AIM: To elaborate the clinicopathologic features of colorectal cancer-related pyogenic liver abscess (PLA). METHODS: Reported cases of colorectal cancer-related PLAs were collected from the literature published up to ...AIM: To elaborate the clinicopathologic features of colorectal cancer-related pyogenic liver abscess (PLA). METHODS: Reported cases of colorectal cancer-related PLAs were collected from the literature published up to October 2011 and evaluated for their clinicopathologic features. Data of collected cases included demographics, clinical presentation, microbial findings and treatment. Categorical variables were compared by 2 analysis and continuous variables were evaluated using Student's t test. RESULTS: A total 96 cases of colorectal cancer-related PLA were collected from the previous literature. Most patients (60%) were male and 40% cases occurred in the age group of 61-70 years. Apart from some special types of PLA, there were significant differences in the microbiological spectrum between Eastern Asia and non-Eastern Asian countries, which implied different risk factors and courses of the disease. Gram negative bacteria especially Klebsiella pneumoniae (K. pneu- moniae ) PLA was predominant in Eastern Asia (80.0%) in contrast to non-Eastern Asian countries (P < 0.01). Meanwhile, most of the Eastern Asian patients exhibited smaller size of liver abscess and atypical presentation. Sigmoid colon and rectum (72.73%) were the main sites of tumor in Eastern Asian patients, whereas tumor sites were uneven among most of the non-Easter Asian PLA patients. CONCLUSION:K. pneumoniae PLA was strongly associated with colorectal cancer, especially those occurring in sigmoid colon and rectum, in elderly Eastern Asian male patients.展开更多
The digestion of cellulose by fungus-growing termites involves a complex of different organisms, such as the termites themselves, fungi and bacteria. To further investigate the symbiotic relationships of fungus-growin...The digestion of cellulose by fungus-growing termites involves a complex of different organisms, such as the termites themselves, fungi and bacteria. To further investigate the symbiotic relationships of fungus-growing termites, the microbial communities of the termite gut and fungus combs of Odontotermes yunnanensis were examined. The major fungus species was identified as Termitomyces sp. To compare the micro-organism diversity between the digestive tract of termites and fungus combs, four polymerase chain reaction clone libraries were created （two fungus-targeted internal transcribed spacer [ITS] - ribosomal DNA [rDNA] libraries and two bacteria-targeted 16S rDNA libraries）, and one library of each type was produced for the host termite gut and the symbiotic fimgus comb. Results of the fungal clone libraries revealed that only Termitomyces sp. was detected on the fungus comb; no non-Termitomyces fungi were detected. Meanwhile, the same fungus was also found in the termite gut. The bacterial clone libraries showed higher numbers and greater diversity of bacteria in the termite gut than in the fungus comb. Both bacterial clone libraries from the insect gut included Firmicutes, Bacteroidetes, Proteobacteria, Spirochaetes, Nitrospira, Deferribacteres, and Fibrobacteres, whereas the bacterial clone libraries from the fungal comb only contained Firmicutes, Bacteroidetes, Proteobacteria, and Acidobacteris.展开更多
Objective:To evaluate the effect and safety of foot baths with Tangbi Waixi Decoction(TW)in treating patients with diabetic peripheral neuropathy(DPN).Methods:It is a multicenter double-blinded randomized controlled t...Objective:To evaluate the effect and safety of foot baths with Tangbi Waixi Decoction(TW)in treating patients with diabetic peripheral neuropathy(DPN).Methods:It is a multicenter double-blinded randomized controlled trial.Participants with DPN were recruited between November 18,2016 and May 30,2018 from 8 hospitals in China.All patients received basic treatments for glycemic management.Patients received foot baths with TW herbal granules either 66.9 g(intervention group)or 6.69 g(control group)for 30 min once a day for 2 weeks and followed by a 2-week rest,as a therapeutic course.If the Toronto Clinical Scoring System total score(TCSS-TS)6 points,the patients received a total of 3 therapeutic courses(for 12 weeks)and were followed up for 12 weeks.The primary outcome was change in TCSS-TS score at 12 and 24 weeks.Secondary outcomes included changes in bilateral motor nerve conduction velocity(MNCV)and sensory nerve conduction velocity(SNCV)of the median and common peroneal nerve.Safety was also assessed.Results:Totally 632 patients were enrolled,and 317 and 315 were randomized to the intervention and control groups,respectively.After the 12-week intervention,patients in both groups showed significant declines in TCSSTS scores,and significant increases in MNCV and SNCV of the median and common peroneal nerves compared with pre-treatment(P<0.05).The reduction of TCSS-TS score at 12 weeks and the increase of SNCV of median nerve at 24 weeks in the control group were greater than those in the intervention group(P<0.05).The number of adverse events did not differ significantly between groups(P>0.05),and no serious adverse event was related with treatment.Conclusion:Treatment of TW foot baths was safe and significantly benefitted patients with DPN.A low dose of TW appeared to be more effective than a high dose.(Registry No.Chi CTR-IOR-16009331)展开更多
Background Invasive intravascular ultrasound （IVUS） is current diagnostic standard for myocardial bridging （MB）. Non-invasive multislice computerized tomography coronary angiography （MSCT） technique has provided...Background Invasive intravascular ultrasound （IVUS） is current diagnostic standard for myocardial bridging （MB）. Non-invasive multislice computerized tomography coronary angiography （MSCT） technique has provided a good anatomical view of the tunnel artery now. Methods A total of 51 consecutive patients with atypical or typical angina scheduled for IVUS were enrolled in this study and MSCT was performed 7 days before IVUS. Coronary imaging was quantified using IVUS and MSCT. Four main vessels （left main artery （LMA）, left anterior descending （LAD）, left circumflex （LCX）, right coronary artery （RCA）） were examined. Results Forty-one out of 51 （80%） patients received metaprolol （25 mg） before the MSCT scan and 25 of them were current beta-blocker users. The mean heart rate was （64_＋3） beats per minute. A total of 51 patients underwent IVUS examination （30 with MB and 21 without MB） were chosen for this study. Twenty-eight out of 30 MB cases were correctly diagnosed by MSCT and 2 patients with MB were not detected. Comparison with IVUS, the sensitivity of detection by MSCT was 93%, specificity was 100%. The lumen diameter of the tunnel artery derived from MSCT and IVUS significantly decreased from （2.9±0.3） mm to （2.4±0.4） mm （P〈0.001） and from （3.3±0.3） mm to （2.6±0.5） mm （P〈0.001）, respectively. Minimal and maximal diameters of MB derived from MSCT were significantly smaller than those from IVUS （（2.4±0.4） mm vs （2.6±0.5） mm, P〈0.05 and （2.9±0.3） mm vs （3.3±0.3） mm, P〈0.05）, respectively. Conclusions MSCT offers a reliable non-invasive method for MB in LAD and atherosclerosis diagnosis with diagnostic accuracy comparable with invasive IVUS.展开更多
Urinary stone is conceptualized as a chronic metabolic disorder punctuated by symptomatic stone events.It has been shown that the occurrence of calcium oxalate monohydrate(COM)during stone formation is regulated by cr...Urinary stone is conceptualized as a chronic metabolic disorder punctuated by symptomatic stone events.It has been shown that the occurrence of calcium oxalate monohydrate(COM)during stone formation is regulated by crystal growth modifiers.Although crystallization inhibitors have been recognized as a therapeutic modality for decades,limited progress has been made in the discovery of effective modifiers to intervene with stone disease.In this study,we have used metabolomics technologies,a powerful approach to identify biomarkers by screening the urine components of the dynamic progression in a bladder stone model.By in-depth mining and analysis of metabolomics data,we have screened five differential metabolites.Through density functional theory studies and bulk crystallization,we found that three of them(salicyluric,gentisic acid and succinate)could effectively inhibit nucleation in vitro.We thereby assessed the impact of the inhibitors with an EG-induced rat model for kidney stones.Notably,succinate,a key player in the tricarboxylic acid cycle,could decrease kidney calcium deposition and injury in the model.Transcriptomic analysis further showed that the protective effect of succinate was mainly through anti-inflammation,inhibition of cell adhesion and osteogenic differentiation.These findings indicated that succinate may provide a new therapeutic option for urinary stones.展开更多
The electrochemical CO_(2)reduction reaction(CO_(2)RR)on Cu catalyst holds great promise for converting CO_(2)into valuable multicarbon(C_(2+))compounds,but still suffers poor selectivity due to the sluggish kinetics ...The electrochemical CO_(2)reduction reaction(CO_(2)RR)on Cu catalyst holds great promise for converting CO_(2)into valuable multicarbon(C_(2+))compounds,but still suffers poor selectivity due to the sluggish kinetics of forming carbon–carbon(C–C)bonds.Here we reported a perovskite oxide-derived Cu catalyst with abundant grain boundaries for efficient C–C coupling.These grain boundaries are readily created from the structural reconstruction induced by CO_(2)-assisted La leaching.Using this defective catalyst,we achieved a maximum C_(2+)Faradaic efficiency of 80.3%with partial current density over 400 mA cm−2 in neutral electrolyte in a flow-cell electrolyzer.By combining the structural and spectroscopic investigations,we uncovered that the in-situ generated defective sites trapped by grain boundaries enable favorable CO adsorption and thus promote C–C coupling kinetics for C_(2+)products formation.This work showcases the great potential of perovskite materials for efficient production of valuable multicarbon compounds via CO_(2)RR electrochemistry.展开更多
基金Supported by The National Natural Science Foundation of China, No. 30872482 and No. 81072051
文摘AIM: To elaborate the clinicopathologic features of colorectal cancer-related pyogenic liver abscess (PLA). METHODS: Reported cases of colorectal cancer-related PLAs were collected from the literature published up to October 2011 and evaluated for their clinicopathologic features. Data of collected cases included demographics, clinical presentation, microbial findings and treatment. Categorical variables were compared by 2 analysis and continuous variables were evaluated using Student's t test. RESULTS: A total 96 cases of colorectal cancer-related PLA were collected from the previous literature. Most patients (60%) were male and 40% cases occurred in the age group of 61-70 years. Apart from some special types of PLA, there were significant differences in the microbiological spectrum between Eastern Asia and non-Eastern Asian countries, which implied different risk factors and courses of the disease. Gram negative bacteria especially Klebsiella pneumoniae (K. pneu- moniae ) PLA was predominant in Eastern Asia (80.0%) in contrast to non-Eastern Asian countries (P < 0.01). Meanwhile, most of the Eastern Asian patients exhibited smaller size of liver abscess and atypical presentation. Sigmoid colon and rectum (72.73%) were the main sites of tumor in Eastern Asian patients, whereas tumor sites were uneven among most of the non-Easter Asian PLA patients. CONCLUSION:K. pneumoniae PLA was strongly associated with colorectal cancer, especially those occurring in sigmoid colon and rectum, in elderly Eastern Asian male patients.
文摘The digestion of cellulose by fungus-growing termites involves a complex of different organisms, such as the termites themselves, fungi and bacteria. To further investigate the symbiotic relationships of fungus-growing termites, the microbial communities of the termite gut and fungus combs of Odontotermes yunnanensis were examined. The major fungus species was identified as Termitomyces sp. To compare the micro-organism diversity between the digestive tract of termites and fungus combs, four polymerase chain reaction clone libraries were created （two fungus-targeted internal transcribed spacer [ITS] - ribosomal DNA [rDNA] libraries and two bacteria-targeted 16S rDNA libraries）, and one library of each type was produced for the host termite gut and the symbiotic fimgus comb. Results of the fungal clone libraries revealed that only Termitomyces sp. was detected on the fungus comb; no non-Termitomyces fungi were detected. Meanwhile, the same fungus was also found in the termite gut. The bacterial clone libraries showed higher numbers and greater diversity of bacteria in the termite gut than in the fungus comb. Both bacterial clone libraries from the insect gut included Firmicutes, Bacteroidetes, Proteobacteria, Spirochaetes, Nitrospira, Deferribacteres, and Fibrobacteres, whereas the bacterial clone libraries from the fungal comb only contained Firmicutes, Bacteroidetes, Proteobacteria, and Acidobacteris.
基金Supported by the National Science and Technology Support Program(No.2015BAI04B09)。
文摘Objective:To evaluate the effect and safety of foot baths with Tangbi Waixi Decoction(TW)in treating patients with diabetic peripheral neuropathy(DPN).Methods:It is a multicenter double-blinded randomized controlled trial.Participants with DPN were recruited between November 18,2016 and May 30,2018 from 8 hospitals in China.All patients received basic treatments for glycemic management.Patients received foot baths with TW herbal granules either 66.9 g(intervention group)or 6.69 g(control group)for 30 min once a day for 2 weeks and followed by a 2-week rest,as a therapeutic course.If the Toronto Clinical Scoring System total score(TCSS-TS)6 points,the patients received a total of 3 therapeutic courses(for 12 weeks)and were followed up for 12 weeks.The primary outcome was change in TCSS-TS score at 12 and 24 weeks.Secondary outcomes included changes in bilateral motor nerve conduction velocity(MNCV)and sensory nerve conduction velocity(SNCV)of the median and common peroneal nerve.Safety was also assessed.Results:Totally 632 patients were enrolled,and 317 and 315 were randomized to the intervention and control groups,respectively.After the 12-week intervention,patients in both groups showed significant declines in TCSSTS scores,and significant increases in MNCV and SNCV of the median and common peroneal nerves compared with pre-treatment(P<0.05).The reduction of TCSS-TS score at 12 weeks and the increase of SNCV of median nerve at 24 weeks in the control group were greater than those in the intervention group(P<0.05).The number of adverse events did not differ significantly between groups(P>0.05),and no serious adverse event was related with treatment.Conclusion:Treatment of TW foot baths was safe and significantly benefitted patients with DPN.A low dose of TW appeared to be more effective than a high dose.(Registry No.Chi CTR-IOR-16009331)
文摘Background Invasive intravascular ultrasound （IVUS） is current diagnostic standard for myocardial bridging （MB）. Non-invasive multislice computerized tomography coronary angiography （MSCT） technique has provided a good anatomical view of the tunnel artery now. Methods A total of 51 consecutive patients with atypical or typical angina scheduled for IVUS were enrolled in this study and MSCT was performed 7 days before IVUS. Coronary imaging was quantified using IVUS and MSCT. Four main vessels （left main artery （LMA）, left anterior descending （LAD）, left circumflex （LCX）, right coronary artery （RCA）） were examined. Results Forty-one out of 51 （80%） patients received metaprolol （25 mg） before the MSCT scan and 25 of them were current beta-blocker users. The mean heart rate was （64_＋3） beats per minute. A total of 51 patients underwent IVUS examination （30 with MB and 21 without MB） were chosen for this study. Twenty-eight out of 30 MB cases were correctly diagnosed by MSCT and 2 patients with MB were not detected. Comparison with IVUS, the sensitivity of detection by MSCT was 93%, specificity was 100%. The lumen diameter of the tunnel artery derived from MSCT and IVUS significantly decreased from （2.9±0.3） mm to （2.4±0.4） mm （P〈0.001） and from （3.3±0.3） mm to （2.6±0.5） mm （P〈0.001）, respectively. Minimal and maximal diameters of MB derived from MSCT were significantly smaller than those from IVUS （（2.4±0.4） mm vs （2.6±0.5） mm, P〈0.05 and （2.9±0.3） mm vs （3.3±0.3） mm, P〈0.05）, respectively. Conclusions MSCT offers a reliable non-invasive method for MB in LAD and atherosclerosis diagnosis with diagnostic accuracy comparable with invasive IVUS.
基金This study has been jointly sponsored by the National Natural Science Foundation of China(Grant No.32171351)the“1.3.5”Project for Disciplines of Excellence,West China Hospital,Sichuan University(Grant No.ZYJC18002)+2 种基金Med-X Innovation Program of Med-X Center for Materials,Sichuan University(Grant No.MCM202104)the Project funded by China Postdoctoral Science Foundation(2022M722277)the Sichuan University postdoctoral interdisciplinary Innovation Fund.We thank Ms.Lei Wu and Bo Su from Histology and Imaging Platform,Core Facilities of West China,Sichuan University,Mr.Yun-fei Tian and Shu-guang Yan from the Analytical&Testing Center of Sichuan University,Sichuan University,and Ms.Nian-guo Zhu from Institute of Respiratory Health,West China Hospital,Sichuan University for the technique supports.We thank Xi-jing Yang and Xiao-ting Chen form the Animal Experimental Center of West China Hospital for assistance in animal experiments.
文摘Urinary stone is conceptualized as a chronic metabolic disorder punctuated by symptomatic stone events.It has been shown that the occurrence of calcium oxalate monohydrate(COM)during stone formation is regulated by crystal growth modifiers.Although crystallization inhibitors have been recognized as a therapeutic modality for decades,limited progress has been made in the discovery of effective modifiers to intervene with stone disease.In this study,we have used metabolomics technologies,a powerful approach to identify biomarkers by screening the urine components of the dynamic progression in a bladder stone model.By in-depth mining and analysis of metabolomics data,we have screened five differential metabolites.Through density functional theory studies and bulk crystallization,we found that three of them(salicyluric,gentisic acid and succinate)could effectively inhibit nucleation in vitro.We thereby assessed the impact of the inhibitors with an EG-induced rat model for kidney stones.Notably,succinate,a key player in the tricarboxylic acid cycle,could decrease kidney calcium deposition and injury in the model.Transcriptomic analysis further showed that the protective effect of succinate was mainly through anti-inflammation,inhibition of cell adhesion and osteogenic differentiation.These findings indicated that succinate may provide a new therapeutic option for urinary stones.
基金supported by the National Basic Research Program of China(2018YFA0702001)the National Natural Science Foundation of China(21975237 and 51702312)+4 种基金Anhui Provincial Research and Development Program(202004a05020073)the USTC Research Funds of the Double First-Class Initiative(YD2340002007)the Fundamental Research Funds for the Central Universities(WK2340000101)the Technical Talent Promotion Plan(TS2021002)the Recruitment Program of Global Youth Experts.
文摘The electrochemical CO_(2)reduction reaction(CO_(2)RR)on Cu catalyst holds great promise for converting CO_(2)into valuable multicarbon(C_(2+))compounds,but still suffers poor selectivity due to the sluggish kinetics of forming carbon–carbon(C–C)bonds.Here we reported a perovskite oxide-derived Cu catalyst with abundant grain boundaries for efficient C–C coupling.These grain boundaries are readily created from the structural reconstruction induced by CO_(2)-assisted La leaching.Using this defective catalyst,we achieved a maximum C_(2+)Faradaic efficiency of 80.3%with partial current density over 400 mA cm−2 in neutral electrolyte in a flow-cell electrolyzer.By combining the structural and spectroscopic investigations,we uncovered that the in-situ generated defective sites trapped by grain boundaries enable favorable CO adsorption and thus promote C–C coupling kinetics for C_(2+)products formation.This work showcases the great potential of perovskite materials for efficient production of valuable multicarbon compounds via CO_(2)RR electrochemistry.
