BACKGROUND Endoscopic papillectomy(EP)via endoscopic retrograde cholangiopancreatography has emerged as a less invasive alternative to surgery for duodenal papillary adenomas(DPAs),which is traditionally associated wi...BACKGROUND Endoscopic papillectomy(EP)via endoscopic retrograde cholangiopancreatography has emerged as a less invasive alternative to surgery for duodenal papillary adenomas(DPAs),which is traditionally associated with notable postoperative risks.AIM To compare quality of life(QoL)and outcomes between DPA patients undergoing EP vs surgical resection,and to assess the influencing factors of QoL and complications.METHODS We conducted a retrospective,single-center analysis involving patients treated for DPA at the Drum Tower Hospital of Nanjing University Medical School from 2011 to 2023.The participants completed post-discharge telephone surveys using the 12-item short form survey to assess mental(MCS)and physical component summary(PCS)scores,with norm-based scoring where≥50 denotes normal.Multivariate regression analysis adjusted for confounding variables was used to compare QoL scores.RESULTS Compared with EP patients,surgically treated patients had significantly lower PCS[median:53.0,interquartile range(IQR):46.0-55.1 vs 54.2,IQR:51.7-55.9,P=0.008]and MCS scores(median:48.6,IQR:41.8-56.0 vs 55.9,IQR:51.7-60.7,P<0.001).These disparities persisted even after adjustments for demographic and medical factors.Longterm follow-up of the EP group revealed that abdominal pain and poor sleep were factors negatively impacting PCS scores,whereas postoperative pancreatitis and hypertension were associated with lower MCS scores.CONCLUSION EP has emerged as a QoL-preserving alternative for patients with DPA,conditional upon ensuring equivalent efficacy and safety.QoL outcomes should be considered when choosing interventions for this patient population.展开更多
Background:Kinesin family member 13B(KIF13B),a crucial motor protein,exerts multiple cellular biological functions.However,the implication of KIF13B in metabolic dysfunction-associated fatty liver disease(MAFLD)has no...Background:Kinesin family member 13B(KIF13B),a crucial motor protein,exerts multiple cellular biological functions.However,the implication of KIF13B in metabolic dysfunction-associated fatty liver disease(MAFLD)has not been explored yet.This study aimed to investigate KIF13B’s role and underlying mechanism in MAFLD and proposes it as a potential pharmacological target.Methods:We assessed KIF13B expression in MAFLD patients and rodent models.The roles of Kif13b in lipid metabolism and MAFLD were investigated using whole-body Kif13b knockout mice,hepatocyte-specific Kif13b-deficient mice and hamsters exposed to different diets.The underlying mechanisms by which Kif13bgoverned hepatic lipid homeostasis and MAFLD progression were explored in vitro.Finally,the Kif13b’s impact on atherosclerotic development was studied in the context of MAFLD.Results:KIF13B expression was reduced in patients and murine models with MAFLD.Rodents with global or liver-specific knockout of the Kif13b gene exhibit spontaneous hepatic steatosis,which is further exacerbated by different overnutrition diets.Overexpression of human KIF13B by lentivirus effectively prevented metabolic dysfunction-associated steatohepatitis(MASH)in methionine-choline-deficient diet(MCD)-fed mice.Furthermore,Kif13b deficiency accelerates atherosclerosis in the context of MAFLD.Mechanistically,Kif13b depletion increases hepatic lipid synthesis and impairs mitochondrial oxidative phosphorylation.Further screening reveals that Kif13b interacts with AMP-activated catalytic subunit alpha 1(AMPKα1)to regulate the phosphorylation of AMPKα1,governing mitochondrial homeostasis and suppressing sterol regulatory element binding protein 1(Srebp1)-mediated denovo lipogenesis in the liver.Conclusion:This work establishes a causal relationship between KIF13B deficiency and MAFLD,emphasizing KIF13B as a potential therapeutic target for treating MAFLD.展开更多
The Weyl double copy builds the relation between gauge theory and gravity theory, in particular the correspondence between gauge solutions and gravity solutions. In this paper, we obtain the slowly rotating charge sol...The Weyl double copy builds the relation between gauge theory and gravity theory, in particular the correspondence between gauge solutions and gravity solutions. In this paper, we obtain the slowly rotating charge solutions from the Weyl double copy for the Kerr black hole with small Chern-Simons correction. Based on the Weyl double copy relation, for the Petrov type D solution in Chern-Simons modified gravity, we find the additional correction to the electromagnetic field strength tensor of the rotating charge. For the Petrov type I solution, we find that the additional electromagnetic field strength tensors have external sources, while the total sources vanish at the leading order.展开更多
Quantitative parameters of bed combustion, including the thickness of the combustion zone(TCZ), the maximum temperature of the combustion zone(MTCZ), and the bed shrinkage, were characterized through a series of sinte...Quantitative parameters of bed combustion, including the thickness of the combustion zone(TCZ), the maximum temperature of the combustion zone(MTCZ), and the bed shrinkage, were characterized through a series of sinter pot tests in transparent quartz pots. The results showed that TCZ first ascended and then descended as the sintering process proceeded. The sintering process was divided into four stages according to the variation rate of the TCZ. A "relative-coordinate" method was developed to obtain the actual reaction temperature of sinter along the height direction. With increasing the sintering temperature, the reactants transformed and entered into liquid phases. The mineral composition and microstructure of the sinter were characterized through X-ray diffraction and scanning electron microscopy–energy-dispersive X-ray spectroscopy. Liquid phases with greater Fe and Al contents were more likely to form acicular-like silico-ferrite of calcium and aluminum after crystallization because of the outward spread of Al, which led to a better fluidity of the liquid. An evolution mechanism of "solid-state reaction—liquid phases formation—crystallization" of the mineral phases is proposed.展开更多
Cold-bonded pellets, to which a new type of inorganic binder was applied, were reduced by H2~CO mixtures with different HJCO molar ratios （1：0, 5：2, 1：1, 2：5, and 0：1） under various temperatures （1023, 1123, 1...Cold-bonded pellets, to which a new type of inorganic binder was applied, were reduced by H2~CO mixtures with different HJCO molar ratios （1：0, 5：2, 1：1, 2：5, and 0：1） under various temperatures （1023, 1123, 1223, 1323, and 1423 K） in a daermogravimetric analysis appaxatus. The effects of gas composition, temperature, and binder ratio on the reduction process were studied, and the microstxucture of re- duced pellets was observed by scanning electron microscopy-energy-dispersive spectrometry （SEM-EDS）. The SEM-EDS images show that binder particles exist in pellets in two forms, and the form that binder particles completely surround ore particles has a more significant hin- der effect on the reduction. The reduction equilibrium constant, effective diffusion coefficient, and the reaction rate constant were calculated on the basis of the unreacted core model, and the promotion effect of temperature on reduction was further analyzed. The results show that no sintering phenomenon occurred at low temperatures and that the increasing reaction rate constant and high gas diffusion coefficient could main- tain the promotion effect of temperature; however, when the sintering phenomenon occurs at high temperatures, gas diffusion is hindered and the promotion effect is diminished. The contribution of the overaJl equilibrium constant to the promotion effect depends on the gas composition.展开更多
The reduction of titanomagnetite（TTM） ironsand, which contains 11.41wt% TiO_2 and 55.63wt% total Fe, by graphite was performed using a thermogravimetric analysis system under an argon gas atmosphere at 1423–1623 K....The reduction of titanomagnetite（TTM） ironsand, which contains 11.41wt% TiO_2 and 55.63wt% total Fe, by graphite was performed using a thermogravimetric analysis system under an argon gas atmosphere at 1423–1623 K. The behavior and effects of titanium in TTM ironsand during the reduction process were investigated by means of thermogravimetric analysis, X-ray diffraction, scanning electron microscopy, and energy-dispersive X-ray spectroscopy. During the reduction procedure, the titanium concentrated in the slag phase, where the phase transformation followed this sequence： Fe O ＋ FeTiO_3 → Fe_2 TiO_4 → FeTiO_3 → FeTi_2O_5 → TiO_2. The calculated results for the reduction kinetics showed that the carbothermic reduction was controlled by the diffusion of ions through the product layer. Furthermore, the apparent activation energy was 170.35 k J·mol^（-1）.展开更多
Lithium-sulfur(Li-S)batteries have been regarded as promising energy-storage systems,due to their high theoretical capacity and energy density.However,the carbonaceous sulfur hosts suffer from weak binding force betwe...Lithium-sulfur(Li-S)batteries have been regarded as promising energy-storage systems,due to their high theoretical capacity and energy density.However,the carbonaceous sulfur hosts suffer from weak binding force between the hosts and polysulfides,restricting the cyclic stability of sulfur electrode.Meantime,the presence of binder and conductive agent in the traditional electrode reduces its energy density.This study demonstrates that titanium nitride(TiN)nanorod array on carbon cloth(CC)is employed as a flexible host for highly stable Li-S batteries via solvothermal synthesis-nitridation strategy.On the one hand,the flexible integrated network composed of three-dimensional TiN nanorod array and CC significantly improves the conductivity,increases the electron transport and electrolyte penetration of cathode.On the other hand,the 3D structure of TiN/CC and the enhanced polarity of TiN effectively strengthen the physical and chemical double adsorption for polysulfides.As a result,the combination of TiN nanorod array and CC synergistic ally promotes sulfur utilization and electrochemical performances of S@TiN/CC cathode.A discharge capacity of1015.2 mAh·g^(-1)at 0.5C after 250 cycles and 604.1mAh·g^(-1)at 3C after 250 cycles is realized.Under a larger current density of 5C,the resulting S@TiN/CC cathode maintains a high discharge capacity of 666.6 mAh·g^(-1)and the Coulombic efficiency of about 100%.展开更多
Idiopathic asthenozoospermia,a common factor in male infertility,is characterized by altered sperm motility function in fresh ejaculate.Although theβ-defensin 126(DEFB126)protein is associated with asthenozoospermia,...Idiopathic asthenozoospermia,a common factor in male infertility,is characterized by altered sperm motility function in fresh ejaculate.Although theβ-defensin 126(DEFB126)protein is associated with asthenozoospermia,DEFB126 gene polymorphisms have not been extensively studied.Therefore,the association between DEFB126 gene polymorphisms and asthenozoospermia requires further investigation.Screening was performed by semen analysis,karyotype analysis,and Y microdeletion detection,and 102 fertile men and 106 men with asthenozoospermia in Chengdu,China,were selected for DEFB126 gene sequence analyses.Seven nucleotide mutations and two nucleotide deletions in the DEFB126 gene were detected.rs11467417(317-318 del/del),rs11467497(163-166 wt/del),c.152T>C,and c.227A>G were significantly different between the control and asthenozoospermia groups,likely representing high-risk genetic factors for asthenozoospermia among males.DEFB126 expression was not observed in sperm with rs11467497 homozygous deletion and was unstable in sperm with rs11467417 homozygous deletion.The rs11467497 four-nucleotide deletion leads to truncation of DEFB126 at the carboxy-terminus,and the rs11467417 binucleotide deletion produces a non-stop messenger RNA(mRNA).The above deletions may be responsible for male hypofertility and infertility by reducing DEFB126 affinity to sperm surfaces.Based on in silico analysis,the amino acids 51M and 76K are located in the highly conserved domain;c.152T>C(M51T)and c.227A>G(K76R)are predicted to be damaging and capable of changing alternative splice,structural and posttranslational modification sites of the RNA,as well as the secondary structure,structural stability,and hydrophobicity of the protein,suggesting that these mutations are associated with asthenozoospermia.展开更多
文摘BACKGROUND Endoscopic papillectomy(EP)via endoscopic retrograde cholangiopancreatography has emerged as a less invasive alternative to surgery for duodenal papillary adenomas(DPAs),which is traditionally associated with notable postoperative risks.AIM To compare quality of life(QoL)and outcomes between DPA patients undergoing EP vs surgical resection,and to assess the influencing factors of QoL and complications.METHODS We conducted a retrospective,single-center analysis involving patients treated for DPA at the Drum Tower Hospital of Nanjing University Medical School from 2011 to 2023.The participants completed post-discharge telephone surveys using the 12-item short form survey to assess mental(MCS)and physical component summary(PCS)scores,with norm-based scoring where≥50 denotes normal.Multivariate regression analysis adjusted for confounding variables was used to compare QoL scores.RESULTS Compared with EP patients,surgically treated patients had significantly lower PCS[median:53.0,interquartile range(IQR):46.0-55.1 vs 54.2,IQR:51.7-55.9,P=0.008]and MCS scores(median:48.6,IQR:41.8-56.0 vs 55.9,IQR:51.7-60.7,P<0.001).These disparities persisted even after adjustments for demographic and medical factors.Longterm follow-up of the EP group revealed that abdominal pain and poor sleep were factors negatively impacting PCS scores,whereas postoperative pancreatitis and hypertension were associated with lower MCS scores.CONCLUSION EP has emerged as a QoL-preserving alternative for patients with DPA,conditional upon ensuring equivalent efficacy and safety.QoL outcomes should be considered when choosing interventions for this patient population.
基金supported by the National Natural Science Foundation of China(82270479,82070460)the Beijing Natural Science Foundation(7242084 to Xun-De Xian)the National Key Research and Development Program of China from the Ministry of Science and Technology(2021YFF0702802 to Yu-Hui Wang).
文摘Background:Kinesin family member 13B(KIF13B),a crucial motor protein,exerts multiple cellular biological functions.However,the implication of KIF13B in metabolic dysfunction-associated fatty liver disease(MAFLD)has not been explored yet.This study aimed to investigate KIF13B’s role and underlying mechanism in MAFLD and proposes it as a potential pharmacological target.Methods:We assessed KIF13B expression in MAFLD patients and rodent models.The roles of Kif13b in lipid metabolism and MAFLD were investigated using whole-body Kif13b knockout mice,hepatocyte-specific Kif13b-deficient mice and hamsters exposed to different diets.The underlying mechanisms by which Kif13bgoverned hepatic lipid homeostasis and MAFLD progression were explored in vitro.Finally,the Kif13b’s impact on atherosclerotic development was studied in the context of MAFLD.Results:KIF13B expression was reduced in patients and murine models with MAFLD.Rodents with global or liver-specific knockout of the Kif13b gene exhibit spontaneous hepatic steatosis,which is further exacerbated by different overnutrition diets.Overexpression of human KIF13B by lentivirus effectively prevented metabolic dysfunction-associated steatohepatitis(MASH)in methionine-choline-deficient diet(MCD)-fed mice.Furthermore,Kif13b deficiency accelerates atherosclerosis in the context of MAFLD.Mechanistically,Kif13b depletion increases hepatic lipid synthesis and impairs mitochondrial oxidative phosphorylation.Further screening reveals that Kif13b interacts with AMP-activated catalytic subunit alpha 1(AMPKα1)to regulate the phosphorylation of AMPKα1,governing mitochondrial homeostasis and suppressing sterol regulatory element binding protein 1(Srebp1)-mediated denovo lipogenesis in the liver.Conclusion:This work establishes a causal relationship between KIF13B deficiency and MAFLD,emphasizing KIF13B as a potential therapeutic target for treating MAFLD.
基金supported by the National Key Research and Development Program of China (No. 2023YFC2206200)the National Natural Science Foundation of China (No.12375059)the Fundamental Research Funds for the Central Universities。
文摘The Weyl double copy builds the relation between gauge theory and gravity theory, in particular the correspondence between gauge solutions and gravity solutions. In this paper, we obtain the slowly rotating charge solutions from the Weyl double copy for the Kerr black hole with small Chern-Simons correction. Based on the Weyl double copy relation, for the Petrov type D solution in Chern-Simons modified gravity, we find the additional correction to the electromagnetic field strength tensor of the rotating charge. For the Petrov type I solution, we find that the additional electromagnetic field strength tensors have external sources, while the total sources vanish at the leading order.
基金financially supported by the National Science Foundation for Young Scientists of China (No.51304014)
文摘Quantitative parameters of bed combustion, including the thickness of the combustion zone(TCZ), the maximum temperature of the combustion zone(MTCZ), and the bed shrinkage, were characterized through a series of sinter pot tests in transparent quartz pots. The results showed that TCZ first ascended and then descended as the sintering process proceeded. The sintering process was divided into four stages according to the variation rate of the TCZ. A "relative-coordinate" method was developed to obtain the actual reaction temperature of sinter along the height direction. With increasing the sintering temperature, the reactants transformed and entered into liquid phases. The mineral composition and microstructure of the sinter were characterized through X-ray diffraction and scanning electron microscopy–energy-dispersive X-ray spectroscopy. Liquid phases with greater Fe and Al contents were more likely to form acicular-like silico-ferrite of calcium and aluminum after crystallization because of the outward spread of Al, which led to a better fluidity of the liquid. An evolution mechanism of "solid-state reaction—liquid phases formation—crystallization" of the mineral phases is proposed.
基金financially supported by the National Key Research and Development Program of China(2017YFB0304300 and 2017YFB0304302)the 111 Project(No.B13004)
文摘Cold-bonded pellets, to which a new type of inorganic binder was applied, were reduced by H2~CO mixtures with different HJCO molar ratios （1：0, 5：2, 1：1, 2：5, and 0：1） under various temperatures （1023, 1123, 1223, 1323, and 1423 K） in a daermogravimetric analysis appaxatus. The effects of gas composition, temperature, and binder ratio on the reduction process were studied, and the microstxucture of re- duced pellets was observed by scanning electron microscopy-energy-dispersive spectrometry （SEM-EDS）. The SEM-EDS images show that binder particles exist in pellets in two forms, and the form that binder particles completely surround ore particles has a more significant hin- der effect on the reduction. The reduction equilibrium constant, effective diffusion coefficient, and the reaction rate constant were calculated on the basis of the unreacted core model, and the promotion effect of temperature on reduction was further analyzed. The results show that no sintering phenomenon occurred at low temperatures and that the increasing reaction rate constant and high gas diffusion coefficient could main- tain the promotion effect of temperature; however, when the sintering phenomenon occurs at high temperatures, gas diffusion is hindered and the promotion effect is diminished. The contribution of the overaJl equilibrium constant to the promotion effect depends on the gas composition.
基金financially supported by National Basic Research Program of China(No.2012CB720400)the National Natural Science Foundation of China(No.51504216)
文摘The reduction of titanomagnetite（TTM） ironsand, which contains 11.41wt% TiO_2 and 55.63wt% total Fe, by graphite was performed using a thermogravimetric analysis system under an argon gas atmosphere at 1423–1623 K. The behavior and effects of titanium in TTM ironsand during the reduction process were investigated by means of thermogravimetric analysis, X-ray diffraction, scanning electron microscopy, and energy-dispersive X-ray spectroscopy. During the reduction procedure, the titanium concentrated in the slag phase, where the phase transformation followed this sequence： Fe O ＋ FeTiO_3 → Fe_2 TiO_4 → FeTiO_3 → FeTi_2O_5 → TiO_2. The calculated results for the reduction kinetics showed that the carbothermic reduction was controlled by the diffusion of ions through the product layer. Furthermore, the apparent activation energy was 170.35 k J·mol^（-1）.
基金financially supported by the National Natural Science Foundation of China (Nos.22179064,91963119,21805140,51772157,21905141,22203046 and62174087)China Postdoctoral Science Foundation (No.2018M642287)+2 种基金Jiangsu Province Postdoctoral Research Grant Program (No.2018K156C)Jiangsu National Synergetic Innovation Center for Advanced Materials (SICAM)the Synergetic Innovation Center for Organic Electronics and Information Displays。
文摘Lithium-sulfur(Li-S)batteries have been regarded as promising energy-storage systems,due to their high theoretical capacity and energy density.However,the carbonaceous sulfur hosts suffer from weak binding force between the hosts and polysulfides,restricting the cyclic stability of sulfur electrode.Meantime,the presence of binder and conductive agent in the traditional electrode reduces its energy density.This study demonstrates that titanium nitride(TiN)nanorod array on carbon cloth(CC)is employed as a flexible host for highly stable Li-S batteries via solvothermal synthesis-nitridation strategy.On the one hand,the flexible integrated network composed of three-dimensional TiN nanorod array and CC significantly improves the conductivity,increases the electron transport and electrolyte penetration of cathode.On the other hand,the 3D structure of TiN/CC and the enhanced polarity of TiN effectively strengthen the physical and chemical double adsorption for polysulfides.As a result,the combination of TiN nanorod array and CC synergistic ally promotes sulfur utilization and electrochemical performances of S@TiN/CC cathode.A discharge capacity of1015.2 mAh·g^(-1)at 0.5C after 250 cycles and 604.1mAh·g^(-1)at 3C after 250 cycles is realized.Under a larger current density of 5C,the resulting S@TiN/CC cathode maintains a high discharge capacity of 666.6 mAh·g^(-1)and the Coulombic efficiency of about 100%.
文摘Idiopathic asthenozoospermia,a common factor in male infertility,is characterized by altered sperm motility function in fresh ejaculate.Although theβ-defensin 126(DEFB126)protein is associated with asthenozoospermia,DEFB126 gene polymorphisms have not been extensively studied.Therefore,the association between DEFB126 gene polymorphisms and asthenozoospermia requires further investigation.Screening was performed by semen analysis,karyotype analysis,and Y microdeletion detection,and 102 fertile men and 106 men with asthenozoospermia in Chengdu,China,were selected for DEFB126 gene sequence analyses.Seven nucleotide mutations and two nucleotide deletions in the DEFB126 gene were detected.rs11467417(317-318 del/del),rs11467497(163-166 wt/del),c.152T>C,and c.227A>G were significantly different between the control and asthenozoospermia groups,likely representing high-risk genetic factors for asthenozoospermia among males.DEFB126 expression was not observed in sperm with rs11467497 homozygous deletion and was unstable in sperm with rs11467417 homozygous deletion.The rs11467497 four-nucleotide deletion leads to truncation of DEFB126 at the carboxy-terminus,and the rs11467417 binucleotide deletion produces a non-stop messenger RNA(mRNA).The above deletions may be responsible for male hypofertility and infertility by reducing DEFB126 affinity to sperm surfaces.Based on in silico analysis,the amino acids 51M and 76K are located in the highly conserved domain;c.152T>C(M51T)and c.227A>G(K76R)are predicted to be damaging and capable of changing alternative splice,structural and posttranslational modification sites of the RNA,as well as the secondary structure,structural stability,and hydrophobicity of the protein,suggesting that these mutations are associated with asthenozoospermia.
