Comparison of the efficacy of fish oil and probiotic supplementation on glucose and lipid metabolism in patients with type 2 diabetes: a systematic review and network meta-analysis.

BACKGROUND: Abnormalities in glucose and lipid metabolism contribute to the progression and exacerbation of type 2 diabetes mellitus (T2DM). Fish oil and probiotics are dietary supplements that have the potential to improve glucose and lipid metabolism. However, their efficacy remains unclear in T2DM patients. METHODS: PubMed, Embase, and the Cochrane Library were retrieved to collect randomized controlled trials (RCTs) on the efficacy of fish oil or probiotic supplementation in T2DM patients from the database inception to December 13, 2023. Primary outcome indicators encompassed glycated hemoglobin (HbA1c), homeostatic model assessment for insulin resistance (HOMA-IR) and blood lipid profile (triglyceride (TG) and total cholesterol (TC). Secondary outcome indicators included inflammatory markers such as tumor necrosis factor -α (TNF-α) and adipocytokine (including leptin and adiponectin). The R software was used for statistical analysis, and GraphPad Prism was used for figure rendering. RESULTS: A total of 60 RCTs involving 3845 T2DM patients were included in the analysis. The results showed that the probiotics (Bifidobacterium, Lactobacillus, Lactococcus, Propionibacterium, etc.) were more effective in reducing HOMA-IR than fish oil (Surca = 0.935). Bifidobacterium demonstrated the highest efficacy in reducing HbA1c levels (Surca = 0.963). Regarding lipid metabolism, fish oil was superior to probiotics in lowering TG and TC levels (Surca values of 0.978 and 0.902, respectively). Furthermore, fish oil outperformed probiotics in reducing TNF-α (Surca = 0.839) and leptin (Surca = 0.712), and increasing adiponectin levels (Surca = 0.742). Node-splitting analysis showed good consistency (P > 0.05 for direct, indirect, and network comparison across various interventions). CONCLUSIONS: In T2DM patients, fish oil was more effective than probiotics in regulating lipid metabolism. Probiotics outperformed fish oil in regulating glucose metabolism particularly; specifically, Bifidobacterium showed higher efficacy in reducing blood glucose.

Predictive value of novel inflammatory markers platelet-to-lymphocyte ratio, neutrophil-to-lymphocyte ratio, and monocyte-to-lymphocyte ratio in arterial stiffness in patients with diabetes: A propensity score-matched analysis.

Background: Increased arterial stiffness is common in patients with diabetes, and inflammation is one of the main causes of increased arterial stiffness. Platelet-to-lymphocyte ratio (PLR), neutrophil-to-lymphocyte ratio (NLR), and monocyte-to-lymphocyte ratio (MLR) are novel inflammatory markers that are reproducible, widely available, and easy to measure, and are associated with low costs. This study sought to investigate the predictive value of these novel inflammatory markers in patients with diabetes having arterial stiffness. Methods: We retrospectively included inpatients with diabetes mellitus from the Endocrinology Department of the Chengdu Fifth People's Hospital from June 2021 to May 2022 and collected data on their general information, biochemical indicators, and brachial-ankle pulse wave velocity (baPWV). After propensity matching, the risk relationship between PLR, NLR, and MLR and arterial stiffness was assessed in the recruited patients. Results: A total of 882 hospitalized patients with diabetes were included in this study and categorized into the low baPWV (507 cases) or high baPWV group (375 cases) based on the baPWV. After propensity matching, there were 180 patients in all in the high and low baPWV groups. Univariate and multivariate logistic regression analyses revealed that high PLR, NLR, and MLR were independently associated with an increased risk of arterial stiffness in patients with diabetes. In the receiver operating characteristic curve analysis, the NLR area under the curve (AUC) was 0.7194 (sensitivity = 84.4%, specificity = 51.1%) when distinguishing low baPWV and high baPWV in patients with diabetes, which was higher than that for PLR AUC (0.6477) and MLR AUC (0.6479), and the combined diagnosis for AUC. Conclusions: NLR was superior to PLR, and MLR and combined diagnosis have certain predictive values that indicate the increase in arterial stiffness in patients with diabetes. These predictive values can help with the early identification of increased arterial stiffness in patients with diabetes.

Dynamically tunable narrowband anisotropic total absorption in monolayer black phosphorus based on critical coupling.

A dynamically tunable anisotropic narrowband absorber based on monolayer black phosphorous (BP) is proposed in the terahertz (THz) band. The proposed absorber consists of a monolayer BP and a silicon (Si) grating, which is placed on a silica (SiO2) isolation layer and a gold (Au) substrate. The benefit from the critical coupling mechanism with guided resonance is the efficiency of the absorption can reach 99.9% in the armchair (AC) direction and the natural anisotropy of BP makes it only 87.2% in the zigzag (ZZ) direction. Numerical and theoretical studies show that the absorption efficiency of the structure is operatively controlled by critical coupling conditions, including the geometric parameters of the Si grating, the electron doping of BP and the angle of incident light, etc. More importantly, in the absence of plasmon response, this structure greatly enhances the interaction between light and matter in monolayer BP. In particular, there are several advantages in this structure, such as extremely high-efficiency absorption, excellent tunability, outstanding intrinsic anisotropy and easy manufacturing, which will show unusual and promising potential applications in the design of BP-based tunable high-performance devices.

[Rapid molecular diagnosis of trisomy 21 using the PCR-STR-SSCP technique].

OBJECTIVE: Developing a PCR-based method to diagnose trisomy 21 directly by alternative detection of the SSCP profiles of the STR fragments amplified. METHODS: The DNA samples from 19 trisomy 21 patients, 3 at-risk fetuses of trisomy 21 and a total of 44 samples from their parents as controls were drawn for this study, in which the trisomy 21 was determined by G-band karytyping. Two polymorphic STR at D21S11 and D21S1411 served as the gene markers, and two separate PCR-amplified primers were designed.The STR-amplicons denatured were subjected to polyacrylamide gel electrophoresis for SSCP analysis. RESULTS: This assay can identify three STR fragments representing parents' chromosome 21 by detecting the electrophoresis separation profiles of PCR-amplified fragments. With the use of this assay, the authors analyzed the 22 cases of trisomy 21;accurate diagnoses were made except for one case in which the electrophoresis pattern at D21S11 site could not present the diagnostic information because of the homozygous state of this family. The 3 at-risk fetuses were found to be the trisomy 21 patients, followed by confirmation of the results by G-band karytyping of aborted samples. CONCLUSION: The present PCR-STR-SSCP assay can be applied as a simple, rapid and accurate method in the prenatal diagnosis and genetic screening of trisomy 21.