The clinical characteristics of COVID-19 omicron variant infection in pregnant women and their neonates.

Objective: The objective of this study was to analyze the clinical characteristics of pregnant women infected with the COVID-19 omicron variant and their neonates during the outbreak in Guangdong province, China. Methods: The clinical data of pregnant women infected with the COVID-19 omicron variant and their neonates were retrospectively collected from two hospitals in Guangdong province. Information recorded included age of mother, date of birth, sex, weight at birth, mode of delivery, gestational age, feeding mode, Apgar score, signs, medical records, underlying comorbidities and laboratory results. The presence of SARS-CoV-2 viral RNA was tested using an real-time PCR assay. Results: Seventy-nine pregnant women infected with COVID-19 omicron variant and their 68 neonates were included in this study. The vast majority (86.1%) of pregnant women was in their third trimester of pregnancy, and only 11 cases (15%) were in the first or second trimester. Of 79 pregnant women, 39 cases were asymptomatic at the time of infection, and 40 mothers presented with mild manifestations of COVID-19. The most common symptoms were fever (92.5%, 37/40) and cough (57.5%, 21/40). All of pregnant women did not receive chest computed tomography (CT) scan or X-ray. No pregnant woman developed severe pneumonia. A total of 68 neonates (3 set of twins) from 65 mothers with COVID-19 were reviewed. Among women who delivered, 34 cases underwent cesarean section, 31 cases underwent vaginal delivery. According to the timing of birth, there were 10 (14.7%) preterm neonates. Two babies were born dead (intrauterine fetal death after 22 weeks of gestation). Of the live babies born (66 cases) from mothers with COVID-19, 9 newborns were lower weight, and one preterm case was born with respiratory distress and intubated, he recovered and developed normally. SARS-CoV-2 nucleic acid testing was conducted on 41 neonates daily after birth, with only one neonate testing positive for SARS-CoV-2 infection on the third day after birth. The infected neonate exhibited typical fever and acute respiratory tract syndrome but ultimately had a good prognosis, recovering after 5 days of treatment. Conclusion: Although preliminary data suggests the risk of severe maternal and fetal complications from Omicron variant infection during pregnancy is lower than previous variants and Delta variant. Our study, which was conducted on a limited population sample, indicates that there is a possibility of severe complications, such as stillbirth, occurring in some fetal cases. These findings emphasize the need for continued attention from obstetricians.

[Accumulation and Transport Characteristics of Cd, Pb, Zn, and As in Different Maize Varieties].

The enrichment and translocation characteristics of Cd, Pb, Zn, and As by various parts of maize plants were investigated using field experiments in 22 maize varieties simultaneously under uncontaminated, low, middle, and serious heavy metal Cd, Pb, Zn, and As complex-contaminated farmland soil conditions. The relationship between the uptake of Cd, Pb, Zn, and As by maize plants and the morphological content of heavy metals in the soil was also discussed through principal component analysis and correlation analysis of the concentrations of eight heavy metals, including Cd, Hg, As, Pb, Cr, Cu, Ni, and Zn. The results showed that:① the distribution pattern of Cd and Zn contents in different parts of the maize plant was as follows:upper stalk>lower stalk>root>seed, the distribution pattern of Pb was As follows:root>lower stalk>upper stalk>seed, and the As distribution pattern was:root>upper stalk>lower stalk>seed. The different distribution patterns were closely related to the accumulation characteristics of the crop itself and the environmental activity of Cd, Pb, Zn, and As in the soil of the study area. ② There were significant differences in Cd and Pb accumulation among 22 maize cultivars due to their genetic background (P<0.05), which showed four trends:Cd and Pb compound high-accumulation varieties, single Cd or Pb low-accumulation varieties (low Cd and high Pb, low Pb and high Cd), and Cd and Pb compound low-accumulation varieties. Among them, the content of Cd in the grain of the three varieties exceeded the national food safety standard, and the content of Cd in the stem and leaf of 14 varieties exceeded the national food health standard. The Pb content in stems, leaves, and grains of all cultivars did not exceed the standard, but the Pb content in grains of some cultivars was close to the limit and had the risk of exceeding the standard. The content of As in the stem, leaf, and grain of different maize varieties was much lower than the standard limit value, showing a stable low-accumulation characteristic. The content of Zn in the stem and leaf of different maize varieties increased with the increase in the content of Zn in soil, but the content of Zn in grain remained within the threshold of normal plant growth. ③ Cd, Pb, Zn, and As in maize plants in the study area had a certain homology and were mainly affected by the excessive levels of Cd, Pb, Zn, and As pollutants in the soil. This showed that anthropogenic sources were brought about by mine extraction and tailings stockpiles, whereas Cu elements in maize plants were affected by certain anthropogenic pollution sources, though to a limited extent. Hg, Ni, and Cr in maize plants had a certain homology; this showed the natural source of soil parent material and weathering product accumulation. ④ The contents of Cd, Pb, Zn, and As elements in various parts of the corn plant, as well as the contents of Cr and Ni elements all had a very significant positive correlation (P<0.01). The transport mechanisms of Cd, Pb, Zn, and As elements in the plant may have a common. However, there was a synergistic effect in the migration from the root of the corn to the upper part of the ground, and the same was true for the elements of Cr and Ni. The elements of Hg and Cd, Pb, Zn, and As in the corn stems and leaves and Hg and Cd, Hg, As, Pb, Cr, Ni, and Zn in grains all showed certain antagonistic effects. ⑤ The comparison method simultaneously satisfied the following requirements:the contents of Cd, Pb, and As in stems and leaves did not exceed the national food hygiene standards, and the contents of Cd, Pb, and As in the grains did not exceed the national food safety standards. The cluster analysis of Cd, Pb, and As in grains was a low-accumulation group, and the enrichment and transport coefficients of Cd, Pb, and As in the stems and leaves and grains were low as the optimal conditions. C18 (Xianyu 335) could be selected as the optimal maize variety with low accumulation of Cd, Pb, and As and normal Zn content in grain, which is suitable for promoting and applying in the heavy metal complex-polluted farmland around industrial and mining enterprises in north China.

Psychometric properties of the Dimensional Anhedonia Rating Scale in Chinese typical, subthreshold, and clinically depressed adolescents.

The Dimensional Anhedonia Rating Scale measures state anhedonia in multiple domains, such as hobbies, food and drink, social activities, and sensory experience, and it has good reliability and validity in adult samples. However, no study has examined the psychometrical properties of this scale in adolescents. The present study examined its reliability and validity in adolescents with and without depression. In Study 1, 988 high-school students completed the Dimensional Anhedonia Rating Scale; 915 completed the second-round survey 3 months later. Confirmatory factor analysis was used to determine the factor structure. Additionally, internal consistency and test-retest reliability, and concurrent, convergent, and divergent validity were assessed in typical adolescents. In Study 2, the Dimensional Anhedonia Rating Scale was administrated to 108 patients with major depressive disorder, 108 adolescents with subthreshold depression, and 108 healthy controls. Factor structure and convergent validity were assessed in the clinical and subclinical groups. Finally, a one-way analysis of variance (ANOVA) was applied to examine the effect of depression severity on the scale scores. The results of Study 1 indicated that a four-factor model (i.e., hobbies, food and drink, social activities, and sensory experience) best fit the data. Meanwhile, the scale also yielded good concurrent, convergent, and divergent validity, as well as high internal consistency and test-retest reliability, in typical adolescents. In Study 2, goodness-of-fit statistics also suggested a good fit for the four-factor model in the two depressed groups. The one-way ANOVA revealed significant group differences in the total and factor scores, whereby the major depressive disorder group had lower scores than the subthreshold depression group, whose scores were lower than the healthy controls, indicating excellent eligibility of the scale in depressed adolescents. The Chinese version of the Dimensional Anhedonia Rating Scale is a reliable and valid instrument to comprehensively measure state anhedonia in Chinese typical and depressed adolescents.

Pyruvate Kinase M2 Mediates Glycolysis Contributes to Psoriasis by Promoting Keratinocyte Proliferation.

Psoriasis is characterized by keratinocyte proliferation and immune cell infiltration. M2 isoform of pyruvate kinase (PKM2) was reported to have an important role in cell proliferation, which is a rate-limiting enzyme that regulates the final step of glycolysis. However, how PKM2 regulates cell metabolism and proliferation in psoriatic keratinocytes is still poorly understood. Interestingly, we found that PKM2 was highly expressed in psoriatic epidermis from patients and mouse models. PKM2 overexpression promoted keratinocyte glycolytic metabolism while knockdown inhibited keratinocyte proliferation and glycolysis. Mice lacking PKM2 specifically in keratinocytes, pharmacological inhibition of PKM2 or glycolysis inhibited keratinocyte proliferation and showed obvious remission in an imiquimod-induced psoriatic mouse model. Moreover, the inhibitor of the EGF-receptor blocked EGF-stimulated PKM2 expression and glycolysis in keratinocytes. We identify PKM2 as an upregulated gene in psoriasis. PKM2 is essential in keratinocyte over-proliferation and may represent a therapeutic target for psoriasis.