BACKGROUND Esophageal cancer is the sixth most common cancer worldwide,with a high mortality rate.Early prognosis of esophageal abnormalities can improve patient survival rates.The progression of esophageal cancer fol...BACKGROUND Esophageal cancer is the sixth most common cancer worldwide,with a high mortality rate.Early prognosis of esophageal abnormalities can improve patient survival rates.The progression of esophageal cancer follows a sequence from esophagitis to non-dysplastic Barrett’s esophagus,dysplastic Barrett’s esophagus,and eventually esophageal adenocarcinoma(EAC).This study explored the application of deep learning technology in the precise diagnosis of pathological classification and staging of EAC to enhance diagnostic accuracy and efficiency.AIM To explore the application of deep learning models,particularly Wave-Vision Transformer(Wave-ViT),in the pathological classification and staging of esophageal cancer to enhance diagnostic accuracy and efficiency.METHODS We applied several deep learning models,including multi-layer perceptron,residual network,transformer,and Wave-ViT,to a dataset of clinically validated esophageal pathology images.The models were trained to identify pathological features and assist in the classification and staging of different stages of esophageal cancer.The models were compared based on accuracy,computational complexity,and efficiency.RESULTS The Wave-ViT model demonstrated the highest accuracy at 88.97%,surpassing the transformer(87.65%),residual network(85.44%),and multi-layer perceptron(81.17%).Additionally,Wave-ViT exhibited low computational complexity with significantly reduced parameter size,making it highly efficient for real-time clinical applications.CONCLUSION Deep learning technology,particularly the Frequency-Domain Transformer model,shows promise in improving the precision of pathological classification and staging of EAC.The application of the Frequency-Domain Transformer model enhances the automation of the diagnostic process and may support early detection and treatment of EAC.Future research may further explore the potential of this model in broader medical image analysis applications,particularly in the field of precision medicine.展开更多
The development of low-energy consumption and environmentally friendly electrodeposition of metal/alloy films or coatings is presently one of the primary topics for the research community.For this purpose,deep eutecti...The development of low-energy consumption and environmentally friendly electrodeposition of metal/alloy films or coatings is presently one of the primary topics for the research community.For this purpose,deep eutectic solvents(DESs)are valued as electrolytes for their advantages of low operating temperature and wide electrochemical windows.At present,there is large amount of literature on this emerging field,but there are no specialized reviews of these studies.Here,after a brief introduction of DESs’concept and history,we comprehensively reviewed the lastest progress on the metal/alloy electrodeposition in DESs.Additionally,we discussed the key influence factors of the electrodeposition process and analyzed the corresponding mechanisms.Based on these,we emphasized the importance of the establishment of predictive models for dealing with the challenges in large-scale applications.展开更多
Change of flower color can readily lead to a shift in pollinators,potentially causing pollinator mediated reproductive isolation or even speciation.Here,we examined the ecological and evolutionary consequences of flow...Change of flower color can readily lead to a shift in pollinators,potentially causing pollinator mediated reproductive isolation or even speciation.Here,we examined the ecological and evolutionary consequences of flower color polymorphism in Roscoea cautleoides,an alpine ginger with sympatric distribution of purple-and yellow-flowered plants.Variations in pollinator visitation and specialization to the flower color contributed greatly to pre-zygotic reproductive isolation,with post-zygotic isolation also observed in reciprocal pollination.Yellow-flowered plants evolved independently from purple-flowered plants in two populations due to the absence of anthocyanins,as supported by metabolic,expression,and genetic analysis.Despite early genetic divergence between the two-flower-colored plants,highly differentiated genes were associated with reproduction and stress,while highly selective genes were enriched in stress.Our results suggest that parallel loss of anthocyanins leads to flower color polymorphism in different populations of R.cautleoides,with pollinator preference contributing to reproductive isolation and subsequent genetic differentiation,indicating the process of incipient speciation triggered by flower color changes with sympatric distribution.展开更多
Descriptions of floral traits based on the visual capabilities of pollinators would advance our understanding of flower evolution and plantepollinator relationships.One such trait is the contrasting UV bullseye color ...Descriptions of floral traits based on the visual capabilities of pollinators would advance our understanding of flower evolution and plantepollinator relationships.One such trait is the contrasting UV bullseye color pattern,which is invisible to human eyes but can be perceived by bee pollinators.However,it remains largely unknown how UV bullseye size affects male and female reproductive fitness.We examined UV bullseye patterns in the dioecious Herpetospermum pedunculosum,and quantified the effects of UV bullseye size on male and female fitness.Both UV bullseye size and flower size were larger in male flowers than in female flowers.The dominant pollinators of H.pedunculosum were bees,which could perceive the UV bullseye pattern.Bee pollinators exhibited a preference for male flowers with nectar rewards,and visited a greater number of male flowers on plants with a larger UV bullseye.Male reproductive fitness was found to decrease in plants with larger UV bullseyes,likely due to the high rate of intra-plant pollen transfer.Rewardless female flowers were less attractive to bee pollinators,resulting in pollen limitation of seed production.Female flowers with moderate UV bullseye size produced more seeds.Our results suggest that UV bullseye is subject to different selection via male and female fitness of H.pedunculosum with deceptive pollination,and large UV bullseye is generally not favored.This research is the first to examine the relationship between UV bullseye size and plant reproductive success,highlighting that floral evolution should be investigated from the pollinator's eye in future research.展开更多
Rare refractory metals(RRMs)play a significant role in fundamental industries,including electronics,chemical industry,machinery,etc.,and future advanced fields,such as aerospace and superconductivity.However,the tradi...Rare refractory metals(RRMs)play a significant role in fundamental industries,including electronics,chemical industry,machinery,etc.,and future advanced fields,such as aerospace and superconductivity.However,the traditional production processes of RRMs based on high-temperature thermal reduction cannot meet the requirements of low-energy consumption.This dilemma could be addressed efficiently by using a low-temperature electrodeposition strategy in ionic liquids(ILs).This review summarizes a panoramic view of the latest developments on the electrodeposition of RRMs in ILs after a brief review on the current industrial production methods of RRMs.Based on this,the electrochemical mechanism occurring at the cathode during the electrodeposition process of RRMs in different electrolytes and under different conditions is thoroughly discussed,because it is crucial for the successful production of pure RRMs.In addition,this review not only analyses the main challenges that hinder the industrial application of the electrodeposition of RRMs in ILs,but also proposes corresponding solutions.We hope this review can provide a valuable guidance for the fundamental research and industrial development of lowtemperature electrodeposition of RRMs.展开更多
Chemotherapy has limited efficacy in the treatment of advanced and metastatic pancreatic cancer(PC), and has serious side effects. The development of novel effective agents, especially targeted therapy, is essential f...Chemotherapy has limited efficacy in the treatment of advanced and metastatic pancreatic cancer(PC), and has serious side effects. The development of novel effective agents, especially targeted therapy, is essential for patients with PC. We present a 58-year-old Chinese woman initially diagnosed with locally advanced PC. As the disease progressed to Stage Ⅳ, the patient was unable to tolerate chemotherapy after the fourth-line treatment. She was then treated with apatinib, a novel and highly selective tyrosine kinase inhibitor of vascular endothelial growth factor receptor-2 and achieved a progression-free-survival of 7 mo. All drug-related side effects were well controlled with medication. To the best of our knowledge, this is the first case of PC which responded to apatinib. Considering this remarkable response, apatinib may be a promising agent in the treatment of PC. We also reviewed the literature on chemotherapy and targeted therapy, especially the anti-angiogenesis therapy for patients with PC, and investigated the effect of apatinib in other solid tumors as well.展开更多
Traumatic injuries in the central nervous system,such as traumatic brain injury and spinal cord injury,are associated with tissue inflammation and the infiltration of immune cells,which simultaneously affect the self-...Traumatic injuries in the central nervous system,such as traumatic brain injury and spinal cord injury,are associated with tissue inflammation and the infiltration of immune cells,which simultaneously affect the self-renewal and differentiation of neural stem cells.Howeve r,the tissue repair process instigated by endogenous neural stem cells is incapable of restoring central nervous system injuries without external intervention.Recently,resident/peripheral immune cells have been demonstrated to exert significant effects on neural stem cells.Thus,the resto ration of traumatic injuries in the central nervous system by the immune intervention in neural stem cells represents a potential therapeutic method.In this review,we discuss the roles and possible mechanisms of immune cells on the selfrenewal and differentiation of neural stem cells along with the prognosis of central nervous system injuries based on immune intervention.Finally,we discuss remaining research challenges that need to be considered in the future.Further elucidation of these challenges will fa cilitate the successful application of neural stem cells in central nervous system injuries.展开更多
Oxidative stress and apoptosis are the key factors that limit the hypothermic preservation time of donor hearts to within 4–6 h.The aim of this study was to investigate whether the histone deacetylase 3(HDAC3)inhibit...Oxidative stress and apoptosis are the key factors that limit the hypothermic preservation time of donor hearts to within 4–6 h.The aim of this study was to investigate whether the histone deacetylase 3(HDAC3)inhibitor RmGodFyPn9 a6 m6 i cc opualrda mpreotteercst daugrianing srt ecpaerrdfiuasci oinn juwreyr ei nedvuacleuda tebyd.pTrholeo nexgperde shsyipoont haenrdm pich opsrpehsoerryvlaattiioonn.leRvaet lsh eoaf rtms awmemrea lihayn-??STE20-like kinase-1(Mst1)and Yes-associated protein(YAP)were determined by western blotting.Cell apoptosis was measured by the terminal deoxynucleotidyl-transferase(TdT)-mediated dUTP nick-end labeling(TUNEL)method.Addition of RGFP966 in Celsior solution significantly inhibited cardiac dysfunction induced by hypothermic preservation.RGFP966 inhibited the hypothermic preservation-induced increase of the phosphorylated(p)-Mst1/Mst1 and p-YAP/YAP ratios,prevented a reduction in total YAP protein expression,and increased the nuclear YAP protein level.Verteporfin(VP),a small molecular inhibitor of YAP–transcriptional enhanced associate domain(TEAD)interaction,partially abolished the protective effect of RGFP966 on cardiac function,and reduced lactate dehydrogenase activity and malondialdehyde content.RGFP966 increased superoxide dismutase,catalase,and glutathione peroxidase gene and protein expression,which was abolished by VP.RGFP966 inhibited hypothermic preservation-induced overexpression of B-cell lymphoma protein 2(Bcl-2)-associated X(Bax)and cleaved caspase-3,increased Bcl-2 mRNA and protein expression,and reduced cardiomyocyte apoptosis.The antioxidant and anti-apoptotic effects of RGFP966 were cancelled by VP.The results suggest that supplementation of Celsior solution with RGFP966 attenuated prolonged hypothermic preservation-induced cardiac dysfunction.The mechanism may involve inhibition of oxidative stress and apoptosis via inactivation of the YAP pathway.展开更多
AIM: To evaluate the effect of nigericin on colorectal cancer and to explore its possible mechanism. METHODS: The human colorectal cancer (CRC) cell lines HT29 and SW480 were treated with nigericin or oxaliplatin unde...AIM: To evaluate the effect of nigericin on colorectal cancer and to explore its possible mechanism. METHODS: The human colorectal cancer (CRC) cell lines HT29 and SW480 were treated with nigericin or oxaliplatin under the conditions specified. Cell viability assay and invasion and metastasis assay were performed to evaluate the effect of nigericin on CRC cells. Sphereforming assay and soft agar colony-forming assay were implemented to assess the action of nigericin on the cancer stem cell properties of CRC cells undergone epithelial-mesenchymal transition (EMT). RESULTS: Compared with oxaliplatin, nigericin showed more toxicity for the HT29 cell line (IC50, 12.92 ± 0.25 μmol vs 37.68 ± 0.34 μmol). A similar result was also obtained with the SW116 cell line (IC50, 15.86 ± 0.18 μmol vs 41.02 ± 0.23 μmol). A Boyden chamber assay indicated that a significant decrease in the number of HT29 cells migrating through polyvinylidene fluoride membrane was observed in the nigericin-treated group, relative to the vehicle-treated group [11 ± 2 cells per high-power field (HPF) vs 19.33 ± 1.52 cells per HPF, P < 0.05]. Compared to the control group, the numbers of HT29 cells invading through the Matrigel-coated membrane also decreased in the nigericin-treated group (6.66 ± 1.52 cells per HPF vs 14.66 ± 1.52 cells per HPF, P < 0.05). Nigericin also reduced the proportion of CD133+ cells from 83.57% to 63.93%, relative to the control group (P < 0.05). Nigericin decreased the number of spheres relative to the control group (0.14 ± 0.01 vs 0.35 ± 0.01, P < 0.05), while oxaliplatin increased the number of spheres relative to the control group (0.75 ± 0.02 vs 0.35 ± 0.01; P < 0.05). Nigericin also showed a decreased ability to form colonies under anchorage-independent conditions in a standard soft agar assay after 14 d in culture, relative to the control group (1.66 ± 0.57 vs 7 ± 1.15, P < 0.05), whereas the colony numbers were higher in the oxaliplatin group relative to the vehicle-treated controls (14.33 ± 0.57 vs 7 ± 1.15, P < 0.05). We further detected the expression of E-cadherin and vimentin in cells treated with nigericin and oxaliplatin. The results showed that HT29 cells treated with nigericin induced an increase in E-cadherin expression and a decrease in the vimentin expression relative to vehicle controls. In contrast, oxaliplatin downregulated the expression of E-cadherin and upregulated the expression of vimentin in HT29 cells relative to vehicle controls. CONCLUSION: This study demonstrated that nigericin could partly reverse the EMT process during cell invasion and metastasis.展开更多
Dasiphora fruticosa comprises male,female and hermaphrodite plants,which are distributed sympatrically in some populations on the Qinghai-Tibet Plateau.To explore what governs the coexistence of these three sexual phe...Dasiphora fruticosa comprises male,female and hermaphrodite plants,which are distributed sympatrically in some populations on the Qinghai-Tibet Plateau.To explore what governs the coexistence of these three sexual phenotypes,we investigated the DNA contents,pollen and ovule production,pollen deposition,and performed hand-pollination in both hermaphroditic and dioecious individuals of D.fruticosa.Flow cytometry confirmed that the DNA content of males and females were almost twice as much as that of the hermaphrodites.Male and female flowers produced more pollen grains and ovules than hermaphroditic flowers.Hand-pollinated treatments showed that unisexual flowers were sterile in one sexual function and bisexual flowers were fertile for both functions,but no sterile seeds were produced between unisexual and bisexual flowers.Our findings imply that polyploidy is related to gender dimorphism,and both are likely to play a strong role in the coexistence of two cryptic biological species of D.fruticosa(low ploidy hermaphroditic species and high ploidy dioecious species)in the Qinghai-Tibet Plateau.展开更多
To improve the cracking behavior of hydrocarbon,Ni-Mo/SiO_(2) bimetallic catalysts were synthesized by different preparation methods(sol-gel,co-impregnation and single-impregnation) and added the additives(citric acid...To improve the cracking behavior of hydrocarbon,Ni-Mo/SiO_(2) bimetallic catalysts were synthesized by different preparation methods(sol-gel,co-impregnation and single-impregnation) and added the additives(citric acid,polyethylene glycol and cetyltrimethylammonium bromide) based on the most suitable method above.The cracking reaction of methylcyclohexane under supercritical conditions was performed as the probe reaction to estimate the catalytic performance,and the properties of Ni-Mo/SiO_(2) catalyst were characterized by N_(2) absorption-desorption,XRD,XPS,H_(2)-TPR,NH_(3)-TPD,in-situ IR of NH_(3) desorption,HRTEM and STEM-mapping so as to study the structure-activity relationship.The catalyst synthesized via sol-gel method showed the best conversion and heat sink,being 81.8% and 3.81 MJ/kg,which was closely related to strong mutual effect between active components and SiO_(2) as well as strong acid sites.Besides,the introduction of additives by sol-gel method has an affirmative influence on properties of Ni-Mo/SiO_(2) catalysts,being that the acidity(more L and B acid sites) was modulated and organic groups interact with metal to suppress the aggregation of metal species(Ni and Mo),thereby enhancing the catalytic activity.At 750℃,the conversion(89.3%) as well as heat sink(3.99 MJ/kg) of MCH cracking obtained an optimum over Ni-Mo/SiO_(2) catalyst with addition of citric acid.展开更多
Delimiting species requires multiple sources of evidence.Here,we delimited two varieties of Halenia elliptica(Gentianaceae)using several lines of evidence,including morphological traits and mating system in a sympatri...Delimiting species requires multiple sources of evidence.Here,we delimited two varieties of Halenia elliptica(Gentianaceae)using several lines of evidence,including morphological traits and mating system in a sympatric population,phylogenetic relationships based on nrITS and cpDNA(rpl16)data,and complete chloroplast genome sequences.Comparative analysis of 21 morphological traits clearly separates the two varieties of H.elliptica.Examination of the flowering process and pollination treatments indicate that H.elliptica var.grandiflora produces seeds via outcrossing,whereas H.elliptica var.elliptica produces seeds via mixed mating.Furthermore,hand-pollinated hybridization of the two varieties produced no seeds.Observations of pollinators showed that when bees began a pollination bout on H.elliptica var.grandiflora they preferred to continue pollinating this variety;however,when they began a pollination bout on H.elliptica var.elliptica,they showed no preference for either variety.Phylogenetic analysis confirmed the monophyly of H.elliptica,which was further divided into two monophyletic clades corresponding to the two varieties.A large number of variants from the chloroplast genomes reflected remarkable genetic dissimilarities between the two varieties of H.elliptica.We recommend that the two varieties of H.elliptica should be revised as two species(H.elliptica and H.grandiflora).Our findings indicate that H.elliptica varieties may have split into two separate species due to a shift in mating system,changes in flowering phenology and/or post-pollination reproductive isolation.展开更多
BACKGROUND Fungal rhinosinusitis is an infectious and/or allergic disease caused by fungi in the sinus and nasal cavity. Due to the warm and humid climate in Guangxi Zhuang Autonomous Region, the incidence of fungal r...BACKGROUND Fungal rhinosinusitis is an infectious and/or allergic disease caused by fungi in the sinus and nasal cavity. Due to the warm and humid climate in Guangxi Zhuang Autonomous Region, the incidence of fungal rhinosinusitis is higher than that in other provinces. However, its physiological mechanism is not yet clear.Not every patient colonized by fungi develops a fungal infection. To a large extent, the immune status of the patient determines the nature of fungal disease in the nasal passages. The pathologic process of progression from harmless fungal colonization to fungal rhinosinusitis is unclear and has not been reported.CASE SUMMURY We report two patients, one who developed fungal rhinosinusitis 1.5 years after surgery performed to treat an inverted papilloma, and the other with a history of hypertension and cerebral infarction. Both patients recovered from their surgeries. An average time of 2.5 years elapsed from the development of maxillary sinus cysts to the development of fungal rhinosinusitis.CONCLUSION According to these case reports, we speculate that the progression of fungal rhinosinusitis from harmless colonization to disease onset requires approximately one to three years and that the length of the process may be related to underlying diseases, surgical treatment, deficient autoimmune status,and abuse of hormone antibiotics and hormones. Additional data are needed to conduct relevant studies to appropriately prevent and treat fungal rhinosinusitis.展开更多
The objective of this research was to develop a novel self-lubricating coating on an AA6061 aluminum alloy.Three coatings were prepared by the plasma electrolytic oxidation（PEO） process using 50-, 500-, and 1000-Hz ...The objective of this research was to develop a novel self-lubricating coating on an AA6061 aluminum alloy.Three coatings were prepared by the plasma electrolytic oxidation（PEO） process using 50-, 500-, and 1000-Hz pulsed direct current, respectively. The as-deposited coatings were then post-treated using two different methods, viz., ultrasonic vibration-aided vacuum oil impregnation（UVOI） and oil impregnation under ambient pressure（OIAP）. After posttreatment, an oil-containing, self-lubricating top layer was formed on the coatings. The effects of the coatings＇ surface morphologies and structures on their oil-holding capabilities were discussed. The results revealed that coatings prepared with higher frequency had a greater oil-holding capacity using OIAP post-treatment, while those prepared with lower frequency had a greater oil-containing capability using UVOI post-treatment. These phenomena are related to the morphologies of the coatings produced with various current modes. The tribological properties of the coatings before and after post-treatments were investigated by pin-on-disc sliding wear tests. Due to the formation of a lubricant-containing top layer, the post-treatment coatings had a lower friction coefficient and improved wear resistance compared with the asdeposited coatings. In addition, the coatings after UVOI treatment had better wear performance than those post-treated using the OIAP process. Among all coatings, the coating produced with a 50-Hz pulsed current followed by UVOI posttreatment achieved the lowest friction coefficient（0.03） and best wear resistance when sliding against a Si3N4 ceramic counterface. This study indicates that a novel self-lubricating coating can be prepared by a PEO process combined with vacuum oil impregnation post-treatment.展开更多
Due to the density contrast between the hydrate and methane gas,the pore pressure is accumulated in the sediment during the decomposition process of methane hydrate.This accumulation of pore pressure decreases the mag...Due to the density contrast between the hydrate and methane gas,the pore pressure is accumulated in the sediment during the decomposition process of methane hydrate.This accumulation of pore pressure decreases the magnitude of effective stress,further triggering potential geological disasters such as landslide.This paper establishes a theoretical framework to investigate the evolution of fluid pressure in the hydrate-bearing sediments during the decomposition process.This model consists of two parts:an unsaturated thermo-poromechanical constitutive law as well as a phase equilibrium equation.Compared with the existing studies,the present work incorporates the effect of pore volume change into the pressure built-up model.In addition,the capillary effect is considered,which plays a nontrivial role in fine-grained sediments.Based on this model,the evolution of fluid pressure is investigated in undrained conditions.It is shown that four mechanisms mainly contribute to the pressure built-up:the density contrast between decomposing hydrate and producing fluid,the variation of pore volume,the compaction of hydrate due to variation of capillary pressure,and the thermal deformation of pore constituents induced by temperature change.Among these mechanisms,the density contrast dominates the pore pressure accumulation.Under the combined effect of these contributions,the evolution of fluid pressure exhibits a strong nonlinearity during the decomposition process and can reach up to dozens of mega Pascal.Nevertheless,this high-level pressure built-up results in a significant tensile strain,yielding potential fracturing of the sediment.展开更多
Having a large number of timely donations during the early stages of a COVID-19 breakout would normally be considered rare. Donation is a special public goods game with zero yield for donors, and it has the characteri...Having a large number of timely donations during the early stages of a COVID-19 breakout would normally be considered rare. Donation is a special public goods game with zero yield for donors, and it has the characteristics of the prisoners’ dilemma. This paper discusses why timely donations in the early stages of COVID-19 occurred. Based on the idea that donation is a strategy adopted by players during interconnection on account of their understanding of the environment, donation-related populations are placed on social networks and the inter-correlation structures in the population are described by scale-free networks. Players in donation-related populations are of four types: donors, illegal beneficiaries,legal beneficiaries, and inactive people. We model the evolutionary game of donation on a scale-free network. Donors,illegal beneficiaries and inactive people learn and update strategies under the Fermi update rule, whereas the conversion between legal beneficiaries and the other three types is determined by the environment surrounding the players. We study the evolution of cooperative action when the agglomeration coefficient, the parameters of the utility function, the noise intensity, the utility coefficient, the donation coefficient and the initial states of the population on the scale-free network change. For population sizes of 50, 100, 150, and 200, we give the utility functions and the agglomeration coefficients for promoting cooperation and study the corresponding steady states and structural characteristics of the population. We identify the best ranges of the noise intensity K, the donation coefficient α and the utility coefficient β for promoting cooperation at different population sizes. Furthermore, with the increase of the population size, the donor traps are found.At the same time, it is discovered that the initial states of the population have a great impact on the steady states;thus the upper and lower triangle phenomena are proposed. We also find that the population size itself is also an important factor for promoting donation, pointing out the direction of efforts to further promote donation and achieve better social homeostasis under the donation model.展开更多
Objective To compare bone mineral density （BMD） between users of intramuscular depot medroxyprogesterone acetate （DMPA） and nonhormonal subjects and evaluated the changes in BMD after discontinuation of DMPA.Metho...Objective To compare bone mineral density （BMD） between users of intramuscular depot medroxyprogesterone acetate （DMPA） and nonhormonal subjects and evaluated the changes in BMD after discontinuation of DMPA.Methods The study included 102 women aged 16-18 years using DMPA for 24 months and 97 same-age nonusers. BMD of the lumbar spine and femoral neck were measured using dual-energy X-ray absorptiometry. The mean BMD values were compared between DMPA users （DMPA group） and nonusers （control group） and the changes of BMD during 36 months after discontinuation of DMPA were observed.Results Mean BMD at the spine and femoral neck did not differ significantly between DMPA group and control group over 12 months, but the BMD values at both anatomical sites were significantly lower in DMPA group than in control group after 24 months treatment. After DMPA discontinuation, the mean BMD values in DMPA users increased substantially. At 24 months after DMPA discontinuation, there were no significant differences between DMPA group and control group. But the values of the lumbar spine and femoral neck BMD in DMPA group were still 1.70% and 1.87%, respectively, below nonusers at 36 months after DMPA discontinuation.Conclusion The use of DMPA for short-term （ ≤12 months） had no significant effects on BMD at spine and femoral neck, but long-term exposure to DMPA had significant loss in BMD in adolescents. Bone loss occurring with DMPA use is reversible after DMPA discontinuation.展开更多
文摘BACKGROUND Esophageal cancer is the sixth most common cancer worldwide,with a high mortality rate.Early prognosis of esophageal abnormalities can improve patient survival rates.The progression of esophageal cancer follows a sequence from esophagitis to non-dysplastic Barrett’s esophagus,dysplastic Barrett’s esophagus,and eventually esophageal adenocarcinoma(EAC).This study explored the application of deep learning technology in the precise diagnosis of pathological classification and staging of EAC to enhance diagnostic accuracy and efficiency.AIM To explore the application of deep learning models,particularly Wave-Vision Transformer(Wave-ViT),in the pathological classification and staging of esophageal cancer to enhance diagnostic accuracy and efficiency.METHODS We applied several deep learning models,including multi-layer perceptron,residual network,transformer,and Wave-ViT,to a dataset of clinically validated esophageal pathology images.The models were trained to identify pathological features and assist in the classification and staging of different stages of esophageal cancer.The models were compared based on accuracy,computational complexity,and efficiency.RESULTS The Wave-ViT model demonstrated the highest accuracy at 88.97%,surpassing the transformer(87.65%),residual network(85.44%),and multi-layer perceptron(81.17%).Additionally,Wave-ViT exhibited low computational complexity with significantly reduced parameter size,making it highly efficient for real-time clinical applications.CONCLUSION Deep learning technology,particularly the Frequency-Domain Transformer model,shows promise in improving the precision of pathological classification and staging of EAC.The application of the Frequency-Domain Transformer model enhances the automation of the diagnostic process and may support early detection and treatment of EAC.Future research may further explore the potential of this model in broader medical image analysis applications,particularly in the field of precision medicine.
基金financially supported from the National Natural Science Foundation of China(Nos.52274291,52204305)Beijing Institute of Technology Research Fund Program for Young Scholars,China(No.1740011182102).
文摘The development of low-energy consumption and environmentally friendly electrodeposition of metal/alloy films or coatings is presently one of the primary topics for the research community.For this purpose,deep eutectic solvents(DESs)are valued as electrolytes for their advantages of low operating temperature and wide electrochemical windows.At present,there is large amount of literature on this emerging field,but there are no specialized reviews of these studies.Here,after a brief introduction of DESs’concept and history,we comprehensively reviewed the lastest progress on the metal/alloy electrodeposition in DESs.Additionally,we discussed the key influence factors of the electrodeposition process and analyzed the corresponding mechanisms.Based on these,we emphasized the importance of the establishment of predictive models for dealing with the challenges in large-scale applications.
基金supported by National Natural Science Foundation of China(32102429,32371586)the Second Tibetan Plateau Scientific Expedition and Research(STEP)program(2019QZKK0502)+1 种基金the Yunnan Young Talent Project(YNWR-QNBJ-2019-214)the CAS-TWAS Presidents Fellowship to Tial Cung Ling.
文摘Change of flower color can readily lead to a shift in pollinators,potentially causing pollinator mediated reproductive isolation or even speciation.Here,we examined the ecological and evolutionary consequences of flower color polymorphism in Roscoea cautleoides,an alpine ginger with sympatric distribution of purple-and yellow-flowered plants.Variations in pollinator visitation and specialization to the flower color contributed greatly to pre-zygotic reproductive isolation,with post-zygotic isolation also observed in reciprocal pollination.Yellow-flowered plants evolved independently from purple-flowered plants in two populations due to the absence of anthocyanins,as supported by metabolic,expression,and genetic analysis.Despite early genetic divergence between the two-flower-colored plants,highly differentiated genes were associated with reproduction and stress,while highly selective genes were enriched in stress.Our results suggest that parallel loss of anthocyanins leads to flower color polymorphism in different populations of R.cautleoides,with pollinator preference contributing to reproductive isolation and subsequent genetic differentiation,indicating the process of incipient speciation triggered by flower color changes with sympatric distribution.
基金National Natural Science Foundation of China(32160261)the Second Tibetan Plateau Scientific Expedition and Research(STEP)program(2019QZKK0502)Science and Technology Program of Xizang Autonomous Region(XZ202001YD0008C).
文摘Descriptions of floral traits based on the visual capabilities of pollinators would advance our understanding of flower evolution and plantepollinator relationships.One such trait is the contrasting UV bullseye color pattern,which is invisible to human eyes but can be perceived by bee pollinators.However,it remains largely unknown how UV bullseye size affects male and female reproductive fitness.We examined UV bullseye patterns in the dioecious Herpetospermum pedunculosum,and quantified the effects of UV bullseye size on male and female fitness.Both UV bullseye size and flower size were larger in male flowers than in female flowers.The dominant pollinators of H.pedunculosum were bees,which could perceive the UV bullseye pattern.Bee pollinators exhibited a preference for male flowers with nectar rewards,and visited a greater number of male flowers on plants with a larger UV bullseye.Male reproductive fitness was found to decrease in plants with larger UV bullseyes,likely due to the high rate of intra-plant pollen transfer.Rewardless female flowers were less attractive to bee pollinators,resulting in pollen limitation of seed production.Female flowers with moderate UV bullseye size produced more seeds.Our results suggest that UV bullseye is subject to different selection via male and female fitness of H.pedunculosum with deceptive pollination,and large UV bullseye is generally not favored.This research is the first to examine the relationship between UV bullseye size and plant reproductive success,highlighting that floral evolution should be investigated from the pollinator's eye in future research.
基金financially supported by the National Natural Science Foundation of China(No.52274291)Beijing Institute of Technology Research Fund Program for Young Scholars(No.1740011182102)the National Key R&D Program of China(No.2022YFC2906100)。
文摘Rare refractory metals(RRMs)play a significant role in fundamental industries,including electronics,chemical industry,machinery,etc.,and future advanced fields,such as aerospace and superconductivity.However,the traditional production processes of RRMs based on high-temperature thermal reduction cannot meet the requirements of low-energy consumption.This dilemma could be addressed efficiently by using a low-temperature electrodeposition strategy in ionic liquids(ILs).This review summarizes a panoramic view of the latest developments on the electrodeposition of RRMs in ILs after a brief review on the current industrial production methods of RRMs.Based on this,the electrochemical mechanism occurring at the cathode during the electrodeposition process of RRMs in different electrolytes and under different conditions is thoroughly discussed,because it is crucial for the successful production of pure RRMs.In addition,this review not only analyses the main challenges that hinder the industrial application of the electrodeposition of RRMs in ILs,but also proposes corresponding solutions.We hope this review can provide a valuable guidance for the fundamental research and industrial development of lowtemperature electrodeposition of RRMs.
基金Supported by The National Natural Science Foundation of China,No.81402299the Project of Postdoctoral Innovation of Shandong Province,No.201501010the Project of Postdoctoral Science Foundation of China,No.2016M590640
文摘Chemotherapy has limited efficacy in the treatment of advanced and metastatic pancreatic cancer(PC), and has serious side effects. The development of novel effective agents, especially targeted therapy, is essential for patients with PC. We present a 58-year-old Chinese woman initially diagnosed with locally advanced PC. As the disease progressed to Stage Ⅳ, the patient was unable to tolerate chemotherapy after the fourth-line treatment. She was then treated with apatinib, a novel and highly selective tyrosine kinase inhibitor of vascular endothelial growth factor receptor-2 and achieved a progression-free-survival of 7 mo. All drug-related side effects were well controlled with medication. To the best of our knowledge, this is the first case of PC which responded to apatinib. Considering this remarkable response, apatinib may be a promising agent in the treatment of PC. We also reviewed the literature on chemotherapy and targeted therapy, especially the anti-angiogenesis therapy for patients with PC, and investigated the effect of apatinib in other solid tumors as well.
基金supported by the National Natural Science Foundation of China,Nos.82172527 and 81972138 (to LLW)。
文摘Traumatic injuries in the central nervous system,such as traumatic brain injury and spinal cord injury,are associated with tissue inflammation and the infiltration of immune cells,which simultaneously affect the self-renewal and differentiation of neural stem cells.Howeve r,the tissue repair process instigated by endogenous neural stem cells is incapable of restoring central nervous system injuries without external intervention.Recently,resident/peripheral immune cells have been demonstrated to exert significant effects on neural stem cells.Thus,the resto ration of traumatic injuries in the central nervous system by the immune intervention in neural stem cells represents a potential therapeutic method.In this review,we discuss the roles and possible mechanisms of immune cells on the selfrenewal and differentiation of neural stem cells along with the prognosis of central nervous system injuries based on immune intervention.Finally,we discuss remaining research challenges that need to be considered in the future.Further elucidation of these challenges will fa cilitate the successful application of neural stem cells in central nervous system injuries.
基金Project supported by the National Natural Science Foundation of China(No.81871541)。
文摘Oxidative stress and apoptosis are the key factors that limit the hypothermic preservation time of donor hearts to within 4–6 h.The aim of this study was to investigate whether the histone deacetylase 3(HDAC3)inhibitor RmGodFyPn9 a6 m6 i cc opualrda mpreotteercst daugrianing srt ecpaerrdfiuasci oinn juwreyr ei nedvuacleuda tebyd.pTrholeo nexgperde shsyipoont haenrdm pich opsrpehsoerryvlaattiioonn.leRvaet lsh eoaf rtms awmemrea lihayn-??STE20-like kinase-1(Mst1)and Yes-associated protein(YAP)were determined by western blotting.Cell apoptosis was measured by the terminal deoxynucleotidyl-transferase(TdT)-mediated dUTP nick-end labeling(TUNEL)method.Addition of RGFP966 in Celsior solution significantly inhibited cardiac dysfunction induced by hypothermic preservation.RGFP966 inhibited the hypothermic preservation-induced increase of the phosphorylated(p)-Mst1/Mst1 and p-YAP/YAP ratios,prevented a reduction in total YAP protein expression,and increased the nuclear YAP protein level.Verteporfin(VP),a small molecular inhibitor of YAP–transcriptional enhanced associate domain(TEAD)interaction,partially abolished the protective effect of RGFP966 on cardiac function,and reduced lactate dehydrogenase activity and malondialdehyde content.RGFP966 increased superoxide dismutase,catalase,and glutathione peroxidase gene and protein expression,which was abolished by VP.RGFP966 inhibited hypothermic preservation-induced overexpression of B-cell lymphoma protein 2(Bcl-2)-associated X(Bax)and cleaved caspase-3,increased Bcl-2 mRNA and protein expression,and reduced cardiomyocyte apoptosis.The antioxidant and anti-apoptotic effects of RGFP966 were cancelled by VP.The results suggest that supplementation of Celsior solution with RGFP966 attenuated prolonged hypothermic preservation-induced cardiac dysfunction.The mechanism may involve inhibition of oxidative stress and apoptosis via inactivation of the YAP pathway.
基金Supported by The National Natural Science Foundation, No.30901424the Leading Medical Talent Foundation of Shanghai Municipality, No. 10XD1402700
文摘AIM: To evaluate the effect of nigericin on colorectal cancer and to explore its possible mechanism. METHODS: The human colorectal cancer (CRC) cell lines HT29 and SW480 were treated with nigericin or oxaliplatin under the conditions specified. Cell viability assay and invasion and metastasis assay were performed to evaluate the effect of nigericin on CRC cells. Sphereforming assay and soft agar colony-forming assay were implemented to assess the action of nigericin on the cancer stem cell properties of CRC cells undergone epithelial-mesenchymal transition (EMT). RESULTS: Compared with oxaliplatin, nigericin showed more toxicity for the HT29 cell line (IC50, 12.92 ± 0.25 μmol vs 37.68 ± 0.34 μmol). A similar result was also obtained with the SW116 cell line (IC50, 15.86 ± 0.18 μmol vs 41.02 ± 0.23 μmol). A Boyden chamber assay indicated that a significant decrease in the number of HT29 cells migrating through polyvinylidene fluoride membrane was observed in the nigericin-treated group, relative to the vehicle-treated group [11 ± 2 cells per high-power field (HPF) vs 19.33 ± 1.52 cells per HPF, P < 0.05]. Compared to the control group, the numbers of HT29 cells invading through the Matrigel-coated membrane also decreased in the nigericin-treated group (6.66 ± 1.52 cells per HPF vs 14.66 ± 1.52 cells per HPF, P < 0.05). Nigericin also reduced the proportion of CD133+ cells from 83.57% to 63.93%, relative to the control group (P < 0.05). Nigericin decreased the number of spheres relative to the control group (0.14 ± 0.01 vs 0.35 ± 0.01, P < 0.05), while oxaliplatin increased the number of spheres relative to the control group (0.75 ± 0.02 vs 0.35 ± 0.01; P < 0.05). Nigericin also showed a decreased ability to form colonies under anchorage-independent conditions in a standard soft agar assay after 14 d in culture, relative to the control group (1.66 ± 0.57 vs 7 ± 1.15, P < 0.05), whereas the colony numbers were higher in the oxaliplatin group relative to the vehicle-treated controls (14.33 ± 0.57 vs 7 ± 1.15, P < 0.05). We further detected the expression of E-cadherin and vimentin in cells treated with nigericin and oxaliplatin. The results showed that HT29 cells treated with nigericin induced an increase in E-cadherin expression and a decrease in the vimentin expression relative to vehicle controls. In contrast, oxaliplatin downregulated the expression of E-cadherin and upregulated the expression of vimentin in HT29 cells relative to vehicle controls. CONCLUSION: This study demonstrated that nigericin could partly reverse the EMT process during cell invasion and metastasis.
基金supported by the Natural Science Foundation of China (31570385)
文摘Dasiphora fruticosa comprises male,female and hermaphrodite plants,which are distributed sympatrically in some populations on the Qinghai-Tibet Plateau.To explore what governs the coexistence of these three sexual phenotypes,we investigated the DNA contents,pollen and ovule production,pollen deposition,and performed hand-pollination in both hermaphroditic and dioecious individuals of D.fruticosa.Flow cytometry confirmed that the DNA content of males and females were almost twice as much as that of the hermaphrodites.Male and female flowers produced more pollen grains and ovules than hermaphroditic flowers.Hand-pollinated treatments showed that unisexual flowers were sterile in one sexual function and bisexual flowers were fertile for both functions,but no sterile seeds were produced between unisexual and bisexual flowers.Our findings imply that polyploidy is related to gender dimorphism,and both are likely to play a strong role in the coexistence of two cryptic biological species of D.fruticosa(low ploidy hermaphroditic species and high ploidy dioecious species)in the Qinghai-Tibet Plateau.
基金supported by National Natural Science Foundation of China [grant number 91841301]Fundamental Research Funds for the Central Universities [grant number YJ201791]。
文摘To improve the cracking behavior of hydrocarbon,Ni-Mo/SiO_(2) bimetallic catalysts were synthesized by different preparation methods(sol-gel,co-impregnation and single-impregnation) and added the additives(citric acid,polyethylene glycol and cetyltrimethylammonium bromide) based on the most suitable method above.The cracking reaction of methylcyclohexane under supercritical conditions was performed as the probe reaction to estimate the catalytic performance,and the properties of Ni-Mo/SiO_(2) catalyst were characterized by N_(2) absorption-desorption,XRD,XPS,H_(2)-TPR,NH_(3)-TPD,in-situ IR of NH_(3) desorption,HRTEM and STEM-mapping so as to study the structure-activity relationship.The catalyst synthesized via sol-gel method showed the best conversion and heat sink,being 81.8% and 3.81 MJ/kg,which was closely related to strong mutual effect between active components and SiO_(2) as well as strong acid sites.Besides,the introduction of additives by sol-gel method has an affirmative influence on properties of Ni-Mo/SiO_(2) catalysts,being that the acidity(more L and B acid sites) was modulated and organic groups interact with metal to suppress the aggregation of metal species(Ni and Mo),thereby enhancing the catalytic activity.At 750℃,the conversion(89.3%) as well as heat sink(3.99 MJ/kg) of MCH cracking obtained an optimum over Ni-Mo/SiO_(2) catalyst with addition of citric acid.
基金the Second Tibetan Plateau Scientific Expedition and Research(STEP)program(2019QZKK0502)National Key R&D Program of China(2017YFC0505200)+1 种基金National Natural Science Foundation of China(31460096 and 31590823)State Key Laboratory of Phytochemistry and Plant Resources in West China(P2020-KF04).
文摘Delimiting species requires multiple sources of evidence.Here,we delimited two varieties of Halenia elliptica(Gentianaceae)using several lines of evidence,including morphological traits and mating system in a sympatric population,phylogenetic relationships based on nrITS and cpDNA(rpl16)data,and complete chloroplast genome sequences.Comparative analysis of 21 morphological traits clearly separates the two varieties of H.elliptica.Examination of the flowering process and pollination treatments indicate that H.elliptica var.grandiflora produces seeds via outcrossing,whereas H.elliptica var.elliptica produces seeds via mixed mating.Furthermore,hand-pollinated hybridization of the two varieties produced no seeds.Observations of pollinators showed that when bees began a pollination bout on H.elliptica var.grandiflora they preferred to continue pollinating this variety;however,when they began a pollination bout on H.elliptica var.elliptica,they showed no preference for either variety.Phylogenetic analysis confirmed the monophyly of H.elliptica,which was further divided into two monophyletic clades corresponding to the two varieties.A large number of variants from the chloroplast genomes reflected remarkable genetic dissimilarities between the two varieties of H.elliptica.We recommend that the two varieties of H.elliptica should be revised as two species(H.elliptica and H.grandiflora).Our findings indicate that H.elliptica varieties may have split into two separate species due to a shift in mating system,changes in flowering phenology and/or post-pollination reproductive isolation.
文摘BACKGROUND Fungal rhinosinusitis is an infectious and/or allergic disease caused by fungi in the sinus and nasal cavity. Due to the warm and humid climate in Guangxi Zhuang Autonomous Region, the incidence of fungal rhinosinusitis is higher than that in other provinces. However, its physiological mechanism is not yet clear.Not every patient colonized by fungi develops a fungal infection. To a large extent, the immune status of the patient determines the nature of fungal disease in the nasal passages. The pathologic process of progression from harmless fungal colonization to fungal rhinosinusitis is unclear and has not been reported.CASE SUMMURY We report two patients, one who developed fungal rhinosinusitis 1.5 years after surgery performed to treat an inverted papilloma, and the other with a history of hypertension and cerebral infarction. Both patients recovered from their surgeries. An average time of 2.5 years elapsed from the development of maxillary sinus cysts to the development of fungal rhinosinusitis.CONCLUSION According to these case reports, we speculate that the progression of fungal rhinosinusitis from harmless colonization to disease onset requires approximately one to three years and that the length of the process may be related to underlying diseases, surgical treatment, deficient autoimmune status,and abuse of hormone antibiotics and hormones. Additional data are needed to conduct relevant studies to appropriately prevent and treat fungal rhinosinusitis.
基金financially supported by the National Natural Science Foundation of China (No. 51301153)the National Undergraduate Training Programs for Innovation and Entrepreneurship of China (201410345022)
文摘The objective of this research was to develop a novel self-lubricating coating on an AA6061 aluminum alloy.Three coatings were prepared by the plasma electrolytic oxidation（PEO） process using 50-, 500-, and 1000-Hz pulsed direct current, respectively. The as-deposited coatings were then post-treated using two different methods, viz., ultrasonic vibration-aided vacuum oil impregnation（UVOI） and oil impregnation under ambient pressure（OIAP）. After posttreatment, an oil-containing, self-lubricating top layer was formed on the coatings. The effects of the coatings＇ surface morphologies and structures on their oil-holding capabilities were discussed. The results revealed that coatings prepared with higher frequency had a greater oil-holding capacity using OIAP post-treatment, while those prepared with lower frequency had a greater oil-containing capability using UVOI post-treatment. These phenomena are related to the morphologies of the coatings produced with various current modes. The tribological properties of the coatings before and after post-treatments were investigated by pin-on-disc sliding wear tests. Due to the formation of a lubricant-containing top layer, the post-treatment coatings had a lower friction coefficient and improved wear resistance compared with the asdeposited coatings. In addition, the coatings after UVOI treatment had better wear performance than those post-treated using the OIAP process. Among all coatings, the coating produced with a 50-Hz pulsed current followed by UVOI posttreatment achieved the lowest friction coefficient（0.03） and best wear resistance when sliding against a Si3N4 ceramic counterface. This study indicates that a novel self-lubricating coating can be prepared by a PEO process combined with vacuum oil impregnation post-treatment.
基金The authors acknowledge that this work was supported by National Natural Science Foundation of China(U20B6005).
文摘Due to the density contrast between the hydrate and methane gas,the pore pressure is accumulated in the sediment during the decomposition process of methane hydrate.This accumulation of pore pressure decreases the magnitude of effective stress,further triggering potential geological disasters such as landslide.This paper establishes a theoretical framework to investigate the evolution of fluid pressure in the hydrate-bearing sediments during the decomposition process.This model consists of two parts:an unsaturated thermo-poromechanical constitutive law as well as a phase equilibrium equation.Compared with the existing studies,the present work incorporates the effect of pore volume change into the pressure built-up model.In addition,the capillary effect is considered,which plays a nontrivial role in fine-grained sediments.Based on this model,the evolution of fluid pressure is investigated in undrained conditions.It is shown that four mechanisms mainly contribute to the pressure built-up:the density contrast between decomposing hydrate and producing fluid,the variation of pore volume,the compaction of hydrate due to variation of capillary pressure,and the thermal deformation of pore constituents induced by temperature change.Among these mechanisms,the density contrast dominates the pore pressure accumulation.Under the combined effect of these contributions,the evolution of fluid pressure exhibits a strong nonlinearity during the decomposition process and can reach up to dozens of mega Pascal.Nevertheless,this high-level pressure built-up results in a significant tensile strain,yielding potential fracturing of the sediment.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.72031009 and 71871171)the National Social Science Foundation of China(Grant No.20&ZD058)。
文摘Having a large number of timely donations during the early stages of a COVID-19 breakout would normally be considered rare. Donation is a special public goods game with zero yield for donors, and it has the characteristics of the prisoners’ dilemma. This paper discusses why timely donations in the early stages of COVID-19 occurred. Based on the idea that donation is a strategy adopted by players during interconnection on account of their understanding of the environment, donation-related populations are placed on social networks and the inter-correlation structures in the population are described by scale-free networks. Players in donation-related populations are of four types: donors, illegal beneficiaries,legal beneficiaries, and inactive people. We model the evolutionary game of donation on a scale-free network. Donors,illegal beneficiaries and inactive people learn and update strategies under the Fermi update rule, whereas the conversion between legal beneficiaries and the other three types is determined by the environment surrounding the players. We study the evolution of cooperative action when the agglomeration coefficient, the parameters of the utility function, the noise intensity, the utility coefficient, the donation coefficient and the initial states of the population on the scale-free network change. For population sizes of 50, 100, 150, and 200, we give the utility functions and the agglomeration coefficients for promoting cooperation and study the corresponding steady states and structural characteristics of the population. We identify the best ranges of the noise intensity K, the donation coefficient α and the utility coefficient β for promoting cooperation at different population sizes. Furthermore, with the increase of the population size, the donor traps are found.At the same time, it is discovered that the initial states of the population have a great impact on the steady states;thus the upper and lower triangle phenomena are proposed. We also find that the population size itself is also an important factor for promoting donation, pointing out the direction of efforts to further promote donation and achieve better social homeostasis under the donation model.
基金supported by a grant from the Research Foundation of the Shandong Provincial Population and Committee of Family Planning,Jinan,Shandong,China(No.2012017)
文摘Objective To compare bone mineral density （BMD） between users of intramuscular depot medroxyprogesterone acetate （DMPA） and nonhormonal subjects and evaluated the changes in BMD after discontinuation of DMPA.Methods The study included 102 women aged 16-18 years using DMPA for 24 months and 97 same-age nonusers. BMD of the lumbar spine and femoral neck were measured using dual-energy X-ray absorptiometry. The mean BMD values were compared between DMPA users （DMPA group） and nonusers （control group） and the changes of BMD during 36 months after discontinuation of DMPA were observed.Results Mean BMD at the spine and femoral neck did not differ significantly between DMPA group and control group over 12 months, but the BMD values at both anatomical sites were significantly lower in DMPA group than in control group after 24 months treatment. After DMPA discontinuation, the mean BMD values in DMPA users increased substantially. At 24 months after DMPA discontinuation, there were no significant differences between DMPA group and control group. But the values of the lumbar spine and femoral neck BMD in DMPA group were still 1.70% and 1.87%, respectively, below nonusers at 36 months after DMPA discontinuation.Conclusion The use of DMPA for short-term （ ≤12 months） had no significant effects on BMD at spine and femoral neck, but long-term exposure to DMPA had significant loss in BMD in adolescents. Bone loss occurring with DMPA use is reversible after DMPA discontinuation.
