[Campaigning the innovation and practice of anesthesia and perioperative management for elderly patients in China]

The aged population in China is rapidly increasing, but there is a relative lower anesthesia rate with surgical indication for elderly patients because of worry for higher morbidity and mortality. In past five years, Chinese anesthesiologists have made the tremendous efforts to change this situation in as follow aspects. Firstly, establishing the anesthesia and multidisciplinary evaluation system for elderly patients to improve preoperative functional status, and accelerating the postoperative rehabilitation process. Secondly, releasing the publications of perioperative experts consensus for elderly patients based on the high level clinical researches to highlight clinical practice in China. Thirdly, implementing online virtual MDT discussion of anesthesia and perioperative management for critical elderly patients to improve perioperative diagnosis and treatment level. Fourthly, making the innovation of clinical practice and management pathway to adopt to the ERAS' clinical requests for elderly patients, especially advanced aged patients.

MGE-derived nNOS+ interneurons promote fear acquisition in nNOS-/- mice

Neuronal nitric oxide synthase (nNOS) ¹, mainly responsible for NO release in central nervous system (CNS) ², plays a significant role in multiple physiological functions. However, the function of nNOS⁺ interneurons in fear learning has not been much explored. Here we focused on the medial ganglionic eminences (MGE) ³-derived nNOS⁺ interneurons in fear learning. To determine the origin of nNOS⁺ interneurons, we cultured neurons in vitro from MGE, cortex, lateral ganglionic eminence (LGE) ⁴, caudal ganglionic eminences (CGE) ⁵ and preoptic area (POA) ⁶. The results showed that MGE contained the most abundant precursors of nNOS⁺ interneurons. Moreover, donor cells from E12.5 embryos demonstrated the highest positive rate of nNOS⁺ interneurons compared with other embryonic periods (E11.5, E12, E13, E13.5 and E14). Additionally, these cells from E12.5 embryos showed long axonal and abundant dendritic arbors after 10 days culture, indicating the capability to disperse and integrate in host neural circuits after transplantation. To investigate the role of MGE-derived nNOS⁺ interneurons in fear learning, donor MGE cells were transplanted into dentate gyrus (DG) ⁷ of nNOS knock-out (nNOS^-/-) or wild-type mice. Results showed that the transplantation of MGE cells promoted the acquisition of nNOS^-/- but not the wild-type mice, suggesting the importance of nNOS⁺ neurons in fear acquisition. Moreover, we transplanted MGE cells from nNOS^-/- mice or wild-type mice into DG of the nNOS^-/- mice and found that only MGE cells from wild-type mice but not the nNOS^-/- mice rescued the deficit in acquisition of the nNOS^-/- mice, further confirming the positive role of nNOS⁺ neurons in fear learning.

Crystal structure of di-chlorido-(2,2':6',2''-terpyridine-κ(3) N,N',N'')zinc: a redeter-min-ation

The crystal structure of the title compound, [ZnCl₂(C₁₅H₁₁N₃)], was redetermined based on modern CCD data. In comparison with the previous determination from photographic film data [Corbridge & Cox (1956 ▶). J. Chem. Soc.159, 594–603; Einstein & Penfold (1966 ▶). Acta Cryst.20, 924–926], all non-H atoms were refined with anisotropic displacement parameters, leading to a much higher precision in terms of bond lengths and angles [e.g. Zn—Cl = 2.2684 (8) and 2.2883 (11) compared to 2.25 (1) and 2.27 (1) Å]. In the title mol­ecule, the Zn^II atom is five-coordinated in a distorted square-pyramidal mode by two Cl atoms and by the three N atoms from the 2,2′:6′,2′′-terpyridine ligand. The latter is not planar and shows dihedral angles between the least-squares planes of the central pyridine ring and the terminal rings of 3.18 (8) and 6.36 (9)°. The mol­ecules in the crystal structure pack with π–π inter­actions [centroid–centroid distance = 3.655 (2) Å] between pyridine rings of neighbouring terpyridine moieties. These, together with inter­molecular C—H⋯Cl inter­actions, stablize the three-dimensional structure.