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    Original articles
  • Original articles
    YANG Fan, ZHU Xinghao, WANG Lihua, ZHANG Hongbin, LIU Yuecheng
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    Objective To identify differential lipids in hypertensive subjects from high-altitude and plain areas and characterize their potential roles in hypertension using lipidomics. Methods Matrix-assisted laser desorption/ionization tandem time-of-flight mass spectrometry (MALDI-TOF/TOF MS) was employed for the analysis of serum samples obtained from hypertensive subjects living in high-altitude and plain areas. Lipid metabolites were profiled, and significantly differential lipid species were identified by matching with reference databases combined with rigorous statistical analysis. Results A total of twenty lipid metabolites were identified as differentially expressed. Compared with hypertensive subjects from the plains, levels of phosphatidylserine, phosphatidylglycerol and phosphatidylcholine were significantly higher among high-altitude subjects, whereas the levels of ceramide phosphocholine and ceramide and phosphatidic acid were notably decreased. Conclusion Sphingolipid metabolism may play a key role in lipid disorders associated with high-altitude hypertension, suggesting that alterations in sphingolipids can potentially contribute to the pathogenesis of this disease.
  • Original articles
    SUN Yue, DONG Ji, SHI Boyang, TIAN Hanke, ZHAO Li, WANG Hui, WANG Haoyu, PENG Ruiyun
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    Objective To construct a cognitive dysfunction evaluation model for occupational personnel exposed to electromagnetic radiation based on graph convolutional networks (GCN), providing new methods for early warning. Methods One hundred electromagnetic radiation related occupational personnel were recruited as study subjects. Four types of data were collected: general demographic characteristics, cognitive-related neuropsychological indicators, Montreal cognitive assessment (MoCA)data and serum biochemical indicators. Based on these data, three models were constructed using different types of GCNs (basic-GCN, RA-GCN, and RF-GCN) and their performance was evaluated. Feature ablation experiments were conducted to analyze the impact of demo graphic characteristics and serum biochemical indicators on model performance. Results The RF-GCN model demonstrated higher assessment performance than the other models with an accuracy of 0.710±0.089. The feature ablation experiments showed that removing any demo graphic characteristics or serum biochemical indicators led to a decline in performance. Conclusion The RF-GCN model constructed in this study provides a novel method for cognitive dysfunction assessment in occupational personnel exposed to electromagnetic radiation.
  • Original articles
    LI Jinxia, HUANG Ye, LI Junhui, LAN Shishi, ZHANG Hongxing
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    Objective To investigate the causal relationships between 17 blood cell indices and 4 sepsis subtypes. Methods Based on the genome-wide association study summary statistics, two-sample Mendelian randomization (MR) analyses were conducted to assess causality. The multiplicative random-effects inverse-variance weighted (IVW) method served as the primary analytical approach, supplemented by several analyses to verify the results. Mouse models of sepsis established by the cecal ligation and puncture (CLP) were used to assess the impact of the small-molecule inhibitor of tumor necrosis factor (TNF),UCB-9260. Results The MR analysis indicated that the basophil count (BASO#) among blood cell indices was significantly negatively associated with the occurrence of sepsis (OR=0.814, P=1.15×10-4). Previous studies have revealed that basophil-derived TNF can play a protective role during sepsis in mice, and the TNF-/- mice demonstrated a significantly lower survival rate following sepsis induction. Consistent with these findings, systemic inhibition of TNF in mice significantly reduced bacterial clearance in the blood (P=0.0286) and increased the mortality (P=0.0304). Conclusion Basophils could have a beneficial function in sepsis, and the basophil-TNF axis could emerge as a potential target for therapeutic intervention against sepsis.
  • Original articles
    ZHANG Shuxiu, CHEN Shuhui, ZHANG Shouguo, DU Lina
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    Objective To study the ability of a decontaminant-a film-based chitosan (CS) and diethylenetriamine- pentaacetic acid (DTPA) conjugate-to remove radionuclides under waterless or low-water conditions. Methods DTPA was covalently conjugated to CS via amide bond formation to yield CS-DTPA, which was structurally characterized by Fourier-transform infrared spectroscopy (FTIR) and other analytical techniques. The tensile strength and elongation at break of the film were measured by a universal testing machine while the efficacy of the film in removing radionuclides was evaluated using inductively coupled plasma mass spectrometry. Results The successful grafting of DTPA onto CS was confirmed via FTIR, nuclear magnetic resonance hydrogen spectroscopy (1H-NMR), and X-Ray diffraction (XRD). Glycerinum was added to obtain the flexible CS-DTPA film with a tensile strength of (14.51±5.83) MPa and an elongation at break of (326.06±38.06)%, suggesting adequate mechanical properties for skin applications. The clearance rate of uranyl acetoxide on the skin exceeded 90% after CS-DTPA treatment. Compared with DTPA aqueous solution, the film significantly reduced systemic absorption of uranyl acetate, as evidenced by lower blood concentrations. Conclusion The CS-DTPA film can effectively remove uranium contamination from the skin and inhibit transdermal absorption, making it applicable to water-restricted settings.
  • Original articles
    LIU Fuzhou, LIU Bing, WANG Keli, WANG Xiaoyu, SUN Zhen, ZHAO Zengming
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    Objective To design a controllable dynamic inhalation animal exposure device in order to provide data for research on the harms and mechanisms of unsymmetrical dimethylhydrazine (UDMH). Methods A complete set of devices was designed, including an exposure chamber with a volume of 288 L, a toxic gas generator that could produce a stable aerosol with a particle size of 1-4 μm, a gas flow regulator that used vortex mixing and dilution to adjust the flow rate and concentration, a concentration detector that monitored the toxic gas concentration in the chamber in real-time, a gas supply system that ensured a stable supply of oxygen and carbon dioxide, an in-chamber environment detection and control system that could detect and set parameters such as temperatures and oxygen concentrations, and an exhaust gas filtration and recovery system that could perform harmless treatment of the toxic gas. The effectiveness and safety of the device were verified via an unsymmetrical dimethylhydrazine (UDMH) exposure experiment on rats. Results At each point in the exposure chamber, the UDMH concentration was consistent and manageable. The temperature, oxygen concentration, and carbon dioxide concentration remained stable. No poisonous gas leakage was detected outside the chamber. After 60 days of UDMH exposure, the body weight of the rats decreased significantly, and their lungs, kidneys, and other organs exhibited varying degrees of damage. Conclusion This research has developed a controllable dynamic inhalation exposure device for UDMH that can contribute to subsequent research.
  • Original articles
    LI Jiayi, DING Cuicui, YANG Ailing, FU Yufang, LIN Lin, BAI Lixiao
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    Objective To analyze the incidence of acute radiation dermatitis (ARD) induced by postoperative adjuvant radiotherapy in breast cancer patients during and after radiotherapy,and to explore the contributors to ARD so as to provide data for formulating phased and individualized prevention and management strategies. Methods A convenient sampling method was used to select 98 patients as subjects who had undergone postoperative intensity-modulated radiation therapy (IMRT) for breast cancer between June 2022 and June 2023. According to the grading criteria for Radiation Therapy Oncology Group (RTOG),the occurrence and severity of ARD in patients during radiotherapy (once a week) and within 6 weeks of radiotherapy (once a week) were dynamically evaluated. The clinical data of the patients was collected. Chi-square test was used for univariate analysis,and Logistic regression analysis was conducted to screen independent contributors. Results Among the 98 patients,96 developed ARD above grade 0,with an overall incidence rate of 97.96%. The incidence rate was 74.5% (73/98) during radiotherapy and 23.5% (23/98) after radiotherapy. ARD was likely 3 to 5 weeks into radiotherapy and 2 weeks after radiotherapy. Univariate analysis showed that age and menopause were significantly correlated with the occurrence of ARD (P<0.05). Multivariate Logistic regression analysis suggested that age <60 years old during radiotherapy was an independent risk factor for ARD (OR=0.272,95%CI 0.091-0.816,P=0.020),so was menopause after radiotherapy (OR=3.057,95%CI 1.120-8.344,P=0.029). Conclusion The overall incidence of ARD is high among breast cancer patients after postoperative radiotherapy,and varies by age. Young patients have a higher risk of ARD during radiotherapy while menopausal ones have an increased risk of ARD after radiotherapy. Clinically,phased prevention and control strategies should be implemented for high-risk groups in different periods to reduce the harm of ARD and improve the radiotherapy prognosis of patients.
  • Reviews
  • Reviews
    GUO Xinjie, JIN Qinpeng, ZHAO Zhihu
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    Larifan, a double-stranded ribonucleic acid (dsRNA) derived from Escherichia coli cells infected with bacteriophage f2, demonstrates diverse biological activities and is commonly used in antiviral and anti-cancer therapies. dsRNA serves as a crucial pathogen-associated molecular pattern (PAMP) produced by the majority of DNA and RNA viruses during the infection cycle. Recognition of specific PAMPs by various pattern recognition receptors (PRR) on cell membranes triggers innate immune responses. Being a universal PAMP, natural Larifan dsRNA can perform a multitude of functions, such as inducing interferons, working as broad-spectrum antivirals, combating tumors, immunoregulation, and acting as a vaccine adjuvantby initiating cascade immune reactions. Furthermore, Larifan is already widely used in clinical antiviral therapy. This review traces the origin and development of Larifan, summarizes its primary biological activities, identifies potential problems with Larifan therapy, and outlines future priorities of research.
  • Reviews
    DUAN Xiaotao, XIN Ruozheng, CAO Ying, WAN Hongzhi, LI Lingyu, WANG Bo
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    Ricin is a plant protein toxin and is a type Ⅱ ribosome inactivating protein. Ricin contains two peptide chains, A and B. Chain B has a lectin function and is responsible for identifying cell surface sites while chain A has N-glycosidase activity, which can inactivate ribosomes and produce cytotoxicity. Ricin is simple to prepare and strongly toxic,so it can be used as a biological warfare agent to threaten human safety. So far, no specific antidote has been officially approved for marketing. In this paper, the in vivo transport process, mechanism of ricin and the research progress in antidotes are reviewed, which is expected to provide a reference for subsequent development of ricin-specific antidotes.
  • Reviews
    LI Xinxia, LIU Qing, WU Zhen, LI Huai, YANG Jing, ZHANG Rong
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    With the advancement in military professionalization and the increasing demand for refined management of military medical service, there is a more pressing need for job evaluation in the management of mobile medical service units. This paper summarized the characteristics and common models of job evaluation,and in combination with the job characteristics of mobile medical service units,systematically elaborated the general idea,key indicator selection principles,and categories of job evaluation of mobile medical service units. By analyzing the applicability of job evaluation in the military at home and abroad, the need for job evaluation in management of mobile medical service units was elaborated while future development was predicted.
  • Reviews
    JIANG Youwei, WANG Liang, WANG Hua
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    Autoimmune hepatitis (AIH) is an autoimmune liver disease that is getting increasingly prevalent. Notably, mesenchymal stem cells (MSCs) and MSC-based therapeutic strategies promise wide applications in the treatment of AIH. This paper reviews the treatments for AIH based on MSCs by outlining the definition, classification, pathogenesis and its current treatments of AIH, the role and mechanism of MSCs, their extracellular vesicles in treating AIH as well as other therapies based on MSCs. This study is intended to provide references for the development of AIH treatment strategies.
  • Reviews
    ZHOU Huiju, SHEN Zhufu
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    Diabetes mellitus (DM) is a metabolic disease caused by both genetic and environmental factors and characterized by a persistent increase in serum` glucose. As the most serious complication of DM,diabetic angiopathy (DA) damages the heart, kidney, retina and other important organs through the dual injury mechanism of microvessels (retina, kidney) and large blood vessels (cardiovascular), and is the leading cause of death and disability of patients. Although the use of insulin and oral hypoglycemic drugs can effectively control glucose, their interventions in such pathological processes as vascular dysfunction, oxidative stress, and chronic inflammation are limited. In recent years, mesenchymal stem cell-derived exosomes (MSC-Exos) have attracted much attention due to their potential in regenerative medicine. MSC-Exos can regulate the function of target cells by carrying bioactive molecules such as non-coding RNAs(ncRNAs), and proteins, and show advantages in promoting vascular repair, reducing inflammation and improving endothelial function in the treatment of DA. This article reviews the biological characteristics of MSC-Exos, their clinical applications and the mechanism of DA.
  • Short articles
  • Short articles
    TIAN Jing, LI Huajun, HUANG Hongshen, FENG Xiaoyan, CHEN Wenya
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  • Short articles
    SUN Huiyong, REN Zhiguo, MENG Xiangyu
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