Background. Rheumatoid arthritis (RA) is a chronic condition that manifests as inflammation of synovial joints, leading to joint destruction and deformity. Methods. We identified single-cell RNA-seq data of synovial fibroblasts from RA and osteoarthritis (OA) patients in GSE109449 dataset. RA- and OA-specific cellular subpopulations were identified, and enrichment analysis was performed. Further, key genes for RA and OA were obtained by combined analysis with differentially expressed genes (DEGs) between RA and OA in GSE56409 dataset. The diagnostic role of key genes for RA was predicted using receiver operating characteristic (ROC) curve. Finally, we identified differences in immune cell infiltration between RA and OA patients, and utilized flow cytometry, qRT-PCR, and Western blot were used to examine the immune cell and key genes in RA patients. Results. The cluster 0 matched OA and cluster 3 matched RA and significantly enriched for neutrophil-mediated immunity and ECM receptor interaction, respectively. We identified 478 DEGs. In the top 20 degrees of connection in the PPI network, the key genes for RA were obtained by comparing with the gene markers of cluster 0 and cluster 3, respectively. ROC curve showed that CCL2 and MMP13 might be diagnostic markers for RA. We found aberrant levels of CD8+T, neutrophil, and B cells in RA fibroblasts, which were validated in clinical samples. Importantly, we also validated the differential expression of key genes between RA and OA. Conclusion. High expression of CCL2 and MMP13 in RA may be a diagnostic and therapeutic target.
In this work, we demonstrate an efficient actively Q-switched laser based on a novel crystal Nd:YAG/YAG polygonal active mirror. A passively cooled crystal Nd:YAG/YAG polygonal active mirror with an end pump scheme was used as the gain medium. For the overlap between the TEM 00 laser mode and large gain profile, a cavity was carefully designed with a large fundamental mode volume. With a maximum absorbed power of 3.1 W, a 685 mW average output power with a pulse repetition of 5 kHz was attained, and the corresponding optical-optical and slope efficiency were 22.1% and 27.7%, respectively. The pulse width was 133.9 ns. The beam quality (M 2 ) was 1.561 in the horizontal direction and 1.261 in the vertical direction.
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