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Telbivudine-Induced Myopathy: Clinical Features, Histopathological Characteristics, and Risk Factors
Min-Yu Lan,Hui-Chen Lin,Tsung-Hui Hu,Shu-Fang Chen,Chien-Hung Chen,Yung-Yee Chang,King-Wah Chiu,Tsu-Kung Lin,Shun-Sheng Chen 대한신경과학회 2023 Journal of Clinical Neurology Vol.19 No.1
Background and Purpose Oral nucleos(t)ide analogs (NAs) are the mainstay treatment for chronic hepatitis B (CHB). Myotoxicity is an important extrahepatic effect related to NA treatment. Telbivudine is the NA for CHB that is frequently associated with muscle-related side effects. The risk factors for telbivudine-induced myopathy (TIM) are not yet clear. Methods This study characterized the clinical, magnetic resonance images (MRI), and pathological features of 12 TIM cases. A group of telbivudine-tolerant (TT) patients with CHB who received regular telbivudine treatment during the same period without the occurrence of myopathy was collected. Demographic and clinical factors were compared between the patients with TIM and the TT controls. Factors independently associated with TIM were identified using logistic regression analysis. Results The patients with TIM (males/females: 7/5, mean age: 57 years) developed myopathy after using telbivudine for a median period of 19.5 months. Muscle histopathology revealed abnormal proliferation, subsarcolemmal or sarcoplasmic accumulations, and ultrastructural defects of mitochondria. When compared with TT cases, patients with TIM had a lower estimated glomerular filtration rate and were more frequently positive for hepatitis B e antigen (HBeAg). Conclusions Mitochondrial abnormalities are characteristic histopathological features, and impaired renal function and HBeAg positivity are risk factors for TIM. Telbivudine-induced mitochondrial dysfunction and immune activation related to mitochondrial damage and HBeAg serostatus changes may underlie TIM. Constant clinical surveillance of myopathy during telbivudine treatment is needed due to the significant latency of its development. Dose adjustment for impaired renal function does not eliminate the risk of TIM occurrence.
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Lan Lan,Xu Dan,Xia Chen,Wang Shaokang,Yu Minhua,Xu Haibo 대한영상의학회 2020 Korean Journal of Radiology Vol.21 No.7
Objective: The current study reported a case series to illustrate the early computed tomography (CT) findings of coronavirus disease 2019 (COVID-19) in pediatric patients. Materials and Methods: All pediatric patients who were diagnosed with COVID-19 and who underwent CT scan in Zhongnan Hospital of Wuhan University from January 20, 2020 to February 28, 2020 were included in the current study. Data on clinical and CT features were collected and analyzed. Results: Four children were included in the current study. All of them were asymptomatic throughout the disease course (ranging from 7 days to 15 days), and none of them showed abnormalities in blood cell counts. Familial cluster was the main transmission pattern. Thin-section CT revealed abnormalities in three patients, and one patient did not present with any abnormal CT findings. Unilateral lung involvement was observed in two patients, and one patient showed bilateral lung involvement. In total, five small lesions were identified, including ground-glass opacity (n = 4) and consolidation (n = 1). All lesions had ill-defined margins with peripheral distribution and predilection of lower lobe. Conclusion: Small patches of ground-glass opacity with subpleural distribution and unilateral lung involvement were common findings on CT scans of pediatric patients in the early stage of the disease.
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Expression and Prognostic Role of MEKK3 and pERK in Patients with Renal Clear Cell Carcinoma
Chen, Qi,Lu, Hong-sheng,Gan, Mei-fu,Chen, Lan-xi,He, Kai,Fan, Guang-min,Cao, Xue-quan Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.6
Mitogen-activated protein kinase/extracellular signal-regulated kinase kinase kinase 3 (MEKK3) is an important serine/threonine protein kinase and a member of the MAPK family. MEKK3 can effectively activate the MEK/ERK signaling pathway and promote an autocrine growth loop critical for tumor genesis, cell proliferation, terminal differentiation, apoptosis and survival. To explore the relationship between MEKK3 and cell apoptosis, clinicopathology and prognosis, we characterize the expression of MEKK3, pERK and FoxP3 in the renal clear cell carcinoma (RCCC). Protein expression was detected by tissue microarray and immunochemistry in 46 cases of RCCC and 28 control cases. Expression levels of CD3+,CD3+CD4+,CD3+CD8+,CD4+CD25+, CD4+CD25+ FoxP3+ were assessed by flow cytometry and analyzed for their association with pathological factors, correlation and prognosis in RCCC. Expression of MEKK3, pERK and FoxP3 was significantly up-regulated in RCCC as compared to control levels (p<0.01), associated with pathological grade (p<0.05)and clinical stage (p<0.05). CD4+CD25+ Foxp3+ Treg cells were also significantly increased in RCCC patients (p<0.05). Cox multivariate regression analysis showed that MEKK3, pERK expression and patholigical stage were independent prognostic factors in patients with RCCC (p<0.05). MEKK3 can be used as an important marker of early diagnosis and prognostic evaluation in RCCC. It may be associated with imbalance of anti-tumor immunity and overexpression of pERK. Expression of MEKK3 and pERK are significantly increased in RCCC, with protein expression and clinical stage acting as independent prognostic factors.
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Chen Chen,Bai Lin Cong,Min Wang,Muhammad Abdullah,Xiao Long Wang,Yin Hua Zhang,Shun Ji Xu,Lan Cui 한국한의학연구원 2018 Integrative Medicine Research Vol.7 No.2
Background: Neutrophil to lymphocyte ratio (NLR) in peripheral blood is established to correlate with the morbidity and mortality of heart disease patients. We aimed to define the severity of inflammation (NLR) by observing the association of NLR with cardiac functions or myocardial damage parameters in patients with acute myocardial infarction. Methods: Data from 715 patients who underwent percutaneous coronary intervention (PCI) within 72 hours of incidence in 2016 were analysed retrospectively. Results: The NLR ranges from 0.50 to 46 (medium ± SD, 2.76 ± 2.96) in 715 patients. NLR positively correlated with myocardial damage (NLR vs. CK-mB: p < 0.0001) but negatively correlated with myocardial function (NLR vs. EF: p < 0.0001; NLR vs. FS: p < 0.0001). Myocardial damage markers (CK, CK-mB, ASL, LDH) were significantly increased, and cardiac contractile parameters (EF and FS) were reduced at NLR > 2.76 compared to those of NLR < 2.76. ELISA analysis has shown that IL-10 was significantly increased when NLR ≥ 4.6 and TGF-β was increased at NLR > 4. The correlation was diminished between NLR and CK-mB at NLR > 2.76 or at NLR > 4, but that of NLR and EF or FS was maintained in NLR > 2.76 and at NLR > 4. EF and FS were comparable between NLR > 2.76 and NLR > 4. But myocardial damage parameters increased significantly at NLR > 4 compared to those of NLR > 2.76. Conclusion: NLR is a strong predictor of myocardial damage in acute myocardial patients. High NLR are associated with myocardial dysfunction in all the patients. Severe inflammation (NLR) can predict the consequence of the heart in patients with coronary syndrome.
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The Improvement of the Opacity and Printing Strength of Fancy Paper Overlaid Plywood
LAN-SHENG KUO,YUAN-SHING PERNG,EUGENE I-CHEN WANG,CHEN-FA YEN,TSUEN-HAN KAO 한국펄프·종이공학회 2006 한국펄프종이학회 기타 간행물 Vol.- No.-
The purpose of this study is to investigate the opacity and printing strength of MG paper overlaid plywood. The printing strength of ink on MG paper can be evaluated effectively by a formula E<SUP>*2</SUP> = [(L<SUP>*</SUP>)<SUP>2</SUP> + (a<SUP>*</SUP>)<SUP>2</SUP> + (b<SUP>*</SUP>)<SUP>2</SUP>]<SUP>1/2</SUP> that we proposed. Higher E value indicates good printing strength of ink-on-paper. We also assess the real color of translucent printed MG paper with a formula CIE △E<SUP>*</SUP> (color difference between a pile of same paper to be opaque and fancy paper laminated board). In addition, the color difference on paper surface caused by the color of wood-based board (bottom) can be evaluated by a formula of Pc. No. Generally, an acceptable appearance quality of fancy boards is △E<SUP>*</SUP> < 2.0 and small Pc.No. value. The experimental results showed that Japan-made MG papers ?J1, J2 and J3 have better printing strength and gloss than that of Taiwan-made paper (T1). The reason for this was that Taiwan-made paper has poor printing strength and low gloss, which might be correlated to the fiber compositions in paper. Higher printing strength can be seen for short fiber containing handsheets when comparing to that of handsheets. Nonetheless, low-freeness sheets gives better printing strength than that of high-freeness sheets. High-opacity MG paper gives good opacifying effect to the fancy paper laminated wood-based boards. Comparing the surface color of 2 kinds of fancy paper laminated boards, paperboard T1 laminated with high-opacity fancy paper showed slight color difference. The same results can be seen for ?? g/㎡ handsheets. Higher-opacity Acacia and Eucalyptus bleached sulfate pulps (short fiber) gives higher opacifying effect on the plywood when comparing to Northan pine and Radiata pine sulfate pulps(long fiber). The former ones also showed small color differences when comparing the color differences between the color of fancy paper and laminated paper board. Additionally, the color of bottom plywood can’t be shown through for the highopacify surface paper adhered to. Besides, the PC No of the base paper laminated board is small as well. Apparently, we can add colorants to the binders for the manufacture of various handsheets (30 g/㎡) with various pulp mix ratios to increase the opacity of paperboards to certain extents. When we using yellow and brown binders in paper laminated board, the color difference between Acacia and Eucalyptus handsheets overlaid boards decreasing to 2.0 (acceptable △E<SUP>*</SUP>< 2.0, hard to discern), but not much improvement for Northern and Radiata pines. Definitely, show-through defects can be discernible for lower opacity papers. In general, admirable printing strength of fancy paper by which glued to plywood can be made with high-opacity paper and colored binders techniques.
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Taiwanese Mothers' Motivations for Teaching English to Their Young Children at Home
Lan, Yi-Chen,Torr, Jane,Degotardi, Sheila Korean Association of Child Studies 2012 Child studies in Asia-Pacific context Vol.2 No.2
Research has shown that mothers' attitudes towards early English language and literacy learning are important for children's English language development. Some researchers have indicated that in Taiwan most parents have a positive attitude towards English instruction and are motivated to teach English at home to their preschoolers. There is, however, little current data available to explain the motivations behind such parents' decisions to teach English to their child in the home before the commencement of formal schooling. We conducted a thematic analysis of the written survey responses of 263 Taiwanese mothers who explained why they taught their preschool children English at home. The findings indicate that English is highly valued for children's school readiness, future career opportunities, and because of its status as a global language. The mothers' motivations for teaching English include the desire to cultivate the child's interest, a belief in 'the earlier the better" for second language learning, and a belief in the need to review and practice English. These findings have the potential to inform educational policies and implementation strategies, as they can reveal whether mothers' motivations align with national priorities for English language education.
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Removal of the Glycosylation of Prion Protein Provokes Apoptosis in SF126
Chen, Lan,Yang, Yang,Han, Jun,Zhang, Bao-Yun,Zhao, Lin,Nie, Kai,Wang, Xiao-Fan,Li, Feng,Gao, Chen,Dong, Xiao-Ping,Xu, Cai-Min Korean Society for Biochemistry and Molecular Biol 2007 Journal of biochemistry and molecular biology Vol.40 No.5
Although the function of cellular prion protein (PrP$^C$) and the pathogenesis of prion diseases have been widely described, the mechanisms are not fully clarified. In this study, increases of the portion of non-glycosylated prion protein deposited in the hamster brains infected with scrapie strain 263K were described. To elucidate the pathological role of glycosylation profile of PrP, wild type human PrP (HuPrP) and two genetic engineering generated non-glycosylated PrP mutants (N181Q/N197Q and T183A/T199A) were transiently expressed in human astrocytoma cell line SF126. The results revealed that expressions of non-glycosylated PrP induced significantly more apoptosis cells than that of wild type PrP. It illustrated that Bcl-2 proteins might be involved in the apoptosis pathway of non-glycosylated PrPs. Our data highlights that removal of glycosylation of prion protein provokes cells apoptosis.
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