Huobahuagen tablet improves renal function in diabetic kidney disease: a real-world retrospective cohort study

ObjectiveWe aimed to explore the value of Huobahuagen tablet (HBT) in improving decreased renal function for patients with diabetic kidney disease (DKD) over time.MethodsThis was a single-center, retrospective, real-world study on eligible 122 DKD patients who continued to use HBT + Huangkui capsule (HKC) therapy or HKC therapy without interruption or alteration in Jiangsu Province Hospital of Chinese Medicine from July 2016 to March 2022. The primary observation outcomes included estimated glomerular filtration rate (eGFR) at baseline and 1-, 3-, 6-, 9-, and 12-month follow-up visits and changes in eGFR from baseline (ΔeGFR). Propensity score (PS) and inverse probability treatment weighting (IPTW) were used to control for confounders.ResultseGFR was significantly higher in the HBT + HKC group than in the HKC alone group at the 6-, 9-, and 12-month follow-up visits (p = 0.0448, 0.0002, and 0.0037, respectively), indicating the superiority of HBT + HKC over HBT alone. Furthermore, the ΔeGFR of the HBT + HKC group was significantly higher than that of the HKC alone group at the 6- and 12-month follow-up visits (p = 0.0369 and 0.0267, respectively). In the DKD G4 patients, eGFR was higher in the HBT + HKC group at the 1-, 3-, 6-, 9-, and 12-month follow-up visits compared with baseline, with statistically significant differences at the 1-, 3-, and 6- month follow-up visits (p = 0.0256, 0.0069, and 0.0252, respectively). The fluctuations in ΔeGFR ranged from 2.54 ± 4.34 to 5.01 ± 5.55 ml/min/1.73 m2. Change in the urinary albumin/creatinine ratio from baseline did not exhibit a significant difference between the two groups at any of the follow-up visits (p > 0.05 for all). Adverse event incidence was low in both groups.ConclusionThe findings of this study based on real-world clinical practice indicate that HBT + HKC therapy exhibited better efficacy in improving and protecting renal function with a favorable safety profile than HKC therapy alone. However, further large-scale prospective randomized controlled trials are warranted to confirm these results

The Effectiveness of Acupuncture in Management of Functional Constipation: A Systematic Review and Meta-Analysis

Objective. The purpose of this study was to assess the effectiveness and safety of acupuncture for functional constipation (FC). Methods. A rigorous literature search was performed in English (PubMed, Web of Science, the Cochrane Library, and EMBASE) and Chinese (China National Knowledge Infrastructure (CNKI), Chinese Biological Medical (CBM), Wanfang database, and China Science and Technology Journal (VIP)) electronic databases from their inception to October 2019. Included randomized controlled trials (RCTs) compared acupuncture therapy with sham acupuncture or pharmacological therapies. The outcome measures were evaluated, including the primary outcome of complete spontaneous bowel movement (CSBM) and secondary outcomes of Bristol Stool Form Scale (BSFS), constipation symptoms scores (CSS), responder rate, the Patient Assessment of Constipation Quality of Life (PAC-QOL) questionnaire, and safety evaluation. Meta-analysis was performed by using RevMan5.3. Results. The merged data of 28 RCTs with 3525 participants indicated that acupuncture may be efficient for FC by increasing CSBMs (p<0.00001; MD = 0.84 [95% CI, 0.65 to 1.03]; I2 = 0%) and improving constipation symptoms (p=0.03; SMD = −0.4 [95% CI, −0.78 to −0.03]; I2 = 74%), stool formation (p<0.00001; MD = 0.24 [95% CI, 0.15 to 0.34]; I2 = 0%), quality of life (p<0.00001; N = 1, MD = −0.33 [95% CI, −0.45 to −0.21]), and responder rates (p=0.02; RR = 2.16; [95% CI, 1.1 to 4.24]; I2 = 69%) compared with the effects of sham treatment. No increased risk of adverse events was observed (p=0.44; RR = 1.18; [95% CI, 0.77 to 1.81]; I2 = 0%). With regard to medication comparisons, the pooled data indicated that acupuncture was more effective in increasing CSBMs (p=0.004; MD = 0.53 [95% CI, 0.17 to 0.88]; I2 = 88%) and improving patients’ quality of life (p<0.00001; SMD = −0.73 [95% CI, −1.02 to −0.44]; I2 = 64%), with high heterogeneity. However, there were no significant differences in responder rate (p=0.12; RR = 1.31; [95% CI, 0.94 to 1.82]; I2 = 53%), BSFS (p=0.5; MD = 0.17 [95% CI, −0.33 to 0.68]; I2 = 93%), or CSS (p=0.05; SMD = −0.62 [95% CI, −1.23 to −0.01]; I2 = 89%). Regarding safety evaluation, acupuncture was safer than medications (p<0.0001; RR = 0.3; [95% CI, 0.18 to 0.52]; I2 = 30%). Conclusions. Current evidence suggests that acupuncture is an efficient and safe treatment for FC. Acupuncture increased stool frequency, improved stool formation, alleviated constipation symptoms, and improved quality of life. However, the evidence quality was relatively low and the relationship between acupuncture and drugs is not clear. More high-quality trials are recommended in the future. PROSPERO registration number: CRD42019143347

Synergetic-Deformation-Induced Strengthening in Gradient Nano-Grained Metals: A 3D Discrete Dislocation Dynamics Study

Gradient nano-grained (GNG) metals have shown high synergetic strength and good ductility due to their unique gradient microstructure. In this study, the mechanical behavior of gradient nano-grained metals was investigated by three-dimensional discrete dislocation dynamics. The simulation results show a trend that the successive yielding and gradual “transmission” of dislocations along the gradient direction result in a gradient distribution of stress and plastic strain. The distribution of geometrically necessary dislocations is more inhomogeneous in the gradient nano-grained (GNG) sample compared with those homogenous counterparts. The non-uniform deformation response of component layers induces the synergetic-deformation-induced (SDI) strengthening in the GNG sample. The back stress originates from geometrically necessary dislocations that pile up near the interface of gradient layers and leads to a significant hardening while there is a slight softening in different gradient layers in the GNG sample. This study provides a deeper insight into the SDI strengthening in gradient structure from the submicron scale

Micropillar compression using discrete dislocation dynamics and machine learning

Discrete dislocation dynamics (DDD) simulations reveal the evolution of dislocation structures and the interaction of dislocations. This study investigated the compression behavior of single-crystal copper micropillars using few-shot machine learning with data provided by DDD simulations. Two types of features are considered: external features comprising specimen size and loading orientation and internal features involving dislocation source length, Schmid factor, the orientation of the most easily activated dislocations and their distance from the free boundary. The yielding stress and stress-strain curves of single-crystal copper micropillar are predicted well by incorporating both external and internal features of the sample as separate or combined inputs. It is found that the Machine learning accuracy predictions for single-crystal micropillar compression can be improved by incorporating easily activated dislocation features with external features. However, the effect of easily activated dislocation on yielding is less important compared to the effects of specimen size and Schmid factor which includes information of orientation but becomes more evident in small-sized micropillars. Overall, incorporating internal features, especially the information of most easily activated dislocations, improves predictive capabilities across diverse sample sizes and orientations

Multiple mechanism based constitutive modeling of gradient nanograined material

Gradient nano-grained (GNG) materials, inside which grain size increases gradually from nanoscale in the surface to micro-scale in the substrate, have shown synergetic strength and ductility. The extra strain hardening of GNG materials is considered to result from both geometrically necessary dislocations (GNDs) accommodating nonuniform plastic deformation and superior kinematic hardening characterized by back stress. However, few quantitative investigations were performed to evaluate the contribution of various strengthening mechanisms to the mechanical response of GNG materials. In this work, we develop a multiple-mechanism-based constitutive model, in which constitutive laws for GNDs and back stress at both grain level and sample level are established. Microstructure-based finite element simulation successfully predicts the uniaxial tensile behavior of a GNG interstitial-free (IF) steel sheet. The simulation results demonstrate that GNDs and back stress at sample level have little influence on the strengthening of the GNG IF-steel, while the back stress induced by pileup GNDs contributes about 35% to the flow stress. The uniform elongation of the GNG sample is improved by the constraint of coarsegrained core on GNG layer. This work helps to understand the contributions of deformation mechanisms to the synergetic strength and ductility of GNG materials and to guide the microstructure design and optimization for improved strength-ductility combination

Effect of Preparations of Bamboo Vinegar and Copper Sulfate on Green Algae and Tobacco Seedling Growth

To provide theoretical and technical basis for the application of preparations of bamboo vinegar and copper sulfate in the prevention of green algae in floating system for tobacco seeding, the soaking and spraying methods were employed to study the effect of different concentrations of preparations of bamboo vinegar and copper sulfate on green algae and tobacco seedling growth. The results showed that the preparations of bamboo vinegar and copper sulfate of different concentrations played a strong role in inhibiting green algae growth and had better effect than copper sulfate. Spraying 1:200 preparations of bamboo vinegar and copper sulfate could significantly promote tobacco seedling growth, and the leaf fresh weight increased by 15.80% compared with CK, with significant difference; spraying 1:50 preparations was not conducive to tobacco seedling growth. It was recommended to spray 1:200 preparations of bamboo vinegar and copper sulfate in floating system for tobacco seeding, which could promote tobacco seedling growth and reduce green algae to varying degrees

Population genomics of finless porpoises reveal an incipient cetacean species adapted to freshwater

Cetaceans (whales, dolphins, and porpoises) are a group of mammals adapted to various aquatic habitats, from oceans to freshwater rivers. We report the sequencing, de novo assembly and analysis of a finless porpoise genome, and the re-sequencing of an additional 48 finless porpoise individuals. We use these data to reconstruct the demographic history of finless porpoises from their origin to the occupation into the Yangtze River. Analyses of selection between marine and freshwater porpoises identify genes associated with renal water homeostasis and urea cycle, such as urea transporter 2 and angiotensin I-converting enzyme 2, which are likely adaptations associated with the difference in osmotic stress between ocean and rivers. Our results strongly suggest that the critically endangered Yangtze finless porpoises are reproductively isolated from other porpoise populations and harbor unique genetic adaptations, supporting that they should be considered a unique incipient species

Maternal TDP-43 interacts with RNA Pol II and regulates zygotic genome activation

Abstract Zygotic genome activation (ZGA) is essential for early embryonic development. However, the regulation of ZGA remains elusive in mammals. Here we report that a maternal factor TDP-43, a nuclear transactive response DNA-binding protein, regulates ZGA through RNA Pol II and is essential for mouse early embryogenesis. Maternal TDP-43 translocates from the cytoplasm into the nucleus at the early two-cell stage when minor to major ZGA transition occurs. Genetic deletion of maternal TDP-43 results in mouse early embryos arrested at the two-cell stage. TDP-43 co-occupies with RNA Pol II as large foci in the nucleus and also at the promoters of ZGA genes at the late two-cell stage. Biochemical evidence indicates that TDP-43 binds Polr2a and Cyclin T1. Depletion of maternal TDP-43 caused the loss of Pol II foci and reduced Pol II binding on chromatin at major ZGA genes, accompanied by defective ZGA. Collectively, our results suggest that maternal TDP-43 is critical for mouse early embryonic development, in part through facilitating the correct RNA Pol II configuration and zygotic genome activation

High-throughput sequencing analysis of microbial community diversity in response to indica and japonica bar-transgenic rice paddy soils.

Potential environmental risks of genetically modified (GM) crops have raised concerns. To better understand the effect of transgenic rice on the bacterial community in paddy soil, a field experiment was carried out using pairs of rice varieties from two subspecies (indica and japonica) containing bar transgene with herbicide resistance and their parental conventional rice. The 16S rRNA gene of soil genomic DNA from different soil layers at the maturity stage was sequenced using high-throughput sequencing on the Illumina MiSeq platform to explore the microbial community diversity among different rice soils. There were no significant differences in diversity indices between transgenic japonica rice and its sister conventional rice (japonica pair) among different soil layers, but, significant differences was observed between transgenic indica rice and its conventional rice (indica pair) in the topsoil layer around concentrated rice roots according to the ace diversity index. Though the japonica rice soil and indica rice soil were shared several key genera, including Rivibacter, Anaeromyxobacter, Roseomonas, Geobacter, Thiobacillus, Clostridium, and Desulfobulbus, the primary bacterial genera in indica rice soil were different from those in japonica rice. Synechococcus and Dechloromonas were present in japonica rice samples, while Chloronema, Flexibacter, and Blastocatella were observed in indica rice soil. Moreover, the abundance of genera between GM and non-GM varieties in japonica rice was significantly different from indica rice, and several bacterial communities influenced these differences. Anaerovorax was more abundant in transgenic japonica rice soil than conventional rice soil, while it was deficient in transgenic indica rice soil compared to conventional rice soil, and opposite responses to Deferrisoma were in that of indica rice. Thus, we concluded that transgenic indica and japonica rice had different effects on soil bacteria compared with their corresponding sister conventional rice. However, these composition and abundance difference only occurred for a few genera but had no effect on the primary genera and soil characteristics were mainly contributed to these differences. Thus, differences in bacterial community structure can be ignored when evaluating the impacts of transgenic rice in the complex soil microenvironment