Publications by authors named "Feng-xian Li"

Article Synopsis
  • Cerebral-cardiac syndrome (CCS) refers to cardiac damage caused by ischemic stroke, linked to macrophages, but their varying roles are not well understood.
  • A mouse model of ischemic stroke revealed that heart damage was marked by significant heart dysfunction and increased infiltration of proinflammatory monocyte-derived macrophages.
  • The study indicates that activated cardiac sympathetic nerves promote macrophage infiltration in the heart, which may contribute to the cardiac dysfunction seen in CCS, suggesting a possible mechanism linking these elements.
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The incidence and mortality rate of myocardial infarction are increasing per year in China. The polarization of macrophages towards the classically activated macrophages (M1) phenotype is of utmost importance in the progression of inflammatory stress subsequent to myocardial infarction. Poly (ADP-ribose) polymerase 1(PARP1) is the ubiquitous and best characterized member of the PARP family, which has been reported to support macrophage polarization towards the pro-inflammatory phenotype.

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Article Synopsis
  • Arrhythmia is a common complication after ischemic stroke, and connexin 40 (Cx40) plays a critical role in cardiac electrical signaling, but its specific impact on post-stroke arrhythmia is not well understood.
  • A study using a mouse model of ischemic stroke found that these mice exhibited significant arrhythmias, alongside a reduction in Cx40 expression in the sinoatrial node, contributing to abnormal heart rhythms.
  • Increasing Cx40 expression via targeted viral treatment showed potential in reducing arrhythmia post-stroke, suggesting that therapeutic strategies to boost Cx40 could be beneficial for patients experiencing stroke-related cardiac issues.
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  • Subarachnoid hemorrhage (SAH) can severely impact not only the brain but also the heart, leading to significant cardiac injuries in mice, such as extended QT intervals and reduced heart function.
  • Researchers found that increased galectin-3 expression was linked to these cardiac issues and could be reversed with the galectin-3 inhibitor TD139.
  • Additional findings showed that suppressing macrophage activation with propranolol improved heart function and reduced galectin-3 levels, indicating a potential therapeutic target through a macrophage-galectin-3 pathway for SAH-related cardiac problems.
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  • The study aimed to assess the effectiveness of guidewire-assisted reduction technology, used with an upright posture, for correcting malpositioned catheters in the internal jugular vein during central venous catheterization.
  • During the research period, 99 patients were randomly split into two groups: a control group receiving only guidewire technology and an experimental group using both the guidewire method and upright posture.
  • Results indicated a significantly higher success rate in the experimental group (94.6%) compared to the control group (69.8%), suggesting that the combined approach is more effective for reducing malpositioned catheters.
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Ischaemic stroke is a severe disease worldwide. Restoration of blood flow after ischaemic stroke leads to cerebral ischaemia-reperfusion injury (CIRI). Various operations, such as cardiac surgery with deep hypothermic circulatory arrest, predictably cause cerebral ischaemia.

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Background: Catheter jamming is an emerging and possibly underrated complication.

Objective: To find the criteria for determining if the catheter cannot be removed through the mechanical analysis of fracture tension and fracture strain (εf) of Peripheral Inserted Central Catheters (PICC).

Method: We removed 30 pieces of PICC catheters from patients and recorded the indwelling time.

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Objective: To compare the clinical application effects of peripherally inserted central catheter (PICC) and deep venous catheters placed through the lower limbs in adults with malignancy obviating the use of upper limb PICC.

Study Design: Descriptive study.

Place And Duration Of Study: Department of Oncology, Beijing Shijingshan Hospital, Capital Medical University, Beijing, China between February 2017 and February 2019.

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Article Synopsis
  • Cerebral-cardiac syndrome (CCS) occurs when heart problems arise after brain injuries like ischemic strokes, manifesting as arrhythmias and heart failure.
  • Research points to several mechanisms behind CCS, including damage to the insular cortex, autonomic imbalance, and inflammation, with diabetes being a significant comorbidity that exacerbates conditions.
  • The NLRP3 inflammasome is highlighted as a critical factor linking diabetes, stroke, and CCS, suggesting that inflammation related to diabetes intensifies cardiac issues following a stroke.
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  • Ischemic stroke is a major global health issue that can lead to visual impairment, significantly affecting patients' quality of life, particularly when there is also reduced blood flow to the eyes (retinal ischemia).
  • Diabetes raises the risk of ischemic stroke and can worsen retinal damage, but the specific mechanisms behind stroke-related retinal injury in diabetic patients are still unclear.
  • In a study using a diabetic mouse model, isoflurane was found to protect against stroke-induced retinal damage by inhibiting the NLRP3 inflammasome, suggesting it could be an effective treatment to preserve vision in diabetic stroke patients.
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Ischemic stroke is one of the leading causes of death worldwide. In the post-stroke stage, cardiac dysfunction is common and is known as the brain-heart interaction. Diabetes mellitus worsens the post-stroke outcome.

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The coronavirus disease 2019, named COVID-19 officially by the World Health Organization (Geneva, Switzerland) on February 12, 2020, has spread at unprecedented speed. After the first outbreak in Wuhan, China, Chinese anesthesiologists encountered increasing numbers of infected patients since December 2019. Because the main route of transmission is via respiratory droplets and close contact, anesthesia providers are at a high risk when responding to the devastating mass emergency.

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Article Synopsis
  • The NLRP3 inflammasome is an important part of the immune system that helps regulate inflammation and is linked to conditions like stroke and diabetes.
  • Recent research suggests that targeting and inhibiting the NLRP3 inflammasome could reduce inflammation and improve outcomes for patients with both ischemic stroke and diabetes.
  • This approach offers a potential new treatment strategy for managing these interconnected diseases by preventing activation of harmful cytokines that worsen organ injury.
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Article Synopsis
  • The study investigates the role of the NLRP3 inflammasome in diabetic mice experiencing stroke through a model of cerebral ischemia-reperfusion injury.
  • Diabetic mice treated with MCC950, an NLRP3 inhibitor, showed reduced neurological deficits and improved survival rates following a stroke compared to those who did not receive the treatment.
  • Increased levels of NLRP3, IL-1, and caspase-1 were observed in the ischemic area of diabetic mice, but pre-treatment with MCC950 significantly lowered these levels, suggesting that NLRP3 inflammasome plays a critical role in the relationship between diabetes and stroke.
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As inhaled anesthetics are widely used, medical staff have inevitably suffered from exposure to anesthetic waste gases (WAGs). Whether chronic exposure to WAGs has an impact on the health of medical staff has long been a common concern, but conclusions are not consistent. Many measures and equipment have been proposed to reduce the concentration of WAGs as far as possible.

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Objective: Fentanyl-induced cough (FIC) is a common complication with a reported incidence from 18.0% to 74.4% during general anesthesia induction.

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Article Synopsis
  • Bupivacaine can cause neurotoxicity by increasing reactive oxygen species (ROS), but the exact mechanism involved, particularly the role of the p47phox protein, is not well understood.
  • Researchers conducted in vitro experiments using human neuroblastoma cells and in vivo tests on rats to investigate how inhibiting NOX activity and modifying p47phox levels affect this neurotoxicity.
  • The findings revealed that blocking the membrane translocation of p47phox with a NOX inhibitor (VAS2870) or using p47phox-siRNA reduced the neurotoxic effects of bupivacaine, highlighting p47phox's central role in the process.
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Local anaesthetics (LAs) may lead to neurological complications, but the underlying mechanism is still unclear. Many neurotoxicity research studies have examined different LAs, but none have comprehensively explored the distinct mechanisms of neurotoxicity caused by amide- (bupivacaine) and ester- (procaine) type LAs. Here, based on a CCK8 assay, LDH assay, Rhod-2-AM and JC-1 staining, 2',7'-dichlorohy-drofluorescein diacetate and dihydroethidium probes, an alkaline comet assay, and apoptosis assay, we show that both bupivacaine and procaine significantly induce mitochondrial calcium overload and a decline in the mitochondrial membrane potential as well as overproduction of ROS, DNA damage and apoptosis (P < 0.

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  • The study examines the effects of flavanoids extracted from onion (FEO) on activated microglia and proinflammatory factor release in rats after inducing intracerebral hemorrhage (ICH).
  • A total of 100 Wistar rats were used to create an ICH model, with 90 successfully established and divided into sham, ICH, and FEO groups, with treatments administered for comparison over various time points.
  • Results indicated significant brain tissue damage and altered cell arrangement in the ICH group, while the FEO group revealed less degeneration, suggesting potential therapeutic effects of FEO on ICH recovery.
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Taking stay-green sorghum (B35) and non-stay green sorghum (Sanchisan) as test materials, a pot experiment was conducted to study their leaf osmotic adjustment and chloroplast ultrastructure at flowering and filling stages under impacts of drought stress (45% -50% of maximum field capacity). For the two sorghum lines, drought stress caused the reduction of their leaf free water content and relative water content, and increased the leaf bound water content, water saturation deficit, and electrical conductivity, with the increment or dement being larger for Sanchisan than for B35. Drought stress increased the leaf soluble sugar content and proline content, with the increment of the soluble sugar content being larger for Sanchisan and the increment of the proline content being larger for B35, while decreased the leaf soluble protein content, with the decrement being larger for Sanchisan than for B35.

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Endovascular stent-graft exclusion has proven to be a safe and effective alternative for adult patients with patent ductus arteriosus. We present a case of a 38-year-old woman with a large, symptomatic ductus. However, her small femoral and iliac arteries limited the access options.

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Molecular dynamics simulations were performed for investigating the thermal stability of the extremely thermophilic Thermoanaerobacter tengcongensis ribose binding protein (tteRBP) and the mesophilic homologous Escherichia coli ribose binding protein (ecRBP). The simulations for the two proteins were carried out under the room temperature (300 K) and the optimal activity temperature (tteRBP 375 K and ecRBP 329 K), respectively. The comparative analyses of the trajectories show that the two proteins have stable overall structures at the two temperatures; further analyses indicate that they both have strong side-chain interactions and different backbone flexibilities at the different temperatures.

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Article Synopsis
  • Pheromone-binding proteins transport hydrophobic pheromones to their receptors, crucial for sensing oviposition cues.
  • The study focuses on the odorant-binding protein CquiOBP1 from Culex quinquefasciatus, which binds to the oviposition pheromone MOP.
  • Research using molecular dynamics analyzes how MOP is released from CquiOBP1, highlighting the importance of MOP's flexibility and the protein's conformational changes during the release process.
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Objective: To assess physicians' awareness and use of guidelines for community-acquired pneumonia (CAP) published by Chinese Society of Respiratory Diseases (CSRD) and American Thoracic Society (ATS), and to investigate influences of the guidelines on the prognosis of patients with CAP.

Method: A total of 210 self-completion questionnaires about CAP guidelines were received from doctors of six hospitals in Beijing. In addition, 490 serial cases of CAP collected from these hospitals admitted from January 2002 to December 2003 were retrospectively analyzed.

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