Deep learning-based fully automatic screening of carotid artery plaques in computed tomography angiography: a multicenter study

AIM

To develop and validate a deep learning (DL) algorithm for the automated detection and classification of carotid artery plaques (CAPs) on computed tomography angiography (CTA) images.

MATERIALS AND METHODS

This retrospective study enrolled 400 patients (300 in the Center Ⅰ and 100 in Ⅱ). Three radiologists co-labeled CAPs, and their revised calcification status (noncalcified, mixed, and calcified) was regarded as ground truth. Center Ⅰ patients were randomly divided into training and internal validation datasets, while Center Ⅱ patients served as the external validation dataset. Carotid artery regions were segmented using a modified 3D-UNet network, followed by CAPs detection and classification using a ResUNet-based architecture in a two-step DL system. The DL model's detection and classification performance were evaluated on the validation dataset using precision-recall curve, free-response receiver operating characteristic (fROC) curve, Cohen's kappa, and ROC curve analysis.

RESULTS

The DL model had achieved 83.4% sensitivity at 3.0 false positives (FPs)/CTA scan in internal validation and 78.9% in external validation. F1-scores were 0.764 and 0.769 at the optimal threshold, and area under fROC curves were 0.756 and 0.738, respectively, indicating good overall accuracy for CAP detection. The DL model also showed good performance for the ternary classification of CAPs, with Cohen's kappa achieved 0.728 and 0.703 in both validation datasets.

CONCLUSION

This study demonstrated the feasibility of using a fully automated DL-based algorithm for the detection and ternary classification of CAPs, which could be helpful for the workloads of radiologists.

Deciphering the Formation and Accumulation of Solid-Electrolyte Interphases in Na and K Carbonate-Based Batteries

The continuous solid-electrolyte interphase (SEI) accumulation has been blamed for the rapid capacity loss of carbon anodes in Na and K ethylene carbonate (EC)/diethyl carbonate (DEC) electrolytes, but the understanding of the SEI composition and its formation chemistry remains incomplete. Here, we explain this SEI accumulation as the continuous production of organic species in solution-phase reactions. By comparing the NMR spectra of SEIs and model compounds we synthesized, alkali metal ethyl carbonate (MEC, M = Na or K), long-chain alkali metal ethylene carbonate (LCMEC, M = Na or K), and poly(ethylene oxide) (PEO) oligomers with ethyl carbonate ending groups are identified in Na and K SEIs. These components can be continuously generated in a series of solution-phase nucleophilic reactions triggered by ethoxides. Compared with the Li SEI formation chemistry, the enhancement of the nucleophilicity of an intermediate should be the cause of continuous nucleophilic reactions in the Na and K cases.

Investigating K+ Storage Behavior of Highly Graphitized Carbon Fibers as Anodes for a Potassium-Ion Battery

Many problems of potassium-ion batteries (PIBs) are hidden under a low mass load of the active material. However, developing research based on areal capacity is challenging for PIBs, due to the lack of an anode capable of delivering a stable capacity of more than 1 mAh cm-2. This work investigates the K+ storage behavior of highly graphitized carbon fibers (HG-CF), which exhibit automatic structural adjustments to mitigate voltage polarization. The created defects and residual K+ in the structure favor the reversible insertion/deinsertion of K+. HG-GF after structural adjustment realizes a capacity of 2 mAh (1.13 cm-2) without K deposition and a stable cyclic stability (>500 h). In situ X-ray diffraction and in situ Raman spectra were used to detect defect formation and structural evolution during cycles. This work demonstrates the feasibility of HG-GF as an anode for PIBs and provides a suitable anode for further research of PIBs based on areal capacity.

Key Factor Determining the Cyclic Stability of the Graphite Anode in Potassium-Ion Batteries

Graphite is the most commonly used anode material for not only commercialized lithium-ion batteries (LIBs) but also the emerging potassium-ion batteries (PIBs). However, the graphite anode in PIBs using traditional dilute ester-based electrolyte systems shows obvious capacity fading, which is in contrast with the extraordinary cyclic stability in LIBs. More interestingly, the graphite in concentrated electrolytes for PIBs exhibits outstanding cyclic stability. Unfortunately, this significant difference in cycling performance has not raised concern up to now. In this work, by comparing the cyclic stability and graphitization degree of the graphite anode upon cycling, we reveal that the underlying mechanism of the capacity fading of the graphite anode in PIBs is not the larger volume expansion of graphite caused by the intercalation of potassium ions but the continual accumulation of the solid electrolyte interphase (SEI) on the surface of graphite. By X-ray photoelectron and nuclear magnetic resonance spectroscopies combined with chemical synthesis, it is concluded that the accumulation of the SEI may mainly come from the continual deposition of a kind of oligomer component, which blocks intercalation and deintercalation of potassium ions in graphite anodes. The designed SEI-cleaning experiment further verifies the above conclusion. This finding clarifies the crucial factor determining the cyclic stability of graphite and provides scientific guidance for application of the graphite anode for PIBs.

Mechanistic Insight into Ultrafast Kinetics of Sodium Cointercalation in Few-Layer Graphitic Carbon

Fast-charging sodium ion batteries remain deeply challenged by the lack of suitable carbonaceous anodes that exhibit intercalation plateau with fast kinetics. Here we develop a few-layer graphitic carbon with nanoscale architecture, which enables shortened Na⁺ ion diffusion path and fast formation of fully intercalated phase at the same time. Combined in situ Raman and electrochemical test reveal that this graphitic carbon with highly crystalline few layers follows surface-controlled intercalation rather than typical diffusion-controlled kinetics observed in natural graphite. As a result, a few-layer graphitic carbon anode maintains the reversible capacity of 106 mAh g^-1 at 10 A g^-1 and achieves 87% capacity retention even after 10 000 cycles at 1 A g^-1. This work provides new insight on the Na storage mechanism in fast-charging graphitic carbon as well as the design of carbon anodes for high-rate sodium ion batteries.

Low-dose three-dimensional CT angiography for the evaluation of posterolateral protrusion of the vertebral artery over the posterior arch of the atlas: a quantitative anatomical comparison study of the rotational and neutral positions

AIM

To investigate the changes in relevant anatomical parameters of posterolateral protrusion of the vertebral artery (VA) between head-neck rotational and neutral positions using low-dose three-dimensional computed tomography angiography (3D-CTA).

MATERIALS AND METHODS

Low-dose 3D-CTA images obtained for various craniocervical diseases in 36 non-dominant VA side patients with neutral, left and right head-neck rotational positions were evaluated. The relevant parameters from superior and inferior views, including external diameter (ED), internal diameter (ID), transverse diameter (TD), heights and diameters of posterolateral protrusion of the VA over the posterior arch of the atlas in the neutral and rotational positions, were recorded and compared.

RESULTS

There was no significant differences in the rotational angle (left/right: 31.23 ± 6.60/29.94 ± 6.09°, p>0.05). There were no significant differences in heights and diameters of bilateral VA between rotational and neutral positions (all p>0.05). The contralateral ID, ED, and TD of the rotational positions were significantly shorter than those of the neutral position (all p<0.05), while there were no significant differences in the three ipsilateral diameters (all p>0.05).

CONCLUSIONS

Posterolateral protrusion of the VA is not uncommon in the population, and surgeons should be aware of its presence, especially the increased possibility of injury to the VA caused by head-neck rotation, during the operation; thus, preoperative evaluation by low-dose 3D-CTA should be considered.

A free-standing 3D porous all-ceramic cathode for high capacity, long cycle life Li-O2 batteries

The all-ceramic RuO₂@La_0.7Ca_0.3CuO₃ membrane cathode contributes to an ultra-high capacity of 21 518 mA h g^-1 over 110 cycles in Li-O₂ batteries. A simple infiltration technique is effective for obtaining a highly active supported RuO₂ catalyst, and a solvent with a high donor number should be preferentially chosen because it contributes to a much higher capacity.

Polyvinylpyrrolidone-Bridged Prussian Blue/rGO Composite as a High-Performance Cathode for K-Ion Batteries

Prussian blue (PB) is a very promising cathode for K-ion batteries but its low electronic conductivity and deficiencies in the framework aggravate electrochemical performances. Compositing with conductive reduced graphene oxide (rGO) is an effective solution to address this problem. Nevertheless, little attention was paid to the loss of oxygen-containing functional groups on the rGO substrate during the compositing process, which weakens the interaction between PB and rGO and leads to poor electrochemical performance of PB/rGO. Herein, this interaction effect associated with surface functional groups is first openly debated. Two commonly used carbon substrates, graphene oxide (GO) and rGO, are investigated. A more stable interaction between PB and GO contributes to a higher capacity retention (91.8%) than that of PB/rGO (69.7%) after 300 cycles at a current density of 5 C. Meanwhile, polyvinylpyrrolidone (PVP) is employed to repair the weak interaction between PB and rGO substrates. PB is anchored to the rGO surface through the stable covalent linking of amide groups in PVP. A superior rate capability of 72 mA h g^-1 at 10 C and an improved capacity retention of 96.5% over 800 cycles at 5 C are obtained by as-prepared PB/PVP-rGO. This study provides a deeper understanding of fabricating PB/carbon composites with a robust connection.

[LIM-domain binding protein 2 regulated by m6A modification inhibits lung adenocarcinoma cell proliferation in vitro]

OBJECTIVE

To investigate the role and expression pattern of LIM-domain binding protein 2 (LDB2) in lung adenocarcinoma.

OBJECTIVE

We studied the expression pattern of LDB2 in lung adenocarcinoma based on data from the online databases TCGA, GEO and CPTAC, and the results were verified in lung adenocarcinoma tissues and cells using immunohistochemistry, qRT-PCR and Western blotting. The relationship between LDB2 and the prognosis of patients with lung adenocarcinoma was analyzed using GEPIA and GEO databases. We further analyzed the role of LDB2 in regulating cell behaviors in a H1299 cell model over-expressing LDB2 using cell counting, soft agar colony forming assay and flow cytometry. The m⁶A binding sites on LDB2 were confirmed by bioinformatics analysis and MeRIP-qPCR assays. The effect of YTHDC2 on LDB2 was examined using qRT-PCR and Western blotting, and the binding of YTHDC2 to the transcript of LDB2 was verified with RIP-qPCR assays. Dual luciferase reporter assay was performed to verify YTHDC2 functioning via m⁶A sites.

OBJECTIVE

LDB2 expression was significantly decreased in lung adenocarcinoma in comparison with normal tissues based on data from TCGA, GEPIA and CPTAC, and the same results were obtained from 80 lung adenocarcinoma tissues and 17 adjacent normal tissues. Similarly, LDB2 expression was decreased in lung adenocarcinoma cells as compared with 16HBE cells. The data from Prognoscan and GEPIA suggested that a high LDB2 expression was positively correlated with a more favorable outcome of lung adenocarcinoma patients. LDB2-overexpressing H1299 cells showed a significant inhibition of proliferative activity with cell cycle arrest in S phage. Bioinformatics analysis and MeRIP-qPCR assay confirmed the presence of m⁶A sites on LDB2. The m⁶A reader YTHDC2 was positively related with LDB2 in lung adenocarcinoma based on data from GEPIA (r=0.22). Overexpression YTHDC2 significantly enhanced LDB2 expression in H1299 cells by about 19.35 folds. Dual luciferase reporter assay showed that YTHDC2 enhanced the promoter activity in the wild-type group but not in deletion group.

OBJECTIVE

LDB2 expression can be up-regulated by m⁶A reader YTHDC2 in lung adenocarcinoma to inhibit the proliferation of the tumor cells in vitro.

A highly concentrated electrolyte for high-efficiency potassium metal batteries

We report a highly concentrated electrolyte consisting of 4 M potassium bis(fluorosulfonyl)imide (KFSI) in diethylene glycol dimethyl ether (DEGDME). This new electrolyte enables stable cycling of K metal anodes with a high CE (over 98% over 400 cycles), and excellent capacity retention (99.7% after 500 cycles) of K||potassium Prussian blue (KPB) batteries.

A Graphite Intercalation Composite as the Anode for the Potassium-Ion Oxygen Battery in a Concentrated Ether-Based Electrolyte

Nowadays, alkali metal-oxygen batteries such as Li-, Na-, and K-O₂ batteries have been investigated extensively because of their ultrahigh energy density. However, the oxygen crossover of oxygen batteries and the intrinsic drawbacks of the metal anodes (i.e., large volume changes and dendrite issues) have still been unsolved key problems. Here, we demonstrate a novel design of the K-ion oxygen battery using a graphite intercalation composite as the anode in a highly concentrated ether-based electrolyte. Instead of the metal K anode, the potassium graphite intercalation compound as the anode is depotassiated/potassiated in a binary form below 0.3 V (vs. K⁺/K); correspondingly, the discharged product KO₂ is formed/decomposed at the carbon nanotube cathode, and an all-carbon full cell exhibits impressive cycling stability with a working voltage of 2.0 V. Furthermore, the utilization of graphite intercalation chemistry has been demonstrated to be applicable in Li-O₂ batteries as well. Therefore, this study may provide a new strategy to resolve the key problems of the alkali metal-oxygen batteries.

Correlation between Microstructure and Potassium Storage Behavior in Reduced Graphene Oxide Materials

Potassium-ion batteries (PIBs) are considered to be potential alternatives to the conventional lithium-ion batteries (LIBs) due to the similar working mechanism and abundant potassium (K) resource. However, it still remains challenging to directly apply commercial graphite anodes for PIBs owing to the large K ions, which may impede the electrochemical intercalation of K ions into the graphite interlayer and result in a poor cyclic stability and rate capability. Reduced graphene oxide (rGO) has shown remarkable electrochemical performance as an anode material for PIBs due to the fact that rGO possesses more active sites with an enlarged interlayer distance. Understanding the microstructure of rGO is crucial for optimizing its K-ion storage capabilities. Herein, it is revealed that the K-ion storage behavior of rGO is strongly dependent on the thermal treatment temperature on account of the difference in microstructure. rGO graphitized at 2500 °C exhibits a superior long-term cyclic stability for 2500 cycles due to the expanded interlayer distance and the unique graphite-like structure in a long range, enabling it to endure the huge volume change during uninterrupted K-ion intercalation/deintercalation processes.

Utilizing an autogenously protective atmosphere to synthesize a Prussian white cathode with ultrahigh capacity-retention for potassium-ion batteries

Prussian white with ultrahigh capacity-retention was synthesized by utilizing an autogenously protective atmosphere.

Controllable Electrochemical Fabrication of KO2-Decorated Binder-Free Cathodes for Rechargeable Lithium-Oxygen Batteries

Understanding the electrochemical property of superoxides in alkali metal oxygen batteries is critical for the design of a stable oxygen battery with high capacity and long cycle performance. In this work, a KO₂-decorated binder-free cathode is fabricated by a simple and efficient electrochemical strategy. KO₂ nanoparticles are uniformly coated on the carbon nanotube film (CNT-f) through a controllable discharge process in the K-O₂ battery, and the KO₂-decorated CNT-f is innovatively introduced into the Li-O₂ battery as the O₂ diffusion electrode. The Li-O₂ battery based on the KO₂-decorated CNT-f cathode can deliver enhanced discharge capacity, reduced charge overpotential, and more stable cycle performance compared with the battery in the absence of KO₂. In situ formed KO₂ particles on the surface of CNT-f cathode assist to form Li₂O₂ nanosheets in the Li-O₂ battery, which contributes to the improvement of discharge capacity and cycle life. Interestingly, the analysis of KO₂-decorated CNT-f cathodes, after discharge and cycle tests, reveals that the electrochemically synthesized KO₂ seems not a conventional electrocatalyst but a partially dissolvable and decomposable promoter in Li-O₂ batteries.

Molecular Sieve Induced Solution Growth of Li2O2 in the Li-O2 Battery with Largely Enhanced Discharge Capacity

The formation of the insulated film-like discharge products (Li₂O₂) on the surface of the carbon cathode gradually hinders the oxygen reduction reaction (ORR) process, which usually leads to the premature death of the Li-O₂ battery. In this work, by introducing the molecular sieve powder into the ether electrolyte, the Li-O₂ battery exhibits a largely improved discharge capacity (63 times) compared with the one in the absence of this inorganic oxide additive. Meanwhile, XRD and SEM results qualitatively demonstrate the generation of the toroid Li₂O₂ as the dominated discharge products, and the chemical titration quantifies a higher yield of the Li₂O₂ with the presence of the molecular sieve additive. The addition of the molecular sieve controls the amount of the free water in the electrolyte, which distinguishes the effect of the molecular sieve and the free water on the discharge process. Hence, a possible mechanism has been proposed that the adsorption of the molecular sieves toward the soluble lithium superoxides improves the disproportionation of the lithium superoxides and consequently enhances the solution-growth of the lithium peroxides in the low donor number ether electrolyte. In general, the application of the molecular sieve triggers further studies concerning the improvement of the discharge performance in the Li-O₂ battery by adding the inorganic additives.

Investigations of Si Thin Films as Anode of Lithium-Ion Batteries

Amorphous silicon thin films having various thicknesses were investigated as a negative electrode material for lithium-ion batteries. Electrochemical characterization of the 20 nm thick thin silicon film revealed a very low first cycle Coulombic efficiency, which can be attributed to the silicon oxide layer formed on both the surface of the as-deposited Si thin film and the interface between the Si and the substrate. Among the investigated films, the 100 nm Si thin film demonstrated the best performance in terms of first cycle efficiency and cycle life. Observations from scanning electron microscopy demonstrated that the generation of cracks was inevitable in the cycled Si thin films, even as the thickness of the film was as little as 20 nm, which was not predicted by previous modeling work. However, the cycling performance of the 20 and 100 nm silicon thin films was not detrimentally affected by these cracks. The poor capacity retention of the 1 μm silicon thin film was attributed to the delamination.

Quantum Wires and Waveguides Formed in Graphene by Strain

Confinement of electrons in graphene to make devices has proven to be a challenging task. Electrostatic methods fail because of Klein tunneling, while etching into nanoribbons requires extreme control of edge terminations, and bottom-up approaches are limited in size to a few nanometers. Fortunately, its mechanical flexibility raises the possibility of using strain to alter graphene's properties and create novel straintronic devices. Here, we report transport studies of nanowires created by linearly-shaped strained regions resulting from individual folds formed by layer transfer onto hexagonal boron nitride. Conductance measurements across the folds reveal Coulomb blockade signatures, indicating confined charges within these structures, which act as quantum dots. Along folds, we observe sharp features in traverse resistivity measurements, attributed to an amplification of the dot conductance modulations by a resistance bridge incorporating the device. Our data indicates ballistic transport up to ∼1 μm along the folds. Calculations using the Dirac model including strain are consistent with measured bound state energies and predict the existence of valley-polarized currents. Our results show that graphene folds can act as straintronic quantum wires.

Room-temperature liquid metal-based anodes for high-energy potassium-based electrochemical devices

A dendrite-free CM@NaK electrode was fabricated via room-temperature adsorption of liquid Na–K onto a super-aligned CNT membrane driven by capillary force.

Dendrite-Free Potassium-Oxygen Battery Based on a Liquid Alloy Anode

The safety issue caused by the dendrite growth is not only a key research problem in lithium-ion batteries but also a critical concern in alkali metal (i.e., Li, Na, and K)-oxygen batteries where a solid metal is usually used as the anode. Herein, we demonstrate the first dendrite-free K-O₂ battery at ambient temperature based on a liquid Na-K alloy anode. The unique liquid-liquid connection between the liquid alloy and the electrolyte in our alloy anode-based battery provides a homogeneous and robust anode-electrolyte interface. Meanwhile, we manage to show that the Na-K alloy is only compatible in K-O₂ batteries but not in Na-O₂ batteries, which is mainly attributed to the stronger reducibility of potassium and relatively more favorable thermodynamic formation of KO₂ over NaO₂ during the discharge process. It is observed that our K-O₂ battery based on a liquid alloy anode shows a long cycle life (over 620 h) and a low discharge-charge overpotential (about 0.05 V at initial cycles). Moreover, the mechanism investigation into the K-O₂ cell degradation shows that the O₂ crossover effect and the ether-electrolyte instability are the critical problems for K-O₂ batteries. In a word, this study provides a new route to solve the problems caused by the dendrite growth in alkali metal-oxygen batteries.

[Genotyping of ABO Blood Group in Partial Population of Yunnan Province by SNaPshot Technology]

OBJECTIVES

To detect the genotype of ABO blood group by SNaPshot technology.

METHODS

DNA were extracted from the peripheral blood samples with known blood groups （obtained by serology） of 107 unrelated individuals in Yunnan. Six SNP loci of the 261th, 297th, 681th, 703th, 802th, and 803th nucleotide positions were detected by SNaPshot Multiplex kit, and relevant genetics parameters were calculated.

RESULTS

In 107 blood samples, the allele frequencies of types A, B, O^A, and O^G were 0.355 1, 0.168 2, 0.230 0 and 0.247 6, respectively, while that of types A^G and cis AB were not detected. The genotyping results of ABO blood group were consistent with that of serologic testing.

CONCLUSIONS

SNaPshot technology can be adapted for genotyping of ABO blood group.

The Effect of Potassium Impurities Deliberately Introduced into Activated Carbon Cathodes on the Performance of Lithium-Oxygen Batteries

Rechargeable lithium-air (Li-O2) batteries have drawn much interest owing to their high energy density. We report on the effect of deliberately introducing potassium impurities into the cathode material on the electrochemical performance of a Li-O2 battery. Small amounts of potassium introduced into the activated carbon (AC) cathode material in the synthesis process are found to have a dramatic effect on the performance of the Li-O2 cell. An increased amount of potassium significantly increases capacity, cycle life, and round-trip efficiency. This improved performance is probably due to a larger amount of LiO2 in the discharge product, which is a mixture of LiO2 and Li2O2, resulting from the increase in the amount of potassium present. No substantial correlation with porosity or surface area in an AC cathode is found. Experimental and computational studies indicate that potassium can act as an oxygen reduction catalyst, which can account for the dependence of performance on the amount of potassium.

Interfacial effects on lithium superoxide disproportionation in Li-O₂ batteries

During the cycling of Li-O2 batteries the discharge process gives rise to dynamically evolving agglomerates composed of lithium-oxygen nanostructures; however, little is known about their composition. In this paper, we present results for a Li-O2 battery based on an activated carbon cathode that indicate interfacial effects can suppress disproportionation of a LiO2 component in the discharge product. High-intensity X-ray diffraction and transmission electron microscopy measurements are first used to show that there is a LiO2 component along with Li2O2 in the discharge product. The stability of the discharge product was then probed by investigating the dependence of the charge potential and Raman intensity of the superoxide peak with time. The results indicate that the LiO2 component can be stable for possibly up to days when an electrolyte is left on the surface of the discharged cathode. Density functional calculations on amorphous LiO2 reveal that the disproportionation process will be slower at an electrolyte/LiO2 interface compared to a vacuum/LiO2 interface. The combined experimental and theoretical results provide new insight into how interfacial effects can stabilize LiO2 and suggest that these interfacial effects may play an important role in the charge and discharge chemistries of a Li-O2 battery.

Raman Evidence for Late Stage Disproportionation in a Li-O2 Battery

Raman spectroscopy is used to characterize the composition of toroids formed in an aprotic Li-O2 cell based on an activated carbon cathode. The trends in the Raman data as a function of discharge current density and charging cutoff voltage provide evidence that the toroids are made up of outer LiO2-like and inner Li2O2 regions, consistent with a disproportionation reaction occurring in the solid phase. The LiO2-like component is found to be associated with a new Raman peak identified in the carbon stretching region at ∼1505 cm(-1), which appears only when the LiO2 peak at 1123 cm(-1) is present. The new peak is assigned to distortion of the graphitic ring stretching due to coupling with the LiO2-like component based on density functional calculations. These new results on the LiO2-like component from Raman spectroscopy provide evidence that a late stage disproportionation mechanism can occur during discharge and add new understanding to the complexities of possible processes occurring in Li-O2 batteries.

Three-dimensional structure of Bax-mediated pores in membrane bilayers

B-cell lymphoma 2 (Bcl-2)-associated X protein (Bax) is a member of the Bcl-2 protein family having a pivotal role in triggering cell commitment to apoptosis. Bax is latent and monomeric in the cytosol but transforms into its lethal, mitochondria-embedded oligomeric form in response to cell stress, leading to the release of apoptogenic factors such as cytochrome C. Here, we dissected the structural correlates of Bax membrane insertion while oligomerization is halted. This strategy was enabled through the use of nanometer-scale phospholipid bilayer islands (nanodiscs) the size of which restricts the reconstituted system to single Bax-molecule activity. Using this minimal reconstituted system, we captured structural correlates that precede Bax homo-oligomerization elucidating previously inaccessible steps of the core molecular mechanism by which Bcl-2 family proteins regulate membrane permeabilization. We observe that, in the presence of BH3 interacting domain death agonist (Bid) BH3 peptide, Bax monomers induce the formation of ~3.5-nm diameter pores and significantly distort the phospholipid bilayer. These pores are compatible with promoting release of ions as well as proteinaceous components, suggesting that membrane-integrated Bax monomers in the presence of Bid BH3 peptides are key functional units for the activation of the cell demolition machinery.

SU-E-T-585: Application of IMAT in Non-Small-Cell Lung Cancer with Simultaneously Integrated Boost Radiation Therapy

PURPOSE

To compare and analyze the characteristics of intensity-modulated arc therapy(IMAT) versus fixed-gantry intensity-modulated radiotherapy(IMRT) in treatment of non-small-cell lung cancer.

METHODS

Twelve patients treated in our radiotherapy center were selected for this study. The patient subsequently underwent 4D-CT simulation.Margins of 5 mm and 10mm were added to the ITV to generate the CTV and PTV respectively. Three treatment plans (IMRT,one single arc (RA1),double arcs (RA2))were generated with Eclipse ver.8.6 planning systems. Using a dose level of75Gy in 15fractions to the ITV,60Gy in 15fractions to the CTV and 45Gy in 15fractions to the PTV respectively. The target and normol tissue volumes were compared, as were the dosimetry parameters.

RESULTS

There were no significant differences in CI of ITV,PTV, HI of ITV,CTV and PTV, V5,V10,V15,V20,V25,V30,V45,V50 of total-lung and mean lung dose (all p>0.05). However, the differences were significant in terms of CI of CTV, V5 of B-P (all p<0.05). On the MU, IMRT=1540MU,RA1=1006 MU and RA2=1096 MU. (F=12.00,P=0.000).On the treatment time, IMRT= 13.5min,RA1= 1.5min, and RA2=2.5 min (F= 30.11,P=0.000).

CONCLUSIONS

IMAT is equal to IMRT in dosimetril evaluation. Due to much less Mu and delivery time,IMAT is an ideal technique in treating patients by reduceing the uncomfortable influnce which could effect the treatment.

A new approach with less damage: intranasal delivery of tetracycline-inducible replication-defective herpes simplex virus type-1 vector to brain

Gene therapy holds great potential for treating neurological disorders. However, delivering gene vectors to the brain has been either invasive or inefficacious in most studies to date. The aim of this study was to develop a safe and efficacious strategy for delivering gene vectors to the brain. A tetracycline-inducible replication-defective herpes simplex virus type-1 vector, QR9TO-LacZ, was administered to rats intranasally. QR9TO-LacZ could infect primary cortical neurons and express the reporter gene without detectable replication. QR9TO-LacZ was observed in the olfactory bulb, hippocampus, striatum, cortex, medulla, cerebellum, ventricles, and nasal septum after intranasal administration. Expression of the reporter gene could be controlled effectively by tetracycline. In vitro, introduction of QR9TO-LacZ did not change the structure of transfected neurons. In vivo, QR9TO-LacZ did not increase apoptosis in neurons and did not alter levels of interleukin 6 and tumor necrosis factor α in the brain after intranasal delivery. Our data suggest that intranasally applied QR9TO-LacZ has a wide distribution and expresses the reporter gene in the brain under the control of tetracycline with less cytotoxicity than intravenous or stereotactic delivery methods.

A survey of the anti-apoptotic Bcl-2 subfamily expression in cancer types provides a platform to predict the efficacy of Bcl-2 antagonists in cancer therapy

We investigated the mRNA expression levels of all six antiapoptotic Bcl-2 subfamily members in 68 human cancer cell lines using qPCR techniques and measured the ability of known Bcl-2 inhibitors to induce cell death in 36 of the studied tumor cell lines. Our study reveals that Mcl-1 represents the anti-apoptotic Bcl-2 subfamily member with the highest mRNA levels in the lung, prostate, breast, ovarian, renal, and glioma cancer cell lines. In leukemia/lymphoma and melanoma cancer cell lines, Bcl-2 and Bfl-1 had the highest levels of mRNA, respectively. The observed correlation between the cell killing properties of known Bcl-2 inhibitors and the relative mRNA expression levels of anti-apoptotic Bcl-2 proteins provide critical insights into apoptosis-based anticancer strategies that target Bcl-2 proteins. Our data may explain current challenges of selective Bcl-2 inhibitors in the clinic, given that severe expression of Bcl-2 seems to be limited to leukemia cell lines. Furthermore, our data suggest that in most cancer types a strategy targeted to Mcl-1 inhibition, or combination of Bfl-1 and Mcl-1 inhibition for melanoma, may prove to be more successful than therapies targeting only Bcl-2.

Dependence of permeability transition pore opening and cytochrome C release from mitochondria on mitochondria energetic status

The dependence of Ca2+-induced permeability transition pore (PTP) opening and cytochrome c (Cyt. c) release from mitochondria on mitochondria energetic status was investigated. Results of test the PTP opening and Cyt. c release of isolated rat liver mitochondria with different mitochondrial respiratory substrates, electron transport inhibitors and uncoupler by spectrophotometry and western blotting showed that, Cyt. c release from mitochondria by PTP opening. PTP opening and Cyt. c release showed more sensitive and responsive with FADH-linked succinate than with NADH-linked glutamate plus malate as substrate. Partial or full inhibition of electron flow with electron flow inhibitors resulted in partial or full inhibition of PTP opening and Cyt. c release, respectively. Partial recovery of electron flow with electron sponsors resulted in partial recovery of PTP opening and Cyt. c release. PTP opening and Cyt. c release were completely interrupted by uncoupler. These results indicated PTP opening and Cyt. c release are characterized by respiratory substrate selectivity, electron flow dependence and energy coupling reliance. Hence, PTP opening and Cyt. c release tightly depend on mitochondria energetic status. These findings suggested also that it is possible to regulate apoptosis by altering mitochondrial energetic status to alter PTP opening and Cyt. c release.

Leakage and aggregation of phospholipid vesicles induced by the BH3-only Bcl-2 family member, BID

BID is a BH3 domain-only member of the Bcl-2 family that acts as an apoptotic agonist in programmed cell death. After cleavage by caspase-8, the N-terminal of BID (N-BID) stays in the cytosol while the C-terminal of BID (C-BID) translocates to mitochondria, leading to cytochrome c release in vivo and in vitro. We have previously reported that BID or truncated BID (tBID) can induce the release of entrapped trypsin and cytochrome c from large unilamellar vesicles (LUVs). Further studies have been performed and are presented here; the results demonstrate that C-BID, like BID and tBID, induces vesicle leakage, whereas N-BID or the BID mutants BID (D59A) and BID (G94E) fail to have any significant effects. The affinity of the above-mentioned proteins for soybean phospholipid LUVs (SLUVs) decreased in an order similar to their leakage-inducing capability: tBID > BID > BID (D59A), while N-BID and BID (G94E) were unable to bind to the vesicles at all. BID-induced leakage was dependent on the lipid composition of vesicles. Acidic phospholipid (e.g. phosphatidic acid or phosphatidylglycerol) was necessary for BID-induced leakage while the presence of phosphatidylethanolamine or cholesterol reduced the leakage. It was also found C-BID is better able to penetrate the soybean phospholipid monolayer than BID or tBID. A further finding was that tBID, but not full-length BID, could stimulate the aggregation of SLUVs. Finally, Bcl-x(L), an apoptotic antagonist in programmed cell death, can prevent the aggregation of LUVs induced by tBID, but not the release of entrapped trypsin. It is postulated that two separate domains of tBID are responsible for inducing leakage and aggregation of phospholipid vesicles.

[Anterior interbody autografting and internal fixation for primary surgical management of thoracolumbar spinal tuberculosis]

OBJECTIVES

To verify the importance of early reconstruction of spinal stability and to evaluate the safety of anterior instrumentation in surgical management of spinal tuberculosis.

METHODS

Eleven cases of thoracolumbar spinal tuberculosis were treated with primary anterior debridement, interbody autografting and Z-plate fixation from October 1997 to January 1999.

RESULTS

All the 11 cases healed without any recurrence after follow-up for an average of 16 months. Spinal fusion occurred in 3.8 months on average after surgery. 18 degrees of kyphosis correction was achieved with no associated complication.

CONCLUSIONS

Early reconstruction of spinal stability plays an important role in surgical management of spinal tuberculosis, and it is safe to implant anterior titanium spinal instrument in tuberculosis foci.

Study on the relationship between calcium-induced calcium release from mitochondria and PTP opening

The permeability transition pore (PTP) is central for mitochondria function. PTP either open in low-conductance state to carry out mCICR (Ca2+-induced Ca2+ release from mitochondria) and play roles in cell phsyiological activities or open in high-conductance conformation to release harmful substances and play important roles in cell pathological responses and apoptosis. The results of study on the relationship between mCICR and PTP opening show Ca2+ concentrations but not the Ca2+ delivery mode determined the occurrence of mCICR or PTP opening. Ca2+-induced PTP opening began with and depended on mCICR. mCICR was a prerequisite for H2O2 and As2O3-induced PTP opening. The results indicated that the PTP opening was determined by Ca2+ stimulation intensity but not mode. PTP could switch from low- to high-conductance conformation and the PTP open by high-conductance began with low-conductance state. mCICR is necessary for Ca2+-dependent PTP opening. Our data suggested also that it would be possible to control cellular responses first by modulating mCICR, then by regulating PTP opening.

Characterization of tBid-induced cytochrome c release from mitochondria and liposomes

tBid, the cleaved form of Bid, can induce cytochrome c (Cyt. c) release from rat heart mitochondria more efficiently and reproducibly than that from liver or brain mitochondria. Unlike Bax, such release was not prevented by cyclosphorin A, an inhibitor of the opening of permeability transition pore. Carbonyl-cyanide m-chlorophenyl-hydrazone or oligomycin also have no obvious effect on the release of Cyt. c. In contrast to ceramide, tBid-mediated Cyt. c release from mitochondria is independent of the redox state of Cyt. c. Furthermore, Bid or tBid can directly trigger the efflux of encapsulated Cyt. c or trypsin within liposomes without involvement of other protein factors.

[Regulation on ACTH, beta-EP and immune function by moxibustion on different acupoints]

The experimental results displayed that the cellular immune functions of tumor-bearing mice in control group were significantly lower than that the normal control group. The cellular immune functions of those groups accepting moxibustion treatment were maintained at a relatively higher level. Among them the Guanyuan group seemed to be best in immune regulation. The data further demonstrated that an instant elevation of serum ACTH and beta-EP could be caused by moxibustion. But the bariations of serum ACTH and beta-EP are not paralleled. A remarkable increase of serum beta-EP was seen in Guanyuan group but not of serum ACTH. The experimental results hinted that the regulation of beta-EP and ACTH was related to the immune regulation induced by moxibustion.

[Signal multiplier spectrophotometric determination of baicalin, chlorogenic acid and phillyrin in shuang huanglian injection]

Signal multiplier spectrophotometry was used for the determination of baicalin, chlorogenic acid and phillyrin in Shuang Huanglian injection. The method can eliminate interference without preliminary separation and has proved simple, speedy and accurate.