Objective To explore the feasibility of direct low-dose CT thyroid protection scanning technology for detecting lower respiratory tract infectious diseases in children.Methods A total of 1 128 children who underwent CT chest examination due to suspected lower respiratory tract infectious diseases were enrolled and divided into 2 groups according to scanning scheme,which in group A(n=1 088)covered the whole lung apex and used conventional or direct low-dose scanning techniques,while in group B(n=40)did not include lung apex(the starting line located horizontally at the upper edge of manubrium sterni)and adopted direct low-dose scanning technique.Forty children in group A with age and gender matched with those in group B who received direct low-dose CT scanning were taken as group A1.The property of lung apex lesions and whether the lesions impacted the diagnostic outcomes in group A,as well as the display of thyroid gland in both group A and B were analyzed.Radiation dosage was compared between group A1 and group B.Results The radiation dose in group B was 22.1-35.6 mGy,with an average of(28.34±2.86)mGy,significantly lower than that in group A1(29.1-44.3 mGy,with an average of[34.71±3.07]mGy,P＜0.001).Among 1 088 cases in group A,CT showed lung apex lesions in 54 cases(54/1 088,4.96%),including 49 cases(49/1 088,4.50%)of inflammatory,4 cases(4/1 088,0.37%)of linear atelectasis and 1 case(1/1 088,0.09%)of space-occupying,all were expended from other lung lobe and did not impact final imaging diagnosis.Thyroid gland was displayed in 1 046 cases(1 046/1 088,96.14%)in group A(including 40 cases in group A1),which was not displayed in all 40 cases(40/40,100%)in group B.The display rate of thyroid gland in group A1 was significantly higher than that in group B(χ2=80.000,P＜0.001).Conclusion Direct low-dose CT thyroid protection scanning technology was feasible for detecting lower respiratory tract infectious diseases in children,which could reduce radiation dose and protect thyroid from ionizing radiation damage.

OBJECTIVE To investigate the effects and potential mechanism of persimmon leaf (PL) extract against ferroptosis induced by H2O2 in IEC-6 cells.METHODS Using IEC-6 cells as object,the effects of ferroptosis inhibitor ferrostatin-1 on IEC-6 cell viability induced by H2O2 were investigated;IEC-6 cells were divided into control group,H2O2 group,H2O2+PL 25 μg/mL group and H2O2+PL 50 μg/mL group.The levels of oxidant stress indexes[content of malondialdehyde (MDA),activity of superoxide dismutase (SOD),and levels of reactive oxygen species (ROS)],mitochondrial membrane potential (MMP) as well as mRNA and protein expressions of nuclear factor-erythroid-2 related factor 2 (Nrf2),heme oxygenase-1 (HO-1),NADPH/quinone oxidoreductase-1 (NQO-1),cystine/glutamate anti-porter (xCT),glutathione peroxidase 4 (GPX4) and ferritin heavy chain (FTH) were detected.RESULTS Ferroptosis inhibitor ferrostatin-1 could significantly increase the survival rate of H2O2-induced cells (P<0.01).Compared with the control group,MDA content,ROS level,mRNA expressions of Nrf2 and NQO-1 as well as protein expressions of Nrf2 and HO-1 were increased or up-regulated significantly,while SOD activity,MMP,mRNA expressions of xCT,GPX4 and FTH as well as protein expressions of GPX4 and FTH were decreased or down-regulated significantly (P<0.01 or P<0.05).Compared with the H2O2 group,oxidative stress indexes of H2O2+PL 25,50 μg/mL groups were reversed to different extents,MMP level was increased significantly,as well as mRNA and protein expressions of Nrf2,HO-1,NQO-1,xCT,GPX4 and FTH were up-regulated to different extents;there were statistical significances in some indexes between groups (P<0.01 or P<0.05).CONCLUSIONS PL extract can alleviate mitochondrial membrane damage and abnormal accumulation of ROS caused by H2O2,which may be related to the inhibition of ferroptosis by activating the Nrf2/HO-1 signaling pathway.

Objective To explore the feasibility of direct low-dose CT thyroid protection scanning technology for detecting lower respiratory tract infectious diseases in children.Methods A total of 1 128 children who underwent CT chest examination due to suspected lower respiratory tract infectious diseases were enrolled and divided into 2 groups according to scanning scheme,which in group A(n=1 088)covered the whole lung apex and used conventional or direct low-dose scanning techniques,while in group B(n=40)did not include lung apex(the starting line located horizontally at the upper edge of manubrium sterni)and adopted direct low-dose scanning technique.Forty children in group A with age and gender matched with those in group B who received direct low-dose CT scanning were taken as group A1.The property of lung apex lesions and whether the lesions impacted the diagnostic outcomes in group A,as well as the display of thyroid gland in both group A and B were analyzed.Radiation dosage was compared between group A1 and group B.Results The radiation dose in group B was 22.1-35.6 mGy,with an average of(28.34±2.86)mGy,significantly lower than that in group A1(29.1-44.3 mGy,with an average of[34.71±3.07]mGy,P＜0.001).Among 1 088 cases in group A,CT showed lung apex lesions in 54 cases(54/1 088,4.96%),including 49 cases(49/1 088,4.50%)of inflammatory,4 cases(4/1 088,0.37%)of linear atelectasis and 1 case(1/1 088,0.09%)of space-occupying,all were expended from other lung lobe and did not impact final imaging diagnosis.Thyroid gland was displayed in 1 046 cases(1 046/1 088,96.14%)in group A(including 40 cases in group A1),which was not displayed in all 40 cases(40/40,100%)in group B.The display rate of thyroid gland in group A1 was significantly higher than that in group B(χ2=80.000,P＜0.001).Conclusion Direct low-dose CT thyroid protection scanning technology was feasible for detecting lower respiratory tract infectious diseases in children,which could reduce radiation dose and protect thyroid from ionizing radiation damage.

The emergence of single-cell sequencing technology enables people to observe cells with unprecedented precision. However, it is difficult to capture the information on all cells and genes in one single-cell RNA sequencing (scRNA-seq) experiment. Single-cell data of a single modality cannot explain cell state and system changes in detail. The integrative analysis of single-cell data aims to address these two types of problems. Integrating multiple scRNA-seq data can collect complete cell types and provide a powerful boost for the construction of cell atlases. Integrating single-cell multimodal data can be used to study the causal relationship and gene regulation mechanism across modalities. The development and application of data integration methods helps fully explore the richness and relevance of single-cell data and discover meaningful biological changes. Based on this, this article reviews the basic principles, methods and applications of multiple scRNA-seq data integration and single-cell multimodal data integration. Moreover, the advantages and disadvantages of existing methods are discussed. Finally, the future development is prospected.
Base Sequence ; Gene Expression Profiling ; Gene Expression Regulation ; Humans ; Sequence Analysis, RNA ; Single-Cell Analysis

Objective To observe the short-term clinical outcomes of arthroscopic single-tibial tunnel Pushlock fixation in the treatment of tibial avulsion fracture of the posterior cruciate ligament (PCL).Methods From December 2015 to January 2018,15 patients with tibial avulsion fracture of PCL were treated at Department of Articular Surgery,The Third Affiliated Hospital to Hebei Medical University.They were treated with arthroscopic single-tibial tunnel Pushlock fixation.All the fractures were fresh.They were 9 males and 6 females,aged from 14 to 64 years (average,33.6 years).The short-term outcomes were evaluated by comparing their preoperative and postoperative flexion of the knee,International Knee Documentation Committee (IKDC) and Lysholm scores.Results The operation lasted from 40 to 70 minutes (average,53 minutes).The 15 patients were successfully followed up for 10 to 18 months (average,12.2 months).All the fractures united well within 3 months after operation.All the posterior drawer tests were negative,showing no displacements or no complications like lesions of popliteal fossa,nerves and vessels,or impaired knee extension.At 6 months after surgery,the knee flexion (123.4°± 6.5°),the Lysholm scores (91.8 ± 3.5) and the IKDC scores (95.5 ± 1.6) were all significantly improved compared with the preoperative values (77.5°±13.1°,46.8 ±8.9 and 37.0±8.9) (P ＜0.05).Conclusion The tibial avulsion fracture of PCL can be treated by arthroscopic single-tibial tunnel Pushlock fixation with satisfactory early outcomes.

Objective To evaluate the heritability explanation degree of schizophrenia by all known susceptibility variants in schizophrenia. Methods The GWAS catalog of National Human Genome Research Institute (NHGRI) was queried to retrieve all the susceptible gene variations of schizophrenia. Sixty-two variants with risk allele frequency and odds ratio (OR ) were selected from 347 susceptible gene variants of schizophrenia. The heritability explanation degree of each susceptibility variants was calculated using the multifactorial liability threshold model. Results The total heritabili-ty explanation degree of schizophrenia by 62 known susceptible variants was 25.66%. In contrast, 74.34%of heritability, which could not be explained by known susceptibility variants, were then defined as the missing heritability of schizophre-nia. Conclusions The results demonstrate that the heritability explanation degree of schizophrenia by all known suscepti-bility variants in schizophrenia is low, indicating that there may be many unknown schizophrenia molecular genetic mech-anisms need to be further clarified.

Objective To observe the mRNA expressions of endothelin-1(ET-1) and endothelin A/B receptors (ETA/B) in tissue of benign prostatic hyperplasia treated by daily low-dose sildenafil.Methods A total of 32 patients with benign prostatic hyperplasia were randomly divided into two groups:treatment(25 mg sildenafi for 12 weeks,n=16) and control (no drug,n=16) groups.Immunohistochemical staining,ELISA and RT-PCR were used to detect the expression levels of ET-1 protein and ET A/B mRNA,respectively.Results The expressions of ET-1 protein and ET A/B mRNA in prostatic tissue were significantly lower in treatment group than in control group[(53.31±18.56) ng/kg vs.(83.34±31.38) ng/kg,0.356±0.056 vs.0.624±0.083,0.721±0.083 vs.0.933±0.905,t=-3.295,10.715,6.937,all P＜0.001].Conclusions Daily low-dose sildenafil can reduce the expressions of ET-1 and ET A/B receptors mRNA in benign prostatic hyperplasia.

OBJECTIVE: To determine the effect and molecular mechanism of DNA damage caused by suicide gene therapy system HSV-TK/GCV under Tet-On regulation in human breast cancer cell line MCF-7 infected by recombinant adeno-associated virus (rAAV). METHODS: We used comet assay to detect the effect of HSV-TK/GCV suicide gene regulation system on MCF-7 DNA damage, and analyzed the expression change of relative DNA damage response active genes and proteins with RT-PCR and Western blot. RESULTS: Compared with other control groups, the comet assay showed that MCF-7 cells with HSV-TK/GCV treatment had obvious comet tails, and the expression level of DNA damage response active genes and proteins changed obviously in the HSV-TK/GCV treatment group,such as ATM, p53 and p27,but CyclinE and CDK2 did not change. CONCLUSION DNA damage on MCF-7 cells is resulted from HSV-TK/GCV in suicide gene therapy system through a p53-dependent signal pathway, causing cell cycle arrest and cell death.
Breast Neoplasms ; genetics ; pathology ; therapy ; DNA Damage ; Dependovirus ; genetics ; Female ; Ganciclovir ; metabolism ; pharmacology ; Gene Expression Regulation, Neoplastic ; Genes, Transgenic, Suicide ; genetics ; Genetic Therapy ; Humans ; MCF-7 Cells ; Recombinant Fusion Proteins ; genetics ; metabolism ; Simplexvirus ; enzymology ; Thymidine Kinase ; genetics

Objective To discuss the clinical application of feeding-artery embolization in treating massive hemoptysis.Methods The feeding-artery angiography was performed in 72 patients with massive hemoptysis.Based on the angiographic findings polyvinyl alcohol(PVA)or spring coil were selected as the embolization materials.The therapeutic results were retrospectively analyzed. Results Hemoptysis was completely controned almost immediately after the embolization procedure in 46 cases,while it was obviously alleviated in 13 cases.In 11 cases the hemoptysis disappeared completely after 2-4 times of embolization treatment,and in 2 cases surgery had to be employed.Conclusion Embolization of feeding-artery with PVA particles or spring coils is an effective and safe treatment for massive hemoptysis.The key point for decreasing reoccurrence is to occlude all feeding.arteries as far as possible.

Objective To evaluate the effect of transcatheter arterial chemoembolization(TACE)together with portal vein chemoembolization(PVCE)for the treatment of advanced liver carcinomas.Methods Forty-eight patients with liver carcinoma were randomly divided into two groups.Patients in study group(n=22)were treated with TACE together with PVCE,and patients in control group(n=26)were treated with TACE alone.Results Based on the postoperative CT findings and AFP levels,the effective rate of the study group was markedly higher than that of control group and the difference between two groups was statistically significant(P＜0.05).The volume of un-embolized liver tissue in the patients of study group was obviously increased after treatment. Conclusion TACE together with PVCE is superior to TACE alone in treating advanced hepatic carcinomas.The combination of TACE and PVCE can effectively increase the successful rate of surgical resection for the advanced hepatic carcinomas.