Diabetic kidney disease(DKD)has emerged as one of the leading causes of chronic kidney disease and end-stage renal disease worldwide.In the progression of DKD,renal tubular injury plays a pivotal role,with stress-indu...Diabetic kidney disease(DKD)has emerged as one of the leading causes of chronic kidney disease and end-stage renal disease worldwide.In the progression of DKD,renal tubular injury plays a pivotal role,with stress-induced senescence of renal tubular epithelial cells(RTECs)being a critical cellular event contributing to tubular damage in DKD.Recent studies have revealed that multiple mechanisms,including oxidative stress,mitochondrial autophagy,endoplasmic reticulum stress,and epigenetic modifications,can induce stress-induced senescence in RTECs,thereby driving the progression of DKD.In recent years,research has demonstrated that traditional Chinese medicine(TCM)can regulate these mechanisms through multiple targets and key pathways,inhibiting stress-induced senescence in RTECs and ameliorating the progression of DKD.TCM has been widely applied in clinical practice with proven efficacy.This article systematically summarizes the concept of cellular senescence,delves into the relationship between stress-induced senescence of RTECs and DKD,analyzes the mechanisms underlying the formation of stress-induced senescence in RTECs within the context of DKD,and reviews the research progress of TCM in anti-senescence treatment for DKD.The aim is to provide a reference for future research and the development of novel therapeutic strategies.展开更多
BACKGROUND According to statistics,the incidence of proximal gastric cancer has gradually increased in recent years,posing a serious threat to human health.Tubular gastroesophageal anastomosis and double-channel anast...BACKGROUND According to statistics,the incidence of proximal gastric cancer has gradually increased in recent years,posing a serious threat to human health.Tubular gastroesophageal anastomosis and double-channel anastomosis are two relatively mature anti-reflux procedures.A comparison of these two surgical procedures,tubular gastroesophageal anastomosis and double-channel anastomosis,has rarely been reported.Therefore,this study aimed to investigate the effects of these two reconstruction methods on the quality of life of patients with proximal gastric cancer after proximal gastrectomy.AIM To compare short-term clinical results of laparoscopic proximal gastrectomy with double-channel anastomosis vs tubular gastric anastomosis.METHODS Patients who underwent proximal gastrectomy at our hospital between January 2020 and January 2023 were enrolled in this retrospective cohort study.The patients were divided into an experimental group(double-channel anastomosis,33 cases)and a control group(tubular gastric anastomosis,30 cases).Baseline characteristics,surgical data,postoperative morbidities,and postoperative nutrition were recorded.RESULTS The differences in baseline data,surgical data,and postoperative complications(20.0%vs 21.2%)were not statistically significant between the two groups.There were no statistically significant differences in the levels of postoperative nutrition indicators between the two groups of patients during the preoperative period and at 3 months postoperatively.In addition,the levels of postoperative nutrition indicators in patients in the experimental group declined significantly less at 6 months and 12 months postoperatively compared with those of the control group(P<0.05).At 12 months postoperatively,the difference in anastomotic reflux esophagitis between the two groups was statistically significant(P<0.05)with the experimental group showing less reflux esophagitis.CONCLUSION Both double-channel anastomosis and tubular gastric anastomosis after proximal gastrectomy are safe and feasible.Double-channel anastomosis has a better anti-reflux effect and is more beneficial in improving the postoperative nutritional status.展开更多
The goal of photocatalytic CO_(2)reduction is to obtain a single energy-bearing product with high efficiency and stability.Consequently,constructing highly selective photocatalysts with enhanced surface and optoelectr...The goal of photocatalytic CO_(2)reduction is to obtain a single energy-bearing product with high efficiency and stability.Consequently,constructing highly selective photocatalysts with enhanced surface and optoelectronic properties is crucial for achieving this objective.Here,we have developed a simple one-pot vulcanization method to synthesize a MIL-68(In)-derived Cd In_(2)S_(4)/In_(2)S_(3)heterojunction that exhibited stable and high selectivity.Multiple characterizations of the Cd In_(2)S_(4)/In_(2)S_(3)heterojunction revealed a hierarchical tubular structure with numerous surface reactive sites,a high visible-light utilization rate(λ<600 nm),efficient charge separation,and a prolonged charge-carrier lifetime.Moreover,an S-scheme charge transfer mechanism,based on the interleaved band between the two components,improved the reduction capability of the electrons.Benefiting from the compositional and structural synergy,the yield CO by Cd In_(2)S_(4)/In_(2)S_(3)-250(CI-250)reached 135.62μmol·g^(-1)·h^(-1),which was 49.32 times and 32.88 times higher than that of In_(2)S_(3)and Cd In_(2)S_(4),respectively.The Cd In_(2)S_(4)/In_(2)S_(3)heterojunction exhibited a quantum efficiency of 4.23%with a CO selectivity of 71%.Four cycle tests confirmed the good stability and recyclability of the CI-250.This work provides a new approach for designing and preparing high-performance hollow MOFsbased photocatalysts for scalable and sustainable CO_(2)reduction.展开更多
Cantharidin (CTD), a natural compound used to treat multiple tumors in the clinic setting, has been limited due to acute kidney injury (AKI). However, the major cause of AKI and its underlying mechanism remain to be e...Cantharidin (CTD), a natural compound used to treat multiple tumors in the clinic setting, has been limited due to acute kidney injury (AKI). However, the major cause of AKI and its underlying mechanism remain to be elucidated. Serum creatinine (SCr) and blood urea nitrogen (BUN) were detected through pathological evaluation after CTD (1.5 mg/kg) oral gavage in mice in 3 days. Kidney lipidomics based on ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) was used to investigate lipids disorder after CTD exposure in mice. Then, spatial metabolomics based on matrix-assisted laser desorption/ionization-mass spectrometry imaging (MALDI-MSI) was used to detect the kidney spatial distribution of lipids. Integrative analysis was performed to reveal the spatial lipid disorder mechanism and verify key lipids in vitro. The results showed that the levels of SCr and BUN were increased, and tubular necrosis was observed in mouse kidneys, resulting in acute tubular necrosis (ATN) in CTD-induced AKI. Then, lipidomics results revealed that after CTD exposure, 232 differential lipid metabolites and 11 pathways including glycerophospholipid (GP) and sphingolipid (SL) metabolism were disrupted. Spatial metabolomics revealed that 55 spatial differential lipid metabolites and nine metabolic pathways were disturbed. Subsequently, integrative analysis found that GP metabolism was stimulated in the renal cortex and medulla, whereas SL metabolism was inhibited in the renal cortex. Up-regulated lysophosphatidylcholine (LysoPC) (18:2(9Z,12Z)), LysoPC (16:0/0:0), glycerophosphocholine, and down-regulated sphingomyelin (SM) (d18:0/16:0), SM (d18:1/24:0), and SM (d42:1) were key differential lipids. Among them, LysoPC (16:0/0:0) was increased in the CTD group at 1.1196 μg/mL, which aggravated CTD-induced ATN in human kidney-2 (HK-2) cells. LysoPC acyltransferase was inhibited and choline phosphotransferase 1 (CEPT1) was activated after CTD intervention in mice and in HK-2 cells. CTD induces ATN, resulting in AKI, by activating GP metabolism and inhibiting SL metabolism in the renal cortex and medulla, LysoPC (16:0/0:0), LysoPC acyltransferase, and CEPT1 may be the therapeutic targets.展开更多
Soft underwater swimming robots driven by smart materials show unique advantages in ocean exploration,such as low noise,high flexibility and good environmental interaction ability.The dielectric elastomer(DE),as a new...Soft underwater swimming robots driven by smart materials show unique advantages in ocean exploration,such as low noise,high flexibility and good environmental interaction ability.The dielectric elastomer(DE),as a new kind of soft intelligent material,has the characteristics of a low elastic modulus,large deformation range,high energy density and fast response speed.DE actuator(DEA)drive systems use the deformation characteristics of dielectric materials to drive the mechanical system,which has become a research hotspot in the field of soft robots.In this paper,a tubular actuator based on DEs is designed and its performance is studied.Firstly,the structure and driving process of a DEA are described,and a tubular DEA is designed.Studying the elongation ratio of the DEA pre-stretching shows that when the axial elongation ratio is 3 times and the circumferential elongation ratio is 4 times,the maximum deformation effect can be obtained under voltage excitation.At a voltage of 6.0 k V,a single pipe section DEA achieves a bending angle of 25.9°and a driving force of 73.8 m N.Secondly,the effect of the DEA series on the bending angle and response characteristics is studied.The experimental results show that the maximum bending angle of the three joint actuators in series can reach 59.3°under6.0 k V voltage,which significantly improves the overall bending performance.In addition,the truncation frequency of the drive module after the series is increased to 0.62 Hz,showing better frequency response capability.The excellent performance of the pipe joint actuator in its bending angle,response characteristic and driving force is verified.展开更多
BACKGROUND Gastric cancer(GC)is a major global health challenge,and the treatment of proximal GC in particular presents unique clinical and surgical complexities.Currently,there is no consensus on whether proximal gas...BACKGROUND Gastric cancer(GC)is a major global health challenge,and the treatment of proximal GC in particular presents unique clinical and surgical complexities.Currently,there is no consensus on whether proximal gastrectomy(PG)or total gastrectomy(TG)should be used for advanced proximal GC,and the choice of postoperative gastrointestinal reconstruction method remains controversial.AIM To compare the short-term efficacy,long-term survival,and postoperative reflux outcomes of PG with tubular stomach reconstruction vs TG with Roux-en-Y re-construction in patients with proximal GC following neoadjuvant chemotherapy(NACT)in an effort to provide valuable insights for clinical decision-making regarding the optimal surgical approach.METHODS A multicenter retrospective cohort study was conducted at two Chinese medical centers between December,2012 and December,2022.Patients with histologically confirmed proximal GC who received NACT followed by either PG with tubular stomach reconstruction or TG with Roux-en-Y reconstruction were included.Propensity score matching(PSM)was performed to balance baseline characteristics,and the primary endpoint was 5-year overall survival(OS).Se-condary endpoints included recurrence-free survival(RFS),postoperative complications,and reflux severity.RESULTS After PSM,244 patients(122 PG,122 TG)were finally included and all baseline characteristics were comparable between groups.The PG group had a significantly shorter operation time compared to the TG group(189.50 vs 215.00 minutes,P<0.001),with no differences in intraoperative blood loss or postoperative complications(19.68%vs 14.75%,P=0.792).The 5-year OS rates were 52.7%vs 45.5%(P=0.330),and 5-year RFS rates were 54.3%vs 47.6%(P=0.356)for the PG and TG groups,respectively.Reflux symptoms(18.0%vs 31.1%,P=0.017)and clinically significant reflux based on gastroesophageal reflux disease questionnaire scores≥8(7.4%vs 21.3%,P<0.001)were significantly less frequent in the PG group.Multivariate analysis identified histological differentiation(HR=2.98,95%CI:2.03-4.36,P<0.001)and tumor size(HR=0.26,95%CI:0.17-0.41 for tumors≤4 cm,P<0.001)as independent prognostic factors.CONCLUSION PG with tubular stomach reconstruction is comparable to TG in terms of surgical safety and long-term oncological outcomes for proximal GC patients following NACT.Additionally,PG has the advantages of shorter operation time and lower rates of postoperative reflux,suggesting potential benefits for patient quality of life.Notably,the analysis of postoperative prognostic factors,including histological differentiation and tumor size,further informs clinical decision-making and highlights the importance of individualized treatment strategies.展开更多
Jacket platforms constitute the foundational infrastructure of offshore oil and gas field exploitation.How to efficiently and accurately monitor the mechanical properties of jacket structures is one of the key problem...Jacket platforms constitute the foundational infrastructure of offshore oil and gas field exploitation.How to efficiently and accurately monitor the mechanical properties of jacket structures is one of the key problems to be solved to ensure the safe operation of the platform.To address the practical engineering problem that it is difficult to monitor the stress response of the tubular joints of jacket platforms online,a digital twin reduced-order method for real-time prediction of the stress response of tubular joints is proposed.In the offline construction phase,multi-scale modeling and multi-parameter experimental design methods are used to obtain the stress response data set of the jacket structure.Proper orthogonal decomposition is employed to extract the main feature information from the snapshot matrix,resulting in a reduced-order basis.The leave-one-out cross-validation method is used to select the optimal modal order for constructing the reduced-order model(ROM).In the online prediction phase,a digital twin model of the tubular joint is established,and the prediction performance of the ROM is analyzed and verified through using random environmental load and field environmental monitoring data.The results indicate that,compared with traditional numerical simulations of tubular joints,the ROM based on the proposed reduced-order method is more efficient in predicting the stress response of tubular joints while ensuring accuracy and robustness.展开更多
BACKGROUND Diabetic nephropathy(DN)is a leading cause of chronic kidney disease and endstage renal disease,and is a significant global healthcare burden.Although proximal tubular epithelial cells(PTECs)and podocytes a...BACKGROUND Diabetic nephropathy(DN)is a leading cause of chronic kidney disease and endstage renal disease,and is a significant global healthcare burden.Although proximal tubular epithelial cells(PTECs)and podocytes are involved in DN progression,the specific molecular interactions between these cells are not well understood.AIM To elucidate the role of interleukin-6(IL-6)/Rab5 signaling in mediating crosstalk between PTECs and podocytes,and to evaluate the protective effects of nicotinamide mononucleotide(NMN)against DN progression.METHODS We utilized in vitro and in vivo models to investigate the pathogenesis of DN.In vitro,human PTECs and murine podocytes were cultured under high-glucose conditions,and IL-6 neutralizing antibodies or NMN treatments were applied.Podocyte injury was assessed by measurements of nephrin endocytosis,Rab5 activity,cytoskeletal organization,cell adhesion,and cell-spreading assays.In vivo,DN was induced in mice using streptozotocin,and mice then received NMN,insulin,or both treatments over an 8-week period.Renal tissues were analyzed histologically,ultrastructurally,and immunochemically,and urinary albumin excretion was measured to assess renal function.Statistical analyses were conducted using one-way ANOVA and Tukey's test.RESULTS High-glucose conditions induced the epithelial-mesenchymal transition(EMT)in PTECs,increased IL-6 secretion,and activated Rab5 signaling in podocytes,leading to increased nephrin endocytosis and podocyte injury.Blocking IL-6 significantly attenuated these effects.NMN treatment of diabetic mice markedly reduced podocyte injury,glomerular hypertrophy,foot-process effacement,and urinary albumin excretion.Mechanistically,NMN suppressed the EMT and IL-6 secretion by PTECs,inhibited Rab5 activation in podocytes,and prevented nephrin endocytosis,thereby preserving the cytoskeletal integrity and function of podocytes.CONCLUSION Our findings reveal a novel pathogenic mechanism of DN in which IL-6 released from glucose-stressed PTECs activates Rab5 signaling in podocytes,followed by nephrin endocytosis and structural injury of podocytes.Importantly,NMN treatment effectively disrupted this pathological pathway of intercellular communication,and provided significant protection against DN progression.These results suggest that NMN supplementation and targeting the IL-6/Rab5 signaling axis has promise as a therapeutic strategy for managing DN.展开更多
BACKGROUND Renal tubular acidosis(RTA)refers to a group of kidney disorders characterized by defective acid excretion or bicarbonate reabsorption,leading to metabolic acidosis.This case series presents three cases of ...BACKGROUND Renal tubular acidosis(RTA)refers to a group of kidney disorders characterized by defective acid excretion or bicarbonate reabsorption,leading to metabolic acidosis.This case series presents three cases of RTA with distinct etiologies and clinical manifestations.These cases emphasize the necessity of a comprehensive evaluation of RTA,considering both renal and systemic origins.CASE SUMMARY The first case describes a female patient with osteopetrosis-related RTA,diagnosed with Guibaud-Vainsel syndrome,emphasizing the importance of genetic assessment.The second case delineates RTA secondary to focal segmental glomerulosclerosis,associating tubular dysfunction with glomerular pathology.In the first two cases whole exome sequencing confirmed genetic diagnosis.The third case illuminates RTA as a complication of Graves’disease,highlighting autoimmune implications.CONCLUSION These cases underscore the interdisciplinary approach essential in RTA management.Understanding the diverse pathophysiology of RTA aids in tailored therapeutic strategies and improved patient outcomes.展开更多
High-concentration single-atom doping remains a formidable challenge due to the propensity for single atoms to form clusters or aggregate at elevated concentrations.Herein,high-concentration (10.8 wt%) Zn singleatom-d...High-concentration single-atom doping remains a formidable challenge due to the propensity for single atoms to form clusters or aggregate at elevated concentrations.Herein,high-concentration (10.8 wt%) Zn singleatom-doped porous tubular g-C_(3)N_(4)(ZCN) was successfully obtained via a template-free,one-step calcination method,exhibiting excellent photocatalytic performance.The confinement of the pore walls suppresses the Zn atom'smigration and aggregation,enhancing the Zn single-atom stability.ZCN exhibited excellent photodegradation performance against tetracycline with outstanding stability.Moreover,ZCN displayed remarkable sterilization performance,achieving a 100%inactivation of Staphylococcus aureus within 90 min of visible-light exposure.Density functional theory calculations demonstrated that the Zn single-atom sites act as pivotal photocatalytic active sites,with the presence of Zn single atoms notably augmenting charge separation efficiency.This work provides a novel approach for managing photocatalytic efficiency through enlarging single-atom doping,offering an avenue for pollutant photodegradation and sterilization.展开更多
The integration of selective oxidation of renewable biomass and its derivatives with hydrogen(H_(2))pro-duction holds significant potential for simultaneously yielding value-added chemicals and“green H_(2)”,contribu...The integration of selective oxidation of renewable biomass and its derivatives with hydrogen(H_(2))pro-duction holds significant potential for simultaneously yielding value-added chemicals and“green H_(2)”,contributing to addressing sustainability challenges.The S-scheme charge transfer mechanism enhances charge separation by maintaining strong redox potentials at both ends,facilitating both oxidation and reduction reactions.Herein,we synthesize a visible-light-responsive oxygen vacancy-rich In_(2)O_(3-x)/tubular carbon nitride(IO_(OV)/TCN)S-scheme heterojunction photocatalyst via electrostatic adherence for selec-tive 5-hydroxymethylfurfural(HMF)oxidation to 2,5-diformylfuran(DFF)and 2,5-furandicarboxylic acid(FDCA),alongside H_(2)production.Under anaerobic conditions and visible-light irradiation,the optimal IOOV/TCN-10 catalyst achieves an HMF conversion of 94.8%with a selectivity of 53.6%for DFF and FDCA,and a H_(2)yield of 754.05μmol g^(−1)in 3 h.The significantly improved photocatalytic activity results from enhanced visible-light absorption,reduced carrier recombination,and abundant catalytic active sites due to the synergistic effect of surface oxygen vacancies,the hollow nanotube-based architecture,and the S-scheme charge transfer mechanism.This work highlights the great potentials of S-scheme heterojunctions in biomass conversion for sustainable energy use and chemical production.展开更多
BACKGROUND Type 2 diabetes mellitus(T2DM)is associated with significant metabolic and renal complications,including diabetic nephropathy(DN).AIM To investigate the role of ribonucleotide reductase regulatory subunit M...BACKGROUND Type 2 diabetes mellitus(T2DM)is associated with significant metabolic and renal complications,including diabetic nephropathy(DN).AIM To investigate the role of ribonucleotide reductase regulatory subunit M2(RRM2)in T2DM and its potential involvement in renal injury through oxidative stress,apoptosis,and ferroptosis.METHODS A cross-sectional study was conducted,comprising 194 patients with T2DM and 120 healthy controls at our hospital between January 2022 and December 2023.The data were analyzed to ascertain the correlation between RRM2 levels and DN onset in patients with T2DM.The apoptosis rate,reactive oxygen species(ROS)levels,oxidative stress,cystine uptake,and ferrous ion(Fe2+)levels were quantified using the HK-2 cell lysates.Reverse transcription quantitative PCR and western blotting were used to assess mRNA and protein expression,respectively.RESULTS Serum RRM2 levels were significantly higher in T2DM patients than in controls(P<0.05)but declined in the macroalbuminuria subgroup.Receiver operating characteristic analysis identified 30 pg/mL as the optimal cut-off(area under the curve=0.958;sensitivity=86%;specificity=95%).RRM2 was negatively correlated with age,diabetes duration,systolic blood pressure,fasting blood glucose,glycosylated hemoglobin,serum creatinine,neutrophil gelatinase-associated lipocalin,kidney injury molecule-1,and malondialdehyde,and positively correlated with estimated glomerular filtration rate,glutathione(GSH),solute carrier family 7 member 11(SLC7A11),and GSH peroxidase 4(GPX4).Logistic regression confirmed RRM2 as an independent protective factor against DN[odds ratio(OR)=0.820,95%confidence interval(95%CI)=0.712-0.945,P=0.006].In vitro,RRM2 overexpression enhanced HK-2 cell proliferation,activated PI3K/Akt signaling,and reduced apoptosis,ROS,oxidative stress,and ferroptosis,accompanied by the restoration of GSH,Nrf2,SLC7A11,and GPX4.These protective effects were abolished by PI3K/Akt inhibition,highlighting RRM2’s renoprotective,pathway-dependent role.CONCLUSION These findings suggest that RRM2 plays a crucial protective role against diabetic renal injury by mitigating oxidative stress,apoptosis,and ferroptosis via PI3K/Akt activation.Serum RRM2 may serve as a novel biomarker for early DN detection,and therapeutic strategies targeting RRM2 may offer potential benefits in preventing diabetic kidney disease progression.展开更多
This study focused on meeting the stringent stability requirements of tubular segmented-in-series solid oxide fuel cells(SOFCs) in reducing and oxidizing atmospheres.To address this challenge,a bi-layer perovskite cer...This study focused on meeting the stringent stability requirements of tubular segmented-in-series solid oxide fuel cells(SOFCs) in reducing and oxidizing atmospheres.To address this challenge,a bi-layer perovskite ceramic interconnect was designed by controlling the oxygen partial pressure,because of the strong correlation between the conductivity of strontium-doped lanthanum titanate(LST) and the oxygen partial pressure.The LST powder was prepared using solid-phase and sol-gel methods,and their influence on particle size and sintering behavior was compared.LST/lanthanum strontium manganite(LSM) bi-layer ceramic interconnects with varying thicknesses were fabricated through screen printing and co-sintering.The results demonstrate favorable interfacial bonding and excellent chemical compatibility between the ceramic layers.The conductivity of the bi-layer interconnect exhibits a temperature-dependent behavior,peaking at 550℃.Simulation calculations and research findings validate that the co nductivity of the bi-layer interconnect is determined by the thickness of the LSM layer and the oxygen partial pressure at the interconnect interface.Optimal conductivity is achieved with a bilayer interconnect consisting of approximately 15 μm of LST and 4 μm of LSM.This can be attributed to the efficient regulation of oxygen partial pressure at the interface,effectively mitigating LSM decomposition caused by low oxygen partial pressure and the subsequent reduction in conductivity.These results provide valuable fundamental data and methodology for the development of high-performance interconnects for tubular segmented-in-series SOFCs.展开更多
Experimental results of new type joints between the column and the. steel beam of concrete-filled rectangular steel tubular （CFRT） under reversed cyclic loads are presented. The earthquake resistant capacity of the ...Experimental results of new type joints between the column and the. steel beam of concrete-filled rectangular steel tubular （CFRT） under reversed cyclic loads are presented. The earthquake resistant capacity of the joint is influenced by infilled concrete, stiffener length and relative dimensions of column and beam. It is found that the hysteresis curves obtained in the experiment are full and the joints have a good energy dissipation capacity. The nonlinear finite element models are also used to analyze the hysteresis behavior of the joints under reversed cyclic loads using ANSYS 8.0. The influences of the stiffener length and the infilled concrete are analyzed. Analytical results show that the stiffener length and the infilled concrete are critical for the joints. Furthermore, the skeleton curves of the finite element models are in good agreement with those of experiments.展开更多
AIM： To analyze the effects on the kidney of hypoxia-reoxygenation in an experimental model of normocapnic asphyxia.METHODS： To this end, 40 newborn Landrace/Large-White piglets aged 1-4 d were studied in this work....AIM： To analyze the effects on the kidney of hypoxia-reoxygenation in an experimental model of normocapnic asphyxia.METHODS： To this end, 40 newborn Landrace/Large-White piglets aged 1-4 d were studied in this work. Hypoxia was induced by decreasing the inspired fiO2 to 0.06-0.08. Animals were resuscitated with different fO2 and subdivided into 4 groups： group 1, 2, 3 and 4 received 18%, 21%, 40% and 100% O2 respectively. Macroscopic examination was carried out to evidence possible pathological features. Tissue sample were obtained from both kidneys. Four or fve micron paraffn sections were stained with H-E and PAS stain and examined under an optical microscope.RESULTS： Pathological changes, mainly affecting tubular cells, were observed in the vast majority of kidneys of asphyxiated piglets. The most frequent tubular changes were： tubular casts （95%）, tubulardilatation （87.5%）, tubular vacuolization （70%）, tubular eosinophilia （52.5%）, sloughing （50%）, fragmentation of the brush border （50%）, oedema （32.5%）, apoptosis （15%） and glomerular changes （meningeal cell pro-liferation, capsular adhesion between the flocculus and Bowman’s capsule, glomerulosclerosis and fbrous or cellular crescents associated with collapse of the glomerular tuft）. Statistical analysis was carried out on changes observed when the animals were allocated in the 4 groups （χ2-test 0.05）. The statistical analysis showed no evidence of differences regarding kidney lesions among the animals groups.CONCLUSION： Our data show that renal pathology in newborn piglets is characterized by interindividual variability to hypoxia and is not associated with oxygenGerosa C et al . Individual susceptibility in renal asphyxiaconcentration.展开更多
A porous NiO/yttria-stabilized zirconia was prepared by gel casting technique. anode substrate for tubular solid oxide fuel cells Nano-scale samaria-doped ceria （SDC） particles were formed onto the anode substrate t...A porous NiO/yttria-stabilized zirconia was prepared by gel casting technique. anode substrate for tubular solid oxide fuel cells Nano-scale samaria-doped ceria （SDC） particles were formed onto the anode substrate to modify the anode microstructure by the impregnation of solution of Sm（NO3）3 and Ce（NO3）3. Electrochemical impedance spectroscopy, current-voltage and current-powder curves of the cells were measured using an electrochemical workstation. Scanning electron microcopy was used to observe the microstructure. The results indicate that the stability of the performance of the cell operated on humidified methane can be significantly improved by incorporating the nano-structured SDC particles, compared with the unmodified cell. This verifies that the coated SDC electrodes are very effective in suppressing catalytic carbon formation by blocking methane from approaching the Ni, which is catalytically active towards methane pyrolysis. In addition, it was found that a small amount of deposited carbon is beneficial to the performance of the anode. The cell showed a peak power density of 225 mW/cm^2 when it was fed with H2 fuel at 700 ℃, but the power density increased to 400 mW/cm^2 when the fuel was switched from hydrogen to methane at the same flow rate. Methane conversion achieved about 90%, measured by gas chromatogram with a 10.0 mL/min flow rate of fuel at 700 ℃. Although the carbon deposition was not suppressed absolutely, some deposited carbon was beneficial for performance improvement.展开更多
AIM:To investigate the predictors of proximal kidney tubular dysfunction(PKTD)induced by adefovir dipivoxil(ADV)treatment for chronic hepatitis B.METHODS:Seventy-nine patients(age at the evaluation of PKTD:56.9±1...AIM:To investigate the predictors of proximal kidney tubular dysfunction(PKTD)induced by adefovir dipivoxil(ADV)treatment for chronic hepatitis B.METHODS:Seventy-nine patients(age at the evaluation of PKTD:56.9±10.7 years)with chronic hepatitis B undergoing long-term oral antiviral nucleos(t)ide analogue treatment were consecutively recruited.PKTD was defined by the presence of at least two of the following five abnormalities:phosphate diabetes,nondiabetic glucosuria,metabolic acidosis,β2-microglobulinuria,or renal hypouricemia.The single-nucleotide polymorphisms(SNPs)in the SLC22A6 gene encoding human organic anion transporter 1(h OAT1)and ABCC2 encoding multidrug resistance protein 2(MRP2)were analyzed using the Taq Man Allelic Discrimination Demonstration Kit.RESULTS:Nine(30.0%)of the 30 ADV-treated patients were diagnosed with PKTD,while no patients without ADV developed PKTD(P<0.001).Three patients with ADV were diagnosed with symptomatic osteomalacia.Among the patients who took ADV,those with PKTD were of higher age at initiation,had significantly longer treatment duration,and had a significantly lower body mass index than those without PKTD.The incidence of PKTD dramatically increased after 96 mo from the start of ADV administration.In contrast,the SNPs were not correlated with PKTD.Logistic regression analysis extracted older age at initiation(OR=5.0,95%CI:1.1-23.4;P=0.040)and longer treatment duration(OR=3.2,95%CI:1.2-8.6;P=0.020)as significant factors associated with PKTD.CONCLUSION:Our results suggest that the tubular function of the kidney of older patients undergoing longterm ADV treatment should be carefully evaluated.展开更多
基金supported by the Hebei Natural Science Foundation(Grant No.H2022110019).
文摘Diabetic kidney disease(DKD)has emerged as one of the leading causes of chronic kidney disease and end-stage renal disease worldwide.In the progression of DKD,renal tubular injury plays a pivotal role,with stress-induced senescence of renal tubular epithelial cells(RTECs)being a critical cellular event contributing to tubular damage in DKD.Recent studies have revealed that multiple mechanisms,including oxidative stress,mitochondrial autophagy,endoplasmic reticulum stress,and epigenetic modifications,can induce stress-induced senescence in RTECs,thereby driving the progression of DKD.In recent years,research has demonstrated that traditional Chinese medicine(TCM)can regulate these mechanisms through multiple targets and key pathways,inhibiting stress-induced senescence in RTECs and ameliorating the progression of DKD.TCM has been widely applied in clinical practice with proven efficacy.This article systematically summarizes the concept of cellular senescence,delves into the relationship between stress-induced senescence of RTECs and DKD,analyzes the mechanisms underlying the formation of stress-induced senescence in RTECs within the context of DKD,and reviews the research progress of TCM in anti-senescence treatment for DKD.The aim is to provide a reference for future research and the development of novel therapeutic strategies.
基金Supported by the“521 Project”Funding Project Day of Lianyungang。
文摘BACKGROUND According to statistics,the incidence of proximal gastric cancer has gradually increased in recent years,posing a serious threat to human health.Tubular gastroesophageal anastomosis and double-channel anastomosis are two relatively mature anti-reflux procedures.A comparison of these two surgical procedures,tubular gastroesophageal anastomosis and double-channel anastomosis,has rarely been reported.Therefore,this study aimed to investigate the effects of these two reconstruction methods on the quality of life of patients with proximal gastric cancer after proximal gastrectomy.AIM To compare short-term clinical results of laparoscopic proximal gastrectomy with double-channel anastomosis vs tubular gastric anastomosis.METHODS Patients who underwent proximal gastrectomy at our hospital between January 2020 and January 2023 were enrolled in this retrospective cohort study.The patients were divided into an experimental group(double-channel anastomosis,33 cases)and a control group(tubular gastric anastomosis,30 cases).Baseline characteristics,surgical data,postoperative morbidities,and postoperative nutrition were recorded.RESULTS The differences in baseline data,surgical data,and postoperative complications(20.0%vs 21.2%)were not statistically significant between the two groups.There were no statistically significant differences in the levels of postoperative nutrition indicators between the two groups of patients during the preoperative period and at 3 months postoperatively.In addition,the levels of postoperative nutrition indicators in patients in the experimental group declined significantly less at 6 months and 12 months postoperatively compared with those of the control group(P<0.05).At 12 months postoperatively,the difference in anastomotic reflux esophagitis between the two groups was statistically significant(P<0.05)with the experimental group showing less reflux esophagitis.CONCLUSION Both double-channel anastomosis and tubular gastric anastomosis after proximal gastrectomy are safe and feasible.Double-channel anastomosis has a better anti-reflux effect and is more beneficial in improving the postoperative nutritional status.
基金financially supported by the Program for the Development of Science and Technology of Jilin Province(Nos.20240601047RC and YDZJ202201ZYTS629)Hainan Province Science and Technology Special Fund(No.ZDYF2022SHFZ090)+1 种基金the National Natural Science Foundation(Nos.22466017 and 22061014)the specific research fund of the Innovation Platform for Academicians of Hainan Province。
文摘The goal of photocatalytic CO_(2)reduction is to obtain a single energy-bearing product with high efficiency and stability.Consequently,constructing highly selective photocatalysts with enhanced surface and optoelectronic properties is crucial for achieving this objective.Here,we have developed a simple one-pot vulcanization method to synthesize a MIL-68(In)-derived Cd In_(2)S_(4)/In_(2)S_(3)heterojunction that exhibited stable and high selectivity.Multiple characterizations of the Cd In_(2)S_(4)/In_(2)S_(3)heterojunction revealed a hierarchical tubular structure with numerous surface reactive sites,a high visible-light utilization rate(λ<600 nm),efficient charge separation,and a prolonged charge-carrier lifetime.Moreover,an S-scheme charge transfer mechanism,based on the interleaved band between the two components,improved the reduction capability of the electrons.Benefiting from the compositional and structural synergy,the yield CO by Cd In_(2)S_(4)/In_(2)S_(3)-250(CI-250)reached 135.62μmol·g^(-1)·h^(-1),which was 49.32 times and 32.88 times higher than that of In_(2)S_(3)and Cd In_(2)S_(4),respectively.The Cd In_(2)S_(4)/In_(2)S_(3)heterojunction exhibited a quantum efficiency of 4.23%with a CO selectivity of 71%.Four cycle tests confirmed the good stability and recyclability of the CI-250.This work provides a new approach for designing and preparing high-performance hollow MOFsbased photocatalysts for scalable and sustainable CO_(2)reduction.
基金supported by the National Natural Science Foundation of China(Grant Nos.:82260812 and 81803838)the Guizhou Provincial Science&Technology Program,China(Project Nos.:YQK[2023]038 and[2020]5007)+1 种基金the Beijing Natural Science Foundation,China(Grant No.:7254489)the Science and Technology Program of Zunyi city of Guizhou province of China(Project Nos.:(2022)420,[2021]-3,[2020]7,and(2022)419).
文摘Cantharidin (CTD), a natural compound used to treat multiple tumors in the clinic setting, has been limited due to acute kidney injury (AKI). However, the major cause of AKI and its underlying mechanism remain to be elucidated. Serum creatinine (SCr) and blood urea nitrogen (BUN) were detected through pathological evaluation after CTD (1.5 mg/kg) oral gavage in mice in 3 days. Kidney lipidomics based on ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) was used to investigate lipids disorder after CTD exposure in mice. Then, spatial metabolomics based on matrix-assisted laser desorption/ionization-mass spectrometry imaging (MALDI-MSI) was used to detect the kidney spatial distribution of lipids. Integrative analysis was performed to reveal the spatial lipid disorder mechanism and verify key lipids in vitro. The results showed that the levels of SCr and BUN were increased, and tubular necrosis was observed in mouse kidneys, resulting in acute tubular necrosis (ATN) in CTD-induced AKI. Then, lipidomics results revealed that after CTD exposure, 232 differential lipid metabolites and 11 pathways including glycerophospholipid (GP) and sphingolipid (SL) metabolism were disrupted. Spatial metabolomics revealed that 55 spatial differential lipid metabolites and nine metabolic pathways were disturbed. Subsequently, integrative analysis found that GP metabolism was stimulated in the renal cortex and medulla, whereas SL metabolism was inhibited in the renal cortex. Up-regulated lysophosphatidylcholine (LysoPC) (18:2(9Z,12Z)), LysoPC (16:0/0:0), glycerophosphocholine, and down-regulated sphingomyelin (SM) (d18:0/16:0), SM (d18:1/24:0), and SM (d42:1) were key differential lipids. Among them, LysoPC (16:0/0:0) was increased in the CTD group at 1.1196 μg/mL, which aggravated CTD-induced ATN in human kidney-2 (HK-2) cells. LysoPC acyltransferase was inhibited and choline phosphotransferase 1 (CEPT1) was activated after CTD intervention in mice and in HK-2 cells. CTD induces ATN, resulting in AKI, by activating GP metabolism and inhibiting SL metabolism in the renal cortex and medulla, LysoPC (16:0/0:0), LysoPC acyltransferase, and CEPT1 may be the therapeutic targets.
基金Project supported by the Science and Technology Research Project of Henan Province in China(Grant No.222102220022)。
文摘Soft underwater swimming robots driven by smart materials show unique advantages in ocean exploration,such as low noise,high flexibility and good environmental interaction ability.The dielectric elastomer(DE),as a new kind of soft intelligent material,has the characteristics of a low elastic modulus,large deformation range,high energy density and fast response speed.DE actuator(DEA)drive systems use the deformation characteristics of dielectric materials to drive the mechanical system,which has become a research hotspot in the field of soft robots.In this paper,a tubular actuator based on DEs is designed and its performance is studied.Firstly,the structure and driving process of a DEA are described,and a tubular DEA is designed.Studying the elongation ratio of the DEA pre-stretching shows that when the axial elongation ratio is 3 times and the circumferential elongation ratio is 4 times,the maximum deformation effect can be obtained under voltage excitation.At a voltage of 6.0 k V,a single pipe section DEA achieves a bending angle of 25.9°and a driving force of 73.8 m N.Secondly,the effect of the DEA series on the bending angle and response characteristics is studied.The experimental results show that the maximum bending angle of the three joint actuators in series can reach 59.3°under6.0 k V voltage,which significantly improves the overall bending performance.In addition,the truncation frequency of the drive module after the series is increased to 0.62 Hz,showing better frequency response capability.The excellent performance of the pipe joint actuator in its bending angle,response characteristic and driving force is verified.
基金Supported by Special Fund for the Beijing Hope Marathon of the China Cancer Foundation,No.LC2019 L05and the Capital Health Development Research Special Fund Project,No.2024-2-4026.
文摘BACKGROUND Gastric cancer(GC)is a major global health challenge,and the treatment of proximal GC in particular presents unique clinical and surgical complexities.Currently,there is no consensus on whether proximal gastrectomy(PG)or total gastrectomy(TG)should be used for advanced proximal GC,and the choice of postoperative gastrointestinal reconstruction method remains controversial.AIM To compare the short-term efficacy,long-term survival,and postoperative reflux outcomes of PG with tubular stomach reconstruction vs TG with Roux-en-Y re-construction in patients with proximal GC following neoadjuvant chemotherapy(NACT)in an effort to provide valuable insights for clinical decision-making regarding the optimal surgical approach.METHODS A multicenter retrospective cohort study was conducted at two Chinese medical centers between December,2012 and December,2022.Patients with histologically confirmed proximal GC who received NACT followed by either PG with tubular stomach reconstruction or TG with Roux-en-Y reconstruction were included.Propensity score matching(PSM)was performed to balance baseline characteristics,and the primary endpoint was 5-year overall survival(OS).Se-condary endpoints included recurrence-free survival(RFS),postoperative complications,and reflux severity.RESULTS After PSM,244 patients(122 PG,122 TG)were finally included and all baseline characteristics were comparable between groups.The PG group had a significantly shorter operation time compared to the TG group(189.50 vs 215.00 minutes,P<0.001),with no differences in intraoperative blood loss or postoperative complications(19.68%vs 14.75%,P=0.792).The 5-year OS rates were 52.7%vs 45.5%(P=0.330),and 5-year RFS rates were 54.3%vs 47.6%(P=0.356)for the PG and TG groups,respectively.Reflux symptoms(18.0%vs 31.1%,P=0.017)and clinically significant reflux based on gastroesophageal reflux disease questionnaire scores≥8(7.4%vs 21.3%,P<0.001)were significantly less frequent in the PG group.Multivariate analysis identified histological differentiation(HR=2.98,95%CI:2.03-4.36,P<0.001)and tumor size(HR=0.26,95%CI:0.17-0.41 for tumors≤4 cm,P<0.001)as independent prognostic factors.CONCLUSION PG with tubular stomach reconstruction is comparable to TG in terms of surgical safety and long-term oncological outcomes for proximal GC patients following NACT.Additionally,PG has the advantages of shorter operation time and lower rates of postoperative reflux,suggesting potential benefits for patient quality of life.Notably,the analysis of postoperative prognostic factors,including histological differentiation and tumor size,further informs clinical decision-making and highlights the importance of individualized treatment strategies.
基金financially supported by the National Natural Science Foundation of China(Grant No.11472076).
文摘Jacket platforms constitute the foundational infrastructure of offshore oil and gas field exploitation.How to efficiently and accurately monitor the mechanical properties of jacket structures is one of the key problems to be solved to ensure the safe operation of the platform.To address the practical engineering problem that it is difficult to monitor the stress response of the tubular joints of jacket platforms online,a digital twin reduced-order method for real-time prediction of the stress response of tubular joints is proposed.In the offline construction phase,multi-scale modeling and multi-parameter experimental design methods are used to obtain the stress response data set of the jacket structure.Proper orthogonal decomposition is employed to extract the main feature information from the snapshot matrix,resulting in a reduced-order basis.The leave-one-out cross-validation method is used to select the optimal modal order for constructing the reduced-order model(ROM).In the online prediction phase,a digital twin model of the tubular joint is established,and the prediction performance of the ROM is analyzed and verified through using random environmental load and field environmental monitoring data.The results indicate that,compared with traditional numerical simulations of tubular joints,the ROM based on the proposed reduced-order method is more efficient in predicting the stress response of tubular joints while ensuring accuracy and robustness.
基金Supported by Hubei Provincial Natural Science Foundation,No.2023AFB732and Scientific Research Project of Hubei Provincial Health Commission,No.WJ2023M053.
文摘BACKGROUND Diabetic nephropathy(DN)is a leading cause of chronic kidney disease and endstage renal disease,and is a significant global healthcare burden.Although proximal tubular epithelial cells(PTECs)and podocytes are involved in DN progression,the specific molecular interactions between these cells are not well understood.AIM To elucidate the role of interleukin-6(IL-6)/Rab5 signaling in mediating crosstalk between PTECs and podocytes,and to evaluate the protective effects of nicotinamide mononucleotide(NMN)against DN progression.METHODS We utilized in vitro and in vivo models to investigate the pathogenesis of DN.In vitro,human PTECs and murine podocytes were cultured under high-glucose conditions,and IL-6 neutralizing antibodies or NMN treatments were applied.Podocyte injury was assessed by measurements of nephrin endocytosis,Rab5 activity,cytoskeletal organization,cell adhesion,and cell-spreading assays.In vivo,DN was induced in mice using streptozotocin,and mice then received NMN,insulin,or both treatments over an 8-week period.Renal tissues were analyzed histologically,ultrastructurally,and immunochemically,and urinary albumin excretion was measured to assess renal function.Statistical analyses were conducted using one-way ANOVA and Tukey's test.RESULTS High-glucose conditions induced the epithelial-mesenchymal transition(EMT)in PTECs,increased IL-6 secretion,and activated Rab5 signaling in podocytes,leading to increased nephrin endocytosis and podocyte injury.Blocking IL-6 significantly attenuated these effects.NMN treatment of diabetic mice markedly reduced podocyte injury,glomerular hypertrophy,foot-process effacement,and urinary albumin excretion.Mechanistically,NMN suppressed the EMT and IL-6 secretion by PTECs,inhibited Rab5 activation in podocytes,and prevented nephrin endocytosis,thereby preserving the cytoskeletal integrity and function of podocytes.CONCLUSION Our findings reveal a novel pathogenic mechanism of DN in which IL-6 released from glucose-stressed PTECs activates Rab5 signaling in podocytes,followed by nephrin endocytosis and structural injury of podocytes.Importantly,NMN treatment effectively disrupted this pathological pathway of intercellular communication,and provided significant protection against DN progression.These results suggest that NMN supplementation and targeting the IL-6/Rab5 signaling axis has promise as a therapeutic strategy for managing DN.
文摘BACKGROUND Renal tubular acidosis(RTA)refers to a group of kidney disorders characterized by defective acid excretion or bicarbonate reabsorption,leading to metabolic acidosis.This case series presents three cases of RTA with distinct etiologies and clinical manifestations.These cases emphasize the necessity of a comprehensive evaluation of RTA,considering both renal and systemic origins.CASE SUMMARY The first case describes a female patient with osteopetrosis-related RTA,diagnosed with Guibaud-Vainsel syndrome,emphasizing the importance of genetic assessment.The second case delineates RTA secondary to focal segmental glomerulosclerosis,associating tubular dysfunction with glomerular pathology.In the first two cases whole exome sequencing confirmed genetic diagnosis.The third case illuminates RTA as a complication of Graves’disease,highlighting autoimmune implications.CONCLUSION These cases underscore the interdisciplinary approach essential in RTA management.Understanding the diverse pathophysiology of RTA aids in tailored therapeutic strategies and improved patient outcomes.
基金financially supported by the National Key Research and Development Program of China(No.2023YFF0612601)the Key Research and Development Program of Zhejiang Province(No.2023C02038)+2 种基金the Key Research and Development Program of Ningbo(No.2022Z178)China Construction Technology Research and Development Project(No.CSCEC-2021-Z-5)Zhejiang Provincial Natural Science Foundation of China(No.LQ23B010003)
文摘High-concentration single-atom doping remains a formidable challenge due to the propensity for single atoms to form clusters or aggregate at elevated concentrations.Herein,high-concentration (10.8 wt%) Zn singleatom-doped porous tubular g-C_(3)N_(4)(ZCN) was successfully obtained via a template-free,one-step calcination method,exhibiting excellent photocatalytic performance.The confinement of the pore walls suppresses the Zn atom'smigration and aggregation,enhancing the Zn single-atom stability.ZCN exhibited excellent photodegradation performance against tetracycline with outstanding stability.Moreover,ZCN displayed remarkable sterilization performance,achieving a 100%inactivation of Staphylococcus aureus within 90 min of visible-light exposure.Density functional theory calculations demonstrated that the Zn single-atom sites act as pivotal photocatalytic active sites,with the presence of Zn single atoms notably augmenting charge separation efficiency.This work provides a novel approach for managing photocatalytic efficiency through enlarging single-atom doping,offering an avenue for pollutant photodegradation and sterilization.
基金financially supported by the Natural Science Foundation of China(Nos.21972058,22102064,and 22302080)Anhui Key Laboratory of Nanomaterials and Nanotechnology,the Major Science and Technology Projects in Anhui Province(No.202305a12020006).
文摘The integration of selective oxidation of renewable biomass and its derivatives with hydrogen(H_(2))pro-duction holds significant potential for simultaneously yielding value-added chemicals and“green H_(2)”,contributing to addressing sustainability challenges.The S-scheme charge transfer mechanism enhances charge separation by maintaining strong redox potentials at both ends,facilitating both oxidation and reduction reactions.Herein,we synthesize a visible-light-responsive oxygen vacancy-rich In_(2)O_(3-x)/tubular carbon nitride(IO_(OV)/TCN)S-scheme heterojunction photocatalyst via electrostatic adherence for selec-tive 5-hydroxymethylfurfural(HMF)oxidation to 2,5-diformylfuran(DFF)and 2,5-furandicarboxylic acid(FDCA),alongside H_(2)production.Under anaerobic conditions and visible-light irradiation,the optimal IOOV/TCN-10 catalyst achieves an HMF conversion of 94.8%with a selectivity of 53.6%for DFF and FDCA,and a H_(2)yield of 754.05μmol g^(−1)in 3 h.The significantly improved photocatalytic activity results from enhanced visible-light absorption,reduced carrier recombination,and abundant catalytic active sites due to the synergistic effect of surface oxygen vacancies,the hollow nanotube-based architecture,and the S-scheme charge transfer mechanism.This work highlights the great potentials of S-scheme heterojunctions in biomass conversion for sustainable energy use and chemical production.
文摘BACKGROUND Type 2 diabetes mellitus(T2DM)is associated with significant metabolic and renal complications,including diabetic nephropathy(DN).AIM To investigate the role of ribonucleotide reductase regulatory subunit M2(RRM2)in T2DM and its potential involvement in renal injury through oxidative stress,apoptosis,and ferroptosis.METHODS A cross-sectional study was conducted,comprising 194 patients with T2DM and 120 healthy controls at our hospital between January 2022 and December 2023.The data were analyzed to ascertain the correlation between RRM2 levels and DN onset in patients with T2DM.The apoptosis rate,reactive oxygen species(ROS)levels,oxidative stress,cystine uptake,and ferrous ion(Fe2+)levels were quantified using the HK-2 cell lysates.Reverse transcription quantitative PCR and western blotting were used to assess mRNA and protein expression,respectively.RESULTS Serum RRM2 levels were significantly higher in T2DM patients than in controls(P<0.05)but declined in the macroalbuminuria subgroup.Receiver operating characteristic analysis identified 30 pg/mL as the optimal cut-off(area under the curve=0.958;sensitivity=86%;specificity=95%).RRM2 was negatively correlated with age,diabetes duration,systolic blood pressure,fasting blood glucose,glycosylated hemoglobin,serum creatinine,neutrophil gelatinase-associated lipocalin,kidney injury molecule-1,and malondialdehyde,and positively correlated with estimated glomerular filtration rate,glutathione(GSH),solute carrier family 7 member 11(SLC7A11),and GSH peroxidase 4(GPX4).Logistic regression confirmed RRM2 as an independent protective factor against DN[odds ratio(OR)=0.820,95%confidence interval(95%CI)=0.712-0.945,P=0.006].In vitro,RRM2 overexpression enhanced HK-2 cell proliferation,activated PI3K/Akt signaling,and reduced apoptosis,ROS,oxidative stress,and ferroptosis,accompanied by the restoration of GSH,Nrf2,SLC7A11,and GPX4.These protective effects were abolished by PI3K/Akt inhibition,highlighting RRM2’s renoprotective,pathway-dependent role.CONCLUSION These findings suggest that RRM2 plays a crucial protective role against diabetic renal injury by mitigating oxidative stress,apoptosis,and ferroptosis via PI3K/Akt activation.Serum RRM2 may serve as a novel biomarker for early DN detection,and therapeutic strategies targeting RRM2 may offer potential benefits in preventing diabetic kidney disease progression.
基金Project supported by the National Key Research and Development Program of China (2021YFB4001400)。
文摘This study focused on meeting the stringent stability requirements of tubular segmented-in-series solid oxide fuel cells(SOFCs) in reducing and oxidizing atmospheres.To address this challenge,a bi-layer perovskite ceramic interconnect was designed by controlling the oxygen partial pressure,because of the strong correlation between the conductivity of strontium-doped lanthanum titanate(LST) and the oxygen partial pressure.The LST powder was prepared using solid-phase and sol-gel methods,and their influence on particle size and sintering behavior was compared.LST/lanthanum strontium manganite(LSM) bi-layer ceramic interconnects with varying thicknesses were fabricated through screen printing and co-sintering.The results demonstrate favorable interfacial bonding and excellent chemical compatibility between the ceramic layers.The conductivity of the bi-layer interconnect exhibits a temperature-dependent behavior,peaking at 550℃.Simulation calculations and research findings validate that the co nductivity of the bi-layer interconnect is determined by the thickness of the LSM layer and the oxygen partial pressure at the interconnect interface.Optimal conductivity is achieved with a bilayer interconnect consisting of approximately 15 μm of LST and 4 μm of LSM.This can be attributed to the efficient regulation of oxygen partial pressure at the interface,effectively mitigating LSM decomposition caused by low oxygen partial pressure and the subsequent reduction in conductivity.These results provide valuable fundamental data and methodology for the development of high-performance interconnects for tubular segmented-in-series SOFCs.
基金Supprorted by the Science and Technology Foundation of Jiangsu Construction Committee(JS200214)the Science Research Foundation of Nanjing Institute of Technology(KXJ08122)~~
文摘Experimental results of new type joints between the column and the. steel beam of concrete-filled rectangular steel tubular （CFRT） under reversed cyclic loads are presented. The earthquake resistant capacity of the joint is influenced by infilled concrete, stiffener length and relative dimensions of column and beam. It is found that the hysteresis curves obtained in the experiment are full and the joints have a good energy dissipation capacity. The nonlinear finite element models are also used to analyze the hysteresis behavior of the joints under reversed cyclic loads using ANSYS 8.0. The influences of the stiffener length and the infilled concrete are analyzed. Analytical results show that the stiffener length and the infilled concrete are critical for the joints. Furthermore, the skeleton curves of the finite element models are in good agreement with those of experiments.
文摘AIM： To analyze the effects on the kidney of hypoxia-reoxygenation in an experimental model of normocapnic asphyxia.METHODS： To this end, 40 newborn Landrace/Large-White piglets aged 1-4 d were studied in this work. Hypoxia was induced by decreasing the inspired fiO2 to 0.06-0.08. Animals were resuscitated with different fO2 and subdivided into 4 groups： group 1, 2, 3 and 4 received 18%, 21%, 40% and 100% O2 respectively. Macroscopic examination was carried out to evidence possible pathological features. Tissue sample were obtained from both kidneys. Four or fve micron paraffn sections were stained with H-E and PAS stain and examined under an optical microscope.RESULTS： Pathological changes, mainly affecting tubular cells, were observed in the vast majority of kidneys of asphyxiated piglets. The most frequent tubular changes were： tubular casts （95%）, tubulardilatation （87.5%）, tubular vacuolization （70%）, tubular eosinophilia （52.5%）, sloughing （50%）, fragmentation of the brush border （50%）, oedema （32.5%）, apoptosis （15%） and glomerular changes （meningeal cell pro-liferation, capsular adhesion between the flocculus and Bowman’s capsule, glomerulosclerosis and fbrous or cellular crescents associated with collapse of the glomerular tuft）. Statistical analysis was carried out on changes observed when the animals were allocated in the 4 groups （χ2-test 0.05）. The statistical analysis showed no evidence of differences regarding kidney lesions among the animals groups.CONCLUSION： Our data show that renal pathology in newborn piglets is characterized by interindividual variability to hypoxia and is not associated with oxygenGerosa C et al . Individual susceptibility in renal asphyxiaconcentration.
基金ACKNOWLEDGMENTS This work was supported by the National Natural Science Foundation of China （No.20871110 and No.50730002）. The authors express their appreciation to Xin-bo Lii, Qingdao Tianhe Graphite Co. Ltd. for supporting appropriate pore former graphite.
文摘A porous NiO/yttria-stabilized zirconia was prepared by gel casting technique. anode substrate for tubular solid oxide fuel cells Nano-scale samaria-doped ceria （SDC） particles were formed onto the anode substrate to modify the anode microstructure by the impregnation of solution of Sm（NO3）3 and Ce（NO3）3. Electrochemical impedance spectroscopy, current-voltage and current-powder curves of the cells were measured using an electrochemical workstation. Scanning electron microcopy was used to observe the microstructure. The results indicate that the stability of the performance of the cell operated on humidified methane can be significantly improved by incorporating the nano-structured SDC particles, compared with the unmodified cell. This verifies that the coated SDC electrodes are very effective in suppressing catalytic carbon formation by blocking methane from approaching the Ni, which is catalytically active towards methane pyrolysis. In addition, it was found that a small amount of deposited carbon is beneficial to the performance of the anode. The cell showed a peak power density of 225 mW/cm^2 when it was fed with H2 fuel at 700 ℃, but the power density increased to 400 mW/cm^2 when the fuel was switched from hydrogen to methane at the same flow rate. Methane conversion achieved about 90%, measured by gas chromatogram with a 10.0 mL/min flow rate of fuel at 700 ℃. Although the carbon deposition was not suppressed absolutely, some deposited carbon was beneficial for performance improvement.
基金Supported by(In part)Grant-in-Aid for Comprehensive Research from the Ministry of Education,Culture,Sports,Science and Technology of Japan
文摘AIM:To investigate the predictors of proximal kidney tubular dysfunction(PKTD)induced by adefovir dipivoxil(ADV)treatment for chronic hepatitis B.METHODS:Seventy-nine patients(age at the evaluation of PKTD:56.9±10.7 years)with chronic hepatitis B undergoing long-term oral antiviral nucleos(t)ide analogue treatment were consecutively recruited.PKTD was defined by the presence of at least two of the following five abnormalities:phosphate diabetes,nondiabetic glucosuria,metabolic acidosis,β2-microglobulinuria,or renal hypouricemia.The single-nucleotide polymorphisms(SNPs)in the SLC22A6 gene encoding human organic anion transporter 1(h OAT1)and ABCC2 encoding multidrug resistance protein 2(MRP2)were analyzed using the Taq Man Allelic Discrimination Demonstration Kit.RESULTS:Nine(30.0%)of the 30 ADV-treated patients were diagnosed with PKTD,while no patients without ADV developed PKTD(P<0.001).Three patients with ADV were diagnosed with symptomatic osteomalacia.Among the patients who took ADV,those with PKTD were of higher age at initiation,had significantly longer treatment duration,and had a significantly lower body mass index than those without PKTD.The incidence of PKTD dramatically increased after 96 mo from the start of ADV administration.In contrast,the SNPs were not correlated with PKTD.Logistic regression analysis extracted older age at initiation(OR=5.0,95%CI:1.1-23.4;P=0.040)and longer treatment duration(OR=3.2,95%CI:1.2-8.6;P=0.020)as significant factors associated with PKTD.CONCLUSION:Our results suggest that the tubular function of the kidney of older patients undergoing longterm ADV treatment should be carefully evaluated.
