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      Enhanced external counterpulsation improves dysfunction of forearm muscle caused by radial artery occlusion

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          Abstract

          Objective

          This study aimed to investigate the therapeutic effect of enhanced external counterpulsation (EECP) on radial artery occlusion (RAO) through the oscillatory shear (OS) and pulsatile shear (PS) models of human umbilical vein endothelial cells (HUVECs) and RAO dog models.

          Methods

          We used high-throughput sequencing data GSE92506 in GEO database to conduct time-series analysis of functional molecules on OS intervened HUVECs, and then compared the different molecules and their functions between PS and OS. Additionally, we studied the effect of EECP on the radial artery hemodynamics in Labrador dogs through multi-channel physiological monitor. Finally, we studied the therapeutic effect of EECP on RAO at the histological level through Hematoxylin–Eosin staining, Masson staining, ATPase staining and immunofluorescence in nine Labrador dogs.

          Results

          With the extension of OS intervention, the cell cycle decreased, blood vessel endothelial cell proliferation and angiogenesis responses of HUVECs were down-regulated. By contrast, the inflammation and oxidative stress responses and the related pathways of anaerobic metabolism of HUVECs were up-regulated. Additionally, we found that compared with OS, PS can significantly up-regulate muscle synthesis, angiogenesis, and NO production related molecules. Meanwhile, PS can significantly down-regulate inflammation and oxidative stress related molecules. The invasive arterial pressure monitoring showed that 30Kpa EECP treatment could significantly increase the radial artery peak pressure ( p = 0.030, 95%CI, 7.236–82.524). Masson staining showed that RAO significantly increased muscle interstitial fibrosis ( p = 0.002, 95%CI, 0.748–2.128), and EECP treatment can reduce this change ( p = 0.011, 95%CI, −1.676 to −0.296). ATPase staining showed that RAO significantly increased the area of type II muscle fibers ( p = 0.004, 95%CI, 7.181–25.326), and EECP treatment could reduce this change ( p = 0.001, 95%CI, −29.213 to −11.069). In addition, immunofluorescence showed that EECP increased angiogenesis in muscle tissue ( p = 0.035, 95%CI, 0.024–0.528).

          Conclusion

          EECP improves interstitial fibrosis and hypoxia, and increases angiogenesis of muscle tissue around radial artery induced by RAO.

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          Most cited references76

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          Moderated estimation of fold change and dispersion for RNA-seq data with DESeq2

          In comparative high-throughput sequencing assays, a fundamental task is the analysis of count data, such as read counts per gene in RNA-seq, for evidence of systematic changes across experimental conditions. Small replicate numbers, discreteness, large dynamic range and the presence of outliers require a suitable statistical approach. We present DESeq2, a method for differential analysis of count data, using shrinkage estimation for dispersions and fold changes to improve stability and interpretability of estimates. This enables a more quantitative analysis focused on the strength rather than the mere presence of differential expression. The DESeq2 package is available at http://www.bioconductor.org/packages/release/bioc/html/DESeq2.html. Electronic supplementary material The online version of this article (doi:10.1186/s13059-014-0550-8) contains supplementary material, which is available to authorized users.
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            clusterProfiler: an R package for comparing biological themes among gene clusters.

            Increasing quantitative data generated from transcriptomics and proteomics require integrative strategies for analysis. Here, we present an R package, clusterProfiler that automates the process of biological-term classification and the enrichment analysis of gene clusters. The analysis module and visualization module were combined into a reusable workflow. Currently, clusterProfiler supports three species, including humans, mice, and yeast. Methods provided in this package can be easily extended to other species and ontologies. The clusterProfiler package is released under Artistic-2.0 License within Bioconductor project. The source code and vignette are freely available at http://bioconductor.org/packages/release/bioc/html/clusterProfiler.html.
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              2018 ESC/EACTS Guidelines on myocardial revascularization

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                Author and article information

                Contributors
                Journal
                Front Cardiovasc Med
                Front Cardiovasc Med
                Front. Cardiovasc. Med.
                Frontiers in Cardiovascular Medicine
                Frontiers Media S.A.
                2297-055X
                02 March 2023
                2023
                : 10
                : 1115494
                Affiliations
                [1] 1Department of Cardiology, The Eighth Affiliated Hospital of Sun Yat-sen University , Shenzhen, Guangdong, China
                [2] 2Department of Cardiology, Foshan Fosun Chancheng Hospital , Foshan, Guangdong, China
                [3] 3Department of Cardiology, Affiliated Hospital of Yan’an University , Yan’an, Shaanxi, China
                [4] 4School of Rehabilitation Sciences and Engineering, University of Health and Rehabilitation Sciences , Shandong, China
                [5] 5Guangdong Innovative Engineering and Technology Research Center for Assisted Circulation, Sun Yat-sen University , Shenzhen, Guangdong, China
                [6] 6NHC Key Laboratory of Assisted Circulation, Sun Yat-sen University , Guangzhou, Guangdong, China
                Author notes

                Edited by: Zoltan Ruzsa, University of Szeged, Hungary

                Reviewed by: Zoltán Jambrik, University of Szeged, Hungary; Matteo Nardin, Asst degli Spedali Civili di Brescia, Italy; Alexandru Achim, University of Medicine and Pharmacy Iuliu Hatieganu, Romania

                *Correspondence: Guifu Wu, wuguifu@ 123456mail.sysu.edu.cn

                These authors have contributed equally to this work

                This article was submitted to Atherosclerosis and Vascular Medicine, a section of the journal Frontiers in Cardiovascular Medicine

                Article
                10.3389/fcvm.2023.1115494
                10022471
                36937941
                6e1535ef-f77c-44db-a4f1-f519952b7299
                Copyright © 2023 Wang, Yao, Huang, Liang, Zhang, Shi, Wei, Zhou, Zhang and Wu.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 04 December 2022
                : 14 February 2023
                Page count
                Figures: 4, Tables: 0, Equations: 0, References: 76, Pages: 10, Words: 6679
                Funding
                Funded by: National Natural Science Foundation of China, doi 10.13039/501100001809;
                Award ID: 2020YFC2004400
                Categories
                Cardiovascular Medicine
                Original Research

                enhanced external counterpulsation,radial artery occlusion,oscillatory shear,pulsatile shear,hemodynamic,human umbilical vein endothelial cells,shear stress

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