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Background: Ovarian Hyperstimulation Syndrome (OHSS) is a severe complication of assisted reproductive therapy. Patients with severe OHSS are complicated with pleuroperitoneal effusion, while isolated pleural effusion is clinically rare. Previous studies have shown that isolated unilateral pleural effusion caused by OHSS mostly involves the right side. Among the 14 patients with severe OHSS complicated with isolated pleural effusion admitted to our hospital from April 2020 to December 2024, the proportion of right-sided effusion was 85.71%, which was consistent with the literature reports. All patients recovered and were discharged after multidisciplinary diagnosis, treatment and nursing care. This study aimed to summarize the nursing experience and provide a reference for clinical practice. Methods: A retrospective analysis was conducted on the nursing methods for 14 patients with severe OHSS complicated by isolated pleural effusion (IPE) who underwent puncture and drainage between April 2020 and December 2024. Results: All 14 patients completed thoracentesis and drainage, their symptoms were controlled, and each patient quickly navigated the critical period. Conclusions: Dynamic patient monitoring of the condition, standardized preoperative preparation, full-cycle catheter management, individualized psychological care, and multi-dimensional thrombosis prevention represent the main nursing measures for patients with severe OHSS complicated by IPE undergoing thoracentesis and drainage.

Human hepatitis B virus (HBV) infection and HBV-related diseases remain a major public health problem. Individuals coinfected with its satellite hepatitis D virus (HDV) have more severe disease. Cellular entry of both viruses is mediated by HBV envelope proteins. The pre-S1 domain of the large envelope protein is a key determinant for receptor(s) binding. However, the identity of the receptor(s) is unknown. Here, by using near zero distance photo-cross-linking and tandem affinity purification, we revealed that the receptor-binding region of pre-S1 specifically interacts with sodium taurocholate cotransporting polypeptide (NTCP), a multiple transmembrane transporter predominantly expressed in the liver. Silencing NTCP inhibited HBV and HDV infection, while exogenous NTCP expression rendered nonsusceptible hepatocarcinoma cells susceptible to these viral infections. Moreover, replacing amino acids 157–165 of nonfunctional monkey NTCP with the human counterpart conferred its ability in supporting both viral infections. Our results demonstrate that NTCP is a functional receptor for HBV and HDV. Liver diseases related to the human hepatitis B virus (HBV) kill about 1 million people every year, and more than 350 million people around the world are infected with the virus. Some 15 million of these people are also infected with the hepatitis D virus (HDV), which is a satellite virus of HBV, and this places them at an even higher risk of liver diseases, including cancer. The viruses are known to enter liver cells by binding to receptors on their surface before being engulfed. Both HBV and HDV have outer coats that consist of three kinds of envelope proteins, and a region called the pre-S1 domain in one of them is known to have a central role in the interaction between the viruses and the receptors and, therefore, in infecting the cells. However, the identity of the HBV receptor has remained a mystery. Now Yan et al. have identified this receptor to be sodium taurocholate cotransporting polypeptide. This protein, known as NTCP for short, is normally involved in the circulation of bile acids in the body. In addition to humans, only two species are known to be susceptible to infection by human HBV and HDV—chimpanzees and a small mammal known as the treeshrew. Yan et al. started by isolating primary liver cells from treeshrews, and then used a combination of advanced purification and mass spectrometry analysis to show that the NTCP on the surface of the cells interacts with the pre-S1 domain in HBV. The authors then performed a series of gene knockdown experiments on liver cells of both human and treeshrew origin: when the gene that codes for NTCP was silenced, HBV infection was greatly reduced. Moreover, they were able to transfect HepG2 cells—which are widely used in research into liver disease, but are not susceptible to HBV and HDV infection—with NTCP from humans and treeshrews to make them susceptible. Similarly, although monkeys are not susceptible to HBV, replacing just five amino acids in monkey NTCP with their human counterparts was enough to make the monkey NTCP a functional receptor for the viruses. In the past, basic research into HBV and the development of antiviral therapeutics have both been hindered by the lack of suitable in vitro infection systems and animal models. Now, the work of Yan et al. means that it will be possible to use NTCP-complemented HepG2 cells for challenges as diverse as fundamental studies of basic viral entry/replication mechanisms and large-scale drug screening. It is also possible that HBV and HDV infection might interfere with some of the important physiological functions carried out by NTCP, so the latest work could also be of interest to medical scientists working on other diseases related to these infections.

Berberine has drawn extensive attention toward their wide range of biochemical and pharmacological effects, including antineoplastic effect in recent years, but the precise mechanisms remain unclear. Treatment of human breast cancer cells (MCF-7 and MDA-MB-231 cells) with berberine induced inhibition of cell viability in concentration- and time-dependent manner irrespective of their estrogen receptor (ER) expression. Hoechst33342 staining confirmed berberine induced breast cancer cell apoptosis in time-dependent manner. Because apoptosis induction is considered to be a crucial strategy for cancer prevention and therapy, berberine may be an effective chemotherapeutic agent against breast cancer. To explore the precise mechanism, berberine-induced oxidative stress and mitochondrial-related apoptotic pathway in human breast cancer cells were investigated in this study. In both MCF-7 and MDA-MB-231 cells, berberine increased the production of reactive oxygen species (ROS), which activated the pro-apoptotic JNK signaling. Phosphorylated JNK triggered mitochondria membrane potential (ΔΨm) depolarization and downregulation expression of anti-apoptotic protein Bcl-2 concomitant with the upregulation expression of pro-apoptotic protein Bax. Downregulation of anti-apoptotic Bcl-2 family protein in parallel with loss of ΔΨm, leading to increased the release of cytochrome c and apoptosis-inducing factor (AIF) from mitochondria, and eventually triggered the caspase-dependent and caspase-independent apoptosis. Taken together, our study reveled that berberine exerted an antitumor activity in breast cancer cells by reactive oxygen species generation and mitochondrial-related apoptotic pathway. These finding provide an insight into the potential of berberine for breast cancer therapy.

The development of highly active and stable photocatalysts, an effective way to remediate environment pollution and alleviate energy shortages, remains a challenging issue. In this work, a CdIn2S4/In(OH)3 nanocomposite was deposited in-situ on NiCr-LDH nanosheets by a simple hydrothermal method, and the obtained CdIn2S4/In(OH)3/NiCr-LDH heterostructure photocatalysts with multiple intimate-contact interfaces exhibited better photocatalytic activity. The photocatalytic H2 evolution rate of CdIn2S4/In(OH)3/NiCr-LDH increased to 10.9 and 58.7 times that of the counterparts CdIn2S4 and NiCr-LDH, respectively. Moreover, the photocatalytic removal efficiency of Cr(VI) increased from 6% for NiCr-LDH and 75% for CdIn2S4 to 97% for CdIn2S4/In(OH)3/NiCr-LDH. The enhanced photocatalytic performance was attributed to the formation of multi-interfaces with strong interfacial interactions and staggered band alignments, which offered multiple pathways for carrier migration, thus promoting the separation efficiency of photo-excited electrons and holes. This study demonstrates a facile method to fabricate inexpensive and efficient heterostructure photocatalysts for solving environmental problems.

Gliomas, particularly glioblastomas, are highly malignant brain tumors with high recurrence rates and poor prognosis. Despite advances in treatment, recurrence remains a major challenge. Epithelial-mesenchymal transition (EMT) plays a key role in tumor invasion and recurrence. This study explores the transcriptional and regulatory mechanisms driving glioma recurrence, focusing on mesenchymal-like (MES-like) subpopulations. Single-nucleus RNA sequencing was performed on 52 IDH wild-type GBM specimens, including 26 primary and 26 recurrent tumors. Spatial transcriptomics data were also incorporated. Tumor subpopulations were identified through gene regulatory network analysis, copy number variation detection, and nonnegative matrix factorization. Functional validation was conducted using gene knockdown experiments, followed by xenograft studies. We discovered novel MES-like subpopulations in recurrent GBM enriched with EMT-related genes like EGR1 and SERPINE1 . These subpopulations exhibited increased transcriptional activity and were associated with poor prognosis and invasiveness. Knockdown of SERPINE1 significantly reduced cell proliferation and migration. Spatial transcriptomics showed MES-like cells concentrated at the tumor margins, highlighting their role in invasion and recurrence. MES-like subpopulations, driven by EGR1 and SERPINE1 , are critical in GBM. Targeting these regulators could offer new therapeutic strategies to reduce glioma recurrence and improve outcomes.

The strong generalized minimum label spanning tree problem (SGMLSTP) is to search the minimum label spanning tree (MLST) from an edge-labeled graph (ELG), in which each edge is associated with one or more labels. The SGMLSTP commonly exists in reality and is proven to be NP-hard. In recent years, researchers have proposed some algorithms; however, because the label coexistence relationship is not properly considered, high computing costs and lower efficiency are still severe obstacles, especially when the graphs are large. In this paper, we rewrite the SGMLSTP model and decompose the problem into two sub-problems: one is to search a connected sub-graph with minimum labels from the original graph, and the other is to search a spanning tree from the sub-graph. As the latter sub-problem is solved, we focus on the former and propose a community-based zigzag piloting algorithm. First, a label graph is derived from the original edge-labeled graph. Then, the label graph is partitioned, and some label community (or community combinations) is chosen to form an initial solution. Finally, the zigzag piloting process is applied to adjust the initial solution. Different from current algorithms that do not consider label coexistence relationships, the proposed algorithm partitions labels and finds the initial solution quickly; the zigzag piloting process improves the solution. Experimental results on typical benchmark datasets show better effectiveness and performance of our algorithm than that of the state-of-the-art algorithms.

Background. Diabetic endotoxemia has been recognized as one of the hallmarks of type 2 diabetes mellitus (T2DM). Recent findings suggest that gut leak plays a pivotal role in diabetic endotoxemia. Cortex Mori (CM) has been widely applied in China to ameliorate development of T2DM, but its effect on endotoxemia is unknown. Methods. The study was constructed with two parts: (1) in vivo study of CM on diabetic endotoxemia in db/db mice. Eight C57BL/6 mice were set as normal control; (2) in vitro study of mulberroside A (MBA) from CM on diabetic endotoxemia. Potential mechanism of MBA on ameliorating diabetic endotoxemia was also explored. Results. The present study found that CM water extract decreased levels of blood glucose, ameliorated liver and renal damage in db/db mice, and ameliorated diabetic endotoxemia (p<0.01). We also found that the water extract enhanced gut integrity and decreased gut inflammatory protein ICAM-1 expression in db/db mice as detected by H&E staining and immunohistochemistry methods. In the in vitro study, MBA decreased levels of MDA and ROS induced by LPS (p<0.01) and enhanced the integrity of gut epithelial barrier (p<0.01). Conclusions. We found that Cortex Mori and its active component mulberroside A could ameliorate diabetic endotoxemia by preserving gut integrity.

The development of highly active and stable photocatalysts, an effective way to remediate environment pollution and alleviate energy shortages, remains a challenging issue. In this work, a CdIn S /In(OH) nanocomposite was deposited in-situ on NiCr-LDH nanosheets by a simple hydrothermal method, and the obtained CdIn S /In(OH) /NiCr-LDH heterostructure photocatalysts with multiple intimate-contact interfaces exhibited better photocatalytic activity. The photocatalytic H evolution rate of CdIn S /In(OH) /NiCr-LDH increased to 10.9 and 58.7 times that of the counterparts CdIn S and NiCr-LDH, respectively. Moreover, the photocatalytic removal efficiency of Cr(VI) increased from 6% for NiCr-LDH and 75% for CdIn S to 97% for CdIn S /In(OH) /NiCr-LDH. The enhanced photocatalytic performance was attributed to the formation of multi-interfaces with strong interfacial interactions and staggered band alignments, which offered multiple pathways for carrier migration, thus promoting the separation efficiency of photo-excited electrons and holes. This study demonstrates a facile method to fabricate inexpensive and efficient heterostructure photocatalysts for solving environmental problems.

ObjectiveSurgical management of arteriovenous malformations (AVMs) involving motor cortex or fibre tracts (M-AVMs) is challenging. This study aimed to construct a classification system based on nidus locations and anterior choroidal artery (AChA) feeding to pre-surgically evaluate motor-related and seizure-related outcomes in patients undergoing resection of M-AVMs.Methods and materialsA total of 125 patients who underwent microsurgical resection of M-AVMs were retrospectively reviewed. Four subtypes were identified based on nidus location: (I) nidus involving the premotor area and/or supplementary motor areas; (II) nidus involving the precentral gyrus; (III) nidus involving the corticospinal tract (CST) and superior to the posterior limb of the internal capsule; (IV) nidus involving the CST at or inferior to the level of posterior limb of the internal capsule. In addition, we divided type IV into type IVa and type IVb according to the AChA feeding. Surgical-related motor deficit (MD) evaluations were performed 1 week (short-term) and 6 months (long-term) after surgery.ResultsThe type I patients exhibited the highest incidence (62.0%) of pre-surgical epilepsy among the four subtypes. Multivariate analysis showed that motor-related area subtypes (p=0.004) and diffuse nidus (p=0.014) were significantly associated with long-term MDs. Long-term MDs were significantly less frequent in type I than in the other types. Type IV patients acquired the highest proportion (four patients, 25.0%) of long-term poor outcomes (mRS >2). Type IVb patients showed a significantly higher incidence of post-surgical MDs than type IVa patients (p=0.041). The MDs of type III or IV patients required more recovery time. Of the 62 patients who had pre-surgical seizures, 90.3% (56/62) controlled their seizures well and reached Engel class I after surgery.ConclusionsCombining the consideration of location and AChA feeding, the classification for M-AVMs is a useful approach for predicting post-surgical motor function and decision-making.