bluuebunny/crossref_metadata_2025_split huggingface dataset:
Caspase1/11 signaling affects muscle regeneration and recovery following ischemia, and can be modulated by chloroquine
Authors: Sachdev Ulka , Ferrari Ricardo , Cui Xiangdong , Pius Abish , Sahu Amrita , Reynolds Michael , Liao Hong , Sun Ping , Shinde Sunita , Ambrosio Fabrisia , Shiva Sruti , Loughran Patricia , Scott Melanie 
Published: June 2020

Abstract
Background: We previously showed that the autophagy inhibitor chloroquine (CQ) increases inflammatory cleaved caspase-1 activity in myocytes, and that caspase-1/11 is protective in sterile liver injury. However, the role of caspase-1/11 in the recovery of muscle from ischemia caused by peripheral arterial disease is unknown. We hypothesized that caspase-1/11 mediates recovery in muscle via effects on autophagy and this is modulated by CQ. Methods: C57Bl/6J (WT) and caspase-1/11 double-knockout (KO) mice underwent femoral artery ligation (a model of hind-limb ischemia) with or without CQ (50mg/kg IP every 2nd day). CQ effects on autophagosome formation, microtubule associated protein 1A/1B-light chain 3 (LC3), and caspase-1 expression was measured using electron microscopy and immunofluorescence. Laser Doppler perfusion imaging documented perfusion every 7 days. After 21 days, in situ physiologic testing in tibialis anterior muscle assessed peak force contraction, and myocyte size and fibrosis was also measured. Muscle satellite cell (MuSC) oxygen consumption rate (OCR) and extracellular acidification rate was measured. Caspase-1 and glycolytic enzyme expression was detected by Western blot. Results: CQ increased autophagosomes, LC3 consolidation, total caspase-1 expression and cleaved caspase-1 in muscle. Perfusion, fibrosis, myofiber regeneration, muscle contraction, MuSC fusion, OCR, ECAR and glycolytic enzyme expression was variably affected by CQ depending on presence of caspase-1/11. CQ decreased perfusion recovery, fibrosis and myofiber size in WT but not caspase-1/11KO mice. CQ diminished peak force in whole muscle, and myocyte fusion in MuSC and these effects were exacerbated in caspase-1/11KO mice. CQ reductions in maximal respiration and ATP production were reduced in caspase-1/11KO mice. Caspase-1/11KO MuSC had significant increases in protein kinase isoforms and aldolase with decreased ECAR. Conclusion: Caspase-1/11 signaling affects the response to ischemia in muscle and effects are variably modulated by CQ. This may be critically important for disease treated with CQ and its derivatives, including novel viral diseases (e.g. COVID-19) that are expected to affect patients with comorbidities like cardiovascular disease.
TaClpS1, Negatively Regulates Wheat Resistance Against Puccinia Striiformis f. sp. Tritici
Authors: Yang Qian , Cai Kunyan , Tian Shuxin , Liu Yan , Kang Zhensheng , Guo Jun 
Published: June 2020

Abstract
Background
The degradation of intracellular proteins plays an essential role in plant responses to stressful environments. ClpS1 and ubiquitin ligases (E3) function as adaptors for selecting target substrates in caseinolytic peptidase (Clp) proteases pathways and the 26S proteasome system, respectively. Currently, the role of E3 in the plant immune response to pathogens is well defined. However, the role of ClpS1 in the plant immune response to pathogens remains unknown.
Results
Here, we identified and characterized wheat ClpS1 (TaClpS1). TaClpS1 encoded 161 amino acids, contained a conserved ClpS domain and a chloroplast transit peptide (1–32 aa). TaClpS1 was found to be specifically localized in the chloroplast when expressed transiently in wheat protoplasts. The transcript level of TaClpS1 in wheat was significantly induced during infection by Puccinia striiformis f. sp. tritici (Pst). Knock-down of TaClpS1 via virus-induced gene silencing (VIGS) resulted in an increase in resistance against Pst, accompanied by an increase in the hypersensitive response (HR), accumulation of reactive oxygen species (ROS) and expression of TaPR1 and TaPR2, and a reduction in the growth of Pst. Furthermore, heterologous expression of TaClpS1 in Nicotiana benthamiana enhanced the infection by Phytophthora parasitica.
Conclusions
These results suggest that TaClpS1 negatively regulates the resistance of wheat to Pst.
Association of Patient-Centered Medical Home Designation and Quality Indicators within HRSA-Funded Community Health Center Delivery Sites
Authors: Bell Nathaniel , Wilkerson Rebecca , Mayfield-Smith Kathy , Fede Ana Lòpez-De 
Published: June 2020

Abstract
Background: Patient-Centered Medical Home (PCMH) adoption has been proposed as an important strategy to help improve primary care quality within Health Resources and Service Administration (HRSA) Community Health Centers (CHC), but evidence of its effect thus far remains mixed. A limitation of previous evaluations has been the inability to account for the proportion of CHC delivery sites that are designated sites.Methods: Retrospective cross-sectional study using HRSA Uniform Data System (UDS) and certification files from the National Committee for Quality Assurance (NCQA) and the Joint Commission (JC). All datasets were linked through geocoding and approximate string matching. Proportional implementation was assessed in 10% increments and regressed onto 14 clinical performance measures. The analysis included 1,281 community HCs and 8,022 delivery sites within the lower 48 states and District of Columbia.Results: The geocoding and approximate string matching algorithm identified 2,615 of the 6,851 (41.8%) delivery sites included in the analyses as having been designated through the NCQA and/or JC. In total, 74.7% (n=777) of the 1,039 CHCs included in the analysis after removing false positive/negative matches managed at least 1 NCQA and/or JC designated site. There was no stepwise improvement in clinical quality across all 14 indicators as the proportion of designated delivery sites increased. A trend for numerous indicators was that site-level designation rates of at least 90% were associated with better indicator adherence.Conclusion: Geocoding and approximate string matching offers a more accurate approach to monitor the impact of PCMH transformation on meeting quality performance targets. The lack of a consistent stepwise association between increased site-level designation and clinical quality underscores the need for additional risk-adjustment criteria within annual quality performance reporting in order to assess whether PCMH interventions are improving patient care.
Modified N Stage of Esophageal Cancer Based on the Evaluation of the Hezode Rate of the Negative and Positive Lymph Node
Authors: Zhang Jinling , Li Hongyan , Zhou Liangjian , Yu lianling , Che Fengyuan , Heng xueyuan 
Published: June 2020

Abstract
Objective:The study aimed to propose a modified N stage of esophageal cancer (EC) on basis of based on the number of positive lymph node (PLN) and the number of negative lymph node (NLN) simultaneously. Method:Data from 13,491 patients with EC registered in the SEER database were reviewed. The parameters related to prognosis were investigated using a Cox proportional hazards regression model. A modified N stage was proposed based on the cut-off number of the re-adjusted ratio of the number of PLN (numberPLN) to the number of NLN (numberNLN), which derived from the comparison of the hezode rate (HR) of numberPLN and numberNLN. The modified N stage was confirmed using the cross-validation method with the training and validation cohort, and it was also compared to the N stage from the American Joint Committee on Cancer (AJCC) staging system (7th edition) using Receiver Operating Characteristic (ROC) curve analysis.Results:The numberPLN on prognosis was 1.042, while numberNLN was 0.968. The modified N stage was defined as follows: N1 stage: the ratio range was from 0 to 0.21; N2 stage: more than 0.21, but no more than 0.48; N3 stage: more than 0.48. Cross-validation method within the cohort identified the predictive accuracy of this modified N stage, and ROC curve analysis demonstrated the superiority of this modified N stage over that of the AJCC.Conclusion:The modified N stage based on the re-adjusted ratio of numberPLN to numberNLN can evaluate tumor stage more accurately than the traditional N stage.
"A Loving Man has a Very Huge Responsibility": A Mixed Methods Study of Malawian Men's Knowledge and Beliefs About Cervical Cancer
Authors: Lewis Samuel , Moucheraud Corrina , Schechinger Devon , Mphande Misheck , Banda Ben Allan , Sigauke Hitler , Kawale Paul , Dovel Kathryn , Hoffman Risa M. 
Published: June 2020

Abstract
Background: In Malawi, numerous barriers may prevent women from accessing cervical cancer screening services — including social factors such as male partner involvement. We conducted surveys that included open- and closed-ended questions with married Malawian men to evaluate their knowledge and beliefs about cervical cancer. Methods: HIV-positive adult (≥18 years) men (married or in a stable relationship) were recruited from an antiretroviral therapy clinic in Lilongwe, Malawi. Men were asked a series of survey questions to assess their knowledge about cervical cancer, experience with cervical cancer, their female partner’s screening history, and their beliefs about gender norms and household decision-making. Following the survey, participants responded to a set of open-ended interview questions about cervical cancer screening, and men’s role in prevention.Results: 120 men were enrolled with average age 44 years and 55% having completed secondary school or higher education. Despite only moderate knowledge about cervical cancer and screening (average assessment score of 62% correct), all men expressed support of cervical cancer screening, and most (86%) believed they should be involved in their female partner’s decision to be screened. Over half (61%) of men said their female partner had ever previously been screened for cervical cancer, and this was positively correlated with the male respondent having more progressive gender norms around sexual practices. Some men expressed concerns about the screening process, namely the propriety of vaginal exams when performed by male clinicians, and whether the procedure was painful.Conclusions: Male partners in Malawi want to be involved in decisions about cervical cancer screening, but have limited knowledge about screening, and hold rigid beliefs about gender norms that may affect their support for screening. Messaging campaigns addressing men’s concerns may be instrumental in improving women’s adoption of cervical cancer screening services in Malawi and similar settings.
Identification and differential expression of serotransferrin and apolipoprotein A-I in the plasma of HIV-1 patients treated with first-line antiretroviral therapy
Authors: Barik Sushanta Kumar , Mohanty Keshar Kunja , Mohanty Ashok Kumar , Rawat Preeti , Gopal G , Bisht Deepa , Patil Shripad A , Singh Rananjay , Sharma Devesh , Tripathy Srikanth Prasad , Tandon Rekha , Singh Tej Pal , Jena Srikanta 
Published: June 2020

Abstract
Background

As plasma proteins were involved in drug metabolism, the aim of the study was to identify and characterize the plasma proteins of the drug resistant and drug respondent groups of HIV-1 infected first line ART patients with > 6 years in therapy.
Methods

Plasma proteomics analysis of the four drug-resistant (treatment failure) and four drug respondent (treatment responder) groups were conducted. High abundant plasma proteins like albumin and globulin were depleted from plasma through Aurum serum mini kit (Bio-Rad, USA). Plasma proteins were resolved using two-dimensional gel electrophoresis on IPG strips, pH range of 3–10. Eight protein spots were selected in the gel based on the density of staining which was common in the drug resistant and drug respondent groups separately. The fold change of each spot was calculated using image-J. Each protein spot was identified using the matrix assisted laser desorption/ionization-time of flight/time of flight (MALDI-TOF/TOF) after tryptic digestion. Peptide peaks were identified through flex analysis version 3.3, and a search against a protein database using the internal mascot search engine. Gene ontology study was completed through STRING v.11 and Panther 15.0.
Results

Out of eight spots from 2D gel of drug respondent and drug resistant samples analyzed by MALDI TOF/TOF, two proteins were found to have significant score (i;e > 56) after Flex analysis. These two proteins were identified to be apolipoproteinA1 and Serotransferrin. The fold change expression of these two proteins were analyzed in drug resistant and drug respondent group. ApolipoproteinA1and serotransferrin were observed to be expressed 1.76 and 1.13-fold more respectively in drug respondent group compared to drug resistant group. The gene ontology analysis revealed the involvement of these two proteins in various important physiological processes.
Conclusion

Apolipoprotein A-I and serotransferrin were found to be expressed more in drug respondent group compared to drug resistant group.
Identification and Validation of the Hub Genes in Gastric Cancer Through Weighted Gene Co-Expression Network Analysis
Authors: Li Chunyang , Yu Haopeng , Sun Yajing , Zeng Xiaoxi , Zhang Wei 
Published: June 2020

Abstract
Background: Gastric cancer is one of the most lethal tumors and is characterized by poor prognosis and lack of effective diagnostic or therapeutic biomarkers. The aim of this study was to find hub genes serving as biomarkers in gastric cancer diagnosis and therapy. Methods: GSE66229 from Gene Expression Omnibus (GEO) was used as training set. Genes bearing the top 25% standard deviations among all the samples in training set were performed to systematic weighted gene co-expression network analysis (WGCNA) to find candidate genes. Then, hub genes were further screened by using the “least absolute shrinkage and selection operator” (LASSO) logistic regression. Finally, hub genes were validated in GS54129 dataset from GEO by supervised learning methods logistic regression algorithms.Results: 12 modules with strong preservation were identified by using WGCNA methods in training set. Of which, two modules significantly related to gastric cancer were selected as clinically significant modules, and 43 candidate genes were identified from these two modules. Then, ACADL, ADIPOQ, ARHGAP39, ATAD3A, C1orf95, CCKBR, GRIK3, SCNN1G, SIGLEC11, and TXLNB were screened as the hub genes. These hub genes successfully differentiated the tumor samples from the healthy tissues in an independent testing set through the logistic regression algorithm, with the area under the receiver operating characteristic curve at 0.882. Conclusions: These hub genes bearing diagnostic and therapeutic values, and our results may provide a novel prospect for the diagnosis and treatment of gastric cancer in the future.
Dexmedetomidine as an adjunct to local anesthetics in nerve block relieved pain more effectively after TKA: A meta-analysis of randomized controlled trials
Authors: Pan Liping , Wu Hao , Liu Heng , Yang Xin , Meng Zhichao , Cao Yongping 
Published: June 2020

Abstract
Background: Dexmedetomidine showed some potential in pain control in patients undergoing Total Knee Arthroplasty (TKA). Nerve block is a preferable alternative for postoperative analgesia after TKA, on which dexmedetomidine had an effect controversially. This study aimed to meta-analyze the available randomized controlled trials to determine the efficacy and safety of dexmedetomidine as an adjunct to local anesthetics in nerve block after TKA. Methods: PubMed, Embase, Cochrane Library, Web of science and ScienceDirect databases were searched for the randomized controlled trials (RCTs) meeting prespecified inclusion criteria up to February 1 st , 2020 . The primary outcomes included pain scores, duration of analgesia, total opioids consumption in 24 hours postoperatively, and patient satisfaction. The second outcomes were motor strength, sedation degree and postoperative nausea and vomiting, and other related complications. The methodological quality was assessed by the Cochrane risk of bias tool. Results: The initial search yielded 143 studies, of which 7 met the inclusion criteria finally. The pooled data indicated that dexmedetomidine combined with local anesthetics in nerve block in TKA could decrease postoperative pain scores at rest (SMD=-1.01[95%CI, -1.29 to -0.72], p<0.01) and at motion(SMD=-1.01[-1.25 to -0.77], p<0.01,), decrease the total opioids consumption within 24 hours(SMD=-0.63[-0.86 to -0.40], p<0.01), prolong the analgesia duration(SMD=0.90[0.64 to 1.17], p<0.01), improve motor strength(SMD=0.23[0.01 to 0.45], p=0.04) and the sedation degree (SMD=0.94[0.70 to 1.18], p<0.01), and increase the patient satisfaction(SMD=0.88[0.60 to 1.17], p<0.01) without adding nausea and vomiting(RD=-0.05[-0.11 to 0.01],p=0.14), and other related complications(RD=-0.01[-0.08 to 0.07],p=0.89), compared with local anesthetics alone in nerve block. Conclusions: It was effective and safe for dexmedetomidine as an adjunct to local anesthetics in nerve block in TKA to relieve postoperative pain, decrease total opioids consumption, prolong analgesic duration and increase patient satisfaction without increasing related complications. Based on the quality evidence we got, we recommended dexmedetomidine as a regular regimen in nerve block for patients undergoing TKA. Registration: This meta-analysis was prospectively registered on PROSPERO (International prospective register of systematic reviews) and the registering number was CRD42020169171.
Potential neuroinvasive and neurotrophic properties of SARS-CoV-2 in pediatric patients: Comparison of SARS-CoV-2 with non-segmented RNA viruses
Authors: Chen Xiaodi 
Published: June 2020

Abstract
The emerging severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is causing global health and economic crises. Infants and children can be infected, but are less likely to develop severe abnormalities including neurological disorders compared with adults. However, whether SARS-CoV-2 can directly cause neurological impairments in pediatric patients is not known. The possible evolutionary and molecular relationship between SARS-CoV-2 and non-segmented RNA viruses were examined with reference to neurological disorders in pediatric patients. SARS-CoV-2 appears to share similar functional domains and protein sequences with neuroinvasive and neurotropic RNA viruses and thus has the potential to cause neurological diseases in pediatric patients.
COVID-19 pandemic: environmental and social factors influencing the spread of SARS-CoV-2 in the expanded metropolitan area of São Paulo, Brazil
Authors: Nakada Liane , Urban Rodrigo 
Published: June 2020

Abstract
The new Coronavirus SARS-CoV-2 has infected more than three million people worldwide so far. Brazil is currently the second leading country in number of critical cases and the third in number of new deaths caused by COVID-19, while São Paulo State accounts for more than 33% of total confirmed cases in Brazil. Therefore, understanding the mechanisms of SARS-CoV-2 spread in São Paulo State is an important task. The aim of this study was to assess environmental and social factors influencing the spread of SARS-CoV-2 in the expanded metropolitan area of São Paulo, Brazil. Firstly, a spatial analysis was conducted to provide insights into the spread of COVID-19 within the expanded metropolitan area. Moreover, statistical analyses were performed to assess social indicators and environmental conditions which possibly influence the incidence of COVID-19. Our results reveal that the spread of COVID-19 from the capital city São Paulo – its epicenter in Brazil – is directly associated with the availability of highways within the expanded metropolitan area of São Paulo. As for social aspects, cumulative COVID-19 confirmed cases were found to be both positively correlated with population density, and negatively correlated with social isolation rate, hence, indicating that social distancing has been effective in reducing the COVID-19 transmission. Finally, cumulative COVID-19 confirmed cases were found to be inversely correlated with both temperature and UV radiation. Together with recent literature our study suggests that the UV radiation provided by sunlight might reduce the infectivity of SARS-CoV-2.
IL-4/IL-13 Remodeling Pathway of Covid-19 Lung Injury
Authors: Paula Caroline Busatta Vaz de , Azevedo Marina Luise Viola , Nagashima Seigo , Martins Ana Paula Camargo , Malaquias Mineia Alessandra Scaranello , Ribeiro Anna Flavia Miggiolaro , Júnior Jarbas da Silva Motta , Avelino Gibran , Carstens Lucas Baena , Carmo Leticia Arianne Panini do , Noronha Lucia de 
Published: June 2020

Abstract
Background: The COVID-19 fatality rate is high when compared to the H1N1pdm09 (pandemic Influenza A virus H1N1 subtype) rate, and although both cause an aggravated inflammatory response, the differences in the mechanisms of both pandemic pneumonias need clarification.Objective: To analyze tissue expression of interleukins 4, 13, (IL-4, IL-13), transforming growth factor-beta (TGF-β), and the number of M2 macrophages (Sphingosine-1) in patients who died by COVID-19, comparing with cases of severe pneumopathy caused by H1N1pdm09, and a control group without lung injury.Methods: Six lung biopsy samples of patients who died of SARS-CoV-2 (COVID-19 group) were used and compared with ten lung samples of adults who died from a severe infection of H1N1pdm09 (H1N1 group) and eleven samples of patients who died from different causes without lung injury (CONTROL group). The expression of IL-4, IL-13, TGF-β, and M2 macrophages score (Sphingosine-1) were identified through immunohistochemistry (IHC).Results and conclusion: Significantly higher IL-4 tissue expression and Sphingosine-1 in M2 macrophages was observed in the COVID-19 group when compared to both the H1N1 and the CONTROL groups. Different mechanism of diffuse alveolar damage (DAD) in SARS-CoV-2 compared to H1N1pdm09 infections were observed. IL-4 expression and lung remodeling are phenomena observed in both SARS-COV-2 and H1N1pdm09. However, SARS-CoV-2 seems to promote lung damage through different mechanisms, such as the scarce participation Th1/Th17 response and the higher participation of the Th2. The understanding and management of the aggravated and ineffective immune response elicited by SARS-CoV-2 merits further clarification to improve treatments propose.