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International Journal of Molecular... Sep 2023Autosomal-Dominant Polycystic Kidney Disease (ADPKD) is a monogenic disorder initiated by mutations in either or genes, responsible for encoding polycystin 1 and... (Review)
Review
Autosomal-Dominant Polycystic Kidney Disease (ADPKD) is a monogenic disorder initiated by mutations in either or genes, responsible for encoding polycystin 1 and polycystin 2, respectively. These proteins are primarily located within the primary cilia. The disease follows an inexorable progression, leading most patients to severe renal failure around the age of 50, and extra-renal complications are frequent. A cure for ADPKD remains elusive, but some measures can be employed to manage symptoms and slow cyst growth. Tolvaptan, a vasopressin V2 receptor antagonist, is the only drug that has been proven to attenuate ADPKD progression. Recently, autophagy, a cellular recycling system that facilitates the breakdown and reuse of aged or damaged cellular components, has emerged as a potential contributor to the pathogenesis of ADPKD. However, the precise role of autophagy in ADPKD remains a subject of investigation, displaying a potentially twofold impact. On the one hand, impaired autophagy may promote cyst formation by inducing apoptosis, while on the other hand, excessive autophagy may lead to fibrosis through epithelial to mesenchymal transition. Promising results of autophagy inducers have been observed in preclinical studies. Clinical trials are warranted to thoroughly assess the long-term safety and efficacy of a combination of autophagy inducers with metabolic and/or aquaferetic drugs. This research aims to shed light on the complex involvement of autophagy in ADPKD, explore the regulation of autophagy in disease progression, and highlight the potential of combination therapies as a promising avenue for future investigations.
Topics: Humans; Aged; Polycystic Kidney, Autosomal Dominant; Epithelial-Mesenchymal Transition; Kidney; Autophagy; Cysts
PubMed: 37834113
DOI: 10.3390/ijms241914666 -
Scientific Reports May 2021Aphids damage directly or indirectly cultures by feeding and spreading diseases, leading to huge economical losses. So far, only the use of pesticides can mitigate their...
Aphids damage directly or indirectly cultures by feeding and spreading diseases, leading to huge economical losses. So far, only the use of pesticides can mitigate their impact, causing severe health and environmental issues. Hence, innovative eco-friendly and low-cost solutions must be promoted apart from chemical control. Here, we have investigated the use of laser radiation as a reliable solution. We have analyzed the lethal dose required to kill 90% of a population for two major pest aphid species (Acyrthosiphon pisum and Rhopalosiphum padi). We showed that irradiating insects at an early stage (one-day old nymph) is crucial to lower the lethal dose without affecting plant growth and health. The laser is mostly lethal, but it can also cause insect stunting and a reduction of survivors' fecundity. Nevertheless, we did not notice any significant visible effect on the offspring of the surviving irradiated generation. The estimated energy cost and the harmless effect of laser radiation on host plants show that this physics-based strategy can be a promising alternative to chemical pesticides.
Topics: Animals; Aphids; Insect Control; Lasers; Nymph
PubMed: 34040124
DOI: 10.1038/s41598-021-90782-7 -
Mathematical Biosciences and... Jan 2022Controlling an epidemiological model is often performed using optimal control theory techniques for which the solution depends on the equations of the controlled system,...
Controlling an epidemiological model is often performed using optimal control theory techniques for which the solution depends on the equations of the controlled system, objective functional and possible state and/or control constraints. In this paper, we propose a model-free control approach based on an algorithm that operates in 'real-time' and drives the state solution according to a direct feedback on the state solution that is aimed to be minimized, and without knowing explicitly the equations of the controlled system. We consider a concrete epidemic problem of minimizing the number of HIV infected individuals, through the preventive measure given to susceptible individuals. The solutions must satisfy control and mixed state-control constraints that represent the limitations on PrEP implementation. Our model-free based control algorithm allows to close the loop between the number of infected individuals with HIV and the supply of PrEP medication 'in real time', in such a manner that the number of infected individuals is asymptotically reduced and the number of individuals under PrEP medication remains below a fixed constant value. We prove the efficiency of our approach and compare the model-free control solutions with the ones obtained using a classical optimal control approach via Pontryagin maximum principle. The performed numerical simulations allow us to conclude that the model-free based control strategy highlights new and interesting performances compared with the classical optimal control approach.
Topics: Acquired Immunodeficiency Syndrome; Anti-HIV Agents; Epidemics; HIV Infections; Humans; Pre-Exposure Prophylaxis
PubMed: 34903011
DOI: 10.3934/mbe.2022034 -
Energy & Environmental Science Dec 2023The Daniell cell (Cu Zn), was invented almost two centuries ago, but has been set aside due to its non-rechargeable nature and limited energy density. However, these...
The Daniell cell (Cu Zn), was invented almost two centuries ago, but has been set aside due to its non-rechargeable nature and limited energy density. However, these cells are exceptionally sustainable because they do not require rare earth elements, are aqueous and easy to recycle. This work addresses key challenges in making Daniell cells relevant to our current energy crisis. First, we propose new approaches to stabilise Zn and Cu plating and stripping processes and create a rechargeable cell. Second, we replace salt bridges with an anion exchange membrane, or a bipolar membrane for alkaline-acid hybrid Zn-Cu batteries operating at 1.56 V. Finally, we apply these changes in pouch cells in order to increase energy and power density. These combined developments result in a rechargeable Daniell cell, which can achieve high areal capacities of 5 mA h cm and can easily be implemented in 1 A h pouch cells.
PubMed: 38076637
DOI: 10.1039/d3ee02786d -
The Proceedings of International... Feb 2023This paper assesses and reports the experience of ten teams working to port, validate, and benchmark several High Performance Computing applications on a novel...
This paper assesses and reports the experience of ten teams working to port, validate, and benchmark several High Performance Computing applications on a novel GPU-accelerated Arm testbed system. The testbed consists of eight NVIDIA Arm HPC Developer Kit systems, each one equipped with a server-class Arm CPU from Ampere Computing and two data center GPUs from NVIDIA Corp. The systems are connected together using InfiniBand interconnect. The selected applications and mini-apps are written using several programming languages and use multiple accelerator-based programming models for GPUs such as CUDA, OpenACC, and OpenMP offloading. Working on application porting requires a robust and easy-to-access programming environment, including a variety of compilers and optimized scientific libraries. The goal of this work is to evaluate platform readiness and assess the effort required from developers to deploy well-established scientific workloads on current and future generation Arm-based GPU-accelerated HPC systems. The reported case studies demonstrate that the current level of maturity and diversity of software and tools is already adequate for large-scale production deployments.
PubMed: 38197035
DOI: 10.1145/3581576.3581621 -
Cureus Sep 2021The supply of household electricity remains a low-voltage (110-220 V) energy source, and its effects on the human body depend on several factors, including the type of...
The supply of household electricity remains a low-voltage (110-220 V) energy source, and its effects on the human body depend on several factors, including the type of contact and duration of contact, among other things. In a significant number of cases, direct contact with household electricity causes reversible cardiac arrhythmia-ventricular fibrillation, ventricular premature beats, atrial tachycardia, and atrial fibrillation. Wandering atrial pacemaker (WAP) is a benign atrial arrhythmia observed in elderly patients suffering from obstructive pulmonary diseases that result from an ischemic heart. This report discusses WAP as observed in a patient who suffered an electrical injury.
PubMed: 34725597
DOI: 10.7759/cureus.18335 -
Biology Jul 2021Many separate fields and practices nowadays consider microbes as part of their legitimate focus. Therefore, microbiome studies may act as unexpected unifying forces... (Review)
Review
Many separate fields and practices nowadays consider microbes as part of their legitimate focus. Therefore, microbiome studies may act as unexpected unifying forces across very different disciplines. Here, we summarize how microbiomes appear as novel major biological players, offer new artistic frontiers, new uses from medicine to laws, and inspire novel ontologies. We identify several convergent emerging themes across ecosystem studies, microbial and evolutionary ecology, arts, medicine, forensic analyses, law and philosophy of science, as well as some outstanding issues raised by microbiome studies across these disciplines and practices. An 'epistemic revolution induced by microbiome studies' seems to be ongoing, characterized by four features: (i) an ecologization of pre-existing concepts within disciplines, (ii) a growing interest in systemic analyses of the investigated or represented phenomena and a greater focus on interactions as their root causes, (iii) the intent to use openly multi-scalar interaction networks as an explanatory framework to investigate phenomena to acknowledge the causal effects of microbiomes, (iv) a reconceptualization of the usual definitions of which individuals are worth considering as an explanans or as an explanandum by a given field, which result in a fifth strong trend, namely (v) a de-anthropocentrification of our perception of the world.
PubMed: 34356506
DOI: 10.3390/biology10070651 -
Orthopaedics & Traumatology, Surgery &... Dec 2022There are presently 3 postoperative protocols after rotator cuff repair: strict immobilization, passive motion and early active motion. There is no consensus as to which... (Review)
Review
INTRODUCTION
There are presently 3 postoperative protocols after rotator cuff repair: strict immobilization, passive motion and early active motion. There is no consensus as to which is to be preferred. The aim of the present study was to conduct a network meta-analysis to determine whether one particular protocol shows advantages in terms of healing, motion, clinical scores and complications.
METHODS
A search of the PubMed, Embase and Central databases extracted all randomized controlled trials (RCTs) comparing at least 2 protocols. Eighteen RCTs were thus included, for a total 1704 patients (mean age, 58.1 years) and 1726 shoulders.
RESULTS
Strict immobilization was associated with lower flexion at 1 year than passive motion (mean difference, 2.66 [95% CI, 0.42-6.20]) and active motion (mean difference, 3.76 [95% CI, 0.17-7.80]). There were no differences between protocols for external rotation, healing at 1 year or Constant, ASES and STT scores in the short and medium terms. There was no difference in complications rate.
CONCLUSION
Early motion, whether passive or active, leads to greater flexion than does strict immobilization. No other differences were found between the protocols. Taking certain prognostic factors (lesion size, patient age, activity level, etc.) into account could guide specific rehabilitation according to type of lesion.
LEVEL OF EVIDENCE
I, network meta-analysis.
Topics: Humans; Middle Aged; Rotator Cuff; Rotator Cuff Injuries; Arthroscopy; Network Meta-Analysis; Treatment Outcome; Range of Motion, Articular; Meta-Analysis as Topic
PubMed: 36152940
DOI: 10.1016/j.otsr.2022.103418 -
Orthopaedics & Traumatology, Surgery &... Dec 2021The analysis of osteochondral lesions of talus (OLT) is currently mostly descriptive, not permitting an understanding of the different nosological frameworks of these...
INTRODUCTION
The analysis of osteochondral lesions of talus (OLT) is currently mostly descriptive, not permitting an understanding of the different nosological frameworks of these lesions. Better knowledge of the characteristics of patients with OLT should make it possible to optimize the surgical indications and anticipate the associated lesions, which should not be overlooked. The main objective of this study was, therefore, to assess the characteristics of patients with OLT, and to analyze the lesions encountered.
HYPOTHESIS
OLTs correspond to variable entities responding to specific treatments.
MATERIAL AND METHOD
This was a prospective multicenter descriptive study including all patients operated on for an OLT, aged between 15 and 65 years, across 10 French specialist centers. The demographic, clinical and radiological data of the patients were analyzed.
RESULTS
OLTs predominantly affect males and patients in their thirties. Two types of OLT should be distinguished: a lateral OLT; smaller and more superficial, most often presenting with painful instability, in the context of trauma, and a medial OLT; more frequent, wider and deeper.
DISCUSSION
Two nosological frameworks exist for OLTs, and correspond to precise surgical indications: medial lesions of more than 10mm and more than 5mm in depth, with isolated anteromedial pain and significant functional impairment, most often idiopathic, generally requiring treatment by osteochondral autografts. Lateral lesions less than 5mm in depth and less than 10mm, often superficial, following trauma or ankle laxity, associated with lateral ligament damage in one-third of cases, and a clinical presentation associated to instability and pain, requiring treatment most often by microfracture with associated ligament repair.
LEVEL OF EVIDENCE
III.
Topics: Adolescent; Adult; Aged; Cartilage, Articular; Humans; Intra-Articular Fractures; Joint Instability; Male; Middle Aged; Prospective Studies; Talus; Transplantation, Autologous; Treatment Outcome; Young Adult
PubMed: 34547540
DOI: 10.1016/j.otsr.2021.103068 -
Orthopaedics & Traumatology, Surgery &... Dec 2021Since Mihata's 2012 proposal to arthroscopically reconstruct the superior capsule of patients with massive irreparable cuff tears, many studies have reported the... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Since Mihata's 2012 proposal to arthroscopically reconstruct the superior capsule of patients with massive irreparable cuff tears, many studies have reported the clinical results of this technique using different types of grafts (fascia lata autograft, dermal allograft, porcine dermal xenograft or long head of biceps autograft).
PURPOSE
The objective of this meta-analysis was to report the clinical and radiological results of these superior capsule reconstructions.
METHODS
Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) recommendations were used to conduct this systematic review. A bibliographic search was performed of the electronic databases MEDLINE, Scopus, Embase and the Cochrane Library. The quality of the studies was assessed according to the MINORS criterion (Methodological Index for Nonrandomized Studies). The inclusion criteria were studies in English evaluating superior capsular reconstruction.
RESULTS
No level I or II studies met the inclusion criteria. Eighteen studies were selected from the 97 identified, including 637 shoulders (64% male) with a mean age of 62 years [95% CI: 60.3-63.5]. At the mean follow-up of 24.3 months (12-60), the range of motion was significantly increased from 82.6° [60.0-105.2] to 141.9° [109.9-173.8] in abduction, from 113.1° [98.3-127.9] to 153.3° [147.4-159.2] in elevation, from 35.5° [30.9-40.2] 43.4° [35.4-51.3] in external rotation and from 7.2 [5.4-9] to 9.9 [8.9-10.9] in internal rotation. Functional scores were significantly improved from 5.4 [4.8-5.9] to 1.3 [0.9-1.7] points for VAS, from 42.5 [15.7-69.3] to 59.3 [30.1-88.6] points for Constant, from 39.0% [38.1-39.8] to 79.8% [76.4-83.3] for the SSV, and from 48.2 [45.2-51.1] to 81.2 [77.2-85.1] points for the ASES. The healing rate was 76.1% [64.4-84.9]. The complication rate was 5.6% [1.8-16.3] and the reverse shoulder arthroplasty revision rate was 7.1% [3.8-12.8].
CONCLUSION
Superior capsule reconstructions allow satisfactory clinical and radiological results to be obtained at 2 years of follow-up. Due to the small number of high quality comparative studies available, its true place in the therapeutic arsenal cannot be fully confirmed. However, it seems that the best indication for this technique is isolated irreparable rupture of the supraspinatus, in cases of medical treatment failure.
LEVEL OF EVIDENCE
III; meta-analysis of heterogeneous studies.
Topics: Arthroscopy; Fascia Lata; Female; Humans; Male; Range of Motion, Articular; Rotator Cuff; Rotator Cuff Injuries; Shoulder Joint; Treatment Outcome
PubMed: 34560311
DOI: 10.1016/j.otsr.2021.103072