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A SOx-decorated porous carbon electrocatalyst that exhibits excellent 2e- oxygen reduction reaction activity is synthesized using UV-curing technology in combination with a pyrolysis process. The H2O2 selectivity using the SOx-porous C shows 95.1% at 0.4 V and delivers a H2O2 production rate of 604.2 mmol gcat-1 h-1. Density-functional theory calculations reveal the reasons for the improvement of catalytic performance.
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The selective oxidation of glycerol holds promise to transform glycerol into value-added chemicals. However, it remains a big challenge to achieve satisfactory selectivity toward the specific product at high conversion due to the multiple reaction pathways. Here, we prepare a hybrid catalyst via supporting Au nanoparticles on CeMnO3 perovskite with a modest surface area, achieving promoted conversion of glycerol (90.1%) and selectivity of glyceric acid (78.5%), which are much higher than those of CeMnOx solid-solution-supported Au catalysts with larger surface area and other Ce-based or Mn-based Au catalysts. The strong interaction between Au and CeMnO3 perovskite facilitates the electron transfer from the B-site metal (Mn) in the CeMnO3 perovskite to Au and stabilizes Au nanoparticles, which results in the enhanced catalytic activity and stability for glycerol oxidation. Valence band photoemission spectral analysis reveals that the uplifted d-band center of Au/CeMnO3 promotes the adsorption of the glyceraldehyde intermediate on the catalyst surface, which benefits further oxidation of glyceraldehyde into glyceric acid. The flexibility of the perovskite support provides a promising strategy for the rational design of high-performance glycerol oxidation catalysts.
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Experiment and mechanism studies on the enrichment of Pb, Cd, Zn, As, and Cr by modified kaolin were investigated during MSW (municipal solid waste) pyrolysis at 450 ~ 650 °C. The results showed that γAlOK(micro- and nano-γAl2O3 by hydrothermal method modified kaolin) was relatively selective for the solid phase enrichment of Cr and As, while CaHPK (CaHPO4 impregnated modified kaolinite) was more advantageous for the adsorption of Pb and Zn, which might be related to the thermal stability of γAl2O3 and the thermal conversion of CaHPO4. Compared with the original kaolin, the adsorption and retention capacity of γAlOK for As was improved by 20 ~ 30%. Moreover, the retention rate of modified kaolin for Cd decreased from 66.75 to 30.30% at 450 ~ 650 â, and the effect of temperature on the volatilization of Cd was always greater than the active components on the surface of modified kaolin. In the fluidized bed experiment, the physical mixing of different modified kaolin achieves complementary advantages on the retention capacity of heavy metals. In addition, the ∆E between Ca2P2O7 and PbCl2 is smaller than that of γAl2O3 at 500 ~ 650 °C, i.e., their electron transfer induction is stronger, and therefore more favorable for electron transfer and stable chemical bond formation.
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Caolín , Metales Pesados , Cadmio , Pirólisis , Plomo , Incineración , Metales Pesados/químicaRESUMEN
Magnesium is considered to play a role in preventing cancer. However, the association between serum magnesium and papillary thyroid cancer (PTC) remains unknown. We retrospectively reviewed records of all patients who underwent thyroidectomy with thyroid nodules confirmed pathologically as benign nodule or PTC at our institution from January 2016 to December 2020. Data including demographic characteristics, laboratory tests, and pathological features were analyzed in 5709 adult patients eventually. The subjects with benign nodules had a higher mean serum magnesium level than those with PTC (P < 0.001), and the proportions of PTCs decreased across quartiles of serum magnesium within the normal range. After adjustment for confounders, patients with the lowest quartile of serum magnesium had a higher prevalence of PTC than those with the highest quartile (OR = 1.421, 95%CI: 1.125-1.795, P for trend = 0.005), and the risk of PTC was 0.863 (95%CI: 0.795-0.936) for a per-SD change in serum magnesium. The contribution of serum magnesium remained in subgroup analysis (P for interaction for all analyses > 0.05). Based on the ROC curve, the cut-off value of serum magnesium used to differentiate benign nodules from PTCs was 935 µmol/L. Combining serum magnesium with other clinical indicators can improve the efficacy of predicting PTC. Our results showed that lower serum magnesium within the normal range was associated with a greater risk of PTC among patients with thyroid nodules considering thyroidectomy. Serum magnesium may be an independent protective factor against PTC and provide additional information on the odds of malignancy in uncertain thyroid nodules in combination with other clinical factors.
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Carcinoma Papilar , Neoplasias de la Tiroides , Nódulo Tiroideo , Adulto , Humanos , Nódulo Tiroideo/cirugía , Nódulo Tiroideo/patología , Cáncer Papilar Tiroideo/cirugía , Cáncer Papilar Tiroideo/complicaciones , Cáncer Papilar Tiroideo/patología , Tiroidectomía/métodos , Neoplasias de la Tiroides/cirugía , Neoplasias de la Tiroides/patología , Estudios Transversales , Magnesio , Estudios Retrospectivos , Carcinoma Papilar/cirugía , Carcinoma Papilar/patologíaRESUMEN
Objective: Fetal macrosomia is defined as a birth weight more than 4,000 g and is associated with maternal and fetal complications. This early metabolic disease may influence the entire life of the infant. Currently, macrosomia is predicted by using the estimated fetal weight (EFW). However, the EFW is inaccurate when the gestational week is gradually increasing. To assess precisely the risk of macrosomia, we developed a new predictive model to estimate the risk of macrosomia. Methods: We continuously collected data on 655 subjects who attended regular antenatal visits and delivered at the Second Hospital of Hebei Medical University (Shijiazhuang, China) from November 2020 to September 2021. A total of 17 maternal features and 2 fetal ultrasonographic features were included at late-term pregnancy. The 655 subjects were divided into a model training set and an internal validation set. Then, 450 pregnant women were recruited from Handan Central Hospital (Handan, China) from November 2021 to March 2022 as the external validation set. The least absolute shrinkage and selection operator method was used to select the most appropriate predictive features and optimize them via 10-fold cross-validation. The multivariate logistical regressions were used to build the predictive model. Receiver operating characteristic (ROC) curves, C-indices, and calibration plots were obtained to assess model discrimination and accuracy. The model's clinical utility was evaluated via decision curve analysis (DCA). Results: Four predictors were finally included to develop this new model: prepregnancy obesity (prepregnancy body mass index ≥ 30 kg/m2), hypertriglyceridemia, gestational diabetes mellitus, and fetal abdominal circumference. This model afforded moderate predictive power [area under the ROC curve 0.788 (95% confidence interval [CI] 0.736, 0.840) for the training set, 0.819 (95% CI 0.744,0.894) for the internal validation set, and 0.773 (95% CI 0.713,0.833) for the external validation set]. On DCA, the model evidenced a good fit with, and positive net benefits for, both the internal and external validation sets. Conclusions: We developed a predictive model for macrosomia and performed external validation in other regions to further prove the discrimination and accuracy of this predictive model. This novel model will aid clinicians in easily identifying those at high risk of macrosomia and assist obstetricians to plan accordingly.
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Diabetes Gestacional , Macrosomía Fetal , Lactante , Embarazo , Femenino , Humanos , Macrosomía Fetal/etiología , Estudios Prospectivos , Aumento de Peso , Peso al Nacer , Diabetes Gestacional/diagnósticoRESUMEN
Purpose: Patients with primary aldosteronism (PA) tend to exhibit a high prevalence of osteoporosis (OP) that may vary by whether PA is unilateral or bilateral, and responsive to PA treatment. To explore relationships between bone metabolism, PA subtypes, and treatment outcomes, we performed a systematic review and meta-analysis. Methods: The PubMed, Embase, and Cochrane databases were searched for clinical studies related to PA and bone metabolism markers. Articles that met the criteria were screened and included in the systematic review; the data were extracted after evaluating their quality. R software (ver. 2022-02-16, Intel Mac OS X 11.6.4) was used for the meta-analysis. Results: A total of 28 articles were subjected to systematic review, of which 18 were included in the meta-analysis. We found that PA patients evidenced a lower serum calcium level (mean difference [MD] = -0.06 mmol/L, 95% confidence interval [CI]: -0.10 ~ -0.01), a higher urine calcium level (MD = 1.29 mmol/24 h, 95% CI: 0.81 ~ 1.78), and a higher serum parathyroid hormone (PTH) level (MD = 2.16 pmol/L, 95% CI: 1.57 ~ 2.75) than did essential hypertension (EH) subjects. After medical treatment or adrenal surgery, PA patients exhibited a markedly increased serum calcium level (MD = -0.08 mmol/L, 95% CI: -0.11 ~ -0.05), a decreased urine calcium level (MD = 1.72 mmol/24 h, 95% CI: 1.00 ~ 2.44), a decreased serum PTH level (MD = 2.67 pmol/L, 95% CI: 1.73 ~ 3.62), and an increased serum 25-hydroxyvitamin D (25-OHD) level (MD = -6.32 nmol/L, 95% CI: -11.94 ~ -0.70). The meta-analysis showed that the ser um PTH level of unilateral PA patients was significantly higher than that of bilateral PA patients (MD = 0.93 pmol/L, 95% CI: 0.36 ~ 1.49) and the serum 25-OHD lower than that of bilateral PA patients (MD = -4.68 nmol/L, 95% CI: -7.58 ~ 1.77). There were, however, no significant differences between PA and EH patients of 25-OHD, or BMD of femoral neck and lumbar spine. BMDs of the femoral neck or lumbar spine did not change significantly after treatment. The meta-analytical results were confirmed via sensitivity and subgroup analyses. Conclusion: Excess aldosterone was associated with decreased serum calcium, elevated urinary calcium, and elevated PTH levels; these effects may be enhanced by low serum 25-OHD levels. The risks of OP and fracture might be elevated in PA patients, especially unilateral PA patients, but could be reduced after medical treatment or adrenal surgery. In view, however, of the lack of BMD changes, such hypothesis needs to be tested in further studies.
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Hiperaldosteronismo , Osteoporosis , Humanos , Densidad Ósea , Calcio , Huesos , Hormona Paratiroidea , Osteoporosis/complicaciones , Hipertensión Esencial/complicaciones , Hiperaldosteronismo/complicaciones , MineralesRESUMEN
Quinolone antibiotics (QNs) can be potential hazard to environment and human. Combination of experimental and theoretical studies was used to analyze the adsorption properties of norfloxacin, ciprofloxacin and ofloxacin on modified thermally activated kaolin (KL). Main factors (calcination temperature, dose, pH, cations and regeneration) affecting the adsorption were discussed. Adsorption processes fit the pseudo-second order kinetic and Langmuir model well. The adsorption removal of norfloxacin, ciprofloxacin and ofloxacin can reach 88.53%, 89.43% and 91.46%, respectively. Cations inhibited adsorption, and AlS-KLB can maintain 80% efficiency in five cycles under optimal conditions. Simulations showed that the materials had good adsorption capacity for QNs, and the "â " of KL had the best capacity. Simulations explain the adsorption mechanism: F, H, O atoms of QNs are covalently bonded to O atoms from KL, Al2O3 and Al (OH)3, C atoms from amorphous carbon and H atoms from C-H and Al (OH)3. The Al atoms of Al2O3 and Al, Si atoms of KL are ionically bonded to F, H, O atoms of QNs. This study shed new light on the removal of QNs by providing low-cost and efficient modified KL and elucidating the adsorption mechanism in conjunction with DFT simulations.
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Norfloxacino , Contaminantes Químicos del Agua , Adsorción , Ciprofloxacina , Humanos , Caolín , Cinética , Modelos Teóricos , Ofloxacino , Contaminantes Químicos del Agua/químicaRESUMEN
Experimental and theoretical studies are combined to analyze the adsorption properties of modified kaolin for heavy metal (Pb, Cd, Zn and Cr) from coal combustion. The results indicate that the retention effect of kaolin for Pb, Cd, Zn and Cr has been significantly enhanced after intercalation-exfoliation combined with acid/alkali modification, which is mainly attributed to more active sites for adsorption, richer porosity and more effective in retarding coking of coal ash. The higher oxygen concentration is positive to the enrichment of heavy metals at 900-1200 â, while the coking of coal ash and the thermal conversion of additives become the main factors affecting the absorption at 1200-1300 â. The acid/alkali modification effectively promotes the inductive effect of electron transfer between modified kaolin and heavy metals to form stable chemical adsorption. The electron transfer induction of modified kaolin for Pb, Cd is higher than Zn, Cr at 900-1000 â, while the adsorption activity of mullite and cristobalite for Zn, Cr is stronger than Pb, Cd at 1200-1300 â. In addition, Pb, Cd and Zn are more readily adsorbed as oxides by additives at 900-1300 °C. The results shed new light on strengthening the adsorption activity of kaolin to Pb, Cd, Zn and Cr in high temperature.
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A self-supported dual-cation (Mo,Cu) co-doped Ni2P@ nickel foam catalyst (Mo,Cu-Ni2P@NF) has been prepared, and the co-doped samples can distort the lattice and expose a larger specific surface area, which provides more reaction locations, and exhibit an efficient water splitting performance.
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With the new municipal solid waste classification policy implemented in China, attention on achieving the waste-to-energy disposal of "dry waste" has been growing. Pyrolysis conversion of organic waste into value-added chemicals is a promising method to treat solid waste. However, after removing the non-combustible components of "dry waste", the obtained high-organic solid waste (HSW) contains various heavy metals, which requires urgent attention during thermochemical conversion. To mitigate heavy metals risk, kaolin was employed as additive during HSW pyrolysis, and intercalation-exfoliation and thermal activation modifications were performed on the kaolin to further immobilize and stabilize heavy metals in the derived chars. The characterization results illustrated that the interlayer spacing, pore volume and diameter of kaolin were expanded after intercalation-exfoliation modification, providing more opportunities for the adsorption of metals. The thermal activation method favored the transformation of kaolin into metakaolin via dehydroxylation to enhance its nonhexacoordinated Al proportion and chemisorption. During 450-650 °C, kaolin exhibited an effective solid enrichment performance for targeting heavy metals, and the intercalation-exfoliation and thermal activation modification further enhanced the adsorption capacity of the kaolin for Cd, Cr, Pb and Cr, Cu, Pb, Zn, respectively. Compared with Cu and Zn, additives demonstrated better stabilization effects for Cd, Pb, and Cr, transforming more bioavailable fractions to the residual speciation. Overall, a higher pyrolytic temperature (650 °C) and the addition of effective additives could simultaneously increase the residual fraction and decrease the bioavailable fraction of heavy metals in HSW-derived chars, reducing the potential ecological risk.
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Metales Pesados , Residuos Sólidos , China , Caolín , Metales Pesados/análisis , PirólisisRESUMEN
Layered rare-earth hydroxides (LREHs), as a series of special lamellar compounds having a similar structure to layered double hydroxides (LDHs), are becoming a new type of catalyst materials. In this study, we have prepared a series of uniform LREH (RE = Y, La, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Ho, Er, and Tm) nanosheets through a reverse-microemulsion method. After deposition-precipitation of HAuCl4 and calcination, supported Au catalysts (denoted as Au/LREO) were subsequently obtained. The catalytic properties of all the derived Au/LREO catalysts were evaluated by aerobic conversion of glycerol to lactic acid under mild conditions (90 °C, 1 atm). Among these catalysts, Au/LPrO displays the best performances, including the highest glycerol conversion, lactic acid, and C3 product selectivity. Both the catalytic activities and the characterizations of the structure of Au/LREO indicate that the kind of rare-earth ions plays a key role in determining the Au particle size and its valence state and reducibility, which are the important factors correlated with the catalytic activities in glycerol conversion. In fact, the three features of gold particles, the extra-small size (â¼3 nm), high content of Au0 species, and high reducibility, are the essential prerequisites for achieving the superior catalytic performance of Au/LPrO.
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In the process of municipal solid waste (MSW) pyrolysis, kaolinite possesses an outstanding trapping effect on semi-volatile metal vapors (Pb, Cd) through physical and chemical adsorption. In this paper, the microscopic mechanism of PbCl2 and CdCl2 adsorption on the surface of Al rings and Si rings of kaolinite was investigated by combining Monte Carlo method with density functional theory (DFT). The calculations indicate that the continuously enriched pore structure in the process of dehydroxylation indirectly influences the adsorption of PbCl2/CdCl2 by kaolinite. Under the non-bond interaction and electron transfer induction, PbCl2 molecules are more conveniently adsorbed on the Al-(001) surface than CdCl2, while the adsorption sites of CdCl2 molecules are more widely distributed on the Si-(001) surface. Moreover, the transform in the Al-coordination and the exposed active oxygen atoms significantly affect the adsorption activity of kaolinite (the capability to gain and lose electrons). Considering the energy barrier and electrophilic nucleophilic sensitivity, it is more feasible for PbCl2/CdCl2 to be adsorbed near IV/V-coordinated Al and active O under Van der Waals action. Subsequently, IV/V-coordinated Al will act as an electron acceptor, and the active oxygen atoms after dehydrogenation will serve as an electron donor. Under the induction of the energy difference of frontier orbitals, the electrons transfer will encourage the formation of more stable adsorption states. The results shed new light on strengthening the adsorption activity of kaolinite to PbCl2/CdCl2 in the process of MSW pyrolysis.
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Caolín , Residuos Sólidos , Adsorción , Modelos Teóricos , PirólisisRESUMEN
Micro-RNAs (miRs) have emerged as key gene regulators in many diseases, including stroke. We recently reported that miR-30a protects N2A cells against ischemic injury, in part through enhancing beclin 1-mediated autophagy. The present study explores further the involvement of miR-30a in ischemia-induced apoptosis and its possible mechanisms in primary cortical neurons and stroked mouse brain. We demonstrate that miR-30a level is significantly decreased in cortical neurons after 1-hr oxygen-glucose deprivation (OGD)/24-hr reoxygenation. Overexpression of miR-30a aggravated the OGD-induced neuronal cell death, whereas inhibition of miR-30a attenuated necrosis and apoptosis as determined by 3-(4,5-dimethyl-2-thiazolyl)-2,5-di-phenyl-2H-tetrazolium bromide, lactate dehydrogenase, TUNEL, and cleaved caspase-3. The amount of HSPA5 protein, which is predicted to be a putative target of miR-30a by TargetScan, could be reduced by pre-miR-30a, whereas it was increased by anti-miR-30a. Furthermore, the luciferase reporter assay confirmed that miR-30a directly binds to the predicted 3'-UTR target sites of the hspa5 gene. The cell injury regulated by miR-30a in OGD-treated cells could be aggravated by HSPA5 siRNA. We also observed an interaction of HSPA5 and caspase-12 by coimmunoprecipitation and speculate that HSPA5 might be involved in endoplasmic reticulum stress-induced apoptosis. In vivo, reduced miR-30a increased the HSPA5 level and attenuated ischemic brain infarction in focal ischemia-stroked mice. Downregulation of miR-30a could prevent neural ischemic injury through upregulating HSPA5 protein expression, and decreased ER stress-induced apoptosis might be one of the mechanisms underlying HSPA5-mediated neuroprotection.
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Apoptosis/genética , Encéfalo/patología , Proteínas de Choque Térmico/metabolismo , MicroARNs/fisiología , Neuronas/patología , Accidente Cerebrovascular/patología , Animales , Western Blotting , Encéfalo/metabolismo , Isquemia Encefálica/genética , Isquemia Encefálica/metabolismo , Isquemia Encefálica/patología , Modelos Animales de Enfermedad , Chaperón BiP del Retículo Endoplásmico , Regulación de la Expresión Génica/genética , Inmunoprecipitación , Etiquetado Corte-Fin in Situ , Masculino , Ratones , Ratones Endogámicos C57BL , Neuronas/metabolismo , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Accidente Cerebrovascular/genética , Accidente Cerebrovascular/metabolismo , Transducción GenéticaRESUMEN
The understanding of molecular mechanism underlying ischemia/reperfusion-induced neuronal death and neurological dysfunction may provide therapeutic targets for ischemic stroke. The up-regulated miRNA-30a among our previous identified 19 MicroRNAs (miRNAs) in mouse brain after 6 h middle cerebral artery occlusion (MCAO) could negatively regulate Beclin 1 messenger RNA (mRNA) resulting in decreased autophagic activity in tumor cells and cardiomyocytes, but its role in ischemic stroke is unclear. In this study, the effects of miRNA-30a on ischemic injury in N2A cells and cultured cortical neurons after oxygen glucose deprivation (OGD), and mouse brain with MCAO-induced ischemic stroke were evaluated. The results showed that miRNA-30a expression levels were up regulated in the brain of mice after 6 h MCAO without reperfusion, but significantly down regulated in the peri-infarct region of mice with 1 h MCAO/24 h reperfusion and in N2A cells after 1 h OGD/6-48 h reoxygenation. Both the conversion ratio of microtubule-associated protein 1 light chain 3 (LC3)-II/LC3-I and Beclin 1 protein level increased in N2A cells and cultured cortical neurons following 1 h OGD/24 h reoxygenation. The down-regulated miRNA-30a could attenuate 1 h OGD/24 h reoxygenation-induced ischemic injury in N2A cells and cultured cortical neurons through enhancing Beclin 1-mediated autophagy, as miRNA-30a recognized the 3'-untranslated region of beclin 1 mRNA to negatively regulate Beclin 1-protein level via promoting beclin 1 messenger RNA (mRNA) degradation, and Beclin 1 siRNA abolished anti-miR-30a-induced neuroprotection in 1 h OGD/24 h reoxygenation treated N2A cells. In addition, anti-miR-30a attenuated the neural cell loss and improved behavioral outcome of mice with ischemic stroke. These results suggested that down-regulation of miRNA-30a alleviates ischemic injury through enhancing beclin 1-mediated autophagy, providing a potential therapeutic target for ischemic stroke.
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Proteínas Reguladoras de la Apoptosis/biosíntesis , Autofagia/fisiología , Isquemia Encefálica/metabolismo , Isquemia Encefálica/prevención & control , Regulación hacia Abajo/fisiología , MicroARNs/metabolismo , Animales , Beclina-1 , Isquemia Encefálica/patología , Línea Celular Tumoral , Células Cultivadas , Masculino , Ratones , Ratones Endogámicos C57BLRESUMEN
Understanding the molecular mechanism of cerebral hypoxic preconditioning (HPC)-induced endogenous neuroprotection may provide potential therapeutic targets for ischemic stroke. By using bioinformatics analysis, we found that miR-181b, one of 19 differentially expressed miRNAs, may target aconitate hydratase (ACO2), heat shock protein A5 (HSPA5), and ubiquitin carboxyl-terminal hydrolase isozyme L1 (UCHL1) among 26 changed protein kinase C isoform-specific interacting proteins in HPC mouse brain. In this study, the role of miR-181b in oxygen-glucose deprivation (OGD)-induced N2A cell ischemic injury in vitro and mouse middle cerebral artery occlusion (MCAO)-induced cerebral ischemic injury in vivo, and its regulation of ACO2, HSPA5, and UCHL1 were further determined. We found that miR-181b expression levels significantly decreased in mouse brain following MCAO and in OGD-treated N2A cells. Up- and downregulation of miR-181b by transfection of pre- or anti-miR-181b could negatively regulate HSPA5 and UCHL1 (but not ACO2) protein levels as well as N2A cell death and programmed cell death in OGD-treated N2A cells. By using a T7 promoter-driven control dual luciferase assay, we confirmed that miR-181b could bind to the 3'-untranslated rergions of HSPA5 and UCHL1 mRNAs and repress their translations. miR-181b antagomir reduced caspase-3 cleavage and neural cell loss in cerebral ischemic cortex and improved neurological deficit of mice after MCAO. In addition, HSPA5 and UCHL1 short interfering RNAs (siRNAs) blocked anti-miR-181b-mediated neuroprotection against OGD-induced N2A cell injury in vitro. These results suggest that the downregulated miR-181b induces neuroprotection against ischemic injury through negatively regulating HSPA5 and UCHL1 protein levels, providing a potential therapeutic target for ischemic stroke.
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Isquemia Encefálica/genética , Encéfalo/metabolismo , Proteínas de Choque Térmico/metabolismo , MicroARNs/genética , Ubiquitina Tiolesterasa/metabolismo , Animales , Western Blotting , Encéfalo/patología , Isquemia Encefálica/metabolismo , Modelos Animales de Enfermedad , Regulación hacia Abajo , Chaperón BiP del Retículo Endoplásmico , Proteínas de Choque Térmico/genética , Etiquetado Corte-Fin in Situ , Precondicionamiento Isquémico , Masculino , Ratones , Ratones Endogámicos BALB C , MicroARNs/metabolismo , Reacción en Cadena en Tiempo Real de la Polimerasa , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Accidente Cerebrovascular/genética , Accidente Cerebrovascular/patología , Ubiquitina Tiolesterasa/genéticaRESUMEN
Hypothalamic hamartoma (HH) is a rare condition that often manifests as central precocious puberty (CPP). There is a lack of information available concerning the long-term effectiveness of surgery for the treatment of CPP due to HH. Here the authors describe 3 cases of CPP due to HH, with a follow-up ranging from 9 to 11 years after surgery. Three girls experienced breast growth and menses at 5-18 months of age and 5-36 months of age, respectively. Serum concentrations of luteinizing hormone, follicle-stimulating hormone, and estradiol concentrations ranged from 2.5 to 6.5 mIU/ml, 4.8-5.9 mIU/ml, and 47.9-133.0 pg/ml, respectively. Magnetic resonance imaging confirmed that CPP was caused by HH. Lesions were resected using a right pterional approach. After surgery, endocrine hormone concentrations were normalized, breasts shrunk, and menses ceased in each patient. Moreover, all of them subsequently developed normally and experienced age-appropriate onset of puberty. Each patient's height and weight were normal at the most recent follow-up (9-11 years after surgery), and none had experienced learning difficulties. Central precocious puberty due to HH can be successfully treated with resection. In the 3 cases presented, this approach was associated with both short- and long-term efficacy.
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Gonadotropinas Hipofisarias/sangre , Hamartoma/complicaciones , Hamartoma/cirugía , Enfermedades Hipotalámicas/complicaciones , Enfermedades Hipotalámicas/cirugía , Pubertad Precoz/etiología , Adolescente , Niño , Preescolar , Estradiol/sangre , Femenino , Hormona Folículo Estimulante/sangre , Estudios de Seguimiento , Hormona Liberadora de Gonadotropina/agonistas , Hormona Liberadora de Gonadotropina/uso terapéutico , Hamartoma/sangre , Hamartoma/tratamiento farmacológico , Humanos , Enfermedades Hipotalámicas/sangre , Enfermedades Hipotalámicas/tratamiento farmacológico , Lactante , Hormona Luteinizante/sangre , Imagen por Resonancia Magnética , Pubertad Precoz/sangre , Pubertad Precoz/tratamiento farmacológico , Radiocirugia , Maduración Sexual , Resultado del TratamientoRESUMEN
OBJECTIVES: To investigate the health effects of 1-bromopropane (1-BP) and its dose-dependency in 1-BP production factories in China. METHODS: Data of 60 female and 26 male workers in three 1-BP factories and the same number of age-, sex-, and region-matched controls were interviewed and examined. The time-weighed average exposure levels of individual workers were estimated. RESULTS: Regression analysis on exposure level showed dose-dependent increase in the distal latency of tibial nerve, threshold for vibration sense in toes, lactate dehydrogenase, thyroid stimulating hormone, and follicle stimulating hormone in female workers. The analysis also showed dose-dependent decrease in sensory nerve conduction velocity of the sural nerve, red blood cell, and hematocrit in female workers. CONCLUSIONS: The results indicate that exposure to 1-BP induces dose-dependent neurotoxicity in female workers.
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Síndromes de Neurotoxicidad/etiología , Exposición Profesional/efectos adversos , Trastornos de la Sensación/inducido químicamente , Adulto , Estudios de Casos y Controles , China , Relación Dosis-Respuesta a Droga , Electromiografía , Femenino , Hormona Folículo Estimulante/sangre , Humanos , Hidrocarburos Bromados/efectos adversos , L-Lactato Deshidrogenasa/sangre , Masculino , Persona de Mediana Edad , Exposición Profesional/análisis , Factores Sexuales , Tirotropina/sangre , Adulto JovenRESUMEN
OBJECTIVE: By using Benchmark Dose (BMD) approach to explore the relations among drinking water fluoride, urine fluoride, serum fluoride and dental fluorosis; and to evaluate the significance of urine fluoride and serum fluoride in control and prevention of endemic fluorosis. METHODS: 512 children (290 in Xinhuai Village, 222 in Wamiao Village) aged 8-13 years were recruited in the study. Epidemiological methods were used to investigate the prevalence of dental fluorosis, and the levels of urine fluoride, serum fluoride, and drinking water fluoride in superficial well. The children were divided into six subgroups by the concentration of fluoride in drinking water: < 0.5 mg/L, 0.5-mg/L, 1.0-mg/L, 2.0-mg/L, 3.0-mg/L and > or = 4.0 mg/L. RESULTS: There was significant dose-response relationship between the drinking water fluoride and the prevalence of dental fluorosis or the prevalence of defect dental fluorosis. The BMDLs (Benchmark Dose Lower Bound) were 1.01 and 1.30 mg/L, respectively. Urine fluoride and serum fluoride also had significant dose-response relationship to the prevalence of dental fluorosis or defect dental fluorosis. The correlation coefficient between drinking water fluoride and urine fluoride was 0.717, and it was 0.855 between drinking water fluoride and serum fluoride, and 0.617 between urine fluoride and serum fluoride. CONCLUSIONS: The currently national standard of fluoride in drinking water in China is safe and reasonable. As a biological monitoring index, the levels of fluoride in serum may be more useful than that in urine in the control and prevention of endemic fluorosis.