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The tissue stiffness of donor kidneys in transplantation may increase due to pathological changes such as glomerulosclerosis and interstitial fibrosis, and those changes associate worse outcomes in kidney transplantation recipients. Ultrasound elastography is a noninvasive imaging examination with the ability to quantitatively reflect tissue stiffness. Aim of this study was to evaluate the prognostic value of ultrasound elastography for adverse kidney outcome in kidney transplantation recipients. Shear wave elastography (SWE) examinations were performed by two independent operators in kidney transplantation recipients. The primary outcome was a composite of kidney graft deterioration, all-cause re-hospitalization, and all-cause mortality. Survival analysis was calculated by Kaplan-Meier curves with the log-rank test and Cox regression analysis. A total of 161 patients (mean age 46 years, 63.4% men) were followed for a median of 20.1 months. 27 patients (16.77%) reached the primary endpoint. The mean and median tissue stiffness at the medulla (hazard ratio: 1.265 and 1.229, respectively), estimated glomerular filtration rate (eGFR), and serum albumin level were associated with the primary outcome in univariate Cox regression. Adding mean or median medulla SWE to a baseline model containing eGFR and albumin significantly improved its discrimination (C-statistics: 0.736 for the baseline, 0.766 and 0.772 for the model added mean and median medulla SWE, respectively). The medullary tissue stiffness of kidney allograft measured by shear wave elastography may provide incremental prognostic value to adverse outcomes in kidney transplantation recipients. Including SWE parameters in kidney transplantation recipients management could be considered to improve risk stratification. [ABSTRACT FROM AUTHOR]

This paper introduces an innovative structure for a self-restrained grid shear wall with diagonal CFRP-steel composite strips. Steel and CFRP strips are interwoven to enhance the structural integrity of the shear wall. Quasi-static tests are initially conducted on two shear wall specimens with and without diagonal CFRP-steel composite strips. Subsequently, a finite element model is established to represent the self-restrained grid shear wall with diagonal CFRP-steel composite strips. This model is helpful for exploring the influence of composite strips arrangement on the performance of shear walls. Furthermore, a prediction formula is developed to estimate the load-bearing capacity of the CFRP-steel composite strips grid shear wall. The test results show that the yield bearing capacity, ultimate bearing capacity, stiffness and energy dissipation capacity of the specimens increase by 46.6%, 58.2%, 43.6%, and 16.3% respectively after the replacement of composite strips. In addition, the results of finite element simulation indicate that the diagonal arrangement exhibits the highest efficiency in the use of CFRP materials among three reinforced structural forms-diagonal, spaced, and fully arranged composite strips. This arrangement is also the most economical and has the least adverse influence on the internal forces of the frame columns. • Completely discrete steel slit shear wall into steel plate strips. • The steel and CFRP strips are interwoven to enhance the seismic performance of the shear wall. • The effects of different composite strip arrangements are investigated. • The prediction formula of the ultimate bearing capacity of the grid shear wall with CFRP-steel composite strips has been derived. [ABSTRACT FROM AUTHOR]

In this study, bio-based poly(lactic acid) (PLA)/polycaprolactone (PCL) blends and PLA/PCL/silicon carbide (SiC) composites were prepared using a solution blending method. The surface of the SiC whiskers was modified using a silane coupling agent. The effects of the PCL and SiC contents on the flexural properties, fracture toughness, morphology of PLA/PCL blends, and PLA/PCL/SiC composites were investigated using several techniques. Both the fracture toughness and flexural strength of PLA increased by the introduction of PCL and were further improved by the formation of SiC whiskers. Fracture surfaces were observed by scanning electron microscopy, which showed that the use of PCL as a reinforcing agent induces plastic deformation in the PLA/PCL blends. The SiC whiskers absorbed external energy because of their good interfacial adhesion with the PLA matrix and through SiC-PLA debonding in the PLA/PCL/SiC composites. [ABSTRACT FROM AUTHOR]

Series of dihydrotriazine derivatives bearing 5-aryloxypyrazole moieties were identified as novel anticancer agents. [Display omitted] • Compound 10e displayed better activity than commercial drugs (5-Fu), with an IC 50 value of 2.12 µM for HepG-2 cells. • Compound 10e could enhance the expression of Cl-PARP, Cl-caspase-3 and Cl-caspase-9. • 10e triggered the formation of autophagosomes by promoting the expression of LC3-II and Beclin-1. A series of dihydrotriazine derivatives bearing 5-aryloxypyrazole moieties were designed, and their anticancer activities against three human cancer cell lines (SGC-7901, HepG-2 and MCF-7) and one non-cancer cell line (LO2) were explored using the MTT assay in vitro. Most of the compounds exhibited potent antiproliferative activities against the three cancer cell lines, with compound 10e (IC 50 = 2.12 µM) exhibiting the most potent antiproliferative activity against HepG-2 cells. Interestingly, autophagy was observed in the 10e -treated HepG-2 cells. Compound 10e also increased reactive oxygen species (ROS) levels and resulted in marked HepG-2 cells apoptosis. Further studies revealed that compound 10e could enhance the expression of Cl-PARP, Cl-caspase-3, and Cl-caspase-9. In addition, 10e triggered the formation of autophagosomes by promoting LC3-II and Beclin-1 expression. These results might be useful for exploring and developing dihydrotriazine derivatives as novel anticancer agents. [ABSTRACT FROM AUTHOR]

• Build an experimental platform of intermediate cycle aeroengine thermal management system. • Explore the influences of working condition on the systematic heat transportation. • Apply heat current method and artificial neural network builds simulation model. With the increment of Mach number, the heat dissipation load of aeroengine increases significantly. Systematic thermal management has become an urgent problem to be solved. The intermediate cycle system is one of the widely used thermal management solutions. This paper builds an experiment platform of thermal management system of aeroengine including intermediate cycle to explore the influence of working condition on the systematic heat transportation. Water is selected as the working medium in the experiment. The experiment results show all the temperatures of working medium decrease with the flow rate increment of working medium in fuel oil circuit. The temperature of working medium flowing to the afterburner increases with the temperature increment of lube oil circuit1 and 2. But only the temperature of working medium flowing to the main combustor increases while the temperatures of lube oil circuit1 increase. At last, using heat current method and flow resistance model builds the systematic simulation model. The relative errors between the simulation and experimental values are all less than 5%. The simulation results show all the temperatures of working medium increase with the increment of fuel oil circuit temperature. The working medium temperature flowing to the afterburner and lube oil circuit2 increases with the flow rate increment of lube oil circuit3. It reveals the heat transfer principle of the intermediate circulation thermal system under different working states and provides a powerful guidance for the systematic analysis and design. [ABSTRACT FROM AUTHOR]

This paper introduces a novel aluminum honeycomb sandwich panel buckling-restrained steel plate shear wall (HCSP-SPSW) that used honeycomb core sandwich panels (HCSP) as restraining members. Compared with the traditional concrete restraining panel, HCSP is lighter, more rigid, and offers additional functions such as energy and sound absorption, increasing functionality while effectively restraining out-of-plane buckling deformation of the wall panel. Quasi-static cyclic loading tests were initially conducted on two 1/3 scaled specimens to study their shear performance. Second, a finite element (FE) model is established and validated, and parameters such as chunking and honeycomb core dimensions are analyzed. Furthermore, an equation for calculating the bearing capacity of HCSP is derived and confirmed through the finite element analysis. The results reveal that, when the out-of-face equivalent modulus of HCSP is 5945.51 MPa, HCSP-SPSW improves the load carrying capacity by 16.42% and increases energy consumption by 80.54% compared to the thin steel plate shear wall (SPSW), and achieves the requirement of complete buckling restrained behavior. The effect of partitioning on shear bearing capacity and energy dissipation is minimal when the number of bolts and edge spacing remains constant. [ABSTRACT FROM AUTHOR]

Fibrotic tissue remodelling in nonalcoholic fatty liver disease (NAFLD) will probably emerge as the leading cause of end-stage liver disease in the coming decades, but the ability to diagnose liver fibrosis in NAFLD patients noninvasively is limited. The abnormal expression of tRNA-derived small RNA (tsRNA) in plasma provides a novel idea for noninvasive diagnosis of various diseases, however, the relationship between tsRNAs and NAFLD is still unknown. Here, we took advantage of small RNA-Seq technology to profile tsRNAs in NAFLD patients and found the ubiquitous presence of hepatic tsRNAs secreted into circulating blood. Verification in a cohort of 114 patients with NAFLD and 42 patients without NAFLD revealed that three tsRNAs (tRF-Val-CAC-005, tiRNA-His-GTG-001, and tRF-Ala-CGC-006) were significantly elevated in the plasma of NAFLD patients, and the expression level are associated with NAFLD activity score (calculated from 0 to 8) and fibrosis stage (scored from 0 to 4). In mouse models, we further found that increased plasma levels of these three tsRNAs were positively correlated with the degree of liver fibrosis. Our study potentially identifies a new class of NAFLD biomarkers and reveal the possible existence of tsRNAs in the blood that can be used to predict fibrogenesis risk in patients diagnosed with NAFLD. [ABSTRACT FROM AUTHOR]

Cancer-related anemia is present in more than 60% of newly diagnosed cancer patients and is associated with substantial morbidity and high medical costs. Drugs that enhance erythropoiesis are urgently required to decrease transfusion rates and improve quality of life. Clinical studies have observed an unexpected improvement in hemoglobin and RBC transfusion-independence in patients with acute myeloid leukemia (AML) treated with the isocitrate dehydrogenase 2 (IDH2) mutant-specific inhibitor enasidenib, leading to improved quality of life without a reduction in AML disease burden. Here, we demonstrate that enasidenib enhanced human erythroid differentiation of hematopoietic progenitors. The phenomenon was not observed with other IDH1/2 inhibitors and occurred in IDH2-deficient CRISPR-engineered progenitors independently of D-2-hydroxyglutarate. The effect of enasidenib on hematopoietic progenitors was mediated by protoporphyrin accumulation, driving heme production and erythroid differentiation in committed CD71+ progenitors rather than hematopoietic stem cells. Our results position enasidenib as a promising therapeutic agent for improvement of anemia and provide the basis for a clinical trial using enasidenib to decrease transfusion dependence in a wide array of clinical contexts. [ABSTRACT FROM AUTHOR]

Chronic myeloid leukemia (CML) is a malignant tumor caused by the abnormal proliferation of hematopoietic stem cells. Among a new series of acridone derivatives previously synthesized, it was found that the methoxybenzyl 5-nitroacridone derivative 8q has nanomolar cytotoxicity in vitro against human chronic myelogenous leukemia K562 cells. In order to further explore the possible anti-leukemia mechanism of action of 8q on K562 cells, a metabolomics and molecular biology study was introduced. It was thus found that most of the metabolic pathways of the G1 phase of K562 cells were affected after 8q treatment. In addition, a concentration-dependent accumulation of cells in the G1 phase was observed by cell cycle analysis. Western blot analysis showed that 8q significantly down-regulated the phosphorylation level of retinoblastoma-associated protein (Rb) in a concentration-dependent manner, upon 48 h treatment. In addition, 8q induced K562 cells apoptosis, through both mitochondria-mediated and exogenous apoptotic pathways. Taken together, these results indicate that 8q effectively triggers G1 cell cycle arrest and induces cell apoptosis in K562 cells, by inhibiting the CDK4/6-mediated phosphorylation of Rb. Furthermore, the possible binding interactions between 8q and CDK4/6 protein were clarified by homology modeling and molecular docking. In order to verify the inhibitory activity of 8q against other chronic myeloid leukemia cells, KCL-22 cells and K562 adriamycin-resistant cells (K562/ADR) were selected for the MTT assay. It is worth noting that 8q showed significant anti-proliferative activity against these cell lines after 48 h/72 h treatment. Therefore, this study provides new mechanistic information and guidance for the development of new acridones for application in the treatment of CML. [ABSTRACT FROM AUTHOR]

Background: Dual anti-human epidermal growth factor receptor 2 (HER2) therapies have been shown to improve outcomes of HER2-positive breast cancer patients. We undertook a systematic review to compare treatment outcomes for patients who received single or combined anti-HER2 therapies.Methods: We identified randomized control trials that compared dual anti-HER2 therapy and anti-HER2 monotherapy in patients with HER2-positive breast cancer. Outcomes included pathologic complete response (pCR), overall survival (OS), progression-free survival (PFS), and adverse events. Included in the analysis were seven trials that recruited 2,609 patients.Results: In the neoadjuvant setting, the pooled pCR rate in the dual anti-HER2 therapy and monotherapy groups in combination with chemotherapy was 54.8% and 36%, respectively. This difference was statistically significant (relative risk, 1.56; 95% confidence interval (CI), 1.23-1.97; p < 0.001). In the metastatic setting, dual anti-HER2 therapy demonstrated significant benefits in both PFS (hazard ratio (HR), 0.71; 95% CI, 0.62-0.81; p < 0.001) and OS (HR, 0.68; 95% CI, 0.57-0.82; p < 0.001). Subgroup analyses indicated that the addition of chemotherapy to dual anti-HER2 therapy could greatly improve pCR in the neoadjuvant settings. However, in the metastatic setting, similar PFS and OS were found in patients receiving dual anti-HER2 therapy with or without chemotherapy. Dual anti-HER2 therapy was associated with more frequent adverse events than monotherapy, but no statistical differences were observed in cardiac toxicity.Conclusions: This systematic review provides a summary of all the data currently available, and confirms the benefits and risks of dual anti-HER2 therapy for HER2-positive breast cancer. [ABSTRACT FROM AUTHOR]

Aerobic rice is a new production system in which specially-developed varieties are grown under non-flooded, non-puddled, and non-saturated soil conditions. In 2003–2004, irrigation x Nitrogen experiments were carried out near Beijing using variety HD297. Water treatments included four irrigation levels, and Nitrogen treatments included different fertilizer N application rates and different numbers of N splits. The highest yields were 4 460 kg/ha with 688 mm of total (rain plus irrigation) water input in 2003 and 6 026 kg/ha with 705 mm of water input in 2004. Because of the quite even distribution of rainfall in both years, the four irrigation treatments did not result in large differences of soil water conditions. There were few significant effects of irrigation on biomass accumulation, but yield increased with the total amount of water applied. High yields coincided with high harvest index and high percentages of grain filling. The application of fertilizer N either reduced biomass and yield or kept it at the same level as 0 N and consistently reduced the percentage grain filling and 1000-grain weight. With the highest water application, five splits of N gave higher yield than three splits, whereas three splits gave higher yield than five splits with lower water applications. [ABSTRACT FROM AUTHOR]