BACKGROUND Endoscopic mucosal resection is an innovative method for treating early gastric cancer and has been widely used in clinical practice.AIM To analyze the factors associated with the development of heterochron...BACKGROUND Endoscopic mucosal resection is an innovative method for treating early gastric cancer and has been widely used in clinical practice.AIM To analyze the factors associated with the development of heterochronic gastric cancer in patients with early gastric cancer who had undergone endoscopic mucosal dissection(EMD).METHODS A cohort of patients with early gastric cancer treated using EMD was retrospectively analyzed,and patients who developed heterochronic gastric cancer after the surgery were compared with those who did not.The effects of patient age,sex,tumor size,pathological type,and surgical technique on the development of heterochronic gastric cancer were assessed using statistical analysis.RESULTS Of the 300 patients with early gastric cancer,150 patients developed heterochronic gastric cancer after EMD.Statistical analysis revealed that patient age(P value=XX),sex(P value=XX),tumor size(P value=XX),pathological type(P value=XX),and surgical technique(P value=XX)were significantly associated with the occurrence of heterochronic gastric cancer.CONCLUSION Age,sex,tumor size,pathological type,and surgical technique are key factors influencing the occurrence of heterochronic gastric cancer after EMD in patients with early gastric cancer.To address these factors,postoperative follow-up and management should be strengthened to improve the prognosis and survival rate of patients.展开更多
In Alzheimer’s disease and ischemic stroke,intranasal insulin can act as a neuroprotective agent.However,whether intranasal insulin has a neuroprotective effect in intracerebral hemorrhage and its potential mechanism...In Alzheimer’s disease and ischemic stroke,intranasal insulin can act as a neuroprotective agent.However,whether intranasal insulin has a neuroprotective effect in intracerebral hemorrhage and its potential mechanisms remain poorly understood.In this study,a mouse model of autologous blood-induced intracerebral hemorrhage was treated with 0.5,1,or 2 IU insulin via intranasal delivery,twice per day,until 24 or 72 hours after surgery.Compared with saline treatment,1 IU intranasal insulin treatment significantly reduced hematoma volume and brain edema after cerebral hemorrhage,decreased blood-brain barrier permeability and neuronal degeneration damage,reduced neurobehavioral deficits,and improved the survival rate of mice.Expression levels of p-AKT and p-GSK3βwere significantly increased in the perihematoma tissues after intranasal insulin therapy.Our findings suggest that intranasal insulin therapy can protect the neurological function of mice after intracerebral hemorrhage through the AKT/GSK3βsignaling pathway.The study was approved by the Ethics Committee of the North Sichuan Medical College of China(approval No.NSMC(A)2019(01))on January 7,2019.展开更多
BACKGROUND Synovial sarcoma(SS)is an uncommon and highly malignant soft tissue sarcoma in the clinic,with primary pulmonary SS(PPSS)being extremely rare.Here,we describe the clinical characteristics,diagnosis,and trea...BACKGROUND Synovial sarcoma(SS)is an uncommon and highly malignant soft tissue sarcoma in the clinic,with primary pulmonary SS(PPSS)being extremely rare.Here,we describe the clinical characteristics,diagnosis,and treatment of a solitary PPSS case confirmed via surgical resection and fluorescence in situ hybridization(FISH).CASE SUMMARY A 33-year-old man was admitted because of intermittent coughing and hemoptysis for one month,with lung shadows observed for two years.Wholebody positron emission tomography-computed tomography(PET-CT)revealed a solitary mass in the upper lobe of the right lung,with uneven radioactivity uptake and a maximum standardized uptake value of 5.6.The greyish-yellow specimen obtained following thoracoscopic resection was covered with small multinodulated structures and consisted of soft tissue.Hematoxylin and eosin staining revealed spindle-shaped malignant tumor cells.Immunohistochemistry indicated these tumor cells were CD99 and BCL-2-positive.Furthermore,the FISH test revealed synovial sarcoma translocation genetic reassortment,which confirmed the diagnosis of SS.CONCLUSION PPSS is extremely rare and tends to be misdiagnosed as many primary pulmonary diseases.PET-CT,histologic analysis,and FISH tests can be used to differentiate PPSS from other diseases.Surgical resection is regularly recommended for the treatment of solitary PPSS and is helpful for improving the prognosis.展开更多
Temperature-responsive polymers have garnered significant attention due to their ability to respond to external stimuli.In this work,dual temperature-responsive block copolymers are synthesized via reversible addition...Temperature-responsive polymers have garnered significant attention due to their ability to respond to external stimuli.In this work,dual temperature-responsive block copolymers are synthesized via reversible addition-fragmentation chain transfer polymerization(RAFT)polymerization utilizing zwitterionic monomer methacryloyl ethyl sulfobetaine(SBMA) and N-isopropyl acrylamide(NIPAAm) as monomers.The thermal responsive behaviors can be easily modulated by incorporating additional hydrophobic monomer benzyl acrylate(BN) or hydrophilic monomer acrylic acid(AA),adjusting concentration or pH,or varying the degree of polymerization of the block chain segments.The cloud points of the copolymers are determined by UV-Vis spectrophotometry,and these copolymers exhibit both controlled upper and lower critical solu bility temperatures(LCST and UCST) in aqueous solution.This study analyzes and summarizes the influencing factors of dual temperature responsive block copolymers by exploring the effects of various conditions on the phase transition temperature of temperature-sensitive polymers to explore the relationship between their properties and environment and structure to make them more selective in terms of temperature application range and regulation laws.It is very interesting that the introduction of poly-acrylic acid(PAA) segments in the middle of di-block copolymer PSBMA_(55)-b-PNIPAAm_(80) to form PSBMA_(55)-b-PAA_(x)-b-PNIPAAm_(80) results in a reversal of temperature-responsive behaviors from 'U'(LCST UCST) type,while the copolymer PSBMA_(55)-b-P(NIPAAm_(80)-co-AA_(x)) not.This work provides a clue for tuning the phase transition behavior of polymers for manufacture of extreme smart materials.展开更多
Nanozymes with high enzyme-like catalytic activity have been recognized as promising alternatives for nature enzymes and exhibit great potentials in biodetection,disease diagnosis and treatment. Metal nanozyme is an i...Nanozymes with high enzyme-like catalytic activity have been recognized as promising alternatives for nature enzymes and exhibit great potentials in biodetection,disease diagnosis and treatment. Metal nanozyme is an important member of the nanozyme family. When metal nanozymes are controllably regulated by compositions,sizes, morphologies, crystal defects, surface states or stimulated by diversified external fields, they will acquire unique geometric and electronic structures and exhibit various physical/chemical properties in catalytic behaviors.Although significant progress has been made in metal nanozymes, there is still large space for further improving the catalytic efficiency, developing the synthetic process for large-scale production, facilitating the clinical transformation and exploring the untapped applications.Directing at these issues, rational design of novel nanozymes for better applications and deeper understanding of catalytic mechanisms are urgently required. Accordingly,this review focuses on the recent advances on regulating strategies, catalytic mechanisms and relevant biological applications of metal nanozymes with multiple enzymelike performance. Furthermore, future perspectives are outlooked to inspire more attention and efforts on this interesting multi-disciplinary field.展开更多
Fluorinated polymers are receiving more and more attention worldwide due to their unique chemical properties,and modified fluorinated polymers with different topologies are persued for enriching and enhancing their pe...Fluorinated polymers are receiving more and more attention worldwide due to their unique chemical properties,and modified fluorinated polymers with different topologies are persued for enriching and enhancing their performance in a variety of application fields.In this work,main-chain-type semifluorinated graft copolymers are produced steadily in continuous tube reactors via photocontrolled step transferaddition and radical-termination(START)polymerization and Cu(0)-mediated reversible deactivation radical polymerization(Cu(0)-RDRP)at room temperature for the first time.Specifically,semifluorinated alternating copolymer(AB)n B is prepared by START polymerization of 1,6-diiodoperfluorohexane(A)and 1,7-octadiene(B)in the first quartz pipeline under irradiation with purple LED light at 20℃.The(AB)nB with periodic C―I bonds is then flowed into the second copper pipeline directly and acts as the macroinitiators for Cu(0)-RDRP of methyl acrylate(MA)to obtain corresponding graft copolymer(AB)n B-g-PMA.This work provides a new strategy for continuous synthesis of fluorinated graft copolymer materials.展开更多
Microstructural evolution and dynamic recrystallization(DRX)mechanisms of a Ti-48Al-2Cr-2Nb(at.%)alloy prepared by selective electron beam melting(SEBM)during hot deformation at 1150℃and 0.1 s^(-1)were investigated b...Microstructural evolution and dynamic recrystallization(DRX)mechanisms of a Ti-48Al-2Cr-2Nb(at.%)alloy prepared by selective electron beam melting(SEBM)during hot deformation at 1150℃and 0.1 s^(-1)were investigated by hot compression tests,optical microscope(OM),scanning electron microscope(SEM),electron back-scattered diffraction(EBSD)and transmission electron microscope(TEM).The results show that the initial microstructure of the as-SEBMed alloy exhibits layers of coarseγgrains and fineγ+α_(2)+(α_(2)/γ)lamellar mixture grains alternately along the building direction.During the early stage of hot deformation,deformation twins tend to form within the coarse grains,facilitating subsequent deformation,and a small number of DRX grains appear in the fine-grained regions.With the increase of strain,extensive DRX grains are formed through different DRX mechanisms in both coarse and fine-grained regions,involving discontinuous dynamic recrystallization mechanism(DDRX)in the fine-grained regions and a coexistence of DDRX and continuous dynamic recrystallization(CDRX)in the coarsegrained regions.展开更多
文摘BACKGROUND Endoscopic mucosal resection is an innovative method for treating early gastric cancer and has been widely used in clinical practice.AIM To analyze the factors associated with the development of heterochronic gastric cancer in patients with early gastric cancer who had undergone endoscopic mucosal dissection(EMD).METHODS A cohort of patients with early gastric cancer treated using EMD was retrospectively analyzed,and patients who developed heterochronic gastric cancer after the surgery were compared with those who did not.The effects of patient age,sex,tumor size,pathological type,and surgical technique on the development of heterochronic gastric cancer were assessed using statistical analysis.RESULTS Of the 300 patients with early gastric cancer,150 patients developed heterochronic gastric cancer after EMD.Statistical analysis revealed that patient age(P value=XX),sex(P value=XX),tumor size(P value=XX),pathological type(P value=XX),and surgical technique(P value=XX)were significantly associated with the occurrence of heterochronic gastric cancer.CONCLUSION Age,sex,tumor size,pathological type,and surgical technique are key factors influencing the occurrence of heterochronic gastric cancer after EMD in patients with early gastric cancer.To address these factors,postoperative follow-up and management should be strengthened to improve the prognosis and survival rate of patients.
基金supported by the National Natural Science Foundation of China,No.81971220a grant from the Science and Technology Department of Sichuan Province of China,No.2018JY0236(both to GHJ)。
文摘In Alzheimer’s disease and ischemic stroke,intranasal insulin can act as a neuroprotective agent.However,whether intranasal insulin has a neuroprotective effect in intracerebral hemorrhage and its potential mechanisms remain poorly understood.In this study,a mouse model of autologous blood-induced intracerebral hemorrhage was treated with 0.5,1,or 2 IU insulin via intranasal delivery,twice per day,until 24 or 72 hours after surgery.Compared with saline treatment,1 IU intranasal insulin treatment significantly reduced hematoma volume and brain edema after cerebral hemorrhage,decreased blood-brain barrier permeability and neuronal degeneration damage,reduced neurobehavioral deficits,and improved the survival rate of mice.Expression levels of p-AKT and p-GSK3βwere significantly increased in the perihematoma tissues after intranasal insulin therapy.Our findings suggest that intranasal insulin therapy can protect the neurological function of mice after intracerebral hemorrhage through the AKT/GSK3βsignaling pathway.The study was approved by the Ethics Committee of the North Sichuan Medical College of China(approval No.NSMC(A)2019(01))on January 7,2019.
文摘BACKGROUND Synovial sarcoma(SS)is an uncommon and highly malignant soft tissue sarcoma in the clinic,with primary pulmonary SS(PPSS)being extremely rare.Here,we describe the clinical characteristics,diagnosis,and treatment of a solitary PPSS case confirmed via surgical resection and fluorescence in situ hybridization(FISH).CASE SUMMARY A 33-year-old man was admitted because of intermittent coughing and hemoptysis for one month,with lung shadows observed for two years.Wholebody positron emission tomography-computed tomography(PET-CT)revealed a solitary mass in the upper lobe of the right lung,with uneven radioactivity uptake and a maximum standardized uptake value of 5.6.The greyish-yellow specimen obtained following thoracoscopic resection was covered with small multinodulated structures and consisted of soft tissue.Hematoxylin and eosin staining revealed spindle-shaped malignant tumor cells.Immunohistochemistry indicated these tumor cells were CD99 and BCL-2-positive.Furthermore,the FISH test revealed synovial sarcoma translocation genetic reassortment,which confirmed the diagnosis of SS.CONCLUSION PPSS is extremely rare and tends to be misdiagnosed as many primary pulmonary diseases.PET-CT,histologic analysis,and FISH tests can be used to differentiate PPSS from other diseases.Surgical resection is regularly recommended for the treatment of solitary PPSS and is helpful for improving the prognosis.
基金financially supported by the National Natural Science Foundation of China (No. 22271207)the Project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD)。
文摘Temperature-responsive polymers have garnered significant attention due to their ability to respond to external stimuli.In this work,dual temperature-responsive block copolymers are synthesized via reversible addition-fragmentation chain transfer polymerization(RAFT)polymerization utilizing zwitterionic monomer methacryloyl ethyl sulfobetaine(SBMA) and N-isopropyl acrylamide(NIPAAm) as monomers.The thermal responsive behaviors can be easily modulated by incorporating additional hydrophobic monomer benzyl acrylate(BN) or hydrophilic monomer acrylic acid(AA),adjusting concentration or pH,or varying the degree of polymerization of the block chain segments.The cloud points of the copolymers are determined by UV-Vis spectrophotometry,and these copolymers exhibit both controlled upper and lower critical solu bility temperatures(LCST and UCST) in aqueous solution.This study analyzes and summarizes the influencing factors of dual temperature responsive block copolymers by exploring the effects of various conditions on the phase transition temperature of temperature-sensitive polymers to explore the relationship between their properties and environment and structure to make them more selective in terms of temperature application range and regulation laws.It is very interesting that the introduction of poly-acrylic acid(PAA) segments in the middle of di-block copolymer PSBMA_(55)-b-PNIPAAm_(80) to form PSBMA_(55)-b-PAA_(x)-b-PNIPAAm_(80) results in a reversal of temperature-responsive behaviors from 'U'(LCST UCST) type,while the copolymer PSBMA_(55)-b-P(NIPAAm_(80)-co-AA_(x)) not.This work provides a clue for tuning the phase transition behavior of polymers for manufacture of extreme smart materials.
基金financially supported by the National Natural Science Foundation of China (No. 62274141)the Program for Zhongyuan Leading Talents of Science and Technology Innovation in Henan Province (No. 204200510016)。
文摘Nanozymes with high enzyme-like catalytic activity have been recognized as promising alternatives for nature enzymes and exhibit great potentials in biodetection,disease diagnosis and treatment. Metal nanozyme is an important member of the nanozyme family. When metal nanozymes are controllably regulated by compositions,sizes, morphologies, crystal defects, surface states or stimulated by diversified external fields, they will acquire unique geometric and electronic structures and exhibit various physical/chemical properties in catalytic behaviors.Although significant progress has been made in metal nanozymes, there is still large space for further improving the catalytic efficiency, developing the synthetic process for large-scale production, facilitating the clinical transformation and exploring the untapped applications.Directing at these issues, rational design of novel nanozymes for better applications and deeper understanding of catalytic mechanisms are urgently required. Accordingly,this review focuses on the recent advances on regulating strategies, catalytic mechanisms and relevant biological applications of metal nanozymes with multiple enzymelike performance. Furthermore, future perspectives are outlooked to inspire more attention and efforts on this interesting multi-disciplinary field.
基金financially supported by the National Natural Science Foundation of China(Nos.22071168,21971178 and 21674071)the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD)。
文摘Fluorinated polymers are receiving more and more attention worldwide due to their unique chemical properties,and modified fluorinated polymers with different topologies are persued for enriching and enhancing their performance in a variety of application fields.In this work,main-chain-type semifluorinated graft copolymers are produced steadily in continuous tube reactors via photocontrolled step transferaddition and radical-termination(START)polymerization and Cu(0)-mediated reversible deactivation radical polymerization(Cu(0)-RDRP)at room temperature for the first time.Specifically,semifluorinated alternating copolymer(AB)n B is prepared by START polymerization of 1,6-diiodoperfluorohexane(A)and 1,7-octadiene(B)in the first quartz pipeline under irradiation with purple LED light at 20℃.The(AB)nB with periodic C―I bonds is then flowed into the second copper pipeline directly and acts as the macroinitiators for Cu(0)-RDRP of methyl acrylate(MA)to obtain corresponding graft copolymer(AB)n B-g-PMA.This work provides a new strategy for continuous synthesis of fluorinated graft copolymer materials.
基金the financial supports from the Shaanxi Province Key Research and Development Projects,China(No.2023KXJ-071)the National Natural Science Foundation of China(Nos.52274402,52174381)。
文摘Microstructural evolution and dynamic recrystallization(DRX)mechanisms of a Ti-48Al-2Cr-2Nb(at.%)alloy prepared by selective electron beam melting(SEBM)during hot deformation at 1150℃and 0.1 s^(-1)were investigated by hot compression tests,optical microscope(OM),scanning electron microscope(SEM),electron back-scattered diffraction(EBSD)and transmission electron microscope(TEM).The results show that the initial microstructure of the as-SEBMed alloy exhibits layers of coarseγgrains and fineγ+α_(2)+(α_(2)/γ)lamellar mixture grains alternately along the building direction.During the early stage of hot deformation,deformation twins tend to form within the coarse grains,facilitating subsequent deformation,and a small number of DRX grains appear in the fine-grained regions.With the increase of strain,extensive DRX grains are formed through different DRX mechanisms in both coarse and fine-grained regions,involving discontinuous dynamic recrystallization mechanism(DDRX)in the fine-grained regions and a coexistence of DDRX and continuous dynamic recrystallization(CDRX)in the coarsegrained regions.
