Cardiomyocyte injury is a common complication during cardiac surgery with cardiopulmonary bypass (CPB). Studies have shown that circulating small extracellular vesicles (sEVs) are involved in the pathological process of cardiovascular diseases via delivering signaling molecules. This study aims to investigate the relationship between circulating sEV-encapsulated long noncoding RNAs (lncRNAs) and cardiac injury after CPB. Here, we found that the expression of sEV SEMA5A-IT1 in serum samples of patients after CPB was higher than that of pre-CPB serum samples. Moreover, serum-derived sEV SEMA5A-IT1 levels were negatively correlated with creatine kinase-MB (CK-MB) levels in patients who underwent CPB operation. Notably, circulating sEVs packaged with SEMA5A-IT1 could be uptaken by cardiomyocyte-like cells AC16 and increased SEMA5A-IT1 expression in AC16 cells. Upregulated SEMA5A-IT1 protected cardiomyocytes against hypoxia/reoxygenation injury, confirmed by increased cell viability, reduced cell apoptosis, and inhibited ferroptosis in AC16 cells. Mechanistically, SEMA5A-IT1 regulated the expression of B-cell CLL/lymphoma 2 (BCL2) and solute carrier family 7 member 11 (SLC7A11) through sponging miR-143-3p. Transfection of miR-143-3p mimics, BCL2, or SLC7A11 knockdown could attenuate the protective effect of SEMA5A-IT1 on cardiomyocytes. In conclusion, we propose that SEMA5A-IT1, which is transported to cardiomyocytes through circulating sEVs, is an important regulatory molecule that protects cardiomyocytes from ischemia–reperfusion injury, providing a target for the prevention and treatment of myocardial ischemia–reperfusion injury.

Background:Optimization of blood-saving strategies during open heart surgery in infants is still required. This study aimed to study a comprehensive blood-saving strategy during cardiopulmonary bypass (CPB) on postoperative recovery in low-weight infants undergoing open heart surgery.Methods:This was a prospective study of 86 consecutive infants (weighing <5 kg) with acyanotic congenital heart disease treated at the Tianjin Chest Hospital between March and December 2016, and randomized to the control (traditional routine CPB) and comprehensive blood-saving strategy groups. The primary endpoints were blood saving and clinical prognosis. The secondary endpoints were safety and laboratory indicators, prior to CPB (T1), after 30 minutes of CPB (T2), after modified ultrafiltration (T3), and postoperative 12 (T4), 24 (T5), 48 (T6), and 72 h (T7).Results:The total priming volume and banked red blood cells in the comprehensive strategy group were significantly lower than in the control group (P = .009 and P = .04, respectively). In the comprehensive strategy group, immediately after CPB, the amount of salvaged red blood cells exceeded the priming red blood cells by 40 ± 11 mL. Postoperatively, the comprehensive strategy group showed a significant decrease in the inotrope score (P = .03), ventilation time (P = .03), intensive care unit stay (P = .04), and hospital stay (P = .03) in comparison with the control group.Conclusion:The comprehensive blood-saving strategies for CPB were associated with less blood use and favorable postoperative recovery in low-weight infants with congenital heart disease undergoing open heart surgery.

Promoting the coordinated development of population health and the economy is an important part of building a “Healthy China” and promoting high-quality economic development. Based on the systematic construction of the population health and economic development evaluation index system, this paper uses the coupled coordination model, geodetector, and geographically weighted regression (GWR) to comprehensively measure the population health level and economic development level at the provincial scale in China in 2000 and 2015, and reveals the spatial and temporal evolution characteristics of the coupled coordination relationship between the population health level and economic development level at the provincial scale in China from 2000 to 2015 and its driving factors. The results show the following: (1) China’s population health and economic development are in a high-level coupling stage, and the coupling level increases slightly with time; spatially, two types of running-in coupling and high-level coupling coexist; the coupling degree in the eastern and central regions tends to increase, while the coupling degree in the western region tends to weaken. (2) China’s population health and economic development are in a good coupling coordination stage as a whole, and the coupling coordination degree has an increasing trend; spatially, the coupling coordination degree shows high spatial differentiation characteristics in the east and low in the west; the good and high-quality coupling coordination type area tends to expand to the west, while the moderate coupling coordination type area tends to shrink to the west; there is also positive spatial agglomeration of coupling coordination degree, and the spatial agglomeration is gradually enhanced. (3) The coupling coordination of China’s population health and economic development is driven by multiple factors such as natural conditions, health resources, culture quality, and urbanization level; the interaction between factors is stronger than that of a single factor, and the driving effect of each factor also shows significant spatial heterogeneity. This study is intended to provide a scientific basis for promoting harmonious population health and economic development.

The paper is based on the theoretical analysis of motor field weakening control, design field weakening control system based on voltage feedback. In this research, MPC control algorithm is introduced into speed loop. Under field weakening control strategy, the designed MPC controller is applied to motor control system. Finally, the simulation results show: under field weakening control, MPC controller has better robustness and stronger anti-interference ability than PI controller, which improves system stability.