为了在体外细胞水平模拟多浪绵羊肌肉生长发育过程,本研究以多浪绵羊为试验动物,采用胶原酶和胰酶两步酶消化法分离多浪绵羊骨骼肌卫星细胞(satellite cells,SCs),并利用差速贴壁的方法纯化分离得到的SCs。利用免疫荧光技术检测SCs标记...为了在体外细胞水平模拟多浪绵羊肌肉生长发育过程,本研究以多浪绵羊为试验动物,采用胶原酶和胰酶两步酶消化法分离多浪绵羊骨骼肌卫星细胞(satellite cells,SCs),并利用差速贴壁的方法纯化分离得到的SCs。利用免疫荧光技术检测SCs标记基因Desmin、Pax7和MyoD1的表达情况,鉴定分离得到的SCs。采用血清撤离的方法诱导SCs向成肌方向分化。通过显微镜观察和成肌分化标记基因肌球蛋白重链(myosin heavy chain,MHC)的免疫荧光,检测肌管的形成情况。通过对SCs标记基因Desmin、Pax7和MyoD1的免疫荧光鉴定,确认本研究成功分离得到多浪绵羊SCs。采用血清撤离的方法诱导SCs成肌分化,显微镜观察和MHC免疫荧光可以明显观察和检测到肌管的形成。本研究对多浪绵羊SCs成功地进行了分离和鉴定,并建立了体外培养条件下多浪绵羊SCs的成肌诱导分化。展开更多
BACKGROUND Melanomas are malignant tumors that can occur in different body parts or tissues such as the skin,mucous membrane,uvea,and pia mater.Long non-coding RNAs(lncRNAs)are key factors in the occurrence and develo...BACKGROUND Melanomas are malignant tumors that can occur in different body parts or tissues such as the skin,mucous membrane,uvea,and pia mater.Long non-coding RNAs(lncRNAs)are key factors in the occurrence and development of many malignant tumors,and are involved in the prognosis of some patients.AIM To identify autophagy-related lncRNAs in melanoma that are crucial for the diagnosis,treatment,and prognosis of melanoma patients.METHODS We retrieved transcriptome expression profiles and clinical information of 470 melanoma patients from The Cancer Genome Atlas(TCGA)database.Then,we identified autophagy-related genes in the Human Autophagy Database.Using R,coexpression analysis of lncRNAs and autophagy-related genes was conducted to obtain autophagy-related lncRNAs and their expression levels.We also performed univariate and multivariate Cox proportional risk analyses on the obtained datasets,to systematically evaluate the prognostic value of autophagyrelated lncRNAs in melanoma.Fifteen autophagy-related lncRNAs were identified and an autophagy-related prognostic signature for melanoma was established.The Kaplan-Meier and univariate and multivariate Cox regression analyses were used to calculate risk scores.Based on the risk scores,melanoma patients were randomly divided into high-and low-risk groups.Receiver operating characteristic curve analysis,dependent on time,was performed to assess the accuracy of the prognostic model.At the same time,we also downloaded the melanoma data sets GSE65904,GSE19234,and GSE78220 from the GENE EXPRESSION OMNIBUS database for model verification.Finally,we performed Gene Set Enrichment Analysis functional annotation,which showed that the low and the high-risk groups had different enriched pathways.RESULTS The co-expression network for autophagy-related genes was constructed using R,and 936 lncRNAs related to autophagy were identified.Then,52 autophagy-related lncRNAs were significantly associated with TCGA melanoma patients’survival by univariate Cox proportional risk analysis(P<展开更多
Watermelon(Citrullus lanatus(Thunb.) Matsum. & Nakai) is an important cucurbit crop grown worldwide. Watermelon fruit quality, fertility, and seed-setting rate are closely related to male flower development. In th...Watermelon(Citrullus lanatus(Thunb.) Matsum. & Nakai) is an important cucurbit crop grown worldwide. Watermelon fruit quality, fertility, and seed-setting rate are closely related to male flower development. In this study, the different developmental stages of flower buds of the watermelon cultivar ’Xinteda Zhengkang 9’ were distinguished by cytological observation, and transcriptome sequencing analysis was performed subsequently. Acetocarmine staining of anthers was performed and the longitudinal and transverse diameters of the unopened male flower buds were measured. Cytological observations of anthers at different developmental stages showed that the anther grew from the tetrad to the mature stage, and the longitudinal and transverse diameters of the flower buds increased. The length of the male flower buds also changed significantly during development. Transcriptome sequencing analysis at four periods, the tetrad(A group), mononuclear(B group), dikaryophase(C group), and mature stages(D group). A total of 16 288 differentially expressed genes(DEGs) were detected in the four stages, with the prolongation of developmental stages, the number of DEGs increased gradually in the comparison groups, there was 2 014, 3 259, 4 628, 1 490, 3 495 and 1 132 DEGs revealed in six comparison groups(A-vs.-B, A-vs.-C, A-vs.-D, B-vs.-C, B-vs.-D, and C-vs.-D), respectively. Gene Ontology(GO) and KEGG enrichment analysis showed that the DEGs were mainly enriched in cellular component and starch and sucrose metabolism, phenylpropanoid biosynthesis and pentose sugar, etc. Finally, we completely screened 59 DEGs in the six comparison groups, interestingly, we found one pollen-specific protein(Cla001608) that was significantly down-regulated(the value of log2 Fold Change up to 17.32), which indicated that it may play an important role in the development of male flowers. This work provides insight into the molecular basis of the developmental stages of male flowers in watermelon and may aid in dominant cross breeding.展开更多
In vitro gynogenesis is an important tool used in haploid or homozygous double-haploid plant breeding.However,because of low repeatability,embryoid induction rate and quality,the molecular mechanisms remain poorly und...In vitro gynogenesis is an important tool used in haploid or homozygous double-haploid plant breeding.However,because of low repeatability,embryoid induction rate and quality,the molecular mechanisms remain poorly understood.Heat shock treatment can promote the transformation of the gametophytic pathway into the sporophyte pathway,which induces the occurrence of haploid.In this study,unfertilized ovaries were heat shocked for 0 h(A0)before flowering and for 0 h(A1),4 h(A3),8 h(A5),12 h(A7),and 24 h(A8),respectively,at 37℃at the first day of the flowering stage.The ovule enlargement rate was increased from 0%at 25℃to 96.8%at 37℃(24 h treatment).Thus,we aimed to investigate the gene expression patterns in unfertilized ovules of watermelon after different periods of heat shock by using RNA-Seq technology.The results showed that compared with A3,A5,A7,and A8,the biosynthesis of amino acid,glycine,serine and threonine metabolic pathways in A1 has changed significantly.This indicated that heat shock treatment affected the synthesis and transformation of amino acids during ovule expansion.The transcriptome data suggested gene expressions of ovule growth were significantly changed by heat-specific influences.The results provide new information on the complex relationship between in vitro gynogenesis and temperature.This provides a basis for further study of the mechanism of heat shock affecting the expansion of watermelon ovule.展开更多
Compactness and miniaturization have become increasingly important in the development of high-power microwave devices.Based on this rising demand,a novel C-band coaxial transit-time oscillator(TTO)with a low external ...Compactness and miniaturization have become increasingly important in the development of high-power microwave devices.Based on this rising demand,a novel C-band coaxial transit-time oscillator(TTO)with a low external guiding magnetic field is proposed and analyzed.The proposed device has the following advantages:simple structure,short axial length,high power conversion efficiency,and low external guiding magnetic field,which are of great significance for developing the compact and miniaturized high-power microwave devices.The application of a shorter axial length is made possible by the use of a transit radiation mechanism.Also,loading the opening foil symmetrically to both ends of the buncher helps reduce the external magnetic field of the proposed device.Unlike traditional foils,the proposed opening foil has a circular-hole;therefore,the electron beam will not bombard the conductive foil to generate plasma.This makes it possible to realize long pulse and high repetition rate operation of the device in future experiments.Through numerical calculation and PIC particle simulation,the stability of the intense relativistic electron beam(IREB)and the saturation time of the device are improved by using the conductive foil.The voltage and current of the diode are 548 kV and 11.4 kA,respectively.Under a 0.4-T external guiding magnetic field,a C-band output microwave with a frequency of 4.27 GHz and power of 1.88 GW can be generated.The power conversion efficiency of the proposed device is about 30%.展开更多
As one of important members of refractory materials,tungsten phosphide(WP)holds great potential for fundamental study and industrial applications in many fields of science and technology,due to its excellent propertie...As one of important members of refractory materials,tungsten phosphide(WP)holds great potential for fundamental study and industrial applications in many fields of science and technology,due to its excellent properties such as superconductivity and as-predicted topological band structure.However,synthesis of high-quality WP crystals is still a challenge by using tradition synthetic methods,because the synthesis temperature for growing its large crystals is very stringently required to be as high as 3000℃,which is far beyond the temperature capability of most laboratory-based devices for crystal growth.In addition,high temperature often induces the decomposition of metal phosphides,leading to off-stoichiometric samples based on which the materials'intrinsic properties cannot be explored.In this work,we report a high-pressure synthesis of single-crystal WP through a direct crystallization from cooling the congruent W-P melts at 5 GPa and^3200℃.In combination of x-ray diffraction,electron microscope,and thermal analysis,the crystal structure,morphology,and stability of recovered sample are well investigated.The final product is phase-pure and nearly stoichiometric WP in a single-crystal form with a large grain size,in excess of one millimeter,thus making it feasible to implement most experimental measurements,especially,for the case where a large crystal is required.Success in synthesis of high-quality WP crystals at high pressure can offer great opportunities for determining their intrinsic properties and also making more efforts to study the family of transition-metal phosphides.展开更多
A novel transit-time oscillator(TTO)is proposed in this paper.An axial cathode which has been widely used in high power microwave(HPM)source and an extractor with radial feature are adopted.In this way,the inherent ad...A novel transit-time oscillator(TTO)is proposed in this paper.An axial cathode which has been widely used in high power microwave(HPM)source and an extractor with radial feature are adopted.In this way,the inherent advantages of axial and radial TTO,both of which can be utilized as high-quality intense relativistic electron beam(IREB),can be generated and the power capacity is also increased.The working mode isπ/2 mode of TM01 based on small-signal theory,and under the same energy storage,the maximum electric field in extractor decreases 16.3%.Besides,by utilizing the natural bending of the solenoid,this TTO saves over 60%of the length required by the uniform magnetic field,and consequently reduces the energy consumed by solenoid.The PIC simulation shows that by using 1.0-T decreasing magnetic field generated by the shorter solenoid,3.37-GW microwave at 12.43 GHz is generated with 620-kV and 13.27-kA input,and the overall conversion efficiency is 41%.展开更多
Background:Common and rare variants of guanosine triphosphate cyclohydrolase 1(GCH1)gene may play important roles in Parkinson's disease(PD).However,there is a lack of comprehensive analysis of GCH1 genotypes,espe...Background:Common and rare variants of guanosine triphosphate cyclohydrolase 1(GCH1)gene may play important roles in Parkinson's disease(PD).However,there is a lack of comprehensive analysis of GCH1 genotypes,especially in non-coding regions.The aim of this study was to explore the genetic characteristics of GCH1,including rare and common variants in coding and non-coding regions,in a large population of PD patients in Chinese mainland,as well as the phenotypic characteristics of GCH1 variant carriers.Methods:In the first cohort of this case-control study,we performed whole-exome sequencing in 1555 patients with early-onset or familial PD and 2234 healthy controls;then in the second cohort,whole-genome sequencing was performed in sporadic late-onset PD samples(1962 patients),as well as 1279 controls.Variants at target GCH1 regions were extracted,and then genetic and detailed phenotypic data were analyzed using regression models and the sequence kernel association test.We also performed a meta-analysis to correlate deleterious GCH1 variants with age at onset(AAO)in PD patients.Results:For coding variants,we identified a significant burden of GCH1 deleterious variants in early-onset or familial PD cases compared to controls(1.2%VS 0.1%,P<0.0001).In the analysis of possible regulatory variants in GCH1 non-coding regions,rs12323905(P=0.001,odds ratio=1.19,95%CI 1.07-1.32)was significantly associated with PD,and variant sets in untranslated regions and intron regions,GCH1 brain-specific expression quantitative trait loci,and two possible promoter/enhancer(GH14J054857 and GH14J054880)were suggestively associated with PD.Genotype phenotype correlation analysis revealed that the carriers of GCH1 deleterious variants manifested younger AAO(P<0.0001),and had milder motor symptoms,milder fatigue symptoms and more autonomic nervous dysfunctions.Meta-analysis of six studies demonstrated 6.4-year earlier onset in GCH1 deleterious variant carriers(P=0.0009).Conclusions:The results highlight the importance of deleterious variant展开更多
目的评价三级公立医院绩效考核背景下医院推行加速康复外科(Enhanced Recovery After Surgery,ERAS)整合管理效果。方法基于结直肠癌根治术患者数据,采用回顾性历史对照研究试点病区实行ERAS整合管理前后运营效率指标变化。结果试点病...目的评价三级公立医院绩效考核背景下医院推行加速康复外科(Enhanced Recovery After Surgery,ERAS)整合管理效果。方法基于结直肠癌根治术患者数据,采用回顾性历史对照研究试点病区实行ERAS整合管理前后运营效率指标变化。结果试点病区实行ERAS整合管理后医疗服务收入占比30.29%,住院次均药品费用降幅11.91%,住院次均费用增幅2.16%,达到国家卫生健康委2020年公布指标满分值,上述指标前后对比均有显著性差异。结论 ERAS整合管理模式有助于医院提升运营管理效率,符合三级公立医院绩效考核要求。展开更多
文摘为了在体外细胞水平模拟多浪绵羊肌肉生长发育过程,本研究以多浪绵羊为试验动物,采用胶原酶和胰酶两步酶消化法分离多浪绵羊骨骼肌卫星细胞(satellite cells,SCs),并利用差速贴壁的方法纯化分离得到的SCs。利用免疫荧光技术检测SCs标记基因Desmin、Pax7和MyoD1的表达情况,鉴定分离得到的SCs。采用血清撤离的方法诱导SCs向成肌方向分化。通过显微镜观察和成肌分化标记基因肌球蛋白重链(myosin heavy chain,MHC)的免疫荧光,检测肌管的形成情况。通过对SCs标记基因Desmin、Pax7和MyoD1的免疫荧光鉴定,确认本研究成功分离得到多浪绵羊SCs。采用血清撤离的方法诱导SCs成肌分化,显微镜观察和MHC免疫荧光可以明显观察和检测到肌管的形成。本研究对多浪绵羊SCs成功地进行了分离和鉴定,并建立了体外培养条件下多浪绵羊SCs的成肌诱导分化。
文摘BACKGROUND Melanomas are malignant tumors that can occur in different body parts or tissues such as the skin,mucous membrane,uvea,and pia mater.Long non-coding RNAs(lncRNAs)are key factors in the occurrence and development of many malignant tumors,and are involved in the prognosis of some patients.AIM To identify autophagy-related lncRNAs in melanoma that are crucial for the diagnosis,treatment,and prognosis of melanoma patients.METHODS We retrieved transcriptome expression profiles and clinical information of 470 melanoma patients from The Cancer Genome Atlas(TCGA)database.Then,we identified autophagy-related genes in the Human Autophagy Database.Using R,coexpression analysis of lncRNAs and autophagy-related genes was conducted to obtain autophagy-related lncRNAs and their expression levels.We also performed univariate and multivariate Cox proportional risk analyses on the obtained datasets,to systematically evaluate the prognostic value of autophagyrelated lncRNAs in melanoma.Fifteen autophagy-related lncRNAs were identified and an autophagy-related prognostic signature for melanoma was established.The Kaplan-Meier and univariate and multivariate Cox regression analyses were used to calculate risk scores.Based on the risk scores,melanoma patients were randomly divided into high-and low-risk groups.Receiver operating characteristic curve analysis,dependent on time,was performed to assess the accuracy of the prognostic model.At the same time,we also downloaded the melanoma data sets GSE65904,GSE19234,and GSE78220 from the GENE EXPRESSION OMNIBUS database for model verification.Finally,we performed Gene Set Enrichment Analysis functional annotation,which showed that the low and the high-risk groups had different enriched pathways.RESULTS The co-expression network for autophagy-related genes was constructed using R,and 936 lncRNAs related to autophagy were identified.Then,52 autophagy-related lncRNAs were significantly associated with TCGA melanoma patients’survival by univariate Cox proportional risk analysis(P<
基金supported by the China Agriculture Research System of MOF and MARA(CARS-25)the Central Public-interest Scientific Institution Basal Research Fund,China(Y2019XK16-03)+2 种基金the Agricultural Science and Technology Innovation Program of the Chinese Academy of Agricultural Sciences(CAASASTIP-2020-ZFRI)the Key Scientific and Technological Project of Henan Province,China(202102110194)the Major Science and Technology Project in Zhengzhou,China(188PCXZX802)。
文摘Watermelon(Citrullus lanatus(Thunb.) Matsum. & Nakai) is an important cucurbit crop grown worldwide. Watermelon fruit quality, fertility, and seed-setting rate are closely related to male flower development. In this study, the different developmental stages of flower buds of the watermelon cultivar ’Xinteda Zhengkang 9’ were distinguished by cytological observation, and transcriptome sequencing analysis was performed subsequently. Acetocarmine staining of anthers was performed and the longitudinal and transverse diameters of the unopened male flower buds were measured. Cytological observations of anthers at different developmental stages showed that the anther grew from the tetrad to the mature stage, and the longitudinal and transverse diameters of the flower buds increased. The length of the male flower buds also changed significantly during development. Transcriptome sequencing analysis at four periods, the tetrad(A group), mononuclear(B group), dikaryophase(C group), and mature stages(D group). A total of 16 288 differentially expressed genes(DEGs) were detected in the four stages, with the prolongation of developmental stages, the number of DEGs increased gradually in the comparison groups, there was 2 014, 3 259, 4 628, 1 490, 3 495 and 1 132 DEGs revealed in six comparison groups(A-vs.-B, A-vs.-C, A-vs.-D, B-vs.-C, B-vs.-D, and C-vs.-D), respectively. Gene Ontology(GO) and KEGG enrichment analysis showed that the DEGs were mainly enriched in cellular component and starch and sucrose metabolism, phenylpropanoid biosynthesis and pentose sugar, etc. Finally, we completely screened 59 DEGs in the six comparison groups, interestingly, we found one pollen-specific protein(Cla001608) that was significantly down-regulated(the value of log2 Fold Change up to 17.32), which indicated that it may play an important role in the development of male flowers. This work provides insight into the molecular basis of the developmental stages of male flowers in watermelon and may aid in dominant cross breeding.
基金supported by the earmarked fund for China Agriculture Research System (CARS-25)the Fundamental Research Funds of the Chinese Academy of Agricultural Sciences (Y2018YJ15 and Y2019XK16-03)+1 种基金the Agricultural Science and Technology Innovation Program, Chinese Academy of Agricultural Sciences (CAAS-ASTIP2018-ZFRI)the National Key R&D Program of China (2018YFD0201310)
文摘In vitro gynogenesis is an important tool used in haploid or homozygous double-haploid plant breeding.However,because of low repeatability,embryoid induction rate and quality,the molecular mechanisms remain poorly understood.Heat shock treatment can promote the transformation of the gametophytic pathway into the sporophyte pathway,which induces the occurrence of haploid.In this study,unfertilized ovaries were heat shocked for 0 h(A0)before flowering and for 0 h(A1),4 h(A3),8 h(A5),12 h(A7),and 24 h(A8),respectively,at 37℃at the first day of the flowering stage.The ovule enlargement rate was increased from 0%at 25℃to 96.8%at 37℃(24 h treatment).Thus,we aimed to investigate the gene expression patterns in unfertilized ovules of watermelon after different periods of heat shock by using RNA-Seq technology.The results showed that compared with A3,A5,A7,and A8,the biosynthesis of amino acid,glycine,serine and threonine metabolic pathways in A1 has changed significantly.This indicated that heat shock treatment affected the synthesis and transformation of amino acids during ovule expansion.The transcriptome data suggested gene expressions of ovule growth were significantly changed by heat-specific influences.The results provide new information on the complex relationship between in vitro gynogenesis and temperature.This provides a basis for further study of the mechanism of heat shock affecting the expansion of watermelon ovule.
基金Project supported by the National Natural Science Foundation of China (Grant No. 61701516).
文摘Compactness and miniaturization have become increasingly important in the development of high-power microwave devices.Based on this rising demand,a novel C-band coaxial transit-time oscillator(TTO)with a low external guiding magnetic field is proposed and analyzed.The proposed device has the following advantages:simple structure,short axial length,high power conversion efficiency,and low external guiding magnetic field,which are of great significance for developing the compact and miniaturized high-power microwave devices.The application of a shorter axial length is made possible by the use of a transit radiation mechanism.Also,loading the opening foil symmetrically to both ends of the buncher helps reduce the external magnetic field of the proposed device.Unlike traditional foils,the proposed opening foil has a circular-hole;therefore,the electron beam will not bombard the conductive foil to generate plasma.This makes it possible to realize long pulse and high repetition rate operation of the device in future experiments.Through numerical calculation and PIC particle simulation,the stability of the intense relativistic electron beam(IREB)and the saturation time of the device are improved by using the conductive foil.The voltage and current of the diode are 548 kV and 11.4 kA,respectively.Under a 0.4-T external guiding magnetic field,a C-band output microwave with a frequency of 4.27 GHz and power of 1.88 GW can be generated.The power conversion efficiency of the proposed device is about 30%.
基金the National Key Research and Development Program of China(Grant Nos.2016YFA0401503 and 2018YFA0305700)the National Natural Science Foundation of China(Grant No.11575288)+4 种基金the Youth Innovation Promotion Association of Chinese Academy of Sciences(Grant No.2016006)the Key Research Platforms and Research Projects of Universities in Guangdong Province,China(Grant No.2018KZDXM062)the Guangdong Innovative&Entrepreneurial Research Team Program,China(Grant No.2016ZT06C279)the Shenzhen Peacock Plan,China(Grant No.KQTD2016053019134356)the Shenzhen Development&Reform Commission Foundation for Novel Nano-Material Sciences,China,the Research Platform for Crystal Growth&Thin-Film Preparation at SUST,China,and the Shenzhen Development and Reform Commission Foundation for Shenzhen Engineering Research Center for Frontier Materials Synthesis at High Pressure,China.
文摘As one of important members of refractory materials,tungsten phosphide(WP)holds great potential for fundamental study and industrial applications in many fields of science and technology,due to its excellent properties such as superconductivity and as-predicted topological band structure.However,synthesis of high-quality WP crystals is still a challenge by using tradition synthetic methods,because the synthesis temperature for growing its large crystals is very stringently required to be as high as 3000℃,which is far beyond the temperature capability of most laboratory-based devices for crystal growth.In addition,high temperature often induces the decomposition of metal phosphides,leading to off-stoichiometric samples based on which the materials'intrinsic properties cannot be explored.In this work,we report a high-pressure synthesis of single-crystal WP through a direct crystallization from cooling the congruent W-P melts at 5 GPa and^3200℃.In combination of x-ray diffraction,electron microscope,and thermal analysis,the crystal structure,morphology,and stability of recovered sample are well investigated.The final product is phase-pure and nearly stoichiometric WP in a single-crystal form with a large grain size,in excess of one millimeter,thus making it feasible to implement most experimental measurements,especially,for the case where a large crystal is required.Success in synthesis of high-quality WP crystals at high pressure can offer great opportunities for determining their intrinsic properties and also making more efforts to study the family of transition-metal phosphides.
基金Project supported by the National Natural Science Foundation of China(Grant No.61701516)
文摘A novel transit-time oscillator(TTO)is proposed in this paper.An axial cathode which has been widely used in high power microwave(HPM)source and an extractor with radial feature are adopted.In this way,the inherent advantages of axial and radial TTO,both of which can be utilized as high-quality intense relativistic electron beam(IREB),can be generated and the power capacity is also increased.The working mode isπ/2 mode of TM01 based on small-signal theory,and under the same energy storage,the maximum electric field in extractor decreases 16.3%.Besides,by utilizing the natural bending of the solenoid,this TTO saves over 60%of the length required by the uniform magnetic field,and consequently reduces the energy consumed by solenoid.The PIC simulation shows that by using 1.0-T decreasing magnetic field generated by the shorter solenoid,3.37-GW microwave at 12.43 GHz is generated with 620-kV and 13.27-kA input,and the overall conversion efficiency is 41%.
基金This study was supported by the National Key Research and Development Program of China(2016YFC1306000,2017YFC0909100,2018YFC1312000,and 2016YFC1306501)to GJ.F,T.B.S and Y.X.X,the Central Public-Interest Scientific Institution Basal Research Fund of Chinese Academy of Medical Sciences(2018-12 M-HL-025)+3 种基金to GJ.F,the National Natural Science Foundation of China(81873785,81974202)to GJ.F and T.B.S,and Science and Technology Major Project of Hunan Provincial Science and Technology Department(2018SK1030)to GJ.F,the innovative team program from Department of Sci-ence&Technology of Hunan Province(2019RS1010)to GJ.F,and the Innovation-driven Team Project from Central South University(2020CX016)to GJ.F.
文摘Background:Common and rare variants of guanosine triphosphate cyclohydrolase 1(GCH1)gene may play important roles in Parkinson's disease(PD).However,there is a lack of comprehensive analysis of GCH1 genotypes,especially in non-coding regions.The aim of this study was to explore the genetic characteristics of GCH1,including rare and common variants in coding and non-coding regions,in a large population of PD patients in Chinese mainland,as well as the phenotypic characteristics of GCH1 variant carriers.Methods:In the first cohort of this case-control study,we performed whole-exome sequencing in 1555 patients with early-onset or familial PD and 2234 healthy controls;then in the second cohort,whole-genome sequencing was performed in sporadic late-onset PD samples(1962 patients),as well as 1279 controls.Variants at target GCH1 regions were extracted,and then genetic and detailed phenotypic data were analyzed using regression models and the sequence kernel association test.We also performed a meta-analysis to correlate deleterious GCH1 variants with age at onset(AAO)in PD patients.Results:For coding variants,we identified a significant burden of GCH1 deleterious variants in early-onset or familial PD cases compared to controls(1.2%VS 0.1%,P<0.0001).In the analysis of possible regulatory variants in GCH1 non-coding regions,rs12323905(P=0.001,odds ratio=1.19,95%CI 1.07-1.32)was significantly associated with PD,and variant sets in untranslated regions and intron regions,GCH1 brain-specific expression quantitative trait loci,and two possible promoter/enhancer(GH14J054857 and GH14J054880)were suggestively associated with PD.Genotype phenotype correlation analysis revealed that the carriers of GCH1 deleterious variants manifested younger AAO(P<0.0001),and had milder motor symptoms,milder fatigue symptoms and more autonomic nervous dysfunctions.Meta-analysis of six studies demonstrated 6.4-year earlier onset in GCH1 deleterious variant carriers(P=0.0009).Conclusions:The results highlight the importance of deleterious variant
文摘目的评价三级公立医院绩效考核背景下医院推行加速康复外科(Enhanced Recovery After Surgery,ERAS)整合管理效果。方法基于结直肠癌根治术患者数据,采用回顾性历史对照研究试点病区实行ERAS整合管理前后运营效率指标变化。结果试点病区实行ERAS整合管理后医疗服务收入占比30.29%,住院次均药品费用降幅11.91%,住院次均费用增幅2.16%,达到国家卫生健康委2020年公布指标满分值,上述指标前后对比均有显著性差异。结论 ERAS整合管理模式有助于医院提升运营管理效率,符合三级公立医院绩效考核要求。
