bluuebunny/crossref_metadata_2025 huggingface dataset:
Identification of NETs-related biomarkers and molecular clusters in systemic lupus erythematosus
Authors: Li Haoguang , Zhang Xiuling , Shang Jingjing , Feng Xueqin , Yu Le , Fan Jie , Ren Jie , Zhang Rongwei , Duan Xinwang
Published: April 2023

Neutrophil extracellular traps (NETs) is an important process involved in the pathogenesis of systemic lupus erythematosus (SLE), but the potential mechanisms of NETs contributing to SLE at the genetic level have not been clearly investigated. This investigation aimed to explore the molecular characteristics of NETs-related genes (NRGs) in SLE based on bioinformatics analysis, and identify associated reliable biomarkers and molecular clusters. Dataset GSE45291 was acquired from the Gene Expression Omnibus repository and used as a training set for subsequent analysis. A total of 1006 differentially expressed genes (DEGs) were obtained, most of which were associated with multiple viral infections. The interaction of DEGs with NRGs revealed 8 differentially expressed NRGs (DE-NRGs). The correlation and protein-protein interaction analyses of these DE-NRGs were performed. Among them, HMGB1, ITGB2, and CREB5 were selected as hub genes by random forest, support vector machine, and least absolute shrinkage and selection operator algorithms. The significant diagnostic value for SLE was confirmed in the training set and three validation sets (GSE81622, GSE61635, and GSE122459). Additionally, three NETs-related sub-clusters were identified based on the hub genes’ expression profiles analyzed by unsupervised consensus cluster assessment. Functional enrichment was performed among the three NETs subgroups, and the data revealed that cluster 1 highly expressed DEGs were prevalent in innate immune response pathways while that of cluster 3 were enriched in adaptive immune response pathways. Moreover, immune infiltration analysis also revealed that innate immune cells were markedly infiltrated in cluster 1 while the adaptive immune cells were upregulated in cluster 3. As per our knowledge, this investigation is the first to explore the molecular characteristics of NRGs in SLE, identify three potential biomarkers (HMGB1, ITGB2, and CREB5), and three distinct clusters based on these hub biomarkers.
Retrospective analysis of the long-term therapeutic effectiveness and safety profile of rituximab in the treatment of mucous membrane pemphigoid in a German university center between 2008 and 2019
Authors: Bamberger Florian , König Inke R. , Gola Damian , Zillikens Detlef , Sadik Christian D.
Published: April 2023

Background

The B-cell-depleting anti-CD20 antibody rituximab (RTX) is often used as an adjuvant drug for the treatment of refractory cases of mucous membrane pemphigoid (MMP).

Objective

This study aims to determine the therapeutic effectiveness and the safety profile of RTX in MMP.

Methods

The medical records of all cases of MMP treated with RTX between 2008 and 2019 in our university medical center located in northern Germany, which specialized in autoimmune blistering skin diseases, were retrieved and systemically analyzed for treatment responses and potential adverse events over a median period of 27 months.

Results

We identified 18 MMP patients who received at least one cycle of RTX to treat MMP. RTX was always used as an adjuvant treatment, and its application did not change concomitant treatments. Under treatment with RTX, 67% of the patients achieved an improvement in their disease activity within 6 months. This was also reflected in a statistically significant reduction in the Mucous Membrane Pemphigoid Disease Index (MMPDAI) activity score. The frequency of infections under RTX treatment increased only slightly.

Conclusions

The use of RTX is associated with an attenuation of MMP in a large proportion of MMP patients in our study. At the same time, its application was not found to further increase the susceptibility of the most strongly immunocompromised population of MMP patients to opportunistic infections. Collectively, our results suggest that the potential benefits of RTX outweigh its risks in patients with refractory MMP.
Sources and sinks of bottom water oxygen in a seasonally hypoxic fjord
Authors: Rakshit Subhadeep , Dale Andrew W. , Wallace Douglas W. , Algar Christopher Kenneth
Published: April 2023

Deoxygenation of the ocean has been occurring over the last half century, particularly in poorly ventilated coastal waters. In coastal and estuarine environments, both the water column and sediments play key roles in controlling oxygen variability. In this study, we focus on controls of oxygen concentration in Bedford Basin (BB), a 70 m deep, seasonally hypoxic semi-enclosed fjord on the West Atlantic coast in Nova Scotia. The basin is connected to the Scotian Shelf via a narrow 20 m deep sill that restricts the resupply of bottom water. Hypoxia was recorded seasonally in 2018, 2019 and 2021 with minimum oxygen concentration of 5, 6.7 and 2.7 μM, respectively. Using a 1-D benthic-pelagic coupled model we investigate oxygen consumption and resupply processes during these years. The model was constrained with weekly water column measurements of temperature, salinity, chlorophyll-a fluorescence and dissolved oxygen from a monitoring station in the central basin together with seasonal measurements of benthic diffusive oxygen uptake. Our model suggested that 29-81%, and up to 36% of bottom water re-oxygenation occurred during the winter mixing period and through summer/fall intrusions of Scotian Shelf water, respectively. Occasional shelf water intrusions occurred rapidly, on a timescale of a few hours, and delivered equivalent amounts of oxygen as winter mixing and were sufficient to end bottom water hypoxia. Collectively, these mechanisms supplied the majority of the oxygen delivered to the bottom water. Oxygen supply to bottom waters during periods of water column stratification accounted for 19-36% of the annual flux. The mean benthic uptake was 12 ± 8 mmol m-2 d-1 and contributed ~20% of the total oxygen consumption below the sill depth. In 2021, sea surface temperature (SST) was unusually high and likely resulted in 50% less bottom water oxygenation compared to 2018 and 2019 due to increased stratification; SST in BB was found to be increasing at a rate of 0.11 ± 0.02 °C/year. Climate control on water column stratification are discussed and numerical experiments are used to compare the effects of different water column mixing scenarios on bottom water oxygenation.
Ramicrusta invasive alga causes mortality in Caribbean coral larvae
Authors: Cayemitte Kayla , Aoki Nadège , Ferguson Sophie R. , Mooney T. Aran , Apprill Amy
Published: April 2023

The settlement of coral larvae is an important process which contributes to the success and longevity of coral reefs. Coral larvae often recruit to benthic structures covered with crustose coralline algae (CCA) which produce cues that promote settlement and metamorphosis. The Peysonneliaceae Ramicrusta spp. are red-brown encrusting alga that have recently become abundant on shallow Caribbean reefs, replacing CCA habitat, overgrowing corals and potentially threatening coral recruitment. In order to assess the threat of Ramicrusta to coral recruitment, we compared the survival and settlement of Porites astreoides and Favia fragum larvae to 0.5 – 2 mg ml-1 solutions of Ramicrusta sp. or CCA as well as sterile seawater (control). In all cases larval mortality was extremely high in the Ramicrusta treatments compared to the CCA and control treatments. We found 96% (± 8.9% standard deviation, SD) mortality of P. astreoides larvae when exposed to solutions of Ramicrusta and 0 - 4% (± 0 - 8.9% SD) mortality in the CCA treatments. We observed 100% F. fragum larval mortality when exposed to Ramicrusta and 5 – 10% (± 10 – 20% SD) mortality in the CCA treatments. Settlement or surface interaction of larvae in the CCA treatments was 40 - 68% (± 22 - 37% SD) for P. astreoides and 65 - 75% (± 10 - 19% SD) for F. fragum. Two P. astreoides larva that survived Ramicrusta exposure did settle/surface interact, suggesting that some larvae may be tolerant to Ramicrusta. These results suggest that Ramicrusta is a lethal threat to Caribbean coral recruitment.
Role of luteinizing hormone elevation in outcomes of ovulation induction with letrozole for polycystic ovary syndrome
Authors: Fu Wenyan , Kuang Yanping
Published: April 2023

Introduction

The effect of elevated luteinizing hormone (LH) on the clinical outcomes of ovulation induction (OI) in infertile anovulatory patients with polycystic ovary syndrome (PCOS) remains controversial. This retrospective study included PCOS patients undergoing intrauterine insemination (IUI) following letrozole (LE) stimulation without OC pretreatment.

Materials and methods

A retrospective cohort analysis was conducted in a single, academic ART center from January 2013 to May 2019. In total, 835 IUI cycles of PCOS patients treated with letrozole were collected for the analysis. Cohorts were separated based on the level of basal LH (bLH) and LH level after letrozole administration (LHle) during OI. OI response and reproductive outcomes were evaluated for each cohort.

Results

No adverse effects of dysregulated levels of either bLH or LHle on ovulation rate or reproductive outcomes were observed. Furthermore, the cohort of individuals with normal bLH and high LHle levels, exclusive of LH surge, exhibited significantly higher rates of clinical pregnancy (30.3% vs. 17.3%, p = 0.002) and live birth (24.2% vs. 15.2%, p = 0.024) than those with normal bLH and normal LHle.

Conclusion

These results indicated that high LH levels in PCOS are not solid evidence of poor prognosis of letrozole-induced ovulation, while elevated LHle may be a prospective predictor for better OI outcomes. It seems that preinhibition of LH secretion is not needed.
Prehospital qSOFA, mSOFA, and NEWS2 performance for sepsis prediction: A prospective, multi-center, cohort study
Authors: Melero-Guijarro Laura , Sanz-García Ancor , Martín-Rodríguez Francisco , Lipari Vivian , Mazas Perez Oleaga Cristina , Carvajal Altamiranda Stefanía , Martínez López Nohora Milena , Domínguez Azpíroz Irma , Castro Villamor Miguel A. , Sánchez Soberón Irene , López-Izquierdo Raúl
Published: April 2023

Background

Nowadays, there is no gold standard score for prehospital sepsis and sepsis-related mortality identification. The aim of the present study was to analyze the performance of qSOFA, NEWS2 and mSOFA as sepsis predictors in patients with infection-suspected in prehospital care. The second objective is to study the predictive ability of the aforementioned scores in septic-shock and in-hospital mortality.

Methods

Prospective, ambulance-based, and multicenter cohort study, developed by the emergency medical services, among patients (n = 535) with suspected infection transferred by ambulance with high-priority to the emergency department (ED). The study enrolled 40 ambulances and 4 ED in Spain between 1 January 2020, and 30 September 2021. All the variables used in the scores, in addition to socio-demographic data, standard vital signs, prehospital analytical parameters (glucose, lactate, and creatinine) were collected. For the evaluation of the scores, the discriminative power, calibration curve and decision curve analysis (DCA) were used.

Results

The mSOFA outperformed the other two scores for mortality, presenting the following AUCs: 0.877 (95%CI 0.841–0.913), 0.761 (95%CI 0.706–0.816), 0.731 (95%CI 0.674–0.788), for mSOFA, NEWS, and qSOFA, respectively. No differences were found for sepsis nor septic shock, but mSOFA’s AUCs was higher than the one of the other two scores. The calibration curve and DCA presented similar results.

Conclusion

The use of mSOFA could provide and extra insight regarding the short-term mortality and sepsis diagnostic, backing its recommendation in the prehospital scenario.
Using AGREE II reporting checklist to evaluate the quality of Tuina clinical practice guidelines
Authors: Huang Fan , Zhang Yue , Huang Chuyu , Qiu Mingwang , Zhao Siyi , Liang Junquan , Fan Zhiyong , Wu Shan
Published: April 2023

Objective

The objective of this study is to evaluate the methodological quality of Tuina clinical practice guidelines (CPGs).

Methods

Computer searches of China National Knowledge Infrastructure (CNKI), Chinese Technical Periodicals (VIP), Wanfang Data Knowledge Service Platform, PubMed, Cochrane Library, Embase, and other databases were conducted to search for published guidelines on Tuina, with a search time frame from database creation to March 2021. Four evaluators independently used the Appraisal of Guidelines for Research and Evaluation II instrument to evaluate the quality of the included guidelines.

Results

A total of eight guidelines related to Tuina were included in this study. The quality of reporting was low in all included guidelines. The highest quality report had a total score of 404 and was rated as “highly recommended.” The worst guideline had a final score of 241 and was rated as “not recommended.” Overall, 25% of the included guidelines were recommended for clinical use, 37.5% were recommended after revision, and 37.5% were not recommended.

Conclusion

The number of existing Tuina clinical practice guidelines is limited. The methodological quality is low, far from the internationally accepted clinical practice guideline development and reporting norms. In the future, reporting specifications of guidelines and the methodology of guideline development, including the rigor of the guideline development process, the clarity, application, and independence of reporting, should be emphasized in the development of the Tuina guidelines. These initiatives could improve the quality and applicability of clinical practice guidelines to guide and standardize the clinical practice of Tuina.
The identification of viral ribonucleotide reductase encoded by ORF23 and ORF141 genes and effect on CyHV-2 replication
Authors: Cheng Wenjie , Chen Qikang , Ren Yilin , Zhang Ye , Lu Liqun , Gui Lang , Xu Dan
Published: April 2023

Introduction

Ribonucleotide reductase (RR) is essential for the replication of the double-stranded DNA virus CyHV-2 due to its ability to catalyze the conversion of ribonucleotides to deoxyribonucleotides, and is a potential target for the development of antiviral drugs to control CyHV-2 infection.

Methods

Bioinformatic analysis was conducted to identify potential homologues of RR in CyHV-2. The transcription and translation levels of ORF23 and ORF141, which showed high homology to RR, were measured during CyHV-2 replication in GICF. Co-localization experiments and immunoprecipitation were performed to investigate the interaction between ORF23 and ORF141. siRNA interference experiments were conducted to evaluate the effect of silencing ORF23 and ORF141 on CyHV-2 replication. The inhibitory effect of hydroxyurea, a nucleotide reductase inhibitor, on CyHV-2 replication in GICF cells and RR enzymatic activity in vitro was also evaluated.

Results

ORF23 and ORF141 were identified as potential viral ribonucleotide reductase homologues in CyHV-2, and their transcription and translation levels increased with CyHV-2 replication. Co-localization experiments and immunoprecipitation suggested an interaction between the two proteins. Simultaneous silencing of ORF23 and ORF141 effectively inhibited the replication of CyHV-2. Additionally, hydroxyurea inhibited the replication of CyHV-2 in GICF cells and the in vitro enzymatic activity of RR.

Conclusion

These results suggest that the CyHV-2 proteins ORF23 and ORF141 function as viral ribonucleotide reductase and their function makes an effect to CyHV-2 replication. Targeting ribonucleotide reductase could be a crucial strategy for developing new antiviral drugs against CyHV-2 and other herpesviruses.
Biologically relevant small variations of intra-cellular pH can have significant effect on stability of protein–DNA complexes, including the nucleosome
Authors: Onufriev Alexey V.
Published: April 2023

Stability of a protein-ligand complex may be sensitive to pH of its environment. Here we explore, computationally, stability of a set of protein-nucleic acid complexes using fundamental thermodynamic linkage relationship. The nucleosome, as well as an essentially random selection of 20 protein complexes with DNA or RNA, are included in the analysis. An increase in intra-cellular/intra-nuclear pH destabilizes most complexes, including the nucleosome. We propose to quantify the effect by ΔΔG0.3—the change in the binding free energy due to pH increase of 0.3 units, corresponding to doubling of the H+ activity; variations of pH of this amplitude can occur in living cells, including in the course of the cell cycle, and in cancer cells relative to normal ones. We suggest, based on relevant experimental findings, a threshold of biological significance of 12kBT(∼0.3kcal/mol) for changes of stability of chromatin-related protein-DNA complexes: a change in the binding affinity above the threshold may have biological consequences. We find that for 70% of the examined complexes, ΔΔG0.3>12kBT (for 10%, ΔΔG0.3 is between 3 and 4 kBT). Thus, small but relevant variations of intra-nuclear pH of 0.3 may have biological consequences for many protein-nucleic acid complexes. The binding affinity between the histone octamer and its DNA, which directly affects the DNA accessibility in the nucleosome, is predicted to be highly sensitive to intra-nuclear pH. A variation of 0.3 units results in ΔΔG0.3 ∼ 10kBT(∼6kcal/mol); for spontaneous unwrapping of 20 bp long entry/exit fragments of the nucleosomal DNA, ΔΔG0.3 = 2.2kBT; partial disassembly of the nucleosome into the tetrasome is characterized by ΔΔG0.3 = 5.2kBT. The predicted pH -induced modulations of the nucleosome stability are significant enough to suggest that they may have consequences relevant to the biological function of the nucleosome. Accessibility of the nucleosomal DNA is predicted to positively correlate with pH variations during the cell cycle; an increase in intra-cellular pH seen in cancer cells is predicted to lead to a more accessible nucleosomal DNA; a drop in pH associated with apoptosis is predicted to make nucleosomal DNA less accessible. We speculate that processes that depend on accessibility to the DNA in the nucleosomes, such as transcription or DNA replication, might become upregulated due to relatively small, but nevertheless realistic increases of intra-nuclear pH.
A non-linear relationship between lesion length and risk of recurrent cerebral ischemia after stenting for symptomatic intracranial stenosis with hemodynamic impairment
Authors: Zhang Xianjun , Gong Wentao , Meng Zhen , Li Guangwen , Liu Peng , Zhang Yong , Wang Naidong
Published: April 2023

Background

Stent placement can be an effective treatment for patients with symptomatic intracranial stenosis (sICAS) and hemodynamic impairment (HI). However, the association between lesion length and the risk of recurrent cerebral ischemia (RCI) after stenting remains controversial. Exploring this association can help predict patients at higher risk for RCI and develop individualized follow-up schedules.

Method

In this study, we provided a post-hoc analysis of a prospective, multicenter registry study on stenting for sICAS with HI in China. Demographics, vascular risk factors, clinical variables, lesions, and procedure-specific variables were recorded. RCI includes ischemic stroke and transient ischemic attack (TIA), from month 1 after stenting to the end of the follow-up period. Smoothing curve fitting and segmented Cox regression analysis were used to analyze the threshold effect between lesion length and RCI in the overall group and subgroups of the stent type.

Results

The non-linear relationship between lesion length and RCI was observed in the overall population and subgroups; however, the non-linear relationship differed by subgroup of stent type. In the balloon-expandable stent (BES) subgroup, the risk of RCI increased 2.17-fold and 3.17-fold for each 1-mm increase in the lesion length when the lesion length was <7.70 mm and >9.00 mm, respectively. In the self-expanding stent (SES) subgroup, the risk of RCI increased 1.83-fold for each 1-mm increase in the lesion length when the length was <9.00 mm. Nevertheless, the risk of RCI did not increase with the length when the lesion length was >9.00mm.

Conclusion

A non-linear relationship exists between lesion length and RCI after stenting for sICAS with HI. The lesion length increases the overall risk of RCI for BES and for SES when the length was <9.00 mm, while no significant relationship was found when the length was >9.00 mm for SES.
Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage
Authors: Li Zhao-Liang , Chen Ai-Lin , Chen Ying , Yang De-Hong , Wan Yu-Hui , Wu Yao , Dai Chun-Gang , Zhu Qing
Published: April 2023

Objectives

This study aimed to discuss the clinical characteristics and emergent endovascular treatment of carotid cavernous fistulas presenting as intracranial hemorrhage.

Methods

The clinical data of five patients with carotid cavernous fistulas, who presented with intracranial hemorrhage and who were admitted from January 2010 to April 2017, were analyzed retrospectively, and the diagnoses were confirmed by head computed tomography. Digital subtraction angiography was carried out in all the patients for the diagnosis and further emergent endovascular procedures. All patients were followed up to assess the clinical outcomes.

Results

In total, five patients harbored five mono-lateral lesions; two of them were obliterated by detachable balloons, two by detachable coils, and one by detachable coils and Onyx glue. Only one patient was cured by another detachable balloon in the second session, and the other four patients were cured in the first session. At the 3- to 10-year follow-up, there was no intracranial re-hemorrhage in any of the patients; there was no recurrence of symptoms; and delayed occlusion of the parent artery was noted in one case.

Conclusion

Emergent endovascular therapy is indicated for carotid cavernous fistulas presenting as intracranial hemorrhage. Individualized treatment according to the characteristics of different lesions is safe and effective.
Cervical vestibular evoked myogenic potentials in healthy children: Normative values for bone and air conduction
Authors: Wiener-Vacher Sylvette R. , Campi Marta , Boizeau Priscilla , Thai-Van Hung
Published: April 2023

Objectives

To characterize cervical vestibular evoked myogenic potentials (c-VEMPs) in bone conduction (BC) and air conduction (AC) in healthy children, to compare the responses to adults and to provide normative values according to age and sex.

Design

Observational study in a large cohort of healthy children (n = 118) and adults (n = 41). The c-VEMPs were normalized with the individual EMG traces, the amplitude ratios were modeled with the Royston-Wright method.

Results

In children, the amplitude ratios of AC and BC c-VEMP were correlated (r = 0.6, p < 0.001) and their medians were not significantly different (p = 0.05). The amplitude ratio was higher in men than in women for AC (p = 0.04) and BC (p = 0.03). Children had significantly higher amplitude ratios than adults for AC (p = 0.01) and BC (p < 0.001). Normative values for children are shown. Amplitude ratio is age-dependent for AC more than for BC. Confidence limits of interaural amplitude ratio asymmetries were less than 32%. Thresholds were not different between AC and BC (88 ± 5 and 86 ± 6 dB nHL, p = 0.99). Mean latencies for AC and BC were for P-wave 13.0 and 13.2 msec and for N-wave 19.3 and 19.4 msec.

Conclusion

The present study provides age- and sex-specific normative data for c-VEMP for children (6 months to 15 years of age) for AC and BC stimulation. Up to the age of 15 years, c-VEMP responses can be obtained equally well with both stimulation modes. Thus, BC represents a valid alternative for vestibular otolith testing, especially in case of air conduction disorders.
Therapeutic education for empowerment and engagement in patients with Parkinson’s disease: A non-pharmacological, interventional, multicentric, randomized controlled trial
Authors: De Pandis Maria Francesca , Torti Margherita , Rotondo Rossella , Iodice Lanfranco , Levi Della Vida Maria , Casali Miriam , Vacca Laura , Viselli Fabio , Servodidio Valeria , Proietti Stefania , Stocchi Fabrizio
Published: April 2023

Background

In 1997 the European Parkinson’s Disease Associations launched the Charter for People with Parkinson’s disease that stated the right of patients to be informed and trained on the disease, its course, and treatments available. To date, few data analyzed the effectiveness of education program on motor and non-motor symptoms of PD.

Objective

The aim of this study was to evaluate the efficacy of an education program as it was a pharmacological treatment, thus choosing as the primary endpoint the change in daily OFF hours, the most widely used outcome in pharmaceutical clinical trials on PD patients with motor fluctuations. Secondary outcomes were change in motor and non-motor symptoms, quality of life and social functioning. The long-term efficacy of the education therapy was also evaluated by analyzing data collected at 12- and 24-weeks follow-up outpatient visits.

Methods

One hundred and twenty advanced patients and their caregivers were assigned to the intervention or control group in a single-blind, multicentric, prospective, randomized study evaluating an education program structured in individual and group sessions over a 6-weeks period.

At the end of study, the intervention group showed a significant reduction in daily OFF hours compared to control patients (−1.07 ± 0.78 vs. 0.09 ± 0.35, p < 0.0001) and a significant improvement was also reported in most secondary outcomes. Patients retained significant medication adherence and daily OFF hours reduction at 12- and 24-weeks follow-up.

Conclusion

The results obtained demonstrated that education programs may translate in a notable improvement in motor fluctuations and non-motor symptoms in advanced PD patients.

Clinical Trial Registration:Clinicaltrials.gov, identifier NCT04378127.
Nutritional Quality of Meat Analogues: Results From the Food Labelling of Italian Products (FLIP) Project
Authors: Cutroneo Sara , Angelino Donato , Tedeschi Tullia , Pellegrini Nicoletta , Martini Daniela ,   SINU Young Working Group
Published: April 2023

Nowadays, the interest in meat substitutes is increasing, and consumers perceive their nutritional quality better than that of the animal products they intend to resemble. Therefore, this work aimed to investigate the overall nutritional quality of these new products. Regulated information [Regulation (EU) 1169/2011], the presence/absence of nutrition or health claim and organic declarations, the gluten-free indication, and the number of ingredients were collected from the food labels of 269 commercial meat analogues currently sold on the Italian market. Nutritional information of reference animal meat products was used to compare the nutrition profile. As an indicator of the nutritional quality, the Nutri-Score of meat analogues and counterparts was also determined. Plant-based steaks showed significantly higher protein, lower energy, fats and salt contents, and better Nutri-Scores than the other analogues. All the meat analogues showed a higher fibre content than meat products, while plant-based burgers and meatballs had lower protein contents than meat counterparts. Ready-sliced meat analogues showed a lower salt content than cured meats. Overall, all these plant-based products showed a longer list of ingredients than animal meat products. Results from this survey highlighted that plant-based steaks, cutlets, and cured meats have some favourable nutritional aspects compared to animal-based products. However, they cannot be considered a “tout-court” alternative to meat products from a nutritional point of view.
Studies on Bioactive Components of Red Ginseng by UHPLC-MS and Its Effect on Lipid Metabolism of Type 2 Diabetes Mellitus
Authors: Huang Rensong , Zhang Meng , Tong Yu , Teng Yaran , Li Hui , Wu Wei
Published: April 2023

Graphical Abstract

Studies on bioactive components of red ginseng by UHPLC-MS and its effect on lipid metabolism of type 2 diabetes mellitus.
Anti-PD-1 immunotherapy combined with stereotactic body radiation therapy and GM-CSF for the treatment of advanced malignant PEComa: A case report
Authors: Wang Yunfan , Li Weiling , Zuo Xin , Min Ke , Tang Yuehua , Chen Hong , Wang Weimin , Zhou Yan
Published: April 2023

Background

Perivascular epithelioid cell neoplasm (PEComa) is a rare mesenchymal tumour. Due to its low incidence, a standard treatment regimen for PEComa has not yet been established. Radiotherapy has a synergistic effect with PD-1 inhibitors and GM-CSF. We treated advanced malignant PEComa with a triple regimen of PD-1 inhibitor, SBRT and GM-CSF to provide better therapeutic effect.

Case presentation

A 63-year-old woman was diagnosed with malignant PEComa after presenting with postmenopausal vaginal bleeding. Despite two surgeries, the neoplasm eventually metastasized throughout the body. We formulated triple therapy with SBRT, a PD-1 inhibitor, and GM-CSF for the patient. The patient’s local symptoms were controlled at the radiotherapy site, and the lesions at the unirradiated sites were also relieved.

Conclusions

For the first time, a triple regimen of PD-1 inhibitor, SBRT and GM-CSF was used in the treatment of malignant PEComa and achieved good efficacy. Considering the lack of prospective clinical studies in PEComa, we believe that this triple therapy is a good-quality regimen for advanced malignant PEComa.
Papillary renal neoplasm with reverse polarity: A case report
Authors: Xing Chengjuan , Tian Hui , Zhang Yunkun , Zhang Li , Kong Jixia
Published: April 2023

As a recently named rare renal tumor of epithelial origin, papillary renal neoplasm with reverse polarity (PRNRP) has unique histomorphological features and immunophenotypes, often associated with KRAS mutations and showing indolent biological behavior. In this study, we report a case of PRNRP. In this report, nearly all tumor cells were positive for GATA-3, KRT7, EMA, E-Cadherin, Ksp-Cadherin, 34βE12, and AMACR in varying intensities, focally positive for CD10 and Vimentin, while negative for CD117, TFE3, RCC, and CAIX. KRAS mutations (exon 2) were detected by amplification refractory mutation system polymerase chain reaction (ARMS-PCR), while no NRAS (exon 2-4) and BRAF V600 mutations (exon 15) were detected. A transperitoneal Robot-Assisted Laparoscopic Partial Nephrectomy was performed on the reported patient. No recurrence or metastasis was found during the 18 months of follow-up.
Establishment and validation of a ferroptosis-related prognostic signature for hepatocellular carcinoma
Authors: He Yixian , Wu Yunyang , Song Mengqi , Yang Yanlong , Yu Yizhi , Xu Sheng
Published: April 2023

Background

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer with high heterogeneity. The prognosis of HCC is quite poor and the prognostic prediction also has challenges. Ferroptosis is recently recognized as a kind of iron-dependent cell death, which is involved in tumor progression. However, further study is needed to validate the influence of drivers of ferroptosis (DOFs) on the prognosis of HCC.

Methods

The FerrDb database and the Cancer Genome Atlas (TCGA) database were applied to retrieve DOFs and information of HCC patients respectively. HCC patients were randomly divided into training and testing cohorts with a 7:3 ratio. Univariate Cox regression, LASSO and multivariate Cox regression analyses were carried out to identify the optimal prognosis model and calculate the risk score. Then, univariate and multivariate Cox regression analyses were performed to assess the independence of the signature. At last, gene functional, tumor mutation and immune-related analyses were conducted to explore the underlying mechanism. Internal and external databases were used to confirm the results. Finally, the tumor tissue and normal tissue from HCC patients were applied to validate the gene expression in the model.

Results

Five genes were identified to develop as a prognostic signature in the training cohort relying on the comprehensive analysis. Univariate and multivariate Cox regression analyses confirmed that the risk score was able to be an independent factor for the prognosis of HCC patients. Low-risk patients showed better overall survival than high-risk patients. Receiver operating characteristic (ROC) curve analysis confirmed the signature’s predictive capacity. Furthermore, internal and external cohorts were consistent with our results. There was a higher proportion of nTreg cell, Th1 cell, macrophage, exhausted cell and CD8+T cell in the high-risk group. The Tumor Immune Dysfunction and Exclusion (TIDE) score suggested that high-risk patients could respond better to immunotherapy. Besides, the experimental results showed that some genes were differentially expressed between tumor and normal tissues.

Conclusion

In summary, the five ferroptosis gene signature showed potential in prognosis of patients with HCC and could also be regarded as a value biomarker for immunotherapy response in these patients.
The impact of puberty on the onset, frequency, location, and severity of attacks in hereditary angioedema due to C1-inhibitor deficiency: A survey from the Italian Network for Hereditary and Acquired Angioedema (ITACA)
Authors: Cancian Mauro , Triggianese Paola , Modica Stella , Arcoleo Francesco , Bignardi Donatella , Brussino Luisa , Colangelo Caterina , Di Agosta Ester , Firinu Davide , Guarino Maria Domenica , Giardino Francesco , Giliberti Marica , Montinaro Vincenzo , Senter Riccardo
Published: April 2023

Introduction

Hereditary angioedema due to C1-inhibitor deficiency is influenced by hormonal factors, with a more severe course of disease in women. Our study aims to deepen the impact of puberty on onset, frequency, location and severity of attacks.

Methods

Retrospective data were collected through a semi-structured questionnaire and shared by 10 Italian reference centers of the Italian Network for Hereditary and Acquired Angioedema (ITACA).

Results

The proportion of symptomatic patients increased significantly after puberty (98.2% vs 83.9%, p=0.002 in males; 96.3% vs 68,4%, p<0.001 in females); the monthly mean of acute attacks was significantly higher after puberty, and this occurred both in females (median (IQR) = 0.41(2) in the three years before puberty vs 2(2.17) in the three years after, p<0.001) and in males (1(1.92) vs 1.25(1.56) respectively, p<0.001). The increase was greater in females. No significant differences were detected in attack location before and after puberty.

Discussion

Overall, our study confirms previous reports on a more severe phenotype in the female gender. Puberty predisposes to increased numbers of angioedema attacks, in particular in female patients.
Efficacy and safety of Omega-3 polyunsaturated fatty acids in adjuvant treatments for colorectal cancer: A meta-analysis of randomized controlled trials
Authors: Liu Haoshuang , Chen Jingfeng , Shao Weihao , Yan Su , Ding Suying
Published: April 2023

Background: Colorectal cancer (CRC) ranks third globally. There are many adverse reactions to treatments such as surgeries and post-surgical chemotherapy, which affect patients’ prognosis and reduce their life quality. Omega-3 polyunsaturated fatty acids (O3FAs) have become an essential part of immune nutrition due to their anti-inflammatory properties, which improve body immunity and have attracted widespread attention. A systematic review focused on the efficacy and safety of O3FAs for patients undergoing surgeries in combination with chemotherapy or a surgery alone is lacking.

Objectives: To evaluate the efficacy of O3FAs in the adjuvant treatment of CRC, a meta-analysis was conducted on patients with CRC who underwent surgeries in combination with chemotherapy or a surgery alone.

Methods: As of March 2023, publications have been obtained using search terms from digital databases such as PubMed, Web of Science, Embase and Cochrane Library. Only randomized clinical trials (RCTs) evaluating the efficacy and safety of O3FAs following adjuvant treatments for CRC were included in the meta-analysis. Key outcomes were tumor necrosis factor-alpha (TNF-α), C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-1beta (IL-1β), albumin, body mass index (BMI), weight, the rate of infectious and non-infectious complications, the length of hospital stay (LOS), CRC mortality and life quality.

Results: After screening 1,080 studies, 19 RCTs (n = 1,556) with O3FAs in CRC were included, in all of which at least one efficacy or safety outcome was examined. Compared to the control group, the level of TNF-α (MD = −0.79, 95% CI: 1.51 to −0.07, p = 0.03) and IL-6 was reduced due to O3FA-enriched nutrition during the perioperative period (MD = −4.70, 95% CI: 6.59 to −2.80, p < 0.00001). It also reduces LOS (MD = 9.36, 95% CI: 2.16 to 16.57, p = 0.01). No significant differences were found in CRP, IL-1β, albumin, BMI, weight, the rate of infectious and non-infectious complications, CRC mortality or life quality. The inflammatory status of patients with CRC undergoing adjuvant therapies decreased after a total parenteral nutrition (TPN) O3FA supplementation (TNF-α, MD = −1.26, 95% CI: 2.25 to −0.27, p = 0.01, I2 = 4%, n = 183 participants). The rate of infectious and non-infectious complications was reduced among patients with CRC undergoing adjuvant therapies after a parenteral nutrition (PN) O3FA supplementation (RR = 3.73, 95% CI: 1.52 to 9.17, p = 0.004, I2 = 0%, n = 76 participants).

Conclusion: Our observations suggest that supplementation with O3FAs has little or no effect on patients with CRC undergoing adjuvant therapies and that a prolonged inflammatory state may be modified. To validate these findings, well-designed, large-scale, randomized and controlled studies on homogeneous patient populations are expected.
State-of-the-art challenges and emerging technologies in radiation detection for nuclear medicine imaging: A review
Authors: Enlow Emily , Abbaszadeh Shiva
Published: April 2023

Single photon emission computed tomography (SPECT) and positron emission tomography (PET) are established medical imaging modalities that have been implemented for decades, but improvements in detector design and camera electronics are needed for advancement of both imaging technologies. Detectors are arguably the most important aspect of the systems. Similar to SPECT, PET typically relies on indirect conversion of gamma radiation via scintillators coupled with photosensors used to convert optical photons produced by the scintillator into an electrical signal. PET detectors are defined by their energy resolution, timing resolution, and spatial resolution, all of which affect and determine the image quality. Improvements in energy resolution have been shown by increasing the brightness of the scintillator utilizing materials like cerium bromide (CeBr3) or switching to a direct conversion detector, such as cadmium zinc telluride (CZT) or thallium bromide (TlBr). Timing resolution for PET is a focal point of the current research. Improving the timing resolution improves the signal-to-noise of the PET system and is integral to the implementation of time-of-flight PET. By utilizing novel configurations, such as side readouts on scintillators, timing resolution has been improved dramatically. Similarly, metascintillators, which use complex combinations for the scintillator material, have also shown improvements to the timing resolution. Additional research has focused on using Cherenkov light emission in scintillators to further improve the timing resolution. Other research is focused on using convolutional neural networks and other signal processing to enhance timing resolution. Lastly, aside from acollinearity and positron range, spatial resolution is impacted by the PET detector, therefore improving the intrinsic spatial resolution of the detector will allow for smaller features to be imaged. One method for improving the spatial resolution is to use unique configurations with layered scintillators. Additionally, monolithic scintillators have also been shown to have reduced spatial resolution. The future for both SPECT and PET image system advancement will depend on continued development of the detectors via many different pathways including materials, signal processing, physics, and novel configurations. In this review article, we will discuss challenges and emerging technologies for state-of-the-art radiation detectors utilized in PET and SPECT.
Identification and validation of reference genes for normalization of gene expression analysis using qRT-PCR in Megalurothrips usitatus (thysanoptera: thripidae)
Authors: Hou Qingfang , Yuan Linlin , Jin Haifeng , Yan Han , Li Fen , Wu Shaoying
Published: April 2023

Introduction: Gene expression analysis by reverse transcription quantitative polymerase chain reaction (qRT-PCR) has been widely used in research including insects. The selection of appropriate reference genes is the key to obtaining accurate and reliable results from qRT-PCR. However, studies on the expression stability of reference genes in Megalurothrips usitatus remain lacking.

Methods: In this study, qRT-PCR was used to analyze the expression stability of candidate reference genes in M. usitatus. The expression levels of six candidate reference gene transcription of M. usitatus were analyzed. GeNorm, NormFinder, BestKeeper, and ΔCt were used to analyze the expression stability of M. usitatus treated with biological factors (developmental period treatment) and abiotic factors (light, temperature, insecticide treatment, respectively). Comprehensive stability ranking of candidate reference genes was recommended by RefFinder.

Results and Discussion: Results showed that ribosomal protein S (RPS) was the most suitable expression in insecticide treatment. Ribosomal protein L (RPL) was the most suitable expression at developmental stage and light treatment, whereas elongation factor was the most suitable expression in temperature treatment. RefFinder was used to comprehensively analyze the above four treatments, and the results showed that RPL and actin (ACT) showed high stability in each treatment. Therefore, this study identified these two genes as reference genes in the qRT-PCR analysis of different treatment conditions of M. usitatus. Ourfindings will be beneficial for improving the accuracy of qRT-PCR analysis for future functional analysis of the target gene expression in M. usitatus.
Deep-agriNet: a lightweight attention-based encoder-decoder framework for crop identification using multispectral images
Authors: Hu Yimin , Meng Ao , Wu Yanjun , Zou Le , Jin Zhou , Xu Taosheng
Published: April 2023

The field of computer vision has shown great potential for the identification of crops at large scales based on multispectral images. However, the challenge in designing crop identification networks lies in striking a balance between accuracy and a lightweight framework. Furthermore, there is a lack of accurate recognition methods for non-large-scale crops. In this paper, we propose an improved encoder-decoder framework based on DeepLab v3+ to accurately identify crops with different planting patterns. The network employs ShuffleNet v2 as the backbone to extract features at multiple levels. The decoder module integrates a convolutional block attention mechanism that combines both channel and spatial attention mechanisms to fuse attention features across the channel and spatial dimensions. We establish two datasets, DS1 and DS2, where DS1 is obtained from areas with large-scale crop planting, and DS2 is obtained from areas with scattered crop planting. On DS1, the improved network achieves a mean intersection over union (mIoU) of 0.972, overall accuracy (OA) of 0.981, and recall of 0.980, indicating a significant improvement of 7.0%, 5.0%, and 5.7%, respectively, compared to the original DeepLab v3+. On DS2, the improved network improves the mIoU, OA, and recall by 5.4%, 3.9%, and 4.4%, respectively. Notably, the number of parameters and giga floating-point operations (GFLOPs) required by the proposed Deep-agriNet is significantly smaller than that of DeepLab v3+ and other classic networks. Our findings demonstrate that Deep-agriNet performs better in identifying crops with different planting scales, and can serve as an effective tool for crop identification in various regions and countries.
Novel insights into chloroplast genome evolution in the green macroalgal genus Ulva (Ulvophyceae, Chlorophyta)
Authors: Liu Feng , Chen Nansheng , Wang Hongshu , Li Jiamin , Wang Jing , Qu Fan
Published: April 2023

To understand the evolutionary driving forces of chloroplast (or plastid) genomes (plastomes) in the green macroalgal genus Ulva (Ulvophyceae, Chlorophyta), in this study, we sequenced and constructed seven complete chloroplast genomes from five Ulva species, and conducted comparative genomic analysis of Ulva plastomes in Ulvophyceae. Ulva plastome evolution reflects the strong selection pressure driving the compactness of genome organization and the decrease of overall GC composition. The overall plastome sequences including canonical genes, introns, derived foreign sequences and non-coding regions show a synergetic decrease in GC content at varying degrees. Fast degeneration of plastome sequences including non-core genes (minD and trnR3), derived foreign sequences, and noncoding spacer regions was accompanied by the marked decrease of their GC composition. Plastome introns preferentially resided in conserved housekeeping genes with high GC content and long length, as might be related to high GC content of target site sequences recognized by intron-encoded proteins (IEPs), and to more target sites contained by long GC-rich genes. Many foreign DNA sequences integrated into different intergenic regions contain some homologous specific orfs with high similarity, indicating that they could have been derived from the same origin. The invasion of foreign sequences seems to be an important driving force for plastome rearrangement in these IR-lacking Ulva cpDNAs. Gene partitioning pattern has changed and distribution range of gene clusters has expanded after the loss of IR, indicating that genome rearrangement was more extensive and more frequent in Ulva plastomes, which was markedly different from that in IR-containing ulvophycean plastomes. These new insights greatly enhance our understanding of plastome evolution in ecologically important Ulva seaweeds.