Intravenous Tenecteplase for Acute Ischemic Stroke Within 4.5–24 Hours of Onset (ROSE-TNK): A Phase 2, Randomized, Multicenter Study

Wang Lu,Dai Ying-Jie,Cui Yu,Zhang Hong,Jiang Chang-Hao,Duan Ying-Jie,Zhao Yong,Feng Ye-Fang,Geng Shi-Mei,Zhang Zai-Hui,Lu Jiang,Zhang Ping,Zhao Li-Wei,Zhao Hang,Ma Yu-Tong,Song Cheng-Guang,Zhang Yi,Ch 대한뇌졸중학회 2023 Journal of stroke Vol.25 No.3

Background and Purpose Intravenous tenecteplase (TNK) efficacy has not been well demonstrated in acute ischemic stroke (AIS) beyond 4.5 hours after onset. This study aimed to determine the effect of intravenous TNK for AIS within 4.5 to 24 hours of onset. Methods In this pilot trial, eligible AIS patients with diffusion-weighted imaging (DWI)-fluid attenuated inversion recovery (FLAIR) mismatch were randomly allocated to intravenous TNK (0.25 mg/kg) or standard care within 4.5–24 hours of onset. The primary endpoint was excellent functional outcome at 90 days (modified Rankin Scale [mRS] score of 0–1). The primary safety endpoint was symptomatic intracranial hemorrhage (sICH). Results Of the randomly assigned 80 patients, the primary endpoint occurred in 52.5% (21/40) of TNK group and 50.0% (20/40) of control group, with no significant difference (unadjusted odds ratio, 1.11; 95% confidence interval 0.46–2.66; <i>P</i>=0.82). More early neurological improvement occurred in TNK group than in control group (11 vs. 3, <i>P</i>=0.03), but no significant differences were found in other secondary endpoints, such as mRS 0–2 at 90 days, shift analysis of mRS at 90 days, and change in National Institutes of Health Stroke Scale score at 24 hours and 7 days. There were no cases of sICH in this trial; however, asymptomatic intracranial hemorrhage occurred in 3 of the 40 patients (7.5%) in the TNK group. Conclusion This phase 2, randomized, multicenter study suggests that intravenous TNK within 4.5–24 hours of onset may be safe and feasible in AIS patients with a DWI-FLAIR mismatch.

Ovarian cancer risk score predicts chemo-response and outcome in epithelial ovarian carcinoma patients

Hsiao-Yun Lu,Yi-Jou Tai,Yu-Li Chen,Ying-Cheng Chiang,Heng-Cheng Hsu,Wen-Fang Cheng 대한부인종양학회 2021 Journal of Gynecologic Oncology Vol.32 No.2

Objective: Cytoreductive surgery followed by adjuvant chemotherapy is a standard frontlinetreatment for epithelial ovarian cancer (EOC). We aimed to develop an ovarian cancer riskscore (OVRS) based on the expression of 10 ovarian-cancer-related genes to predict thechemoresistance, and outcomes of EOC patients. Methods: We designed a case-control study with total 149 EOC women including 75chemosensitives and 74 chemoresistants. Gene expression was measured using thequantitative real-time polymerase chain reaction. We tested for correlation between theOVRS and chemosensitivity or chemoresistance, disease-free survival (DFS), and overallsurvival (OS), and validated the OVRS by analyzing patients from the TCGA database. Results: The chemosensitive group had lower OVRS than the chemoresistant group (5 vs. 15, p≤0.001, Mann-Whitney U test). Patients with disease relapse (13 vs. 5, p<0.001, Mann Whitney U test) or disease-related death (13.5 vs. 6, p<0.001) had higher OVRS than thosewithout. OVRS ≥10 (hazard ratio=3.29; 95% confidence interval=1.94–5.58; p<0.001) was theonly predictor for chemoresistance in multivariate analysis. The median DFS (5 months vs. 24 months) and OS (39 months vs. >60 months) of patients with OVRS ≥10 were significantlyshorter than those of patients with OVRS <9). The high OVRS group also had significantlyshorter median OS than the low OVRS group in 255 patients in the TCGA database (39 vs. 49months, p=0.046). Conclusions: Specific genes panel can be clinically applied in predicting the chemoresistanceand outcome, and decision-making of epithelial ovarian cancer.

Effect of Impeller Blade Number on Kla in Mechanically Agitated Vessels

Lu Wei Ming,Wu Hong Zhang,Chou Cheng Ying 한국화학공학회 1999 Korean Journal of Chemical Engineering Vol.16 No.5

Effects of impeller blade number on gas dispersion and mass transfer rate were thoroughly investigated for mechanically agitated vessels equipped with 2-, 4-, 6- and 8-straight blades disk turbine impellers. The results show that under the same rotational speed, the impeller with more blades always can disperse gas more effectively, which induces a higher value of $lt;K_La$gt;. However, with the same total power consumption, the 4-blade impeller can obtain a higher $lt;K_La$gt; value than the 6- and 8-blade impellers under a lower gassing rate condition (Q-g$lt;0.5vvm), but if Q_g) exceeds 0.5vvm, the 6-blade impeller will perform better than the 4- and 8- blade impellers. To examine the results obtained from the single impeller systems, the same approach is applied to measure $lt;K_La$gt; values for the triple stage 6-blade impeller system (3×6) and quadruple stage 4-blade impeller system (4×4). From the experimental results, it can be found that the 4×4 system gives higher $lt;K_La$gt; value than the 3×6 system under gas completely dispersed conditions. By correlating $lt;K_La$gt; with n_b, N and V_s, the following correlation can be given as: $lt;K_La$gt; = 0.00119n^(0.62)_bN^(1.56)V^(0.4)_s $lt;K_La$gt; = 0.0297n^(0.1)_b(P_s/V)^(0.34)V^(0.48)_s These two correlations can also be used to evaluate the mass transfer coefficient of each impeller region for the multiple impeller systems and the deviation is always less than 10%.

Sepsis induces variation of intestinal barrier function in different phase through nuclear factor kappa B signaling

Ying-Ya Cao,Zhong-Han Wang,Qian-Cheng Xu,Qun Chen,Zhen Wang,Wei-Hua Lu 대한생리학회-대한약리학회 2021 The Korean Journal of Physiology & Pharmacology Vol.25 No.4

The intestinal barrier function disrupted in sepsis, while little is known about the variation in different phases of sepsis. In this study, mouse models of sepsis were established by caecal ligation and puncture (CLP). The H&E staining of sections and serum diamine oxidase concentration were evaluated at different timepoint af-ter CLP. TUNEL assay and EdU staining were performed to evaluate the apoptosis and proliferation of intestinal epithelium. Relative protein expression was assessed by Western blotting and serum concentrations of pro-inflammatory cytokines was mea-sured by ELISA. The disruption of intestinal barrier worsened in the first 24 h after the onset of sepsis and gradually recovered over the next 24 h. The percentage of apop-totic cell increased in the first 24 h and dropped at 48 h, accompanied with the prolif-erative rate of intestinal epithelium inhibited in the first 6 h and regained in the later period. Furthermore, the activity of nuclear factor kappa B (NF-κB) presented similar trend with the intestinal barrier function, shared positive correction with apoptosis of intestinal epithelium. These findings reveal the conversion process of intestinal barrier function in sepsis and this process is closely correlated with the activity of NF-κB signaling.

Agromyces laixinhei sp. nov. isolated from bat feces in China

Cheng Yanpeng,Bai Yibo,Huang Yuyuan,Yang Jing,Lu Shan,Jin Dong,Pu Ji,Zheng Han,Li Junqin,Huang Ying,Wang Suping,Xu Jianguo 한국미생물학회 2021 The journal of microbiology Vol.59 No.5

Three rod-shaped, Gram-stain-positive, and catalase-positive, phenotypically closely related isolates (HY052T, HY050, and HY045) were obtained from fecal samples collected from bats in Guangxi province and Chongqing city of China. Circular, smooth, light-yellow colonies appeared on brain heart infusion plate after 24–48 h incubation at 28°C. The optimal pH for growth was between 6.0 and 7.5. Based on 16S rRNA, the three isolates were phylogenetically related to Agromyces terreus DS-10T, Agromyces aureus AR33T, Agromyces salentinus 20-5T, Agromyces allii UMS-62T, Agromyces lapidis CD55T, and Agromyces italicus CD1T. Moreover, based on 296 core genes, the phylogenomic tree indicated that the three isolates clustered together, closest to Agromyces cerinus VKM Ac- 1340T and Agromyces fucosus VKM Ac-1345T but separated distantly from other Agromyces species. The average nucleotide identity values between strain HY052T and other Agromyces species ranged from 79.3% to 87.9%, lower than the 95–96% threshold. Furthermore, the genome of strain HY052T contains a circular chromosome of 3,437,203 bp with G + C content of 69.0 mol%. Main fatty acids were anteiso-C15:0 and anteiso-C17:0. The polar lipids comprised diphosphatidylglycerol, phosphatidylglycerol, and unidentified glycolipids. Rhamnose, ribose, and glucose were the primary cell wall sugars. The major peptidoglycan amino acids included alanine, glutamic acid, glycine, and 2,4-diaminobutyric acid. An additional remarkable difference from other Agromyces species is that MK-12 was the sole menaquinone in strain HY052T. Based on results from the polyphasic characterizations performed in this study, our isolates are proposed to be members of a novel species in genus Agromyces, named Agromyces laixinhei. The type strain is HY052T (= CGMCC 1.17175T = JCM 33695T).

Flexural behavior of beams in steel plate shear walls

Ying Qin,JinYu Lu,Li-Cheng-Xi Huang,Shi Cao 국제구조공학회 2017 Steel and Composite Structures, An International J Vol.23 No.4

Steel plate shear wall (SPSW) system has been increasingly used for lateral loads resisting system since 1980s when the utilization of post-buckling strength of SPSW was realized. The structural response of SPSWs largely depends on the behavior of the surrounded beams. The beams are normally required to behave in the elastic region when the SPSW fully buckled and formed the tension field action. However, most modern design codes do not specify how this requirement can be achieved. This paper presents theoretical investigation and design procedures of manually calculating the plastic flexural capacity of the beams of SPSWs and can be considered as an extension to the previous work by Qu and Bruneau (2011). The reduction in the plastic flexural capacity of beam was considered to account for the presence of shear stress that was altered towards flanges at the boundary region, which can be explained by Saint-Venant’s principle. The reduction in beam web was introduced and modified based on the research by Qu and Bruneau (2011), while the shear stress in the web in this research is excluded due to the boundary effect. The plastic flexural capacity of the beams is given by the superposition of the contributions from the flanges and the web. The developed equations are capable of predicting the plastic moment of the beams subjected to combined shear force, axial force, bending moment, and tension fields induced by yielded infill panels. Good agreement was found between the theoretical results and the data from previous research for flexural capacity of beams.

Role of IL-18 Gene Promoter Polymorphisms, Serum IL-18 Levels, and Risk of Hepatitis B Virus-related Liver Disease in the Guangxi Zhuang Population: a Retrospective Case-Control Study

Lu, Yu,Bao, Jin-Gui,Deng, Yan,Rong, Cheng-Zhi,Liu, Yan-Qiong,Huang, Xiu-Li,Song, Liu-Ying,Li, Shan,Qin, Xue Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.14

Background: The aim of this study was to assess the relationship between IL-18 gene polymorphisms and HBV-related diseases and whether these polymorphisms influence its expression in the Guangxi Zhuang population. Materials and Methods: We enrolled 129 chronic HBV infected (CHB) patients, 86 HBV-related liver cirrhosis (LC) patients and 160 healthy controls in our study. Polymerase chain reaction-restriction fragment length polymorphism methods were used to detect IL-18 gene -607C/A, -137G/C polymorphisms, and an ELISA kit was employed to determine serum IL-18 levels. Results: No correlation was found between the -607C/A polymorphism and risk of HBV-related disease. For the -137G/C polymorphism, the GC genotype and C allele were associated with a significantly lower risk of CHB (95%CI: 0.32-0.95, p=0.034 and 95%CI: 0.35-0.91, p=0.018) and HBV-related LC (95%CI: 0.24-0.89, p=0.022 and 95%CI: 0.28-0.90, p=0.021). A similar decreased risk was also found with the A-607C-137 haplotype. With respect to IL-18 expression, it was significantly lower in both patient groups, but no association was noted between the two polymorphisms in the IL-18 gene and its expression. Conclusions: Our study indicated that the -137C allele in the IL-18 gene may be a protective factor for HBV-related disease, and serum IL-18 level may be inversely associated with CHB and HBV-related LC.

Flexural Behavior of Anchor Horizontal Boundary Element in Steel Plate Shear Wall

Ying Qin,JinYu Lu,Li-Cheng-Xi Huang,Shi Cao 한국강구조학회 2017 International Journal of Steel Structures Vol.17 No.3

Steel plate shear walls (SPSWs) have been increasingly used in lateral load resisting system since the post-buckling strength of web plates was realized and considered in practical design. Diagonal tension field is formed in the web plate to resist the lateral force induced by winds and earthquakes. The force is anchored by the surrounded horizontal boundary elements (HBEs) and vertical boundary elements (VBEs) and eventually transferred to the ground. Therefore, the response of HBEs, especially anchor HBEs, is essential to ensure that SPSWs could exhibit the required strength, ductility, and energy dissipation capacity. This paper presents the results of theoretical studies into the flexural behavior of the anchor HBEs of SPSWs and can be regarded as an extension to the previous work by Qu and Bruneau (2011) and Qin et al. (2017). The boundary effect was considered to reflect the actual stress state at the HBE-to-VBE connection, which assembled the method by Qin et al. (2017). Furthermore, more proper distributions of the vertical component of tension field for the positive and negative flexure cases, respectively, were proposed comparing to the work by Qu and Bruneau (2011). The hand calculation approach for the plastic flexural capacity of the anchor HBEs was given by the summation of the contributions from the flanges and the web. The developed equations are compared with previous data and good agreement was found between them. Meanwhile, comprehensively discussions are conducted to evaluate the influence of key parameters on the flexural behavior of anchor HBE. It was found that the plastic flexural capacity of anchor HBE decreases from unity to the minimum as a result of the increase in shear force, axial force and vertical stresses. Moreover, the flexural response of anchor HBE is most vulnerable to the change in shear force. This indicates that boundary effect is significantly important and cannot be ignored in the analysis. The research in this paper provides basis for the capacity design of anchor HBE.

The Antiproliferation Activity of Ganoderma formosanum Extracts on Prostate Cancer Cells

( Cheng-yen Chiang ),( Kai-di Hsu ),( Yen-yi Lin ),( Chang-wei Hsieh ),( Jui-ming Liu ),( Tze-ying Lu ),( Kuan-chen Cheng ) 한국균학회 2020 Mycobiology Vol.48 No.3

Androgen-independent prostate cancer accounts for mortality in the world. In this study, various extracts of a medical fungus dubbed Ganoderma formosanum were screened for inhibition of DU145 cells, an androgen-independent prostate cancer cell line. Results demonstrated that both hexane (GF-EH) and butanol (GF-EB) fraction of G. formosanum ethanol extract inhibited DU145 cell viability in a dose-dependent manner. GF-EH induced cell-cycle arrest in G1 phase of DU145 cells via downregulation of cyclin E2 protein expression. In addition, GF-EB triggered extrinsic apoptosis of DU145 cells by activating caspase 3 gene expression resulting in programed cell death. Above all, both GF-EH and GF-EB show lower toxicity to normal human fibroblast cell line compared to DU145 cell, implying that they possess specific drug action on cancer cells. This study provides a molecular basis of G. formosanum extract as a potential ingredient for treatment of androgen-independent prostate cancer.

Strengthening effect of Ti₃C₂T_x in copper matrix composites prepared by molecular-level and high-shear mixings and SPS

Liu, Lu,Ying, Guobing,Wen, Dong,Hu, Cong,Zhang, Chen,Wang, Cheng Techno-Press 2021 Advances in nano research Vol.11 No.3

MXene (Ti₃C₂T_x) reinforced copper matrix composites with weight fractions of MXene from 1 to 4 wt.% were fabricated based on molecular-level and high-shear mixings and spark plasma sintering (SPS) method. The mechanical properties of the composites with different weight fractions of MXene were studied, and X-ray photoelectron spectroscopy (XPS) was used to track the state of MXene in the composite preparation process. Chemical state and interface transitions would result in an interesting ductile-brittle transition phenomenon of the composite. The Vickers hardness and compressive strength of the composites prepared by the molecular-level mixing and high-shear mixing methods have been improved (the maxima are 44.9% and 41.8%, respectively), where the addition of 1wt.% MXene results in a tensile strength increase of 29.9%. The results show that molecular-level mixing and high-shear mixing methods are hopeful to be applied to produce many kinds of MXene composites.