Incidence and predictors of left atrial thrombus in patients with atrial fibrillation prior to ablation in the real world of China

BackgroundThe present study was to evaluate the value of CHADS2 and CHA2DS2VASC scores on predicting left atrial (LA) or left atrial appendage (LAA) thrombus in atrial fibrillation (AF) patients prior to ablation in the real world of China.Methods and resultsA total of 397 patients with non-valvular AF were analyzed to determine the relationship between CHADS2 and CHA2DS2VASC scores and LA/LAA thrombus identified on transesophageal echocardiography prior to radiofrequency ablation(RFA). LA/LAA thrombus was present in 38 patients (9.6%). There was a strong association between higher CHADS2 score or CHA2DS2VASC score and LA/LAA thrombus. No thrombus was identified in patients with CHA2DS2VASC score of 0 regardless of anticoagulation status. However, LA/LAA thrombus was detected in 2.9% patients with CHADS2 score of 0 without adequate anticoagulation, while no thrombus was present in the patients with CHADS2 score of 0 with adequate anticoagulation. Univariate analysis showed that heart failure (LVEF＜50%), LA≥40 mm, diabetes mellitus, previous stroke or TIA, CAD, hypertension, inadequate anticoagulation therapy, CHADS2 score of ≥2 and CHA2DS2VASC score of ≥2 were significantly associated with LA/LAA thrombus. Multivariable Cox regression analysis demonstrated that CHA2DS2VASC score of ≥2 (p = 0.02) and previous stroke or TIA (p = 0.04) were independently associated with LA/LAA thrombus regardless of anticoagulation status. ROC curve analysis showed that higher CHADS2 score and CHA2DS2VASC score could be similarly used to predict the presence of LA thrombus.ConclusionsBoth higher CHA2DS2VASC and CHADS2 scores were associated with LA/LAA thrombus in non-valvular AF patients prior to ablation. Although CHA2DS2VASC score and CHADS2 score had similar value to predict LA/LAA thrombus, CHA2DS2VASc score was better to identify low-risk patients for LA/LAA thrombus than CHADS2 score without anticoagulation. There will be a possibility of performing AF ablation or cardioversion in patients with a CHA2DS2VASC of 0 without TEE or anticoagulation therapy. The safety need to be verified by more multicentre randomized controlled clinical trails.     

顺乌头酸酶基因在杀雄剂SQ-1诱导小麦雄性不育花药中的表达分析

采用RT-PCR技术,克隆了小麦胞质顺乌头酸酶基因(cACO)部分cDNA序列.该cDNA序列长1368bp,编码456个氨基酸,GenBank登录号为GU475062.半定量RT-PCR结果表明,在生理型不育和可育花药发育的单核早期至三核期,cACO基因的表达水平均表现为先升后降;在生理型不育花药发育的单核晚期cACO基因表达水平与同期可育花药相比显著升高,到二核期和三核期明显降低,ACO酶活性变化表现出相同趋势.这反映出在小麦生理型不育系中,cACO基因在花药败育关键期异常表达可能影响了花药发育过程中正常的能量供应和物质代谢,导致花粉发育能量不足和所需物质匮乏,从而导致了非遗传型花药败育现象.     

不同化学杂交剂(CHA)对小麦花药同工酶影响的研究

在小麦叶枕距±2cm时,喷施4种不同化学杂交剂（CHA）后,分别取小孢子处于不同发育阶段的花药,进行过氧化酶（POD）、淀粉酶（Amy）和酯酶（Est）等同工酶的分析。研究表明：在小孢子母细胞减数分裂期,处理2、3和4三种CHA对POD的A1、A2;B2、B4和B5,C1、C2和C3同工酶带的活性均有明显的抑制作用;处理5除去对A1和A2表现抑制外,对其他酶带的活性均有增强作用。在单枚早期,处理2和3的A、B和C区POD同工酶活性均明显低于对照;处理4和5上述各区POD同工酶活性却明显高于对照。在上述两个发育时期,处理2对Amy1区酶活性有增强作用,而处理3、4和5对该区酶活性却表现了专一性的抑制。各处理对Est同工酶A区和B区的酶活性主要表现为抑制。实验结果表明,不同的CHA均通过干扰花药的物质和能量代谢而导致雄性生理性不育。     

化学杂交剂对灌浆期小麦源流库的影响

以大穗小麦品种SN05-3和多穗小麦SN02-3为试验材料,研究了化学杂交剂BAU-9403对灌浆期小麦库、源、流的影响.结果表明,BAU-9403诱导的小麦雄性不育率大于95%,异交结实率高于92.5%;BAU-9403能够显著降低旗叶叶绿素含量和提高其净光合速率;喷药处理的干物质日生产量,茎、叶、鞘的干物质转移量及其输出率和转换率均下降;喷药处理籽粒饱满度平均减少0.222,平均灌浆速率降低0.306g/1000 grains·d-1,灌浆持续期平均缩短6.03d.BAU-9403处理的SN05-3净光合速率增加幅度、叶绿素含量及茎中干物质转移量、输出率和转换率下降幅度均高于SN02-3,而叶中干物质转移量下降幅度和鞘中的干物质输出率却低于SN02-3;SN05-3的灌浆持续期缩短幅度明显大于SN02-3,而其灌浆速率下降的程度小于SN02-3.综合分析表明,BAU-9403能够影响灌浆期小麦的光合生理特性,破坏库、源之间的平衡关系,使干物质积累和转运不畅,导致粒重下降,且品种间的反应存在差异.     

Silencing of the human microsomal glucose-6-phosphate translocase induces glioma cell death: potential new anticancer target for curcumin

G6P translocase (G6PT) is thought to play a crucial role in transducing intracellular signaling events in brain tumor-derived cancer cells. In this report, we investigated the contribution of G6PT to the control of U-87 brain tumor-derived glioma cell survival using small interfering RNA (siRNA)-mediated suppression of G6PT. Three siRNA constructs were generated and found to suppress up to 91% G6PT gene expression. Flow cytometry analysis of propidium iodide/annexin-V-stained cells indicated that silencing the G6PT gene induced necrosis and late apoptosis. The anticancer agent curcumin, also inhibited G6PT gene expression by more than 90% and triggered U-87 glioma cells death. Overexpression of recombinant G6PT rescued the cells from curcumin-induced cell death. Targeting G6PT expression may provide a new mechanistic rationale for the action of chemopreventive drugs and lead to the development of new anti-cancer strategies.     

Study on the binding of chlorogenic acid to pepsin by spectral and molecular docking

The interaction of pepsin with chlorogenic acid (CHA) was investigated using fluorescence, UV/vis spectroscopy and molecular modeling methods. Stern–Volmer analysis indicated that the fluorescence quenching of pepsin by CHA resulted from a static mechanism, and the binding constant was 1.1846 × 10⁵ and 1.1587 × 10⁵ L/mol at 288 and 310 K, respectively. The distance between donor (pepsin) and acceptor (CHA) was calculated to be 2.39 nm and the number of binding sites for CHA binding on pepsin was ~ 1. The results of synchronous fluorescence and three‐dimensional fluorescence showed that binding of CHA to pepsin could induce conformational changes in pepsin. Molecular docking experiments found that CHA bonded with pepsin in the area of the hydrophobic cavity with Van der Waals' forces or hydrogen bonding interaction, which were consistent with the results obtained from the thermodynamic parameter analysis. Furthermore, the binding of CHA can inhibit pepsin activity in vitro. Copyright © 2013 John Wiley & Sons, Ltd.     

左心耳封堵术后房颤患者生活质量评价及其影响因素研究

摘要 目的：探讨左心耳封堵术（LAAC）术后对房颤（AF）患者的生活质量的影响,并分析其影响因素。方法：回顾性分析兰州大学第二医院2019年3月至2022年3月期间接受LAAC治疗的213例AF患者的临床资料。根据简明健康调查量表（SF-36）将213例LAAC术后AF患者分为低生活质量组（总分≤50分,n=107）和高生活质量组（总分＞50分,n=106）。收集并比较AF患者术前基线资料、实验室资料和影像学资料。采用多因素Logistic回归模型分析LAAC术后AF患者生活质量的影响因素。结果：低生活质量组心房颤动血栓发生危险度（CHA2DS2-VASc）评分高于高生活质量组（P<0.05）。低生活质量组的凝血酶原时间百分比高于高生活质量组（P<0.05）。高生活质量组红细胞水平高于低生活质量组（P<0.05）。高生活质量组的左心室射血分数（LVEF）高于低生活质量组（P<0.05）。多因素Logistic回归分析结果显示：CHA2DS2-VASc评分偏高、LVEF偏低是影响LAAC术后AF患者生活质量的危险因素（P<0.05）。结论：CHA2DS2-VASc评分偏高、LVEF偏低是影响LAAC术后AF患者生活质量的危险因素,可降低LAAC术后AF患者的生活质量。     

NaCl胁迫对白刺幼苗体内游离态亚精胺和精胺含量的影响

以西伯利亚白刺试管苗为材料,研究其在0、50和200 mmol·L-1NaCl胁迫及外源环己胺调控下,生物量和体内多胺含量的改变,以探讨多胺对盐生植物白刺在盐胁迫下的生理调节功能.结果显示:50 mmol·L-1NaCl更有利于西伯利亚白刺的生长,处理后30 d白刺根系和地上部干重分别比对照增加75%和95%,处理15 d生根率比对照提高44.42%.而0(对照)和200 mmol·L-1NaCl都显著抑制白刺试管苗的生根与生长;200 mmol·L-1NaCl处理45 d时地上部干重比对照显著降低11.71%.白刺叶片中的多胺(精胺和亚精胺)含量随着盐浓度的增加呈降低趋势,茎和根中的多胺含量在200 mmol·L-1NaCl处理后才显著受到抑制;同时施环己胺和200 mmol·L-1NaCl处理使白刺叶片中的亚精胺含量显著低于200 mmol·L-1NaCl处理组,且叶绿素合成减少,细胞质膜透性增高.研究表明,西伯利亚白刺叶片内保持合适的多胺含量可能是其适应盐渍环境的重要机制之一.