A reinforced suture method for stapled gastrointestinal anastomosis to reduce gastrointestinal hemorrhage during Whipple operation in laparoscopy

La Zhang,Liujun Jiang,Ning Jiang,Rui Liao,Lei Xiang,Baoyong Zhou,Dewei Li 대한외과학회 2022 Annals of Surgical Treatment and Research(ASRT) Vol.102 No.2

Purpose: Laparoscopy is being increasingly accepted for pancreaticoduodenectomy. Stapled anastomosis (SA) is used extensively to facilitate laparoscopic pancreaticoduodenectomy (LPD); however, the incidence of anastomotic bleeding after stapled gastrointestinal anastomosis is still high. Methods: One hundred and thirty-nine patients who underwent LPD using Whipple method were enrolled in our study. We performed the SA with our reinforced method (n = 68, R method) and without the method (n = 71, NR method). We compared the clinical characteristics and anastomosis methods of patients with or without gastrointestinal-anastomotic hemorrhage (GAH), and operative parameters were also compared between the anastomotic methods. Results: Of the 139 patients undergoing LPD, 15 of them developed GAH. The clinical characteristics of patients with or without GAH were not significantly different except in the anastomotic method (P < 0.001). In the univariate logistic regression analyses, only the anastomotic method was associated with GAH. Furthermore, patients with the NR method had significantly higher incidences of GAH (P < 0.001) and Clavien-Dindo grade ≥ III complications (P < 0.001). Conclusion: Our retrospective analysis showed that the SA performed with reinforced method might be a reform of SA without the reinforcement, as indicated by the lower incidence of GAH. However, further research is necessary to evaluate the utility of this reinforced method.

Senescence Effects of Angelica sinensis Polysaccharides on Human Acute Myelogenous Leukemia Stem and Progenitor Cells

Liu, Jun,Xu, Chun-Yan,Cai, Shi-Zhong,Zhou, Yue,Li, Jing,Jiang, Rong,Wang, Ya-Ping Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.11

Leukemia stem cells (LSCs) play important roles in leukemia initiation, progression and relapse, and thus represent a critical target for therapeutic intervention. Hence, it is extremely urgent to explore new therapeutic strategies directly targeting LSCs for acute myelogenous leukemia (AML) therapy. We show here that Angelica sinensis polysaccharide (ASP), a major active component in Dong quai (Chinese Angelica sinensis), effectively inhibited human AML $CD34^+CD38^-$ cell proliferation in vitro culture in a dose-dependent manner while sparing normal hematopoietic stem and progenitor cells at physiologically achievable concentrations. Furthermore, ASP exerted cytotoxic effects on AML K562 cells, especially LSC-enriched $CD34^+CD38^-$ cells. Colony formation assays further showed that ASP significantly suppressed the formation of colonies derived from AML $CD34^+CD38^-$ cells but not those from normal $CD34^+CD38^-$ cells. Examination of the underlying mechanisms revealed that ASP induced $CD34^+CD38^-$ cell senescence, which was strongly associated with a series of characteristic events, including up-regulation of p53, p16, p21, and Rb genes and changes of related cell cycle regulation proteins P16, P21, cyclin E and CDK4, telomere end attrition as well as repression of telomerase activity. On the basis of these findings, we propose that ASP represents a potentially important agent for leukemia stem cell-targeted therapy.

Sustained electron tunneling at unbiased metal-insulator-semiconductor triboelectric contacts

Liu, Jun,Miao, Mengmeng,Jiang, Keren,Khan, Faheem,Goswami, Ankur,McGee, Ryan,Li, Zhi,Nguyen, Lan,Hu, Zhiyu,Lee, Jungchul,Cadien, Ken,Thundat, Thomas Elsevier 2018 Nano energy Vol.48 No.-

<P><B>Abstract</B></P> <P>Generating sufficient current density for powering electronic devices remains as one of the critical challenges of mechanical energy harvesting techniques based on piezo and triboelectricity, mainly due to the high impedance of the insulating material systems. Here we report on producing sustainable tunneling current using an unbiased, triboelectrically charged metal-insulator-semiconductor (MIS) point contact system, consisting of p-type silicon, silicon oxide and a metal tip. The native thin oxide (~ 1.6 nm) on the silicon surface provides a natural pathway for quantum mechanical tunneling of the triboelectrically generated electrons into the silicon substrate. Lateral back and forth sliding motion of the tip, irrespective of the direction of motion, generates a constant direct current (d.c.) with very high current density. The measured current shows an exponential decay with the thickness of oxide layer deposited with atomic layer deposition (ALD), confirming the quantum mechanical tunneling mechanism. It is proposed that the contact potential difference enhanced by triboelectric charging provides potential difference between metal point contact and the substrate. With single metallic micro probe sliding on a moderately doped p-type silicon, an open circuit voltage (<I>V</I> <SUB>oc</SUB>) of 300–400 mV and a short-circuit direct current (<I>I</I> <SUB>sc</SUB>) of 3–5 μA (a corresponding high current density, <I>J</I>, in the order of 1–10 A/m<SUP>2</SUP>) have been observed. It is predicted from conductive-atomic force microscopy (C-AFM) experiment that the theoretical <I>J</I> can be as high as 10<SUP>4</SUP> A/m<SUP>2</SUP>. This new concept has the potential as a green energy harvesting technique where a broad range of material candidates and device configurations could be used.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Quantum mechanical tunneling at triboelectrically charged interface through ultrathin oxide layer is demonstrated. </LI> <LI> Tribo-tunneling is found to be a universal phenomenon in MIS frictional contact system. </LI> <LI> High current density <I>J</I> of 5 A/m<SUP>2</SUP> is experimentally measured in doped silicon materials at macroscale. </LI> <LI> Ultrahigh C-AFM <I>J</I> of 10<SUP>4</SUP> A/m<SUP>2</SUP> is observed due to the nano-size probe-induced high electric field. </LI> <LI> This method can be used as cost-effective triboelectric DC current generator, due to easily available silicon wafers with native oxide. </LI> </UL> </P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>

Direct-current triboelectricity generation by a sliding Schottky nanocontact on MoS₂ multilayers

Liu, Jun,Goswami, Ankur,Jiang, Keren,Khan, Faheem,Kim, Seokbeom,McGee, Ryan,Li, Zhi,Hu, Zhiyu,Lee, Jungchul,Thundat, Thomas Nature Publishing Group UK 2018 Nature nanotechnology Vol.13 No.2

<P>The direct conversion of mechanical energy into electricity by nanomaterial-based devices offers potential for green energy harvesting(1-3). A conventional triboelectric nanogenerator converts frictional energy into electricity by producing alternating current (a.c.) triboelectricity. However, this approach is limited by low current density and the need for rectification(2). Here, we show that continuous direct-current (d.c.) with a maximum density of 10(6) A m(-2) can be directly generated by a sliding Schottky nanocontact without the application of an external voltage. We demonstrate this by sliding a conductive-atomic force microscope tip on a thin film of molybdenum disulfide (MoS2). Finite element simulation reveals that the anomalously high current density can be attributed to the non-equilibrium carrier transport phenomenon enhanced by the strong local electrical field (105-106 V m(-2)) at the conductive nanoscale tip(4). We hypothesize that the charge transport may be induced by electronic excitation under friction, and the nanoscale current-voltage spectra analysis indicates that the rectifying Schottky barrier at the tip-sample interface plays a critical role in efficient d.c. energy harvesting. This concept is scalable when combined with microfabricated or contact surface modified electrodes, which makes it promising for efficient d.c. triboelectricity generation.</P>

Senescence as A Consequence of Ginsenoside Rg₁ Response on K562 Human Leukemia Cell Line

Liu, Jun,Cai, Shi-Zhong,Zhou, Yue,Zhang, Xian-Ping,Liu, Dian-Feng,Jiang, Rong,Wang, Ya-Ping Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.12

Aims and Background: Traditional chemotherapy strategies for human leukemia commonly use drugs based on cytotoxicity to eradicate cancer cells. One predicament is that substantial damage to normal tissues is likely to occur in the course of standard treatments. Obviously, it is urgent to explore therapies that can effectively eliminate malignant cells without affecting normal cells. Our previous studies indicated that ginsenoside $Rg_1$ ($Rg_1$), a major active pharmacological ingredient of ginseng, could delay normal hematopoietic stem cell senescence. However, whether $Rg_1$ can induce cancer cell senescence is still unclear. Methods: In the current study, human leukemia K562 cells were subjected to $Rg_1$ exposure. The optimal drug concentration and duration with K562 cells was obtained by MTT colorimetric test. Effects of $Rg_1$ on cell cycle were analyzed using flow cytometry and by SA-${\beta}$-Gal staining. Colony-forming ability was measured by colony-assay. Telomere lengths were assessed by Southern blotting and expression of senescence-associated proteins P21, P16 and RB by Western blotting. Ultrastructural morphology changes were observed by transmission electron microscopy. Results: K562 cells demonstrated a maximum proliferation inhibition rate with an $Rg_1$ concentration of $20{\mu}\;mol{\cdot}L^{-1}$ for 48h, the cells exhibiting dramatic morphological alterations including an enlarged and flat cellular morphology, larger mitochondria and increased number of lysosomes. Senescence associated-${\beta}$-galactosidase (SA-${\beta}$-Gal) activity was increased. K562 cells also had decreased ability for colony formation, and shortened telomere length as well as reduction of proliferating potential and arrestin $G_2$/M phase after $Rg_1$ interaction. The senescence associated proteins P21, P16 and RB were significantly up-regulated. Conclusion: Ginsenoside $Rg_1$ can induce a state of senescence in human leukemia K562 cells, which is associated with p21-Rb and p16-Rb pathways.