Impact of the Gut Microbiome on the Progression of Hepatitis B Virus Related Acute-on-Chronic Liver Failure.

The relationship between the progression of hepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) and the gut microbiota is poorly understood, and an HBV-ACLF-related microbiome has yet to be identified. In this study alterations in the fecal microbiome of 91 patients with HBV-ACLF (109 stool samples), including a cohort of nine patients at different stages of HBV-ACLF, were determined by high-throughput 16S rDNA sequencing. The operational taxonomic units and Shannon indexes indicated that the diversity and abundance of the gut microbiome significantly decreased with the progression of HBV-ACLF (p <0.05). The relative abundance of the Bacteroidetes phylum in the microbiome was significantly reduced, whereas the abundance of potentially pathogenic bacteria, such as Veilonella, Streptococcus, Enterococcus, and Klebsiella, was highly enriched in the HBV-ACLF group compared with the healthy control group. The abundance of Bacteroidetes was negatively correlated with the level of serum alpha fetoprotein, and the abundance of Veilonella was positively correlated with serum total bilirubin (TBIL). Furthermore, the abundance of Coprococcus was significantly negatively correlated with the level of serum TBIL and the international normalized ratio and positively correlated with prothrombin time activity. Our findings suggest that the gut microbiota plays an important role in the development of HBV-ACLF.

[Optimization Study on the Nitrogen and Phosphorus Removal of Modified Two- sludge System Under the Condition of Low Carbon Source].

This paper explored the method of resolving insufficient carbon source in urban sewage by comparing and analyzing denitrification and phosphorus removal (NPR) effect between modified two-sludge system and traditional anaerobic-aerobic-anoxic process under the condition of low carbon source wastewater. The modified two-sludge system was the experimental reactor, which was optimized by adding two stages of micro-aeration (aeration rate 0.5 L · mm⁻¹) in the anoxic period of the original two-sludge system, and multi-stage anaerobic-aerobic-anoxic SBR was the control reactor. When the influent COD, ammonia nitrogen, SOP concentration were respectively 200, 35, 10 mg · L⁻¹, the NPR effect of the experimental reactor was hetter than that of thecontrol reactor with the removal efficiency of TN being 94.8% vs 60.9%, and TP removal being 96.5% vs 75%, respectively. The effluent SOP, ammonia, TN concentration of the experimental reactor were 0.35, 0.50, 1.82 mg · L⁻¹, respectively, which could fully meet the first class of A standard of the Pollutants Emission Standard of Urban Wastewater Treatment Firm (GB 18918-2002). Using the optimized treatment process, the largest amounts of nitrogen and phosphorus removal per unit carbon source (as COD) were 0.17 g · g⁻¹ and 0.048 g · g⁻¹ respectively, which could furthest solve the lower carbon concentration in current municipal wastewater.