Nadir oxygen delivery is associated with postoperative acute kidney injury in low-weight infants undergoing cardiopulmonary bypass

BackgroundAcute kidney injury (AKI) is common after cardiac surgery with cardiopulmonary bypass (CPB) and is associated with increased mortality and morbidity. Nadir indexed oxygen delivery (DO2i) lower than the critical threshold during CPB is a risk factor for postoperative AKI. The critical DO2i for preventing AKI in children has not been well studied. The study aimed to explore the association between nadir DO2i and postoperative AKI in infant cardiac surgery with CPB.MethodsFrom August 2021 to July 2022, 413 low-weight infants (≤10 kg) undergoing cardiac surgery with CPB were consecutively enrolled in this prospective observational study. Nadir DO2i was calculated during the hypothermia and rewarming phases of CPB, respectively. The association between nadir DO2i and postoperative AKI was investigated in mild hypothermia (32–34°C) and moderate hypothermia (26–32°C).ResultsA total of 142 (38.3%) patients developed postoperative AKI. In patients undergoing mild hypothermia during CPB, nadir DO2i in hypothermia and rewarming phases was independently associated with postoperative AKI. The cutoff values of nadir DO2i during hypothermia and rewarming phases were 258 mL/min/m2 and 281 mL/min/m2, respectively. There was no significant association between nadir DO2i and postoperative AKI in patients undergoing moderate hypothermia during CPB.ConclusionIn low-weight infants undergoing mild hypothermia during CPB, the critical DO2i for preventing AKI was 258 mL/min/m2 in the hypothermia phase and 281 mL/min/m2 for rewarming. Moreover, an individualized critical DO2i threshold should be advocated during CPB

A Machine Learning Protocol for Predicting Protein Infrared Spectra

© 2020 American Chemical Society. Infrared (IR) absorption provides important chemical fingerprints of biomolecules. Protein secondary structure determination from IR spectra is tedious since its theoretical interpretation requires repeated expensive quantum-mechanical calculations in a fluctuating environment. Herein we present a novel machine learning protocol that uses a few key structural descriptors to rapidly predict amide I IR spectra of various proteins and agrees well with experiment. Its transferability enabled us to distinguish protein secondary structures, probe atomic structure variations with temperature, and monitor protein folding. This approach offers a cost-effective tool to model the relationship between protein spectra and their biological/chemical properties

Highly sensitive and selective ethanol and acetone gas sensors based on modified ZnO nanomaterials

Nowadays, highly sensitive metal oxide semiconductor gas sensors are exerting a growing important influence on the detection of target gases. It is still challenging to get both high sensitivity and selectivity to effectively distinguish gas mixtures. In this study, Mn doped ZnO (MZO) is prepared by a facile co-precipitation method and then further modified by CdO addition. The results show that 2.2 mol% MZO has high responses to both acetone and ethanol, while 10 mol% CdO activated 1 mol% MZO exhibits excellent sensitivity to ethanol and neglectable response to acetone. This is explained by the enhanced alkalinity of ZnO by the CdO addition expelling acetone from adsorption onto the sensor surface, which is verified by temperature-programmed CO2 desorption. Moreover, the CdO-MZO gas sensor has an optimized working temperature of 240 degrees C, far lower than 340 degrees C of MZO, due to the higher oxidativity as proved by the temperature-programmed H-2 reduction. The MZO and CdO-MZO gas sensors are then used as a sensor array to distinguish the ethanol and acetone concentrations in mixtures with varied ratios, showing the promise of the gas sensor property tailoring approach for future high performance gas sensors. (C) 2017 Published by Elsevier Ltd.</p

Ag-Modified In2O3 Nanoparticles for Highly Sensitive and Selective Ethanol Alarming

Pure In2O3 nanoparticles are prepared by a facile precipitation method and are further modified by Ag. The synthesized samples are characterized by scanning electron microscopy, transmission electron microscopy, energy dispersive X-ray spectroscopy, X-ray diffraction, Raman and UV-Vis spectra. The results show the successful heterojunction formation between Ag and In2O3. Gas sensing property measurements show that the 5 mol % Ag-modified In2O3 sensor has the response of 67 to 50 ppm ethanol, and fast response and recovery time of 22.3 and 11.7 s. The response is over one magnitude higher than that of pure In2O3, which can be attributed to the enhanced catalytic activity of Ag-modified In2O3 as compared with the pure one. The mechanism of the gas sensor can be explained by the spillover effect of Ag, which enhances the oxygen adsorption onto the surface of In2O3 and thus give rise to the higher activity and larger surface barrier height.</p

iRhom2 loss alleviates renal injury in long-term PM2.5-exposed mice by suppression of inflammation and oxidative stress

Particulate matter (PM2.5) is a risk factor for organ injury and disease progression, such as lung, brain and liver. However, its effects on renal injury and the underlying molecular mechanism have not been understood. The inactive rhomboid protein 2 (iRhom2), also known as rhomboid family member 2 (Rhbdf2), is a necessary modulator for shedding of tumor necrosis factor-α (TNF-α) in immune cells, and has been explored in the pathogenesis of chronic renal diseases. In the present study, we found that compared to the wild type (iRhom2+/+) mice, iRhom2 knockout (iRhom2-/-) protected PM2.5-exposed mice from developing severe renal injury, accompanied with improved renal pathological changes and functions. iRhom2-/- mice exhibited reduced inflammatory response, as evidenced by the reduction of interleukin 1β (IL-1β), IL-6, tumor necrosis factor-α (TNF-α) and IL-18 in kidney samples, which might be, at least partly, through inactivating TNF-α converting enzyme/TNF-α receptors (TACE/TNFRs) and inhibitor of α/nuclear factor κ B (IκBα/NF-κB) signaling pathways. In addition, oxidative stress was also restrained by iRhom2-/- in kidney of PM2.5-exposed mice by enhancing heme oxygenase/nuclear factor erythroid 2-related factor 2 (HO-1/Nrf-2) expressions, and reducing phosphorylated c-Jun N-terminal kinase (JNK). In vitro, blockage of HO-1 or Nrf-2 rescued the inflammatory response and oxidative stress that were reduced by iRhom2 knockdown in PM2.5-incubated RAW264.7 cells. Similar results were observed in JNK activator-treated cells. Taken together, our findings indicated that iRhom2 played an essential role in regulating PM2.5-induced chronic renal damage, thus revealing a potential target for preventing chronic kidney diseases development. Keywords: PM2.5, Renal injury, iRhom2, Inflammation, Oxidative stress, JN