Publications by authors named "Bao Lang"

Background: Research on opioid-free anesthesia has increased in recent years; however, it has never been determined whether it is more beneficial than opioid anesthesia. This meta-analysis was primarily used to assess the effect of opioid-free anesthesia compared with opioid anesthesia on the incidence of postoperative nausea and vomiting.

Methods: We searched the electronic databases of PubMed, the Cochrane Library, Web of Science and Embase from 2014 to 2022 to identify relevant articles and extract relevant data.

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Introduction: Herein, we describe a case of Meigs' syndrome, a complex condition that poses a challenge for anesthesiologists to manage. Good anesthetic management of this syndrome is necessary to preserve the prognosis.

Presentation Of Case: An 80-year-old woman was admitted to the emergency department with complaints of abdominal pain, particularly in the left lower abdomen, with aggravation after activity.

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Article Synopsis
  • - The study investigates the link between intraoperative burst suppression (BS) and postoperative delirium (POD) in elderly patients undergoing lumbar surgery, with the aim of finding ways to reduce POD in clinical settings.
  • - Ninety patients over 60 years old were monitored during surgery and divided into two groups based on their EEG readings, recording various health metrics and postoperative outcomes.
  • - Results indicate that patients in the BS group had a higher frailty level and a significant correlation with POD, suggesting that BS may serve as a predictor for POD, particularly among frail elderly patients.
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Objective: To investigate the effect of ( ) on bacterial stress response and intracellular infection and immunity.

Methods: The target gene amplified from H37Rv genome was cloned to the vector and then transferred to ( ) to construct a recombinant strain. Stress response experiment and Raw264.

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Article Synopsis
  • - This study examines the impact of controlled hypotension during total knee arthroplasty (TKA) on brain oxygen levels and cognitive function post-surgery, highlighting the balance needed to minimize bleeding while preventing cognitive issues.
  • - Patients were divided into three groups based on varying levels of mean arterial pressure (MAP), with observations made on oxygen saturation and cognitive function through MMSE scores after surgery.
  • - Results showed no cognitive dysfunction in any group, suggesting that maintaining MAP at 70-80% of baseline is safe and effective for reducing bleeding during TKA while preserving brain health.
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Background: Cognitive dysfunction after total knee arthroplasty (TKA) is very common in elderly patients. Postoperative cognitive dysfunction (POCD), as a form of cognitive dysfunction, may affect patients' short- and long-term recoveries. The identification of meaningful risk factors may help reduce the occurrence of POCD in the future.

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Tuberculosis (TB) remains a major cause of mortality and morbidity worldwide, and it is instant to discover novel anti-TB drugs due to the rapidly growing drug-resistance TB. Mycobacterium tuberculosis (Mtb) secreted effector ESAT6 plays a critical role in modulation miRNAs to regulate host defense mechanisms during Mtb infection, it can be a possible target for new tuberculosis drugs. The non-tuberculous mycobacteria Mycobacterium smegmatis (M.

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Tuberculosis (TB) is a chronic infectious disease that creates a heavy medical burden worldwide. The only approved vaccine, Bacillus Calmette-Guérin (BCG), cannot fully protect adolescents and adults from TB. Therefore, there is an urgent need to develop an effective new vaccine.

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has been observed to develop resistance to the frontline anti-tuberculosis drug rifampicin, primarily through mutations in the rifampicin resistance-determining region (RRDR) of . While these mutations have been determined to confer a fitness cost, compensatory mutations in and that may enhance the fitness of resistant strains have been demonstrated. Recent genomic studies identified several non-RRDR mutations that co-occurred with RRDR mutations in clinical isolates without mutations and may confer fitness compensation.

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Background: There are various techniques to reduce blood loss in total knee arthroplasty (TKA), including the use of a tourniquet and tranexamic acid (TXA). In this study, we studied the combined effect of TXA with a tourniquet on blood loss in the setting of primary TKA.

Methods: Randomized controlled trials (RCTs) of nine treatment methods were included (placebo, intravenous [i.

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Objective: To verify the secretory ability of the hypoxic response protein 1 (HRP1) encoded by (Mtb) 2626.

Methods: The target gene attached with His tag was amplified from the genome of Mtb standard virulence strain H37Rv. The recombinant plasmid contained the above amplified product was constructed and electroporated into (Ms) (MC 155) to construct a recombinant strain.

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Objective: To establish a way for screening mutants through adding the screening markers into pJV53.

Methods: The sucrose counter selection gene and mutant hygromycin-resistant gene were inserted into pJV53; The recovery of the hygromycin-resistance indicated the successful homologous recombination in (Ms), which could serve as mutant screening marker; The sucrose counter selection could be used to screen the plasmid-free mutants.

Results: The recombinant plasmid pJV53- were successfully constructed.

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Objective: To explore the biological characteristics of the esterase LipR encoded by (MTB) Rv3084 and its immunomodulatory function .

Methods: The gene was amplified from MTB H37Rv strain to construct recombinant expression plasmid. After sequencing, the recombinant plasmid was transformed into for expression and purification of LipR protein.

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Tuberculosis (TB), which is caused by Mycobacterium tuberculosis (Mtb), remains a serious global health problem. The PE/PPE family, featuring unique sequences, structures and expression in Mtb, is reported to interfere with the macrophage response to the pathogen and facilitate its infection. PPE11 (Rv0453) existed in pathogenic mycobacteria and was persistently expressed in the infected guinea pig lungs.

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Objective: To determine how Csm4 protein expression affects intracellular survival of (MS).

Methods: 4 gene was amplified by PCR to construct pMV261-4 shuttle expression plasmid. The Csm4 protein expression in MS4 was detected by Western blot after electroporation of the recombinant plasmid into MS.

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Genetic variations among genes of Mycobacterium tuberculosis may be associated with antigenic variation and immune evasion, which complicates the pathogenesis of M. tuberculosis. The hyper-virulent M.

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Mycobacterium tuberculosis PE/PPE family proteins play a vital role in antigenic diversity, host-pathogen interactions, and immune evasion. As secreted by ESX-5 system, M. tuberculosis PPE27 is related to the growth and virulence of the bacilli.

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Purpose: The DosR/DosS two-component regulatory system of Mycobacterium tuberculosis regulates the expression of numerous genes under stress conditions and is important for the long-term survival of M. tuberculosis in the host. The rv2626c gene of M.

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Objectives: Ofloxacin and moxifloxacin are the most commonly used fluoroquinolones (FQs) for the treatment of tuberculosis. As a new generation FQ, moxifloxacin has been recommended for the treatment of ofloxacin-resistant TB. However, the mechanism by which ofloxacin-resistant Mycobacterium tuberculosis further gains resistance to moxifloxacin remains unclear.

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Objective: This study aimed to evaluate the immunogenicity and protective efficacy of recombinant bacille calmette-guerin (rBCG) strains expressing Ag85A (A), CFP10 (C), ESAT6 (E), IL-12p70 (I), and fusion protein GM-CSF (G).

Method: rBCGs were established by integrating of A, C, E, I, G, AE, CE, IE, GC, GE and GCE into Mycobacterium bovis BCG-1173 and BCG-SH. The macro-effects of rBCGs on mice were evaluated by phenotype and weight.

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We describe the anaesthetic management for caesarean section in a 32-year-old patient with pituitary dwarfism. In addition to supportive treatment, we offered a postoperative epidural analgesia pump. The patient recovered well without any complications.

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PPE25 and PPE26, the Mycobacterium tuberculosis proline-proline-glutamic acid (PPE) family proteins, are members of the M. tuberculosis ESX-5 system associated with virulence of M. tuberculosis.

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Tuberculosis remains a major global health problem and effective vaccines are urgently needed. In this study, we used the combined DNA- and protein-based vaccines of immunodominant antigen Rv0577 to boost BCG and evaluated their immunogenicity in BALB/c mice. Our data suggest that the booster vaccine may substantially enhance the immunogenicity of BCG and strengthen both CD4+ T cell-mediated Th1 and CD8+ T cell-mediated cytolytic responses.

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Bacille Calmette-Guerin (BCG) is currently the only available vaccine against tuberculosis (TB), but its protective efficacy in adults is highly variable. This study aimed to compare the immune response induced by two widely used BCG strains: BCG China strain (derivative of BCG Danish strain) in DU2-III group and BCG Pasteur in DU2 -IV group. Healthy BALB/c mice were immunized with BCG China strain or BCG Pasteur strain.

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Mycobacterium tuberculosis evades innate host immune responses by parasitizing macrophages and causes significant morbidity and mortality around the world. A mycobacterial antigen that can activate dendritic cells (DCs) and elicit effective host innate immune responses will be vital to the development of an effective TB vaccine. The M.

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