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Biomedical subjects

X Y Luo

Publications and source records attributed to X Y Luo.

At least 19 recordsLinked to original sources

Snoring source identification and snoring noise prediction.

This paper investigates the snoring mechanism of humans by applying the concept of structural intensity to a three-dimensional (3D) finite element model of a human head, which includes: the upper part of the head, neck, soft palate, hard palate, tongue, nasal cavity and the surrounding walls of the pharynx. Results show that for 20, 40 and 60Hz pressure loads, tissue vibration is mainly in the areas of the soft palate, the tongue and the nasal cavity. For predicting the snoring noise level, a 3D boundary element cavity model of the upper airway in the nasal cavity is generated. The snoring noise level is predicted for a prescribed airflow loading, and its range agrees with published measurements. These models may be further developed to study the various snoring mechanisms for different groups of patients.

Computer Simulation↗

Dynamic modelling of prosthetic chorded mitral valves using the immersed boundary method.

Current artificial heart valves either have limited lifespan or require the recipient to be on permanent anticoagulation therapy. In this paper, effort is made to assess a newly developed bileaflet valve prosthesis made of synthetic flexible leaflet materials, whose geometry and material properties are based on those of the native mitral valve, with a view to providing superior options for mitral valve replacement. Computational analysis is employed to evaluate the geometric and material design of the valve, by investigation of its mechanical behaviour and unsteady flow characteristics. The immersed boundary (IB) method is used for the dynamic modelling of the large deformation of the valve leaflets and the fluid-structure interactions. The IB simulation is first validated for the aortic prosthesis subjected to a hydrostatic loading. The predicted displacement fields by IB are compared with those obtained using ANSYS, as well as with experimental measurements. Good quantitative agreement is obtained. Moreover, known failure regions of aortic prostheses are identified. The dynamic behaviour of the valve designs is then simulated under four physiological pulsatile flows. Experimental pressure gradients for opening and closure of the valves are in good agreement with IB predictions for all flow rates for both aortic and mitral designs. Importantly, the simulations predicted improved physiological haemodynamics for the novel mitral design. Limitation of the current IB model is also discussed. We conclude that the IB model can be developed to be an extremely effective dynamic simulation tool to aid prosthesis design.

Biocompatible Materials↗

Investigation of the functional three-dimensional anatomy of the human cystic duct: a single helix?

Clinical research into the formation of gallstones has indicated that the anatomy of the cystic duct is one of a number of factors contributing to the formation of gallstones. The cystic duct allows low-viscosity hepatic bile to enter the gallbladder under low pressure and the expulsion of a more viscous gallbladder bile, but little is known about this transport mechanism and the effect of anatomical variations in structure. This article describes the variation in geometry of the cystic duct, obtained from acrylic resin casts of the neck and first part of the cystic duct in gallbladders removed for gallstone disease and obtained from patients undergoing partial hepatectomy for metastatic disease. The data obtained allowed us to formulate a number of standard terms for describing cystic duct morphology and demonstrate that the term "spiral valve" is only partially correct when describing the duct anatomy. In over half of the casts, spiraling was not the dominant feature of the cystic duct. Additionally, the term valve implies active resistance to flow in one direction, whereas the internal baffles of the cystic duct would serve to regulate bile flow in both directions. These data are useful for realistic 3D modeling of fluid-structure interactions of the flow of bile in the human cystic duct.

Bile Ducts↗

The flow of bile in the human cystic duct.

Clinical studies suggest that the flow of bile in the biliary system may be a contributing factor in the pathogenesis of cholelithiasis, but little is known about its transport mechanism. This paper reports a numerical study of steady flow in human cystic duct models. In order to obtain parametric data on the effects of various anatomical features in the cystic duct, idealised models were constructed, first with staggered baffles in a channel to represent the valves of Heister and lumen. The qualitative consistency of these findings are validated by modelling two of the real cystic ducts obtained from operative cholangiograms. Three-dimensional (3D) models were also constructed to further verify the two-dimensional (2D) results. It was found that the most significant geometric parameter affecting resistance is the baffle clearance (lumen size), followed by the number of baffles (number of folds in the valves of Heister), whilst the least significant ones are the curvature of the cystic duct and the angle between the neck and the gallbladder. The study presented here forms part of a larger project to understand the functions of the human cystic duct, especially the influence of its various anatomical structures on the resistance to bile flow, so that it may aid the assessment of the risk of stone formation in the gallbladder.

Bile↗

LES modelling of flow in a simple airway model.

Detailed information about the flow field pattern is highly important in accurately predicting particle deposition sites in the human airway. Flow in the upper airway during heavy breathing can have a Reynolds number as high as 9300, and therefore presents turbulent features. Although turbulence is believed to have an important effect on the airflow and other transport processes in the bronchial tree, to date both theoretical and numerical studies have predominantly assumed the flow to be laminar. In this paper, transitional/turbulent flow during inspiration is studied using a large eddy simulation (LES) in a single asymmetric bifurcation model of human upper airway. The influence of the non-laminar flow on the patterns and the particle paths is investigated in both 2D and 3D models. Throughout the investigation, comparisons with the laminar and conventional k- models for the same configuration and flow conditions are made. The LES model is also carefully validated against published experimental data in a stenotic tube model. The results demonstrate that the LES model is capable of capturing instantaneous eddy formation and flow separation in (almost) laminar, transitional and turbulent flow regimes, and hence may be used as a powerful and practical tool to provide much of the detailed flow information required for tracing the particle trajectories and particle deposition in human airways.

Computer Simulation↗

Geometrical stress-reducing factors in the anisotropic porcine heart valves.

This study carries out a detailed parameter study based on a nonlinear anisotropic finite-element model published previously. The aim of this study is to identify the stress-reducing influences from geometrical parameters such as stent height, valve diameter, and the nonuniform thickness of porcine aortic valves under static loading condition. The anisotropy of the valve is considered to be transversely isotropic with fibers oriented along the circumferential directions, which enables us to use a simple anisotropic constitutive model using uniaxial experimental data. The results showed that in general, higher stent height and smaller diameter combined with nonuniform thickness give rise to a much more reduced overall stress level. Although the absolute values of the peak stresses may be influenced by the detailed orientations of fibers, the trends of the stress variation with the geometrical factors seem to be qualitatively consistent within the parameter ranges considered.

Animals↗

A nonlinear anisotropic model for porcine aortic heart valves.

The anisotropic property of porcine aortic valve leaflet has potentially significant effects on its mechanical behaviour and the failure mechanisms. However, due to its complex nature, testing and modelling the anisotropic porcine aortic valves remains a continuing challenge to date. This study has developed a nonlinear anisotropic finite element model for porcine heart valves. The model is based on the uniaxial experimental data of porcine aortic heart valve leaflet and the properties of nonlinear composite material. A finite element code is developed to solve this problem using the 8-node super-parameter nonlinear shells and the update Lagrangian method. The stress distribution and deformation of the porcine aortic valves with either uniform and non-uniform thicknesses in closed phase and loaded condition are calculated. The results showed significant changes in the stress distributions due to the anisotropic property of the leaflets. Compared with the isotropic valve at the same loading condition, it is found that the site of the peak stress of the anisotropic leaflet is different; the maximum longitudinal normal stress is increased, but the maximum transversal normal stress and in-plane shear stress are reduced. We conclude that it is very important to consider the anisotropic property of the porcine heart valves in order to understand the failure mechanism of such valves in vivo.

Animals↗

Aflatoxins and fumonisins in corn from the high-incidence area for human hepatocellular carcinoma in Guangxi, China.

A comparative study on the natural occurrence of aflatoxins and Fusarium toxins was conducted with corn samples from high- and low-incidence areas for human primary hepatocellular carcinoma (PHC) in Guangxi, China. In samples from the high-risk area, aflatoxin B(1) was the predominant toxin detected in terms of quantity and frequency, with its concentration ranging between 9 and 2496 microg/kg and an 85% incidence of contamination. Among the samples, 13 (76%) exceeded the Chinese regulation of 20 microg/kg for aflatoxin B(1) in corn and corn-based products intended for human consumption. Significant differences in aflatoxin B(1), B(2), and G(1) and total aflatoxin concentrations in corn between the areas were found (P < 0.05). The average daily intake of aflatoxin B(1) from corn in the high-risk area was 184.1 microg, and the probable daily intake is estimated to be 3.68 microg/kg of body weight/day, 3.20 times the TD(50) in rats. Corn samples from both areas were simultaneously contaminated with fumonisins B(1), B(2), and B(3). Aflatoxin B(1) may play an important role in the development of PHC in Guangxi.

Aflatoxin B1↗

Gene silencing: double-stranded RNA mediated mRNA degradation and gene inactivation.

The recent development of gene transfer approaches in plants and animals has revealed that transgene can undergo silencing after integration in the genome. Host genes can also be silenced as a consequence of the presence of a homologous transgene. More and more investigations have demonstrated that double-stranded RNA can silence genes by triggering degradation of homologous RNA in the cytoplasm and by directing methylation of homologous nuclear DNA sequences. Analyses of Arabidopsis mutants and plant viral suppressors of silencing are unraveling RNA-silencing mechanisms and are assessing the role of methylation in transcriptional and posttranscriptional gene silencing. This review will focus on double-stranded RNA mediated mRNA degradation and gene inactivation in plants.

Animals↗

Death the Fas way: regulation and pathophysiology of CD95 and its ligand.

Apoptotic cell death mediated by the members of the tumor necrosis factor receptor family is an essential process involved in the regulation of cellular homeostasis during development, differentiation, and pathophysiological conditions. Among the cell death receptors comprising the tumor necrosis factor receptor superfamily, CD95/APO-1 (Fas) is the best characterized. The specific interaction of Fas with its cognate ligand, Fas ligand (FasL), elicits the activation of a death-inducing caspase (cysteine aspartic acid proteases) cascade, occurring in a transcription-independent manner. Caspase activation executes the apoptosis process by cleaving various intracellular substrates, leading to genomic DNA fragmentation, cell membrane blebbing, and the exposure of phagocytosis signaling molecules on the cell surface. Recent studies have shown that the Fas/FasL pathway plays an important role in regulating the life and death of the immune system through activation-induced cell death. In addition, these molecules have been implicated in aging, human immunodeficiency virus infection, drug abuse, stress, and cancer development. In this review, we will focus on the mechanisms that regulate Fas and FasL expression, and how their deregulation leads to diseases.

Aging↗

Mycotoxins (trichothecenes, zearalenone and fumonisins) in cereals associated with human red-mold intoxications stored since 1989 and 1991 in China.

Two corn powder samples implicated in the human food poisoning that occurred in Guangxi province in 1989, and eight wheat and two barley samples linked to an episode that involved about 130,000 people in gastrointestinal disorders in Anhui province in 1991 were analyzed for trichothecenes including deoxynivalenol (DON), nivalenol (NIV) and their esters, zearalenone (ZEA) and fumonisins (FMs) by gas chromatography/mass spectroscopy and high performance liquid chromatography, and T-2 toxin by enzyme-linked immunosorbent assays. DON was detected in all samples as a major trichothecene (16-51,450 microg kg(-1)), and NIV was in one corn, one barley and all wheat at relatively low levels (10-6935 microg kg(-1)). ZEA was found in all corn and barley, and six wheat samples (46-3079 microg kg(-1)). In addition, 3-acetyl-DON (2544 microg kg(-1)) and 15-acetyl-DON (2537 microg kg(-1)) were detected separately in one corn and one wheat sample. The highest levels of these mycotoxins were found in one wheat sample associated with the human intoxication in Anhui province. FMs in corn were below 1000 microg kg(-1). Risks of DON and ZEA on the people who consumed the causative cereals were assessed.

Carboxylic Acids↗

National food contamination monitoring programmes-levels of mercury, lead and cadmium in Chinese foods.

Six hundred and thirty-four food samples of six kinds were collected from Beijing, Shanghai, Jiangsu, Sichuan, Jilin and Guangdong areas, China and Hg, Pb, Cd contents were determined. The results showed that their levels in the Chinese foods were low; their levels in meat, egg, milk and fish were generally below the national hygienic standard. The average daily dietary intake of Hg, Pb, Cd were 7.25 micrograms, 103.77 micrograms and 30.72 micrograms respectively and they were all less than the ADI established by WHO.

Adult↗

A study on the constitutive equation of blood.

This paper proposes and studies a new three-parameter constitutive equation for whole human blood, tau = tau y+eta 2 gamma 1/2 + eta 1 gamma. The model aims at a proper description of the shear thinning behavior of blood at both low and high shear rates. While empirically based, it relies on continuum constitutive theories. The model has been verified by fitting the experimental data available in the literature using the weighted least squares. Results show that the proposed model fits the experimental data with nearly constant parameters in a wide shear range, and with average deviations epsilon less than 6.24%. Formulae to calculate the velocity profile and flow rate of the proposed model in a straight tube flow were deduced. Compared to Casson's and Newtonian models, it is concluded that the proposed model is more effective in describing the shear thinning behavior of blood within a wide shear range.

Biomechanical Phenomena↗

Non-Newtonian flow patterns associated with an arterial stenosis.

A non-Newtonian constitutive equation for blood has been introduced in this paper. Using this equation, blood flow attributes such as velocity profiles, flowrate, pressure gradient, and wall shear stress in both straight and stenotic (constricted) tubes have been examined. Results showed that compared with Newtonian flow at the same flowrate, the non-Newtonian normally features larger pressure gradient, higher wall shear stress, and different velocity profile, especially in stenotic tube. In addition, the non-Newtonian stenotic flow appears to be more stable than Newtonian flow.

Arterial Occlusive Diseases↗

[Molecular recognition between glycophorin A and Plasmodium falciparum merozoites].

By using purified human erythrocyte membrane glycophorin A (GPA) and glycopeptide of GPA, antibodies against GPA and against GPA-glycopeptide, and SPA-colloidal gold, Plasmodium falciparum FCC-1/HN merozoites were immunolabeled. The labeled samples were observed under transmission electron microscope (TEM). The TEM pictures showed that colloidal gold pellets were distributed over all of the merozoite surface. This is the first report on the direct experimental evidence of molecular recognition and combination between GPA (or glycopeptide of GPA) and Plasmodium falciparum merozoites. The results strongly support the hypothesis that GPA is involved as a recognized receptor on erythrocytes for Plasmodium falciparum and the glycopeptide domain of GPA is the receptor site for Plasmodium falciparum.

Animals↗

Physical linkage of the genes for platelet membrane glycoproteins IIb and IIIa.

The fibrinogen receptor on human platelets is a prototypic member of the integrin family and is composed of subunit glycoproteins IIb (gpIIb) and IIIa (gpIIIa) in a 1:1 stoichiometric ratio. We have isolated cDNA clones for gpIIb and gpIIIa and localized both genes to chromosome 17. In the current study, several approaches were used to localize and map the genes for gpIIb and gpIIIa. A preliminary evaluation of subchromosomal localization was performed by using a panel of mouse-human somatic cell hybrids that contain different amounts of the long arm of human chromosome 17. Southern hybridization to the DNA of these hybrids shows that both genes map near the thymidine kinase gene. In situ hybridization to intact human chromosomes localized both genes to the 17q21-22 region. To better define the physical distance between the two genes, we examined the genomic hybridization pattern of each cDNA probe to high molecular weight restriction fragments separated by pulsed-field gel electrophoresis. Serial hybridizations of the same filter have allowed construction of long-range Mlu I and Sfi I restriction maps spanning more than 500 kilobases. Finally, nonoverlapping portions of the cDNAs for both gpIIb and gpIIIa were used to probe Sfi I digests of genomic DNA separated by field-inversion gels. This confirmed that the genes are physically linked within the same 260-kilobase Sfi I fragment and suggests that the gene for gpIIb is located on the 3' side of the gene for gpIIIa. These results suggest that coordinate expression of gpIIb and gpIIIa may depend on physical proximity.

Animals↗