bluuebunny/crossref_metadata_2025_split huggingface dataset:
Loss of autophagy in tibial plateau chondrocytes causes increased apoptosis of chondrocytes in spontaneous osteoarthritis of guinea pigs
Authors: WANG XIAOJIAN , WEI LEI , WEI XIAOCHUN , XUE YAN , CHEN TAOYU , GUO SONGJIA , GAO YANFANG , LI LIJUN , CHANG FENG , LI RONGSHAN 
Published: August 2020

Abstract
Objective

To observe the effect of autophagy in tibial plateau chondrocytes on apoptosis in spontaneous knee osteoarthritis (OA) in guinea pigs.
Methods

Fifty 2-month-old female Hartley guinea pigs were divided into a normal group, which was euthanized after 7 months, and an OA group, ten of which were euthanized after 10 months. Immunohistochemistry, PCR and western blotting were used to evaluate the level of autophagy, intracellular glycogen accumulation and apoptosis in tibial plateau chondrocytes in vivo and in vitro. The remaining 30 guinea pigs in the OA group were divided into 3 groups: a rapamycin group, a normal saline group and a 3-MA group. Intracellular glycogen accumulation and chondrocyte apoptosis were observed by changing the level of autophagy in tibial plateau chondrocytes in vivo.
Results

When spontaneous OA occurred in the guinea pigs, the level of autophagy in tibial plateau chondrocytes decreased,and intracellular glycogen accumulation and the rate of chondrocyte apoptosis increased. After enhancing the autophagy level of tibial plateau chondrocytes in OA guinea pigs, the intracellular glycogen accumulation and the rate of chondrocyte apoptosis decreased. When the autophagy level of the chondrocytes was weakened, intracellular glycogen accumulation was further increased, and the apoptosis rate was higher.
Conclusions

The autophagy function of chondrocytes may be at least partly involved in the catabolism of glycogen in chondrocytes. In OA guinea pigs, the autophagy level in tibial plateau chondrocytes decreased, and the chondrocytes were unable to degrade intracellular glycogen into glucose, leading to less energy for the chondrocytes and increased apoptosis.
Strategies for increasing gait speed in patients with hip osteoarthritis: their clinical significance and effects on hip loading
Authors: Tateuchi Hiroshige , Akiyama Haruhiko , Goto Koji , So Kazutaka , Kuroda Yutaka , Ichihashi Noriaki 
Published: August 2020

Abstract
Background

Change in gait speed is required in various situations in daily life, and can be achieved by changing stride length, cadence, or both. Differences in strategies for increasing gait speed may have different effects on the hip joint and on physical function. Our primary purpose was to determine the effects of strategies for increasing gait speed on hip pain and physical function in patients with hip osteoarthritis (OA). The secondary purpose was to examine the effects of strategies for increasing gait speed on the changes in hip loading during gait.
Methods

Forty-seven patients with secondary hip OA (age 48.3 ± 11.0 years) were included. Gait speed, stride length, cadence, and peak and impulse of the hip joint moment were measured during gait at self-selected normal and fast gait speeds, using a three-dimensional motion analysis system. The patients were classified as types S (increasing mainly stride length), C (increasing mainly cadence), and SC (increasing stride length and cadence) according to whether they used changes in stride length and/or cadence to transition from a normal to a fast gait. Hip pain, physical function, and change in hip moments during gait were compared between the types.
Results

The distribution of the patients was as follows: types S, 23.4%; C, 48.9%; and SC, 27.7%. Physical function status was higher in types C (P = 0.018) and SC (P = 0.015) than in type S, even after adjustment for age and minimum joint space width. Hip pain was not significantly different between the types. The robustness of those results was confirmed by a sensitivity analysis. The rates of the increases in peak external hip adduction (P = 0.003) and internal rotation moments (P = 0.009) were lower in type C than in type SC.
Conclusions

Type C tended to suppress the increase in hip joint moments during fast gait. Types C and SC, which included increased cadence, maintained higher physical function levels than type S. Encouraging use of a cadence-increasing strategy may be useful for reducing hip loading and maintaining physical function in patients with hip OA.
Lactate-based microbial chain elongation for n-caproate and iso-butyrate production: genomic and metabolic features of three novel Clostridia isolates
Authors: Liu Bin , Popp Denny , Sträuber Heike , Harms Hauke , Kleinsteuber Sabine 
Published: August 2020

Abstract
Background
The platform chemicals n-caproate and iso-butyrate can be produced by anaerobic fermentation from agro-industrial residues in a process known as microbial chain elongation. A few chain-elongating species have been discovered to utilize lactate and used to study the physiology of lactate-based chain elongation in pure cultures. Recently we isolated three novel clostridial species (strains BL-3, BL-4 and BL-6) that convert lactate to n-caproate and iso-butyrate. Here, we analyzed the genetic background of lactate-based chain elongation in these strains and other chain-elongating species by comparative genomics.
Results
All three strains produced n-caproate and iso-butyrate from lactate, with the highest proportions of n-caproate (18%) for BL-6 and iso-butyrate (23%) for BL-4 in batch cultivation at pH 5.5. The strains are suggested to represent three novel species based on low similarities with their closest described relatives. The three genomes show low conservation of organization and a relatively small core-genome size (504 out of 6,654 gene families). Including data of another eleven experimentally validated chain-elongating strains, we found that the chain elongation-specific core-genome harbors genes involved in reverse β-oxidation, hydrogen formation and energy conservation, displaying substantial genome heterogeneity. The three new isolates contain the genes for lactate oxidation and a gene cluster encoding enzymes of reverse β-oxidation, including the CoA transferase for the formation of n-caproate. Our analysis gave no hints on the isomerization pathway for iso-butyrate formation. An operon encoding the Rnf complex was found in BL-3 and BL-4 but not in BL-6, which may instead use the Ech hydrogenase complex for energy conservation. BL-3 and BL-6 were predicted to have genes encoding both the BCD/EtfAB complex and the LDH/EtfAB complex for energy coupling.
Conclusions
The genetic background of lactate-based chain elongation was confirmed in three novel Clostridia species that convert lactate to n-caproate and iso-butyrate. They contain highly conserved genes involved in reverse β-oxidation, hydrogen formation and either of two types of energy conservation systems (Rnf and Ech). Further research is needed to elucidate the mechanism of iso-butyrate formation in these strains. Features of the three isolates may be interesting for further applications in n-caproate and iso-butyrate production.
Too sweet: cheminformatics for deglycosylation in natural products
Authors: Schaub Jonas , Zielesny Achim , Steinbeck Christoph , Sorokina Maria 
Published: August 2020

Abstract
Sugar units in natural products are pharmacokinetically important but often redundant and therefore obstructing the study of the structure and function of the aglycon. Therefore, it is recommended to remove the sugars before a theoretical or experimental study of a molecule. Deglycogenases, enzymes that specialized in sugar removal from small molecules, are often used in laboratories to perform this task. However, there is no standardized computational procedure to perform this task in silico . In this work, we present a systematic approach for in silico removal of ring and linear sugars from molecular structures. Particular attention is given to molecules of biological origin and to their structural specificities. This approach is made available in two forms, through a free and open web application and as standalone open-source software.
Incidence and predictors of diabetic ketoacidosis among children with diabetes in west and east gojjam zone referral hospitals north west Ethiopia, 2019.
Authors: Assefa Birtukan , Zeleke Haymanot , Murugan Rajalakshmi , Wondwossen Kalkidan 
Published: August 2020

Abstract
BackgroundRecurrent diabetic ketoacidosis in patients with already diagnosed diabetic mellitus remains a relevant problem in pediatric with an incidence of 1–10% per patient. Children may die due to cerebral edema and had a significant mortality (24%) and morbidity (35%).ObjectiveWe assess incidence and predictors of diabetic ketoacidosis among diabetic children at East and West Gojjam zone referral hospitals, North West Ethiopia, 2019.MethodsAn institution-based retrospective follow up study was conducted on children who were registered from January 1, 2014, to January 1, 2019. Epi data version 3.1 & Stata 14 were used for data entering and analysis respectively.ResultA total of 354 children were included from this 207(58.5%) had diabetic ketoacidosis. The overall incidence rate of diabetic ketoacidosis was 2.27/100 children/month of observation. Age < 5 years (AHR: 3.52, 95% CI (2.25, 5.49), non-adherence (AHR: 1.54, 95% CI (1.11, 2.14), inappropriate insulin storage (AHR: 1.36, 95% CI (1.008, 1.85), presence of upper respiratory tract infections during diabetic ketoacidosis diagnose (AHR: 2.22, 95% CI (1.11, 4.45) and preceding gastroenteritis (AHR: 2.18, 95% CI (1.07, 4.44) were significant predictors.Conclusion and recommendationage < 5 years old, non-adherence, inappropriate insulin placement at home, Preceding gastroenteritis and presence of upper respiratory tract infections at the time of diabetic ketoacidosis development were significant predictors. Hence, assessing and close monitoring as well as strengthened diabetic education should be given for the above predictors.
Clonal Expansion of Bone Marrow CD8+ T Cells in Acute Myeloid Leukemia Patients at New Diagnosis and Post Chemotherapy
Authors: Feng Zhongxin , Fang Qin , Kuang Xingyi , Liu Xin , Chen Ying , Ma Dan , Wang Jishi 
Published: August 2020

Abstract
Background: CD8+ T cells are crucial adaptive immune effectors and express receptors (T cell receptors, TCRs) that specifically recognize and eradicate tumor cells. The diversity of the TCR repertoire is generated by specialized genetic diversification mechanisms, leading to an extremely variable TCR repertoire capable of recognizing a wide range of antigens. However, the variations in CD8+ TCR diversity and their clinical implications in AML patients remain unknown.Methods: CD8+ T cells in 10 healthy donors and 31 AML patients at diagnosis and after chemotherapy were enriched using the Dynabeads CD8 Positive Isolation Kit. Flow cytometry were used for PD-1 expression level analysis of CD8+ T cells and CD8+PD-1+ and CD8+PD-1- T cell sorting. TCRβ deep sequencing was performed to analysis the CD8+ T cells clonal expansion and TCR repertoire diversity.Results: Diminished TCR repertoire diversity and expansional T cell clones were noted in the bone marrow of AML patients. In relapsed patients, T cells were found to be more clonally expanded post chemotherapy when compared to new diagnosis. Moreover, more significantly expanded TCRβ clonotypes were noted in CD8+ PD-1+ T cells than in CD8+ PD-1- T cells regardless of the time point of examination. Conclusions: Our systematic T-cell repertoire analysis may help better characterize CD8+ T cells pre- and post-chemotherapy in AML, which may provide insights into therapeutic strategies in hematological malignancies.
Soft Tissue Deformation Modeling in the Procedure of Needle Insertion: A Kriging-based Method
Authors: Lei Yong , Li Murong , Gao Dedong 
Published: August 2020

Abstract
The simulation and planning system (SPS) requires accurate and real-time feedback regarding the deformation of soft tissues during the needle insertion procedure. Traditional mechanical-based models such as the finite element method (FEM) are widely used to compute the deformations of soft tissue. However, it is difficult for the FEM or other methods to find a balance between an acceptable image fidelity and real-time deformation feedback due to their complex material properties, geometries and interaction mechanisms. In this paper, a Kriging-based method is applied to model the soft tissue deformation to strike a balance between the accuracy and efficiency of deformation feedback. Four combinations of regression and correlation functions are compared regarding their ability to predict the maximum deformations of ten characteristic markers at a fixed insertion depth. The results suggest that a first order regression function with Gaussian correlation functions can best fit the results of the ground truth. The functional response of the Kriging-based method is utilized to model the dynamic deformations of markers at a series of needle insertion depths. The feasibility of the method is verified by investigating the adaptation to step variations. Compared with the ground truth of the finite element (FE) results, the maximum residual is less than 0.92mm in the Y direction and 0.31mm in the $X$ direction. The results suggest that the Kriging metamodel provides real-time deformation feedback for a target and an obstacle to a SPS.
In vivo emergence of resistance to cefiderocol in an XDR Pseudomonas aeruginosa and an MDR Citrobacter koseri after prolonged therapy: a case report.
Authors: Perez Carolina Grande , Maillart Evelyne , Deyi Véronique Yvette Miendje , Huang Te Din Daniel , Kamgang Prochore , Dernier Yves , Pierrakos Charalampos , clevenbergh philippe 
Published: August 2020

Abstract
The non-fermenters, e.g. Pseudomonas aeruginosa, and the extended spectrum β-lactamases or carbapenemases producing enterobacteriaceae represent a serious threat for patients admitted in Intensive Care Units (ICUs). News antibiotics have been developed to treat multidrug resistant bacteria. However, treatment emerging resistance has been shown for many of these newest antibiotics. Cefiderocol, a siderophore-antibiotic, has been developed to overcome most of the resistance mechanisms and shows great efficacy against most multi-drug resistant and extensively drug resistant Gram-negative bacteria, including the non-fermenters. We report the case of a patient abundantly treated with antibiotics. He received 158 days of antibiotherapy on 230 hospitalization days, including a six-week course of cefiderocol, in 14 different treatment lines. The patient developed a Pseudomonas aeruginosa (MIC: 8 µg/ml, GES type ESBL) and a Citrobacter koseri (MIC: 16 µg/ml, CTX-M group 9 type class A β-lactamase and a class D OXA-1 oxacillinase) resistant to cefiderocol. This antibiotic should be used with caution to preserve its efficacy, within a strict antimicrobial stewardship program.
Ct Measurement of Proximal Femoral Medullary Cavity Morphology in Healthy Subjects From Northern China
Authors: Zhao Ran , Cai Hong , Tian Hua , Zhang Ke 
Published: August 2020

Abstract
Background

In total hip arthroplasty (THA), optimal stability and fixation is achieved via tight adaptation of the prosthesis to the bone. This study aimed to analyze the proximal femoral medullary cavity morphology of Chinese subjects on three-dimensional reconstructed imagery to explore the factors influencing these parameters.
Methods

CT was performed on 63 healthy subjects from northern China (94 hips; 31 men, 63 women). Three-dimensional CT reconstruction of the proximal femoral medullary cavity was performed using Mimics 22.0 software. The anatomical parameters related to THA were measured to examine the relationships between sex, age, and femoral length. These parameters were compared with previously published data.
Results

The internal and external coronal diameters of the femoral medullary cavity, and the anterior and posterior sagittal diameters had different contracting trends. There were correlations between the femoral length, femoral head diameter, and coronal diameter, and between the sagittal diameter and cross-sectional area of the medullary cavity. Age was negatively correlated with the CFI. Sex was correlated with the cross-sectional coronal/sagittal diameters, but not with the canal flare index. The proximal end of the medullary cavity was similar to that reported in Caucasians, but the Asian medullary cavity was narrower distal to the level of the lesser trochanteric line.
Conclusion

THA-related anatomy was affected by sex, age, and subpopulation. Compared with sex, age had a greater effect on the fit of the stem to the femoral canal. Each patient must be treated individually, as the anatomical structure varied between individuals.
The association of miR-138 variants with the prognosis of cervical cancer
Authors: Cao Shuangqing , Zheng Lei 
Published: August 2020

Abstract
Background

MicroRNA-138 (miR-138) is shown to inhibit tumor growth and played a critical role in tumor pathogenesis, the present study aimed to investigate the prognistic value of miR-138 in cervical cancer.

Methods

Quantitative real-time polymerase chain reaction (qRT-PCR) assay was used to detect the expression of miR-138 in the tissues of cervical cancer and adjacent normal tissues. The association of miR-138 expression with clinical characteristic was analyzed via χ2 test. Then Kaplan-Meier analysis was performed to analyze the association of miR-138 expression with the overall survival of cervical cancer patients. The multivariate cox analysis was used to evaluate the prognostic value of miR-138.

Results

In the current study, we found the expression level of miR-138 was significantly downregulated in the most cervical cancer patients tissues compared with that in the adjacent normal tissues (P < 0.001). And its expression was closely affected by TNM stage (P = 0.043), lymph node metastasis (P = 0.011) and FIGO stage (P = 0.002). Kaplan-Meier analysis result showed that the decreased expression level of miR-138 expression was associated with poor overall survival of patients. The cox regression analysis result indicated that miR-138 expression was independently associated with the overall survival.

Conclusions

The expression of miR-138 is down-regulated and involved in the development of cervical cancer. Moreover, it may serve as a prognostic marker for patients with cervical cancer.
Connection between Gab1 Polymorphisms and cholangiocarcinoma patients prognosis
Authors: Wang Ning , Li Yanni , Zheng Yanfang , Chen Huoming , Wen Xiaolong , Li Zhaoxia 
Published: August 2020

Abstract
Background We conducted this study to measure the levels of GRB2 associated binding protein 1 (Gab1) mRNA in cholangiocarcinoma (CCA) tissues and the paired normal tissues. And then assess the prognostic significance of Gab1 in CCA patients. Methods Quantitative real-time (qRT-PCR) was adopted to confirm the expression levels of Gab1 mRNA in both CCA tissues and normal controls. The Chi-square test was applied to estimate the influence of clinical parameters on Gab1 expression. Kaplan-Meier survival analysis with log-rank test were used to determine overall survival rates of patients with different Gab1 expression. Cox regression analysis was carried out to evaluate prognostic value of factors in CCA patients. Results According to the qRT-PCR result, increased expression of Gab1 mRNA was found in CCA tissues compared with the paired noncancerous controls (P<0.0001). The Chi-square test demonstrated that the elevated expression of Gab1 was affected by poor differentiation (P=0.022), positive lymph node metastasis (P=0.008) and high TNM stage (P=0.004). However, age, gender, family history and resection margin had no significant influence on Gab1 levels (all, P>0.05). The survival curves suggested that up-regulation of Gab1 was related with poor prognosis of CCA patients. Furthermore, the Cox analysis demonstrated Gab1 was a prognostic biomarker for CCA patients (P=0.000, 95%CI=2.576, HR=1.552-4.275). Conclusion Taken together, Gab1 expression was increased in CCA and may be a useful biomarker to predict the outcomes of CCA patients.
Cardiotoxicity associated with immune checkpoint inhibitors: A retrospective analysis of patients at an academic tertiary care center
Authors: Waheed Nida , Fradley Michael G. , DeRemer David , Mahmoud Ahmad , Shah Chintan P. , Langaee Taimour Y. , Lipori Gloria P. , March Keith , Pepine Carl J. , Cooper-DeHoff Rhonda M. , Wu Yonghui , Gong Yan 
Published: August 2020

Abstract
Background: Immune checkpoint inhibitors (ICIs) are a novel class of anticancer agents that have demonstrated clinical response for both solid and hematological malignancies. ICIs are associated with development of immune-related adverse events including cardiotoxicity. We estimated the incidence of ICI-related cardiotoxicity in patients treated with ICIs at a large, tertiary care center.Methods: All patients with a cancer diagnosis who received any ICI treatment in the University of Florida’s Integrated Data Repository from 2011-2017 were included. Cardiotoxicity was defined as a new ICD diagnosis code for cardiomyopathy, heart failure, arrhythmia, heart block, pericardial disease, or myocarditis after initiation of ICI treatment.Results: Of 102,701 patients with a diagnosis of malignancy, 424 patients received at least one ICI. Sixty-two (14.6%) patients were diagnosed with at least one possible form of cardiotoxicity after initiation of ICI therapy. Of the 374 patients receiving one ICI, 21 (5.6%) developed heart failure. Of the 49 patients who received two ICIs sequentially, three (6.1%) developed heart failure and/or cardiomyopathy. Cardiotoxicity was diagnosed at a median of 63 days after initial ICI exposure. One patient developed myocarditis 28 days after receiving nivolumab. Mortality in those who developed ICI-attributable cardiotoxicity was higher compared to those who did not (66.1% vs. 41.4%, odds ratio=2.77, 1.55-4.95, p=0.0006). There was no evidence that use of cardioprotective agents such as beta-blockers or statins was associated with lower rates of cardiotoxicity or mortality.Conclusions: This study suggests that the incidence of ICI-related cardiotoxicity may be higher than previously reported.