RESUMO
Objective: This study explored the causal association of peripheral immune cell counts with mouth ulcers (MUs) by two-sample Mendelian Randomization. Design: The counts of 12 circulating immune cell types (leukocytes, lymphocytes, monocytes, eosinophils, neutrophils, basophils, CD4+ cells, CD8+ cells, unswitched memory B cells, NK cells, B cells and a derived ratio (CD4+/CD8+)) were determined as the exposure. MUs were the outcome. The analysis was conducted mostly using the inverse-variance weighted (IVW) approach. MR Egger, weighted median, weighted mode and simple mode were used to detect the horizontal pleiotropy. Results: The IVW results for leukocytes and lymphocyte counts were OR = 0.93, 95 % CI = 0.88-0.98, p = 0.0115 and OR = 0.91, 95 % CI: 0.84-0.98, p = 0.0150, respectively. The Wald ratio result for CD4+ cell and CD8+ cell counts were OR = 0.70, 95 % CI: 0.65-0.75, p = 1.05 × 10-20 and OR = 1.25, 95 % CI: 1.19-1.31, p = 9.99 × 10-21, respectively. Conclusions: This study supports a causal effect of peripheral immune cell counts on MUs. Higher leukocyte, lymphocyte and CD4+ cell counts can protect against MUs, but higher CD8+ cell counts enhance the risk of MUs. This finding confirms host immune factors play a crucial role in the aetiology of MUs.
RESUMO
Recently, hydrothermal carbonization (HTC) based phosphorus (P) recovery from sewage sludge (SS) has attracted considerable interests worldwide. However, they concentrated on P transformation in the hydrochars, while ignored that the variations of process water (PW) might influence P transformation, since it exposed to water thoroughly during HTC. In this study, correlation of P transformation with PW were examined via experimental study and mathematical modelling. The results showed that statistical significance (p < 0.05) of HTC temperature and feedwater pH on NH4+-N concentration in the PW was observed due to deamination and ring opening reactions of amino acids, confirming by their excellent correlation with R2 = 0.988. NH4+-N concentration dominated increasing PW pH, which stimulated the transformation of NAIP to AP. Associated model was developed with satisfactory R2 = 0.938. Although P transformation during HTC was significantly influenced by HTC temperature and feedwater pH, supporting by their strong correlation with R2 = 0.956, its transformation was PW pH dependent. Ultimately, detailed P transformation pathways during HTC was proposed with incorporation into the impact of PW. This work can provide new insights into HTC-based P transformation in the pristine SS.