Engineered assemblies from isomeric pentapeptides augment dry eye treatment.

Changing positions of amino acid residues in the peptide sequence alters the peptide' s assembly behaviors, affording various nanostructures. However, it remains elusive that how subtle changes in the peptide sequence influence the in vivo bioactivity of peptide-based nanocarriers, further impacting the efficacy of the encapsulated drugs. We report here a class of isomeric pentapeptide amphiphiles that associate into filaments with different dimensions, which were further used as carriers of Diquafosol tetrasodium (DQS), for the treatment of dry eye disease. Our results suggest that subtle changes in peptide sequences resulted in dramatically different molecular packings and distinct morphologies, which were verified by molecular dynamics simulations. In vivo results show that the drug retention time could be prolonged by the peptidic nanostructures on the ocular surface but were highly morphological-dependent. The longer retention time promised better therapeutic efficacy. In terms of facile synthesis and good biocompatibility, we believe that these peptides could be used for eye disease treatments or other related areas.

Temporal-spatial variations of fungal composition in PM2.5 and source tracking of airborne fungi in mountainous and urban regions.

Fungi are ubiquitous in air and their composition is potentially important for human health. Exposure to fungal allergens has been considered as a significant risk factor due to the prevalence and severity of asthma in humans. However, temporal-spatial variations and potential sources of airborne fungi aerosol have been poorly understood. In this study, 48 PM2.5 samples were collected at two sampling sites in Xi'an from April 2018 to January 2019. High-throughput sequencing technology was used to determine the diversity and abundance of fungal composition in all samples. Microbial samples were also collected from leaf-surface and soil to identify the potential sources of fungal aerosols. Results showed that the species richness of fungi in summer and autumn inclined to be higher than that in spring and winter in mountainous and urban regions. Airborne fungal species richness and diversity at Mt. Qinling sampling site were significantly higher compared to Yanta urban sampling site, except in winter. These variations in fungal composition were significantly related to season and location. The influence of atmospheric pollutants (PM2.5, ozone, sulfur dioxide and carbon monoxide) on the richness and diversity of airborne fungal composition was higher than meteorological factors (temperature, relative humidity and wind speed). Moreover, it was observed that the leaf-surface was the primary local source of airborne fungi during all seasons at both sampling sites. Back trajectories arriving at both sampling sites showed that a considerable part of airborne fungi might have come from other regions by medium or long-range airflow. This study will provide an important reference for studying the source and temporal-spatial variations of fungal aerosols and further provide basic background data for human health exposure assessment.

[Characteristics and Sources of Microbial Aerosols in Urban and Mountainous Areas in Autumn and Winter in Xi'an, China].

To explore the bioaerosol composition characteristics and sources in urban areas and mountains, three sample sites were selected in urban (urban, suburban) and southern mountainous areas in Xi'an, and air, soil, and leaf samples were simultaneously collected. The fungi and bacteria community structures at different sampling sites were analyzed through a high-throughput sequencing method, and their spatio-temporal variations were also examined. Moreover, a source track technique was used to identify the source of microorganisms in the air. The results showed that the fungi and bacteria at different sampling sites were significantly different, indicating that the geographical location has a significant influence on the community structure of microorganisms in the air. In winter, more potential fungal pathogens and bacterial pathogens were detected in urban areas with high relative abundance and diversity. In addition, the results showed that the main local source of fungi and bacteria was the leaf surface, of which the contribution rate of bacteria in the air fine particles was up to (55±30)%. This study can provide a scientific basis for understanding the characteristics of microbial pollution in the atmosphere, and for air environment quality evaluation and disease prevention in China.

Eighty cases of chronic cholecystitis treated by oral administration of dan an tang.

OBJECTIVE: To evaluate the clinical therapeutic effects of dan an tang (chronic-cholecystitis-relieving decoction) for chronic cholecystitis. METHODS: The 160 cases of chronic cholecystitis were randomly divided into the treatment group (80 cases) and the control group (80 cases). The former was treated by oral administration of dan an tang (chronic-cholecystitis-Relieving Decoction), and the latter by oral administration of xiao yan li dan Pian (bile-draining anti-inflammatory tablet). RESULTS: The total effective rate of the treatment group and the control group was 95% and 80% respectively, showing a significant difference (P < 0.05). CONCLUSION: Dan an tang (chronic-cholecystitis-relieving decoction) was obviously effective for chronic cholecystitis.

Characteristics of airborne opportunistic pathogenic bacteria during autumn and winter in Xi'an, China.

Bacteria are ubiquitous throughout the earth's lower atmosphere. Bacteria, especially pathogenic bacteria, play an important role in human health. The diversity, composition, and dynamics of airborne bacteria has been widely studied; however, the characteristics of pathogenic bacteria remain poorly understood. In this study, a high throughput sequencing method was used to explore the airborne opportunistic pathogenic bacteria during autumn and winter in Xi'an, China. An aggregated boosted tree (ABT) was developed to determine the relative influence of environmental factors on the proportions of opportunistic pathogenic bacteria. Results showed that significantly more opportunistic pathogenic bacteria were found in winter than in autumn, and more opportunistic pathogenic bacteria were found in fine particulate matters (<2.5 µm) than in PM10 (<10 µm). However, the composition of opportunistic pathogenic bacteria varied in autumn and winter. PM was the main factor affecting the proportions of opportunistic pathogenic bacteria, and air contaminants (PM, sulfur dioxide, nitrogen oxide, carbon monoxide, and ozone) influenced the proportion of opportunistic pathogenic bacteria more than meteorological factors (relative humidity, temperature, and wind speed). Different factors may be responsible for the variances in opportunistic pathogenic bacterial communities in different seasons. This study may provide a reference to support the control of pathogenic bacteria in urban environments during haze events.

Efficacy of one- vs. two-stent implantation for coronary bifurcation lesions in diabetic patients utilizing AIR2 as an endpoint.

OBJECTIVE: This study aimed to assess the long term outcomes (all-cause death, myocardial infarction, target vessel revascularization, and silent restenosis at 12 months) of one-stent vs. two-stent implantation due to coronary bifurcation lesionsin diabetic patients using AIR2 as a new endpoint. METHODS AND RESULTS: A total of 178 diabetic patients with true coronary bifurcation lesions underwent percutaneous coronary intervention in the DK-Crush trials. All patients were stratified based on the stent placement strategy: one-stent group (n=76) and two-stent group (n=102). Results showed the primary endpoint, AIR2, in one-stent group was twice that in two-stent group (32.9% vs. 16.7%, P=0.013). The incidence of silent restenosis at 12 months was also significantly higher in one-stent group (19.7% versus 4.9%, P=0.003). Moreover, Kaplan-Meier analysis revealed the cumulative AIR2-free survival rate after a 12-month follow-up was markedly lower in one-stent group than in two-stent group. Interestingly, MACEs, including death, myocardial infarction and repeat revascularization, were not comparable between 2 groups (13.2% vs. 12.7%, P=0.935). Likewise, the incidence of definite or probable ST in one-stent group was also similar to that in two-stent group (2.6% vs. 4.9%, P=0.761). CONCLUSION: Our study indicates that, in terms of the AIR2 as a combined clinical and angiographic endpoint, two-stent implantation is superior to one-stent implantation for the treatment of coronary bifurcation intervention in diabetic patients.