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Observational studies have suggested that SARS-CoV-2 infection may increase the burden of cerebral small vessel disease (CSVD). This study aims to explore the causal correlation between COVID-19 and the imaging markers of CSVD using Mendelian randomization (MR) methods. Summary-level genome-wide association study (GWAS) statistics for COVID-19 susceptibility, hospitalization, and severity were utilized as proxies for exposure. Large-scale meta-analysis GWAS data on three neuroimaging markers of white matter hyperintensity, lacunar stroke, and brain microbleeds, were employed as outcomes. Our primary MR analysis employed the inverse variance weighted (IVW) approach, supplemented by MR-Egger, weighted median, and MR-PRESSO methods. We also conducted multivariable MR analysis to address confounding bias and validate the robustness of the established causal estimates. Comprehensive sensitivity analyses included Cochran's Q test, Egger-intercept analysis, MR-PRESSO, and leave-one-out analysis. The MR analysis revealed a significant causal correlation between the severity of COVID-19 and an increased risk of lacunar stroke, as demonstrated by the IVW method (ORivw = 1.08, 95% CI: 1.03–1.16, pivw = 0.005, FDR = 0.047). Nevertheless, no causal correlations were observed between COVID-19 susceptibility or hospitalization and any CSVD imaging markers. The robustness and stability of these findings were further confirmed by multivariable MR analysis and comprehensive sensitivity analyses. This study provides compelling evidence of a potential causal effect of severe COVID-19 on the incidence of lacunar stroke, which may bring fresh insights into the understanding of the comorbidity between COVID-19 and CSVD. [ABSTRACT FROM AUTHOR]

Background and Purpose: More evidence supports the benefits of batroxobin combined with anticoagulation in correcting acute cerebral venous thrombosis (CVT). The dynamic fluctuations of peripheral blood platelets, fibrinolysis, and coagulation biomarkers during this therapy were analyzed. Methods: We investigated batroxobin's effects on the antithrombotic system under two regimens. The pretreatment group included patients on anticoagulants for at least 1 week before starting batroxobin. The simultaneous treatment group began both treatments upon admission. The control group received only anticoagulation. Batroxobin was given on alternate days at doses of 10BU, 5BU, and 5BU, totaling three doses. Anticoagulation was continuous. Baseline data were T0; the next day after each batroxobin dose was T1, T2, and T3. Data from these four time points was analyzed. Results: The time‐point paired sample T‐test results of the pretreatment group [n = 60; mean age (SD), 43.3(16.5); 38 (63.35%) women] showed that batroxobin significantly inhibited ADP‐induced platelet aggregation rate (T1–T0: p = 0.015; T2–T0: p = 0.025; T3–T0: p = 0.013), decreased fibrinogen level (T1–T0: p < 0.001; T2–T0: p < 0.001; T3–T0: p < 0.001), and increased D‐dimer (T1–T0:p < 0.001; T2–T0: p < 0.001; T3–T0: p < 0.001), TT (T1–T0:p = 0.046; T2–T0: p = 0.003; T3–T0: p < 0.001), and APTT (T1–T0:p = 0.021; T2–T0: p = 0.012; T3–T0: p = 0.026). Compared to the control group, the simultaneous treatment group showed significantly higher TT (T2: p = 0.002; T3: p = 0.004) and D‐dimer (T1: p < 0.001; T2: p < 0.001; T3: p < 0.001) values, while fibrinogen (T2: p < 0.001; T3: p < 0.001) levels were significantly lower. Using batroxobin can alleviate the amplitude of changes in coagulation indicators other than TT caused by anticoagulants. The above conclusions are consistent with the results of repeated measurement data analysis. Conclusions: Batroxobin can significantly inhibit ADP‐induced platelet aggregation rate, increase D‐dimer, decrease fibrinogen, and prolong TT and APTT in the presence of anticoagulant agents. Using batroxobin can reduce the amplitude of changes in coagulation indicators caused by anticoagulants. These results reveal the potential mechanism of batroxobin combined with anticoagulation in the safe and effective treatment of CVT. [ABSTRACT FROM AUTHOR]

Plants play a crucial role in soil fixation and enhancement of slope stability, and saline–alkaline stress is one of the main restrictions inhibiting plant growth and development. At present, there is a lack of research on the effects of saline–alkaline composite stress on the mechanical properties of the root system and the erosion resistance of the root–soil complex. In this study, three gradients of saline–alkaline composite stress treatments and a control of saline-free treatment was set up for Oenothera biennis, Perilla frutescens, Echinops sphaerocephalus, and Lychnis fulgens. The plant salt damage rate, osmotic index, antioxidant enzyme activity and plant root morphological indicators were measured. The biomechanical characteristics were determined by stretching tests, the resistance of the plant was measured by a whole-plant vertical uprooting test, and the anti-erosion capacity of the root soil composite was measured by scrubbing test. The results showed that, at 200 mM, the salt damage index and salt damage rate of the four plants, in descending order, were as follows: E. sphaerocephalus < L. fulgens < O. biennis < P. frutescens. Among them, SOD of Perilla frutescens did not play an obvious protective role, and the substantial changes in CAT and POD, as well as the content of soluble sugars, soluble proteins, and proline, showed its sensitivity to saline and alkaline stresses. Root growth was also significantly suppressed in all four plants, the 100- and 200-mM concentrations of saline solution significantly reduced the average tensile strength of O. biennis and P. frutescens, while the saline–alkali solution of 200 mM significantly reduced the elongation of E. sphaerocephalus and L. fulgens, and significantly elevated the soil detachment rate of the root–soil composite for E. sphaerocephalus. Additionally, all three concentrations of saline treatments significantly reduced the pullout resistance of all 4 plants. There was a negative power rate relationship between tensile resistance and root diameter in four plant species, while the relationship between tensile strength and root diameter showed a negative power law only for L. fulgens treated with 0–50 mM saline solution. There was no significant correlation between elongation and root diameter in the four plants. P. frutescens had the greatest tensile resistance and strength, as well as the lowest rate of elongation, while L. fulgens possessed the greatest pullout resistance, and both had comparable resistance to erosion of the root–soil complex. Therefore, compared to the other three plants, L. fulgens is more suitable for soil reinforcement applications on saline slopes. [ABSTRACT FROM AUTHOR]