positively associated with VEGF serum levels in SSc patients. Meanwhile, the rate of CD8+ tang cells might have been emphatically corresponded to VEGF and VCAM serum levels in SSc patients. These results imply that the increase in Tang cells in peripheral blood are associated with immunoregulatory disturbances in SSc patients.

High-order amplitude phase shift keying is adopted in the latest digital satellite broadcasting system, which presents new challenges to the design of a receiver demodulation scheme. This study focuses on the soft decision decoding algorithm. Traditionally, maximum likelihood soft decision based on log likelihood ratio estimation is often used as a decoding scheme. Accordingly, a soft decision algorithm based on hard decision boundary is designed and the corresponding soft decision estimation formula is derived. Numerical analytical results show that the proposed soft decision algorithm can improve the error performance of a system and substantially reduce the complexity of implementation.

Ghrelin is a circulating peptide hormone, which involved in promoting feeding and regulating energy metabolism in human and rodents. Abnormal synovial hyperplasia is the most important pathologic hallmark of rheumatoid arthritis (RA), which is characterised by tumor-like expansion. Existing studies indicated that there may exist some relation between the decreased ghrelin and the abnormally proliferating synovial cells in RA. Therefore, the aim of this study is to explore the apoptotic effects of ghrelin on MH7A synovial cells in vitro. 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay was used to evaluate the effects of ghrelin on the viability of MH7A cells. Terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate-biotin nick-end labeling (TUNEL) and flow cytometry were used to test the apoptotic effects of ghrelin. At last, Western blot and real-time PCR were performed to explore the expression of caspases-8, -9, and -3 after the treatment of ghrelin. MTT experiments showed that ghrelin could inhibit viability of MH7A cells. The results of flow cytometry and TUNEL showed that ghrelin could induce apoptosis of MH7A synovial cells. Western blot showed that expression of cleaved-caspases-8, -9, and -3 were increased in ghrelin stimulation group compared with the control group, while expression of pro-caspases-8, -9, and -3 had no significant difference. In mRNA levels, ghrelin can decrease pro-caspases-8, -9, and -3 mRNA expression, which confirmed the results of protein levels. Then these apoptotic effects were significantly reversed by [D-Lys3] GHRP-6 (ghrelin receptor antagonist). This study found that ghrelin can induce apoptosis of MH7A cells through caspase signaling pathways.

Long QT syndrome is a rare but potentially lethal cardiac channelopathy. The primary aim of the study was to investigate the long-term effects of video-assisted thoracoscopic (VATS) left cardiac sympathetic denervation (LCSD) in Chinese patients with long QT syndrome.VATS-LCSD was performed in eight Chinese patients with LQTS. Twelve-lead ECGs and 24-hour Holter monitoring ECGs were recorded before and after surgery. The medical charts were reviewed to obtain patient data, and the patients who had been lost to follow-up were contacted through telephone.The average QTc was shortened from 534 ± 52.7 to 503 ± 43.7 ms (P = 0.030) 24 hours post-surgery and down to 486 ± 34.8 ms (P = 0.021) 1 week post-surgery, with the heart rate unchanged. The average QT dispersion was reduced from 67 ± 17.5 to 21 ± 3.9 ms (P < 0.001) 24 hours post-surgery and remained shortened 1 week later (30 ± 8.1 ms, P < 0.001). Moreover, the 24-hour ECG showed that the QTc was shortened from 552 ± 95.9 to 497 ± 19.7 ms at the minimum heart rate (P = 0.008), and was decreased from 594 ± 144 to 495 ± 74.1 ms at the maximum heart rate (P= 0.04), while the minimum and maximum heart rates were comparable before and after surgery. No death was observed during the follow-up period and the clinical symptoms improved in all patients. The annual event rate decreased from 4 ± 3.50 to 0.63 ± 1.37 events/year (P = 0.034) after surgery.These findings indicate that LCSD shortens the QTc, with the heart rate remaining unchanged. QTd might be a useful parameter for evaluating the efficacy of VATS-LCSD. LCSD could improve patients' life quality by reducing cardiac events.

The outcome of molecular targeted therapies is restricted by the ambiguous molecular subtypes of nonsmall cell lung cancer (NSCLC), which are difficult to be defined with druggable mutations, and the inevitable emergence of drug-resistance. Here we used the Cu-catalyzed click chemistry to synthesize a chitosan-based self-assembled nanotheranostics (CE7Ns) composed of a near-infrared (NIR) fluorescent photosensitizer Cy7 and molecular targeted drug erlotinib. The well-characterized CE7Ns can release erlotinib and Cy7 fast under acidic condition in the presence of lysozyme, distinguish three molecular subtypes of NSCLC, and specifically bind to the erlotinib-sensitive epidermal growth factor receptor (EGFR)-mutated PC-9 cells. The uptake of CE7Ns is much more in PC-9 cells than in other NSCLC cells, thus generating a notable fluorescence signal in PC-9 cells. Upon NIR irradiation, Cy7 in CE7Ns produces high reactive oxygen species in PC-9 cells. The synergistic effect between erlotinib-targeted therapy and photodynamic therapy significantly up-regulates cancer suppressor p53 and inhibits Survivin, which results in more apoptosis and cell cycle arrest. Upon intravenous administration, the erlotinib-guided CE7Ns significantly accumulate in PC-9-seeded mouse lungs and produce strong fluorescence. Upon NIR irradiation, CE7Ns significantly inhibit the subcutaneously implanted PC-9 tumor growth. This study provides, for the first time, a novel strategy to synthesize a multifunctional theranostic entity to simultaneously distinguish and image druggable mutations and combine targeted therapy with photodynamic therapy to overcome drug resistance.

Supplemental Digital Content is available in the text, To assess treatment response and overall survival (OS) in refractory or relapsed acute myeloid leukemia (R/R AML) patients treated by different common salvage chemotherapy regimens. Medical records data from 142 R/R AML patients were reviewed in this retrospective study. Patients were treated with regimens based on the following drugs: cytarabine, granulocyte colony-stimulating factor (G-CSF), and fludarabine (FLAG) (n = 46); cytarabine and G-CSF in addition to aclarubicin or daunorubicin (CAG/DAG) (n = 30); cytarabine, G-CSF, and cladribine (CLAG) (n = 27); cytarabine, etoposide, and mitoxantrone (MEA) (n = 17); cytarabine plus idarubicin, daunorubicin, or mitoxantrone (IA/DA/MA) (n = 12); and homoharringtonine, cytarabine, and aclarubicin or daunorubicin (HAA/HAD) (n = 10). A total of 43 (35.2%) patients achieved complete remission (CR), 60 (49.2%) patients achieved overall remission rate (ORR), and 18 (14.8%) patients received allogeneic hematopoietic stem cell transplantation (allo-HSCT) after CR. Median OS was 8.0 (95% CI 6.6–9.4) months with a 1-year OS rate of (29.9 ± 3.9)% and 3-year OS rate of (11.1 ± 3.6)%. No difference of CR (P = .621), ORR (P = .385), and allo-HSCT (P = .537) achievement was observed among different chemotherapy regimens. Interestingly, we observed that the CLAG-based regimen did not affect CR (P = .165), while it achieved a numerically higher ORR (P = .093) and was an independent factor for prolonged OS (P = .016). No other regimens were determined to be correlated with CR, ORR, or OS. FLAG-, CAG/DAG-, CLAG-, MEA-, IA/DA/MA- and HAA/HAD-based regimens were found to achieve similar CR rates, while the CLAG-based regimen achieved numerically higher ORR rates and significant favorable OS. Therefore, CLAG-based regimens should be a prioritized treatment option for R/R AML patients.

In the basic performance of SF6 high voltage circuit breaker, the breaking performance is the most important technical index to measure the performance of the product, and the breaking performance is mainly depended on the recovery characteristic of the dielectric strength for the arc extinguishing chamber during the opening and breaking process of the circuit breaker. In this paper, based on the theory of gas dynamics and electromagnetic field, the flow characteristics of the air flow and electric field intensity in the arc extinguishing chamber are simulated by the computer simulation software. And a numerical calculation method for the dielectric strength recovery characteristic of the circuit breaker is proposed. The method presented in this paper will provide necessary theoretical basis and technical support for the future application of the SF6 high voltage circuit breaker in high voltage system.

The monitoring of particulate organic carbon (POC) flux at the bottom of the euphotic layer in global ocean using remote sensing satellite data plays an important role in clarifying and evaluating the ocean carbon cycle. Based on the in situ POC flux data, this paper evaluated various estimation models. The global ocean POC flux from 2003 to 2018 was calculated using the optimal model, and its temporal and spatial variation characteristics were analyzed. In general, the annual average of global ocean POC flux is about 8.5–14.3 Gt C yr − 1 for period of 2003–2018. In the spatial dimension, the POC flux in the mid-latitude ocean (30–60°) is higher than that in the low-latitude (0–30°). The POC flux in Continental Margins with water depth less than 2000 m accounted for 30% of global ocean, which should receive more attention in global carbon cycle research. In the time dimension, the global POC flux decreases year by year generally, but the POC flux abnormally decreases during El Niño and increases during La Niña. In addition, due to global warming, sea ice melting, and bipolar sea area expansion, POC flux in high-latitude oceans (60–90°) is increasing year by year.

Detection of ECG characteristic points serves as the first step in automated ECG analysis techniques. We propose a novel end-to-end deep learning scheme called Region Aggregation Network (RAN) for ECG characteristic points de- tection. A 1D Convolutional Neural Network (CNN) is adopted to automatically process ECG signals. A novel strategy of Region Aggregation is proposed to replace the conventional fully connected layer as regressor. Our work provides robust and accurate detection performance on public ECG database. The evaluation results of our method on QT database show comparable detection accuracy compared with state-of-the-art works.

Background/Aims: The aim of this work was to investigate the efficacy and predictive factors of CLAG treatment in refractory or relapsed (R/R) acute myeloid leukemia (AML) patients. Methods: Sixty-seven R/R AML patients were enrolled in this prospective cohort study and treated by a CLAG regimen: 5 mg/m2/day cladribine (days 1–5), 2 g/m2/day cytarabine (days 1–5), and 300 μg/day filgrastim (days 0–5). The median follow-up duration was 10 months. Results: A total of 57 out of 67 patients were evaluable for remission after CLAG therapy, of whom 57.9% achieved a complete remission (CR) and the overall remission rate was 77.2%. The median overall survival (OS) was 10.0 months, with a 1-year OS of 40.3 ± 6.0% and 3-year OS of 16.7 ± 5.7%. CR at first induction after the initial diagnosis was associated with a favorable CR. Age above 60 years, high risk stratification, second or higher salvage therapy, and bone marrow (BM) blasts ≥42.1% were correlated with an unfavorable CR. Secondary disease, age ≥60 years, high risk stratification, and second or higher salvage therapy were associated with worse OS. Patients developed thrombocytopenia (41, 61%), febrile neutropenia (37, 55%), leukopenia (33, 49%), neutropenia (18, 27%), and anemia (9, 13%). Conclusion: CLAG was effective and well tolerated for R/R AML. BM blasts ≥42.1%, age ≥60 years, high risk stratification, and second or higher salvage therapy were independent factors for a poor prognosis.

Ultra-wideband (UWB) impulse radar plays an important role in contactless vital sign (VS) detection. The VS can be extracted remotely by acquiring the oscillations in the human chest. Unfortunately, it is usually challenging to identify VS due to the low signal-to-noise ratio (SNR) only based on the traditional fast Fourier transform (FFT) especially in complicated conditions. To extract VS accurately, this paper presents a new scheme by analyzing the skewness characteristic of the received UWB impulses, which are modulated by life activities. The distance from the human subject to the radar antenna can be calculated by performing the discrete short-time Fourier transform (DSFT) on skewness. The frequency of human respiratory movement can be estimated based on the developed ensemble empirical mode decomposition (EEMD)-based accumulation technique by canceling out the harmonics effectively. The performance of the developed detection method is tested with several experiments carried out in different environments.

Objective: To explore the expression and significance of CD28, ctla-4, CD80 and CD86 in ankylosing spondylitis. Methods: Flow cytometry was used to test in January 2016-January 2017 in our hospital was 73 cases of ankylosing spondylitis patients and 40 normal controls CD28, CTLA 4, CD80 and CD86 weeks outside expression in lymphocytes. By ELISA method, the lgA serum immunoglobulin IgG, IgM and hypersensitive c-reactive protein (hs CRP) and blood sedimentation (ESR) levels, and to explore, CD80, CD86 and CD28, CTLA - 4, age, duration of the hs CRP, ESR, Bath AS functional index (BASFI) and Bath AS measurement index (BASMI) relevance. Results: The levels of CD28, ctla-4, CD80 and CD86 were significantly higher in patients with ankylosing spondylitis (P

The performance of a cross-linked magnetic chitosan has been investigated for the adsorption of U(VI) from aqueous solutions. The influences of the pH of solution, the initial concentration of U(VI) ions and the contact time on the adsorption amounts have been discussed, and the appropriate process conditions for the adsorption of U(VI) have been obtained. The adsorption experimental equilibrium data was found to fit the Langmuir model well, and the uptake of U(VI) was 161.3 mg g−1. Two simplified models including pseudo-first order and pseudo-second order equations are selected to follow the adsorption process.

It remains not fully elucidated the potential functions of Th17 cells and follicular helper T (Tfh) cells and secreting cytokines in the pathogenesis of rheumatoid arthritis (RA) and their association with disease activity. In this study, the frequencies of Th17 and Tfh cells were determined by flow cytometry, and the levels of interleukin (IL)-17, IL-21, and IL-22 were measured by ELISA in RA patients with different disease activities. The dynamic changes of cell subsets were also detected in response to disease-modify antirheumatic drugs (DMARDs) therapy. The percentages of CD3(+) CD4(+) IL-17A(+) (Th17) cells and CD3(+) CD4(+) CXCR5(+) ICOS(high) (Tfh) cells, as well as the concentrations of IL-17, IL-21, and IL-22 were significantly elevated in RA patients than those in healthy individuals. Furthermore, Tfh cells, IL-21, and IL-22 in the serum was positively correlated with the values of disease activity score. Concentrations of IL-21 and IL-22 in the serum were remarkably reduced following the DMARDs therapies. Our data suggested that Th17 cells, Tfh cells as well as the secreting cytokines may be involved in the pathogenesis of RA. The frequency of circulating Tfh cells and the productions of IL-21 and IL-22 were associated with the disease activity of RA patients, and might be potential therapeutic targets for treatment of RA.

To determine the effect of adiponectin (APN) on the coronary no-reflow (NR) injury in rats with Type 2 diabetes mellitus (T2DM), 80 male Sprague–Dawley rats were fed with a high-sugar–high-fat diet to build a T2DM model. Rats received vehicle or APN in the last week and then were subjected to myocardial ischemia reperfusion (MI/R) injury. Endothelium-dependent vasorelaxation of the thoracic aorta was significantly decreased and serum levels of endothelin-1 (ET-1), intercellular cell adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) were noticably increased in T2DM rats compared with rats without T2DM. Serum APN was positively correlated with the endothelium-dependent vasorelaxation, but negatively correlated with the serum level of ET-1. Treatment with APN improved T2DM-induced endothelium-dependent vasorelaxation, recovered cardiac function, and decreased both NR size and the levels of ET-1, ICAM-1 and VCAM-1. Hypoadiponectinemia was associated with the aggravation of coronary NR in T2DM rats. APN could alleviate coronary NR injury in T2DM rats by protecting the endothelium and improving microcirculation.

Sleep disorder is a state of sleep loss caused by various reasons, which leads to a series of changes, such as emotion, learning and memory, and immune function. “Tranquilizing and allaying excitement” was widely used in clinical treatment of insomnia; however, the mechanism was still not very clear. We randomly divided rats into three groups: control group, sleep deprivation group, and acupuncture treatment group. We observed BDNF and SYP expression in hippocampus in these three groups. Both protein contents and mRNA contents of BDNF and SYP were measured by western blot, immunohistochemistry, and RT-PCR analysis. The sleep deprivation model was established using modified multiple platform sleep deprivation method (MMPM). Our study explored the BDNF and SYP abnormality in hippocampus caused by sleep deprivation and “tranquilizing and allaying excitement” intervention regulated the abnormal expression of BDNF and SYP caused by sleep deprivation on the short run and the long run. Our study provided a molecular evidence that “tranquilizing and allaying excitement” treatment in rats with sleep disorder affects learning and memory ability.

β1-Adrenoceptor autoantibodies (β1-AAs) affect the action potential duration (APD) in cardiomyocytes and are related to ventricular arrhythmias. The delayed rectifier potassium current (I K) plays a crucial role in APD, but the effects of β1-AAs on I K have not been completely illuminated. This work aimed to observe the effects of β1-AAs on I K and APD and further explore the mechanisms of β1-AA-mediated ventricular arrhythmias. β1-AAs were obtained from sera of patients with coronary heart disease (CHD) and nonsustained ventricular tachycardia. With whole-cell patch clamp technique, action potentials and I K were recorded. The results illustrated 0.1 μmol/L β1-AAs shortened APD at 50 % (APD50) and 90 % (APD90) of the repolarization. However, at 0.01 μmol/L, β1-AAs had no effects on either APD90 or APD50 (P > 0.05). At 0.001 μmol/L, β1-AAs significantly prolonged APD90 and APD50. Moreover, β1-AAs (0.001, 0.01, 0.1 μmol/L) dose-dependently increased the rapidly activating delayed rectifier potassium current (I Kr), but similarly decreased the slowly activating delayed rectifier potassium current (I Ks) and increased L-type calcium currents at the different concentrations. Taken together, the IKr increase induced by high β1-AA concentrations is responsible for a significant APD reduction which would contribute to repolarization changes and trigger the malignant ventricular arrhythmias in CHD patients.

Gastrodia elata (G. elata), as a natural plant with nourishing and edible value, plays a vital role in food and pharmaceutical production. In the present study, a novel approach for the simultaneous determination of six components based on high-performance liquid chromatography (HPLC) coupled with photodiode array detection (PDA) was developed for the quality evaluation of G. elata from different regions. Meanwhile, antioxidant and α-glucosidase inhibitory activities were estimated and compared. The results indicated that the total contents of the six compounds in G. elata from Guizhou and Zhejiang provinces obtained by boiling were higher than those obtained by steaming in Anhui and Yunnan provinces. In addition, samples from Guizhou, Yunnan and Shanxi provinces contained more p-hydroxybenzyl alcohol, and always possessed higher antioxidant activity, while samples collected from Anhui province showed the highest α-glucosidase inhibitory activity with the highest gastrodin content. The results revealed that the quality of G. elata was affected by different regions and different initial processing technologies, which provided a reference for the selection and application of G. elata.