The association between higher FFAs and high residual platelet reactivity among CAD patients receiving clopidogrel therapy

BackgroundMetabolic abnormalities are associated with the occurrence, severity, and poor prognosis of coronary artery disease (CAD), some of which affect the antiplatelet efficacy of clopidogrel. Free fatty acids (FFAs) is a biomarker for metabolic abnormalities, and elevated FFAs is observed among CAD patients. Whether FFAs enhances residual platelet reactivity induced by adenosine diphosphate (ADP) while using clopidogrel was unknown. The purpose of our study is exploring the issue.MethodCurrent study included 1,277 CAD patients using clopidogrel and used logistic regression to detect whether the higher level of FFAs is associated with high residual platelet reactivity (HRPR). We additionally performed subgroup and sensitivity analyses to evaluate the stability of the results. We defined HRPR as ADP-induced platelet inhibition rate (ADPi) < 50% plus ADP-induced maximum amplitude (MAADP) > 47 mm.Results486 patients (38.1%) showed HRPR. The proportion of HRPR among patients with higher FFAs (>0.445 mmol/L) is greater than among patients with lower FFAs (46.4% vs. 32.6%, P < 0.001). Multivariate logistic regression demonstrated that higher FFAs (>0.445 mmol/L) is independently associated with HRPR (adjusted OR = 1.745, 95% CI, 1.352–2.254). After subgroup and sensitivity analyses, the results remained robust.ConclusionThe higher level of FFAs enhances residual platelet reactivity induced by ADP and is independently associated with clopidogrel HRPR

Soil diazotrophic abundance, diversity, and community assembly mechanisms significantly differ between glacier riparian wetlands and their adjacent alpine meadows

Global warming can trigger dramatic glacier area shrinkage and change the flux of glacial runoff, leading to the expansion and subsequent retreat of riparian wetlands. This elicits the interconversion of riparian wetlands and their adjacent ecosystems (e.g., alpine meadows), probably significantly impacting ecosystem nitrogen input by changing soil diazotrophic communities. However, the soil diazotrophic community differences between glacial riparian wetlands and their adjacent ecosystems remain largely unexplored. Here, soils were collected from riparian wetlands and their adjacent alpine meadows at six locations from glacier foreland to lake mouth along a typical Tibetan glacial river in the Namtso watershed. The abundance and diversity of soil diazotrophs were determined by real-time PCR and amplicon sequencing based on nifH gene. The soil diazotrophic community assembly mechanisms were analyzed via iCAMP, a recently developed null model-based method. The results showed that compared with the riparian wetlands, the abundance and diversity of the diazotrophs in the alpine meadow soils significantly decreased. The soil diazotrophic community profiles also significantly differed between the riparian wetlands and alpine meadows. For example, compared with the alpine meadows, the relative abundance of chemoheterotrophic and sulfate-respiration diazotrophs was significantly higher in the riparian wetland soils. In contrast, the diazotrophs related to ureolysis, photoautotrophy, and denitrification were significantly enriched in the alpine meadow soils. The iCAMP analysis showed that the assembly of soil diazotrophic community was mainly controlled by drift and dispersal limitation. Compared with the riparian wetlands, the assembly of the alpine meadow soil diazotrophic community was more affected by dispersal limitation and homogeneous selection. These findings suggest that the conversion of riparian wetlands and alpine meadows can significantly alter soil diazotrophic community and probably the ecosystem nitrogen input mechanisms, highlighting the enormous effects of climate change on alpine ecosystems

Properties of Alkali-Resistant Glass Fiber Reinforced Coral Aggregate Concrete

The intention of this paper is to analyze the properties of coral aggregate concrete (CAC) that is reinforced by alkali-resistant glass fibers (ARGF) and the bond performance with BFRP (basalt fiber reinforced polymer) bars. Two types of ARGF, denoted by Type A and Type B with different manufacturing technologies and fiber lengths, are used in the test. Tests of compressive strength, splitting tensile strength, and flexural performance were performed on ARGF-CAC with four different contents for the two types of ARGF. It is found that the cubic compressive strength is slightly reduced when the fiber volume fraction exceeds 0.5%, but almost keeps invariable if the fiber content further increases. However, the tensile strength, residual strength retention and flexural toughness are improved as more ARGFs are added into CAC, and even higher with Type B ARGF addition. The optimized volume fraction is 1.5% for both the two types of ARGF based on the evaluation of the workability and mechanical performance. Moreover, central pull-out test was performed to study the bond properties of ARGF-CAC with BFRP bars. It is found that both the maximum average bond stress and residual frictional stress are generally reduced as the bond length is longer. The addition of Type B ARGFs can significantly improve the bond strength; however, the Type A ARGFs seem to have marginal effect

Experimental investigation and analytical prediction on bond behaviour of CFRP-to-concrete interface with FRP anchors

Hybrid bonded technology with fiber-reinforced polymer (FRP) anchors can effectively improve the load capacity of carbon fiber-reinforced polymer (CFRP)-to-concrete interface. To investigate the reinforcement effect of FRP anchors, tensile shear tests of seventeen CFRP-concrete bonded joints with additional FRP anchors were conducted in this paper. The effects of the construction sequence, anchor position, and type of FRP anchor were considered in the experimental investigation. It was found that bonding CFRP sheet before installing FRP anchor and construction simultaneously could ensure the integrity of FRP anchor and provide a better anchor effect. The ultimate load-carrying capacity was increased with the increasing of plate length after anchor, that is the effect of anchor position. From the results of specimens with different types of FRP anchors at the same location, the FRP anchor composed of multiple small anchors can take effect earlier. By fitting the test results, the exponential bond-slip model for the CFRP-to-concrete interface and the elastic constitutive model for the FRP anchor were obtained. Further, substituting the two constitutive models, analytic theoretical models for load-slip curves and strain distribution were derived to predict the bond behavior of FRP anchored CFRP-to-concrete interface in this paper. The comparison between the prediction results and experimental data shows the good predictive accuracy of these analytical models

Prodomain–growth factor swapping in the structure of pro-TGF-β1

TGF-β is synthesized as a proprotein that dimerizes in the endoplasmic reticulum. After processing in the Golgi to cleave the N-terminal prodomain from the C-terminal growth factor (GF) domain in each monomer, pro-TGF-β is secreted and stored in latent complexes. It is unclear which prodomain and GF monomer are linked before proprotein convertase cleavage and how much conformational change occurs following cleavage. We have determined a structure of pro-TGF-β1 with the proprotein convertase cleavage site mutated to mimic the structure of the TGF-β1 proprotein. Structure, mutation, and model building demonstrate that the prodomain arm domain in one monomer is linked to the GF that interacts with the arm domain in the other monomer in the dimeric structure (i.e. the prodomain arm domain and GF domain in each monomer are swapped). Swapping has important implications for the mechanism of biosynthesis in the TGF-β family and is relevant to the mechanism for preferential formation of heterodimers over homodimers for some members of the TGF-β family. Our structure, together with two previous ones, also provides insights into which regions of the prodomain–GF complex are highly structurally conserved and which are perturbed by crystal lattice contacts

Flexural Behavior of Fire-Damaged Prefabricated RC Hollow Slabs Strengthened with CFRP versus TRM

In this paper, carbon fiber reinforced polymer (CFRP) and textile reinforced mortar (TRM) strengthening techniques were proposed to retrofit and strengthen fire-damaged prefabricated concrete hollow slabs. A total of six slabs, from an actual multi-story masonry building, were tested to investigate the flexural performance of reinforced concrete (RC) hollow slabs strengthened with TRM and CFRP. The investigated parameters included the strengthening method (CFRP versus TRM), the number of CFRP layers, and with or without fire exposure. One unstrengthened slab and one TRM strengthened slab served as the control specimens without fire exposure. The remaining four slabs were first exposed to ISO-834 standard fire for 1 h, and then three of them were strengthened with CFRP or TRM. Through the four-point bending tests at ambient temperature, the failure modes, load and deformation response were recorded and discussed. Both CFRP and TRM strengthening methods can significantly increase the cracking load and peak load of the fire-damaged hollow slabs, as well as the stiffness in the early stage. The prefabricated hollow slabs strengthened by CFRP have better performance in the ultimate bearing capacity, but the ductility reduced with the increase of CFRP layers. Meanwhile, the TRM strengthening technique is a suitable method for the performance improvement of fire-damaged hollow slabs, in terms of not only the load capacity, especially the cracking load, but also the flexural stiffness and deformation capacity

Developmental toxicity testing of unsubstituted and methylated 4- and 5-ring polycyclic aromatic hydrocarbons using the zebrafish embryotoxicity test

The present study evaluates the in vitro developmental toxicity of 4- and 5-ring polycyclic aromatic hydrocarbons (PAHs) including benz[a]anthracene (BaA) and benzo[a]pyrene (BaP) and six of their monomethylated congeners, and dibenz[a,h]anthracene (DB[a,h]A) using the zebrafish embryotoxicity test (ZET). In general, the tested PAHs induced various developmental effects in the zebrafish embryos including unhatched embryos, no movement and circulation, yolk sac and pericardial edemas, deformed body shape, and cumulative mortality at 96 h post fertilization (hpf). The methyl substituent on different positions of the aromatic ring of the PAHs appeared to change their in vitro developmental toxicity. Comparison to a previously reported molecular docking study showed that the methyl substituents may affect the interaction of the PAHs with the aryl hydrocarbon receptor (AhR) which is known to play a role in the developmental toxicity of some PAHs. Taken together, our results show that methylation can either increase or decrease the developmental toxicity of PAHs, and suggest this may in part relate to effects on the molecular dimensions and resulting consequences for interactions with the Ah