Association between endometrial blood and clinical outcome in frozen single blastocyst transfer cycles

Background: The success of embryo transfer cycle depends mainly on the quality of embryo and endometrial receptivity. Ultrasound examination is still the most widely used non-invasive evaluation method for its advantages of convenience, non-invasiveness and repeatability. Ultrasound-measured endometrial blood flow is one of the important evaluation indicators of morphology.Aims: To investigate the effect of the number of endometrial blood flow branches on pregnancy outcome of frozen-thawed embryo transfer cycles which have undergoing hormone replacement therapy (HRT-FET).Material and methods: A retrospective cohort study was performed looking at a total of 1390 HRT-FET cycles from our reproductive medicine center between January 2017 to December 2021, which transferred one blastocyst frozen on day 5 with good quality in morphology. Associations between endometrial blood flow branches and pregnancy outcomes were evaluated with multivariable linear regression analysis.Results: The number of endometrial blood flow branches was independently associated with clinical pregnancy (OR 1.10; 95% CI 1.02–1.20). After adjusting for potential confounders, the effect size (odds ratio) was 1.09 (95% CI 1.00–1.19), and the results showed that the clinical pregnancy rate and live birth rate of T2 and T3 groups were significantly higher than those in group T1 (p < 0.05). Subgroup analysis showed that a consistent association between the endometrial blood flow branches and clinical pregnancy in all subgroups.Conclusion: Our study provided evidence for the influence of endometrial blood flow on pregnancy outcomes. There may be an independent association between the number of endometrial blood flow branches and pregnancy outcomes in frozen-thawed single blastocyst transfer cycles

Clinical Implementation of Chromosomal Microarray Analysis: Summary of 2513 Postnatal Cases

BACKGROUND: Array Comparative Genomic Hybridization (a-CGH) is a powerful molecular cytogenetic tool to detect genomic imbalances and study disease mechanism and pathogenesis. We report our experience with the clinical implementation of this high resolution human genome analysis, referred to as Chromosomal Microarray Analysis (CMA). METHODS AND FINDINGS: CMA was performed clinically on 2513 postnatal samples from patients referred with a variety of clinical phenotypes. The initial 775 samples were studied using CMA array version 4 and the remaining 1738 samples were analyzed with CMA version 5 containing expanded genomic coverage. Overall, CMA identified clinically relevant genomic imbalances in 8.5% of patients: 7.6% using V4 and 8.9% using V5. Among 117 cases referred for additional investigation of a known cytogenetically detectable rearrangement, CMA identified the majority (92.5%) of the genomic imbalances. Importantly, abnormal CMA findings were observed in 5.2% of patients (98/1872) with normal karyotypes/FISH results, and V5, with expanded genomic coverage, enabled a higher detection rate in this category than V4. For cases without cytogenetic results available, 8.0% (42/524) abnormal CMA results were detected; again, V5 demonstrated an increased ability to detect abnormality. Improved diagnostic potential of CMA is illustrated by 90 cases identified with 51 cryptic microdeletions and 39 predicted apparent reciprocal microduplications in 13 specific chromosomal regions associated with 11 known genomic disorders. In addition, CMA identified copy number variations (CNVs) of uncertain significance in 262 probands; however, parental studies usually facilitated clinical interpretation. Of these, 217 were interpreted as familial variants and 11 were determined to be de novo; the remaining 34 await parental studies to resolve the clinical significance. CONCLUSIONS: This large set of clinical results demonstrates the significantly improved sensitivity of CMA for the detection of clinically relevant genomic imbalances and highlights the need for comprehensive genetic counseling to facilitate accurate clinical correlation and interpretation

Crosstalk between septic shock and venous thromboembolism: a bioinformatics and immunoassay analysis

BackgroundHerein, we applied bioinformatics methods to analyze the crosstalk between septic shock (SS) and venous thromboembolism (VTE), focusing on the correlation with immune infiltrating cells.MethodsExpression data were obtained from the Gene Expression Omnibus (GEO) database, including blood samples from SS patients (datasets GSE64457, GSE95233, and GSE57065) and VTE patients (GSE19151). We used the R package “limma” for differential expression analysis (p value<0.05,∣logFC∣≥1). Venn plots were generated to identify intersected differential genes between SS and VTE and conducted Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) Enrichment analysis. The protein-protein interaction (PPI) network of intersected genes was constructed by Cytoscape software. The xCell analysis identified immune cells with significant changes in VTE and SS and correlated them with significant molecular pathways of crosstalk. Finally, we validated the mRNA expression of crosstalk genes by qPCR, while Matrix Metalloprotein-9 (MMP-9) protein levels were assessed through Western blotting (WB) and Immunohistochemistry (IHC) in human umbilical vein endothelial cells (HUVECs) and mice.ResultsIn the present study, we conducted a comparison between 88 patients with septic shock and 55 control subjects. Additionally, we compared 70 patients with venous thromboembolism to 63 control subjects. Twelve intersected genes and their corresponding three important molecular pathways were obtained: Metabolic, Estrogen, and FOXO signaling pathways. The resulting PPI network has 194 nodes and 388 edges. The immune microenvironment analysis of the two diseases showed that the infiltration levels of M2 macrophages and Class-switched memory B cells were correlated with the enrichment scores of metabolic, estrogen, and FOXO signaling pathways. Finally, qPCR confirmed that the expression of MMP9, S100A12, ARG1, SLPI, and ANXA3 mRNA in the SS with VTE group was significantly elevated. WB and IHC experiments revealed that MMP9 protein was significantly elevated in the experimental group.ConclusionMetabolic, estrogen, and FOXO pathways play important roles in both SS and VTE and are related to the immune cell microenvironment of M2 macrophages and Class-switched memory B cells. MMP9 shows promise as a biomarker for diagnosing sepsis with venous thrombosis and a potential molecular target for treating this patient population

Energy Evolution and Damage Mechanism of Fractured Sandstone with Different Angles

To explore the influence of crack angle on the mechanical properties, energy evolution, and damage evolution of sandstone, uniaxial loading tests were conducted on sandstones with different crack angles. Through the stress–strain curve, the influence of the crack angle on the mechanical properties was analyzed. Based on energy theories and principles, the influence of crack angle on the energy conversion mechanism was analyzed. Based on crack angle and dissipated energy, a damage model considering the initial damage to the fractured sandstones was established. The following conclusions were drawn: (1) The strength and elastic modulus of sandstone decrease with an increase in crack angle, and Poisson’s ratio increases with an increase in crack angle; prefabricated cracks affect the crack initiation position, and accelerate the formation of fracture surfaces. (2) The stress–strain curve was divided into compaction stage, elastic stage, yield stage, and failure stage. The larger the crack angle, the longer the yield stage and the shorter the failure stage. (3) At the peak point, the elastic energy, dissipated energy, and input energy of fractured sandstone always decrease with an increase in crack angle; the energy consumption ratio increases with an increase in crack angle; and the energy storage ratio decreases with an increase in crack angle. (4) The damage variable shows a trend of slow accumulation–steady accumulation–rapid accumulation; the crack angle affects the initial damage of the specimen, and the dissipated energy affects the variation trend of the damage variable

Energy Evolution and Damage Mechanism of Fractured Sandstone with Different Angles

To explore the influence of crack angle on the mechanical properties, energy evolution, and damage evolution of sandstone, uniaxial loading tests were conducted on sandstones with different crack angles. Through the stress–strain curve, the influence of the crack angle on the mechanical properties was analyzed. Based on energy theories and principles, the influence of crack angle on the energy conversion mechanism was analyzed. Based on crack angle and dissipated energy, a damage model considering the initial damage to the fractured sandstones was established. The following conclusions were drawn: (1) The strength and elastic modulus of sandstone decrease with an increase in crack angle, and Poisson’s ratio increases with an increase in crack angle; prefabricated cracks affect the crack initiation position, and accelerate the formation of fracture surfaces. (2) The stress–strain curve was divided into compaction stage, elastic stage, yield stage, and failure stage. The larger the crack angle, the longer the yield stage and the shorter the failure stage. (3) At the peak point, the elastic energy, dissipated energy, and input energy of fractured sandstone always decrease with an increase in crack angle; the energy consumption ratio increases with an increase in crack angle; and the energy storage ratio decreases with an increase in crack angle. (4) The damage variable shows a trend of slow accumulation–steady accumulation–rapid accumulation; the crack angle affects the initial damage of the specimen, and the dissipated energy affects the variation trend of the damage variable

Biodegradation of typical BFRs 2,4,6-tribromophenol by an indigenous strain Bacillus sp. GZT isolated from e-waste dismantling area through functional heterologous expression

Legacy wastewater contaminants from e-waste dismantling process such as 2,4,6-tribromophenol (TBP), one of the most widely used brominated flame retardants (BFRs), have raised concern owing to their toxicity and recalcitrance. Our previously isolated Bacillus sp. GZT from river sludge in e-waste dismantling area is a good candidate for bioremediation of BFRs contaminated sites considering its remarkable degradability of TBP and its intermediates. However, there exists a new challenge because bio-degrader cannot produce enough biomass or metabolic activity to cleanup TBP in practice complex environment. Here, we heterologously expressed and functionally characterized the genes and enzymes responsible for TBP degradation to examine the feasibility of enhancing the ability of this microorganism to detoxify TBP. Results demonstrated that five recombinant strains containing functional genes, designated tbpA, tbpB, tbpC, tbpD, and tbpE, become more tolerant toward a wide range of brominated compounds than the nontransgenic strain. Cytochrome P450 reductase encoded by tbpA gene could greatly increase efficiency to remove TBP (98.8%), as compared to wild-type strain GZT (93.2%). Its debromination intermediates 2,4-dibromophenol, 2,6-dibromo-4-methylphenol and 2-bromophenol were significantly metabolized by halophenol dehalogenases encoded by tbpB, tbpC, and tbpD, respectively. Finally, under the function of tbpE gene encoding enzyme, further debrominated product (phenol) was dramatically detoxified. To reduce the risk of these xenobiotics, the expression of these genes can be induced and significantly up-regulated during exposure to them. These results open broad scope for future study in developing genetic engineering technologies for more efficient remediation wastewater of e-waste recycling sites contaminated with TBP, which would certainly be important steps to lower TBP exposures and prevent potential health effects. (C) 2019 Elsevier B.V. All rights reserved

Development, Performance, and Microscopic Analysis of New Anchorage Agent with Heat Resistance, High Strength, and Full Length

To solve the difficult problems of failure of pretensioned bolt supports under high ground pressure and temperature, a new kind of anchorage agent with excellent performance is developed. First, the selection and compounding of raw materials were conducted. The new anchorage agent was obtained by modifying the PET resin by mixing with a phenolic epoxy vinyl ester resin (FX-470 resin) and adding a KH-570 silane coupling agent. Then, the viscosity, thermal stability, compressive strength under different temperatures, and anchorage capacity of the new anchorage agent were tested. Moreover, the best proportion ratio of anchorage agent by mixing resin : coarse stone powder : fine stone powder : accelerator : curing agent : KH-570 = 100 : 275 : 275 : 1 : 32.5 : 1 is obtained. The test results showed that, with the addition of a KH-570 silane coupling agent, the viscosity decreased significantly, thereby solving the difficult technical problems of pretensioned bolt supports in full-length anchorage support. Compared with the conventional anchorage agent, the compressive strength of the new anchorage agent increased by 20.4, 82.5, 118.2, and 237.5% at 10, 50, 80, and 110°C, respectively, and the anchorage capacity increased by 4.7, 8.7, 40.2, and 62.9% at 30, 50, 80, and 110°C, respectively. Finally, the enhancement in compressive strength and heat-resistant mechanism are revealed through microanalysis

Association Between the Severity of Obstructive Sleep Apnea and the Risk Stratification of Acute Pulmonary Embolism

Obstructive sleep apnea (OSA) has been associated with the initiation and progression of cardiovascular disease. This study aimed to explore the relationship between the severity of OSA and the risk stratification of acute pulmonary embolism (PE). In this single-center cohort study, patients diagnosed with PE were evaluated for OSA via polygraphy monitoring. The simplified PE severity index (sPESI) and the number of patients requiring systemic thrombolysis were used to determine the severity of the disease. Echocardiography was performed on all participants. All patients were divided into 2 groups (OSA group and non-OSA group), and the patients in OSA group were then divided into 3 groups based on the severity of OSA. Patients with severe OSA had a significantly higher number of patients with sPESI ≥ 1 ( P  = .005). A higher proportion of patients with severe OSA require systemic thrombolysis ( P  = .010). Patients with apnea–hypopnea index (AHI) > 30/h had a much higher fibrinogen ( P  = .004) and D-dimer ( P  = .040) level than those in the non-OSA group. The levels of creatinine were significantly higher in patients with OSA ( P  = .040). Echocardiography showed a significant difference in left ventricular ejection fraction (LVEF) between patients in non-OSA and severe OSA groups ( P  = .035). And brain natriuretic peptide (BNP) also exhibited a progressive worsening related to the deepest desaturation and oxygen desaturation index. OSA, especially with AHI > 30/h, is correlated with the severity and prognosis of acute PE. This might be attributed to the prothrombotic effect, renal impairment, and cardiac dysfunction in patients with severe OSA