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Prognostic factors in children with acute fulminant myocarditis receiving venoarterial extracorporeal membrane oxygenation

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World Journal of Pediatric Surgery 2022年第1期5卷 40-46页

作者： Mingwei Sun Qing Zong li fen ye Yong Fan lijun Yang Ru lin CPB/ECMO Zhejiang University School of Medicine Children's HospitalHangzhouZhejiangChina

Background Pediatric acute fulminant myocarditis(AFM)is a very dangerous disease that may lead to acute heart failure or even sudden *** reports have identified some prognostic factors in adult AFM;however,there is no such research on children with AFM on venoarterial extracorporeal membrane oxygenation(VA-ECMO).This study aimed to find relevant prognostic factors for predicting adverse clinical *** A retrospective analysis was performed in an affiliated university children’s hospital with consecutive patients receiving VA-ECMO for AFM from July 2010 to November *** children were classified into a survivor group(n=33)and a non-survivor group(n=8).Patient demographics,clinical events,laboratory findings,and electrocardiographic and echocardiographic parameters were *** Peak serum creatinine(SCr)and peak creatine kinase isoenzyme MB during ECMO had joint predictive value for in-hospital mortality(p=0.011,AUC=0.962).Based on multivariable logistic regression analysis,peak SCr level during ECMO support was an independent predictor of in-hospital mortality(OR=1.035,95%CI 1.006 to 1.064,p=0.017,AUC=0.936,with optimal cut-off value of 78μmol/L).Conclusion Tissue hypoperfusion and consequent end-organ damage ultimately hampered the *** need for left atrial decompression indicated a sicker patient on ECMO and introduced additional risk for *** and more cautious deployment would likely be associated with decreased risk of complications and mortality.

关键词： mortality acute myocarditis

Perioperative extracorporeal membrane oxygenation in pediatric congenital heart disease:Chinese expert consensus

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World Journal of Pediatrics 2023年第1期19卷 7-19页

作者： Ru lin Wei Wang Xu Wang Zhuo-Ming Xu Jin-Ping liu Cheng-Bin Zhou Xiao-Yang Hong Xu-Ming Mo Shan-Shan Shi li-fen ye Qiang Shu Department of Extracorporeal life Support Heart InstituteNational Clinical Research Center for Child HealthChildren's HospitalZhejiang University School of MedicineHangzhouChina Department of Thoracic and Cardiovascular Surgery Shanghai Children's Medical CenterShanghai Jiao Tong University School of MedicineShanghaiChina Department of Pediatric Intensive Care Unit National Center for Cardiovascular Disease and Fuwai HospitalChinese Academy of Medical SciencesPeking Union Medical CollegeBeijingChina Department of Cardiopulmonary Bypass National Center for Cardiovascular Disease and Fuwai HospitalChinese Academy of Medical SciencesPeking Union Medical CollegeBeijingChina Department of Cardiovascular Surgery Guangdong Provincial Cardiovascular InstituteGuangdong Provincial People's HospitalGuangdong Academy of Medical SciencesGuangzhouChina Pediatric Intensive Care Unit Faculty of PediatricsChinese PLA General HospitalBeijingChina Department of Cardiothoracic Children's Hospital of Nanjing Medical UniversityNanjingChina Department of CICU Heart InstituteNational Clinical Research Center for Child HealthChildren's HospitalZhejiang University School of MedicineHangzhouChina Department of Cardiac Surgery National Clinical Research Center for Child HealthChildren's HospitalZhejiang University School of MedicineBinsheng Road 3333Hangzhou 310052China

Background Congenital heart disease(CHD)is one of the main supportive diseases of extracorporeal membrane oxygena-tion in *** management of extracorporeal membrane oxygenation(ECMO)for pediatric CHD faces more severe challenges due to the complex anatomical structure of the heart,special pathophysiology,perioperative complications and various concomitant *** survival rate of ECMO for CHD was significantly lower than other classifica-tions of diseases according to the Extracorporeal life Support Organization *** expert consensus aims to improve the survival rate and reduce the morbidity of this patient population by standardizing the clinical *** The editing group of this consensus gathered 11 well-known experts in pediatric cardiac surgery and ECMO field in China to develop clinical recommendations formulated on the basis of existing evidences and expert *** The primary concern of ECMO management in the perioperative period of CHD are patient selection,cannulation strategy,pump flow/ventilator parameters/vasoactive drug dosage setting,anticoagulation management,residual lesion screening,fluid and wound management and weaning or transition *** and treatment of complications of bleeding,thromboembolism and brain injury are emphatically discussed *** conditions of ECMO management related to the cardiovascular anatomy,haemodynamics and the surgical procedures of common complex CHD should be *** The consensus could provide a reference for patient selection,management and risk identification of periop-erative ECMO in children with CHD.

关键词： Circulatory support Congenital heart disease Extracorporeal membrane oxygenation Pediatric Respiratory support

Surgical minimal invasive left atrial decompression during venoarterial extracorporeal membrane oxygenation for pediatric acute fulminant myocarditis

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World Journal of Pediatric Surgery 2021年第4期4卷 44-46页

作者： li fen ye Qiang Shu Chenmei Zhang Yong Fan liyang Ying lijun Yang Ru lin Heart Institute Zhejiang University School of Medicine Children's HospitalHangzhouZhejiangChina Pediatric Intensive Care Unit Zhejiang University School of Medicine Children's HospitalHangzhouZhejiangChina Extracorporeal Circulation and Extracorporeal life Support Zhejiang University School of Medicine Children's HospitalHangzhouZhejiangChina

Venoarterial extracorporeal membrane oxygenation(VA ECMO)has been considered as the first-line treatment for acute fulminant myocarditis(AFM)when traditional treatment is *** vascular VA ECMO can partially reduce right ventricular preload,but it can increase left ventricular(LV)after-load.1 The increased afterload may cause difficulty in LV blood ejection in patients with severely impaired LV function.

关键词： impaired arterial acute

Prussian Blue Analogue‑Templated Nanocomposites for Alkali‑Ion Batteries:Progress and Perspective

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Nano-Micro Letters 2025年第1期17卷 216-261页

作者： Jian‑En Zhou Yilin li Xiaoming lin Jiaye ye Key Laboratory of Theoretical Chemistry of Environment Ministry of EducationSchool of ChemistrySouth China Normal UniversityGuangzhou 510006People’s Republic of China School of Chemistry and Physics Faculty of ScienceQueensland University of Technology2 George StreetBrisbaneQLD 4000Australia Centre for Materials Science Queensland University of Technology2 George StreetBrisbaneQLD 4000Australia

lithium-ion batteries(liBs)have dominated the portable electronic and electrochemical energy markets since their commercialisation,whose high cost and lithium scarcity have prompted the development of other alkali-ion batteries(AIBs)including sodium-ion batteries(SIBs)and potassium-ion batteries(PIBs).Owing to larger ion sizes of Na^(+)and K^(+)compared with li^(+),nanocomposites with excellent crystallinity orientation and well-developed porosity show unprecedented potential for advanced lithium/sodium/potassium *** enticing open rigid framework structures,Prussian blue analogues(PBAs)remain promising self-sacrificial templates for the preparation of various nanocomposites,whose appeal originates from the well-retained porous structures and exceptional electrochemical activities after thermal *** review focuses on the recent progress of PBA-derived nanocomposites from their fabrication,lithium/sodium/potassium storage mechanism,and applications in AIBs(liBs,SIBs,and PIBs).To distinguish various PBA derivatives,the working mechanism and applications of PBA-templated metal oxides,metal chalcogenides,metal phosphides,and other nanocomposites are systematically evaluated,facilitating the establishment of a structure–activity correlation for these *** on the fruitful achievements of PBA-derived nanocomposites,perspectives for their future development are envisioned,aiming to narrow down the gap between laboratory study and industrial reality.

关键词： Prussian blue analogues Self-sacrificial template lithium-ion batteries Sodium-ion batteries Potassium-ion batteries

Perfluoropentane-based oxygen-loaded nanodroplets reduce microglial activation through metabolic reprogramming

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Neural Regeneration Research 2025年第4期20卷 1178-1191页

作者： Wanxian Luo Chuanhui Xu linxi li Yunxiang Ji yezhong Wang Yingjia li Yongyi ye Department of Medicine Ultrasonics Nanfang HospitalSouthern Medical UniversityGuangzhouGuangdong ProvinceChina Institute of Neuroscience Department of NeurosurgeryThe Second Affiliated Hospital of Guangzhou Medical UniversityGuangzhouGuangdong ProvinceChina

Microglia,the primary immune cells within the brain,have gained recognition as a promising therapeutic target for managing neurodegenerative diseases within the central nervous system,including Parkinson’s *** perfluorocarbon droplets have been reported to not only possess a high oxygen-carrying capacity,but also exhibit remarkable anti-inflammatory ***,the role of perfluoropentane in microglia-mediated central inflammatory reactions remains poorly *** this study,we developed perfluoropentane-based oxygen-loaded nanodroplets(PFP-OLNDs)and found that pretreatment with these droplets suppressed the lipopolysaccharide-induced activation of M1-type microglia in vitro and in vivo,and suppressed microglial activation in a mouse model of Parkinson’s *** suppression led to a reduction in the inflammatory response,oxidative stress,and cell migration capacity in ***,the neurotoxic effects were mitigated,which alleviated neuronal ***,ultrahigh-performance liquid chromatography–tandem mass spectrometry showed that the anti-inflammatory effects of PFP-OLNDs mainly resulted from the modulation of microglial metabolic *** further showed that PFP-OLNDs regulated microglial metabolic reprogramming through the AKT-mTOR-HIF-1α***,our findings suggest that the novel PFP-OLNDs constructed in this study alleviate microglia-mediated central inflammatory reactions through metabolic reprogramming.

关键词： metabolic reprogramming microglia microglial migration nanotherapy neurodegenerative diseases neuroinflammation oxygen-loaded nanodroplets Parkinson’s disease perfluoropentane ultra-performance liquid chromatography–mass spectrometry

蒽基查尔酮衍生物的合成、共晶的制备及其结构分析

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北京服装学院学报（自然科学版） 2020年第2期40卷 34-39页

作者：栗叶芬刘会影刘振东北京服装学院材料设计与工程学院北京100029

以9-蒽醛和4-N,N-二甲氨基苯乙酮为原料,超声辅助、加热55℃条件下合成蒽基查尔酮衍生物E1,产率为83%;同样的方法,将9-乙酰基蒽和4-二甲氨基苯甲醛,在超声辅助室温条件下合成了同分异构的蒽基查尔酮衍生物E2,其产率为85%。目标产物经~1H... 详细信息

以9-蒽醛和4-N,N-二甲氨基苯乙酮为原料,超声辅助、加热55℃条件下合成蒽基查尔酮衍生物E1,产率为83%;同样的方法,将9-乙酰基蒽和4-二甲氨基苯甲醛,在超声辅助室温条件下合成了同分异构的蒽基查尔酮衍生物E2,其产率为85%。目标产物经~1H NMR、 ESI-MS、 IR表征,确认了分子结构。化合物E1在日光下呈橘红色晶体,365 nm紫外灯下发出黄色荧光;化合物E2在日光下为橙色粉末,在365 nm紫外灯下发出亮绿色荧光。紫外可见吸收光谱E1在390 nm为最大吸收峰,在498 nm处为荧光发射峰;E2在412 nm处有最大吸收峰,荧光发射集中在495 nm。通过溶剂挥发法得到化合物E2与7,7,8,8-四氰基对苯二醌二甲烷(TCNQ)的黑色共晶,晶体解析发现,共晶化合物属于单斜晶系,在共晶中TCNQ分子与E2的N,N二甲基苯部分沿晶体a轴呈交替排列,E2的蒽环在共晶中不能形成长程有序排列。所用超声辅助合成方法绿色高效,为该类化合物的制备及结晶特性提供了参考数据。

关键词：蒽基查尔酮衍生物合成共晶

Peripheral mitochondrial DNA as a neuroinflammatory biomarker for major depressive disorder

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Neural Regeneration Research 2025年第6期20卷 1541-1554页

作者： Jinmei ye Cong Duan Jiaxin Han Jinrong Chen Ning Sun Yuan li Tifei Yuan Daihui Peng Division of Mood Disorder Shanghai Mental Health CenterShanghai Jiao Tong University School of MedicineShanghaiChina Department of Psychiatry First Hospital of Shanxi Medical UniversityTaiyuanShanxi ProvinceChina Shanghai Key Laboratory of Psychotic Disorders Brain Health InstituteNational Center for Mental DisordersShanghai Mental Health CenterShanghai Jiao Tong University School of MedicineShanghaiChina Co-Innovation Center of Neuroregeneration Nantong UniversityNantongJiangsu ProvinceChina

In the pathogenesis of major depressive disorder, chronic stress-related neuroinflammation hinders favorable prognosis and antidepressant response. Mitochondrial DNA may be an inflammatory trigger, after its release from stress-induced dysfunctional central nervous system mitochondria into peripheral circulation. This evidence supports the potential use of peripheral mitochondrial DNA as a neuroinflammatory biomarker for the diagnosis and treatment of major depressive disorder. Herein, we critically review the neuroinflammation theory in major depressive disorder, providing compelling evidence that mitochondrial DNA release acts as a critical biological substrate, and that it constitutes the neuroinflammatory disease pathway. After its release, mitochondrial DNA can be carried in the exosomes and transported to extracellular spaces in the central nervous system and peripheral circulation. Detectable exosomes render encaged mitochondrial DNA relatively stable. This mitochondrial DNA in peripheral circulation can thus be directly detected in clinical practice. These characteristics illustrate the potential for mitochondrial DNA to serve as an innovative clinical biomarker and molecular treatment target for major depressive disorder. This review also highlights the future potential value of clinical applications combining mitochondrial DNA with a panel of other biomarkers, to improve diagnostic precision in major depressive disorder.

关键词： biomarker cytokine exosomes inflammasome major depressive disorder microglia mitochondrial DNA mitochondrial dysfunction neuroinflammation Toll-like receptor

An Unprecedented Efficiency with Approaching 21%Enabled by Additive‑Assisted Layer‑by‑Layer Processing in Organic Solar Cells

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Nano-Micro Letters 2025年第2期17卷 372-375页

作者： Shuai Xu Youdi Zhang Yanna Sun Pei Cheng Zhaoyang Yao Ning li Long ye lijian Zuo Ke Gao Key Laboratory of Advanced Green Functional Materials College of ChemistryChangchun Normal UniversityChangchun 130032People’s Republic of China Shandong Provincial Key Laboratory for Science of Material Creation and Energy Conversion School of Chemistry and Chemical EngineeringShandong UniversityQingdao 266237People’s Republic of China College of Polymer Science and Engineering Sichuan UniversityChengdu 610065People’s Republic of China State Key Laboratory and Institute of Elemento‑Organic Chemistry Centre of Nanoscale Science and Technology and Key Laboratory of Functional Polymer MaterialsRenewable Energy Conversion and Storage Center(RECAST)College of ChemistryNankai UniversityTianjin 300071People’s Republic of China Institute of Polymer Optoelectronic Materials and Devices State Key Laboratory of Luminescent Materials and Devices South China University of TechnologyGuangzhou 510640People’s Republic of China Tianjin Key Laboratory of Molecular Optoelectronic Sciences School of Materials Science and EngineeringTianjin UniversityTianjin 300350People’s Republic of China State Key Laboratory of Silicon Materials MOE Key Laboratory of Macromolecular Synthesis and FunctionalizationDepartment of Polymer Science and EngineeringZhejiang UniversityHangzhou 310027People’s Republic of China

Recently published in Joule,feng liu and colleagues from Shanghai Jiaotong University reported a record-breaking 20.8%power conversion efficiency in organic solar cells(OSCs)with an interpenetrating fibril network active layer morphology,featuring a bulk p-in structure and proper vertical segregation achieved through additive-assisted layer-by-layer *** optimized hierarchical gradient fibrillar morphology and optical management synergistically facilitates exciton diffusion,reduces recombination losses,and enhances light capture *** approach not only offers a solution to achieving high-efficiency devices but also demonstrates the potential for commercial applications of OSCs.

关键词： Organic solar cells Additive-assisted layer-by-layer processing Three-dimensional fibril morphology Bulk p-i-n structure Optical management

Thermally activated delayed fluorescence enhanced by macrocyclization

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Science China Chemistry 2025年

作者： Shuo li Chenghao Zhu lijun Mao Xin Zhang Zecong ye Chunju li Da Ma School of Pharmaceutical and Chemical Engineering & Institute for Advanced Studies Taizhou University School of Chemical Engineering and light Industry Guangdong University of Technology Tianjin Key Laboratory of Structure and Performance for Functional Molecules Tianjin Normal University

Thermally activated delayed fluorescence (TADF) depends on reverse intersystem crossing (RISC) from the lowest triplet to the singlet excited state. Here, a macrocyclization strategy is developed to achieve TADF emission by promoting RISC. 5-(9Hcarbazol-9-yl) isophthalonitrile, a fluorescent molecule, is coupled with 1,4-dimethoxybenzene by methylene bridges to form a macrocycle with TADF emission. Experimental results and theoretical calculation indicate that the macrocyclization strategy contributes to RISC promotion and suppression of nonradiative decay, resulting in effective TADF emission transformed from prompt fluorescence. Three TADF luminophores are cyclized with the same strategy, and an enhanced TADF emission of up to3.8 folds is observed. The marriage of macrocycle chemistry and luminescent materials will provide new guidelines for designing efficient TADF materials.

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