Iron deficiency is an important environmental factor restricting plant productivity. Selecting tolerant genotypes is one of the possible ways to solve this problem. Many studies reported the effects of Fe deficiency o...Iron deficiency is an important environmental factor restricting plant productivity. Selecting tolerant genotypes is one of the possible ways to solve this problem. Many studies reported the effects of Fe deficiency on photosynthesis and anti-oxidative defense system. Yet, there is little information available on the use of these attributes as selective criteria. In the present study, we aim to determine some physiological and biochemical traits conferring Fe deficiency tolerance at leaf level in two lines of Medicago ciliaris. Our results showed that Fe deprivation had a lowering effect on photosynthesis (chlorophyll, photosynthetic electron transport activity and chlorophyll fluorescence) in both lines studied. However, the sensitive line TN8.7 was more affected. Hydrogen peroxide concentration was negatively correlated with the activities of antioxidant enzymes and with the concentration of some non-enzymatic antioxidant. The tolerant line TN11.11 was characterized by a more efficient antioxidant defense system in comparison with the sensitive line TN8.7. The main conclusion of this study is that photosynthesis and antioxidant defense system could be used as physiological and biochemical indicators of Fe deficiency tolerance in Medicago ciliaris plants.展开更多
Fusarium head blight(FHB)threatens wheat production worldwide.Utilization of FHB resistant varieties is the most effective solution for disease control.Owing to the limited sources of FHB resistance,mining of novel re...Fusarium head blight(FHB)threatens wheat production worldwide.Utilization of FHB resistant varieties is the most effective solution for disease control.Owing to the limited sources of FHB resistance,mining of novel resistance genes is crucial.Here,we report an FHB resistance gene from a wild wheat relative species,Roegneria ciliaris and developed FHB resistant germplasm containing this gene.Wheat-R.ciliaris disomic addition line DA3S^(c) showed enhanced type II FHB resistance compared to its sister line 3S^(c)-Null without chromosome 3S^(c),indicating that the resistance was contributed by the addition of 3S^(c).The resistance gene on 3S^(c) was validated using F_(2) and F_(2:3) populations derived from the cross between DA3S^(c) and susceptible Aikang 58(a susceptible cultivar),demonstrating that the lines with 3S^(c) had significantly enhanced FHB resistance compared to the individuals without 3S^(c).This was the second resistance gene identified in R.ciliaris,designated FhbRc2.To transfer FhbRc2 to common wheat,we produced a doublemonosomic chromosome population by crossing DA3S^(c) with the Chinese Spring nulli-tetrasomic line N3DT3B.Eight alien chromosome lines containing 3S^(c) were identified using genomic/fluorescence in situ hybridization and 3S^(c)-specific marker analysis.Only the lines carrying the long arm of 3S^(c) conferred FHB resistance,further locating FhbRc2 on 3S^(c)L.A compensating wheat-R.ciliaris Robertsonian translocation line T3DS·3S^(c)L harboring FhbRc2 is developed and provides a potential genetic resource in wheat breeding for enhanced FHB resistance.展开更多
Land degradation poses significant threats to food and environmental security globally. In arid and semi-arid lands (ASALs), livestock production is an important and significant livelihood. Unfortunately, overstocking...Land degradation poses significant threats to food and environmental security globally. In arid and semi-arid lands (ASALs), livestock production is an important and significant livelihood. Unfortunately, overstocking and overgrazing have diminished pasture availability, and thus adversely impacting on the sector’s contribution to food security for many ASAL communities. The Global Environment Facility’s Small Grants Program in its quest to combat soil erosion, deforestation, and Prosopis juliflora invasion in the Lake Bogoria Landscape, Baringo County, Kenya has supported the establishment of Cenchrus ciliaris (buffel grass) since 2018. Despite its introduction and establishment, the socioeconomic factors influencing its adoption remain undocumented. This study evaluated these factors in three administrative wards, namely: Ilchamus, Mochongoi, and Marigat of Baringo South Sub-County. Data was collected from 103 households using a semi-structured questionnaire, key informant interviews (KIIs), and Focus Group Discussions (FGDs). Our results revealed that Cenchrus ciliaris adoption has partially reduced soil erosion and deforestation, improved livelihoods and environmental conservation. Nearly 50% of the respondents have established 2 to 5 acres of buffel grass pasturelands on their farms. The level of education of the respondents for had a significant association with the participants’ knowledge regarding the advantages of pasture production for environmental conservation (χ2 = 16.93;p χ2 = 77.71;p χ2 = 18.3;p χ2 = 3.8;p Cenchrus ciliaris value chain are recommended as practical strategies of enhancing livestock production and environmental conservation in Kenya’s ASALs.展开更多
Drought impacts in arid desert ecosystems can result in decreased ecosystem productivity and biodiversity.Implementation of restoration projects in arid desert environments is largely dependent on water availabi...Drought impacts in arid desert ecosystems can result in decreased ecosystem productivity and biodiversity.Implementation of restoration projects in arid desert environments is largely dependent on water availability and soil moisture condition.This study investigated the influence of induced drought stress by using polyethylene glycol(PEG-6000)solution on germination viz.Cenchrus ciliaris and Cenchrus setigerus as the important rangeland species.The water stress potential treatments were 0(control),-0.5 MPa,-1.0 MPa,-1.5 MPa,and-2.0 MPa.The extent of seed germination was severely affected by decreased water stress potential.As drought increased,the percentage of germination decreased in both Cenchrus’species.The water deficit at-0.5 MPa showed a significant(P<0.001)reduction in the final germination percentage in the case of C.setigerus and C.ciliaris by 65%and 42.5%,respectively.At-1.0 MPa to-1.5 MPa,changes in intermediate germination were observed in C.ciliaris(from 35%to 17.5%,respectively)and C.setigerus(from 22.5%to 11.25%respectively).Higher levels of water stress(-2.0 MPa)prevented the survival of both species.Understanding the germination strategies of native desert plant species associated with drought stress and identifying favorable conditions during the germination process can be useful for restoration practices and rangeland management actions to improve desert ecosystems and maintain biodiversity.展开更多
Primary ciliary dyskinesia(PCD)is a clinically rare,genetically and phenotypically heterogeneous condition characterized by chronic respiratory tract infections,male infertility,tympanitis,and laterality abnormalities...Primary ciliary dyskinesia(PCD)is a clinically rare,genetically and phenotypically heterogeneous condition characterized by chronic respiratory tract infections,male infertility,tympanitis,and laterality abnormalities.PCD is typically resulted from variants in genes encoding assembly or structural proteins that are indispensable for the movement of motile cilia.Here,we identified a novel nonsense mutation,c.466G>T,in cilia-and flagella-associated protein 300(CFAP300)resulting in a stop codon(p.Glu156*)through whole-exome sequencing(WES).The proband had a PCD phenotype with laterality defects and immotile sperm flagella displaying a combined loss of the inner dynein arm(IDA)and outer dynein arm(ODA).Bioinformatic programs predicted that the mutation is deleterious.Successful pregnancy was achieved through intracytoplasmic sperm injection(ICSI).Our results expand the spectrum of CFAP300 variants in PCD and provide reproductive guidance for infertile couples suffering from PCD caused by them.展开更多
Dear Editor,A 34-year-old male presented to West China Hospital due to a 6-year history of infertility.The patient had experienced recurrent respiratory tract infections since early childhood and had been previously d...Dear Editor,A 34-year-old male presented to West China Hospital due to a 6-year history of infertility.The patient had experienced recurrent respiratory tract infections since early childhood and had been previously diagnosed with primary ciliary dyskinesia(PCD)at an external institution.CT imaging confirmed situs inversus totalis,establishing a diagnosis of Kartagener syndrome[1].展开更多
Purpose:To summarize and analyze the clinical features and management of postoperative choroidal detachment in glaucoma.Methods:Ten cases of choroidal detachment that occurred after glaucoma surgery were collected fro...Purpose:To summarize and analyze the clinical features and management of postoperative choroidal detachment in glaucoma.Methods:Ten cases of choroidal detachment that occurred after glaucoma surgery were collected from March 2023 to February 2024 in the hospital.Their clinical characteristics and treatment effects were observed and their causes were analyzed.Results:After the operations,the eyes with choroidal detachment after glaucoma surgery had 2 cases of true microphthalmos,6 cases of advanced glaucoma,and 2 cases of glaucoma secondary to vitreoretinal surgery.The postoperative manifestations were persistent shallow anterior chamber,the formation of anterior chamber,and then suddenly became shallow or disappeared.Meanwhile,the intraocular pressure was lower than 6 mmHg.Ultrasound and funduscopic examination showed that the choroid and retina were partially elevated,and the choroidal detachment recovered after treatment.Conclusion:Choroidal detachment is one of the common postoperative complications in glaucoma,especially in some special types of refractory glaucoma.Adequate perioperative management before surgery,cautious and delicate operation during surgery,and close observation and treatment after surgery can obviously decrease the occurrence and damage.展开更多
As a non-invasive surgical procedure ultrasound cycloplasty(UCP)has gained attention among ophthalmologists in recent years.Derived from the application of highintensity focused ultrasound,it has been utilized for the...As a non-invasive surgical procedure ultrasound cycloplasty(UCP)has gained attention among ophthalmologists in recent years.Derived from the application of highintensity focused ultrasound,it has been utilized for the treatment of various types of glaucoma,demonstrating notable efficacy and safety.This review focuses on the efficacy and safety of UCP in treating glaucoma among Asian populations.By summarizing and analyzing existing literature on indications,therapeutic outcomes,and safety profiles,this review further highlights the unique advantages of UCP in glaucoma treatment compared to traditional surgical approaches.These advantages include broader indications,non-invasive nature,quantifiable treatment,excellent intraocular pressure-lowering effects,fewer adverse reactions,and high safety.Additionally,by introducing the underlying mechanism of action,this review explores the factors influencing its therapeutic efficacy,providing theoretical insights for clinical practice and demonstrating UCP’s potential in glaucoma management.展开更多
BACKGROUND Primary ciliary dyskinesia(PCD)is a rare genetic disorder caused by motile cilia dysfunction.Identifying pathogenic variants is essential for diagnosis and personalized care,especially in consanguineous pop...BACKGROUND Primary ciliary dyskinesia(PCD)is a rare genetic disorder caused by motile cilia dysfunction.Identifying pathogenic variants is essential for diagnosis and personalized care,especially in consanguineous populations like Saudi Arabia.CASE SUMMARY This report presents a Saudi pediatric patient diagnosed with PCD who exhibited persistent neonatal tachypnea,chronic productive cough,and recurrent otitis media.Whole-exome sequencing revealed a novel homozygous nonsense variant in the C3orf67 gene(NM_198463.2:c.508C>T),resulting in a truncated,nonfunctional protein.This mutation likely impairs ciliary motility due to the production of a truncated,non-functional protein.The clinical findings were supported by multiple positive sputum cultures and a significant family history of similar symptoms,suggesting a genetic etiology consistent with autosomal recessive inheritance.CONCLUSION This case highlights the importance of genetic studies in diagnosing PCD,particularly in communities with a high rate of consanguinity.The identification of a novel homozygous variant in the C3orf67 gene expands the known genetic landscape of the disease.Further research is essential to clarify the functional role of C3orf67 in ciliary biology and its contribution to PCD pathogenesis.展开更多
AIM:To investigate the ultrasonographic features of ciliary body mesectodermal leiomyomas(CBL).METHODS:Ultrasonographic data of 18 eyes from 18 patients with histopathologically confirmed CBL were analyzed,covering th...AIM:To investigate the ultrasonographic features of ciliary body mesectodermal leiomyomas(CBL).METHODS:Ultrasonographic data of 18 eyes from 18 patients with histopathologically confirmed CBL were analyzed,covering the period from March 2018 to February 2024.The study included 5 male and 13 female patients,aged 14-64y,with a mean age of 40.11±13.54y.The following ultrasonographic features were evaluated:tumor base diameter,thickness,maximum base diameterto-thickness ratio,shape,internal echogenicity,margin echogenicity,internal echo homogeneity,secondary changes,color Doppler flow imaging(CDFI)findings,and contrast-enhanced ultrasound(CEUS)characteristics.RESULTS:Conventional ultrasound findings of the 18 CBL cases were as follows:1)Tumor size:base diameter of(13.48±4.74)×(11.57±4.00)mm^(2),thickness of 7.70±2.60 mm,and maximum base diameter-to-thickness ratio of 1.77±0.36.2)Shape:14 cases(77.8%)were hemispherical,and 4 cases(22.2%)were irregular.3)Internal echogenicity:the solid component of the tumor was hypoechoic in 16 cases(88.9%)and low-to-medium echogenic in 2 cases(11.1%).4)Margin echogenicity:relatively hyperechoic with a“ring-shaped”margin in 15 cases(83.3%)and isoechoic in 3 cases(16.7%;compared with internal echogenicity).5)Internal echo homogeneity:homogeneous in 11 cases(61.1%)and heterogeneous in 7 cases(38.9%),with 6 cases(33.3%)among the 7 heterogeneous cases exhibiting cystic anechoic areas.6)Secondary retinal detachment was observed in 4 cases(22.2%).CDFI revealed heterogeneous vascularity within the tumors,with blood flow signals ranging from minimal to marked.CEUS was performed in 14 patients:complete contrast agent perfusion was observed in 10 cases(71.4%),and partial perfusion was noted in 4 cases(28.6%).Additionally,8 cases(57.1%)showed a rapid wash-in and slow wash-out pattern,while 6 cases(42.9%)demonstrated a rapid wash-in and rapid wash-out pattern.CONCLUSION:CBL exhibit relatively typical ultrasonographic features,which can provide valuable evidence for the clinical diagnosis and differential diagnosis of intraocular tumors.展开更多
BACKGROUND Primary ciliary dyskinesia(PCD)is a rare condition characterised by dysmotile,immotile,or absent cilia.As a result of the impairment in respiratory mucociliary clearance,patients with PCD typically develop ...BACKGROUND Primary ciliary dyskinesia(PCD)is a rare condition characterised by dysmotile,immotile,or absent cilia.As a result of the impairment in respiratory mucociliary clearance,patients with PCD typically develop neonatal respiratory distress,nasal congestion,otitis media and recurrent respiratory infections leading to bronchiectasis and structural lung changes.These changes have been shown by chest computed tomography(CT)to develop in infancy and early childhood.Recent development and refinement of radiation-reducing CT techniques have allowed significant radiation dose reductions,with chest CT doses now in the range of chest radiography(CR).AIM To evaluate the efficacy of ultra-low dose CT(ULDCT)chest in identifying pulmonary changes within a PCD paediatric patient cohort.METHODS Paediatric patients with PCD who presented for routine clinical outpatient follow-up within the study period,were eligible for inclusion in the study.ULDCT and CR were performed on these patients and the results compared.Comparison metrics included radiation dose,subjective and objective image quality and disease severity.RESULTS Six paediatric patients(mean age 9 years)underwent clinically indicated ULDCT chest examinations and CR for surveillance of their PCD.The mean effective dose was 0.08±0.02 mSv,a dose that approximates that of a frontal and lateral chest radiograph.The average Brody II score across the entire cohort was 12.92,with excellent interrater reliability and intra-class correlation coefficient(ICC)of 0.98.The average Chrispin-Norman score on CR was 1 with excellent inter-rater reliability and ICC of 0.92.CONCLUSION ULDCT demonstrates superior diagnostic capabilities,minimal radiation dose penalty,and high interobserver reliability in comparison to CR.Thus,we advocate for ULDCT to be the preferred modality for surveillance imaging in paediatric PCD.展开更多
Objective To observe the activating effect of ciliary neurotrophic factor （CNTF） on astrocyte in vitro. Methods Astrocytes cultured purely from newborn rats. Cerebral cortex was raised in normal and serum deprivatio...Objective To observe the activating effect of ciliary neurotrophic factor （CNTF） on astrocyte in vitro. Methods Astrocytes cultured purely from newborn rats. Cerebral cortex was raised in normal and serum deprivation condition with different concentrations （in ng/ml： 0, 2, 20, or 200） of CNTF. After cultured for 24 h, the shape and the cell cycle of astrocytes were examined by immunocytochemistry and flow cytometer, respectively. Results The immunoactivity of glial fibrillary acidic protein （GFAP） and the nuclear size of astrocytes were increased when CNTF was applied, whether cells were cultured in medium with or without serum. CNTF promoted astrocytes to enter the cell cycle in medium with serum, but had no this effect in medium without serum. Conclusion In medium without serum, astrocytes could differentiate into activated state ceils with CNTF application, but could not proliferate; in medium with serum, astrocytes could proliferate with aid of CNTF.展开更多
This study investigated whether prior experience influences the plant food preference of Trigonotylus caelestialium and Stenotus rubrovittatus which cause pecky rice grain, by using rice plants and 2 poaceous weeds. I...This study investigated whether prior experience influences the plant food preference of Trigonotylus caelestialium and Stenotus rubrovittatus which cause pecky rice grain, by using rice plants and 2 poaceous weeds. In a choice experiment between Digitaria ciliaris and the rice plants, both T. caelestialium and S. rubrovittatus adults that were reared on D. ciliaris plants showed significant initial preference for D. ciliaris over rice. In a choice experiment between Echinochloa crus-galli var. aristata and rice plants, T. caelestialium adults reared on E. crus-galli var. aristata strongly preferred E. crus-galli var. aristata over rice throughout the experiment. However, at and after 24 h, T. caelestialium adults reared on rice showed no food preference, although T. caelestialium initially preferred E. crus-galli var. aristata. In contrast, S. rubrovittatus adults reared on rice showed no preference between E. crus-galli var. aristata and rice. However, S. rubrovittatus reared on E. crus-galli var. aristata initially preferred E. crus-galli var. aristata to rice, with this preference waning with time. The same results were obtained for both sexes. Although the effect of experience differed with food source and the species of mirid bug, prior experience initially had a noticeable effect, which disappeared with time (1 d).展开更多
AIM: To evaluate the safety and the efficacy of the ultrasound ciliary plasty(UCP) on the intraocular pressure(IOP) control in glaucomatous eyes without previous glaucoma surgery.METHODS: A retrospective study include...AIM: To evaluate the safety and the efficacy of the ultrasound ciliary plasty(UCP) on the intraocular pressure(IOP) control in glaucomatous eyes without previous glaucoma surgery.METHODS: A retrospective study included patients with primary and secondary glaucoma who underwent UCP in Dar Al Shifa Hospital, Kuwait between January 2017 to June 2018. High-intensity focused ultrasound procedures were performed under peribulbar anesthesia using the 2^(nd) generation probe with 8 s duration of each of the 6 shots. Complete ophthalmologic examinations were scheduled pre-treatment, and at 1 d, 1 wk, 1, 3, 6 and 12 mo posttreatment. Primary outcomes were the IOP reduction and success rates at 12 mo, while the secondary outcomes were the occurrence of vision threatening complications and visual acuity.RESULTS: The records of 62 eyes of 62 patients were analyzed with mean age of 63.8 y(67.7% males). There was statistically significant reduction in the mean IOP from 35.2±8.3 mm Hg before treatment to 20.6±8.7 mm Hg at 12^(th) month(P<0.0005) with a mean percentage IOP reduction of 42.3% with significant reduction in the mean number of antiglaucomatous drugs from 3.2±0.4 before treatment to 2.1±1.02 at 12 mo(P<0.0005). Qualified success was achieved in 77.4% of eyes at 12 mo. No major intra-or posttreatment complications were reported.CONCLUSION: Second-generation UCP prove to be effective in reducing IOP in naive glaucoma patients with lower success rates in cases of neovascular and uveitic glaucomas.展开更多
This is a prospective interventional clinical study evaluating intraocular inflammation developed after Ultrasound Cyclo Plasty(UCP) for the treatment of glaucoma. Eighteen eyes of 18 patients were treated with UCP se...This is a prospective interventional clinical study evaluating intraocular inflammation developed after Ultrasound Cyclo Plasty(UCP) for the treatment of glaucoma. Eighteen eyes of 18 patients were treated with UCP second-generation probes(Eye OP1). After treatment, the mean intraocular pressure(IOP) significantly decreased from 26.8±7.2 to 18.8±6.1 mm Hg at day 1 and to 14.7±3.4 mm Hg at month 6(all P<0.001). Mean laser flare-cell photometry value steeply increased after surgery from 12.1±7.5 to 64.1±53.9 ph/ms(P=0.001) at day 1, and then progressively decreased to respectively 60.6±49.7 at day 7, 43.5±38.5 at day 14 and 28.2±18.3 at month 1(all P<0.05), returning at levels similar to baseline ones at month 3 and month 6(respectively 16.7±6.2 and 12.8±10.2, both P>0.05). A significant negative correlation was found between postoperative increase of aqueous flare values and anterior chamber depth(R=-0.568, P=0.014). This timeframe may be considered reasonable for repeating UCP treatment, when required.展开更多
Kartagener＇s syndrome （KS） is an autosomal recessive genetic disease accounting for approximately 50% of the cases of primary ciliary dyskinesia （PCD）. As it is accompanied by many complications, PCD/KS severely ...Kartagener＇s syndrome （KS） is an autosomal recessive genetic disease accounting for approximately 50% of the cases of primary ciliary dyskinesia （PCD）. As it is accompanied by many complications, PCD/KS severely affects the patient＇s quality of life. Therapeutic approaches for PCD/KS aim to enhance prevention, facilitate rapid definitive diagnosis, avoid misdiagnosis, maintain active treatment, control infection and postpone the development of lesions. In male patients, sperm flagella may show impairment in or complete absence of the ability to swing, which ultimately results in male infertility. Assisted reproductive technology will certainly benefit such patients. For PCD/KS patients with completely immotile sperm, intracytoplasmic sperm injection may be very important and even indispensable. Considering the number of PCD/KS susceptibility genes and mutations that are being identified, more extensive genetic screening is indispensable in patients with these diseases. Moreover, further studies into the potential molecular mechanisms of these diseases are required. In this review, we summarize the available information on various aspects of this disease in order to delineate the therapeutic objectives more clearly, and clarify the efficacy of assisted reproductive technology as a means of treatment for patients with PCD/KS-associated infertility.展开更多
Aim:Dysplasia of the fibrous sheath(DFS)is an anomaly found in asthenozoospermic patients with extremely lowor absent motility.In order to determine the efficacy of ICSI in these patients,a retrospective analysis of I...Aim:Dysplasia of the fibrous sheath(DFS)is an anomaly found in asthenozoospermic patients with extremely lowor absent motility.In order to determine the efficacy of ICSI in these patients,a retrospective analysis of ICSI results inDFS patients has been done.Methods:Ten ICSI attempts were performed in 6 patients with diagnosis of Dysplasiaof the Fibrous Sheath studied by transmission and scanning electron microscopy.Results:In the cases studied,sperm concentration was(29.62±18.05)×10^(6)/mL,total motility was 1.14±1.31%.Progressive motility was 0%except for one case with 0.1%.One hundred and three preovulatory oocytes were obtained and 94 metaphaseⅡoocyteswere injected.Sixty-nine of them showed two pronuclei(fertilization rate:73.4%).Forty-nine embryos were ob-tained and 34 were transferred(mean:3.4 embryos per transfer).Five pregnancies were diagnosed byβ-hCG plasmalevel determinations that resulted to be one preclinical abortion,one clinical abortion and three deliveries.Anotherpregnancy(ongoing)was achieved from a cryopreserved embryo transfer.Conclusion:These results showed thatICSI provides a suitable solution for patients suffering from irreversible sperm defects such as DFS.Nevertheless,it ismandatory to inform couples of possible transmission risks to offspring,which are unknown at present.Only when theetiology of this problem is disclosed,it will be possible to assess the real genetic risk.展开更多
A chemically extracted acellular allogeneic nerve graft can reduce postoperative immune rejection, similar to an autologous nerve graft, and can guide neural regeneration. However, it remains poorly understood whether...A chemically extracted acellular allogeneic nerve graft can reduce postoperative immune rejection, similar to an autologous nerve graft, and can guide neural regeneration. However, it remains poorly understood whether a chemically extracted acellular allogeneic nerve graft combined with neurotrophic factors provides a good local environment for neural regeneration. This study investigated the repair of injured rat sciatic nerve using a chemically extracted acellular allogeneic nerve graft combined with ciliary neurotrophic factor. An autologous nerve anastomosis group and a chemical acellular allogeneic nerve bridging group were prepared as controls. At 8 weeks after repair, sciatic functional index, evoked potential amplitude of the soleus muscle, triceps wet weight recovery rate, total number of myelinated nerve fibers and myelin sheath thickness were measured. For these indices, values in the three groups showed the autologous nerve anastomosis group 〉 chemically extracted acellular nerve graft ＋ ciliary neurotrophic factor group 〉 chemical acellular allogeneic nerve bridging group. These results suggest that chemically extracted acellular nerve grafts combined with ciliary neurotrophic factor can repair sciatic nerve defects, and that this repair is inferior to autologous nerve anastomosis, but superior to chemically extracted acellular allogeneic nerve bridging alone.展开更多
Primary ciliary dyskinesia （PCD） is an autosomal-recessive disorder resulting from the loss of normal ciliary function. Symptoms include neonatal respiratory distress, chronic sinusitis, bronchiectasis, situs invers...Primary ciliary dyskinesia （PCD） is an autosomal-recessive disorder resulting from the loss of normal ciliary function. Symptoms include neonatal respiratory distress, chronic sinusitis, bronchiectasis, situs inversus, and infertility. However, only 15 PCD-associated genes have been identified to cause male infertility to date. Owing to the genetic heterogeneity of PCD, comprehensive molecular genetic testing is not considered the standard of care. Here, we provide an update of the progress on the identification of genetic factors related to PCD associated with male infertility, summarizing the underlying molecular mechanisms, and discuss the clinical implications of these findings. Further research in this field will impact the diagnostic strategy for male infertility, enabling clinicians to provide patients with informed genetic counseling, and help to adopt the best course of treatment for developing directly targeted personalized medicine.展开更多
Objective:To evaluate the prevalence of primary iris and/or ciliary body cysts in eyes with shallow anterior chamber and their effect on the narrowing of the anterior chamber angle.Methods:Among the general physical c...Objective:To evaluate the prevalence of primary iris and/or ciliary body cysts in eyes with shallow anterior chamber and their effect on the narrowing of the anterior chamber angle.Methods:Among the general physical check-up population,subjects with shallow anterior chambers,as judged by van Herick technique,were recruited for further investigation.Ultrasound biomicroscope(UBM)was used to detect and measure the cysts located in the iris and/or ciliary body,the anterior chamber depth(ACD),the angle opening distance at 500μm(AOD500),and the trabecular-iris angle(TIA).A-scan ultrasonography was used to measure the ocular biometry,including lens thickness,axial length,lens/axial length factor(LAF),and relative lens position(RLP).The effect of the cyst on narrowing the corresponding anterior chamber angle and the entire angle was evaluated by the UBM images,ocular biometry,and gonioscopic grading.The eye with unilateral cyst was compared with the eye without the cyst for further analysis.Results:Among the 727 subjects with shallow anterior chamber,primary iris and ciliary body cysts were detected in 250(34.4%)patients;among them 96(38.4%)patients showed unilateral single cyst,21(8.4%)patients had unilateral double cysts,and 42(16.8%)patients manifested unilateral multiple and multi-quadrants cysts.Plateau iris configuration was found in 140 of 361(38.8%)eyes with cysts.The mean size of total cysts was(0.6547±0.2319)mm.In evaluation of the effect of the cyst size and location on narrowing the corresponding angle to their position,the proportion of the cysts causing corresponding angle narrowing or closure among the cysts larger than 0.8 mm(113/121,93.4%)was found to be significantly higher than that of the cysts smaller than 0.8 mm(373/801,46.6%),and a significant higher proportion was also found in the cysts located at iridociliary sulcus(354/437,81.0%)than in that at the pars plicata(131/484,27.1%).In evaluating the effect of the cyst on the entire anterior chamber angle,the eyes with multiple and multi-quadrants cysts manifested significant narrowing of the entire anterior chamber angle as compared with the eyes without cysts,based on the data analysis in comparison of TIA,AOD500,and gonioscopic grading evaluation.The unilateral single or double cysts in the eyes had no significant effect on narrowing of anterior chamber angle as compared with eyes without cysts.The iris and/or ciliary body cysts did not seem to affect the axial length,ACD,lens thickness,RLP,LAF.Conclusions:The prevalence of primary iris and ciliary body cyst was 34.4%in the subjects with shallow anterior chamber.The cysts larger than 0.8 mm,locating at iridociliary sulcus,or multiple and extensive cysts were inclined to cause the angle narrowing or closure.展开更多
文摘Iron deficiency is an important environmental factor restricting plant productivity. Selecting tolerant genotypes is one of the possible ways to solve this problem. Many studies reported the effects of Fe deficiency on photosynthesis and anti-oxidative defense system. Yet, there is little information available on the use of these attributes as selective criteria. In the present study, we aim to determine some physiological and biochemical traits conferring Fe deficiency tolerance at leaf level in two lines of Medicago ciliaris. Our results showed that Fe deprivation had a lowering effect on photosynthesis (chlorophyll, photosynthetic electron transport activity and chlorophyll fluorescence) in both lines studied. However, the sensitive line TN8.7 was more affected. Hydrogen peroxide concentration was negatively correlated with the activities of antioxidant enzymes and with the concentration of some non-enzymatic antioxidant. The tolerant line TN11.11 was characterized by a more efficient antioxidant defense system in comparison with the sensitive line TN8.7. The main conclusion of this study is that photosynthesis and antioxidant defense system could be used as physiological and biochemical indicators of Fe deficiency tolerance in Medicago ciliaris plants.
基金supported by Science and Technology Innovation 2030-Major Project (2023ZD04025)the Fundamental Research Funds for the Central Universities (XUEKEN2022012,YDZX202301)+3 种基金Zhongshan Biological Breeding Laboratory (ZSBBL)ZSBBL-KY2023-02-2,Jiangsu Provincial Key Research and Development Program (BE2022346,BE2021375)Seed Industry Revitalization Project of Jiangsu Province (JBGS (2021)006,JBGS (2021)013 and JBGS (2021)047)the Joint Research of Improved Wheat Variety of Anhui,the Key Research and the Jiangsu Agricultural Technology System (JATS) ([2023]422)Natural Science Foundation of Shanghai (22ZR1444900).
文摘Fusarium head blight(FHB)threatens wheat production worldwide.Utilization of FHB resistant varieties is the most effective solution for disease control.Owing to the limited sources of FHB resistance,mining of novel resistance genes is crucial.Here,we report an FHB resistance gene from a wild wheat relative species,Roegneria ciliaris and developed FHB resistant germplasm containing this gene.Wheat-R.ciliaris disomic addition line DA3S^(c) showed enhanced type II FHB resistance compared to its sister line 3S^(c)-Null without chromosome 3S^(c),indicating that the resistance was contributed by the addition of 3S^(c).The resistance gene on 3S^(c) was validated using F_(2) and F_(2:3) populations derived from the cross between DA3S^(c) and susceptible Aikang 58(a susceptible cultivar),demonstrating that the lines with 3S^(c) had significantly enhanced FHB resistance compared to the individuals without 3S^(c).This was the second resistance gene identified in R.ciliaris,designated FhbRc2.To transfer FhbRc2 to common wheat,we produced a doublemonosomic chromosome population by crossing DA3S^(c) with the Chinese Spring nulli-tetrasomic line N3DT3B.Eight alien chromosome lines containing 3S^(c) were identified using genomic/fluorescence in situ hybridization and 3S^(c)-specific marker analysis.Only the lines carrying the long arm of 3S^(c) conferred FHB resistance,further locating FhbRc2 on 3S^(c)L.A compensating wheat-R.ciliaris Robertsonian translocation line T3DS·3S^(c)L harboring FhbRc2 is developed and provides a potential genetic resource in wheat breeding for enhanced FHB resistance.
文摘Land degradation poses significant threats to food and environmental security globally. In arid and semi-arid lands (ASALs), livestock production is an important and significant livelihood. Unfortunately, overstocking and overgrazing have diminished pasture availability, and thus adversely impacting on the sector’s contribution to food security for many ASAL communities. The Global Environment Facility’s Small Grants Program in its quest to combat soil erosion, deforestation, and Prosopis juliflora invasion in the Lake Bogoria Landscape, Baringo County, Kenya has supported the establishment of Cenchrus ciliaris (buffel grass) since 2018. Despite its introduction and establishment, the socioeconomic factors influencing its adoption remain undocumented. This study evaluated these factors in three administrative wards, namely: Ilchamus, Mochongoi, and Marigat of Baringo South Sub-County. Data was collected from 103 households using a semi-structured questionnaire, key informant interviews (KIIs), and Focus Group Discussions (FGDs). Our results revealed that Cenchrus ciliaris adoption has partially reduced soil erosion and deforestation, improved livelihoods and environmental conservation. Nearly 50% of the respondents have established 2 to 5 acres of buffel grass pasturelands on their farms. The level of education of the respondents for had a significant association with the participants’ knowledge regarding the advantages of pasture production for environmental conservation (χ2 = 16.93;p χ2 = 77.71;p χ2 = 18.3;p χ2 = 3.8;p Cenchrus ciliaris value chain are recommended as practical strategies of enhancing livestock production and environmental conservation in Kenya’s ASALs.
基金This study was made possible by generous support of the Kuwait Institute for Scientific Research(KISR).
文摘Drought impacts in arid desert ecosystems can result in decreased ecosystem productivity and biodiversity.Implementation of restoration projects in arid desert environments is largely dependent on water availability and soil moisture condition.This study investigated the influence of induced drought stress by using polyethylene glycol(PEG-6000)solution on germination viz.Cenchrus ciliaris and Cenchrus setigerus as the important rangeland species.The water stress potential treatments were 0(control),-0.5 MPa,-1.0 MPa,-1.5 MPa,and-2.0 MPa.The extent of seed germination was severely affected by decreased water stress potential.As drought increased,the percentage of germination decreased in both Cenchrus’species.The water deficit at-0.5 MPa showed a significant(P<0.001)reduction in the final germination percentage in the case of C.setigerus and C.ciliaris by 65%and 42.5%,respectively.At-1.0 MPa to-1.5 MPa,changes in intermediate germination were observed in C.ciliaris(from 35%to 17.5%,respectively)and C.setigerus(from 22.5%to 11.25%respectively).Higher levels of water stress(-2.0 MPa)prevented the survival of both species.Understanding the germination strategies of native desert plant species associated with drought stress and identifying favorable conditions during the germination process can be useful for restoration practices and rangeland management actions to improve desert ecosystems and maintain biodiversity.
基金supported by the China Postdoctoral Science Foundation Grant(2023M734294)Jiangsu Provincial Medical Key Discipline Cultivation Unit(JSDW202215)the National Natural Science Foundation of China(No.82001618).
文摘Primary ciliary dyskinesia(PCD)is a clinically rare,genetically and phenotypically heterogeneous condition characterized by chronic respiratory tract infections,male infertility,tympanitis,and laterality abnormalities.PCD is typically resulted from variants in genes encoding assembly or structural proteins that are indispensable for the movement of motile cilia.Here,we identified a novel nonsense mutation,c.466G>T,in cilia-and flagella-associated protein 300(CFAP300)resulting in a stop codon(p.Glu156*)through whole-exome sequencing(WES).The proband had a PCD phenotype with laterality defects and immotile sperm flagella displaying a combined loss of the inner dynein arm(IDA)and outer dynein arm(ODA).Bioinformatic programs predicted that the mutation is deleterious.Successful pregnancy was achieved through intracytoplasmic sperm injection(ICSI).Our results expand the spectrum of CFAP300 variants in PCD and provide reproductive guidance for infertile couples suffering from PCD caused by them.
基金supported by the Natural Science Foundation of China(824B2017 to Xiong Y)Sichuan Science and Technology Program(2025YFHZ0212 to Qin F).
文摘Dear Editor,A 34-year-old male presented to West China Hospital due to a 6-year history of infertility.The patient had experienced recurrent respiratory tract infections since early childhood and had been previously diagnosed with primary ciliary dyskinesia(PCD)at an external institution.CT imaging confirmed situs inversus totalis,establishing a diagnosis of Kartagener syndrome[1].
基金Key Research and Development Program of Hubei Province(Project No.:2021BCA125)。
文摘Purpose:To summarize and analyze the clinical features and management of postoperative choroidal detachment in glaucoma.Methods:Ten cases of choroidal detachment that occurred after glaucoma surgery were collected from March 2023 to February 2024 in the hospital.Their clinical characteristics and treatment effects were observed and their causes were analyzed.Results:After the operations,the eyes with choroidal detachment after glaucoma surgery had 2 cases of true microphthalmos,6 cases of advanced glaucoma,and 2 cases of glaucoma secondary to vitreoretinal surgery.The postoperative manifestations were persistent shallow anterior chamber,the formation of anterior chamber,and then suddenly became shallow or disappeared.Meanwhile,the intraocular pressure was lower than 6 mmHg.Ultrasound and funduscopic examination showed that the choroid and retina were partially elevated,and the choroidal detachment recovered after treatment.Conclusion:Choroidal detachment is one of the common postoperative complications in glaucoma,especially in some special types of refractory glaucoma.Adequate perioperative management before surgery,cautious and delicate operation during surgery,and close observation and treatment after surgery can obviously decrease the occurrence and damage.
基金Supported by National Natural Science Foundation of China(No.82070964)Shaanxi Science Fund for Distinguished Young Scholars(No.2022JC-60)+3 种基金the International Scientific and Technological Cooperation Projects(No.2024GH-YBXM-20)Xi’an Medical University Undergraduate Open Experimental Research Fund(No.2024DXS02)Yizhen Genetic Talent Development Program(No.2023YZ10)The Open Research Funds of the State Key Laboratory of Ophthalmology(No.83000-32030002).
文摘As a non-invasive surgical procedure ultrasound cycloplasty(UCP)has gained attention among ophthalmologists in recent years.Derived from the application of highintensity focused ultrasound,it has been utilized for the treatment of various types of glaucoma,demonstrating notable efficacy and safety.This review focuses on the efficacy and safety of UCP in treating glaucoma among Asian populations.By summarizing and analyzing existing literature on indications,therapeutic outcomes,and safety profiles,this review further highlights the unique advantages of UCP in glaucoma treatment compared to traditional surgical approaches.These advantages include broader indications,non-invasive nature,quantifiable treatment,excellent intraocular pressure-lowering effects,fewer adverse reactions,and high safety.Additionally,by introducing the underlying mechanism of action,this review explores the factors influencing its therapeutic efficacy,providing theoretical insights for clinical practice and demonstrating UCP’s potential in glaucoma management.
文摘BACKGROUND Primary ciliary dyskinesia(PCD)is a rare genetic disorder caused by motile cilia dysfunction.Identifying pathogenic variants is essential for diagnosis and personalized care,especially in consanguineous populations like Saudi Arabia.CASE SUMMARY This report presents a Saudi pediatric patient diagnosed with PCD who exhibited persistent neonatal tachypnea,chronic productive cough,and recurrent otitis media.Whole-exome sequencing revealed a novel homozygous nonsense variant in the C3orf67 gene(NM_198463.2:c.508C>T),resulting in a truncated,nonfunctional protein.This mutation likely impairs ciliary motility due to the production of a truncated,non-functional protein.The clinical findings were supported by multiple positive sputum cultures and a significant family history of similar symptoms,suggesting a genetic etiology consistent with autosomal recessive inheritance.CONCLUSION This case highlights the importance of genetic studies in diagnosing PCD,particularly in communities with a high rate of consanguinity.The identification of a novel homozygous variant in the C3orf67 gene expands the known genetic landscape of the disease.Further research is essential to clarify the functional role of C3orf67 in ciliary biology and its contribution to PCD pathogenesis.
基金Supported by National Key R&D Program of China(No.2018YFC0116000).
文摘AIM:To investigate the ultrasonographic features of ciliary body mesectodermal leiomyomas(CBL).METHODS:Ultrasonographic data of 18 eyes from 18 patients with histopathologically confirmed CBL were analyzed,covering the period from March 2018 to February 2024.The study included 5 male and 13 female patients,aged 14-64y,with a mean age of 40.11±13.54y.The following ultrasonographic features were evaluated:tumor base diameter,thickness,maximum base diameterto-thickness ratio,shape,internal echogenicity,margin echogenicity,internal echo homogeneity,secondary changes,color Doppler flow imaging(CDFI)findings,and contrast-enhanced ultrasound(CEUS)characteristics.RESULTS:Conventional ultrasound findings of the 18 CBL cases were as follows:1)Tumor size:base diameter of(13.48±4.74)×(11.57±4.00)mm^(2),thickness of 7.70±2.60 mm,and maximum base diameter-to-thickness ratio of 1.77±0.36.2)Shape:14 cases(77.8%)were hemispherical,and 4 cases(22.2%)were irregular.3)Internal echogenicity:the solid component of the tumor was hypoechoic in 16 cases(88.9%)and low-to-medium echogenic in 2 cases(11.1%).4)Margin echogenicity:relatively hyperechoic with a“ring-shaped”margin in 15 cases(83.3%)and isoechoic in 3 cases(16.7%;compared with internal echogenicity).5)Internal echo homogeneity:homogeneous in 11 cases(61.1%)and heterogeneous in 7 cases(38.9%),with 6 cases(33.3%)among the 7 heterogeneous cases exhibiting cystic anechoic areas.6)Secondary retinal detachment was observed in 4 cases(22.2%).CDFI revealed heterogeneous vascularity within the tumors,with blood flow signals ranging from minimal to marked.CEUS was performed in 14 patients:complete contrast agent perfusion was observed in 10 cases(71.4%),and partial perfusion was noted in 4 cases(28.6%).Additionally,8 cases(57.1%)showed a rapid wash-in and slow wash-out pattern,while 6 cases(42.9%)demonstrated a rapid wash-in and rapid wash-out pattern.CONCLUSION:CBL exhibit relatively typical ultrasonographic features,which can provide valuable evidence for the clinical diagnosis and differential diagnosis of intraocular tumors.
文摘BACKGROUND Primary ciliary dyskinesia(PCD)is a rare condition characterised by dysmotile,immotile,or absent cilia.As a result of the impairment in respiratory mucociliary clearance,patients with PCD typically develop neonatal respiratory distress,nasal congestion,otitis media and recurrent respiratory infections leading to bronchiectasis and structural lung changes.These changes have been shown by chest computed tomography(CT)to develop in infancy and early childhood.Recent development and refinement of radiation-reducing CT techniques have allowed significant radiation dose reductions,with chest CT doses now in the range of chest radiography(CR).AIM To evaluate the efficacy of ultra-low dose CT(ULDCT)chest in identifying pulmonary changes within a PCD paediatric patient cohort.METHODS Paediatric patients with PCD who presented for routine clinical outpatient follow-up within the study period,were eligible for inclusion in the study.ULDCT and CR were performed on these patients and the results compared.Comparison metrics included radiation dose,subjective and objective image quality and disease severity.RESULTS Six paediatric patients(mean age 9 years)underwent clinically indicated ULDCT chest examinations and CR for surveillance of their PCD.The mean effective dose was 0.08±0.02 mSv,a dose that approximates that of a frontal and lateral chest radiograph.The average Brody II score across the entire cohort was 12.92,with excellent interrater reliability and intra-class correlation coefficient(ICC)of 0.98.The average Chrispin-Norman score on CR was 1 with excellent inter-rater reliability and ICC of 0.92.CONCLUSION ULDCT demonstrates superior diagnostic capabilities,minimal radiation dose penalty,and high interobserver reliability in comparison to CR.Thus,we advocate for ULDCT to be the preferred modality for surveillance imaging in paediatric PCD.
文摘Objective To observe the activating effect of ciliary neurotrophic factor （CNTF） on astrocyte in vitro. Methods Astrocytes cultured purely from newborn rats. Cerebral cortex was raised in normal and serum deprivation condition with different concentrations （in ng/ml： 0, 2, 20, or 200） of CNTF. After cultured for 24 h, the shape and the cell cycle of astrocytes were examined by immunocytochemistry and flow cytometer, respectively. Results The immunoactivity of glial fibrillary acidic protein （GFAP） and the nuclear size of astrocytes were increased when CNTF was applied, whether cells were cultured in medium with or without serum. CNTF promoted astrocytes to enter the cell cycle in medium with serum, but had no this effect in medium without serum. Conclusion In medium without serum, astrocytes could differentiate into activated state ceils with CNTF application, but could not proliferate; in medium with serum, astrocytes could proliferate with aid of CNTF.
文摘This study investigated whether prior experience influences the plant food preference of Trigonotylus caelestialium and Stenotus rubrovittatus which cause pecky rice grain, by using rice plants and 2 poaceous weeds. In a choice experiment between Digitaria ciliaris and the rice plants, both T. caelestialium and S. rubrovittatus adults that were reared on D. ciliaris plants showed significant initial preference for D. ciliaris over rice. In a choice experiment between Echinochloa crus-galli var. aristata and rice plants, T. caelestialium adults reared on E. crus-galli var. aristata strongly preferred E. crus-galli var. aristata over rice throughout the experiment. However, at and after 24 h, T. caelestialium adults reared on rice showed no food preference, although T. caelestialium initially preferred E. crus-galli var. aristata. In contrast, S. rubrovittatus adults reared on rice showed no preference between E. crus-galli var. aristata and rice. However, S. rubrovittatus reared on E. crus-galli var. aristata initially preferred E. crus-galli var. aristata to rice, with this preference waning with time. The same results were obtained for both sexes. Although the effect of experience differed with food source and the species of mirid bug, prior experience initially had a noticeable effect, which disappeared with time (1 d).
文摘AIM: To evaluate the safety and the efficacy of the ultrasound ciliary plasty(UCP) on the intraocular pressure(IOP) control in glaucomatous eyes without previous glaucoma surgery.METHODS: A retrospective study included patients with primary and secondary glaucoma who underwent UCP in Dar Al Shifa Hospital, Kuwait between January 2017 to June 2018. High-intensity focused ultrasound procedures were performed under peribulbar anesthesia using the 2^(nd) generation probe with 8 s duration of each of the 6 shots. Complete ophthalmologic examinations were scheduled pre-treatment, and at 1 d, 1 wk, 1, 3, 6 and 12 mo posttreatment. Primary outcomes were the IOP reduction and success rates at 12 mo, while the secondary outcomes were the occurrence of vision threatening complications and visual acuity.RESULTS: The records of 62 eyes of 62 patients were analyzed with mean age of 63.8 y(67.7% males). There was statistically significant reduction in the mean IOP from 35.2±8.3 mm Hg before treatment to 20.6±8.7 mm Hg at 12^(th) month(P<0.0005) with a mean percentage IOP reduction of 42.3% with significant reduction in the mean number of antiglaucomatous drugs from 3.2±0.4 before treatment to 2.1±1.02 at 12 mo(P<0.0005). Qualified success was achieved in 77.4% of eyes at 12 mo. No major intra-or posttreatment complications were reported.CONCLUSION: Second-generation UCP prove to be effective in reducing IOP in naive glaucoma patients with lower success rates in cases of neovascular and uveitic glaucomas.
文摘This is a prospective interventional clinical study evaluating intraocular inflammation developed after Ultrasound Cyclo Plasty(UCP) for the treatment of glaucoma. Eighteen eyes of 18 patients were treated with UCP second-generation probes(Eye OP1). After treatment, the mean intraocular pressure(IOP) significantly decreased from 26.8±7.2 to 18.8±6.1 mm Hg at day 1 and to 14.7±3.4 mm Hg at month 6(all P<0.001). Mean laser flare-cell photometry value steeply increased after surgery from 12.1±7.5 to 64.1±53.9 ph/ms(P=0.001) at day 1, and then progressively decreased to respectively 60.6±49.7 at day 7, 43.5±38.5 at day 14 and 28.2±18.3 at month 1(all P<0.05), returning at levels similar to baseline ones at month 3 and month 6(respectively 16.7±6.2 and 12.8±10.2, both P>0.05). A significant negative correlation was found between postoperative increase of aqueous flare values and anterior chamber depth(R=-0.568, P=0.014). This timeframe may be considered reasonable for repeating UCP treatment, when required.
文摘Kartagener＇s syndrome （KS） is an autosomal recessive genetic disease accounting for approximately 50% of the cases of primary ciliary dyskinesia （PCD）. As it is accompanied by many complications, PCD/KS severely affects the patient＇s quality of life. Therapeutic approaches for PCD/KS aim to enhance prevention, facilitate rapid definitive diagnosis, avoid misdiagnosis, maintain active treatment, control infection and postpone the development of lesions. In male patients, sperm flagella may show impairment in or complete absence of the ability to swing, which ultimately results in male infertility. Assisted reproductive technology will certainly benefit such patients. For PCD/KS patients with completely immotile sperm, intracytoplasmic sperm injection may be very important and even indispensable. Considering the number of PCD/KS susceptibility genes and mutations that are being identified, more extensive genetic screening is indispensable in patients with these diseases. Moreover, further studies into the potential molecular mechanisms of these diseases are required. In this review, we summarize the available information on various aspects of this disease in order to delineate the therapeutic objectives more clearly, and clarify the efficacy of assisted reproductive technology as a means of treatment for patients with PCD/KS-associated infertility.
文摘Aim:Dysplasia of the fibrous sheath(DFS)is an anomaly found in asthenozoospermic patients with extremely lowor absent motility.In order to determine the efficacy of ICSI in these patients,a retrospective analysis of ICSI results inDFS patients has been done.Methods:Ten ICSI attempts were performed in 6 patients with diagnosis of Dysplasiaof the Fibrous Sheath studied by transmission and scanning electron microscopy.Results:In the cases studied,sperm concentration was(29.62±18.05)×10^(6)/mL,total motility was 1.14±1.31%.Progressive motility was 0%except for one case with 0.1%.One hundred and three preovulatory oocytes were obtained and 94 metaphaseⅡoocyteswere injected.Sixty-nine of them showed two pronuclei(fertilization rate:73.4%).Forty-nine embryos were ob-tained and 34 were transferred(mean:3.4 embryos per transfer).Five pregnancies were diagnosed byβ-hCG plasmalevel determinations that resulted to be one preclinical abortion,one clinical abortion and three deliveries.Anotherpregnancy(ongoing)was achieved from a cryopreserved embryo transfer.Conclusion:These results showed thatICSI provides a suitable solution for patients suffering from irreversible sperm defects such as DFS.Nevertheless,it ismandatory to inform couples of possible transmission risks to offspring,which are unknown at present.Only when theetiology of this problem is disclosed,it will be possible to assess the real genetic risk.
文摘A chemically extracted acellular allogeneic nerve graft can reduce postoperative immune rejection, similar to an autologous nerve graft, and can guide neural regeneration. However, it remains poorly understood whether a chemically extracted acellular allogeneic nerve graft combined with neurotrophic factors provides a good local environment for neural regeneration. This study investigated the repair of injured rat sciatic nerve using a chemically extracted acellular allogeneic nerve graft combined with ciliary neurotrophic factor. An autologous nerve anastomosis group and a chemical acellular allogeneic nerve bridging group were prepared as controls. At 8 weeks after repair, sciatic functional index, evoked potential amplitude of the soleus muscle, triceps wet weight recovery rate, total number of myelinated nerve fibers and myelin sheath thickness were measured. For these indices, values in the three groups showed the autologous nerve anastomosis group 〉 chemically extracted acellular nerve graft ＋ ciliary neurotrophic factor group 〉 chemical acellular allogeneic nerve bridging group. These results suggest that chemically extracted acellular nerve grafts combined with ciliary neurotrophic factor can repair sciatic nerve defects, and that this repair is inferior to autologous nerve anastomosis, but superior to chemically extracted acellular allogeneic nerve bridging alone.
文摘Primary ciliary dyskinesia （PCD） is an autosomal-recessive disorder resulting from the loss of normal ciliary function. Symptoms include neonatal respiratory distress, chronic sinusitis, bronchiectasis, situs inversus, and infertility. However, only 15 PCD-associated genes have been identified to cause male infertility to date. Owing to the genetic heterogeneity of PCD, comprehensive molecular genetic testing is not considered the standard of care. Here, we provide an update of the progress on the identification of genetic factors related to PCD associated with male infertility, summarizing the underlying molecular mechanisms, and discuss the clinical implications of these findings. Further research in this field will impact the diagnostic strategy for male infertility, enabling clinicians to provide patients with informed genetic counseling, and help to adopt the best course of treatment for developing directly targeted personalized medicine.
基金Project(No.2012KYA107)supported by the Health Bureau of Zhejiang Province,China
文摘Objective:To evaluate the prevalence of primary iris and/or ciliary body cysts in eyes with shallow anterior chamber and their effect on the narrowing of the anterior chamber angle.Methods:Among the general physical check-up population,subjects with shallow anterior chambers,as judged by van Herick technique,were recruited for further investigation.Ultrasound biomicroscope(UBM)was used to detect and measure the cysts located in the iris and/or ciliary body,the anterior chamber depth(ACD),the angle opening distance at 500μm(AOD500),and the trabecular-iris angle(TIA).A-scan ultrasonography was used to measure the ocular biometry,including lens thickness,axial length,lens/axial length factor(LAF),and relative lens position(RLP).The effect of the cyst on narrowing the corresponding anterior chamber angle and the entire angle was evaluated by the UBM images,ocular biometry,and gonioscopic grading.The eye with unilateral cyst was compared with the eye without the cyst for further analysis.Results:Among the 727 subjects with shallow anterior chamber,primary iris and ciliary body cysts were detected in 250(34.4%)patients;among them 96(38.4%)patients showed unilateral single cyst,21(8.4%)patients had unilateral double cysts,and 42(16.8%)patients manifested unilateral multiple and multi-quadrants cysts.Plateau iris configuration was found in 140 of 361(38.8%)eyes with cysts.The mean size of total cysts was(0.6547±0.2319)mm.In evaluation of the effect of the cyst size and location on narrowing the corresponding angle to their position,the proportion of the cysts causing corresponding angle narrowing or closure among the cysts larger than 0.8 mm(113/121,93.4%)was found to be significantly higher than that of the cysts smaller than 0.8 mm(373/801,46.6%),and a significant higher proportion was also found in the cysts located at iridociliary sulcus(354/437,81.0%)than in that at the pars plicata(131/484,27.1%).In evaluating the effect of the cyst on the entire anterior chamber angle,the eyes with multiple and multi-quadrants cysts manifested significant narrowing of the entire anterior chamber angle as compared with the eyes without cysts,based on the data analysis in comparison of TIA,AOD500,and gonioscopic grading evaluation.The unilateral single or double cysts in the eyes had no significant effect on narrowing of anterior chamber angle as compared with eyes without cysts.The iris and/or ciliary body cysts did not seem to affect the axial length,ACD,lens thickness,RLP,LAF.Conclusions:The prevalence of primary iris and ciliary body cyst was 34.4%in the subjects with shallow anterior chamber.The cysts larger than 0.8 mm,locating at iridociliary sulcus,or multiple and extensive cysts were inclined to cause the angle narrowing or closure.
