Image_2_Case report: Heart failure secondary to myocardial infarction in a fertile woman with woven coronary artery.JPEG

A 42-year-old female was hospitalized with 2-day history of fever, dyspnea, and chest tightness. Four years ago, she had similar symptoms at the eighth week of gestation. Computed tomography coronary angiography only suggested moderate stenosis, but cardiac MRI indicated myocardial infarction. The coronary angiography demonstrated a woven coronary artery. She underwent successful coronary artery bypass grafting surgery and took medication regularly. Finally, the prognosis was favorable. Cardiovascular events seldom happen in fertile women because of the protection of estrogen, but once it occurs, the potential cause, such as coronary anomaly and other risk factors, should not be overlooked.</p

Image_1_Case report: Heart failure secondary to myocardial infarction in a fertile woman with woven coronary artery.JPEG

A 42-year-old female was hospitalized with 2-day history of fever, dyspnea, and chest tightness. Four years ago, she had similar symptoms at the eighth week of gestation. Computed tomography coronary angiography only suggested moderate stenosis, but cardiac MRI indicated myocardial infarction. The coronary angiography demonstrated a woven coronary artery. She underwent successful coronary artery bypass grafting surgery and took medication regularly. Finally, the prognosis was favorable. Cardiovascular events seldom happen in fertile women because of the protection of estrogen, but once it occurs, the potential cause, such as coronary anomaly and other risk factors, should not be overlooked.</p

Table_1_Comparison of cumulative live birth rates between progestin-primed ovarian stimulation protocol and gonadotropin-releasing hormone antagonist protocol in different populations.docx

ObjectiveTo compare cumulative live birth rate (LBR) between progestin-primed ovarian stimulation (PPOS) and GnRH antagonist protocols of preimplantation genetic testing (PGT) cycles in different populations.MethodsThis was a retrospective cohort study. A total of 865 patients were enrolled and separate analyses were performed for three populations: 498 patients with predicted normal ovarian response (NOR), 285 patients with PCOS, and 82 patients with predicted poor ovarian response (POR). The primary outcome was cumulative LBR for one oocyte retrieval cycle. The results of response to ovarian stimulation were also investigated, including numbers of oocytes retrieved, MII oocytes, 2PN, blastocysts, good-quality blastocysts, and usable blastocysts after biopsy, as well as rates of oocyte yield, blastocyst formation, good-quality blastocysts, and moderate or severe OHSS. Univariable and multivariable logistic regression analyses were used to identify potential confounders that may be independently associated with cumulative live birth.ResultsIn NOR, the cumulative LBR of PPOS protocol was significantly lower than that of GnRH antagonists (28.4% vs. 40.7%; P=0.004). In multivariable analysis, the PPOS protocol was negatively associated with cumulative LBR (adjusted OR=0.556; 95% CI, 0.377-0.822) compared to GnRH antagonists after adjusting for potential confounders. The number and ratio of good-quality blastocysts were significantly reduced in PPOS protocol compared to GnRH antagonists (2.82 ± 2.83 vs. 3.20 ± 2.79; P=0.032 and 63.9% vs. 68.5%; P=0.021), while numbers of oocytes, MII oocytes and 2PN did not show any significant difference between GnRH antagonist and PPOS protocols. PCOS patients had similar outcomes as NOR. The cumulative LBR of PPOS group appeared to be lower than that of GnRH antagonists (37.4% vs. 46.1%; P=0.151), but not significantly. Meanwhile, the proportion of good-quality blastocysts in PPOS protocol was also lower compared to GnRH antagonists (63.5% vs. 68.9%; P=0.014). In patients with POR, the cumulative LBR of PPOS protocol was comparable to that of GnRH antagonists (19.2% vs. 16.7%; P=0.772). There was no statistical difference in the number and rate of good-quality blastocysts between the two protocols in POR, while the proportion of good-quality blastocysts appeared to be higher in PPOS group compared to GnRH antagonists (66.7% vs. 56.3%; P=0.182). In addition, the number of usable blastocysts after biopsy was comparable between the two protocols in three populations.ConclusionThe cumulative LBR of PPOS protocol in PGT cycles is lower than that of GnRH antagonists in NOR. In patients with PCOS, the cumulative LBR of PPOS protocol appears to be lower than that of GnRH antagonists, albeit lacking statistical difference, whereas in patients with diminished ovarian reserve, the two protocols were comparable. Our findings suggest the need for caution when choosing PPOS protocol to achieve live births, especially for normal and high ovarian responders.</p

The characteristics of eligible studies on DCM considered in the meta-analysis.

<p>DCM, dilated cardiomyopathy; NA, not available; EF, ejection fraction; LV, left ventricular.</p

Methanol to Olefins over H‑MCM-22 Zeolite: Theoretical Study on the Catalytic Roles of Various Pores

H-MCM-22 zeolite bears three types of pores, supercages, sinusoidal channels, and pockets, and exhibits excellent catalytic performance in the process of methanol to olefins (MTO); however, the catalytic role that each type plays in MTO is still unclear. In this work, density functional theory considering dispersive interactions (DFT-D) was used to elucidate the contributions of various pores in H-MCM-22 to MTO. The results demonstrated that these three types of pores are different in their catalytic action on MTO, because of the large differences in pore size and shape that determine the space confinement and electrostatic stabilization effects. The formation of propene is predicted to take place in the supercages, where propene can be effectively produced through both polyMB and alkene cycles, with a relatively low free energy barrier as well as low enthalpy barrier and entropy loss for the rate-determining steps. In the sinusoidal channels, the free energy barrier of the methylation and cracking steps is elevated due to the space confinement and the reactivity of alkenes is also markedly depressed in the narrow channels, in comparison with those in the supercages; as a result, the contribution of the sinusoidal channels to the entire propene formation is minor. Meanwhile, the pockets are probably detrimental to MTO, as certain large intermediates such as 1,1,2,6-tetramethyl-4-isopropylbenzenium cations are easily formed in the pockets but are difficult to decompose due to the lack of an electrostatic stabilization effect from the zeolite framework, which elevates the total free energy barrier and may lead to a rapid deactivation of these active sites. In comparison with the difference in pore size and structure, the difference of various pores in the acid strength of the active sites exhibits an insignificant effect on their catalytic behaviors in MTO. The theoretical insights in this work are conducive to a subsequent investigation on the MTO mechanism and the development of better MTO catalysts and reaction processes

The distribution of polymorphism for cases and controls.

<p>DCM, dilated cardiomyopathy; HCM, hypertrophic cardiomyopathy; NA, not available.</p

The characteristics of eligible studies on HCM considered in the meta-analysis.

<p>HCM, hypertrophic cardiomyopathy; NA, not available; LV, left ventricular.</p

Flow chart of studies selection.

<p>Flow chart of studies selection.</p

Discovery of Novel Acetohydroxyacid Synthase Inhibitors as Active Agents against <i>Mycobacterium tuberculosis</i> by Virtual Screening and Bioassay

Acetohydroxyacid synthase (AHAS) has been regarded as a promising drug target against <i>Mycobacterium tuberculosis</i> (MTB) as it catalyzes the biosynthesis of branched-chain amino acids. In this study, 23 novel AHAS inhibitors were identified through molecular docking followed by similarity search. The determined IC₅₀ values range from 0.385 ± 0.026 μM to >200 μM against bacterium AHAS. Five of the identified compounds show significant in vitro activity against H37Rv strains (MICs in the range of 2.5–80 mg/L) and clinical MTB strains, including MDR and XDR isolates. More impressively, compounds <b>5</b> and <b>7</b> can enhance the killing ability against macrophages infected pathogen remarkably. This study suggests our discovered inhibitors can be further developed as novel anti-MTB therapeutics targeting AHAS

Evolution of Aromatic Species in Supercages and Its Effect on the Conversion of Methanol to Olefins over H‑MCM-22 Zeolite: A Density Functional Theory Study

H-MCM-22 zeolite is a potential catalyst for the conversion of methanol to olefins (MTO). Previous studies indicated that three types of pores in H-MCM-22, viz., the supercages, sinusoidal channels, and pockets, are different in their catalytic action; however, the evolution of aromatic species in the supercages and its effect on MTO are still highly controversial. In this work, density functional theory considering dispersive interactions (DFT-D) was used to investigate the evolution of aromatic species including their formation, reactivity, and deactivation behavior in the supercages; the active role of the supercages in catalyzing MTO was elucidated. The results demonstrated that benzene can be generated in the supercages through aromatization of light olefins; after that, polymethylbenzenes (polyMBs) are formed through methylations, in competition with the construction of naphthalenic species. Both polyMBs (e.g., hexamethylbenzene) and polymethylnaphthalenes (polyMNs, e.g. dimethylnaphthalene) exhibit high reactivity as the hydrocarbon pool species in forming light olefins. Owing to the appropriate electrostatic stabilization and space confinement effects, naphthalenic species in the supercages are inclined to serve as the active intermediates to produce light olefins rather than act as the coke precursors in the initial period of MTO; as a result, the supercages contribute actively to the initial activity of H-MCM-22 in MTO, though they may be prone to deactivation in the later reaction stage in comparison with the sinusoidal channels. The insights shown in this work help to clarify the evolution of aromatic species and the active role of the supercages in MTO over H-MCM-22, which is of benefit to the development of better MTO catalysts and reaction processes