Objective:To discuss the effect of hirudin on post-stroke depression(PSD)in the mice,and to clarify its potential mechanism.Methods:Sixty male C57BL/6 mice were randomly divided into control group,PSD group,PSD+low dose of hirudin group,PSD+medium dose of hirudin group,and PSD+high dose of hirudin group,and there were 12 mice in each group.The stroke model was established by middle cerebral artery occlusion(MCAO),and the depression model was induced by chronic unpredictable mild stress(CUMS)combined with solitary housing.The mice in PSD+low dose of hirudin,PSD+medium dose of hirudin,and PSD+high dose of hirudin groups were intravenously injected with 10,20,and 40 U·kg-1 hirudin,respectively,while the mice in control and PSD groups received equal volumes of saline.The body weights of the mice were recorded on days 0,7,14,and 21 of CUMS.The LONGA neurological function score was calculated.Sucrose preference test,tail suspension test,and forced swimming test were used to detect the sucrose preference rate,immobility time in tail suspension,and forced swimming in various groups,respectively;HE staining was used to observe the histopathological changes in the medial prefrontal cortex(mPFC);biochemical kits were used to detect the levels of malondialdehyde(MDA)and reduced glutathione(GSH)as well as superoxide dismutase(SOD)activity in mPFC tissue of the mice in various groups;2',7'-dichlorodihydrofluorescein diacetate(DCFH-DA)fluorescence probe method was used to detect the reactive oxygen species(ROS)positive rate in mPFC tissue of the mice in various groups;real-time fluorescence quantitative PCR(RT-qPCR)and Western blotting method were used to detect the expression levels of nucleoredoxin(NXN)mRNA and protein in mPFC tissue of the mice in various groups.Results:Compared with control group,the body weight of the mice in PSD group was significantly decreased on days 0,7,14,and 21 of CUMS(P<0.05 or P<0.01).Compared with PSD group,the body weights of the mice in PSD+low dose of hirudin,PSD+medium dose of hirudin,and PSD+high dose of hirudin groups were significantly increased on days 14 and 21 of CUMS(P<0.05 or P<0.01),and the neurological function scores were significantly decreased(P<0.05 or P<0.01).The sucrose preference test,tail suspension test,and forced swimming test results showed that compared with control group,the sucrose preference rate of the mice in PSD group was significantly decreased(P<0.01),while the immobility times in tail suspension and forced swimming were significantly increased(P<0.01).Compared with PSD group,the sucrose preference rates of the mice in PSD+low dose of hirudin,PSD+medium dose of hirudin,and PSD+high dose of hirudin groups were significantly increased(P<0.05 or P<0.01),and the immobility times were significantly decreased(P<0.05 or P<0.01).The HE staining showed normal cell morphology,clear structure,and uniform size distribution in mPFC tissue in control group.In PSD and PSD+low dose of hirudin groups,the number of the cells in mPFC tissue was significantly reduced,with severe vacuolar degeneration and pyknotic nuclei.Compared with PSD group,the numbers of the cells in PSD+medium dose of hirudin and PSD+high dose of hirudin groups were significantly increased,and the vacuolar degeneration and nuclear pyknosis were alleviated.The Biochemical and DCFH-DA fluorescence probe assays results showed that compared with control group,the GSH level and SOD activity in mPFC tissue of the mice in PSD group were significantly decreased(P<0.01),while the MDA level and ROS positive rate were significantly increased(P<0.01).Compared with PSD group,the GSH levels and SOD activities of the mice in PSD+low dose of hirudin,PSD+medium dose of hirudin,and PSD+high dose of hirudin groups were significantly increased(P<0.05 or P<0.01),while the MDA levels and ROS positive rates were significantly decreased(P<0.05 or P<0.01).The RT-qPCR and Western blotting results showed that compared with control group,the expression levels of NXN mRNA and protein in mPFC tissue of the mice in PSD group were significantly decreased(P<0.01).Compared with PSD group,the expression levels of NXN mRNA and protein in mPFC tissue of the mice in PSD+low dose of hirudin,PSD+medium dose of hirudin,and PSD+high dose of hirudin groups were significantly increased(P<0.05 or P<0.01).Conclusion:Hirudin promotes redox balance in mPFC of the PSD mice,repairs neurological damage,and improves PSD.

Objective:To discuss the effect of nucleoredoxin(NXN)in medial prefrontal cortex(mPFC)region of the mice with post-stroke depression(PSD),and to clarify its possible mechanism.Methods:A total of 42 mice among 80 C57BL/6 mice were randomly divided into NXN over-expression adeno-associated virus infection group(AAV-NXN-OE group,n=21)and negative control adeno-associated virus infection group(AAV-NC group,n=21).The remaining mice were divided into sham operation group(n=20)and PSD group(n=18).After injectied with NXN over-expression adeno-associated virus,the remaining mice in AAV-NXN-OE group and AAV-NC group were further divided into PSD+AAV-NC group(n=18)and PSD+AAV-NXN-OE group(n=18).Three weeks before surgery,NXN over-expression adeno-associated virus was injected into the mPFC region of brain tissue of the mice by stereotaxic method,and the expression of the virus in mPFC region of the mice was observed under microscope.Western blotting method was used to detect the expression levels of NXN protein in brain tissue of the mice in various groups;middle cerebral artery occlusion(MCAO)model was established by thread embolism method,followed one week post-surgery by three weeks of chronic unpredictable moderate stress(CUMS)combined with isolation feeding to construct the PSD mice model.During modeling,the body weight changes of the mice were monitored.After modeling,sucrose preference test,tail suspension test,and forced swim test were used to observe the depressive-like behavioral changes of the mice in various groups;biochemical method was used to detect the levels of malondialdehyde(MDA)and reduced glutathione(GSH),and superoxide dismutase(SOD)activities in mPFC region of brain tissue of the mice in various groups;DCFH-DA fluorescence probe labeling method was used to detect the reactive oxygen species(ROS)levels in mPFC region of brain tissue of the mice in various groups;Western blotting method was used to detect expression levels of NXN protein in mPFC region,amygdala,and hippocampus tissues of the mice in various groups.Results:A large amount of green fluorescence was observed in the mPFC region in brain tissue of the PSD mice,indicating successful infection and expression of AAVs virus labeled with ZsGreen green fluorescent protein in mPFC region in brain tissue of the PSD mice.Compared with AAV-NC group,the expression level of NXN protein in mPFC region in brain tissue of the mice in AAV-NXN-OE group was significantly increased(P<0.05).Compared with sham operation group,the body weight of the mice in PSD group was increased slowly(P<0.05),the sucrose preference rate was significantly decreased(P<0.05),and the immobility time of the mice in the tail suspension test and forced swim test was significantly increased(P<0.05).Compared with sham operation group,the sucrose preference rate of the mice in PSD+AAV-NC group was significantly decreased(P<0.05),and the immobility time in tail suspension test and forced swim test was significantly increased(P<0.05).Compared with PSD+AAV-NC group,the sucrose preference rate of the mice in PSD+AAV-NXN-OE group was significantly increased(P<0.05),and the immobility time of the mice in tail suspension test and forced swim test was significantly decreased(P<0.05).Compared with sham operation group,the MDA and ROS levels in mPFC region in brain tissue of the mice in PSD+AAV-NC group were significantly increased(P<0.05),while the GSH level and SOD activity were significantly decreased(P<0.05).Compared with PSD+AAV-NC group,the levels of MDA and ROS in mPFC region in brain tissue of the mice in PSD+AAV-NXN-OE group were significantly decreased(P<0.05),while the GSH level and SOD activity were significantly increased(P<0.05).Compared with sham operation group,the expression level of NXN protein in the mPFC region of brain tissue of the mice in PSD group was significantly decreased(P<0.05),the expression levels of NXN protein in amygdala and hippocampus tissue had no statistically significant difference(P>0.05).Conclusion:Over-expression of NXN in mPFC region of brain tissue of the mice can improve the depressive-like behavior in the PSD mice,and its mechanism is possibly related to regulating the redox balance.

Objective:To systematically review the current situation and risk factors of social isolation among elderly people in Chinese communities.Methods:The research on social isolation of elderly people in Chinese communities was electronically searched on China National Knowledge Infrastructure, WanFang Data, VIP, China Biology Medicine disc, PubMed, Embase, Web of Science, and Cochrane Library. The search period was from database establishment to August 1, 2023. Two researchers independently conducted literature screening, quality evaluation, and data extraction, and used Stata 17.0 software to conduct Meta-analysis on the incidence and risk factors of social isolation among elderly people in the community.Results:A total of 29 articles were included, with a total of 49 713 samples. Meta-analysis showed that the incidence of social isolation among elderly people in Chinese communities was 29.5%. Advanced age, education below college level, poor self-rated health, lack of exercise, coexistence of chronic diseases, impaired daily living activities, hearing loss, depression, lack of spouse, low family care, low social support, and low social participation were the main risk factors for social isolation among elderly people in the community ( OR ranging from 1.57 to 3.34, P<0.05) . Conclusions:The incidence of social isolation among elderly people in Chinese communities is high, and there are many risk factors. Medical and nursing staff should strengthen early screening for social isolation among the elderly and provide early intervention for the risk factors.

OBJECTIVE To investigate the improvement effects and mechanism of scutellarin （Scu） on neuroinflammation in rats with traumatic brain injury （TBI）. METHODS The modified Feeney method was applied to construct TBI rat model. The rats were randomly grouped into TBI group，Scu low-dose group （40 mg/kg），Scu high-dose group （80 mg/kg），cyclic guanylate- adenylate synthase （cGAS） inhibitor group （cGAS inhibitor RU.521，450 μg/kg），with 24 rats in each group. Other 24 rats were included in the sham operation group. The modified neurological deficit score （mNSS） method was applied to assess the neurological function of rats； the brain water content of rats was measured by dry/wet specific gravity method； hematoxylin-eosin and TdT-mediated dUTP nick-end labeling staining were applied to observe the pathological changes and apoptosis of brain tissue in rats； the levels of interferon-β （IFN-β），CXC chemokine ligand-10 （CXCL10），tumor necrosis factor-α （TNF-α） and interleukin-6 （IL-6） in rat brain tissue were detected by enzyme-linked immunosorbent assay； Western blot method was applied to detect the expression of cGAS/interferon gene stimulating protein （STING） signal pathway-related proteins in brain tissue of rats. RESULTS Compared with the sham operation group，the mNSS，brain water content，apoptosis rate，the contents of IFN-β，CXCL10，TNF-α and IL-6，and the relative expressions of cGAS and STING proteins in TBI group increased significantly （P＜0.05）； there were edema，bleeding and pathological damage to neurons in the brain tissue. Compared with TBI group，the above indicators and pathological changes of rats in administration groups were improved significantly （P＜0.05），and the effect of Scu was in a dose- dependent manner （P＜0.05）； however，there was no statistically obvious difference in the above indicators between the Scu high- dose group and the cGAS inhibitor group （P＞0.05）. CONCLUSIONS Scu may alleviate neuroinflammation，reduce brain tissue damage and apoptosis，and promote the recovery of neural function in TBI rats by inhibiting the activation of cGAS/STING signaling pathway.

0.05). The cells on Ti1 and Ti2 were attached well till confluent.Conclusion:The neotype titanium alloys are biocompatible.