Planarians represent the most primitive bilateral triploblastic animals.Most planarian species exhibit mechanisms for whole-body regeneration,exemplified by the regeneration of their cephalic ganglion after complete e...Planarians represent the most primitive bilateral triploblastic animals.Most planarian species exhibit mechanisms for whole-body regeneration,exemplified by the regeneration of their cephalic ganglion after complete excision.Given their robust whole-body regeneration capacity,planarians have been model organisms in regenerative research for more than 240 years.Advancements in research tools and techniques have progressively elucidated the mechanisms underlying planarian regeneration.Accurate cell-cell communication is recognized as a fundamental requirement for regeneration.In recent decades,mechanisms associated with such communication have been revealed at the cellular level.Notably,stem cells(neoblasts)have been identified as the source of all new cells during planarian homeostasis and regeneration.The interplay between neoblasts and somatic cells affects the identities and proportions of various tissues during homeostasis and regeneration.Here,this review outlines key discoveries regarding communication between stem cell compartments and other cell types in planarians,as well as the impact of communication on planarian regeneration.Additionally,this review discusses the challenges and potential directions of future planarian research,emphasizing the sustained impact of this field on our understanding of animal regeneration.展开更多
BACKGROUND:Plasma exchange(PE)-centered artificial liver support system reduced the high mortality rate of hepatitis B virus(HBV)-related acute-on-chronic liver failure(ACLF).But the data were diverse in different med...BACKGROUND:Plasma exchange(PE)-centered artificial liver support system reduced the high mortality rate of hepatitis B virus(HBV)-related acute-on-chronic liver failure(ACLF).But the data were diverse in different medical centers.The present prospective nationwide study was to evaluate the effects of PE on patients with HBV-ACLF at different stages.METHODS:From December 2009 to December 2011,we evaluated 250 patients at different stages of HBV-ACLF from 10 major medical centers in China.All the laboratory parameters were collected at admission,before and after PE.RESULTS:Among the 250 patients who underwent 661 rounds of PE,one-month survival rate was 61.6%; 141(56.4%) showed improvement after PE.Variables such as age(P=0.000),levels of total bilirubin(TB,P=0.000),direct bilirubin(P=0.000),total triglycerides(P=0.000),low-density lipoprotein(P=0.022),Na+(P=0.014),Cl–(P=0.038),creatinine(Cr,P=0.007),fibrinogen(P=0.000),prothrombin time(PT,P=0.000),white blood cell(P=0.000),platelet(P=0.003) and MELD(P=0.000) were significantly related to prognosis.Multivariate logistic regression analysis showed that age,disease stage,TB,Cr and PT levels were independent risk factors of mortality among HBV-ACLF patients.CONCLUSIONS:PE can improve the clinical outcome of patients with HBV-ACLF.Levels of TB,Cr and PT,age and disease stage help to predict prognosis.展开更多
BACKGROUND: Acute fatty liver of pregnancy (AFLP) in the third trimester or early postpartum period can lead to fatal liver damage. Its traditional therapy is not very effective in facilitating hepatic recovery. The s...BACKGROUND: Acute fatty liver of pregnancy (AFLP) in the third trimester or early postpartum period can lead to fatal liver damage. Its traditional therapy is not very effective in facilitating hepatic recovery. The safety and effect of plasma exchange (PE)in combination with continuous renal replacement therapy(CRRT) (PE+CRRT) for AFLP still needs evaluation.METHODS: Five AFLP patients with hepatic encephalopathy and renal failure were subjected to PE+CRRT in our department from 2007 to 2012. Their symptoms, physical signs and results were observed, and all relevant laboratory tests were compared before and after PE+CRRT.RESULTS: All the 5 patients were well tolerated to the therapy. Four of them responded to the treatment and showed improvement in clinical symptoms/signs and laboratory results and they were cured and discharged home after the treatment One patient succeeded in bridging to transplantation for slowing down hepatic failure and its complications process after2 treatment sessions. Intensive care unit stay and hospital stay were 9.4 (range 5-18) and 25.0 days (range 11-42), respectively.CONCLUSION: PE+CRRT is safe and effective and should be used immediately at the onset of hepatic encephalopathy and/or renal failure in patients with AFLP.展开更多
Background:Hepatitis B virus-related acute-on-chronic liver failure(HBV-ACLF)has a high short-term mortality.However,the treatment progression for HBV-ACLF in China in the past decade has not been well characterized.T...Background:Hepatitis B virus-related acute-on-chronic liver failure(HBV-ACLF)has a high short-term mortality.However,the treatment progression for HBV-ACLF in China in the past decade has not been well characterized.The present study aimed to determine whether the HBV-ACLF treatment has significantly improved during the past decade.Methods:This study retrospectively compared short-term(28/56 days)survival rates of two different nationwide cohorts(cohort I:2008-2011 and cohort II:2012-2015).Eligible HBV-ACLF patients were enrolled retrospectively.Patients in the cohorts I and II were assigned either to the standard medical therapy(SMT)group(cohort I-SMT,cohort II-SMT)or artificial liver support system(ALSS)group(cohort IALSS,cohort II-ALSS).Propensity score matching analysis was conducted to eliminate baseline differences,and multivariate logistic regression analysis was used to explore the independent factors for 28-day survival.Results:Short-term(28/56 days)survival rates were significantly higher in the ALSS group than those in the SMT group(P<0.05)and were higher in the cohort II than those in the cohort I(P<0.001).After propensity score matching,short-term(28/56 days)survival rates were higher in the cohort II than those in the cohort I for both SMT(60.7%vs.53.0%,50.0%vs.39.8%,P<0.05)and ALSS(66.1%vs.56.5%,53.0%vs.44.4%,P<0.05)treatments.The 28-day survival rate was higher in patients treated with nucleos(t)ide analogs than in patients without such treatments(P=0.046).Multivariate logistic regression analysis revealed that ALSS(OR=0.962,95%CI:0.951-0.973,P=0.038),nucleos(t)ide analogs(OR=0.927,95%CI:0.871-0.983,P=0.046),old age(OR=1.028,95%CI:1.015-1.041,P<0.001),total bilirubin(OR=1.002,95%CI:1.001-1.003,P=0.004),INR(OR=1.569,95%CI:1.044-2.358,P<0.001),COSSH-ACLF grade(OR=2.683,95%CI:1.792-4.017,P<0.001),and albumin(OR=0.952,95%CI:0.924-0.982,P=0.002)were independent factors for 28-day mortality.Conclusions:The treatment for patients with HBV-ACLF has improved in the past decade.展开更多
BACKGROUND Acute liver failure(ALF)is a significant and complex hepatic insult that may rapidly progress to life-threatening conditions.Recently,menstrual blood stem cells(MenSCs)have been identified as a group of eas...BACKGROUND Acute liver failure(ALF)is a significant and complex hepatic insult that may rapidly progress to life-threatening conditions.Recently,menstrual blood stem cells(MenSCs)have been identified as a group of easily accessible mesenchymal stem cells with the advantages of non-invasive acquisition,low immunogenicity,a greater capacity of self-renewal and multi-lineage differentiation,making them promising candidates for stem cell-based therapy to revolutionize the treatment strategies for liver failure.AIM To investigate the therapeutic potential of MenSCs for treating ALF in pigs and to dynamically trace the biodistribution of transplanted cells.METHODS MenSCs were labeled in vitro with PKH26,a lipophilic fluorescent dye.The treatment group received immediate transplantation of PKH26-labelled MenSCs(2.5×106/kg)via the portal vein after D-galactosamine injection,and the control group underwent sham operation.The survival time,liver function,and hepatic pathological changes were compared between the two groups.Three major organs(liver,lungs and spleen)were extracted from animals and imaged directly with the In vivo Imaging System(IVIS)at the predetermined time points.The regions of interest were drawn to quantify the cell uptake in different organs.RESULTS The labelling procedure did not affect the morphology,viability or multipotential differentiation of MenSCs.Biochemical analysis showed that the levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST),total bilirubin(TBIL)and prothrombin time(PT)measured at selected time points 24 h after transplantation were significantly decreased in the treatment group(P<0.05).The survival time of ALF animals was prolonged in the treatment group compared with the control group(75.75±5.11 h vs 53.75±2.37 h,log rank,P<0.001).The liver pathological tissue in the MenSC treatment group showed obviously increased numbers of remaining hepatocytes and a comparatively slight necrotic degree and area.In addition,the IVIS imaging revealed that PKH26-positive MenSCs were clearly retained in the liver initially and then diffused through the systemic circulation.Interestingly,the signal intensity in the liver increased obviously at 36 h,which corresponded to the biochemical result that liver function deteriorated most rapidly at 24-36 h.CONCLUSION Our study demonstrates the therapeutic efficacy and homing ability of transplanted MenSCs in a large animal model of ALF and suggests that MenSC transplantation could be a promising strategy for treating ALF.展开更多
Recently the article“Perioperative von Willebrand factor dynamics are associated with liver regeneration and predict outcome after liver resection”was published in Hepatology[1].Prof.Starlinger et al.aimed to assess...Recently the article“Perioperative von Willebrand factor dynamics are associated with liver regeneration and predict outcome after liver resection”was published in Hepatology[1].Prof.Starlinger et al.aimed to assess the association of von Willebrand factor(vWF)levels and clinical outcome in patients with liver cancers post-liver resection(LR).展开更多
In recent years,most studies of complex networks have focused on a single network and ignored the interaction of multiple networks,much less the coupling mechanisms between multiplex networks.In this paper we investig...In recent years,most studies of complex networks have focused on a single network and ignored the interaction of multiple networks,much less the coupling mechanisms between multiplex networks.In this paper we investigate synchronization phenomena in multilayer networks with nonidentical topological structures based on three specific coupling mechanisms:assortative,disassortative,and anti-assortative couplings.We find rich and complex synchronous dynamic phenomena in coupled networks.We also study the behavior of effective frequencies for layers I and II to understand the underlying microscopic dynamics occurring under the three different coupling mechanisms.In particular,the coupling mechanisms proposed here have strong robustness and effectiveness and can produce abundant synchronization phenomena in coupled networks.展开更多
To the Editor:The coincidence of Turner syndrome(TS)and Duchenne muscular dystrophy(DMD)is extremely rare,although each is familiar as a sex chromosome aneuploidy and neuromuscular disorders.We report a Chinese girl w...To the Editor:The coincidence of Turner syndrome(TS)and Duchenne muscular dystrophy(DMD)is extremely rare,although each is familiar as a sex chromosome aneuploidy and neuromuscular disorders.We report a Chinese girl with TS and DMD with a review of seven cases reported in the literature.A 9-year-old girl from Hebei province was referred for short stature,muscle weakness and waddling gait.She tired easily,was unable to jump,had difficulty arising up from the squatting position and climbing stairs.She was born with healthy non-consanguineous parents.Her mother was 150 cm and maternal grandmother 149 cm of height.Short stature was present since the age of 3 years,which was thought to be"familial short stature"at the age of 4.75 years with the height of 91.8 cm(-4.21 standard deviation[SD]).展开更多
Background Recombinant human growth hormone(rhGH)therapy has shown to improve height and body composition in children with Prader–Willi syndrome(PWS),the evidence of early rhGH treatment on motor and mental developme...Background Recombinant human growth hormone(rhGH)therapy has shown to improve height and body composition in children with Prader–Willi syndrome(PWS),the evidence of early rhGH treatment on motor and mental development is still accumulating.This study explored the time effect on psychomotor development,anthropometric indexes,and safety for infants and young children with PWS.Methods A phase 3,single-arm,multicenter,self-controlled study was conducted in six sites.Patients received rhGH at 0.5 mg/m2/day for first four weeks,and 1 mg/m2/day thereafter for up to 52 weeks.Motor development was measured using Peabody Developmental Motor Scales-second edition,mental development using Griffiths Development Scales-Chinese(GDS-C).Height standard deviation score(SDS),body weight SDS,and body mass index(BMI)SDS were also assessed.Results Thirty-five patients were enrolled totally.Significant improvements were observed in height,body weight,and BMI SDS at week 52;GDS-C score showed significant improvement in general quotient(GQ)and sub-quotients.In a linear regression analysis,total motor quotient(TMQ),gross motor quotient(GMQ),and fine motor quotient were negatively correlated with age;however,treatment may attenuate deterioration of TMQ and GMQ.Changes in GQ and locomotor sub-quotient in<9-month group were significantly higher than≥9-month group.Mild to moderate severity adverse drug reactions were reported in six patients.Conclusion Fifty-two-week treatment with rhGH improved growth,BMI,mental development,and lessened the deterioration of motor function in infants and young children with PWS.Improved mental development was more pronounced when instituted in patients<9 months old.展开更多
Background:Hepatocellular carcinoma(HCC)has a poor long-term prognosis.The competition of circular RNAs(circRNAs)with endogenous RNA is a novel tool for predicting HCC prognosis.Based on the alterations of circRNA reg...Background:Hepatocellular carcinoma(HCC)has a poor long-term prognosis.The competition of circular RNAs(circRNAs)with endogenous RNA is a novel tool for predicting HCC prognosis.Based on the alterations of circRNA regulatory networks,the analysis of gene modules related to HCC is feasible.Methods:Multiple expression datasets and RNA element targeting prediction tools were used to construct a circRNA-microRNA-mRNA network in HCC.Gene function,pathway,and protein interaction analyses were performed for the differentially expressed genes(DEGs)in this regulatory network.In the proteinprotein interaction network,hub genes were identified and subjected to regression analysis,producing an optimized four-gene signature for prognostic risk stratification in HCC patients.Anti-HCC drugs were excavated by assessing the DEGs between the low-and high-risk groups.A circRNA-microRNA-hub gene subnetwork was constructed,in which three hallmark genes,KIF4A,CCNA2,and PBK,were subjected to functional enrichment analysis.Results:A four-gene signature(KIF4A,CCNA2,PBK,and ZWINT)that effectively estimated the overall survival and aided in prognostic risk assessment in the The Cancer Genome Atlas(TCGA)cohort and International Cancer Genome Consortium(ICGC)cohort was developed.CDK inhibitors,PI3K inhibitors,HDAC inhibitors,and EGFR inhibitors were predicted as four potential mechanisms of drug action(MOA)in high-risk HCC patients.Subsequent analysis has revealed that PBK,CCNA2,and KIF4A play a crucial role in regulating the tumor microenvironment by promoting immune cell invasion,regulating microsatellite instability(MSI),and exerting an impact on HCC progression.Conclusions:The present study highlights the role of the circRNA-related regulatory network,identifies a four-gene prognostic signature and biomarkers,and further identifies novel therapy for HCC.展开更多
With the changing lifestyle and the acceleration of aging in the Chinese population,the incidence and mortality of colorectal cancer(CRC)have risen in the last decades.On the contrary,the incidence and mortality of CR...With the changing lifestyle and the acceleration of aging in the Chinese population,the incidence and mortality of colorectal cancer(CRC)have risen in the last decades.On the contrary,the incidence and mortality of CRC have continued to decline in the USA since the 1980s,which is mainly attributed to early screening and standardized diagnosis and treatment.Rectal cancer accounts for the largest proportion of CRC in China,and its treatment regimens are complex.At present,surgical treatment is still the most important treatment for rectal cancer.Since the first Chinese guideline for diagnosis and treatment of CRC was issued in 2010,the fourth version has been revised in 2020.These guidelines have greatly promoted the standardization and internationalization of CRC diagnosis and treatment in China.And with the development of comprehensive treatment methods such as neoadjuvant chemoradiotherapy,targeted therapy,and immunotherapy,the post-operative quality of life and prognosis of patients with rectal cancer have improved.We believe that the inflection point of the rising incidence and mortality of rectal cancer will appear in the near future in China.This article reviewed the current status and research progress on surgical therapy of rectal cancer in China.展开更多
There have been several investigations into the genus Heterobasidion,however,differentiation of species in these studies have depended on the gene regions analyzed.Reliable defining of species,establishing species div...There have been several investigations into the genus Heterobasidion,however,differentiation of species in these studies have depended on the gene regions analyzed.Reliable defining of species,establishing species divergence times and establishing species biogeographical distributions have been challenging.Here,we used a multilocus phylogenetic approach and maximum parsimony,maximum likehood,and Bayesian analyses to infer the phylogenetic relationships of Heterobasidion species.In addition,we focused on a fungus fossil-based approach and used the largest subunit of RNA polymerase II-the second subunit of RNA polymerase II(RPB1-RPB2)dataset to perform maximum likelihoodbased estimation and Bayesian binary analyses,to assess the divergence and biogeographical distributions of Heterobasidion species.The Heterobasidion annousum/H.insulare species complex clusters in three groups in the phylogenetic analyses.Molecular dating suggests that ancestral Heterobasidion species originated in Eurasia during the Early Miocene,followed by dispersal and speciation to other continents during the Middle Miocene and Early Pliocene.Our data are compatible with the previous viewpoint that H.irregulare and H.occidentale colonized North America via different routes,which has been interpreted as Beringian and Thulean North Atlantic vicariance.In addition,we propose that the occurrence of H.araucariae in the southern Hemisphere was probably due to recent human-mediated introductions.Plate tectonics and long-distance dispersal are the most likely factors that influenced Heterobasidion speciation and biogeography.展开更多
Single-hole hollow polymer nanospheres were fabricated by raspberry-like template method using "graft-from" strategy through atom transfer radical polymerization (ATRP). Nanometer-sized silica spheres were c...Single-hole hollow polymer nanospheres were fabricated by raspberry-like template method using "graft-from" strategy through atom transfer radical polymerization (ATRP). Nanometer-sized silica spheres were covalently attached onto the surfaces of micrometer-sized silica spheres. Crosslinked polymer shells on the nano-sized spheres outside the attached area were formed by "graft-from" strategy through ATRP. After removal of the silica cores, single-hole hollow crosslinked polymer nanospheres were obtained. In this strategy, most of ATRP monomers may be used and thus many functional groups can be easily incorporated into the single-hole hollow crosslinked polymer nanospheres.展开更多
After the outbreak of coronavirus disease 2019(COVID-19),different measures have been taken to control the spread of the epidemic.Most international organizations,countries/regions have issued epidemic prevention guid...After the outbreak of coronavirus disease 2019(COVID-19),different measures have been taken to control the spread of the epidemic.Most international organizations,countries/regions have issued epidemic prevention guidelines or administrative guidelines,in which citizens are advised to pay attention to personal hygiene(such as washing hands frequently,covering the nose and mouth when sneezing),maintain social distance,and avoid gathering activities,and so on.[1]However,it is noted that instructions on whether citizens need to wear masks and when to wear masks are inconsistent across various countries.展开更多
To the Editor:Adrenal and gonadal function can be evaluated by analyzing steroid hormone levels in different age groups,especially adolescent girls.Liquid chromatography-tandem mass spectrometry(LC-MS/MS or highperfor...To the Editor:Adrenal and gonadal function can be evaluated by analyzing steroid hormone levels in different age groups,especially adolescent girls.Liquid chromatography-tandem mass spectrometry(LC-MS/MS or highperformance LC[HPLC]-MS/MS)offers a combination of the physical separation capabilities of HPLC and the mass analysis capabilities of tandem MS,which improves sensitivity and specificity in measuring steroid hormone levelsJ1,21 This method is more sensitive,effective,specific,and homogenous than other methods for analyzing children’s steroid hormone levels in the clinic.Studies on the reference intervals of steroid sex hormones have more commonly performed with Caucasian subjects than with Chinese subjects.^31 LC-MS/MS-based reference intervals for steroid hormones in China,especially for healthy girls,have not yet been reported.With LC-MS/MS becoming increasingly common,the establishment of reference intervals is growing more urgent.Here,we define appropriate reference ranges for pregnenolone,17ahydroxyprogesterone,corticosterone,dehydroepiandrosterone,androstenedione,and free testosterone.展开更多
基金supported by the Westlake Education Foundation and National Natural Science Foundation of China (32122032 and 31970750 to K.L.)。
文摘Planarians represent the most primitive bilateral triploblastic animals.Most planarian species exhibit mechanisms for whole-body regeneration,exemplified by the regeneration of their cephalic ganglion after complete excision.Given their robust whole-body regeneration capacity,planarians have been model organisms in regenerative research for more than 240 years.Advancements in research tools and techniques have progressively elucidated the mechanisms underlying planarian regeneration.Accurate cell-cell communication is recognized as a fundamental requirement for regeneration.In recent decades,mechanisms associated with such communication have been revealed at the cellular level.Notably,stem cells(neoblasts)have been identified as the source of all new cells during planarian homeostasis and regeneration.The interplay between neoblasts and somatic cells affects the identities and proportions of various tissues during homeostasis and regeneration.Here,this review outlines key discoveries regarding communication between stem cell compartments and other cell types in planarians,as well as the impact of communication on planarian regeneration.Additionally,this review discusses the challenges and potential directions of future planarian research,emphasizing the sustained impact of this field on our understanding of animal regeneration.
基金supported by grants from the National Science and Technology Major Project(2012ZX10002004)Scientific Research Fund of Zhejiang Provincial Education Department(Y201328037)the opening foundation of the State Key Laboratory for Diagnosis and Treatment of Infectious Diseases and Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases,First Affiliated Hospital,Zhejiang University School of Medicine(2015KF04)
文摘BACKGROUND:Plasma exchange(PE)-centered artificial liver support system reduced the high mortality rate of hepatitis B virus(HBV)-related acute-on-chronic liver failure(ACLF).But the data were diverse in different medical centers.The present prospective nationwide study was to evaluate the effects of PE on patients with HBV-ACLF at different stages.METHODS:From December 2009 to December 2011,we evaluated 250 patients at different stages of HBV-ACLF from 10 major medical centers in China.All the laboratory parameters were collected at admission,before and after PE.RESULTS:Among the 250 patients who underwent 661 rounds of PE,one-month survival rate was 61.6%; 141(56.4%) showed improvement after PE.Variables such as age(P=0.000),levels of total bilirubin(TB,P=0.000),direct bilirubin(P=0.000),total triglycerides(P=0.000),low-density lipoprotein(P=0.022),Na+(P=0.014),Cl–(P=0.038),creatinine(Cr,P=0.007),fibrinogen(P=0.000),prothrombin time(PT,P=0.000),white blood cell(P=0.000),platelet(P=0.003) and MELD(P=0.000) were significantly related to prognosis.Multivariate logistic regression analysis showed that age,disease stage,TB,Cr and PT levels were independent risk factors of mortality among HBV-ACLF patients.CONCLUSIONS:PE can improve the clinical outcome of patients with HBV-ACLF.Levels of TB,Cr and PT,age and disease stage help to predict prognosis.
基金supported by grants from the National Scientific and Technological Major Project of China (2011ZX10004-901 and 2013ZX10004904)the National Science and Technology Major Project (2012ZX10002006)the Scientific Research Fundation of the Education Department,Zhejiang Province (N20120081)
文摘BACKGROUND: Acute fatty liver of pregnancy (AFLP) in the third trimester or early postpartum period can lead to fatal liver damage. Its traditional therapy is not very effective in facilitating hepatic recovery. The safety and effect of plasma exchange (PE)in combination with continuous renal replacement therapy(CRRT) (PE+CRRT) for AFLP still needs evaluation.METHODS: Five AFLP patients with hepatic encephalopathy and renal failure were subjected to PE+CRRT in our department from 2007 to 2012. Their symptoms, physical signs and results were observed, and all relevant laboratory tests were compared before and after PE+CRRT.RESULTS: All the 5 patients were well tolerated to the therapy. Four of them responded to the treatment and showed improvement in clinical symptoms/signs and laboratory results and they were cured and discharged home after the treatment One patient succeeded in bridging to transplantation for slowing down hepatic failure and its complications process after2 treatment sessions. Intensive care unit stay and hospital stay were 9.4 (range 5-18) and 25.0 days (range 11-42), respectively.CONCLUSION: PE+CRRT is safe and effective and should be used immediately at the onset of hepatic encephalopathy and/or renal failure in patients with AFLP.
基金supported by grants from the Science&Technology Key Program of Zhejiang China(2017C03051)the National Science&Technology Major Project of China(2017ZX10203201)。
文摘Background:Hepatitis B virus-related acute-on-chronic liver failure(HBV-ACLF)has a high short-term mortality.However,the treatment progression for HBV-ACLF in China in the past decade has not been well characterized.The present study aimed to determine whether the HBV-ACLF treatment has significantly improved during the past decade.Methods:This study retrospectively compared short-term(28/56 days)survival rates of two different nationwide cohorts(cohort I:2008-2011 and cohort II:2012-2015).Eligible HBV-ACLF patients were enrolled retrospectively.Patients in the cohorts I and II were assigned either to the standard medical therapy(SMT)group(cohort I-SMT,cohort II-SMT)or artificial liver support system(ALSS)group(cohort IALSS,cohort II-ALSS).Propensity score matching analysis was conducted to eliminate baseline differences,and multivariate logistic regression analysis was used to explore the independent factors for 28-day survival.Results:Short-term(28/56 days)survival rates were significantly higher in the ALSS group than those in the SMT group(P<0.05)and were higher in the cohort II than those in the cohort I(P<0.001).After propensity score matching,short-term(28/56 days)survival rates were higher in the cohort II than those in the cohort I for both SMT(60.7%vs.53.0%,50.0%vs.39.8%,P<0.05)and ALSS(66.1%vs.56.5%,53.0%vs.44.4%,P<0.05)treatments.The 28-day survival rate was higher in patients treated with nucleos(t)ide analogs than in patients without such treatments(P=0.046).Multivariate logistic regression analysis revealed that ALSS(OR=0.962,95%CI:0.951-0.973,P=0.038),nucleos(t)ide analogs(OR=0.927,95%CI:0.871-0.983,P=0.046),old age(OR=1.028,95%CI:1.015-1.041,P<0.001),total bilirubin(OR=1.002,95%CI:1.001-1.003,P=0.004),INR(OR=1.569,95%CI:1.044-2.358,P<0.001),COSSH-ACLF grade(OR=2.683,95%CI:1.792-4.017,P<0.001),and albumin(OR=0.952,95%CI:0.924-0.982,P=0.002)were independent factors for 28-day mortality.Conclusions:The treatment for patients with HBV-ACLF has improved in the past decade.
基金Supported by the State Key Laboratory for Diagnosis and Treatment of Infectious DiseaseThe First Affiliated Hospital of Zhejiang University School of Medicine,No.2015KF04
文摘BACKGROUND Acute liver failure(ALF)is a significant and complex hepatic insult that may rapidly progress to life-threatening conditions.Recently,menstrual blood stem cells(MenSCs)have been identified as a group of easily accessible mesenchymal stem cells with the advantages of non-invasive acquisition,low immunogenicity,a greater capacity of self-renewal and multi-lineage differentiation,making them promising candidates for stem cell-based therapy to revolutionize the treatment strategies for liver failure.AIM To investigate the therapeutic potential of MenSCs for treating ALF in pigs and to dynamically trace the biodistribution of transplanted cells.METHODS MenSCs were labeled in vitro with PKH26,a lipophilic fluorescent dye.The treatment group received immediate transplantation of PKH26-labelled MenSCs(2.5×106/kg)via the portal vein after D-galactosamine injection,and the control group underwent sham operation.The survival time,liver function,and hepatic pathological changes were compared between the two groups.Three major organs(liver,lungs and spleen)were extracted from animals and imaged directly with the In vivo Imaging System(IVIS)at the predetermined time points.The regions of interest were drawn to quantify the cell uptake in different organs.RESULTS The labelling procedure did not affect the morphology,viability or multipotential differentiation of MenSCs.Biochemical analysis showed that the levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST),total bilirubin(TBIL)and prothrombin time(PT)measured at selected time points 24 h after transplantation were significantly decreased in the treatment group(P<0.05).The survival time of ALF animals was prolonged in the treatment group compared with the control group(75.75±5.11 h vs 53.75±2.37 h,log rank,P<0.001).The liver pathological tissue in the MenSC treatment group showed obviously increased numbers of remaining hepatocytes and a comparatively slight necrotic degree and area.In addition,the IVIS imaging revealed that PKH26-positive MenSCs were clearly retained in the liver initially and then diffused through the systemic circulation.Interestingly,the signal intensity in the liver increased obviously at 36 h,which corresponded to the biochemical result that liver function deteriorated most rapidly at 24-36 h.CONCLUSION Our study demonstrates the therapeutic efficacy and homing ability of transplanted MenSCs in a large animal model of ALF and suggests that MenSC transplantation could be a promising strategy for treating ALF.
基金supported by grants from the National Science and Technology Major Project(2017ZX10203201)the opening foundation of the State Key Laboratory for Diagnosis and Treatmentof Infectious Diseases and Collaborative Innovation Center for Diag-nosis and Treatment of Infectious Diseases,First Affiliated Hospital,Zhejiang University School of Medicine(2015KF04)
文摘Recently the article“Perioperative von Willebrand factor dynamics are associated with liver regeneration and predict outcome after liver resection”was published in Hepatology[1].Prof.Starlinger et al.aimed to assess the association of von Willebrand factor(vWF)levels and clinical outcome in patients with liver cancers post-liver resection(LR).
基金Project supported by the National Natural Science Foundation of China(Grants Nos.71801066 and 71704046)the Natural Science Foundation of Anhui Province,China(Grant Nos.1808085QG225 and 1908085MA22)+1 种基金the FundamentalResearch Funds for the Central Universities,China(Grant Nos.JZ2020HGTB0021 and JZ2021HGTB0065)the Outstanding Young Talent Support Program in Universities of Anhui Province in 2020 year。
文摘In recent years,most studies of complex networks have focused on a single network and ignored the interaction of multiple networks,much less the coupling mechanisms between multiplex networks.In this paper we investigate synchronization phenomena in multilayer networks with nonidentical topological structures based on three specific coupling mechanisms:assortative,disassortative,and anti-assortative couplings.We find rich and complex synchronous dynamic phenomena in coupled networks.We also study the behavior of effective frequencies for layers I and II to understand the underlying microscopic dynamics occurring under the three different coupling mechanisms.In particular,the coupling mechanisms proposed here have strong robustness and effectiveness and can produce abundant synchronization phenomena in coupled networks.
基金GenSci Research Fund for young and middle-aged Pediatric Endocrinologist(No.2-3-1-1-06)。
文摘To the Editor:The coincidence of Turner syndrome(TS)and Duchenne muscular dystrophy(DMD)is extremely rare,although each is familiar as a sex chromosome aneuploidy and neuromuscular disorders.We report a Chinese girl with TS and DMD with a review of seven cases reported in the literature.A 9-year-old girl from Hebei province was referred for short stature,muscle weakness and waddling gait.She tired easily,was unable to jump,had difficulty arising up from the squatting position and climbing stairs.She was born with healthy non-consanguineous parents.Her mother was 150 cm and maternal grandmother 149 cm of height.Short stature was present since the age of 3 years,which was thought to be"familial short stature"at the age of 4.75 years with the height of 91.8 cm(-4.21 standard deviation[SD]).
文摘Background Recombinant human growth hormone(rhGH)therapy has shown to improve height and body composition in children with Prader–Willi syndrome(PWS),the evidence of early rhGH treatment on motor and mental development is still accumulating.This study explored the time effect on psychomotor development,anthropometric indexes,and safety for infants and young children with PWS.Methods A phase 3,single-arm,multicenter,self-controlled study was conducted in six sites.Patients received rhGH at 0.5 mg/m2/day for first four weeks,and 1 mg/m2/day thereafter for up to 52 weeks.Motor development was measured using Peabody Developmental Motor Scales-second edition,mental development using Griffiths Development Scales-Chinese(GDS-C).Height standard deviation score(SDS),body weight SDS,and body mass index(BMI)SDS were also assessed.Results Thirty-five patients were enrolled totally.Significant improvements were observed in height,body weight,and BMI SDS at week 52;GDS-C score showed significant improvement in general quotient(GQ)and sub-quotients.In a linear regression analysis,total motor quotient(TMQ),gross motor quotient(GMQ),and fine motor quotient were negatively correlated with age;however,treatment may attenuate deterioration of TMQ and GMQ.Changes in GQ and locomotor sub-quotient in<9-month group were significantly higher than≥9-month group.Mild to moderate severity adverse drug reactions were reported in six patients.Conclusion Fifty-two-week treatment with rhGH improved growth,BMI,mental development,and lessened the deterioration of motor function in infants and young children with PWS.Improved mental development was more pronounced when instituted in patients<9 months old.
基金This study was supported by grants from the High-level Preresearch Program of Zhejiang Shuren University 2019(KXJ121860)Zhejiang Provincial Natural Science Foundation of China(LQ20H190004)。
文摘Background:Hepatocellular carcinoma(HCC)has a poor long-term prognosis.The competition of circular RNAs(circRNAs)with endogenous RNA is a novel tool for predicting HCC prognosis.Based on the alterations of circRNA regulatory networks,the analysis of gene modules related to HCC is feasible.Methods:Multiple expression datasets and RNA element targeting prediction tools were used to construct a circRNA-microRNA-mRNA network in HCC.Gene function,pathway,and protein interaction analyses were performed for the differentially expressed genes(DEGs)in this regulatory network.In the proteinprotein interaction network,hub genes were identified and subjected to regression analysis,producing an optimized four-gene signature for prognostic risk stratification in HCC patients.Anti-HCC drugs were excavated by assessing the DEGs between the low-and high-risk groups.A circRNA-microRNA-hub gene subnetwork was constructed,in which three hallmark genes,KIF4A,CCNA2,and PBK,were subjected to functional enrichment analysis.Results:A four-gene signature(KIF4A,CCNA2,PBK,and ZWINT)that effectively estimated the overall survival and aided in prognostic risk assessment in the The Cancer Genome Atlas(TCGA)cohort and International Cancer Genome Consortium(ICGC)cohort was developed.CDK inhibitors,PI3K inhibitors,HDAC inhibitors,and EGFR inhibitors were predicted as four potential mechanisms of drug action(MOA)in high-risk HCC patients.Subsequent analysis has revealed that PBK,CCNA2,and KIF4A play a crucial role in regulating the tumor microenvironment by promoting immune cell invasion,regulating microsatellite instability(MSI),and exerting an impact on HCC progression.Conclusions:The present study highlights the role of the circRNA-related regulatory network,identifies a four-gene prognostic signature and biomarkers,and further identifies novel therapy for HCC.
基金This work was supported by grants from the Beijing Municipal Science&Technology Commission,Clinical Application and Development of Capital Characteristic(No.Z171100001017087)。
文摘With the changing lifestyle and the acceleration of aging in the Chinese population,the incidence and mortality of colorectal cancer(CRC)have risen in the last decades.On the contrary,the incidence and mortality of CRC have continued to decline in the USA since the 1980s,which is mainly attributed to early screening and standardized diagnosis and treatment.Rectal cancer accounts for the largest proportion of CRC in China,and its treatment regimens are complex.At present,surgical treatment is still the most important treatment for rectal cancer.Since the first Chinese guideline for diagnosis and treatment of CRC was issued in 2010,the fourth version has been revised in 2020.These guidelines have greatly promoted the standardization and internationalization of CRC diagnosis and treatment in China.And with the development of comprehensive treatment methods such as neoadjuvant chemoradiotherapy,targeted therapy,and immunotherapy,the post-operative quality of life and prognosis of patients with rectal cancer have improved.We believe that the inflection point of the rising incidence and mortality of rectal cancer will appear in the near future in China.This article reviewed the current status and research progress on surgical therapy of rectal cancer in China.
基金supported by the National Key Technology R&D Program of China(No.2013BAD10B04)the Importation and Development of High-Caliber Talents Project of Beijing Municipal Institutions(No.CIT&TCD20130324),China
基金We thank Dr.Natalia Arhipova(Latvia)for providing a photo of H.araucariae.We express our gratitude to Drs.Bang Feng and Xi-Hui Du(HKAS,China)for helping us in informative analyses and improving this manuscript.The research was supported by the Fundamental Research Funds for the Central Universities(Project Nos.JC2013-1 and BLYJ201403)。
文摘There have been several investigations into the genus Heterobasidion,however,differentiation of species in these studies have depended on the gene regions analyzed.Reliable defining of species,establishing species divergence times and establishing species biogeographical distributions have been challenging.Here,we used a multilocus phylogenetic approach and maximum parsimony,maximum likehood,and Bayesian analyses to infer the phylogenetic relationships of Heterobasidion species.In addition,we focused on a fungus fossil-based approach and used the largest subunit of RNA polymerase II-the second subunit of RNA polymerase II(RPB1-RPB2)dataset to perform maximum likelihoodbased estimation and Bayesian binary analyses,to assess the divergence and biogeographical distributions of Heterobasidion species.The Heterobasidion annousum/H.insulare species complex clusters in three groups in the phylogenetic analyses.Molecular dating suggests that ancestral Heterobasidion species originated in Eurasia during the Early Miocene,followed by dispersal and speciation to other continents during the Middle Miocene and Early Pliocene.Our data are compatible with the previous viewpoint that H.irregulare and H.occidentale colonized North America via different routes,which has been interpreted as Beringian and Thulean North Atlantic vicariance.In addition,we propose that the occurrence of H.araucariae in the southern Hemisphere was probably due to recent human-mediated introductions.Plate tectonics and long-distance dispersal are the most likely factors that influenced Heterobasidion speciation and biogeography.
基金supported by the National Natural Science Foundation of China (No. 20974052)the Natural Science Foundation of Tianjin Municipality (No. 09JCZDJC22900)
文摘Single-hole hollow polymer nanospheres were fabricated by raspberry-like template method using "graft-from" strategy through atom transfer radical polymerization (ATRP). Nanometer-sized silica spheres were covalently attached onto the surfaces of micrometer-sized silica spheres. Crosslinked polymer shells on the nano-sized spheres outside the attached area were formed by "graft-from" strategy through ATRP. After removal of the silica cores, single-hole hollow crosslinked polymer nanospheres were obtained. In this strategy, most of ATRP monomers may be used and thus many functional groups can be easily incorporated into the single-hole hollow crosslinked polymer nanospheres.
基金supported by the Medical and Health Research Program of Zhejiang Province(No.2015KYB128)the Zhejiang Provincial Natural Science Foundation(No.LQ15H030004),China
文摘After the outbreak of coronavirus disease 2019(COVID-19),different measures have been taken to control the spread of the epidemic.Most international organizations,countries/regions have issued epidemic prevention guidelines or administrative guidelines,in which citizens are advised to pay attention to personal hygiene(such as washing hands frequently,covering the nose and mouth when sneezing),maintain social distance,and avoid gathering activities,and so on.[1]However,it is noted that instructions on whether citizens need to wear masks and when to wear masks are inconsistent across various countries.
基金This study was supported by a grant from the National Key Research and development Program of China(No.2016YFC0901505)Beijing Municipal Administration of Hospital Clinical Medicine Development of Special Funding Support(No.ZYLX201821)The series research on the pediatric gonadal diseases those affecting the fertility in adulthood(No.XTYB201808).
文摘To the Editor:Adrenal and gonadal function can be evaluated by analyzing steroid hormone levels in different age groups,especially adolescent girls.Liquid chromatography-tandem mass spectrometry(LC-MS/MS or highperformance LC[HPLC]-MS/MS)offers a combination of the physical separation capabilities of HPLC and the mass analysis capabilities of tandem MS,which improves sensitivity and specificity in measuring steroid hormone levelsJ1,21 This method is more sensitive,effective,specific,and homogenous than other methods for analyzing children’s steroid hormone levels in the clinic.Studies on the reference intervals of steroid sex hormones have more commonly performed with Caucasian subjects than with Chinese subjects.^31 LC-MS/MS-based reference intervals for steroid hormones in China,especially for healthy girls,have not yet been reported.With LC-MS/MS becoming increasingly common,the establishment of reference intervals is growing more urgent.Here,we define appropriate reference ranges for pregnenolone,17ahydroxyprogesterone,corticosterone,dehydroepiandrosterone,androstenedione,and free testosterone.
