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Zhang R, Zhai K, Huang J, Wei S, Yang J, Zhang Y, Wu X, Li Y, Gao B. Sevoflurane alleviates lung injury and inflammatory response compared with propofol in a rat model of VV ECMO. Perfusion 2024; 39:142-150. [PMID: 36206156 DOI: 10.1177/02676591221131217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Although venovenous extracorporeal membrane oxygenation (VV ECMO) is a reasonable salvage treatment for acute respiratory distress syndrome (ARDS), it requires sedating the patient. Sevoflurane and propofol have pulmonary protective and immunomodulatory properties. This study aimed to compare the effectiveness of sevoflurane and propofol on rats with induced ARDS undergoing VV ECMO. METHODS Fifteen sprague-dawley (SD) rats were randomly divided into three groups: Con group, sevoflurane (Sevo) group and propofol (Pro) group. Arterial blood gas tests were performed at time pointsT0 (baseline), T1 (the time to ARDS), and T2 (weaning from ECMO). Oxygenation index (PaO2/FiO2) was calculated, and lung edema assessed by determining the lung wet:dry ratio. The protein concentration in bronchial alveolar lavage fluid (BALF) was determined by using bicinchoninic acid assay. Haematoxylin and eosin staining was used to evaluate the lung pathological scores in each group. IL-1β and TNF-α were also measured in the BALF, serum and lung. RESULTS Oxygenation index showed improvement in the Sevo group versus Pro group. The wet:dry ratio was reduced in the Sevo group compared with propofol-treated rats. Lung pathological scores were substantially lower in the Sevo group versus the Pro group. Protein concentrations in the BALF and levels of IL-1β and TNF-α in the Sevo group were substantially lower versus Pro group. CONCLUSION This study demonstrates that compared with propofol, sevoflurane was more efficacious in improving oxygenation and decreasing inflammatory response in rat models with ARDS subject to VV ECMO treatment.
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Affiliation(s)
- Rongzhi Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, China
- Department of Anesthesiology, Lanzhou University Second Hospital, Lanzhou, China
| | - Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, China
| | - Jian Huang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, China
| | - Shilin Wei
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, China
| | - Jianbao Yang
- Department of Thoracic Surgery, Lanzhou University Second Hospital, Lanzhou, China
| | - Yanchun Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, China
| | - Xiangyang Wu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou, China
| | - Bingren Gao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, China
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Zhai K, Xu X, Zhang P, Wei S, Li J, Wu X, Gao B, Zhang Y, Li Y. Venovenous extracorporeal membrane oxygenation for coronavirus disease 2019 patients: A systematic review and meta-analysis. Perfusion 2023; 38:1107-1122. [PMID: 35608047 DOI: 10.1177/02676591221104302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
OBJECTIVE Although the application of venovenous extracorporeal membrane oxygenation (VV-ECMO) in coronavirus disease 2019 (COVID-19) patients with acute respiratory distress syndrome (ARDS) is accumulating, the feasibility and safety of this therapy remain controversial. We aimed to evaluate the effect of VV-ECMO in the treatment of these patients. METHODS A comprehensive literature search was performed using PubMed, Embase, the Cochrane Library, and International Clinical Trials Registry Platform databases through November 2021. According to the inclusion and exclusion criteria, the included studies were screened, and meta-analysis was performed by R software (version 4.0.2). RESULTS Forty-two studies including 2037 COVID-19 patients supported with VV-ECMO due to ARDS were identified. The pooled analysis revealed that 30-, 60-, and 90-day mortality among patients were respectively 46% (95% CI 37%-57%, I2 = 66%), 46% (95% CI 30%-70%, I2 = 93%), and 49% (95% CI 43%-58%, I2 = 52%), and the pooled incidence rate of in-hospital mortality, major bleeding, hemorrhagic stroke, thrombosis, pulmonary embolism, deep venous thrombosis, and renal replacement therapy were respectively 35%, 39%, 11%, 40%, 15%, 21%, and 44%. CONCLUSION Although COVID-19 patients may have a higher risk of bleeding, hemorrhagic stroke, and acute kidney injury during ECMO therapy, the survival rate was more than half of the cases. Our data may support the application of VV-ECMO in COVID-19 patients.
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Affiliation(s)
- Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Xu Xu
- Department of Anesthesiology, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Pengbin Zhang
- Department of Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China
| | - Shilin Wei
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Li
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Xiangyang Wu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Bingren Gao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yanhua Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
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Yao M, Zhai K, Li M, Li Y, Ge Z. [Research progress of extracorporeal cardiopulmonary resuscitation combined with therapeutic hypothermia on brain protection]. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2023; 35:554-557. [PMID: 37308241 DOI: 10.3760/cma.j.cn121430-20210823-01237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Compared with conventional cardiopulmonary resuscitation (CCPR), extracorporeal cardiopulmonary resuscitation (ECPR) can improve the survival rate of patients with cardiac arrest, and reduce the risk of reperfusion injury. However, it is still difficult to avoid the risk of secondary brain damage. Low temperature management has good neuroprotective potential for ECPR patients, which minimizes brain damage. However, unlike CCPR, ECPR has no clear prognostic indicator. The relationship between ECPR combined with hypothermia management-related treatment measure and neurological prognosis is not clear. This article reviews the effect of ECPR combined with different therapeutic hypothermia on brain protection and provides a reference for the prevention and treatment of neurological injury in patients with ECPR.
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Affiliation(s)
- Min Yao
- Department of Neurology, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China
| | - Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China
- Extracorporeal Life Support Laboratory, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China. Corresponding author: Ge Zhaoming,
| | - Mingming Li
- Department of Neurology, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China
- Extracorporeal Life Support Laboratory, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China. Corresponding author: Ge Zhaoming,
| | - Zhaoming Ge
- Department of Neurology, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China
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Li M, Zhai K, Wei S, Li Y. Different criteria for initiating ECPR affect clinical results. JTCVS Open 2023; 13:215-216. [PMID: 37063149 PMCID: PMC10091381 DOI: 10.1016/j.xjon.2023.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
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Wei S, Cheng X, Li J, Zhai K, Huang J, Wang S, Li Y, Liu D. Venoarterial extracorporeal membrane oxygenation improves survival in a rat model of acute myocardial infarction. Artif Organs 2023. [PMID: 36638047 DOI: 10.1111/aor.14499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 02/10/2022] [Accepted: 03/09/2022] [Indexed: 01/14/2023]
Abstract
BACKGROUND Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been widely used in high-risk acute myocardial infarction (AMI) patients with promising outcomes. However, the underlying molecular mechanisms remain unknown and a VA-ECMO animal model has not yet been established. The purpose of this study was to establish a VA-ECMO model in AMI rats and evaluate long-term cardiac function. METHODS We first established AMI in 20 Sprague-Dawley (SD) rats by ligating the left anterior descending coronary artery, while five rats underwent a thoracotomy to form the sham group. VA-ECMO was established after 30mins of AMI in 10 rats through the right jugular vein for venous drainage and right femoral artery for arterial infusion. Arterial blood pressure was monitored using a catheter in the left femoral artery, blood gas parameters were measured using a blood gas analyzer, while myocardial enzymes were detected using an ELISA Kit. Cardiac function was assessed through echocardiography on day 15. Masson staining and Western Blot were used for evaluating myocardial fibrosis, while histological injury was evaluated using hematoxylin and eosin staining. RESULTS VA-ECMO support stabilized blood pressure, decreased the levels of myocardial enzymes including cTnI, cTnT, CK-MB, and was associated with a higher survival rate. In the long term, the VA-ECMO group showed improved cardiac function, significantly increased EF and FS but significantly decreased EDV and ESV compared to the AMI group. Furthermore, VA-ECMO significantly alleviated pathological damage and myocardial fibrosis. CONCLUSION We established an economical, reliable, and reproducible VA-ECMO animal model in AMI rats, and demonstrated that VA-ECMO support prevents deteriorated cardiac function.
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Affiliation(s)
- Shilin Wei
- Department of Thoracic Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Xingdong Cheng
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Li
- Cuiying Biomedical Research Center, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Kerong Zhai
- Department of Thoracic Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Huang
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Shixiong Wang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Cuiying Biomedical Research Center, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Debin Liu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
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Wei S, Zhang Y, Zhai K, Li J, Li M, Yang J, Zhang R, Li Y, Li Z. CytoSorb in patients with coronavirus disease 2019: A rapid evidence review and meta-analysis. Front Immunol 2023; 14:1067214. [PMID: 36798138 PMCID: PMC9927009 DOI: 10.3389/fimmu.2023.1067214] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 01/17/2023] [Indexed: 02/04/2023] Open
Abstract
Background After its approval by the European Union in 2011, CytoSorb therapy has been applied to control cytokine storm and lower the increased levels of cytokines and other inflammatory mediators in blood. However, the efficiency of this CytoSorb treatment in patients with coronavirus disease (COVID-19) still remains unclear. To elucidate the Cytosorb efficiency, we conducted a systematic review and single-arm proportion meta-analysis to combine all evidence available in the published literature to date, so that this comprehensive knowledge can guide clinical decision-making and future research. Methods The literature published within the period 1 December 2019 to 31 December 2021 and stored in the Cochrane Library, Embase, PubMed, and International Clinical Trials Registry Platform (ICTRP) was searched for all relevant studies including the cases where COVID-19 patients were treated with CytoSorb. We performed random-effects meta-analyses by R software (3.6.1) and used the Joanna Briggs Institute checklist to assess the risk of bias. Both categorical and continuous variables were presented with 95% confidence intervals (CIs) as pooled proportions for categorical variables and pooled means for continuous outcomes. Results We included 14 studies with 241 COVID-19 patients treated with CytoSorb hemadsorption. Our findings reveal that for COVID-19 patients receiving CytoSorb treatment, the combined in-hospital mortality was 42.1% (95% CI 29.5-54.6%, I2 = 74%). The pooled incidence of adjunctive extracorporeal membrane oxygenation (ECMO) support was 73.2%. Both the C-reactive protein (CRP) and interleukin-6 (IL-6) levels decreased after CytoSorb treatment. The pooled mean of the CRP level decreased from 147.55 (95% CI 91.14-203.96) to 92.36 mg/L (95% CI 46.74-137.98), while that of IL-6 decreased from 339.49 (95% CI 164.35-514.63) to 168.83 pg/mL (95% CI 82.22-255.45). Conclusions The majority of the COVID-19 patients treated with CytoSorb received ECMO support. In-hospital mortality was 42.1% for the COVID-19 patients who had CytoSorb treatment. Both CRP and IL-6 levels decreased after Cytosorb treatment.
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Affiliation(s)
- Shilin Wei
- Department of Thoracic Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yanchun Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Kerong Zhai
- Department of Thoracic Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Li
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Mingming Li
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jianbao Yang
- Department of Thoracic Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Rongzhi Zhang
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Department of Anesthesiology, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Zhenzhen Li
- Department of Extracorporeal Circulation, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
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Li Y, Huang J, Zhang R, Wang S, Cheng X, Zhang P, Zhai K, Wang W, Liu D, Gao B. Establishment of a venovenous extracorporeal membrane oxygenation in a rat model of acute respiratory distress syndrome. Perfusion 2023; 38:85-91. [PMID: 34378461 DOI: 10.1177/02676591211031468] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
INTRODUCTION Venovenous extracorporeal membrane oxygenation (VV ECMO) is now considered a reasonable option to salvage acute respiratory distress syndrome (ARDS). However, we lack a rodent model for experimental studies. This study was undertaken to establish an animal model of VV ECMO in ARDS rats. METHODS A total of 18 Sprague-Dawley (SD) rats (350 ± 50 g) were used in this study. Using a rat model of oleic acid (OA)-induced ARDS, VV ECMO was established through cavoatrial cannulation of the right jugular vein for venous drainage and venous reinfusion with a specially designed three-cavity catheter. Continuous arterial pressure monitoring was implemented by using a catheter through cannulation of the right femoral artery. The central temperature was monitored with a rectal probe. Arterial blood gas monitoring was implemented by a blood gas analyzer at three-time points: at baseline, 1-hour (after OA modeling), and 3.5-hour (after VV ECMO support). Lung tissue and bronchoalveolar lavage fluid were harvested respectively for protein concentration and pulmonary histologic evaluation to confirm the alleviation of lung injury during VV ECMO. RESULTS Following ARDS induced by OA, ten rats were successfully established on VV ECMO without failure and survived the ECMO procedure. VV ECMO alleviated lung injury and restored adequate circulation for the return of lung function and oxygenation. VV ECMO was associated with decreased lung injury score, wet/dry weight ratio, and fluid leakage into airspaces. CONCLUSION We have established a reliable, economical, and functioning ARDS rat model of VV ECMO.
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Affiliation(s)
- Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Huang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Rongzhi Zhang
- Department of Anesthesiology, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Shixiong Wang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Xingdong Cheng
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Pengbin Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Wei Wang
- Department of Cardiopulmonary Bypass, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Debin Liu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Bingren Gao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.,Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
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Zhai K, Cheng X, Zhang P, Wei S, Huang J, Wu X, Gao B, Li Y. Del Nido cardioplegia for myocardial protection in adult cardiac surgery: a systematic review and update meta-analysis. Perfusion 2023; 38:6-17. [PMID: 34263684 DOI: 10.1177/02676591211031095] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
OBJECTIVE Although the application of del Nido cardioplegia solution (DNC) in adult cardiac surgery is accumulating, the feasibility and safety of this myocardial protection strategy in adults remains controversial. We aimed to update our previous meta-analysis to determine the myocardial protective effect of DNC versus conventional cardioplegia (CC) in adult cardiac surgery. METHODS A comprehensive literature search was performed using PubMed, EMBASE, the Cochrane Library, and International Clinical Trials Registry Platform databases through November 2020. RESULTS Thirty-seven observational studies and four randomized controlled trials (RCTs) including 21,779 patients were identified. The DNC group was associated with decreased postoperative cardiac enzymes [troponin T (cTnT) and creatine kinase-MB (CK-MB)] [standardized mean differences (SMD): -0.59, 95% confidence interval (CI): -0.99 to -0.19, p = 0.004], cardiopulmonary bypass (CPB) time (MD: -9.31, 95% CI: -13.10 to -5.51, p < 0.00001), aortic cross-clamp (ACC) time (MD: -7.20, 95% CI: -10.31 to -4.09, p < 0.00001), and cardioplegia volume (SMD: -1.95, 95% CI: -2.46 to -1.44, p < 0.00001). Intraoperative defibrillation requirement was less in the DNC group [relative risk (RR): 0.50, 95% CI: 0.33 to 0.75, p = 0.0007]. The pooled analysis revealed no significant difference in operative mortality among the patients assigned to DNC and those undergoing CC. CONCLUSION In adult cardiac surgery, compared to CC, myocardial protection used with DNC yield similar or better short-term clinical outcomes. More high-quality trials and RCTs reflecting long-term follow-up morbidity and mortality are required in the future to confirm these findings.
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Affiliation(s)
- Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Xingdong Cheng
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Pengbin Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Shilin Wei
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Huang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Xiangyang Wu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Bingren Gao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
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Huang J, Chen C, Xie J, Zhai K, Wei S, Cheng X, Zhang R. Oroxin A ameliorates the oleic acid-induced A549 cell injury through the suppression of pyroptosis and degradation of alveolar surfactant. AN ACAD BRAS CIENC 2022; 94:e20211400. [PMID: 36477822 DOI: 10.1590/0001-3765202220211400] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 05/10/2022] [Indexed: 12/03/2022] Open
Abstract
The destruction of the pulmonary epithelial barrier in acute respiratory distress syndrome is caused by the damage of the alveolar epithelial cells. Oroxin A is an effective flavonoid component derived from the medicinal plant Oroxylum indicum (L.) Kurz. In this study, the oleic acid (OA)-induced A549 cell injury model was established in vitro to explore the protective mechanism of Oroxin A. The experiment was divided into the following groups: control, OA and OA + Oroxin A group. The OA-induced A549 cell injury was dose (time)-dependent and was detected by the CCK-8 assay. The protein and mRNA expression levels associated with pyroptosis are detected by Western blotting and RT-qPCR. After Oroxin A treatment, the levels of IL-1β, IL-18 and LDH released were significantly lower than the OA group. In terms of pyroptosis, Oroxin A can inhibit the expression of pyroptosis-related protein and mRNA. Significantly, the surfactant protein C (SPC) level in the OA + Oroxin A group was significantly higher than that in the OA group. The treatment with Oroxin A alleviates the OA-induced injury in the A549 cells, and its mechanism may be related to the inhibition of A549 cells pyroptosis and prevention of the degradation of the SPC.
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Affiliation(s)
- Jian Huang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, No. 82, Cuiyingmen, Lanzhou 730030, Gansu, People's Republic of China
| | - Chen Chen
- Department of Anesthesiology, The Fourth Affiliated Hospital of Anhui Medical University, No 100 Huaihai Avenue, Hefei 230001, Anhui, People's Republic of China
| | - Jianqin Xie
- Department of Anesthesiology, Lanzhou University Second Hospital, No. 82, Cuiyingmen, Lanzhou 730030, Gansu, People's Republic of China
| | - Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, No. 82, Cuiyingmen, Lanzhou 730030, Gansu, People's Republic of China
| | - Shilin Wei
- Department of Cardiac Surgery, Lanzhou University Second Hospital, No. 82, Cuiyingmen, Lanzhou 730030, Gansu, People's Republic of China
| | - Xingdong Cheng
- Department of Cardiac Surgery, Lanzhou University Second Hospital, No. 82, Cuiyingmen, Lanzhou 730030, Gansu, People's Republic of China
| | - Rongzhi Zhang
- Department of Anesthesiology, Lanzhou University Second Hospital, No. 82, Cuiyingmen, Lanzhou 730030, Gansu, People's Republic of China
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Zhai K, Li M, Li J, Wei S, Li Z, Zhang Y, Gao B, Wu X, Li Y. Neuroprotective effect of selective hypothermic cerebral perfusion in extracorporeal cardiopulmonary resuscitation: A preclinical study. JTCVS Open 2022; 12:221-233. [PMID: 36590735 PMCID: PMC9801244 DOI: 10.1016/j.xjon.2022.07.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 06/19/2022] [Accepted: 07/18/2022] [Indexed: 01/04/2023]
Abstract
Objective Neurologic complications seriously affect the survival rate and quality of life in patients with extracorporeal cardiopulmonary resuscitation (ECPR) undergoing cardiac arrest. This study aimed to repurpose selective hypothermic cerebral perfusion (SHCP) as a novel approach to protect the brains of these patients. Methods Rats were randomly allocated to Sham, ECPR, and SHCP combined ECPR (CP-ECPR) groups. In the ECPR group, circulatory resuscitation was performed at 6 minutes after asphyxial cardiac arrest by extracorporeal membrane oxygenation. The vital signs were monitored for 3 hours, and body and brain temperatures were maintained at the normal level. In the CP-ECPR group, the right carotid artery catheterization serving as cerebral perfusion was connected with the extracorporeal membrane oxygenation device to achieve selective brain cooling (26-28 °C). Serum markers of brain injury and pathomorphologic changes in the hippocampus were evaluated. Three biological replicates further received RNA sequencing in ECPR and CP-ECPR groups. Microglia activation and inflammatory cytokines in brain tissues and serum were detected. Results SHCP rapidly reduced the brain-targeted temperature and significantly alleviated nerve injury. This was evident from the reduced brain injury serum biomarker levels, lower pathologic scores, and more surviving neurons in the hippocampus in the CP-ECPR group. Furthermore, more differentially expressed genes for inflammatory responses were clustered functionally according to Kyoto Encyclopedia of Genes and Genomes pathway analysis. And SHCP reduced microglia activation and the release of proinflammatory mediators. Conclusions Our preliminary data indicate that SHCP may serve as a potential therapy to attenuate brain injury via downregulation of neuroinflammation in patients with ECPR.
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Key Words
- CA, cardiac arrest
- DEGs, differentially expressed genes
- ECMO, extracorporeal membrane oxygenation
- ECPR, extracorporeal cardiopulmonary resuscitation
- H&E, hematoxylin–eosin
- ICAM-1, Intercellular adhesion molecule-1
- IHC, immunohistochemistry
- IL-1β/6/8, interleukin-1β/6/8
- Iba1, ionized calcium-binding adaptor molecule 1
- MAP, mean arterial pressure
- NSE, neuron-specific enolase
- PCR, polymerase chain reaction
- RNA-seq, RNA sequencing
- S100β, S-100β protein
- SHCP, selective hypothermic cerebral perfusion
- TNF-α, tumor necrosis factor-α
- UCH-L1, ubiquitin C-terminal hydrolase-L1
- cardiac arrest
- cerebral protection
- extracorporeal cardiopulmonary resuscitation
- hypothermic cerebral perfusion
- neuroinflammation
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Affiliation(s)
- Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China,Department of Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Mingming Li
- Department of Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China,Department of Neurology, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Li
- Department of Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Shilin Wei
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China,Department of Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Zhenzhen Li
- Department of Cardiopulmonary Bypass, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yanchun Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Bingren Gao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Xiangyang Wu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China,Department of Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China,Address for reprints: Yongnan Li, MD, PhD, Department of Cardiac Surgery, Lanzhou University Second Hospital, No. 82, Cuiyingmen, Chengguan District, Lanzhou, China, 730030.
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11
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Cheng X, Zhang R, Wei S, Huang J, Zhai K, Li Y, Gao B. Dexamethasone Alleviates Myocardial Injury in a Rat Model of Acute Myocardial Infarction Supported by Venoarterial Extracorporeal Membrane Oxygenation. Front Public Health 2022; 10:900751. [PMID: 35928492 PMCID: PMC9343845 DOI: 10.3389/fpubh.2022.900751] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 06/14/2022] [Indexed: 11/13/2022] Open
Abstract
Myocardial ischemia causes myocardial inflammation. Research indicates that the venoarterial extracorporeal membrane oxygenation (VA ECMO) provides cardiac support; however, the inflammatory response caused by myocardial ischemia remains unresolved. Dexamethasone (Dex), a broad anti-inflammatory agent, exhibits a cardioprotective effect. This study aims to investigate the effect of Dex on a rat model of acute myocardial infarction (AMI) supported by VA ECMO. Male Sprague-Dawley rats (300–350 g) were randomly divided into three groups: Sham group (n = 5), ECMO group (n = 6), and ECMO + Dex group (n = 6). AMI was induced by ligating the left anterior descending (LAD) coronary artery. Sham group only thoracotomy was performed but LAD was not ligated. The ECMO and ECMO + Dex groups were subjected to 1 h of AMI and 2 h of VA ECMO. In the ECMO + Dex group, Dex (0.2 mg/kg) was intravenously injected into the rats after 1 h of AMI. Lastly, myocardial tissue and blood samples were harvested for further evaluation. The ECMO + Dex group significantly reduced infarct size and levels of cTnI, cTnT, and CK-MB. Apoptotic cells and the expression levels of Bax, Caspase3, and Cle-Caspase3 proteins were markedly lower in the ECMO + Dex group than that in the ECMO group. Neutrophil and macrophage infiltration was lower in the ECMO + Dex group than in the ECMO group. A significant reduction was noted in ICAM-1, C5a, MMP-9, IL-1β, IL-6, and TNF-α. In summary, our findings revealed that Dex alleviates myocardial injury in a rat model of AMI supported by VA ECMO.
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Affiliation(s)
- Xingdong Cheng
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Rongzhi Zhang
- Department of Anesthesiology, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Shilin Wei
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Huang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- *Correspondence: Yongnan Li
| | - Bingren Gao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Bingren Gao
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12
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Huang J, Zhang R, Zhai K, Li J, Yao M, Wei S, Cheng X, Yang J, Gao B, Wu X, Li Y. Venovenous extracorporeal membrane oxygenation promotes alveolar epithelial recovery by activating Hippo/YAP signaling after lung injury. J Heart Lung Transplant 2022; 41:1391-1400. [DOI: 10.1016/j.healun.2022.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2022] [Revised: 05/31/2022] [Accepted: 06/05/2022] [Indexed: 10/16/2022] Open
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Zhang P, Wei S, Zhai K, Huang J, Cheng X, Tao Z, Gao B, Liu D, Li Y. Efficacy of left ventricular unloading strategies during venoarterial extracorporeal membrane oxygenation in patients with cardiogenic shock: a protocol for a systematic review and Bayesian network meta-analysis. BMJ Open 2021; 11:e047046. [PMID: 34666998 PMCID: PMC8527161 DOI: 10.1136/bmjopen-2020-047046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been widely used for patients with refractory cardiogenic shock. A common side effect of this technic is the resultant increase in left ventricular (LV) afterload which could potentially aggravate myocardial ischaemia, delay ventricular recovery and increase the risk of pulmonary congestion. Several LV unloading strategies have been proposed and implemented to mitigate these complications. However, it is still indistinct that which one is the best choice for clinical application. This Bayesian network meta-analysis (NMA) aims to compare the efficacy of different LV unloading strategies during VA-ECMO. METHODS AND ANALYSIS PubMed, Embase, the Cochrane Library and the International Clinical Trials Registry Platform will be explored from their inception to 31 December 2020. Random controlled trials and cohort studies that compared different LV unloading strategies during VA-ECMO will be included in this study. The primary outcome will be in-hospital mortality. The secondary outcomes will include neurological complications, haemolysis, bleeding, limb ischaemia, renal failure, gastrointestinal complications, sepsis, duration of mechanical ventilation, length of intensive care unit and hospital stays. Pairwise and NMA will respectively be conducted using Stata (V.16, StataCorp) and Aggregate Data Drug Information System (V.1.16.5), and the cumulative probability will be used to rank the included LV unloading strategies. The risk of bias will be conducted using the Cochrane Collaboration's tool or Newcastle-Ottawa Quality Assessment Scale according to their study design. Subgroup analysis, sensitivity analysis and publication bias assessment will be performed. The Grading of Recommendations Assessment, Development and Evaluation will be conducted to explore the quality of evidence. ETHICS AND DISSEMINATION Either ethics approval or patient consent is not necessary, because this study will be based on literature. The results will be disseminated through peer-reviewed publications and conference presentations. PROSPERO REGISTRATION NUMBER CRD42020165093.
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Affiliation(s)
- Pengbin Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
- State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Shilin Wei
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou, Gansu, China
| | - Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou, Gansu, China
| | - Jian Huang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou, Gansu, China
| | - Xingdong Cheng
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou, Gansu, China
| | - Zhenze Tao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou, Gansu, China
| | - Bingren Gao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
| | - Debin Liu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou, Gansu, China
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Wei S, Zhang P, Zhai K, Wang S, Wang W, Tian Y, Liu D, Li Y. Transcatheter versus surgical aortic valve replacement in aortic stenosis patients with advanced chronic kidney disease: a systematic review and meta-analysis. Ann Palliat Med 2021; 10:7157-7172. [PMID: 34263628 DOI: 10.21037/apm-21-758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 05/25/2021] [Indexed: 11/06/2022]
Abstract
BACKGROUND Transcatheter aortic valve replacement (TAVR) has been increasingly used in all levels of risk patients, which is less invasive and has fewer complications. However, the benefits of transcatheter and surgical methods of aortic valve replacement remain controversial for aortic stenosis (AS) patients with advanced chronic kidney disease (stage 3-5). METHODS We comprehensively searched PubMed, Embase, the Cochrane Library, and the International Clinical Trials Registry Platform (ICTRP) from January 2000 to October 2020 and performed a systematic review to evaluate the two techniques. Two investigators independently conducted the literature searches, study eligibility assessment, and data extraction in duplicate. RESULTS Compared to surgical aortic valve replacement (SAVR), TAVR had lower risk of in-hospital mortality [odds ratio (OR): 0.53; 95% confidence interval (CI): 0.36-0.78; P=0.001], lower stroke rate (OR: 0.68; 95% CI: 0.47-0.96; P=0.03), lower risk of acute kidney injury (AKI) (OR: 0.42; 95% CI: 0.34-0.52; P<0.00001) and AKI requiring dialysis (OR: 0.65; 95% CI: 0.58-0.73; P<0.00001), lower rate of bleeding (OR: 0.35; 95% CI: 0.31-0.38; P<0.00001) and blood transfusion (OR: 0.41; 95% CI: 0.32-0.52; P<0.00001), lower infection rate (OR: 0.23; 95% CI: 0.13-0.38; P<0.00001), lower risk of atrial fibrillation (AF) (OR: 0.37; 95% CI: 0.17-0.79; P=0.01) and cardiac tamponade (OR: 0.53; 95% CI: 0.37-0.75; P=0.0003), shorter ICU stay [weighted mean difference (WMD): -2.55; 95% CI: -4.13 to -0.98; P=0.002] and hospital stay (WMD: -7.06; 95% CI: -8.41 to -5.71; P<0.00001). DISCUSSION TAVR is a safe, efficient, and feasible technique for AS patients with advanced CKD and probably a better solution for its advantage in reducing in-hospital mortality, postoperative complications, ICU, and hospital stay.
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Affiliation(s)
- Shilin Wei
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Pengbin Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Shixiong Wang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Weifan Wang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yu Tian
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Debin Liu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China; Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
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15
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Roche T, Romero J, Zhai K, Granstedt E, Gota H, Putvinski S, Smirnov A, Binderbauer MW. The integrated diagnostic suite of the C-2W experimental field-reversed configuration device and its applications. Rev Sci Instrum 2021; 92:033548. [PMID: 33820036 DOI: 10.1063/5.0043807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Accepted: 03/03/2021] [Indexed: 06/12/2023]
Abstract
In the current experimental device of TAE Technologies, C-2W (also called "Norman"), record breaking advanced beam-driven field-reversed configuration (FRC) plasmas are produced and sustained in steady state utilizing variable energy neutral beams (15-40 keV, total power up to 20 MW), advanced divertors, bias electrodes, and an active plasma control system. This fully operational experiment is coupled with a fully operational suite of advanced diagnostic systems. The suite consists of 60+ individual systems spanning 20 categories, including magnetic sensors, Thomson scattering, interferometry/polarimetry, spectroscopy, fast imaging, bolometry, reflectometry, charged and neutral particle analysis, fusion product detection, and electric probes. Recently, measurements of main ion temperatures via a diagnostic neutral beam, axial profiles of energy flux from an array of bolometers, and divertor and edge plasma parameters via an extensive set of electric probes, interferometers, and spectrometers have all been made available. All the diagnostics work together to provide a complete picture of the FRC, fast-ion inventory, and edge plasma details enabling tomographic reconstruction of plasma parameter profiles and real-time plasma control.
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Affiliation(s)
- T Roche
- TAE Technologies, Inc., 19631 Pauling, Foothill Ranch, California 92610, USA
| | - J Romero
- TAE Technologies, Inc., 19631 Pauling, Foothill Ranch, California 92610, USA
| | - K Zhai
- TAE Technologies, Inc., 19631 Pauling, Foothill Ranch, California 92610, USA
| | - E Granstedt
- TAE Technologies, Inc., 19631 Pauling, Foothill Ranch, California 92610, USA
| | - H Gota
- TAE Technologies, Inc., 19631 Pauling, Foothill Ranch, California 92610, USA
| | - S Putvinski
- TAE Technologies, Inc., 19631 Pauling, Foothill Ranch, California 92610, USA
| | - A Smirnov
- TAE Technologies, Inc., 19631 Pauling, Foothill Ranch, California 92610, USA
| | - M W Binderbauer
- TAE Technologies, Inc., 19631 Pauling, Foothill Ranch, California 92610, USA
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Zhang P, Wang L, Zhai K, Huang J, Wang W, Ma Q, Liu D, Gao B, Li Y. Off-pump versus on-pump redo coronary artery bypass grafting: a systematic review and meta-analysis. Perfusion 2020; 36:724-736. [PMID: 33016239 DOI: 10.1177/0267659120960310] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Background: Redo coronary artery bypass grafting (redo CABG) is associated with increased mortality and morbidity. The aim of this study was to systematically evaluate the evidence comparing the outcomes of off-pump with on-pump redo CABG. Methods: Studies were systematically searched and identified using PubMed, EMBASE, the Cochrane Library, and the International Clinical Trials Registry Platform (ICTRP) by two researchers independently. The primary outcome was 30-day mortality, and the secondary outcomes were in-hospital mortality, post-operative complications, completeness of revascularization, blood transfusion rate, duration of mechanical ventilation, intensive care unit and hospital stays. Results: The 21 studies including 4,889 patients were enrolled in our meta-analysis. Compared with on-pump, the off-pump technique was associated with significantly reduced 30-day mortality (odds ratio [OR] = 0.43, 95% confidence interval [CI] = 0.26-0.72, p = 0.001). Moreover, a notably decreased in-hospital mortality (OR = 0.55, 95% CI = 0.39-0.76, p = 0.0004) and incidence of post-operative new-onset atrial fibrillation, myocardial infarction, acute kidney injury, low cardiac output state, blood transfusion rate (OR = 0.46, 95% CI = 0.35-0.60, p < 0.00001; OR = 0.54, 95% CI = 0.38-0.78, p = 0.0007; OR = 0.51, 95% CI = 0.37-0.70, p < 0.0001; OR = 0.31, 95% CI = 0.20-0.47, p < 0.00001; OR = 0.29, 95% CI = 0.14-0.61, p = 0.001) and significantly shortened duration of mechanical ventilation, intensive care unit and hospital stays (mean difference [MD] = −8.21 h, 95% CI = −11.74 to −4.68, p < 0.00001; MD = −0.77 d, 95% CI = −0.81 to −0.73, p < 0.00001; MD = −2.24 d, 95% CI = −3.17 to −1.32, p < 0.00001) could be observed when comparing the outcomes of off-pump with on-pump redo CABG. There was nonsignificant difference between off-pump and on-pump redo CABG in completeness of revascularization. Conclusion: In patients undergoing redo CABG surgery, the off-pump technique was associated with decreased mortality, less post-operative complications when compared to on-pump.
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Affiliation(s)
- Pengbin Zhang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Liping Wang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Kerong Zhai
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Jian Huang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Weifan Wang
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Qi Ma
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Debin Liu
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Bingren Gao
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
| | - Yongnan Li
- Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
- Laboratory of Extracorporeal Life Support, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China
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Zhai K, Schindler T, Ottaviano A, Zhang H, Fallah D, Wells J, Parke E, Thompson MC. Thomson scattering systems on C-2W field-reversed configuration plasma experiment. Rev Sci Instrum 2018; 89:10C118. [PMID: 30399708 DOI: 10.1063/1.5037327] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Accepted: 09/14/2018] [Indexed: 06/08/2023]
Abstract
TAE Technologies' newly constructed C-2W experiment aims to improve the ion and electron temperatures in a sustained field-reversed configuration plasma. A suite of Thomson scattering systems has been designed and constructed for electron temperature and density profile measurements. The systems are designed for electron densities of 1 × 1012 cm-3 to 2 × 1014 cm-3 and temperature ranges from 10 eV to 2 keV. The central system will provide profile measurements of Te and ne at 16 radial locations from r = -9 cm to r = 64 cm with a temporal resolution of 20 kHz for 4 pulses or 1 kHz for 30 pulses. The jet system will provide profile measurements of Te and ne at 5 radial locations in the open field region from r = -5 cm to r = 15 cm with a temporal resolution of 100 Hz. The central system and its components have been characterized, calibrated, installed, and commissioned. A maximum-likelihood algorithm has been applied for data processing and analysis.
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Affiliation(s)
- K Zhai
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - T Schindler
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - A Ottaviano
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - H Zhang
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - D Fallah
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - J Wells
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - E Parke
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - M C Thompson
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
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Ottaviano A, Schindler TM, Zhai K, Parke E, Granstedt E, Thompson MC. Characterization and calibration of the Thomson scattering diagnostic suite for the C-2W field-reversed configuration experiment. Rev Sci Instrum 2018; 89:10C120. [PMID: 30399673 DOI: 10.1063/1.5037101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Accepted: 09/07/2018] [Indexed: 06/08/2023]
Abstract
The new C-2W Thomson scattering (TS) diagnostic consists of two individual subsystems for monitoring electron temperature (Te) and density (ne): one system in the central region is currently operational, and the second system is being commissioned to monitor the open field line region. Validating the performance of the TS's custom designed system components and unique calibration of the detection system and diagnostic as a whole is crucial to obtaining high precision Te and ne profiles of C-2W's plasma. The major components include a diode-pumped Nd:YAG laser which produces 35 pulses at up to 20 kHz, uniquely designed collection lenses with a fast numerical aperture, and uniquely designed polychromators with filters sets to optimize a Te ranging from 10 eV to 2 keV. This paper describes the design principles and techniques used to characterize the main components of the TS diagnostic on C-2W, as well as the results of Rayleigh scattering calibrations performed for the whole system response.
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Affiliation(s)
- A Ottaviano
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - T M Schindler
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - K Zhai
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - E Parke
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - E Granstedt
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
| | - M C Thompson
- TAE Technologies, Inc., Foothill Ranch, California 92610, USA
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Anderson DT, Abdou A, Almagri AF, Anderson FSB, Canik JM, Guttenfelder W, Lechte C, Likin KM, Lu H, Oh S, Probert PH, Radder J, Sakaguchi V, Schmitt J, Talmadge JN, Zhai K, Brower DL, Deng C. Overview of Recent Results from HSX. Fusion Science and Technology 2017. [DOI: 10.13182/fst06-a1232] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- D. T. Anderson
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - A. Abdou
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - A. F. Almagri
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - F. S. B. Anderson
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - J. M. Canik
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - W. Guttenfelder
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - C. Lechte
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - K. M. Likin
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - H. Lu
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - S. Oh
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - P. H. Probert
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - J. Radder
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - V. Sakaguchi
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - J. Schmitt
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - J. N. Talmadge
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - K. Zhai
- University of Wisconsin-Madison HSX Plasma Laboratory, 1415 Engineering Drive, Madison, Wisconsin 53706
| | - D. L. Brower
- University of California-Los Angeles, Electrical Engineering Department 66-127J Engineering IV Building, Los Angeles, California 90095-1594
| | - C. Deng
- University of California-Los Angeles, Electrical Engineering Department 66-127J Engineering IV Building, Los Angeles, California 90095-1594
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Gota H, Tuszewski M, Trask E, Garate E, Binderbauer MW, Tajima T, Schmitz L, Deng BH, Guo HY, Aefsky S, Allfrey I, Barnes D, Bolte N, Bui DQ, Ceccherini F, Clary R, Conroy KD, Cordero M, Dettrick SA, Douglass JD, Feng P, Granstedt E, Gupta D, Gupta S, Hooper C, Kinley JS, Knapp K, Korepanov S, Longman A, Magee R, Mendoza R, Mok Y, Necas A, Primavera S, Putvinski S, Onofri M, Osin D, Rath N, Roche T, Romero J, Rostoker N, Schroeder JH, Sevier L, Sibley A, Smirnov A, Song Y, Steinhauer LC, Thompson MC, Valentine T, Van Drie AD, Walters JK, Waggoner W, Yang X, Yushmanov P, Zhai K. Improved Confinement of C-2 Field-Reversed Configuration Plasmas. Fusion Science and Technology 2017. [DOI: 10.13182/fst14-871] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- H. Gota
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - M. Tuszewski
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - E. Trask
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - E. Garate
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - M. W. Binderbauer
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - T. Tajima
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - L. Schmitz
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
- University of California, Los Angeles, Department of Physics and Astronomy Los Angeles, California 90095
| | - B. H. Deng
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - H. Y. Guo
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - S. Aefsky
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - I. Allfrey
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - D. Barnes
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - N. Bolte
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - D. Q. Bui
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - F. Ceccherini
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - R. Clary
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - K. D. Conroy
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - M. Cordero
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - S. A. Dettrick
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - J. D. Douglass
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - P. Feng
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - E. Granstedt
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - D. Gupta
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - S. Gupta
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - C. Hooper
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - J. S. Kinley
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - K. Knapp
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - S. Korepanov
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - A. Longman
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - R. Magee
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - R. Mendoza
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - Y. Mok
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - A. Necas
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - S. Primavera
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - S. Putvinski
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - M. Onofri
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - D. Osin
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - N. Rath
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - T. Roche
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - J. Romero
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - N. Rostoker
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - J. H. Schroeder
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - L. Sevier
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - A. Sibley
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - A. Smirnov
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - Y. Song
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - L. C. Steinhauer
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - M. C. Thompson
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - T. Valentine
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - A. D. Van Drie
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - J. K. Walters
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - W. Waggoner
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - X. Yang
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - P. Yushmanov
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
| | - K. Zhai
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688
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Zhai K, Schindler T, Kinley J, Deng B, Thompson MC. The upgrade of the Thomson scattering system for measurement on the C-2/C-2U devices. Rev Sci Instrum 2016; 87:11D602. [PMID: 27910634 DOI: 10.1063/1.4955496] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The C-2/C-2U Thomson scattering system has been substantially upgraded during the latter phase of C-2/C-2U program. A Rayleigh channel has been added to each of the three polychromators of the C-2/C-2U Thomson scattering system. Onsite spectral calibration has been applied to avoid the issue of different channel responses at different spots on the photomultiplier tube surface. With the added Rayleigh channel, the absolute intensity response of the system is calibrated with Rayleigh scattering in argon gas from 0.1 to 4 Torr, where the Rayleigh scattering signal is comparable to the Thomson scattering signal at electron densities from 1 × 1013 to 4 × 1014 cm-3. A new signal processing algorithm, using a maximum likelihood method and including detailed analysis of different noise contributions within the system, has been developed to obtain electron temperature and density profiles. The system setup, spectral and intensity calibration procedure and its outcome, data analysis, and the results of electron temperature/density profile measurements will be presented.
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Affiliation(s)
- K Zhai
- Tri Alpha Energy, Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688, USA
| | - T Schindler
- Tri Alpha Energy, Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688, USA
| | - J Kinley
- Tri Alpha Energy, Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688, USA
| | - B Deng
- Tri Alpha Energy, Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688, USA
| | - M C Thompson
- Tri Alpha Energy, Inc., P.O. Box 7010, Rancho Santa Margarita, California 92688, USA
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22
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Qian WF, Yan WC, Wang TQ, Shao XD, Zhai K, Han LF, Lv CC. Genetic characterization of Toxoplasma gondii from domestic animals in central China. Trop Biomed 2015; 32:540-544. [PMID: 26695215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Toxoplasma gondii is an obligate intracellular parasite that has a remarkable ability to infect almost all warm-blooded animals, including humans. This study was aimed to determine the genetic characteristics of T. gondii isolates from domestic animals in Henan Province, central China. A total of 363 DNA samples, including 208 from hilar lymph nodes of pigs, 36 from blood samples of cats, 12 from tissues of aborted bovine fetuses and 107 from blood samples of dams with history of abortion in Henan Province, were examined for the presence of T. gondii by nested PCR based on B1 gene. The positive DNA samples were further genotyped by PCR-RFLP at 11 markers, including SAG1, (3'+ 5') SAG2, alt.SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, and Apico. DNA samples from 9 pigs, 5 cats, and 4 dairy cows were T. gondii B1 gene positive. Nine samples were successfully genotyped at all genetic loci, of which 5 samples from pigs, and 2 from cats were identified as ToxoDB genotype #9, and 2 samples from cows belonged to ToxoDB genotype #225. To our knowledge, the present study is the second report of genetic typing of T. gondii isolates from cattle in China, and the first report of T. gondii ToxoDB#225 from cattle.
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Affiliation(s)
- W F Qian
- College of Animal Science and Technology, Henan University of Science and Technology, Luoyang, China
| | - W C Yan
- College of Animal Science and Technology, Henan University of Science and Technology, Luoyang, China
| | - T Q Wang
- College of Animal Science and Technology, Henan University of Science and Technology, Luoyang, China
| | - X D Shao
- College of Animal Science and Technology, Henan University of Science and Technology, Luoyang, China
| | - K Zhai
- College of Animal Science and Technology, Henan University of Science and Technology, Luoyang, China
| | - L F Han
- College of Animal Science and Technology, Henan University of Science and Technology, Luoyang, China
| | - C C Lv
- PuLike Biological Engineering Co., Ltd, Luoyang, China
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23
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Hubert F, Belacel-Ouari M, Manoury B, Zhai K, Domergue-Dupont V, Mateo P, Joubert F, Fischmeister R, Leblais V. Alteration of vascular reactivity in heart failure: role of phosphodiesterases 3 and 4. Br J Pharmacol 2015; 171:5361-75. [PMID: 25048877 DOI: 10.1111/bph.12853] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2013] [Revised: 06/24/2014] [Accepted: 07/12/2014] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND AND PURPOSE This study examined the role of the main vascular cAMP-hydrolysing phosphodiesterases (cAMP-PDE) in the regulation of basal vascular tone and relaxation of rat aorta mediated by β-adrenoceptors, following heart failure (HF). EXPERIMENTAL APPROACH Twenty-two weeks after proximal aortic stenosis, to induce HF, or SHAM surgery in rats, we evaluated the expression, activity and function of cAMP-PDE in the descending thoracic aorta. KEY RESULTS HF rat aortas exhibited signs of endothelial dysfunction, with alterations of the NO pathway, and alteration of PDE3 and PDE4 subtype expression, without changing total aortic cAMP-hydrolytic activity and PDE1, PDE3 and PDE4 activities. Vascular reactivity experiments using PDE inhibitors showed that PDE3 and PDE4 controlled the level of PGF2α -stimulated contraction in SHAM aorta. PDE3 function was partially inhibited by endothelial NO, whereas PDE4 function required a functional endothelium and was under the negative control of PDE3. In HF, PDE3 function was preserved, but its regulation by endothelial NO was altered. PDE4 function was abolished and restored by PDE3 inhibition. In PGF2α -precontracted arteries, β-adrenoceptor stimulation-induced relaxation in SHAM aorta, which was abolished in the absence of functional endothelium, as well as in HF aortas, but restored after PDE3 inhibition in all unresponsive arteries. CONCLUSIONS AND IMPLICATIONS Our study underlines the key role of the endothelium in controlling the contribution of smooth muscle PDE to contractile function. In HF, endothelial dysfunction had a major effect on PDE3 function and PDE3 inhibition restored a functional relaxation to β-adrenoceptor stimulation.
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Affiliation(s)
- F Hubert
- Faculté de Pharmacie, Inserm UMR-S 769, LabEx LERMIT-DHU TORINO, Châtenay-Malabry, France; Faculté de Pharmacie, Université Paris-Sud, Châtenay-Malabry, France; Department of Biomedical and Molecular Sciences, Queen's University, Kingston, Canada
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24
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Zhai K, Gao G, Cao W, Zhao L, Fang X, Duan H. Simultaneous HPLC determination of four active compounds in fengshiding capsules, a chinese medicine. Indian J Pharm Sci 2014; 76:445-9. [PMID: 25425759 PMCID: PMC4243262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2013] [Revised: 07/16/2014] [Accepted: 07/22/2014] [Indexed: 11/23/2022] Open
Abstract
A high performance liquid chromatography method was established for simultaneously determining four bioactive components, salicin, liquiritin, paeonolum, and imperatorin in Fengshiding capsule, a widely used traditional Chinese medicine for treating rheumatic disease. The chromatographic separation was performed on a Shimadzu Shim-pack Stable Bond C18 column using gradient elution with methanol and water. The analytical method was validated through precision, repeatability and stability, and the relative standard deviation values were less than 3%, respectively. The recoveries of the four investigated compounds ranged from 95.80 to 101.21% with relative standard deviation values less than 3.2%. Then this proposed method was successfully applied to determine six batches of Fengshiding commercial products of capsule dosage form from two pharmaceutical factories. This study might provide a basis for quality control for this traditional Chinese medicine preparation.
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Affiliation(s)
- K. Zhai
- Department of Complex Prescrition of TCM, China Pharmaceutical University, Nanjing-210 038, China
| | - G. Gao
- Department of Chemistry and Life Science, Suzhou University, Suzhou-234 000, China
| | - W. Cao
- Department of Chemistry and Life Science, Suzhou University, Suzhou-234 000, China
| | - L. Zhao
- Department of Chemistry and Life Science, Suzhou University, Suzhou-234 000, China
| | - X. Fang
- Department of Chemistry and Life Science, Suzhou University, Suzhou-234 000, China
| | - H. Duan
- Department of Chemistry and Life Science, Suzhou University, Suzhou-234 000, China,Address for correspondence E-mail:
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25
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Gota H, Tuszewski M, Smirnov A, Korepanov S, Akhmetov T, Ivanov A, Voskoboynikov R, Binderbauer MW, Guo HY, Barnes D, Aefsky S, Brown R, Bui DQ, Clary R, Conroy KD, Deng BH, Dettrick SA, Douglass JD, Garate E, Glass FJ, Gupta D, Gupta S, Kinley JS, Knapp K, Hollins M, Longman A, Li XL, Luo Y, Mendoza R, Mok Y, Necas A, Primavera S, Osin D, Rostoker N, Ruskov E, Schmitz L, Schroeder JH, Sevier L, Sibley A, Song Y, Sun X, Tajima T, Thompson MC, Trask E, Van Drie AD, Walters JK, Wyman MD, Zhai K. A High Performance Field-Reversed Configuration Regime in the C-2 Device. Fusion Science and Technology 2013. [DOI: 10.13182/fst13-a16890] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- H. Gota
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - M. Tuszewski
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - A. Smirnov
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - S. Korepanov
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - T. Akhmetov
- Budker Institute of Nuclear Physics, Novosibirsk, 630090, Russia
| | - A. Ivanov
- Budker Institute of Nuclear Physics, Novosibirsk, 630090, Russia
| | - R. Voskoboynikov
- Budker Institute of Nuclear Physics, Novosibirsk, 630090, Russia
| | - M. W. Binderbauer
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - H. Y. Guo
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - D. Barnes
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - S. Aefsky
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - R. Brown
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - D. Q. Bui
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - R. Clary
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - K. D. Conroy
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - B. H. Deng
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - S. A. Dettrick
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - J. D. Douglass
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - E. Garate
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - F. J. Glass
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - D. Gupta
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - S. Gupta
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - J. S. Kinley
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - K. Knapp
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - M. Hollins
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - A. Longman
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - X. L. Li
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - Y. Luo
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - R. Mendoza
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - Y. Mok
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - A. Necas
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - S. Primavera
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - D. Osin
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - N. Rostoker
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - E. Ruskov
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - L. Schmitz
- Department of Physics and Astronomy, UCLA, Los Angeles, CA 90095, USA
| | - J. H. Schroeder
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - L. Sevier
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - A. Sibley
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - Y. Song
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - X. Sun
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - T. Tajima
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - M. C. Thompson
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - E. Trask
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - A. D. Van Drie
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - J. K. Walters
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - M. D. Wyman
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
| | - K. Zhai
- Tri Alpha Energy Inc., P.O. Box 7010, Rancho Santa Margarita, CA 92688, USA
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26
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Canik JM, Anderson DT, Anderson FSB, Likin KM, Talmadge JN, Zhai K. Experimental demonstration of improved neoclassical transport with quasihelical symmetry. Phys Rev Lett 2007; 98:085002. [PMID: 17359105 DOI: 10.1103/physrevlett.98.085002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2006] [Indexed: 05/14/2023]
Abstract
Differences in the electron particle and thermal transport are reported between plasmas produced in a quasihelically symmetric (QHS) magnetic field and a configuration with the symmetry broken. The thermal diffusivity is reduced in the QHS configuration, resulting in higher electron temperatures than in the nonsymmetric configuration for a fixed power input. The density profile in QHS plasmas is centrally peaked, and in the nonsymmetric configuration the core density profile is hollow. The hollow profile is due to neoclassical thermodiffusion, which is reduced in the QHS configuration.
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Affiliation(s)
- J M Canik
- Department of Electrical and Computer Engineering, University of Wisconsin-Madison, 1415 Engineering Drive, Madison, WI 53706, USA
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