Mean Vessel Research Articles

Defining Duplex Ultrasound Criteria for In-Stent Restenosis of the Carotid Artery Using Computed Tomographic Angiography.

IntroductionDuplex ultrasound (DUS) velocity measurement is the preferred method for evaluating carotid artery stenosis. However, velocity criteria based upon native carotid arteries may not apply to internal carotid artery stents. Previously, catheter-based angiography was used to determine DUS velocity criteria for in-stent restenosis (ISR), but conventional angiography is invasive and can be limited. This study sought to define duplex ultrasound velocity criteria for predicting internal carotid artery in-stent restenosis by correlating in-stent velocities with computed tomographic angiography (CTA) measurements of percent stenosis.MethodsA retrospective chart review was conducted on all patients who underwent internal carotid artery (ICA) stenting within our health system between January 2013 and February 2020. Thirty-eight surveillance DUS studies from 32 patients were found to have CTA performed within 30 days. Centerline reconstructions of internal carotid artery stents were created using Aquarius iNtuition software (TeraRecon, Durham, NC, USA). Two independent observers measured percent stenosis by three built-in methods. Stenotic areas were matched to DUS-measured peak systolic velocities (PSV) and end-diastolic velocities (EDV). Internal carotid artery PSV (stent) to common carotid artery (CCA) PSV ratios (ICA/CCA) were calculated, and receiver operating characteristic (ROC) curves were generated. The optimal DUS velocity criteria in the stented ICA were determined by maximizing Youden’s index.ResultsMean vessel diameter measurement of percent stenosis resulted in the most accurate model for all DUS velocity parameters (PSV, EDV, and ICA/CCA ratio) and was used for threshold determinations (area under the receiver operating characteristics (AUROC): 0.99, 0.96, and 0.96, respectively). A PSV cutoff of 240 cm/s for ≥60% ISR resulted in the highest Youden’s index (97%) with 100% sensitivity and 97% specificity. Secondary DUS parameters included an EDV ≥50 cm/s (Youden’s index 84%) and an ICA/CCA ratio ≥ 2.2 (Youden’s index 91%).ConclusionsVelocity criteria to predict internal carotid artery ISR is needed to inform decisions for possible reintervention. Using CTA, we found that a PSV ≥240 cm/s on carotid DUS can predict ≥60% ISR with high sensitivity and specificity. This value can be used as an alternative to current velocity criteria based on native carotid arteries. However, the optimal thresholds for EDV and ICA/CCA ratio were similar to native carotid arteries.

Different-Sized Vessels of Quercus variabilis Blume Respond Diversely to Six-Year Canopy and Understory N Addition in a Warm-Temperate Transitional Zone

Nitrogen is a necessary macroelement in plant growth and is usually considered a limiting factor in many forest ecosystems. Increasing N deposition has been reported to affect tree growth. However, the effects still remain controversial due to variable N fertilization methods used. In order to study the realistic responses of tree growth to increasing N deposition, we investigated effects of canopy and understory N addition on tree-ring growth and vessel traits of Quercus variabilis Blume. Since 2013, 50 kg N ha−1 year was applied monthly from April to December to either the canopy (CN) or understory (UN) of trees in a warm-temperate forest in Central China. During 2013–2018, tree-ring growth and vessel-related traits (mean vessel area, theoretical xylem hydraulic conductivity (KH), relative ratio of KH, etc.) were analyzed. Tree rings were negatively impacted by both CN and UN treatments, but only the effect of UN was significant. Neither CN nor UN significantly impacted the detected vessel traits. However, some diverging influencing trends were still showed in some vessel traits. Both CN and UN treatments positively affected the percentage of annual total vessel area and vessel density, with the effect of UN on vessel density being more severe. All the detected vessel traits of the large vessels formed at the beginning of the tree-ring responded positively to CN, whereas the opposite response to UN was showed on mean vessel area and the relative ratio of KH. All these diverging responses in different vessel traits likely reflected the compensation and trade-off between maximizing growth and adapting to CN and UN treatments. Six-year long N addition negatively and positively affected tree-ring growth and vessel traits of Q. variabilis in Central China, respectively. UN treatment could not fully simulate the real effect on tree growth, especially on the hydraulic architecture.

Association Between Retinal Microvascular Metrics Using Optical Coherence Tomography Angiography and Carotid Artery Stenosis in a Chinese Cohort.

Objectives: The main aim was to investigate the association between retinal microvascular metrics using optical coherence tomography angiography (OCTA) and carotid artery stenosis (CAS) in an aging Chinese cohort. Methods: In this cross-sectional and observational study, 138 eyes of 138 participants were examined. Indices of the microcirculation measured by OCTA included mean vessel density (VD), skeleton density (SD), vessel diameter index (VDI), fractal dimension (FD) and foveal avascular zone (FAZ) of the superficial retinal layer (SRL) and deep retinal layer (DRL), and peripapillary vessel caliber. The correlation of these indices with the carotid atherosclerotic lesions including carotid intima media thickness (CIMT) and common carotid artery (CCA) plaque was assessed. Results: A total of 72 of 138 eyes demonstrated an increased (≥1 mm) CIMT, and 32 of the eyes presented common carotid plaques. Macular VD, SD, and FD were decreased with the increasing CCA caliber diameter (p < 0.05, respectively). Superficial and deep macular FDs were negatively associated with CIMT as well as the existence of CCA plaques (p < 0.05, respectively). Conclusion: Changes in retinal microvasculature accessed by OCTA may be used as one of the non-invasive early indicators to monitor asymptomatic CAS.

Histological analysis of different types of port-wine stains to guide clinical decision making: A retrospective study.

Port-wine stains are defined as congenital benign vascular lesions. The treatment of port-wine stains remains a challenge, worldwide. This study aimed to analyze the histological characteristics in different types of port-wine stains and provide guidance for clinical decision-making. Biopsies were from the hospital from 2015 to 2021. H&E staining, Immunofluorescence staining, Masson's trichrome staining and Weigert staining were performed on the tissues. A total of 35 port-wine stains patients were included in the study of four distinct types, namely red port-wine stains (11 cases), purple port-wine stains (seven cases), hypertrophic port-wine stains (nine cases) and nodular port-wine stains (eight cases). The mean vessel diameter of the different types was 38.7 ± 5.9 μm, 93.5 ± 9.7 μm, 155.6 ± 21.8 μm and 155.6 ± 29.54 μm, respectively. Mean vessel depth was 396.4 ± 31 μm, 944.2 ± 105.4 μm, 2,971 ± 161.3 μm and 3,594 ± 364.6 μm, respectively. The vessels in red port-wine stains, purple port-wine stains and hypertrophic port-wine stains were mainly composed of capillary and venous malformations, whereas those in nodular port-wine stains were venous or arteriovenous malformations. The main limitation of the current study was the small number of patients. As the disease progresses, vessel diameters become larger, the vessel wall becomes thicker and vessels were found in a greater depth. A treatment plan should be scientifically formulated keeping in mind the histological characteristics of port-wine stains.

The intraspecific relationship between wood density, vessel diameter and other traits across environmental gradients

Abstract Wood density (WD), a key trait in the trait‐based approach of plant ecology, represents a carbon investment trait that varies across species and reflects a trade‐off between metabolism and longevity. Across species, WD has been found to vary with phylogeny, moisture, temperature and xylem anatomy (e.g. vessel diameter). However, we know little about WD variation at the intraspecific level. Here, we examined how ecologically important functional traits vary in relation to WD in three generalist, exceptionally wide‐niche breadth tree species from southern Chile, making use of broad precipitation and temperature gradients. We collected branches from Embothrium coccineum and Nothofagus antarctica across a wide W–E precipitation gradient (2,500–600 mm of annual precipitation) and from N. pumilio across an elevational gradient (from low to treeline elevation). For each individual, we determined WD, several xylem anatomical features, for example, mean vessel diameter (MVD), hydraulic diameter (Dh), hydraulic conductivity (Kt), mean vessel area (MVA), vessel size distribution (MVA/VD) and other traits including concentrations of non‐structural carbohydrates (NSCs), secondary growth, leaf traits, water‐use efficiency (iWUE) and growth rate (AI). We quantified the correlation between WD and other traits and evaluated whether WD‐trait relationships differed across species using linear mixed‐effects models. We found consistent and significant negative relationships between WD and several xylem anatomy traits, including Dh, Kt, MVA and MVD. Contrary to our expectations, WD was not related to leaf traits, NSCs, iWUE and AI. Wood density had a significantly negative relationship to MVA/VD (and to a lesser extent, MVD) for both E. coccineum and N. antarctica (the precipitation gradient), while these relationships were positive for N. pumilio (the temperature gradient). Few of the WD and other trait relationships examined at the intraspecific level in this study paralleled those found across species. At the intraspecific level, WD proved to be much more related to xylem anatomical traits than to other traits. Importantly, in some cases, WD‐xylem anatomical trait relationships showed opposite trends depending on the environmental gradient. We must be cautious when using interspecific studies as the basis for inferring trait‐based responses to environmental change across other organisation levels. Read the free Plain Language Summary for this article on the Journal blog.

The theory behind vessel length determination using gas flow rates and comparison between two pneumatic methods based on seven woody species.

In plants, xylem vessel length is important for long-distance water transport; however, the currently used methods for vessel length measurement are inconvenient and time-consuming. The recently developed semi-automated Pneumatron is a device based on the pneumatic theory that is similar to the air-injection method, and can rapidly estimate vessel length. Mean vessel length was compared between the Pneumatron and the air-injection method in seven woody species with a wide range of vessel lengths (2.3-78.7 cm). The results were consistent between the two methods, regardless of whether the same or different samples were used. The theory underlying the gas flow in vessels was improved and expanded, and compared to that underlying the water flow in order to better understand the pneumatic processes within a stem sample. Moreover, a new and simple equation for gas flow in vessels was derived based on the molar gas flow (mol s-1) rather than volume flow, because the former remains constant with distance throughout the stem axis. We strongly recommend using the Pneumatron in future studies owing to its low cost, convenience, rapidity, and simple operation. However, a number of potential issues need to be considered to avoid artifacts during measurements.

Potentiated action on the progression of OSMF by hypoxia mediated signaling pathway by the epithelial mesenchymal transition and angiogenic apparatus.

Epithelial-mesenchymal transition (EMT) is a complex process, in which epithelial cells acquire the characteristics of invasive mesenchymal cells. EMT has been implicated in cancer progression and metastasis as well as the formation of many tissues and organs during development. The aim of the study was to ascertain the role of hypoxia-mediated signaling pathways influencing EMT and angiogenesis in progression of oral submucous fibrosis (OSMF). Evaluation of the immunoexpression of alpha-smooth muscle actin (α-SMA), E-cadherin, vimentin, and factor VIII receptor antigen in OSMF and oral squamous cell carcinoma (OSCC) arising from OSMF was done. Differences between the different variables were analyzed using ANOVA test and Pearson's Chi-square test, and Mann-Whitney test was also calculated. The mean α-SMA positive myofibroblasts increased from Group 1 (OSMF) to Group 2 (OSCC), especially those in the deeper connective tissue stroma. The mean labeling index of vimentin and mean vessel density immunoexpression was more in Group 2 (OSCC) as compared to Group 1 (OSMF). Mean α-SMA correlated negatively with E-cadherin expression and positively with vimentin and factor VIII immunoexpression. E-cadherin expression correlated negatively with factor VIII and positively with Vimentin expression. The molecular mechanisms responsible for the development of OSCC in patients with OSMF require unification of multiple progressive pathogenetic mechanisms involved in the progression of the disease.

Modelling the likelihood of entry of marine non-indigenous species from internationally arriving vessels to maritime ports: a case study using New Zealand data

The establishment of marine non-indigenous species (NIS) in new locations can degrade environmental, socio-cultural, and economic values. Vessels arriving from international waters are the main pathway for the entry of marine NIS, via exposure due to ballast water discharge (hereafter, ballast discharge) and biofouling. We developed a systematic statistical likelihood-based methodology to investigate port-level marine NIS propagule pressure from ballast discharge and biofouling exposure using a combination of techniques, namely k-Nearest-Neighbour and random forest algorithms. Vessel characteristics and travel patterns were assessed as candidate predictors. For the ballast discharge analysis, the predictors used for model building were vessel type, dead weight tonnage, and the port of first arrival; the predictors used for the biofouling analysis were days since last antifouling paint, mean vessel speed, dead weight tonnage, and hull niche area. Propagule pressure for both pathways was calculated at a voyage, port and annual level, which were used to establish the relative entry score for each port. The model was applied to a case study for New Zealand. Biosecurity New Zealand has commissioned targeted marine surveillance at selected ports since 2002 to enable early detection of newly arrived marine NIS (Marine High-Risk Site Surveillance, MHRSS). The reported methodology was used to compare contemporary entry likelihoods between New Zealand ports. The results suggested that Tauranga now receives the highest volume of discharged ballast water and has the second most biofouling exposure compared to all other New Zealand ports. Auckland was predicted to receive the highest biofouling mass and was ranked tenth for ballast discharge exposure. Lyttelton, Napier, and New Plymouth also had a high relative ranking for these two pathways. The outputs from this study will inform the refinement of the MHRSS programme, facilitating continued early detection and cost-effective management to support New Zealand’s wider marine biosecurity system. More generally, this paper develops an approach for using statistical models to estimate relative likelihoods of entry of marine NIS.

Clinical feasibility of using effective atomic number maps derived from non-contrast spectral computed tomography to identify non-calcified atherosclerotic plaques: a preliminary study.

To assess the clinical feasibility of using effective atomic number (Zeff) maps derived from non-contrast-enhanced computed tomography (NCECT) scans obtained by dual-layer spectral computed tomography (DLCT) to identify non-calcified atherosclerotic plaques. A total of 37 patients with 86 non-calcified atherosclerotic plaques confirmed by contrast-enhanced CT (CECT) were enrolled in this retrospective study. Both spectral-based-images (SBI) and conventional images (CI) were reconstructed from NCECT and CECT scans. The presence of plaques on NCECT Zeff maps and CIs were independently assessed by 2 radiologists. In CECT scans, plaques and regions of interest (ROIs) in vessel lumens were assessed with CT attenuation and Zeff values, and the proportion of plaques was determined as Area (plaque)/Area (vessel). The CT and Zeff values for plaques and blood were recorded from both CECT and NCECT scans. Contrast-to-noise ratios (CNRs) of the plaques were calculated and compared using CT attenuation and Zeff values. Finally, interobserver agreement was evaluated. A total of 47 of the 86 (54.7%) plaques were identified on Zeff map images derived from the NCECT scans while only 7 (8.1%) plaques were identified on the CI. There was no significant difference between the mean vessel ROI area measured on CIs and that measured on Zeff map images (502.19 vs. 498.14 mm2; P=0.28), while the mean plaque ROI area was larger (81.45 vs. 75.46 mm2). The observer consensus of vessel and plaque ROI area measurements using both methods was excellent, with interclass correlation coefficients (ICCs) of 0.99 and 0.94, respectively. For the 7 plaques detected both by NCECT CI and Zeff mapping, the CT attenuation and Zeff blood values were both larger than the plaque values [42.00 vs. 25.67 Hounsfield unit (HU); 7.33 vs. 7.19 HU; both P<0.05]; the plaque ROI area measurement on the NCE Zeff map was smaller than that on the CE CI (48.73 vs. 77.76 mm2), but was much larger than that on the NCE CI (18.39 mm2). For all 47 plaques detected by NCE Zeff mapping, the CT attenuation and Zeff values of blood and plaques on the NCECT images showed no significant differences (42.53 vs. 35.14 HU; P=0.18; 7.32 vs. 7.31, P=0.71); however, the CNR of Zeff was significantly higher than the CT attenuation value (1.69 vs. 1.12; P<0.05) derived from the NCECT scans. Inter-reviewer agreement was good (ICC =0.78). Zeff map images derived from NCECT SBI with DLCT provide a potentially feasible approach for identifying non-calcified atherosclerotic plaques, which might be clinically useful for the screening of asymptomatic at-risk patients.

Effects on the root morphology and mircostructure of young pear (Pyrus pyrifolia) tree by split-root supply of bioorganic and chemical fertilizer

Bioorganic fertilizers are widely used in fruit orchards to improve soil properties and increase productivity. To investigate the effects of bioorganic fertilizer (BIO) and chemical fertilizer (CF) on the root system architecture and above-ground growth of pear trees, a split-root experiment was conducted. To this end, six soil amendment combinations were investigated: NF–NF (no fertilizer), NF-CF, NF-BIO, CF-CF, BIO-BIO, and BIO-CF. Roots of 1-year old ‘Cuiguan’ pear trees were distributed as evenly as possible into split-root chambers containing the aforementioned amendment combinations and maintained for 210 days after budding. Results showed that in boxes containing the same fertilizer in both chambers (NF–NF, CF-CF and BIO-BIO), the BIO chambers had an improved soil pH, by 0.6–0.8 units, and 23%–65.5% greater SOM than the soils in the NF and CF chambers. We also found that in these BIO chambers the lateral root number was 2.1–3.5 times greater than in NF and CF chambers and the maximum order of lateral roots was greater than 9. BIO application promoted lateral root growth in the paired NF and CF chambers, increasing specific root length and reducing root tissue density. In BIO-CF boxes, the 4th to 6th lateral root number and length accounted for the largest proportion of total lateral root number and length respectively. Moreover, compared with trees grown in CF-CF, those grown in BIO-BIO and BIO-CF had greater mean xylem, phloem, and cork layer thicknesses, as well as greater mean vessel density and number. BIO-CF treated soils had significantly reduced (50%) available phosphorus content compared to CF-CF treated soils, and consistently, BIO-CF resulted in the greatest growth of trunk girth (by 5–29%) among all the treatments. Soil organic matter and nitrate nitrogen concentration had significantly positive effects on root growth and activity, while branching intensity was significantly related to available phosphorus content and total nitrogen, followed by available potassium content and ammonia nitrogen content. In conclusion, local application of bioorganic fertilizer is a promising technique to sustainably maintain pear tree productivity because it accelerates the root proliferation and activity in either nutrient-deficient or -sufficient soil.

The Jrecan Device: Preclinical Data of a Novel Thrombectomy Device in Acute Thromboembolism Model of Beagle Dogs.

ObjectiveThe aim of this study is to investigate the safety and efficiency of a Jrecan® flow restoration system, a novel thrombectomy device, in an arterial thromboembolic occlusion model of Beagle dogs.MethodsA total of 12 Beagle dogs with acute thromboembolism were randomized to receive mechanical thrombectomy with either Jrecan® flow restoration device or TrevoTM PROVUE Device (2:1). The efficacy and safety of the two devices, including recanalization rate, the presence of distal embolism, vasospasm, vessel perforation, and vessel injuries were evaluated through DSA and microscopic examination.ResultA 100% recanalization rate (mTICI 2b/3) was achieved in both groups. Endothelial and subendothelial injuries occurred in all target vessels. Focal disruption of internal elastic lamina was observed in 4 cases. The mean vessel injury score of the Jrecan® group was 1.16 ± 0.48, significantly lower than that of the TrevoTM group (1.54 ± 0.8) (P < 0.001).ConclusionThe Jrecan® and TrevoTM devices demonstrated an equally high recanalization rate in Beagle dogs with acute thromboembolism. However, histological findings revealed that the Jrecan® stent seemed to be safer than the TrevoTM device during clot retrieval, which might be related to a more appropriate radial force provided by the Jrecan® stent that resulted from its wider cell design.

Wood Anatomical Responses of European Beech to Elevation, Land Use Change, and Climate Variability in the Central Apennines, Italy.

European beech (Fagus sylvatica L.) is a widespread and economically important temperate tree species in Europe. The warmer temperatures and severe drought events expected in the future, especially in Mediterranean areas, could affect the vitality and productivity of beech stands that have been intensively used in these areas in the past. Here, we aim to assess the wood anatomical responses of beech to environmental variability and silvicultural practices by investigating three beech stands along an elevational gradient (1,200 to 1,950 m a.s.l.) in the Apennines (Italy). Therefore, we quantified several anatomical traits of the xylem vessels related to tree hydraulics from five trees per stand and investigated variability between and within tree rings. Our results suggest generally limited trait plasticity, with higher plasticity of mean vessel lumen area and theoretical hydraulic conductivity, while maximum vessel size and mean hydraulic diameter were less plastic, likely because of the stronger determination by tree height. High-elevation trees were hydraulically more limited than trees at a mid and lower elevation as indicated by the more conservative anatomical configuration, i.e., comparatively smaller vessels and a 50% tighter trait coordination. Cessation of coppicing resulted in a hydraulically safer anatomy with comparatively smaller vessels at the most intensively used site (1,200 m), triggered by increased water demand due to an increase in canopy density, and thus, an increase in stand transpiration. Furthermore, maximum vessel size at the beginning showed different climate sensitivity compared to the rest of the tree ring, while intra-ring anatomical profiles showed little difference between normal and the 5 years with the highest and lowest mean temperature and precipitation. Overall, this study highlights the challenges to separate the externally induced medium- to longer-term responses from ontogenetically determined patterns. We, therefore, call for more comprehensive studies to further explore and verify the plasticity of wood anatomical traits in European beech in response to short- to long-term environmental fluctuations to gain a mechanistic understanding useful for sustainable forest ecosystems.

Surgical Anatomy of the Middle Communicating Artery and Guidelines for Predicting the Feasibility of M2-M2 End-to-End Reimplantation.

M2-M2 end-to-end reimplantation that creates a middle communicating artery has recently been proposed as a reconstruction technique to treat complex aneurysms of the middle cerebral artery that are not amenable to clipping. To examine the surgical anatomy, define anatomic variables, and explore the feasibility of this bypass. Sixteen cadaver heads were prepared for bypass simulation. After the middle cerebral artery bifurcation was approached, the proximal insular (M2) segments and perforators were explored. To define the maximal distance between the M2 segments that allows the bypass to be performed, the M2 segments were mobilized and reimplanted in an end-to-end fashion. Successful reimplantation was performed in all specimens. The mean maximal distance between the M2 segments to create the proposed reimplantation was 9.1 ± 3.2 mm. The mean vessel displacement was significantly greater for the superior (6.0 ± 2.3 mm) M2 segment than for the inferior (3.2 ± 1.4 mm) M2 segment (P < .001). In this cadaveric study, the stumps of the M2 segments located at a distance of ≤9.1 mm could be approximated to create a feasible M2-M2 end-to-end anastomosis. Intraoperative inspection of the M2 segments and their perforators could allow further assessment of the feasibility of the procedure before final revascularization decisions are made.

The Impact of Intravascular Ultrasound onFemoropopliteal Artery EndovascularInterventions: A Randomized Controlled Trial.

The aim of this study was to investigate whether the addition of intravascular ultrasound (IVUS) guidance during femoropopliteal artery interventions reduced the rate of binary restenosis within 12months compared with angiographic guidance alone. IVUS is more accurate than angiography for assessment of vessel size and disease severity. Low-level studies suggest that the use of IVUS in femoropopliteal endovascular interventions improves outcomes, but currently, no level 1 evidence exists. This was a prospective single-center trial of 150 patients undergoing femoropopliteal endovascular intervention, randomized (1:1) to guidance by angiography or angiography and IVUS. The primary outcome measure was freedom from binary restenosis, on duplex ultrasound, within 12months. Secondary outcomes included clinically driven target lesion revascularization, disagreements in imaging findings between modalities, and changes in treatment caused by IVUS. Freedom from binary restenosis at 12months was significantly higher in the IVUS group (72.4% vs 55.4%; P = 0.008). There was no significant difference between groups for clinically directed target lesion revascularization (84.2% and 82.4%; P = 0.776). Mean vessel diameter was significantly larger with IVUS (5.60mm vs 5.10mm; P< 0.001). A change in treatment occurred caused by IVUS in 79% of cases. Binary restenosis was lower in the IVUS group for cases treated with drug-coated balloons (9.1% vs 37.5%; P = 0.001). The use of IVUS resulted in a significant reduction in the rate of restenosis after endovascular intervention. This is the first randomized controlled trial to demonstrate that IVUS improves outcomes in femoropopliteal interventions. This benefit may primarily relate to cases treated with drug-coated balloons. (Does the use of intravascular ultrasound improve outcomes of endovascular interventional procedures for peripheral vascular disease of the superficial femoral artery or popliteal artery?; ACTRN12614000006640).

Enrichment of Nanofiber Hydrogel Composite with Fractionated Fat Promotes Regenerative Macrophage Polarization and Vascularization for Soft-Tissue Engineering.

Fractionated fat has been shown to promote dermal regeneration; however, the use of fat grafting for reconstruction of soft-tissue defects is limited because of volume loss over time. The authors have developed a novel approach for engineering of vascularized soft tissue using an injectable nanofiber hydrogel composite enriched with fractionated fat. Fractionated fat was generated by emulsification of groin fat pads from rats and mixed in a 3:1 ratio with nanofiber hydrogel composite (nanofiber hydrogel composite with fractionated fat). Nanofiber hydrogel composite with fractionated fat or nanofiber hydrogel composite alone was placed into isolation chambers together with arteriovenous loops, which were subcutaneously implanted into the groin of rats (n = 8 per group). After 21 days, animals were euthanized and systemically perfused with ink, and tissue was explanted for histologic analysis. Immunofluorescent staining and confocal laser scanning microscopy were used to quantify CD34+ progenitor cell and macrophage subpopulations. Nanofiber hydrogel composite with fractionated fat tissue maintained its shape without shrinking and showed a significantly stronger functional vascularization compared to composite alone after 21 days of implantation (mean vessel count, 833.5 ± 206.1 versus 296.5 ± 114.1; p = 0.04). Tissue heterogeneity and cell count were greater in composite with fractionated fat (mean cell count, 49,707 ± 18,491 versus 9263 ± 3790; p = 0.005), with a significantly higher number of progenitor cells and regenerative CD163+ macrophages compared to composite alone. Fractionated fat-enriched nanofiber hydrogel composite transforms into highly vascularized soft tissue over 21 days without signs of shrinking and promotes macrophage polarization toward regenerative phenotypes. Enrichment of injectable nanofiber hydrogel composite with fractionated fat represents a promising approach for durable reconstruction of soft-tissue defects. The authors' approach for tissue engineering may ultimately lay the groundwork for clinically relevant applications with the goal of generating large volumes of vascularized soft tissue for defect reconstruction without donor site morbidity.

Transluminal attenuation gradient derived from coronary CT angiography to predict ischemia in SPECT myocardial perfusion imaging: Effect of coronary cross-sectional area

BackgroundCoronary computed tomography angiography (CCTA)-based transluminal attenuation gradient (TAG) was suggested to determine the functional significance of a stenosis. However, evidence that TAG acquired by wide-volume scanners can assess the hemodynamic significance of stenosis assessed by single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI) is lacking. Moreover, coronary cross-sectional area may influence TAG. Hence, we aimed at assessing the diagnostic value of TAG to predict ischemia in SPECT-MPI and the correlation between TAG and the transluminal cross-sectional area gradient (TCG). MethodsPatients undergoing CCTA and SPECT-MPI for suspected coronary artery disease were included. TAG and TCG were calculated measuring the mean vessel attenuation and the cross-sectional area along major coronary vessels at 5-mm intervals. ResultsA total of 255 coronary arteries of 87 patients were included. TAG and TCG did not discriminate between coronary arteries with or without ischemia as assessed by SPECT-MPI (p = .44 and p = .25, respectively). The area under the curve to predict ischemia was not increased by adding TAG (0.88, 95% CI 0.83-0.92) or TCG (0.87, 95% CI 0.81-0.90) to CCTA alone (0.85, 95% CI 0.80-0.89). There was a significant correlation between TAG and TCG (r = 0.43; p < .001). ConclusionsCCTA-derived TAG and TCG do not offer any value in predicting ischemia assessed by SPECT-MPI. TAG is partly affected by differences in the coronary luminal area.

Oral Submucous Fibrosis Patients Expressed Hypoxia Inducible Factor-1α (HIF-1α) in Saliva: A Biomarker for Detection of Malignant Transformation

Objective: Aim of this current study was to determine the malignant transformation associated with hypoxia inducible factor-1α among patients of oral submucous fibrosis (OSF). Study Design: This Retrospective study was carried from 1st January, 2021 to 31st December, 2021 at the Department of Dental Materials, Sardar Begum Dental College, Gandhara University, Peshawar Methods: There were forty five diagnosed patients of oral submucous fibrosis with ages 18-50 years were included in the current study. After taking informed consent for baseline details were recorded which includes age, gender, causes and symptoms of OSF. Inter Incisal Opening (IIO) of mouth among all the patients were measured. Hypoxia inducible factor-1α was observed among all the cases. Staining intensity of fibroblast and correlation of different grades of staining intensity with blood vessels were assessed in terms of mild, moderate and severe. SPSS 26.0 version was used to analyze complete data. Results: There were 32 (71.1%) males and 13 (28.9%) females in this study. 22.13±5.29 kg/m2 was the mean body mass index of patients with mean age 31.02±3.45 years. Most common cause was tobacco found in 20 (44.4%) cases, followed by smoking in 15 (33.3%) patients and areca nut found in 10 (22.2%) cases. Most common symptom was burning sensation, pain, ulceration and dry mouth. Twenty four (53.3%) patients had IIO level &lt;27mm and &gt;27mm level was in 21 (46.7%) patients. Mean blood vessels were 11.1±2.34 with majority of the cases had mild staining intensity in 23 (51.1%) cases. Mean fibroblasts were 42.23±5.64 and had mild staining intensity in majority cases 21 (46.7%). Conclusion: According to our study HIF-1α was an effective factor in the malignant transformation of oral submucous fibrosis. Aside from that, our findings revealed that OSF malignancy can be detected by the use of HIF-1 as a biomarker. Keywords: OSF, Hypoxia Inducible Factor-1α, Fibroblast, Staining Intensity, Blood Vessels

A Comparative Analysis of the Hydraulic Strategies of Non-Native and Native Perennial Forbs in Arid and Semiarid Areas of China

(1) Background: Water transport systems play an important role in maintaining plant growth and development. The plasticity responses of the xylem anatomical traits of different species to the environment are different. Studies have shown that there are annual growth rings in the secondary root xylem of perennial herbaceous species. Studies on xylem anatomical traits, however, have mainly focused on woody species, with little attention given to herbaceous species. (2) Methods: We set 14 sampling sites along a rainfall gradient in arid and semiarid regions, and collected the main roots of native (Potentilla) and non-native (Medicago) perennial forbs. The xylem anatomical traits of the plant roots were obtained by paraffin section, and the relationships between the xylem traits of forbs were analyzed by a Pearson correlation. (3) Results: In the fixed measurement area (850 μm × 850 μm), the vessel number (NV) of Potentilla species was higher than that of Medicago species, while the hydraulic diameter (Dh) and mean vessel area (MVA) of Potentilla species were lower than those of Medicago species. With the increase in precipitation along the rainfall gradient, the Dh (R2 = 0.403, p = 0.03) and MVA (R2 = 0.489, p = 0.01) of Medicago species increased significantly, and NV (R2 = 0.252, p = 0.09) decreased, while the hydraulic traits of Potentilla species showed no significant trend with regard to the rainfall gradient. (4) Conclusions: The hydraulic efficiency of non-native Medicago forbs was higher than that of native Potentilla forbs, and the hydraulic safety of native Potentilla forbs was higher than that of non-native Medicago forbs. With the decrease in precipitation, the hydraulic strategies of non-native Medicago forbs changed from efficiency to safety, while native Potentilla forbs were not sensitive to variations in precipitation.

An injectable hydroxypropyl-β-cyclodextrin cross-linked gelatin-based hydrogel loaded bone mesenchymal stem cell for osteogenic and in vivo bone regeneration of femoral head necrosis

An injectable hydroxypropyl-β-cyclodextrin (HPβCD) cross-linking of gelatin (Gel) based hydrogel was embedded with BMSC in vivo bone regeneration of femoral head necrosis. This HPβCD-Gel hydrogel possesses quick gelation within 6 min; a high-water uptake resulted in faster biodegradation, high swelling, and a 3D porous network that strengthened its mechanical, surface, and morphological properties. The results indicated that BMSC showed high cell viability (>90%) during measurement; HPβCD-Gel hydrogels induced BMSC differentiation into osteocytes within 14 days more efficiently than the osteogenic medium. The HPβCD-Gel/BMSC hydrogels that were injected into the necrosis site of the femoral head in the vessels were measured for 2 weeks. In addition, the vessel density and mean vessel diameters increased in the next 2-8 weeks followed by increased new bone formation, according to the in vivo analysis. Overall, our findings show that this method is a promising strategy for improving femoral head necrosis bone regeneration.

Normative data on the foveal avascular zone in a young healthy Irish population using optical coherence tomography angiography.

PurposeTo establish normative data on the size, shape and vascular profile of the foveal avascular zone (FAZ) in a young, healthy, Irish population, using the Cirrus 5000 HD-OCT. Certain diseases may alter FAZ appearance. Normative databases provide normal baseline values for comparison, thus improving diagnostic ability.MethodsOne hundred and fifty-four subjects aged 18–35 years old were recruited. Superficial FAZ area, diameter, circularity, ganglion cell layer, central macular thickness (CMT), vascular perfusion and density were measured using the Cirrus 5000. Axial length was measured with the IOL Master and blood pressure was measured using the Omron sphygmomanometer.ResultsMean FAZ area was 0.22 ± 0.07 mm2, mean CMT was 263.08 ± 18.73μm. Both were larger in females than males (p = 0.022, p = 0.000). Mean vessel density and perfusion central were 14.11 ± 2.77 mm/mm2 and 24.70 ± 4.96% respectively. Both were lower in females (p = 0.010, p = 0.019). Vessel density and perfusion inner correlated positively with minimum ganglion cell layer plus inner plexiform layer (GCL + IPL) thickness (p = 0.001, p = 0.019). CMT correlated positively with vessel density and perfusion central (p = 0.000 for both) and negatively with FAZ area (p = 0.000).ConclusionsThis study provides normative data for FAZ appearance and vascularity for the first time in a young, healthy, Irish population, using the Cirrus 5000 HD-OCT. Establishing machine and population specific normative data, particularly in relation to vessel density and perfusion is paramount to the early identification of ocular disease using Optical Coherence Tomography Angiography.