[Effect and safety of endobronchial placement of vaseline gauze in the treatment of patients with bronchial fistula]

Objective: To investigate the application of vaseline gauze to occlude the bronchial fistulas and its clinical effectiveness and safety in this retrospective study. Methods: This study retrospectively reviewed the clinical records of 14 patients with bronchial fistulas at Department of Respiratory and Critical Care Medicine, Shanghai Dongfang Hospital affiliated to Tongji University between June 2019 and June 2022. Seven of the 14 patients were female, and the age ranged from 16 to 74 years. We retrieved all the clinical records of all the enrolled patients during the 6 to 12 months follow-up after the operation, including the information for removal of chest drainage pipe, the failure of endobronchial blockage using vaseline gauze, as well as the complications (migration of the vaseline gauze, obstructive pneumonia, pulmonary atelectasis, et. al.) after the operation. Results: Of the 14 patients, 3 patients had fistula located in main or lobar bronchi; 10 patients had fistula located in distal airways; and 1 patient had fistula located both in main bronchi and distal airways. Ten patients were complicated with pneumonia or pleural cavity infections; Five were complicated with pneumothorax or hydropneumothorax. All of the 14 patients achieved successful airway occlusion after the placement of vaseline gauze in the responsible bronchial airways or stumps for the fistulas. Eleven of the 14 patients successfully removed the drainage tube for the residual cavity, 3 of the 14 patients successfully removed the vaseline gauze for the fistula which was healing during the follow up of 6-12 months. No one of the patients had severe complications or treatment failure. Conclusion: Bronchial placement of vaseline gauze might be a feasible and effective technique for treatment of bronchial fistulas.

Prognostic significance of the Musashi-2 (MSI2) gene in childhood acute lymphoblastic leukemia

The prognostic value of the Musashi-2 (MSI2) gene has not yet been studied in childhood acute lymphoblastic leukemia (ALL). In our study, MSI2 mRNA levels of 119 childhood patients with newly-diagnosed ALL were examined and analyzed with regard to clinical characteristics and outcomes. ALL patients demonstrated significantly higher MSI2 mRNA levels than healthy controls. In addition, MSI2 mRNA levels were correlated with the disease status and IK6 mutation status. Survival analyses showed that higher MSI2 mRNA levels predicted worse outcomes in patients with childhood ALL. Moreover, in multivariate analyses, MSI2 mRNA overexpression retained its value as an independent risk factor for overall survival (OS), but not for event free survival (EFS). We conclude that high MSI2 mRNA level predicts adverse prognosis and seems to be useful as a novel prognostic factor for patients with childhood ALL.

Photosynthesis, water use efficiency and stable carbon isotope composition are associated with anatomical properties of leaf and xylem in six poplar species

Although fast-growing Populus species consume a large amount of water for biomass production, there are considerable variations in water use efficiency (WUE) across different poplar species. To compare differences in growth, WUE and anatomical properties of leaf and xylem and to examine the relationship between photosynthesis/WUE and anatomical properties of leaf and xylem, cuttings of six poplar species were grown in a botanical garden. The growth performance, photosynthesis, intrinsic WUE (WUE(i) ), stable carbon isotope composition (δ(13) C) and anatomical properties of leaf and xylem were analysed in these poplar plants. Significant differences were found in growth, photosynthesis, WUE(i) and anatomical properties among the examined species. Populus cathayana was the clone with the fastest growth and the lowest WUE(i) /δ(13) C, whereas P. × euramericana had a considerable growth increment and the highest WUE(i) /δ(13) C. Among the analysed poplar species, the highest total stomatal density in P. cathayana was correlated with its highest stomatal conductance (g(s) ) and lowest WUE(i) /δ(13) C. Moreover, significant correlations were observed between WUE(i) and abaxial stomatal density and stem vessel lumen area. These data suggest that photosynthesis, WUE(i) and δ(13) C are associated with leaf and xylem anatomy and there are tradeoffs between growth and WUE(i) . It is anticipated that some poplar species, e.g. P. × euramericana, are better candidates for water-limited regions and others, e.g. P. cathayana, may be better for water-abundant areas.

Intestinal microbiota and innate immunity-related gene alteration in cirrhotic rats with liver transplantation

BACKGROUND

The present study investigated the alteration of intestinal microbiota, innate immunity-related genes, and bacterial translocation in rats with cirrhosis and liver transplantation.

METHODS

Specific pathogen-free Sprague-Dawley rats were randomized into 4 groups: (1) normal controls (N); (2) liver cirrhosis (LC); (3) normal control groups with liver transplantation (LTN); and (4) liver cirrhosis with liver transplantation (LTC). We examined plasma endotoxin, bacterial tacslocation, denaturing gradient gel electrophoresis (DGGE) profile of intestinal mucosa-associated bacteria, abundance of key bacterial populations, and expression of innate immunity-related gene.

RESULTS

The LTC and LC group, showed higher endotoxin levels (1.08±0.73 EU/mL and 0.74±0.70 EU/mL, respectively) than the N group (0.27±0.13 EU/mL; P<.05). the incidence of bacterial translocation (BT) to liver and mesenteric lymph nodes (MLN), and the number of total bacteria were increased significantly in the LTC and LC groups compared with the N group (P<.05). The counts of Lactobacilli and Bacteroides were lower, whereas Enterobacteria were higher in the LC than the N group (P<.05). Mucins (MUC2, MUC3) and Toll-like receptors (TLR2, TLR4) messenger RNA (mRNA) expression were significantly higher in the LC and LTC groups than the N group (P<.05). The marked difference between the groups in the overall structure of the bacterial community was also generated by DGGE profiles.

CONCLUSION

Liver cirrhosis disturbs intestinal microbiota and innate immunity-related genes, which contributes to endotoxemia and bacterial translocation. These had not completely recovered in cirrhotic rats until 1 month after orthotopic liver transplantation.

Scanning electron microscopy of the development of layer I of the human visual cortex (area 17)

The development of layer I of the human visual cortex was studied. Tissues were obtained from 14 aborted and stillborn human fetuses, ranging in age from 13 to 32 fetal weeks. The middle third of the rostrocaudal area 17 above the left calcarine sulcus was selected for observation. The sections were cut perpendicular to the pial surface of the cortex. The specimens were processed for scanning electron microscopy. At 13-16 weeks the Cajal-Retzius neurons were the predominant neuronal elements of layer I, with a small amount of fibers present. In addition, it was found that at 13 weeks the folding plasma membranes of the glial cells formed primary myelin sheaths which wrapped around the nerve cell bodies and processes. Axosomatic and axodendritic contacts were present in the cortices of the fetuses. The nerve fibers of layer I increased progressively with age. However, at 17 weeks, some degenerating apical dendrites were occasionally found. These degenerating dendrites appeared fragmented and beaded. At 21-23 weeks, layer I was well developed with all its essential components present. However, the upper half of the cortical plate was still undifferentiated at this age. At 26-32 weeks, layer I had a prominent plexiform lamina. This lamina was poor in neurons and rich in fibers. In summary, during layer I ontogenesis, there were the following major changes: (1) a change from higher to lower neuronal density: (2) changes in morphology of neurons; (3) initial appearance of synapses early in development; (4) early onset of glial wrapping; (5) presence of degenerating fibers during ontogenesis, and (6) increase in fiber proportion as fetus aged.

Immunohistochemical studies on the development of 5-HT (serotonin) neurons in the nuclei of the reticular formations of human fetuses

5-HT-positive neurons were detected by the PAP immunohistochemical methods in different nuclei of the reticular formations of human fetuses as early as 10 weeks of gestation. The majority of positive 5-HT cells were located in dorsal raphe and central superior nuclei, and there was a reduction of these neurons per 40-microns section as the fetus aged.

Metabolic and phagocytic activities of the mouse retina after 6-hydroxydopamine treatment

The activities in mouse retinae were evaluated after 6-hydroxydopamine injection. A significant increase in labeled leucine uptake was evident in the photoreceptor layer. Latex uptake in the pigment epithelium showed no changes. Denervation of catecholaminergic terminals inside the retinae thus affected the metabolism of photoreceptors.