OBJECTIVE To investigate the protective effect of farrerol against lipopolysaccharide(LPS)induced acute lung injury(ALI)in mice and the mechanisms.METHODS ①ICR rats were randomly divided into the normal control group,model group and model+farrerol group,with 6 rats in each.The normal control group and model group were given an equal amount of normal saline intragaically for 4 d.The model+farrerol group was given 20 and 40 mg·kg-1 intragaically for 4 d,while the normal control group was given an equal amount of normal saline intragaically on the 5th day.The model group and model+farrerol group were injected with 3 mg·kg-1 LPS solution for 24 h to construct an animal model of ALI.② Mouse alveolar macrophages(MH-S)were cultured and randomly divided into the cell control group,model group and model+farrerol group.Cell control group(conventional culture for 24 h),model group(100 μg·L-1 LPS combined with 40 μg·L-1 IFN-γ co-incubation for 24 h),model+farrerol group(5,10 and 20 μmol·L-1 farrerol pretreatment of MH-S cells for 24 h,and then 100 μg·L-1 LPS combined with 40 μg·L-1 IFN-γ co-incubation for 24 h),an inflammatory cell model was established in vitro.HE was used to observe the pathological changes of the lungs.The wet-dry weight ratio(W/D)was used to assess pulmonary edema while Evans blue dye(EBD)was used to detect pulmonary vascular permea-bility.The activity of myeloperoxidase(MPO)was detected by colorimetry.The number of white blood cells in BALF was counted with a blood cell counting plate.Cell proliferation assay(CCK-8)was used to determine the cell viability.The levels of interleukin-1β(IL-1β),tumor necrosis factor α(TNF-α),IL-6 and IL-10 in lung tissue,bronchoalveolar lavage fluid(BALF)and cell supernatants were detected via enzyme-linked immunosorbent assay(ELISA).The protein levels of inducable nitric oxide synthase(iNOS),arginase 1(ARG1),phosphorylated NF-κB p65,NOD-like receptor protein 3(NLRP3),cysteinyl aspartate specific proteinase1(caspase1)and gasdermin family member(GSDMD-N terminal)in lung tissue and MH-S cells were detected with Western blot.RESULTS ① Compared with the normal control group,the histopathological changes,Injury score,W/D ratio,pulmonary vascular permeability,MPO content,leukocyte count,pro-inflammatory factor IL-1β,TNF-α,IL-6 levels,iNOS,phosphorylated NF-κB p65,NLRP3,caspase1 and GSDMD-N-terminal protein expression in lung tissues were signifi-cantly increased in the model group(P<0.05,P<0.01)while the expression levels of anti-inflammatory factors IL-10 and ARG1 were decreased(P<0.05,P<0.01).Compared with the model group,the Injury score,W/D ratio,pulmonary vascular permeability,leukocyte number,MPO content,proinflammatory factor content and iNOS,phosphorylated NF-κB p65,NLRP3,caspase1 and GSDMD-N-terminal protein levels were significantly decreased in the model+farrerol group(P<0.05,P<0.01)while the levels of anti-inflammatory factor IL-10 and ARG1 protein were increased(P<0.05,P<0.01).② The results of in vitro experiments showed that compared with the cell control group,the contents of IL-1β,TNF-α and IL-6 and the expression levels of iNOS,phosphorylated NF-κB p65,NLRP3,caspase1 and GSD-MD-N-terminal protein were increased(P<0.05,P<0.01),and that the content of anti-inflammatory factor IL-10 and expression level of ARG1 protein were decreased(P<0.01).Compared with the model group,the content of proinflammatory factor and the expressions of iNOS,phosphorylated NF-κB p65,NLRP3,caspase1 and GSDMD-N protein in the model+farrerol group were significantly decreased(P<0.05,P<0.01)while the expression levels of IL-10 and ARG1 protein were increased(P<0.05,P<0.01).CONCLUSION Farrerol can alleviate acute lung injury induced by LPS in mice,possibly by inhibiting the phosphorylation of NF-κB p65 and activation of NLRP3 inflammatome,alleviating pyroptosis of cells and regulating macrophage polarization.

BACKGROUND:Studies have shown that gut microbiota may affect the progression of rheumatoid arthritis.However,the causal relationship between the two is unknown.Mendelian randomization analysis of the two using published Genome Wide Association Study(GWAS)data can explore the causal relationship between gut microbiota and rheumatoid arthritis,helping to develop targeted microbial therapies and provide methods and strategies for the prevention and treatment of rheumatoid arthritis.OBJECTIVE:To explore the potential causal relationship between gut microbiota and rheumatoid arthritis using two-sample two-way Mendelian randomization method.METHODS:Gut microbiota GWAS data from the MiBio-Gen consortium and rheumatoid arthritis GWAS data from the IEU Open GWAS database(a large gene-phenotype association database developed at the MRC Integrative Epidemiology Unit(IEU)at the University of Bristol,UK)were used.Inverse variance weighting was used as the main analysis method,and MR-Egger regression method,weighted median method,weighted model and simple model method were used as supplements to study the causal relationship between gut microbiota and rheumatoid arthritis.Heterogeneity was assessed using Cochran's Q test,horizontal pleiotropy was assessed using MR-PRESSO and MR-Egger intercept tests,robustness of results was tested using leave-one method,and reverse Mendelian randomization analysis was used to assess the presence or absence of reverse causality.RESULTS AND CONCLUSION:(1)There was a causal relationship between five kinds of enteric bacteria and rheumatoid arthritis.Ruminococcus gauvreauii group(β=0.262,odds ratio[OR]=1.300,P=0.013)and Butyricimonas(β=0.001,OR=1.001,P=0.014)increased the risk of rheumatoid arthritis,while Anaerostipes(β=-0.225,OR=0.798,P=0.025),Lachnospiraceae-UCG010(β=-0.177,OR=0.838,P=0.026)and Oxalobacter(β=-0.171,OR=0.843,P=0.001)reduced the risk of rheumatoid arthritis.Sensitivity analyses showed no significant heterogeneity or horizontal pleiotropy(all P＞0.05),and leave-one-out testing confirmed the robustness of the results,while the addition of the remaining four methods other than the inverse variance weighting method further validated the reliability and stability of the results.(2)Reverse Mendelian randomization analysis did not find a causal association between rheumatoid arthritis and the five kinds of enteric bacteria identified by Mendelian randomization analysis.These findings indicate that Ruminococcus gauvreauii group and Butyricimonas may be the risk factors of rheumatoid arthritis,while Anaerostipes,Lachnospiraceae-UCG010 and Oxalobacter may be the protective factors of rheumatoid arthritis.Gut microbiota may play an important role in the pathogenesis of rheumatoid arthritis,and provide new biomarkers for the prevention and treatment of rheumatoid arthritis.In addition,for the field of biomedical research in China,we can learn from international experience and gradually establish and improve a multi-center large-scale genetic database,so as to deeply explore the relationship between gut microbiota and disease risk,and promote the development of precision medicine and personalized treatment in China.

The neurophysiological mechanisms by which exercise improves cognitive function have not been fully elucidated. A comprehensive and systematic review of current domestic and international neurophysiological evidence on exercise improving cognitive function was conducted from multiple perspectives. At the molecular level, exercise promotes nerve cell regeneration and synaptogenesis and maintains cellular development and homeostasis through the modulation of a variety of neurotrophic factors, receptor activity, neuropeptides, and monoamine neurotransmitters, and by decreasing the levels of inflammatory factors and other modulators of neuroplasticity. At the cellular level, exercise enhances neural activation and control and improves brain structure through nerve regeneration, synaptogenesis, improved glial cell function and angiogenesis. At the structural level of the brain, exercise promotes cognitive function by affecting white and gray matter volumes, neural activation and brain region connectivity, as well as increasing cerebral blood flow. This review elucidates how exercise improves the internal environment at the molecular level, promotes cell regeneration and functional differentiation, and enhances the brain structure and neural efficiency. It provides a comprehensive, multi-dimensional explanation of the neurophysiological mechanisms through which exercise promotes cognitive function.
Animals ; Humans ; Brain/physiology* ; Cognition/physiology* ; Exercise/physiology* ; Nerve Regeneration/physiology* ; Neuronal Plasticity/physiology*

OBJECTIVE: To investigate the effect of TBL1XR1 mutation on cell biological characteristics of diffuse large B-cell lymphoma (DLBCL). METHODS: The TBL1XR1 overexpression vector was constructed and DNA sequencing was performed to determine the mutation status. The effect of TBL1XR1 mutation on apoptosis of DLBCL cell line was detected by flow cytometry and TUNEL fluorescence assay; CCK-8 assay was used to detect the effect of TBL1XR1 mutation on cell proliferation; Transwell assay was used to detect the effect of TBL1XR1 mutation on cell migration and invasion; Western blot was used to detect the effect of TBL1XR1 mutation on the expression level of epithelial-mesenchymal transition (EMT) related proteins. RESULTS: The TBL1XR1 overexpression plasmid was successfully constructed. The in vitro experimental results showed that TBL1XR1 mutation had no significant effect on apoptosis of DLBCL cells. Compared with the control group, TBL1XR1 mutation enhanced cell proliferation, migration and invasion of DLBCL cells. TBL1XR1 gene mutation significantly increased the expression of N-cadherin protein, while the expression of E-cadherin protein decreased. CONCLUSION TBL1XR1 mutation plays a role in promoting tumor cell proliferation, migration and invasion in DLBCL. TBL1XR1 could be considered as a potential target for DLBCL therapy in future research.
Humans ; Lymphoma, Large B-Cell, Diffuse/pathology* ; Cell Proliferation ; Mutation ; Receptors, Cytoplasmic and Nuclear/genetics* ; Apoptosis ; Cell Line, Tumor ; Epithelial-Mesenchymal Transition ; Cell Movement ; Repressor Proteins/genetics* ; Nuclear Proteins/genetics* ; Cadherins/metabolism*

OBJECTIVE: To explore the clinical characteristics and prognosis of children with SIL-TAL1-positive T-cell acute lymphoblastic leukemia ( SIL-TAL1⁺ T-ALL). METHODS: The clinical data of 110 children with newly diagnosed T-ALL admitted to the pediatric department of our hospital from January 2010 to December 2018 were reviewed to compare the clinical characteristics, treatment response and prognosis between SIL-TAL1⁺ group and SIL-TAL1^-group. RESULTS: Among the 110 children with T-ALL, 25 cases (22.7%) were in the SIL-TAL1⁺ group and 85 cases (77.3%) in the SIL-TAL1^- group. The white blood cell (WBC) count in the SIL-TAL1⁺ group was significantly higher than that in the SIL-TAL1^- group (P < 0.05), while the other clinical characteristics and treatment response were not significantly different between the two groups. The 5-year overall survival (OS) rates of SIL-TAL1⁺ group and SIL-TAL1^- group were 80.0% and 75.5%, and 5-year disease-free survival (DFS) rates were 76.0% and 72.9%, respectively. There were no significant differences in OS rate and DFS rate between the two groups ( P >0.05). In children aged < 10 years, the 5-year OS rate of SIL-TAL1⁺ group and SIL-TAL1^- group was 100% and 75.1%, respectively, and the difference between the two groups was statistically significant (P < 0.05). CONCLUSION Although the WBC level is significantly higher in children with SIL-TAL1⁺ T-ALL than that in those with SIL-TAL1^- T-ALL, the treatment efficacy is similar between the two groups. In children aged < 10 years, the longterm survival rate is superior in the SIL-TAL1⁺ group.
Humans ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis* ; Prognosis ; Child ; Male ; Female ; Survival Rate ; T-Cell Acute Lymphocytic Leukemia Protein 1 ; Child, Preschool ; Oncogene Proteins, Fusion ; Leukocyte Count

OBJECTIVE: To investigate possible associations between physical function assessment scales, such as Short Physical Performance Battery (SPPB) and Berg Balance Scale (BBS), with all-cause mortality in acute decompensated heart failure (ADHF) patients. METHODS: A total of 108 ADHF patients were analyzed from October 2020 to October 2022, and followed up to May 2023. The association between baseline clinical characteristics and all-cause mortality was analyzed by univariate Cox regression analysis, while for SPPB and BBS, univariate Cox regression analysis was followed by receiver operating characteristic curves, in which the area under the curve represented their predictive accuracy for all-cause mortality. Incremental predictive values for both physical function assessments were measured by calculating net reclassification index and integrated discrimination improvement scores. Optimal cut-off value for BBS was then identified using restricted cubic spline plots, and survival differences below and above that cut-off were compared using Kaplan-Meier survival curves and the log-rank test. The clinical utility of BBS was measured using decision curve analysis. RESULTS: For baseline characteristics, age, female, blood urea nitrogen, as well as statins, angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, or angiotensin receptor-neprilysin inhibitors, were predictive for all-cause mortality for ADHF patients. With respect to SPPB and BBS, higher scores were associated with lower all-cause mortality rates for both assessments; similar area under the curves were measured for both (0.774 for SPPB and 0.776 for BBS). Furthermore, BBS ≤ 36.5 was associated with significantly higher mortality, which was still applicable even adjusting for confounding factors; BBS was also found to have great clinical utility under decision curve analysis. CONCLUSIONS BBS or SPPB could be used as tools to assess physical function in ageing ADHF patients, as well as prognosticate on all-cause mortality. Moreover, prioritizing the improvement of balance capabilities of ADHF patients in cardiac rehabilitation regimens could aid in lowering mortality risk.

OBJECTIVE To investigate the protective effect of farrerol against lipopolysaccharide(LPS)induced acute lung injury(ALI)in mice and the mechanisms.METHODS ①ICR rats were randomly divided into the normal control group,model group and model+farrerol group,with 6 rats in each.The normal control group and model group were given an equal amount of normal saline intragaically for 4 d.The model+farrerol group was given 20 and 40 mg·kg-1 intragaically for 4 d,while the normal control group was given an equal amount of normal saline intragaically on the 5th day.The model group and model+farrerol group were injected with 3 mg·kg-1 LPS solution for 24 h to construct an animal model of ALI.② Mouse alveolar macrophages(MH-S)were cultured and randomly divided into the cell control group,model group and model+farrerol group.Cell control group(conventional culture for 24 h),model group(100 μg·L-1 LPS combined with 40 μg·L-1 IFN-γ co-incubation for 24 h),model+farrerol group(5,10 and 20 μmol·L-1 farrerol pretreatment of MH-S cells for 24 h,and then 100 μg·L-1 LPS combined with 40 μg·L-1 IFN-γ co-incubation for 24 h),an inflammatory cell model was established in vitro.HE was used to observe the pathological changes of the lungs.The wet-dry weight ratio(W/D)was used to assess pulmonary edema while Evans blue dye(EBD)was used to detect pulmonary vascular permea-bility.The activity of myeloperoxidase(MPO)was detected by colorimetry.The number of white blood cells in BALF was counted with a blood cell counting plate.Cell proliferation assay(CCK-8)was used to determine the cell viability.The levels of interleukin-1β(IL-1β),tumor necrosis factor α(TNF-α),IL-6 and IL-10 in lung tissue,bronchoalveolar lavage fluid(BALF)and cell supernatants were detected via enzyme-linked immunosorbent assay(ELISA).The protein levels of inducable nitric oxide synthase(iNOS),arginase 1(ARG1),phosphorylated NF-κB p65,NOD-like receptor protein 3(NLRP3),cysteinyl aspartate specific proteinase1(caspase1)and gasdermin family member(GSDMD-N terminal)in lung tissue and MH-S cells were detected with Western blot.RESULTS ① Compared with the normal control group,the histopathological changes,Injury score,W/D ratio,pulmonary vascular permeability,MPO content,leukocyte count,pro-inflammatory factor IL-1β,TNF-α,IL-6 levels,iNOS,phosphorylated NF-κB p65,NLRP3,caspase1 and GSDMD-N-terminal protein expression in lung tissues were signifi-cantly increased in the model group(P<0.05,P<0.01)while the expression levels of anti-inflammatory factors IL-10 and ARG1 were decreased(P<0.05,P<0.01).Compared with the model group,the Injury score,W/D ratio,pulmonary vascular permeability,leukocyte number,MPO content,proinflammatory factor content and iNOS,phosphorylated NF-κB p65,NLRP3,caspase1 and GSDMD-N-terminal protein levels were significantly decreased in the model+farrerol group(P<0.05,P<0.01)while the levels of anti-inflammatory factor IL-10 and ARG1 protein were increased(P<0.05,P<0.01).② The results of in vitro experiments showed that compared with the cell control group,the contents of IL-1β,TNF-α and IL-6 and the expression levels of iNOS,phosphorylated NF-κB p65,NLRP3,caspase1 and GSD-MD-N-terminal protein were increased(P<0.05,P<0.01),and that the content of anti-inflammatory factor IL-10 and expression level of ARG1 protein were decreased(P<0.01).Compared with the model group,the content of proinflammatory factor and the expressions of iNOS,phosphorylated NF-κB p65,NLRP3,caspase1 and GSDMD-N protein in the model+farrerol group were significantly decreased(P<0.05,P<0.01)while the expression levels of IL-10 and ARG1 protein were increased(P<0.05,P<0.01).CONCLUSION Farrerol can alleviate acute lung injury induced by LPS in mice,possibly by inhibiting the phosphorylation of NF-κB p65 and activation of NLRP3 inflammatome,alleviating pyroptosis of cells and regulating macrophage polarization.

BACKGROUND:Studies have shown that gut microbiota may affect the progression of rheumatoid arthritis.However,the causal relationship between the two is unknown.Mendelian randomization analysis of the two using published Genome Wide Association Study(GWAS)data can explore the causal relationship between gut microbiota and rheumatoid arthritis,helping to develop targeted microbial therapies and provide methods and strategies for the prevention and treatment of rheumatoid arthritis.OBJECTIVE:To explore the potential causal relationship between gut microbiota and rheumatoid arthritis using two-sample two-way Mendelian randomization method.METHODS:Gut microbiota GWAS data from the MiBio-Gen consortium and rheumatoid arthritis GWAS data from the IEU Open GWAS database(a large gene-phenotype association database developed at the MRC Integrative Epidemiology Unit(IEU)at the University of Bristol,UK)were used.Inverse variance weighting was used as the main analysis method,and MR-Egger regression method,weighted median method,weighted model and simple model method were used as supplements to study the causal relationship between gut microbiota and rheumatoid arthritis.Heterogeneity was assessed using Cochran's Q test,horizontal pleiotropy was assessed using MR-PRESSO and MR-Egger intercept tests,robustness of results was tested using leave-one method,and reverse Mendelian randomization analysis was used to assess the presence or absence of reverse causality.RESULTS AND CONCLUSION:(1)There was a causal relationship between five kinds of enteric bacteria and rheumatoid arthritis.Ruminococcus gauvreauii group(β=0.262,odds ratio[OR]=1.300,P=0.013)and Butyricimonas(β=0.001,OR=1.001,P=0.014)increased the risk of rheumatoid arthritis,while Anaerostipes(β=-0.225,OR=0.798,P=0.025),Lachnospiraceae-UCG010(β=-0.177,OR=0.838,P=0.026)and Oxalobacter(β=-0.171,OR=0.843,P=0.001)reduced the risk of rheumatoid arthritis.Sensitivity analyses showed no significant heterogeneity or horizontal pleiotropy(all P＞0.05),and leave-one-out testing confirmed the robustness of the results,while the addition of the remaining four methods other than the inverse variance weighting method further validated the reliability and stability of the results.(2)Reverse Mendelian randomization analysis did not find a causal association between rheumatoid arthritis and the five kinds of enteric bacteria identified by Mendelian randomization analysis.These findings indicate that Ruminococcus gauvreauii group and Butyricimonas may be the risk factors of rheumatoid arthritis,while Anaerostipes,Lachnospiraceae-UCG010 and Oxalobacter may be the protective factors of rheumatoid arthritis.Gut microbiota may play an important role in the pathogenesis of rheumatoid arthritis,and provide new biomarkers for the prevention and treatment of rheumatoid arthritis.In addition,for the field of biomedical research in China,we can learn from international experience and gradually establish and improve a multi-center large-scale genetic database,so as to deeply explore the relationship between gut microbiota and disease risk,and promote the development of precision medicine and personalized treatment in China.

Objective:To explore the plasma metabolomic characteristics of children with transfusion-dependent thalassemia(TDT),and reveal the changes of metabolic pattern in children with TDT.Methods:23 children with TDT who received regular blood transfusion in Ganzhou Women and Children's Health Care Hospital in 2021 were selected,and 11 healthy children who underwent physical examination during the same period were selected as the control group.The routine indexes between children with TDT and the control group were compared,and then the metabolic composition of plasma samples from children with TDT and the control group was detected by liquid chromatography-mass spectrometry.An OPLS-DA model was established to perform differential analysis on the detected metabolites,and the differential metabolic pathways between the two groups were analyzed based on the differential metabolites.Results:The results of routine testing showed that the indexes of ferritin,bilirubin,total bile acid,glucose and triglycerides in children with TDT were significantly higher than those in healthy controls,while hemoglobin and total cholesterol were significantly lower(all P＜0.05).However there was no significant difference in lactate dehydrogenase between the two groups(P＞0.05).Compared with the control group,190 differential metabolites(VIP＞1)were identified in TDT children.Among them,168 compounds such as arginine,proline and glycocholic acid were significantly increased,while the other 22 compounds such as myristic acid,eleostearic acid,palmitic acid and linoleic acid were significantly decreased.The metabolic pathway analysis showed that the metabolic impact of TDT on children mainly focused on the upregulation of amino acid metabolism and downregulation of lipid metabolism.Conclusion:The amino acid and lipid metabolism in children with TDT were significantly changed compared with the healthy control group.This finding is helpful to optimize the treatment choice for children with TDT,and provides a new idea for clinical treatment.

Patients with severe trauma require an extremely timely treatment and transfusion plays an irreplaceable role in the emergency treatment of such patients. An increasing number of evidence-based medicinal evidences and clinical practices suggest that patients with severe traumatic bleeding benefit from early transfusion of low-titer group O whole blood or hemostatic resuscitation with red blood cells, plasma and platelet of a balanced ratio. However, the current domestic mode of blood supply cannot fully meet the requirements of timely and effective blood transfusion for emergency treatment of patients with severe trauma in clinical practice. In order to solve the key problems in blood supply and blood transfusion strategies for emergency treatment of severe trauma, Branch of Clinical Transfusion Medicine of Chinese Medical Association, Group for Trauma Emergency Care and Multiple Injuries of Trauma Branch of Chinese Medical Association, Young Scholar Group of Disaster Medicine Branch of Chinese Medical Association organized domestic experts of blood transfusion medicine and trauma treatment to jointly formulate Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients ( version 2024). Based on the evidence-based medical evidence and Delphi method of expert consultation and voting, 10 recommendations were put forward from two aspects of blood support mode and transfusion strategies, aiming to provide a reference for transfusion resuscitation in the emergency treatment of severe trauma and further improve the success rate of treatment of patients with severe trauma.