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  1. Article ; Online: Rapid Detection of SARS-CoV-2 in Clinical and Environmental Samples via a Resonant Cavity SERS Platform within 20 min.

    Huang, Jinglin / Wang, Conghui / Wang, Pingshi / Mo, Wenbo / Zhou, Minjie / Le, Wei / Qi, Daojian / Wei, Lai / Fan, Quanping / Yang, Yue / Ni, Shuang / Wu, Yan / Feng, Yuliang / Wang, Xiang / Zhao, Zongqing / He, Zhibing / Zhang, Haijun / Xue, Peili / Ren, Bin /
    Ren, Lili / Pan, Ming / Du, Kai

    ACS applied materials & interfaces

    2023  

    Abstract: ... and rapid detection of SARS-CoV-2 antigen within 20 min by the combination of a highly consistent SERS ...

    Abstract The coronavirus disease 2019 (COVID-19) epidemic has given a warning that it is important to explore the rapid detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in clinical specimens or environmental samples for public health strategies and future variants. The surface-enhanced Raman spectroscopy (SERS) technique was demonstrated to achieve this goal. However, the consistency of signals originating from the poor compatibility of virions with SERS hotspots remains a key scientific challenge for the practical applications of SERS. Herein, we develop a SERS platform for the ultrasensitive and rapid detection of SARS-CoV-2 antigen within 20 min by the combination of a highly consistent SERS substrate and a supervised deep learning algorithm. A V-shaped resonant cavity array (VRC) substrate was fabricated to trap SARS-CoV-2 virions in the periodic V cavity array and stimulate the integral SERS signal of the virus via a resonance coupling effect. Benefiting from the unique architecture of the VRC substrate, we were able to directly detect the SARS-CoV-2 virus with high sensitivity and high consistency. These excellent performances enabled us to identify five different kinds of SARS-CoV-2 variants and detect SARS-CoV-2 from clinical and environmental samples with high accuracies.
    Language English
    Publishing date 2023-10-25
    Publishing country United States
    Document type Journal Article
    ISSN 1944-8252
    ISSN (online) 1944-8252
    DOI 10.1021/acsami.3c08819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Exploration of the minimal clinically important difference value of the 3-min simulated pedal motion in patients with chronic obstructive pulmonary disease: A self-controlled prospective clinical trial.

    Zhang, Xiaoting / Liu, Ni / Yang, Feng / Su, Guansheng / Hu, Jieying / Chen, Rongchang / Zheng, Zeguang

    The clinical respiratory journal

    2023  Volume 17, Issue 9, Page(s) 951–961

    Abstract: ... can complete the 6-min walking distance (6MWD) and cardiopulmonary exercise testing (CPET).: Methods ... In this study, we discuss the definition of the standardized 3-min simulated pedal motion (3MSPM) test and ...

    Abstract Background: To help elderly patients with severe or very severe chronic obstructive pulmonary disease (COPD) with pulmonary rehabilitation, we have developed Zheng's supine rehabilitation exercise (ZSRE). Currently, none of the terminal or critically ill patients with severe exercise limitation can complete the 6-min walking distance (6MWD) and cardiopulmonary exercise testing (CPET).
    Methods: In this study, we discuss the definition of the standardized 3-min simulated pedal motion (3MSPM) test and its operational specifications. Also, we evaluate the minimal clinically important difference (MCID) value of the 3MSPM.
    Results: The results showed that the mMRC score of COPD patients with acute exacerbation of dyspnea was progressively reduced from the second day of respiratory rehabilitation, and the difference between the first and seventh days was statistically significant (p < 0.000, χ
    Conclusion: Based on the regression equation, 3MSPM can predict 6MWD, and it can be used as a simple exercise endurance method to evaluate patients with safety hazards in underground activities or who cannot complete the 6MWD test. The minimum clinically important difference value is increased by 23.
    MeSH term(s) Humans ; Aged ; Prospective Studies ; Minimal Clinically Important Difference ; Pulmonary Disease, Chronic Obstructive ; Exercise Test ; Exercise ; Exercise Tolerance
    Language English
    Publishing date 2023-08-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2442214-9
    ISSN 1752-699X ; 1752-6981
    ISSN (online) 1752-699X
    ISSN 1752-6981
    DOI 10.1111/crj.13687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Attribution Analysis of Runoff Change in Min-Tuo River Basin based on SWAT model simulations, China.

    Hu, Jian / Ma, Jie / Nie, Chao / Xue, Lianqing / Zhang, Yang / Ni, Fuquan / Deng, Yu / Liu, Jinshan / Zhou, Dengke / Li, Linhuan / Wang, Zhigang

    Scientific reports

    2020  Volume 10, Issue 1, Page(s) 2900

    Abstract: ... on runoff, we examined the changes and response mechanisms of runoff in the Min-Tuo River Basin, China ... to the runoff alteration in the Min-Tuo River Basin using the Budyko methods. The results suggested ... The aridity index and all the elasticities showed a spatial variations in the Min-Tuo River Basin ...

    Abstract To consummate watershed data and better quantify the impact of climate changes and human activities on runoff, we examined the changes and response mechanisms of runoff in the Min-Tuo River Basin, China. In the examination, the Soil and Water Assessment Tool (SWAT) model was used to simulate possible evapotranspiration, actual evapotranspiration, and runoff in 1980, 1990, 1995, 2000, 2005, 2010, and 2015 under different land-use conditions. SWAT weather generator was used to supplement the missing meteorological data. This study presents a quantitative analysis of the climatic and anthropogenic factors contributing to the runoff alteration in the Min-Tuo River Basin using the Budyko methods. The results suggested that the reduced precipitation was the main cause of runoff reduction. The contributions of precipitation, possible evapotranspiration, and underlying surface alterationsof runoff were 56.18%, 37.08%, and 6.74%, respectively. Sensitivity analysis indicated that the runoff alteration was most sensitive to changes of landscape parameters. The aridity index and all the elasticities showed a spatial variations in the Min-Tuo River Basin. The influence of the three factors on runoff reduction varied with seasons. During the high-flow period, changes of the precipitation and possible evapotranspiration and underlying surface had the greatest effect on runoff reduction, while changes of underlying surfaces had the least effect.
    Language English
    Publishing date 2020-02-19
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-020-59659-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mesenchymal stem cells combined with traditional Chinese medicine (qi-fang-bi-min-tang) alleviates rodent allergic rhinitis.

    Fu, Yanxia / Kong, Yanhua / Li, Jun / Wang, Yi / Li, Mengdi / Wang, Ying / Wang, Yinyin / Ren, Fangli / Ni, Jian / Li, Youlin / Chang, Zhijie

    Journal of cellular biochemistry

    2019  Volume 121, Issue 2, Page(s) 1541–1551

    Abstract: ... immune reactions. Traditional Chinese medicine (TCM), qi-fang-bi-min-tang, is effective for some patients ... of allergic rhinitis (AR). In this study, we reported an additional effect of TCM (qi-fang-bi-min-tang ... through regulating the secretion of Th1, Th2, and Th17 cytokines. This study suggested that TCM (qi-fang-bi-min-tang ...

    Abstract Mesenchymal stem cells (MSCs) have been proved to exert anti-inflammatory effects and regulate immune reactions. Traditional Chinese medicine (TCM), qi-fang-bi-min-tang, is effective for some patients with allergic diseases. However, it remains unclear whether MSCs combined with TCM could benefit the treatment of allergic rhinitis (AR). In this study, we reported an additional effect of TCM (qi-fang-bi-min-tang) on the therapy of AR under MSCs treatment. Intriguingly, we observed that TCM-treated MSCs significantly inhibited the symptoms of AR and reduced the pathological changes of nasal mucosa in ovalbumin (OVA)-induced rats. The expression levels of interferon γ (IFN-γ), interleukin-17 (IL-17), and IL-4 were significantly decreased in the plasma of AR rats after injection of TCM-treated MSCs. TCM-treated MSCs reduced the levels of histamine secreted by mast cells and immunoglobulin E (IgE) secreted by plasma cells. In addition, we found that MSCs combined with TCM had a better therapeutic effect than TCM alone on AR in an OVA-induced mouse model. After OVA induction, MSCs combined with TCM significantly reduced the ratio of T helper type 1 (Th1), Th2, and Th17, but increased the proportion of Treg in the spleen of mice. Consistently, the expression levels of IFN-γ, IL-4, and IL-17 were significantly decreased, but transforming growth factor-β1 was significantly increased in the plasma of AR mice after treated with TCM and MSCs. Our results from both rats and mice indicated that the effects of TCM combined with MSCs on the AR might be through regulating the secretion of Th1, Th2, and Th17 cytokines. This study suggested that TCM (qi-fang-bi-min-tang)-treated MSCs could be used in the clinical therapy of AR.
    MeSH term(s) Allografts ; Animals ; Cytokines/immunology ; Drugs, Chinese Herbal/pharmacology ; Male ; Mesenchymal Stem Cell Transplantation ; Mesenchymal Stem Cells/immunology ; Mesenchymal Stem Cells/pathology ; Mice ; Mice, Inbred BALB C ; Rats ; Rats, Sprague-Dawley ; Rhinitis, Allergic/immunology ; Rhinitis, Allergic/pathology ; Rhinitis, Allergic/therapy ; T-Lymphocytes, Helper-Inducer/immunology ; T-Lymphocytes, Helper-Inducer/pathology
    Chemical Substances Cytokines ; Drugs, Chinese Herbal
    Language English
    Publishing date 2019-09-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 392402-6
    ISSN 1097-4644 ; 0730-2312
    ISSN (online) 1097-4644
    ISSN 0730-2312
    DOI 10.1002/jcb.29389
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Nitrous oxide concentration and flux in Min River Basin of southeast China: Effects of land use, stream order and water variables

    Li, Xiaofei / Sardans, Jordi / Qi, Mengting / Ni, Xiangyin / Zhang, Mingfeng / Peñuelas, Josep / Yue, Kai / Wu, Fuzhong

    Journal of Hydrology. 2022 Nov., v. 614 p.128507-

    2022  

    Abstract: ... concentration and water–air interface N₂O flux across the land uses and stream orders in Min River Basin ...

    Abstract Estimates of riverine nitrous oxide (N₂O) emissions have great uncertainty partly due to the fact that the data is still sparse for stream sizes and land uses. Here we determined water dissolved N₂O concentration and water–air interface N₂O flux across the land uses and stream orders in Min River Basin of southeast China. N₂O concentrations ranged from 11.1 to 27.4 nmol/L, increasing from first- to eighth-order rivers. The first- and second-order streams showed negative N₂O flux (−0.33 and −0.05 µg m⁻²h⁻¹, respectively) compared to third- to eighth-order rivers (from 0.29 to 2.85 µg m⁻²h⁻¹). Average N₂O flux was significantly higher in urban (1.60 µg m⁻²h⁻¹) and cropland rivers (0.89 µg m⁻²h⁻¹) than in forest rivers (−0.47 µg m⁻²h⁻¹), which could be due to the main effect of land use was on the nitrogen load. Indirect N₂O emission factor varied between 0.035 and 0.14 % across the rivers, which decreased from the urban to forest rivers and were lower than the IPCC default value (0.26 %). N₂O concentration and flux were positively correlated with NO₃⁻, NH₄⁺, depth, velocity and temperature, suggesting the importance of stream surface hydromoprhology to N₂O emissions. Land use indirectly affected N₂O flux by affecting water NO₃⁻, NH₄⁺, DO, DOC, pH and temperature, which could further explain the land use dependence of N₂O emissions on water variables. High DOC:NO₃⁻ ratio (>6) was the main factor of N₂O sink in the small streams, which may be due to the enhanced N₂O consumption and low N₂O production. Therefore, riverine N₂O emissions are highly variable across stream sizes and land uses, which are not only increased by inorganic nitrogen load and are also dependent on stream hydraulics and morphology.
    Keywords cropland ; emissions factor ; fluid mechanics ; forests ; hydrology ; land use ; liquid-air interface ; nitrogen ; nitrous oxide ; pH ; riparian areas ; streams ; temperature ; uncertainty ; watersheds ; China ; Stream order ; Emission factor ; Min River Basin
    Language English
    Dates of publication 2022-11
    Publishing place Elsevier B.V.
    Document type Article ; Online
    ZDB-ID 1473173-3
    ISSN 1879-2707 ; 0022-1694
    ISSN (online) 1879-2707
    ISSN 0022-1694
    DOI 10.1016/j.jhydrol.2022.128507
    Database NAL-Catalogue (AGRICOLA)

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  6. Article ; Online: Transformational Leadership in Human Resources Development to Improve Education Quality in Min 9 Blitar and Mi Wakhid Hasyim Blitar

    Ibadul Mutho'i / Akhyak Akhyak / Syamsun Ni'am / Ngainun Naim / Asrop Safi'i / Maftukhin Maftukhin

    Technium Social Sciences Journal, Vol 17, Iss

    2021  Volume 1

    Abstract: Transformational leadership is an effort to improve the quality of educational institutions. Transformational leadership is an effort to move educational organizations / institutions to achieve educational goals with all transformational attributes. ... ...

    Abstract Transformational leadership is an effort to improve the quality of educational institutions. Transformational leadership is an effort to move educational organizations / institutions to achieve educational goals with all transformational attributes. These attributes are packaged in the form; efforts to establish a vision-mission or set the direction of the school, efforts to develop human resources (HR), and transformational leadership efforts in redesigning the organization. This phenomenon raises an idea in the form of transformational leadership in improving the quality of education with all its attributes. This research uses a qualitative approach, a type of case study with a multi-case design. The results showed that transformational leadership in developing human resources was carried out by increasing the level of higher education, workshop activities, training and competency improvement training, religious motivation, performance appraisal, fingerprinting, good examples, external tutors, adding authority and position.
    Keywords Transformational Leadership ; Human Resource Development ; Education Quality ; Social sciences (General) ; H1-99
    Subject code 370
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher Technium Science
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: A novel approach to assess the spontaneous gastrointestinal bleeding risk of antithrombotic agents using Apc(min/+) mice.

    Wei, Huijun / Shang, Jin / Keohane, CarolAnn / Wang, Min / Li, Qiu / Ni, Weihua / O'Neill, Kim / Chintala, Madhu

    Thrombosis and haemostasis

    2014  Volume 111, Issue 6, Page(s) 1121–1132

    Abstract: ... pathologies such as GI ulcerations and polyps. Apc(min/+) mice are reported to develop multiple adenomas ... of Apc(min/+) mice as a model for assessing spontaneous GI bleeding with antithrombotic agents. Apc(min ... in bleeding, Apc(min/+) mice were in a hypercoagulable state and displayed an age-dependent increase ...

    Abstract Assessment of the bleeding risk of antithrombotic agents is usually performed in healthy animals with some form of vascular injury to peripheral organs to induce bleeding. However, bleeding observed in patients with currently marketed antithrombotic drugs is typically spontaneous in nature such as intracranial haemorrhage (ICH) and gastrointestinal (GI) bleeding, which happens most frequently on top of preexisting pathologies such as GI ulcerations and polyps. Apc(min/+) mice are reported to develop multiple adenomas through the entire intestinal tract and display progressive anaemia.In this study, we evaluated the potential utility of Apc(min/+) mice as a model for assessing spontaneous GI bleeding with antithrombotic agents. Apc(min/+) mice exhibited progressive blood loss starting at the age of nine weeks. Despite the increase in bleeding, Apc(min/+) mice were in a hypercoagulable state and displayed an age-dependent increase in thrombin generation and circulating fibrinogen as well as a significant decrease in clotting times. We evaluated the effect of warfarin, dabigatran etexilate, apixaban and clopidogrel in this model by administering them in diet or in the drinking water to mice for 1-4 weeks. All of these marketed drugs significantly increased GI bleeding in Apc(min/+) mice, but not in wild-type mice. Although different exposure profiles of these antithrombotic agents make it challenging to compare the bleeding risk of compounds, our results indicate that the Apc(min/+) mouse may be a sensitive preclinical model for assessing the spontaneous GI bleeding risk of novel antithrombotic agents.
    MeSH term(s) Age Factors ; Animals ; Benzimidazoles/adverse effects ; Dabigatran ; Disease Models, Animal ; Drug Evaluation, Preclinical ; Fibrinolytic Agents/adverse effects ; Gastrointestinal Hemorrhage/chemically induced ; Gastrointestinal Hemorrhage/genetics ; Genes, APC ; Male ; Mice ; Mice, Inbred C57BL ; Mice, Mutant Strains ; Pyrazoles/adverse effects ; Pyridines/adverse effects ; Pyridones/adverse effects ; Risk Factors ; Ticlopidine/adverse effects ; Ticlopidine/analogs & derivatives ; Warfarin/adverse effects
    Chemical Substances Benzimidazoles ; Fibrinolytic Agents ; Pyrazoles ; Pyridines ; Pyridones ; apixaban (3Z9Y7UWC1J) ; Warfarin (5Q7ZVV76EI) ; clopidogrel (A74586SNO7) ; Dabigatran (I0VM4M70GC) ; Ticlopidine (OM90ZUW7M1)
    Language English
    Publishing date 2014-06
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 518294-3
    ISSN 0340-6245
    ISSN 0340-6245
    DOI 10.1160/TH13-11-0926
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: YYFZBJS ameliorates colorectal cancer progression in Apc Min/+ mice by remodeling gut microbiota and inhibiting regulatory T-cell generation

    Hua Sui / Lu Zhang / Kaijuan Gu / Ni Chai / Qing Ji / Lihong Zhou / Yan Wang / Junze Ren / Limei Yang / Bimeng Zhang / Jing Hu / Qi Li

    Cell Communication and Signaling, Vol 18, Iss 1, Pp 1-

    2020  Volume 17

    Abstract: ... Apc Min/+ mice, an animal model of human intestinal tumorigenesis, to investigate the gut bacterial ... in Apc Min/+ mice with less change of body weight and increased immune function. Moreover, diversity ... CD25+ Foxp3 positive Treg cells were reduced by YYFZBJS treatment in Apc Min/+ mice. Although YYFZBJS ...

    Abstract Abstract Background Progression of Colorectal cancer (CRC) is influenced by single or compounded environmental factors. Accumulating evidence shows that microbiota can influence the outcome of cancer immunotherapy. T cell, one of the main populations of effector immune cells in antitumor immunity, has been considered as a double-edged sword during the progression of CRC. Our previous studies indicate that traditional Chinese herbs (TCM) have potential anticancer effects in improving quality of life and therapeutic effect. However, little is known about the mechanism of TCM formula in cancer prevention. Methods Here, we used C57BL/6 J Apc Min/+ mice, an animal model of human intestinal tumorigenesis, to investigate the gut bacterial diversity and their mechanisms of action in gastrointestinal adenomas, and to evaluate the effects of Yi-Yi-Fu-Zi-Bai-Jiang-San (YYFZBJS) on of colon carcinogenesis in vivo and in vitro. Through human-into-mice fecal microbiota transplantation (FMT) experiments from YYFZBJS volunteers or control donors, we were able to differentially modulate the tumor microbiome and affect tumor growth as well as tumor immune infiltration. Results We report herein, YYFZBJS treatment blocked tumor initiation and progression in Apc Min/+ mice with less change of body weight and increased immune function. Moreover, diversity analysis of fecal samples demonstrated that YYFZBJS regulated animal’s natural gut flora, including Bacteroides fragilis, Lachnospiraceae and so on. Intestinal tumors from conventional and germ-free mice fed with stool from YYFZBJS volunteers had been decreased. Some inflammation’ expression also have been regulated by the gut microbiota mediated immune cells. Intestinal lymphatic, and mesenteric lymph nodes (MLN), accumulated CD4+ CD25+ Foxp3 positive Treg cells were reduced by YYFZBJS treatment in Apc Min/+ mice. Although YYFZBJS had no inhibition on CRC cell proliferation by itself, the altered Tregs mediated by YYFZBJS repressed CRC cancer cell growth, along with reduction of ...
    Keywords Colorectal Cancer ; Apc Min/+ mice ; Gut microbiota ; Fecal microbiota transplantation ; Regulatory T cell ; Immune ; Medicine ; R ; Cytology ; QH573-671
    Subject code 570
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Comparative Analyses between Skeletal Muscle miRNAomes from Large White and Min Pigs Revealed MicroRNAs Associated with Postnatal Muscle Hypertrophy.

    Sheng, Xihui / Wang, Ligang / Ni, Hemin / Wang, Lixian / Qi, Xiaolong / Xing, Shuhan / Guo, Yong

    PloS one

    2016  Volume 11, Issue 6, Page(s) e0156780

    Abstract: ... postnatal stages (60, 120, 150, 180, and 210 days after birth) from Large White (commercial breed) and Min ... miR-204 was significantly more highly expressed in Min pig skeletal muscle at all postnatal stages ...

    Abstract The molecular mechanism regulated by microRNAs (miRNAs) that underlies postnatal hypertrophy of skeletal muscle is complex and remains unclear. Here, the miRNAomes of longissimus dorsi muscle collected at five postnatal stages (60, 120, 150, 180, and 210 days after birth) from Large White (commercial breed) and Min pigs (indigenous breed of China) were analyzed by Illumina sequencing. We identified 734 miRNAs comprising 308 annotated miRNAs and 426 novel miRNAs, of which 307 could be considered pig-specific. Comparative analysis between two breeds suggested that 60 and 120 days after birth were important stages for skeletal muscle hypertrophy and intramuscular fat accumulation. A total of 263 miRNAs were significantly differentially expressed between two breeds at one or more developmental stages. In addition, the differentially expressed miRNAs between every two adjacent developmental stages in each breed were determined. Notably, ssc-miR-204 was significantly more highly expressed in Min pig skeletal muscle at all postnatal stages compared with its expression in Large White pig skeletal muscle. Based on gene ontology and KEGG pathway analyses of its predicted target genes, we concluded that ssc-miR-204 may exert an impact on postnatal hypertrophy of skeletal muscle by regulating myoblast proliferation. The results of this study will help in elucidating the mechanism underlying postnatal hypertrophy of skeletal muscle modulated by miRNAs, which could provide valuable information for improvement of pork quality and human myopathy.
    MeSH term(s) Animals ; Animals, Newborn ; Base Sequence ; Cluster Analysis ; Gene Expression Profiling ; Gene Expression Regulation, Developmental ; Gene Library ; Gene Ontology ; Hypertrophy ; Male ; MicroRNAs/genetics ; MicroRNAs/metabolism ; Muscle, Skeletal/metabolism ; Muscle, Skeletal/pathology ; Sequence Analysis, RNA ; Sus scrofa/genetics ; Swine ; Swine, Miniature/genetics
    Chemical Substances MicroRNAs
    Language English
    Publishing date 2016-06-02
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0156780
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Serum Bilirubin and 6-min Walk Distance as Prognostic Predictors for Inoperable Chronic Thromboembolic Pulmonary Hypertension: A Prospective Cohort Study.

    Gong, Juan-Ni / Zhai, Zhen-Guo / Yang, Yuan-Hua / Liu, Yan / Gu, Song / Kuang, Tu-Guang / Xie, Wan-Mu / Miao, Ran / Wang, Chen

    Chinese medical journal

    2015  Volume 128, Issue 23, Page(s) 3125–3131

    Abstract: ... of transaminase, bilirubin, and gamma-glutamyl transpeptidase [GGT]) combined with 6-min walk test ... for this prospective cohort study. Baseline clinical characteristics and 6-min walk distance (6MWD) results were ...

    Abstract Background: Inoperable chronic thromboembolic pulmonary hypertension (CTEPH) is a severe clinical syndrome characterized by right cardiac failure and possibly subsequent liver dysfunction. However, whether serum markers of liver dysfunction can predict prognosis in inoperable CTEPH patients has not been determined. Our study aimed to evaluate the potential role of liver function markers (such as serum levels of transaminase, bilirubin, and gamma-glutamyl transpeptidase [GGT]) combined with 6-min walk test in the prediction of prognosis in patients with inoperable CTEPH.
    Methods: From June 2005 to May 2013, 77 consecutive patients with inoperable CTEPH without confounding co-morbidities were recruited for this prospective cohort study. Baseline clinical characteristics and 6-min walk distance (6MWD) results were collected. Serum biomarkers of liver function, including levels of aspartate aminotransferase, alanine aminotransferase, GGT, uric acid, and serum bilirubin, were also determined at enrollment. All-cause mortality was recorded during the follow-up period.
    Results: During the follow-up, 22 patients (29%) died. Cox regression analyses demonstrated that increased serum concentration of total bilirubin (hazard ratio [HR] = 7.755, P < 0.001), elevated N-terminal of the prohormone brain natriuretic peptide (HR = 1.001, P = 0.001), decreased 6MWD (HR = 0.990, P < 0.001), increased central venous pressure (HR = 1.074, P = 0.040), and higher pulmonary vascular resistance (HR = 1.001, P = 0.018) were associated with an increased risk of mortality. Serum concentrations of total bilirubin (HR = 4.755, P = 0.007) and 6MWD (HR = 0.994, P = 0.017) were independent prognostic predictors for CTEPH patients. Patients with hyperbilirubinemia (≥23.7 μmol/L) had markedly worse survival than those with normobilirubinemia.
    Conclusion: Elevated serum bilirubin and decreased 6MWD are potential predictors for poor prognosis in inoperable CTEPH.
    MeSH term(s) Aged ; Antihypertensive Agents/therapeutic use ; Bilirubin/blood ; Exercise Test ; Female ; Humans ; Hypertension, Pulmonary/blood ; Hypertension, Pulmonary/drug therapy ; Hypertension, Pulmonary/pathology ; Male ; Middle Aged ; Prognosis ; Prospective Studies
    Chemical Substances Antihypertensive Agents ; Bilirubin (RFM9X3LJ49)
    Language English
    Publishing date 2015-12-05
    Publishing country China
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 127089-8
    ISSN 0366-6999 ; 1002-0187
    ISSN 0366-6999 ; 1002-0187
    DOI 10.4103/0366-6999.170267
    Database MEDical Literature Analysis and Retrieval System OnLINE

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