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Introduction: Shenhua Tablet (SH), a traditional Chinese medicine (TCM) formulation with seven herbs, is widely used in the clinical treatment of Immunoglobulin A (IgA) nephropathy. Despite its effectiveness, the specific active components of SH in vivo remain unidentified, presenting a challenge for further research on its pharmacodynamic material basis. Methods: A rat model of IgA nephropathy was treated with Shenhua Tablet (SH) to evaluate its potential in protecting kidney function. UHPLC-Q/Orbitrap/LTQ MS was utilized to identify active components of SH in vivo under the active condition for intervening IgA. Results: SH significantly ameliorated Thy-1 antibody-induced IgA nephropathy by decreasing glomerular injury, suppressing pro-inflammatory factor secretion, and inhibiting mesangial cell proliferation. 83 kinds of prototypal compounds absorbed into the blood were comprehensively characterized, along with 145 metabolites arising from Phase I and Phase II metabolic reactions. and the metabolic pathways of these metabolites were elucidated for the first time. 10 active components were found to be correlated with the effectiveness of SH, including Atractylenolide I, chlorogenic acid, ferulic acid, salidroside+SO3, calycosin+O, furanodiene, paeoniflorin-H2, germacron+O, formononetin+C6H8O6, and calycosin. Discussion: The results fill the current research gap on the active components of SH and examine its potential renoprotective effects on IgA nephropathy. This study provides valuable references and insights for elucidating the active components and mechanisms of action of SH in treating IgA nephropathy.

BackgroundBedside lung ultrasonography has been widely used in neonatal intensive care units (NICUs). Lung ultrasound scores (LUS) may predict the need for pulmonary surfactant (PS) application. PS replacement therapy is the key intervention for managing moderate to severe neonatal respiratory distress syndrome (NRDS), with early PS administration playing a positive role in improving patient outcomes. Lung ultrasonography aids in the prompt diagnosis of NRDS, while LUS offers a semi-quantitative assessment of lung health. However, the specific methodologies for utilizing LUS in clinical practice remain controversial. This study hypothesizes that, in very preterm infants [

A small-signal model of a virtual synchronous generator (VSG) control system for wind turbines, which considers the rotor speed regulation characteristics, has been established in this paper. Additionally, the damping torque coefficient expression of the VSG based permanent magnet synchronous generator (PMSG) was derived. The critical factors affecting the frequency stability of the wind turbine system in the maximum power point tracking (MPPT) mode were analyzed. Furthermore, it has been clarified that when the DC voltage is controlled by the generator-side-converter, the mechanical characteristics of the generator can weaken the wind turbine’s capability to damp the power oscillation. The minimum damping value of the VSG control system has been determined, which can provide a reference for the deployment of grid-forming PMSGs in industry. Finally, a typical VSG based PMSG system was established in the RT-LAB platform, and the correctness of the conclusions drawn in this paper was verified.

The stress state of the primary circuit main pipeline is very complex mixed constant stress and periodic cyclic stress during the operation of nuclear power plants, which often affects the failure behavior of the stainless steel (SS) pipe. The fatigue behavior of 304LN SS under mixed constant stress and cyclic stress was investigated, and it was found that the coupling effect of constant stress and cyclic stress has a significant collaborative acceleration on the fatigue behavior. The research results showed that the cracks in the 304LN SS did not propagate even after 78 days under both constant load conditions of 5 KN and 7.5 KN, while the crack growth rate (CGR) of the specimen increased by about an order of magnitude when coupled with a cyclic fatigue load. The fatigue life of 304LN SS was the longest under 200 °C high-temperature water, and its life was roughly the same under 250 °C and 300 °C water. In a 300 °C high-temperature water environment, the fatigue life under the coupling of constant stress and cyclic fatigue stress is significantly lower than that under symmetric cyclic stress alone. There is a synergistic acceleration effect on the fatigue life of 304LN SS when constant stress is coupled with periodic cyclic stress, which is attributed to the combined effect of a corrosion environment and mechanical factors.

Objective Celastrol is a bioactive constituent extracted from Tripterygium wilfordii (thunder god vine). It has been demonstrated to have a therapeutic effect on experimental disease models for chronic inflammatory and immune disorders. In the present study, we investigated whether and how celastrol exerts a regulatory effect on the autoimmune response in MRL/lpr mice.Methods We performed an in vivo study to determine the therapeutic effects of celastrol in MRL/lpr mice and then further investigated the underlying mechanism of celastrol in the regulation of the autoimmune response in MRL/lpr mice.Results Celastrol showed a therapeutic effect in MRL/lpr mice by preventing the enlargement of the spleen and lymph nodes, alleviating renal injury, and reducing the levels of ANA and anti-double-stranded DNA antibodies. Furthermore, celastrol suppressed the in vivo inflammatory response in MRL/lpr mice by reducing the serum levels of multiple cytokines, including interleukin (IL)-6, tumour necrosis factor (TNF) and interferon (IFN)-γ, and the production of multiple antibody subsets, including total IgG, IgG1 and IgG2b. In vitro, celastrol reduced anti-CD3 antibody stimulation-induced T helper 1 and TNF-producing cells in CD4+ T cells of MRL/lpr mice. In addition, celastrol significantly affected B cell differentiation and prevented the generation of plasma cells from B cells in MRL/lpr mice by reducing the frequency of activated and germinal centre B cells. Celastrol treatment also affected T cell differentiation and significantly reduced central memory T cell frequencies in MRL/lpr mice. Importantly, celastrol treatment specifically promoted apoptosis of CD138+ but not CD138− T cells to suppress autoimmune T cell accumulation in MRL/lpr mice.Conclusions Celastrol exerted therapeutic effects on lupus by specifically promoting apoptosis of autoimmune T cells and preventing the progression of autoimmune response.

To promote the electrocatalytic transformation from CO2 to value-added chemicals with boron doped diamond (BDD) electrode, it is critical to make clear that the relationship between the B doping state and the position of B atom in BDD materials and CO2 reduction performance. Here, a series of BDD electrodes with constant B dopant amount on the surface were prepared by the same process but based on different deposition time (3, 6, 12, and 24 h) using the heat filament chemical vapor deposition. The results demonstrated that the surface grain size, abundances of B–C relative to B–B bonds of the BDD films increased with increasing the deposition time. Moreover, the formic acid yield and faradaic efficiency also increased as well during electrochemical CO2 reduction due to more available B atoms doped in crystallinity (B–C bonds) rather than in grain boundary (B–B bonds) of BDD. Finally, electrochemical analysis revealed that the B–C bonds in the crystal of BDD films is the active sites for the reduction of CO2. This study provides a simple and convenient path to figure out what is the active site of the BDDs and its how to impact the CO2 reduction.

Diamond and graphene are considered to be one of the most promising thermal interface materials (TIMs) for electronic devices benefited from their highest thermal conductivity in the natural world. However, orientated fabrication of high thermal conductivity diamond and graphene hybrid arrays with three dimensions (3 D) thermal conductive networks are still problematic. Here, we used a unique one-step microwave plasma chemical vapor deposition, n-butylamine, as the liquid source to prepare a novel high thermal conductivity 3 D vertical diamond/graphene (VDG) hybrid arrays films. The orientated 3 D thermal conduction path of the VDG is regulated by the growth temperature, and the through-plane thermal conductivity value of the VDG700 films up to 97 W m−1 K−1. In the actual TIM performance measurement, the system cooling efficiency with our VDG as TIM is higher than the state-of-the-art commercial TIM, demonstrating the superior ability to solve the inter-facial heat transfer issues in electronic systems.

Due to the lack of symptoms and detection biomarkers at the early stage, most patients with ovarian cancer (OC) are diagnosed at an advanced stage and often face chemoresistance and relapse. Hence, defining detection biomarkers and mechanisms of chemoresistance is imperative. A previous report of a cDNA microarray analysis shows a potential association of carnitine O-octanoyltransferase (CROT) with taxane resistance but the biological function of CROT in OC remains unknown. The current study explored the function and regulatory mechanism of CROT on cellular behavior and paclitaxel (PTX)-resistance in OC. We found that CROT was downregulated in OC tissues and PTX-resistant cells. Furthermore, CROT expression was negatively correlated with the prognosis of OC patients. Overexpression of CROT inhibited the OC cell proliferation, migration, invasion, and colony formation, arrested the cell cycle at the G2/M phase, and promoted cell apoptosis. In addition, miR-33a-5p bound directly to the 3’UTR of CROT to negatively regulate the expression of CROT and promoted OC cell growth. Finally, overexpression of CROT decreased the phosphorylation of Smad2, whereas knockdown of CROT increased the nuclear translocation of Smad2 and Smad4, two transducer proteins of TGF-β signaling, indicating that CROT is a tumor suppressor which mediates OC cell behaviors through the TGF-β signaling pathway. Thus, targeting the miR-33a-5p/CROT axis may have clinical potential for the treatment of patients with OC.

Abstract Background Dietary nutrient intake plays a significant role in carcinogenesis. Few studies have investigated the association between dietary nutrient intake and cervical intraepithelial neoplasia (CIN) risk in China. Methods Data on 2304 women from an ongoing cohort comprising 40,000 women from China in 2014 were included. Study randomly selected 218 out of 2304 people as subjects during 2019. All participants were surveyed through in-person interviews, physical examinations, and laboratory tests. Clinical data were obtained from physical examinations and laboratory tests. Dietary intakes were assessed using a semiquantitative food frequency questionnaire. Nutrition intakes from 26 food sources were calculated using a comprehensive validated database. Descriptive statistics were used to describe the frequency and proportion, and mean and standard deviation of the demographic characteristics. Characteristics were examined for significant differences, and Pearson chi-square tests were used for categoric variables. Logistic regression was used to obtain odds ratios (ORs) and confidence intervals (CIs) for CIN risk in each nutrient intake quartile relative to that in the highest quartile. Results The food frequency questionnaire exhibited acceptable reproducibility and reasonable validity in assessing nutrient intakes among these women. After adjusting for multiple confounders, several dietary nutrients showed significant associations with CIN2+ risk. Low dietary folate intake was associated with the risk of CIN2+ (first versus fourth quartile: OR = 1.55, 95% CI 1.03–2.33). Similar results were also observed for vitamin B6 (OR = 1.63, 95% CI 1.08–2.46), vitamin C (OR = 1.59, 95% CI 1.05–2.42), niacin (OR = 1.65, 95% CI 1.08–2.51), and vitamin K (second versus fourth quartile: OR = 1.60, 95% CI 1.05–2.44). Conclusions Low folate; vitamin B6, C, and K; and niacin intakes were associated with CIN2+ risk. Nutrients may influence the development of higher grade CIN and cervical cancer. Trial registration The study was registered in the Chinese Clinical Trial Register (ChiCTR-ROC-15006479) ( https://www.chictr.org.cn ).

Human papillomavirus(HPV) infection is a necessary factor for the development of cervical cancer. The HPV vaccine is currently available, but there is still a lack of large-scale research on the distribution and risk factors of HPV. The aim of this study is to investigate the genotype distribution and risk factors of HPV infection in Yangqu which is located in North China. This study enrolled 10086 women aged

CoCrW matrix containing rare earth LaF3 self-lubricating composites were fabricated by using hot-pressing method. The microstructure, phases and high-temperature tribological properties of obtained composites were systematically studied. Friction and wear behaviors were evaluated by using ball-on-disc tribo-tester from RT (24 °C) to 1000 °C. Metal matrix consisted of two allotropes: ε (hcp) and γ (fcc). Mo had a solid solution strengthening effect and lubricating effect when it changed into compounds. Rare earth LaF3 and its compounds showed lubricating effect at elevated temperatures. The friction coefficients and wear resistance of reinforced composites were greatly enhanced with little hardness dropping. It was ascribed to the synergistic effect of in-situ formed and extra added solid lubricants (silver, LaCrO3, Ag2MoO4, AgF3 and metal oxides) as well as oxides film which changed the wear model of tribo-couples during sliding. The wear rate of CoCrW-10LaF3-8Mo-9Ag was about 10 times lower than those of reported Ni and ZrO2 matrix composites. The composites showed the slight abrasive wear and oxidative wear at elevated temperatures. Keywords: Co matrix composites, LaF3, High temperature, Wear

CoCrNi, CoCrW and CoCrMo alloys were fabricated by powder metallurgy technology. The effect of nickel, tungsten and molybdenum, as alloying elements, on the microstructure, phase, mechanical and high-temperature tribological properties of CoCr matrix alloys were systematically studied. The wear and friction behaviors were investigated from room temperature (23 °C) to 1000 °C. The alloys were found to contain different ratios of γ(fcc) and ε(hcp) phases; Ni stabilized γ(fcc), while W and Mo stabilized ε(hcp). The hardness measurements showed that the strengthening effect increased with the addition of Ni, W, and Mo, respectively. Addition of Mo and W resulted in the lowest and highest friction coefficients with the addition of Ni resulting in a friction coefficient between the two. The wear and friction behaviors of the three alloys depended on the phase, alloying elements and oxidation from room temperature to 1000 °C. Coefficients of friction of the alloys were not directly correlated with the wear rates. CoCr matrix alloys reinforced with Mo showed the highest hardness and the best high-temperature tribological performance. It was attributed to the high hardness, stable oxide film, and in situ formed high-temperature solid lubricants. With an increase in temperature, the wear mechanism was found to change from abrasive wear to oxidative wear.

Attenuated total reflection-Fourier transform infrared spectroscopy (ATR-FTIR) of liquid biofluids enables the probing of biomolecular markers for disease diagnosis, characterized as a time and cost-effective approach. It remains poorly understood for fast and deep diagnosis of digestive tract cancers (DTC) to detect abundant changes and select specific markers in a broad spectrum of molecular species. Here, we present a diagnostic protocol of DTC in which the in-situ blood-based ATR-FTIR spectroscopic data mining pathway was designed for the identification of DTC triages in 252 blood serum samples, divided into the following groups: liver cancer (LC), gastric cancer (GC), colorectal cancer (CC), and their different three stages respectively. The infrared molecular fingerprints (IMFs) of DTC were measured and used to build a 2-dimensional second derivative spectrum (2D-SD-IR) feature dataset for classification, including absorbance and wavenumber shifts of FTIR vibration peaks. By comparison, the Partial Least-Squares Discriminant Analysis (PLS-DA) and backpropagation (BP) neural networks are suitable to differentiate DTCs and pathological stages with a high sensitivity and specificity of 100% and averaged more than 95%. Furthermore, the measured IMF data was mutually validated via clinical blood biochemistry testing, which indicated that the proposed 2D-SD-IR-based machine learning protocol greatly improved DTC classification performance.

This work aimed to fabricate the CoCrMo matrix composites with different carbon contents, and the carbon content was optimized to achieve the good mechanical and tribological properties from room temperature to 1000 °C. Four composites containing different carbon content (0, 0.3 wt.%, 0.6 wt.% and 1 wt.%) were fabricated by powder metallurgy technology. Microstructure and tribological properties were studied. Friction behaviors were conducted on a disc-on-ball tribotester rubbing against Si3N4 ball. The carbon greatly improved the wear resistance of CoCrMo matrix composites due to the strengthening effect of carbides (Cr7C3 and Mo3Co3C) and the dense oxides film. However, the friction coefficient slightly increased. There was a critical value of carbon content for hardness and high-temperature friction and wear behaviors. The composite with 0.6 wt.% carbon had the most favorable tribological behaviors from RT to 1000 °C. Four composites showed different friction mechanisms. Keywords: Cobalt-base composites, Carbon, High-temperature wear, Friction

Background/Aims: Nasal continuous positive airway pressure (nCPAP) was recommended as the initial respiratory support for spontaneous breathing in infants with very low birth weight and neonatal respiratory distress syndrome (NRDS). Less invasive surfactant administration (LISA) and minimally invasive surfactant therapy (MIST) have been reported to reduce the incidence of bronchopulmonary dysplasia (BPD). This study aimed to explore the applicability of minimally invasive surfactant administration (MISA) in China.Materials and Methods: MISA was a randomized controlled study conducted at eight level III neonatal intensive care units (NICUs) in China. Spontaneously breathing infants born at 25+0 to 31+6 weeks' gestation who progressively developed respiratory distress during the first 6 h after birth were randomly assigned to receive MISA or endotracheal intubation surfactant administration (EISA). The primary outcome was the difference in the morbidity of BPD between two groups of infants with MISA and EISA at 36 weeks corrected gestational age.Results: Demographic and clinical characteristics of the 151 infants in the MISA group were similar to the 147 infants in the EISA group. The comparison showed no clear benefits in the MISA group in the incidence of BPD, while infants from the EISA group had higher rates of patent ductus arteriosus (PDA) (60.5 vs. 41.1%, p = 0.001). The duration of surfactant infusion and the total time of surfactant administration in the MISA group were significantly longer than in the EISA group. A slightly increased heart rate was noted 1 h post surfactant administration in the EISA group. In subgroup analysis, the comparison of 51 smaller (

Objective: Preeclampsia is a pregnancy-specific syndrome characterized by hypertension and proteinuria. Impaired trophoblast invasion partly modulated by abnormal MAPK1/ERK2 signaling played important roles in the pathological process of preeclampsia. The objective of this study is to investigate miR-141-5p regulate ATF2 via effecting MAPK1/ERK2 signaling to promote preeclampsia. Study design: The maternal placentae and clinical data of 30 patients with preeclampsia and 30 healthy pregnant women were collected in the Second Hospital of Shanxi Medical University from July 2015 to April 2016. Transcriptional levels of miR-141-5p in placentae were monitored using quantitative real-time reverse transcription-polymerase chain reaction. The target gene of miR-141-5p was analyzed with “TargetScanHuman Release 7.2″. To evaluate the pathways of this response, MAPK1 and ERK1/2 in placentae were detected using immunohistochemistry and Western Blot. Transfection experiment was used to verify the function of miR-141-5p regulating ATF2 to effect MAPK1/ERK2 signaling in JEG-3 cells. Results: miR-141-5p was significantly down-regulated in placentae of patients with preeclampsia, in comparison to the healthy pregnant women groups. There was no difference in MAPK1 expression between placentae of patients with preeclampsia and healthy pregnant women groups. While p-MAPK1 expression was lower in preeclampsia placentae, in comparison to the healthy pregnant women groups. Moreover, inhibition and activation experiments also validate the function of miR-141-5p in effecting p-MAPK1 level in JEG-3 cells. Bioinformatic analysis identified that ATF2 was a target gene of miR-141-5p, which was one DNA-binding protein to effect phosphatase DUSP1 transcription. DUSP1 effect MAPK1/ERK2 signaling in preeclampsia. Conclusion: miR-141-5p up-regulated transcription factor ATF2 to promote phosphatase DUSP1 expression. DUSP1 expression reduces p-MAPK1 and ERK1/2 expression to promote preeclampsia.

Children born small for gestational age (SGA) generally have a catch-up growth and rapid weight gain in the first years of life, which is a high risk of insulin resistance and cardiovascular diseases later in life. It was reported that the level of imprinted genes IGF-2, CDKN1C and PHLDA2 regulates placental growth. We assessed these imprinted genes expression levels in placental tissue and their influences on catch-up growth of full-term SGA infants. The protein and mRNA levels of placental CDKN1C, PHLDA2 and IGF-2 were analyzed in 29 full-term SGA and 29 full-term infants born appropriate for gestational age (AGA) using quantitative RT-PCR and Western blot assay, respectively. Catch-up growth was indicated by increased standard deviation score (ΔSDS) of weight at 1, 3 and 6 months relative to birth weight (BW). Correlations between indicated variables were evaluated using Pearson correlation coefficient analysis. Compared to AGA infants, CDKN1C and PHLDA2 levels were significantly increased, whereas IGF-2 was significantly reduced in SGA infants. The value of ΔSDS was significantly higher in SGA than that in AGA infants. For SGA status, Pearson analysis shows i) a negative correlation of CDKN1C and PHLDA2 abundances with BW, and a positive correlation of IGF-2 with BW, ii) no correlation between the three imprinted gene abundances and placental weight (PW), and between PW and BW, iii) a positive correlation of PHLDA2 abundance with CDKN1C, and iv) a positive correlation of CDKN1C and PHLDA2 abundances with ΔSDS, and a negative correlation of IGF-2 with ΔSDS at 1, 3 and 6 months. Taken together, increased CDKN1C and PHLDA2 and reduced IGF-2 abundances in placental tissue were related to BW and early period catch-up growth in full-term SGA infants. Placental CDKN1C, PHLDA2 and IGF-2 level monitoring may be useful for predicting and preventing the development of SGA.

Propagation-based phase-contrast computed micro-tomography (PPCT) dominates the non-destructive, three-dimensional inner-structure measurement in synchrotron-based biomedical research due to its simple experimental setup. To quantitatively visualize tiny density variations in soft tissues and organs closely related to early pathological morphology, an experimental study of synchrotron-based X-ray PPCT combined with generalized phase and attenuation duality (PAD) phase retrieval was implemented with the hepatic echinococcosis (HE) infection rat model at different stages. We quantitatively analyzed and evaluated the different pathological characterizations of hepatic echinococcosis during the development of this disease via our PAD-based PPCT and especially provided evidence that hepatic alveolar echinococcosis invades the liver tissue and spreads through blood flow systems with abundant blood supply in the early stage. Additionally, the infiltration of tiny vesicles in HE lesions can be clearly observed by our PAD-PPCT technique due to the striking contrast-to-noise ratio (CNR) and mass density resolution, which cannot be found by the medical imaging techniques, such as magnetic resonance imaging (MRI), computed tomography (CT), and ultrasound, in hospitals. The results demonstrated that our PAD-PPCT technique has a great potential for indicating the subtle structural information of pathological changes in soft biomedical specimens, especially helpful for the research of early micro-morphology of diseases.

Photopiezocatalysts can take advantage of both solar light and environmental mechanical energy, thus holding high significance in building a sustainable society. However, designing highly potent photopiezocatalysts remains challenging. In this study, we propose an asymmetric ternary heterojunction as an efficient strategy for achieving effective photopiezocatalysts. A BTO/PPy/TiO2 catalyst composed of Bi4Ti3O12 (BTO) and TiO2 nanosheets and polypyrrole (PPy) nanoparticles presents both enhanced asymmetric interfacial charge separation and deformability under mechanical stimuli, which result in appealing photopiezocatalytic capabilities. The stresses applied to the piezoelectric material lead to charge separation, and the ternary BTO/PPy/TiO2 heterojunction has a higher deformation capacity than the binary BTO/TiO2 heterojunction, which leads to higher fluctuating electric fields. Therefore, the d33 value of BTO/PPy/TiO2 is 3.1 times higher than that of BTO/TiO2. In situ synchrotron-radiation-IR measurements indicate that electric fields excite electrons to higher energy levels and lead to larger electron densities in the heterojunction. Piezoelectric fields also enhance charge separation. Using cycled assembly, ternary BTO/PPy/TiO2 heterojunctions were facilely constructed on a copper mesh substrate, and their applications in effective photopiezocatalytic degradation reactions are demonstrated. BTO/PPy/TiO2 degraded rhodamine B (RhB) solution by 96% with a k value 2.92 times higher than that of BTO/TiO2. This study elucidates the mechanism underlying efficient energy conversion and application in photopiezocatalytically active asymmetric heterojunctions and inspires the design of efficient catalysts. [ABSTRACT FROM AUTHOR]