Association of cerebrospinal fluid advanced oxidation protein products levels with early brain injury and prognosis of aneurysmal subarachnoid hemorrhage: A preliminary prospective study.

OBJECTIVES: In this study, we investigated the time course in the cerebrospinal fluid (CSF) advanced oxidation protein products (AOPPs) levels in patients with aneurysmal subarachnoid hemorrhage (aSAH), and ascertained the relationship between the levels of AOPPs and early brain injury (EBI), hydrocephalus and prognosis of patients with aSAH. METHODS: We measured the CSF AOPPs levels in 50 patients with aSAH at 1-3 d, 4-6 d, 7-9 d, and 10-12 d after hemorrhage. The modified Fisher grades, Hunt-Hess grades, CSF IL-6 levels, peripheral blood count of white blood cells, cerebral edema scores and hydrocephalus were used to assess the severity of brain injury. Modified Rankin Scale (mRS) scores were used to assess the prognosis. Patients with mRS scores greater than 2 were considered to have a poor outcome. RESULTS: CSF AOPPs levels were significantly higher in patients with aSAH with poor prognosis, compared to patients with good prognosis and peaked in the early stage. Among patients with aSAH, the levels of CSF AOPPs on days 1-3 were significantly correlated with modified Fisher grades, Hunt-Hess grades, CSF IL-6 levels, peripheral blood count of white blood cells, and cerebral edema scores. Also, in patients with hydrocephalus, early CSF AOPPs levels were significantly elevated. Levels of CSF AOPPs in aSAH patients on days 1-3, 4-6, and 7-9 were independently associated with poor prognosis at the 90-day follow-up, and the optimal area under the curve (AUC) values for CSF AOPPs levels were found on days 1-3. CONCLUSIONS: AOPPs may serve as the potential biomarker to assess the severity of EBI and prognosis in patients with aSAH.

Predictive Value of Preoperative Controlling Nutritional Status Score Combined with Fibrinogen-Albumin Ratio in Postoperative Local Recurrence-Free Survival of Patients with Retroperitoneal Liposarcoma.

BACKGROUND: Previous studies have shown that nutrition and systemic inflammation plays an essential role in the development of soft tissue sarcoma. However, few studies have explored the association of clinicopathologic features and local recurrence with nutritional and inflammatory markers in retroperitoneal liposarcoma (RPLS). This study sought to evaluate the prognostic value of the preoperative nutritional and inflammatory markers for local recurrence-free survival (LRFS) among surgical RPLS patients. METHODS: The study included 111 RPLS patients who underwent surgery between May 2010 and June 2019 at the Peking University Cancer Hospital Sarcoma Center. Time-dependent receiver operating characteristic (time-ROC) curve analysis was conducted to evaluate the ability of markers to predict LRFS. The associations of the CONUT-FAR score with clinicopathological variables and LRFS were evaluated. RESULTS: In the time-ROC curve analysis, the CONUT-FAR score was superior to other nutritional and inflammatory markers in predicting LRFS. The CONUT-FAR score was the only nutritional and inflammatory marker that independently predicted LRFS in the multivariate analysis, and patients with a high CONUT-FAR score (> 11) showed significantly decreased LRFS. Although the CONUT-FAR score failed to discriminate patients with low grade (G1) (p = 0.327) or undergoing incomplete (R2) resection (p = 0.072), it stratified patients with high grade (G2 and G3) or undergoing complete resection (R0/R1) into subgroups with significantly distinct LRFS (p < 0.001). The CONUT-FAR score also showed good clinical utility among patients with different clinical characteristics. CONCLUSION: The preoperative CONUT-FAR score reflects both nutritional and inflammatory factors and is an effective predictor of LRFS for surgical RPLS patients.

Role of TREM-1 in the development of early brain injury after subarachnoid hemorrhage.

Triggering receptor expressed on myeloid cells-1 (TREM-1) was found to be induced in the context of subarachnoid hemorrhage (SAH) before. This study further investigates its role in the development of SAH-induced early brain injury (EBI). Firstly, rats were randomly divided into Sham and SAH groups for analysis of temporal patterns and cellular localization of TREM-1. Secondly, TREM-1 intervention was administrated to produce Sham, vehicle, antagonist and agonist groups, for analyzing TREM-1, Toll-like receptor 4 (TLR4), myeloid differentiation factor 88 (MyD88) and NF-κB expressions at 24 h post-modeling, and EBI assessment at 24 h and 72 h. Thirdly, TLR4 inhibitor (TAK-242) was exploited to produce Sham, Sham+TAK-242, SAH, and SAH + TAK-242 groups to analyze the effects of TLR4 inhibition on TREM-1 induction and EBI evaluation at 72 h. Fourthly, the relationship of soluble TREM-1 (sTREM-1) levels in cerebrospinal fluid of SAH patients with Hunt-Hess grades were explored. The results showed that TREM-1 increased in the brain after experimental SAH (eSAH) early at 6 h and peaked at 48 h, which was found to be located in microglia and endothelial cells. TREM-1 inhibition attenuated EBI associated with TLR4/MyD88/NF-κB suppression, while enhancement had the opposite effects. Contrarily, TLR4 inhibition prevented TREM-1 induction and ameliorated EBI. In addition, sTREM-1 levels in SAH patients positively correlated with Hunt-Hess grades. Overall, the present study provides new evidence that TREM-1 increases dynamically in the brain after eSAH and it is located in microglia and endothelial cells, which may aggravate EBI by interacting with TLR4 pathway. And sTREM-1 in patients might act as a monitoring biomarker of EBI, providing new insights for future studies.

[Composition and Regional Characteristics of Atmosphere Aerosol and Its Water Soluble Ions over the Yangtze River Delta Region in a Winter Haze Period].

To investigate the pollution characteristics of water soluble ions in fine atmospheric particles in Yangtze River Delta during the haze period from 18th to 24th Jan 2013, a joint sampling campaign using Andersen sampler was conducted at five cities (including Nanjing, Suzhou, Hangzhou, Lin'an and Ningbo). The analysis of size distribution of these ionic species coupled with the local meteorological conditions may shed some insightful light on the haze formation mechanism in this region. The result has shown: firstly, during the observation period, when Yangtze River Delta located at high pressure or in the front of high pressure, and has a large pressure gradient, the lower atmosphere has a significant airflow divergence in favor of pollutant dispersion; while located in weak low pressure and weak high pressure, the equalizing pressure field is not favorable for pollutant dispersion, especially accompanied with lower atmosphere convergence airflow. Secondly, during the hazy period, the concentration of fine particles and total water-soluble inorganic ions (TWSS) has increased dramatically; the increasing proportions of TWSS in fine particles are: Hangzhou 0. 9%, Lin'an 4. 2%, Nanjing 8. 1%. The particle size of secondary ions of SO(4)2-, NO3-, NH4+ complies fine mode(particle size <2. 1 µm), whose peaks migrates from 0. 43-0. 65 µm to 0. 65-1. 1 µm during the observation period, the peak of particle size of Ca2+ , Mg2+ appears at 4.7-5. 8 µm, while the ions of Na+, Cl-, K+ show a bimodal distribution. Moreover, secondary inorganic ions play a significant role in the formation of haze pollution, where the concentrations of secondary inorganic ions of NH4+, SO2- and NO3 have higher increasing rates; their relative proportions of increasing from each monitoring points are: Hangzhou 3%, Lin'an 55% and Nanjing 64.9%. Finally, SO(4)2- has the highest mass contribution to SNA, up to 45% ; also, the NO-/SO- ratios in each monitoring points are always higher than a fair 0. 5, which could indicate the significant contribution of mobile source towards this particle pollution.

[Size distributions and source apportionment of soluble ions in aerosol in Nanjing].

To explore the seasonal variation and source apportionment of soluble ions in PM10, PM2.1 and PM1.1, the aerosol mass. concentration and soluble ion concentration were investigated during a one-year observation in the urban-district and north suburb. As the results showed, (1)The concentrations of PM10, PM2.1, PM1.1 were in the order of winter > spring > autumn > summer. In spring, summer and autumn, the concentrations of PM10, PM2.1, PM1.1 in the north suburb were higher than in the urban, while the situation, was opposite in winter. (2) SO(2-)(4), NO(-)(3), Ca2+, NH(+)(4), Cl-, K+, Na+, F-, NO;, Mg2+ were measured, and their total concentration in PM10 was 46 microg.m -3 in urban sites and 39.6 microg m in north suburbs. Mass fraction percentage o f water soluble ion in PM2.1-10, PM1 1-2.1, PM1.1 in the urban district increased from 20.4% to 49.5% and 56% , and the value in the north suburb increased from 18.3% to 37. 9% and 42.5%. (3) Major ions, SO(2-)(4), NO(-)(3) , NH(+)(4) , second components and Ca2+ , had significant seasonal variation. In the urban district, the highest concentrations were observed in winter, and the lowest in summer, while in the. north suburb, the highest concentrations were observed in spring, and the lowest in summer. The seasonal changing climate in Nanjing and different anthropogenic influences with land surface in urban-suburb may be the major factors for the ions' seasonal variation. (4) NH(+)(4) , SO(2-)(4) , NO(-)(3) came from secondary chemical reactions of NH3, SO2, NO,, and these precursors mostly came from automobile exhaust in Summer while equally came from automobile exhaust and fossil fuel in winter. Cl- came from biomass burning in Winter . while transported from sea salt with Na+ in Summer. Ca2+ and Mg2+ came from ground dust and construction dust. K+, F- , NO(-)(2) may come from biomass burning and industrial emissions.

[Distribution characteristics of pollution gases and water soluble ion in aerosol during the Asian Youth Games of Nanjing, China].

Water soluble ions were observed by an Andersen cascade impactor (Andersen) and ion chromatography in Nanjing during the Asian Youth Games (AYG), and PM2.5, NO, NO2, O3 and CO were observed by ray ß dust instrument, EMS pollution gases monitoring system. Concentrations of PM2.5, NO2, O3 and CO, were 37.0, 19.3, 48.1 and 0.7 x 10(3) µg x m(-3) during the AYG period, 26.0%, 42.6%, 36.1% and 46.1% lower than the value before the AYG period. During the AYG period, the main water-soluble ions in PM2.1 were Na(+), NH4(+) , Ca(2+) and SO4(2-), accounting for 80.6%; the main water-soluble ions in PM2.1-10 were Na(+), Ca(2+), NO3(-) and SO4(2-), accounting for 77.9%. The spectral distribution of Ca(2+), Mg(2+) and NO3(-) were bimodal during the AYG period, other ions were three models. Before and after the AYG period, all ions were three models. From NO3(-)/SO4(2-), we can judge SO2 and NO(x) mainly come from the mobile source before and after the AYG period, from stationary sources during the AYG period.