[Genotype-environment interaction on arterial stiffness: A pedigree-based study].

OBJECTIVE: To utilized the baseline data of the Beijing Fangshan Family Cohort Study, and to estimate whether the association between a healthy lifestyle and arterial stiffness might be modified by genetic effects. METHODS: Probands and their relatives from 9 rural areas in Fangshan district, Beijing were included in this study. We developed a healthy lifestyle score based on five lifestyle behaviors: smoking, alcohol consumption, body mass index (BMI), dietary pattern, and physical activity. The measurements of arterial stiffness were brachial-ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI). A variance component model was used to determine the heritability of arterial stiffness. Genotype-environment interaction effects were performed by the maximum likelihood methods. Subsequently, 45 candidate single nucleotide polymorphisms (SNPs) located in the glycolipid metabolism pathway were selected, and generalized estimated equations were used to assess the gene-environment interaction effects between particular genetic loci and healthy lifestyles. RESULTS: A total of 6 302 study subjects across 3 225 pedigrees were enrolled in this study, with a mean age of 56.9 years and 45.1% male. Heritability of baPWV and ABI was 0.360 (95%CI: 0.302-0.418) and 0.243 (95%CI: 0.175-0.311), respectively. Significant genotype-healthy diet interaction on baPWV and genotype-BMI interaction on ABI were observed. Following the findings of genotype-environment interaction analysis, we further identified two SNPs located in ADAMTS9-AS2 and CDH13 might modify the association between healthy dietary pattern and arterial stiffness, indicating that adherence to a healthy dietary pattern might attenuate the genetic risk on arterial stiffness. Three SNPs in CDKAL1, ATP8B2 and SLC30A8 were shown to interact with BMI, implying that maintaining BMI within a healthy range might decrease the genetic risk of arterial stiffness. CONCLUSION: The current study discovered that genotype-healthy dietary pattern and genotype-BMI interactions might affect the risk of arterial stiffness. Furthermore, we identified five genetic loci that might modify the relationship between healthy dietary pattern and BMI with arterial stiffness. Our findings suggested that a healthy lifestyle may reduce the genetic risk of arterial stiffness. This study has laid the groundwork for future research exploring mechanisms of arterial stiffness.

[The role of the high-level public health school in the development of the Center for Disease Control and Prevention].

The Ministry of Education and other four departments jointly issued the Notice on the Construction of high-level schools of public Health, proposing that "it will take ten years to build a number of high-level schools of public health, and form a high-quality education development system to adapt to the construction of modern public health system". At present, the construction of high-level public health schools in various universities in China is in full swing. The high-level School of Public Health and the CDC have played an important role in constructing the national public health system and the human health community. The high-level public health schools are of strategic significance and important value to the development of the CDC. The review presents reflections and insights on the role of high-level public health schools in the development of the CDC and the challenges they might face.

Nitrogen removal from recycled landfill leachate by ex situ nitrification and in situ denitrification.

A three-compartment system, comprising a landfill column with fresh municipal solid waste, a column with a well-decomposed refuse layer as methane producer, and a sequential batch reactor as ex situ nitrifying reactor, was employed to remove nitrogen from municipal solid waste leachate. Since food waste comprised a major portion of refuse collected in Shanghai, an intense hydrolysis reaction occurred and caused the rapid accumulation of ammonia nitrogen (NH(3)-N) and total organic carbon in the leachate. This paper discusses the role of the three mentioned units and the design and operation of the proposed system. With most NH(3)-N being converted to nitrite nitrogen (NO(2)(-)-N) or nitrate nitrogen (NO(3)(-)-N) by the nitrifying reactor, and with the well-decomposed refuse layer transforming most dissolved organic compounds to CO(2), carbonates and methane, it was found that the fresh refuse column could efficiently denitrify the hydrolyzed nitrogen to N(2) gas. The role of the three mentioned units and comments on the design and operation of the proposed system are also discussed.

Nitrogen removal from landfill leachate using single or combined processes.

The municipal solids waste (MSW) collected at Shanghai includes a high proportion of food waste, which is easily hydrolyzed to generate ammonia-nitrogen in leachate. This study investigated the efficiency of nitrogen removal from landfill leachate employing four different treatment processes. The simulated rainfall and direct leachate recycling produced strong leachate with high ammonia-nitrogen content, and resulted in the removal of only a small amount of nitrogen. Although pretreating the leachate using an aerobic reactor removed some nitrogen, most of which was transformed to biomass because of the high organic loading applied. Using the three-compartment system, which comprises a landfill column with fresh MSW, a column with well-decomposed refuse layer as the methane generator, and a nitrifier, the ammonia-nitrogen was converted into nitrogen gas and hence removed. Experimental results demonstrated the feasibility of adopting the three-compartment system for managing nitrogen in landfill leachate generated from high-nitrogen-content MSW.