Objective: Chinese medicine has the potential to modulate allergic rhinitis(AR). There have been studies investigating the treatment efficacy of Yupingfeng San, alone or in combination with other ingredients, in AR, t...Objective: Chinese medicine has the potential to modulate allergic rhinitis(AR). There have been studies investigating the treatment efficacy of Yupingfeng San, alone or in combination with other ingredients, in AR, though few have studied the potential mechanisms of these drugs. In the present study, we measured the effects of Jiawei Yupingfeng(JWYPF), a traditional Chinese medicine formula, on mice with ovalbumin-induced AR and explored its underlying mechanism of action.Methods: Forty BALB/c mice were randomly divided into normal control, allergy control and two treatment groups of ten mice each. In the normal control group, mice were sensitized and challenged with saline. The mice in the allergy control and treatment groups were sensitized and challenged with ovalbumin and aluminum hydroxide gel. The treatments of JWYPF and Nasonex were administered intranasally in the AR mice for one week. Several signs of allergic inflammation, such as nasal eosinophils and inflammatory cytokines, were measured to determine the underlying mechanisms.Results: Mice in the JWYPF and Nasonex groups had significantly lower AR symptom scores than those in the allergy control group(the mean differences between JWYPF and the allergy control, and Nasonex and the allergy control were -2.00 ± 0.35 and -2.40 ± 0.32). After treatment with JWYPF and Nasonex, the levels of ovalbumin-specific Ig E and histamine were significantly reduced, as were the levels of interlukin-4 and transforming growth factor-b, while interferon-c levels were increased(all P < 0.0001,vs. allergy control). These two treatments also significantly inhibited eosinophil and mast cell infiltration into the nasal cavity but were not statistically different from one-another.Conclusion: JWYPF has a potential therapeutic effect on AR via adjusting the rebalance of T helper 1 and T helper 2.展开更多
目的:为实现中药性状鉴别智能化升级,建立人工智能图像识别与数据分析方法,实现对不同规格黑豆、混淆品野大豆以及常见伪品黑芸豆的高效、精准区分。方法:收集黑豆及其相关品种的性状样本数字图像制作数据集;利用深度学习方法学习该数...目的:为实现中药性状鉴别智能化升级,建立人工智能图像识别与数据分析方法,实现对不同规格黑豆、混淆品野大豆以及常见伪品黑芸豆的高效、精准区分。方法:收集黑豆及其相关品种的性状样本数字图像制作数据集;利用深度学习方法学习该数据集以获得对黑豆及其相关品种的鉴别能力;通过生成式样本扩充方法与度量学习提升模型性能,从而获得更好的鉴别能力。结果:在黑豆及其相关品种数据集上获得了99.8%的精确率、100.0%的召回率、99.9%的平均精度均值(mean average precision,mAP)、99.8%的mAP@0.5:0.95(阈值从0.5~0.95以0.05为步长计算的多个mAP分数的均值);所训练的模型能够有效区分黑豆及其相关品种,并能够直观展示其检测结果。结论:本研究以黑豆及其相关品种为范例,为中药性状鉴别智能化升级提供参考,以期提升中药鉴别效率与准确性,完善中药质量标准体系,赋能中药产业全链条数字化转型,为中药监管与市场流通提供技术支撑。展开更多
BACKGROUND The liver represents a common site of distant metastasis in patients with esophageal cancer(EC).Conventional chemotherapy(CMT)presents limited efficacy for EC,and EC patients with liver metastases typically...BACKGROUND The liver represents a common site of distant metastasis in patients with esophageal cancer(EC).Conventional chemotherapy(CMT)presents limited efficacy for EC,and EC patients with liver metastases typically experience a poor prognosis,highlighting an urgent need to explore novel treatment approaches.This study evaluated the overall efficacy and safety of CMT vs CMT combined with immune checkpoint inhibitors(ICIs)in the treatment of EC patients with liver metastases.Furthermore,prognostic factors influencing outcomes in this patient population were identified.AIM To evaluate the efficacy and safety of first-line chemoimmunotherapy for EC patients with liver metastases and to analyze prognostic factors.METHODS This retrospective study included 126 EC patients with liver metastases at Zhejiang Cancer Hospital between 2014 and 2024.Patients receiving CMT were compared with those receiving CMT+ICI.Analyzed variables included clinicopathological features,treatment history,characteristics of metastasis,systemic and local treatments,overall survival(OS),and treatment-related adverse events(TRAEs).Prognostic factors were evaluated using univariate and multivariate Cox proportional-hazards regression models.Finally,efficacy outcomes and TRAE profiles were compared between the two groups.RESULTS A significant difference in median OS was identified between the two groups(10.8 months in the CMT group vs 20.8 months in the CMT+ICI group,P=0.004).The CMT+ICI group also demonstrated a significantly longer median progression-free survival of 11.7 months(P<0.001).Patients receiving combination therapy exhibited significantly improved systemic objective response rate and disease control rate.Multivariate analysis identified key factors significantly influencing OS in EC patients with liver metastases:Karnofsky Performance Status score≥70,receipt of local therapy for liver metastases,and the number of cycles of CMT and immunotherapy received.Furthermore,the incidence of TRAEs did not significantly differ between the CMT+ICI and CMT groups.CONCLUSION For EC patients with liver metastases,the combination of CMT and ICIs demonstrates significantly superior efficacy compared with CMT alone,while maintaining manageable TRAEs.展开更多
In the study of thin-walled wedge shells subjected to lateral water entry impact loads,similarity theory is employed to predict the behavior of the prototype by analyzing the dynamic response of the model.However,the ...In the study of thin-walled wedge shells subjected to lateral water entry impact loads,similarity theory is employed to predict the behavior of the prototype by analyzing the dynamic response of the model.However,the traditional similarity law for structural impact fails to accurately describe the relationship between the dynamic responses of the model and the prototype,mainly due to the ignoring of the fluid-structure coupling effect and geometric distortion in the thickness direction.To address this limitation,this study employs dimensional analysis to derive the scaling factors for achieving structural similarity during water entry while considering the effects of fluid-structure coupling.Based on the analysis of the governing equations for thin-walled wedge shells under water entry impact loads,the scaling factor accounting for geometric distortion for water entry of wedge shells is determined.Numerical models are established to verify the applicability of the geometric distortion similarity model with different materials.The results demonstrate the effectiveness of the proposed similarity model,which significantly reduces the disparities in displacement peaks and energy between the scaled model and the prototype.In addition,experimental platforms are constructed to further verify the proposed similarity model by performing vertical water entry tests on thickness-distorted and material-distorted specimens.展开更多
Diabetic wounds present challenges in clinical management due to persistent inflammation caused by excessive exudate infiltration.Inspired by the gradient wettability of cactus thorn,this study has devised a biomimeti...Diabetic wounds present challenges in clinical management due to persistent inflammation caused by excessive exudate infiltration.Inspired by the gradient wettability of cactus thorn,this study has devised a biomimetic Janus nanofiber membrane as a water diode,which endows with gradient wettability and gradient pore size,offering sustainable unidirectional self-drainage and antibacterial properties for enhanced diabetic wound healing.The Janus membrane is fabricated by depositing a hydrophilic polyacrylonitrile/chlorin e6 layer with smaller pore sizes onto a hydrophobic poly(ε-caprolactone)with larger pore sizes,thereby generating a vertical gradient in both wettability and pore structure.The incorporation of chlorin e6 in the upper layer enables the utilization of external light energy to generate heat for evaporation and produce reactive oxygen species,achieving a high sterilization efficiency of 99%.Meanwhile,the gradient structure of the Janus membrane facilitates continuous antigravity exudate drainage at a rate of 0.95 g cm^(−2) h^(−1).This dual functionality of effective exudate drainage and sterilization significantly reduces inflammatory factors,allows the polarization of macrophages toward the M2 proliferative phenotype,enhances angiogenesis,and accelerates wound healing.Therefore,this study provides a groundbreaking bioinspired strategy for the development of advanced wound dressings tailored for diabetic wound regeneration.展开更多
基金financially supported by grants from China Academy of Chinese Medical Sciences,Daoyuan medicinal materials,valuable Chinese medicine resources sustainable utilization capacity building project (No. 2060302)。
文摘Objective: Chinese medicine has the potential to modulate allergic rhinitis(AR). There have been studies investigating the treatment efficacy of Yupingfeng San, alone or in combination with other ingredients, in AR, though few have studied the potential mechanisms of these drugs. In the present study, we measured the effects of Jiawei Yupingfeng(JWYPF), a traditional Chinese medicine formula, on mice with ovalbumin-induced AR and explored its underlying mechanism of action.Methods: Forty BALB/c mice were randomly divided into normal control, allergy control and two treatment groups of ten mice each. In the normal control group, mice were sensitized and challenged with saline. The mice in the allergy control and treatment groups were sensitized and challenged with ovalbumin and aluminum hydroxide gel. The treatments of JWYPF and Nasonex were administered intranasally in the AR mice for one week. Several signs of allergic inflammation, such as nasal eosinophils and inflammatory cytokines, were measured to determine the underlying mechanisms.Results: Mice in the JWYPF and Nasonex groups had significantly lower AR symptom scores than those in the allergy control group(the mean differences between JWYPF and the allergy control, and Nasonex and the allergy control were -2.00 ± 0.35 and -2.40 ± 0.32). After treatment with JWYPF and Nasonex, the levels of ovalbumin-specific Ig E and histamine were significantly reduced, as were the levels of interlukin-4 and transforming growth factor-b, while interferon-c levels were increased(all P < 0.0001,vs. allergy control). These two treatments also significantly inhibited eosinophil and mast cell infiltration into the nasal cavity but were not statistically different from one-another.Conclusion: JWYPF has a potential therapeutic effect on AR via adjusting the rebalance of T helper 1 and T helper 2.
文摘目的:为实现中药性状鉴别智能化升级,建立人工智能图像识别与数据分析方法,实现对不同规格黑豆、混淆品野大豆以及常见伪品黑芸豆的高效、精准区分。方法:收集黑豆及其相关品种的性状样本数字图像制作数据集;利用深度学习方法学习该数据集以获得对黑豆及其相关品种的鉴别能力;通过生成式样本扩充方法与度量学习提升模型性能,从而获得更好的鉴别能力。结果:在黑豆及其相关品种数据集上获得了99.8%的精确率、100.0%的召回率、99.9%的平均精度均值(mean average precision,mAP)、99.8%的mAP@0.5:0.95(阈值从0.5~0.95以0.05为步长计算的多个mAP分数的均值);所训练的模型能够有效区分黑豆及其相关品种,并能够直观展示其检测结果。结论:本研究以黑豆及其相关品种为范例,为中药性状鉴别智能化升级提供参考,以期提升中药鉴别效率与准确性,完善中药质量标准体系,赋能中药产业全链条数字化转型,为中药监管与市场流通提供技术支撑。
基金Supported by National Natural Science Foundation of China,No.82303672Zhejiang Provincial Health Commission and Zhejiang Provincial Administration of Traditional Chinese Medicine through the Targeted Project for Medical and Health Research,No.2025ZL017and China Primary Health Care Foundation,No.ZLMY20240311001ZJ.
文摘BACKGROUND The liver represents a common site of distant metastasis in patients with esophageal cancer(EC).Conventional chemotherapy(CMT)presents limited efficacy for EC,and EC patients with liver metastases typically experience a poor prognosis,highlighting an urgent need to explore novel treatment approaches.This study evaluated the overall efficacy and safety of CMT vs CMT combined with immune checkpoint inhibitors(ICIs)in the treatment of EC patients with liver metastases.Furthermore,prognostic factors influencing outcomes in this patient population were identified.AIM To evaluate the efficacy and safety of first-line chemoimmunotherapy for EC patients with liver metastases and to analyze prognostic factors.METHODS This retrospective study included 126 EC patients with liver metastases at Zhejiang Cancer Hospital between 2014 and 2024.Patients receiving CMT were compared with those receiving CMT+ICI.Analyzed variables included clinicopathological features,treatment history,characteristics of metastasis,systemic and local treatments,overall survival(OS),and treatment-related adverse events(TRAEs).Prognostic factors were evaluated using univariate and multivariate Cox proportional-hazards regression models.Finally,efficacy outcomes and TRAE profiles were compared between the two groups.RESULTS A significant difference in median OS was identified between the two groups(10.8 months in the CMT group vs 20.8 months in the CMT+ICI group,P=0.004).The CMT+ICI group also demonstrated a significantly longer median progression-free survival of 11.7 months(P<0.001).Patients receiving combination therapy exhibited significantly improved systemic objective response rate and disease control rate.Multivariate analysis identified key factors significantly influencing OS in EC patients with liver metastases:Karnofsky Performance Status score≥70,receipt of local therapy for liver metastases,and the number of cycles of CMT and immunotherapy received.Furthermore,the incidence of TRAEs did not significantly differ between the CMT+ICI and CMT groups.CONCLUSION For EC patients with liver metastases,the combination of CMT and ICIs demonstrates significantly superior efficacy compared with CMT alone,while maintaining manageable TRAEs.
基金supported by the National Natural Science Foundation of China(Grant Nos.11972309,12272320 and 12272309)the Overseas Expertise Introduction Project for Discipline Innovation(the 111 Project)(Grant No.BP0719007).
文摘In the study of thin-walled wedge shells subjected to lateral water entry impact loads,similarity theory is employed to predict the behavior of the prototype by analyzing the dynamic response of the model.However,the traditional similarity law for structural impact fails to accurately describe the relationship between the dynamic responses of the model and the prototype,mainly due to the ignoring of the fluid-structure coupling effect and geometric distortion in the thickness direction.To address this limitation,this study employs dimensional analysis to derive the scaling factors for achieving structural similarity during water entry while considering the effects of fluid-structure coupling.Based on the analysis of the governing equations for thin-walled wedge shells under water entry impact loads,the scaling factor accounting for geometric distortion for water entry of wedge shells is determined.Numerical models are established to verify the applicability of the geometric distortion similarity model with different materials.The results demonstrate the effectiveness of the proposed similarity model,which significantly reduces the disparities in displacement peaks and energy between the scaled model and the prototype.In addition,experimental platforms are constructed to further verify the proposed similarity model by performing vertical water entry tests on thickness-distorted and material-distorted specimens.
基金financially supported by the National Key Research and Development Program of China (2021YFA1201304)the National Natural Science Foundation of China (52503082)+3 种基金China Postdoctoral Science Foundation (2024M750402)Postdoctoral Fellowship Program of CPSF (GZC20230419)Shanghai Anticancer Association EYAS PROJECT (SACA-CY23C05)The Fundamental Research Funds for the Central Universities (2232023D-03, 2232024Y-01)
文摘Diabetic wounds present challenges in clinical management due to persistent inflammation caused by excessive exudate infiltration.Inspired by the gradient wettability of cactus thorn,this study has devised a biomimetic Janus nanofiber membrane as a water diode,which endows with gradient wettability and gradient pore size,offering sustainable unidirectional self-drainage and antibacterial properties for enhanced diabetic wound healing.The Janus membrane is fabricated by depositing a hydrophilic polyacrylonitrile/chlorin e6 layer with smaller pore sizes onto a hydrophobic poly(ε-caprolactone)with larger pore sizes,thereby generating a vertical gradient in both wettability and pore structure.The incorporation of chlorin e6 in the upper layer enables the utilization of external light energy to generate heat for evaporation and produce reactive oxygen species,achieving a high sterilization efficiency of 99%.Meanwhile,the gradient structure of the Janus membrane facilitates continuous antigravity exudate drainage at a rate of 0.95 g cm^(−2) h^(−1).This dual functionality of effective exudate drainage and sterilization significantly reduces inflammatory factors,allows the polarization of macrophages toward the M2 proliferative phenotype,enhances angiogenesis,and accelerates wound healing.Therefore,this study provides a groundbreaking bioinspired strategy for the development of advanced wound dressings tailored for diabetic wound regeneration.
