Associations of diabetes, prediabetes and diabetes duration with the risk of chronic obstructive pulmonary disease: A prospective UK Biobank study.

AIM: To investigate the associations of diabetes, prediabetes and diabetes duration with chronic obstructive pulmonary disease (COPD) risk and survival in the UK Biobank. MATERIALS AND METHODS: We conducted a prospective analysis among 452 680 participants without COPD at baseline using UK Biobank data. Multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated from Cox regression models. The dose-response relationship was explored using restricted cubic splines. A separate survival analysis was conducted for 12 595 patients with incident COPD. RESULTS: Over a median follow-up of 12.3 years, 12 595 cases of COPD were documented. Compared with the reference group, those with prediabetes and diabetes were associated with an 18% (HR 1.18 [95% CI: 1.13-1.24]) and 35% (HR 1.35 [95% CI: 1.24-1.47]) higher risk of COPD, respectively. Diabetes duration was associated with COPD risk, with multivariable HRs (95% CIs) of 1.23 (1.05-1.44), 1.20 (1.04-1.39) and 1.18 (1.01-1.37) for diabetes duration of 7 years or longer, 3 to less than 7 years, and 1 to less than 3 years versus less than 1 year, respectively. Dose-response analysis revealed a non-linear relationship between diabetes duration and COPD risk. Regarding COPD survival, COPD patients with prediabetes and diabetes had a 9% (HR 1.09 [95% CI: 1.00-1.19]) and 21% (HR 1.21 [95% CI: 1.05-1.41]) higher risk of overall death, respectively. Compared with the cases with a diabetes duration of less than 1 year, those with a diabetes duration of 7 years or longer were associated with a 46% higher risk of overall death (HR 1.46 [95% CI: 1.11-1.92]). CONCLUSIONS: Our findings indicate that diabetes, prediabetes and a longer diabetes duration are associated with a higher risk of and worse survival for COPD. Future studies are warranted to determine the optimal way of diabetes control that might reduce COPD risk.

Association between glycated haemoglobin and the risk of chronic obstructive pulmonary disease: A prospective cohort study in UK biobank.

AIMS: To investigate the association between glycated haemoglobin (HbA1c) levels and chronic obstructive pulmonary disease (COPD) incidents in the general population, and the association between HbA1c levels and mortality in patients with COPD. MATERIALS AND METHODS: We investigated the association of HbA1c levels with COPD risk in the general population in the UK Biobank, using data from 420 065 participants. Survival analysis was conducted for 18 854 patients with COPD. We used restricted cubic spline analysis to assess the dose-response relationship between HbA1c levels and COPD risk and survival. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) with 95% confidence intervals (CIs). RESULTS: During a median follow-up of 12.3 years, 11 556 COPD cases were recorded. HbA1c had a non-linear relationship with COPD risk (p for non-linearity < .05). Compared with the quintile 2 (32.2-<34.3 mmol/mol), those with HbA1c levels above 38.7 mmol/mol (quintile 5) had a 22% (HR, 1.22, 95% CI: 1.15-1.30) higher risk of COPD. Compared with the HbA1c decile 2 (30.5-<32.2 mmol/mol), the HRs (95% CI) of COPD risk were 1.16 (1.03-1.30) and 1.36 (1.24-1.50) in the lowest HbA1c decile (<30.5 mmol/mol) and highest decile (≥41.0 mmol/mol), respectively. The increased COPD risk associated with HbA1c was more pronounced in younger, current smokers, passive smokers, and participants with a higher Townsend deprivation index (all p for interaction < .05). Among patients with COPD, 4569 COPD cases died (488 because of COPD) during a median follow-up of 5.4 years. Regarding COPD survival, HbA1c had a non-linear relationship with all-cause death (p for non-linearity < .05). Those with HbA1c quintile 5 (≥38.7 mmol/mol) had a 23% (HR, 1.23, 95% CI: 1.10-1.37) higher risk of all-cause death compared with the quintile 2 (32.2-<34.3 mmol/mol). Compared with the HbA1c decile 4 (33.3-<34.3 mmol/mol), those in the lowest HbA1c decile (<30.5 mmol/mol) and highest HbA1c decile (≥41.0 mmol/mol) had 22% (HR, 1.22; 95% CI: 1.01-1.47) and 28% (HR, 1.28; 95% CI: 1.11-1.48) higher risk for overall death. However, no significant association was observed between HbA1c levels and the risk of COPD-specific death. CONCLUSIONS: Our findings indicated that lower and higher HbA1c levels were associated with a higher risk of COPD. In COPD cases, lower and higher HbA1c levels were associated with a higher COPD all-cause death risk.

Differences in the prevalence and risk factors of osteoporosis in chinese urban and rural regions: a cross-sectional study.

BACKGROUND: Bone mineral density (BMD) and prevalence of osteoporosis may differ between urban and rural populations. This study aimed to investigate the differences in BMD characteristics between urban and rural populations in Jiangsu, China. METHODS: A total of 2,711 participants aged 20 years and older were included in the cross-sectional study. Multistage and stratified cluster random sampling was used as the sampling strategy. BMD was measured by the method of dual-energy x-ray absorptiometry (DXA). Data were collected through questionnaires/interview. BMD values at the lumbar spine (L1-L4), femoral neck, total hip, and greater trochanter were collected. Descriptive statistics were used to demonstrate the characteristics of urban and rural participants. Multivariate logistic regression analysis was utilized to analyze the factors that may be associated with osteoporosis in urban and rural populations. RESULTS: Of these participants, 1,540 (50.49%) were females and 1,363 (42.14%) were from urban. The prevalence of osteoporosis in urban and rural populations was 5.52% and 10.33%, respectively. In terms of gender, the prevalence of osteoporosis was 2.68% in males and 13.82% in females. For menopausal status, the prevalence of osteoporosis was 30.34% in postmenopausal females and 4.78% in premenopausal females. In urban populations, older age [adjusted odds ratio (AOR) = 2.36, 95%CI, 2.35-2.36), hypertension (AOR = 1.37, 95%CI, 1.36-1.37), unmarried (AOR = 4.04, 95%CI, 3.99-4.09), smoking everyday (AOR = 2.26, 95%CI, 2.23-2.28), family history of osteoporosis (AOR = 1.66, 95%CI, 1.65-1.67), dyslipidemia (AOR = 1.05, 95%CI, 1.04-1.05), and higher ß-crosslaps (ß-CTX) level (AOR = 1.02, 95%CI, 1.02-1.02) were associated with an increased risk of osteoporosis, while males (AOR = 0.04, 95%CI, 0.04-0.04), higher education level (AOR = 0.95, 95%CI, 0.95-0.95), and aquatic product intake (AOR = 0.99, 95%CI, 0.99-0.99) were related to decreased risk of osteoporosis. Similar results were also observed in rural populations, and (all P < 0.05). CONCLUSION: The prevalence of osteoporosis in rural populations was higher than that in urban populations, and the factors associated with the risk of osteoporosis were similar in urban and rural populations.

Source-specific risk assessment for cadmium in wheat and maize: Towards an enrichment model for China.

Cadmium (Cd) pollution of agricultural soil is of public concern due to its high potential toxicity and mobility. This study aimed to reveal the risk of Cd accumulation in soil and wheat/maize systems, with a specific focus on the source-specific ecological risk, human health risk and Cd enrichment model. For this we investigated more than 6100 paired soil and grain samples with 216 datasets including soil Cd contents, soil pH and grain Cd contents of 85 sites from China. The results showed that mining activities, sewage irrigation, industrial activities and agricultural practices were the critical factors causing Cd accumulation in wheat and maize cultivated sites. Thereinto, mining activities contributed to a higher Cd accumulation risk in the southwest China and Middle Yellow River regions; sewage irrigation influenced the Cd accumulation in the North China Plain. In addition, the investigated sites were classified into different categories by comparing their soil and grain Cd contents with the Chinese soil screening values and food safety values, respectively. Cd enrichment models were developed to predict the Cd levels in wheat and maize grains. The results showed that the models exhibited a good performance for predicting the grain Cd contents among safe and warning sites of wheat (R2 = 0.61 and 0.72, respectively); while the well-fitted model for maize was prone to the overestimated sites (R2 = 0.77). This study will provide national viewpoints for the risk assessments and prediction of Cd accumulation in soil and wheat/maize systems.

The risks of sulfur addition on cadmium accumulation in paddy rice under different water-management conditions.

Recently, the application of sulfur (S) has been recommended to control the accumulation of cadmium (Cd) in rice in contaminated paddy soil. However, the effects of exogenous S on Cd transfer in paddy rice systems under different water-management practices have not been systematically investigated. Pot experiments were performed to monitor the composition of soil pore water and the Cd accumulation in iron plaque and rice tissue were compared under different S (0 and 200 mg/kg Na2SO4) and water (continuous and discontinuous flooding) treatments. Sulfur application significantly increased Cd concentrations in soil pore water under discontinuous flooding conditions, but slightly reduced them under continuous flooding. Moreover, the oxidation/reduction potential (Eh) was the most critical factor that affected the Cd levels. When the Eh exceeded -42.5 mV, S became the second critical factor, and excessive S application promoted Cd dissolution. In addition, S addition elevated the Cd levels in iron plaque and reduced the Cd transfer from the iron plaque to rice roots. In rice, S addition inhibited Cd transfer from the rice roots to the straw; thus, more Cd was stored in the rice roots. Nevertheless, additional S application increased the Cd content in the rice grains by 72% under discontinuous flooding, although this effect was mitigated by continued flooding. Under simulated practical water management conditions, S addition increased the risk of Cd contamination in rice, suggesting that S application should be reconsidered as a paddy fertilization strategy.

Integrating bioavailability and aging in the criteria derivation of cadmium for the safe production of rice in paddy soils.

It is significant to derive an appropriate cadmium (Cd) threshold for the rice to ensure that the Cd concentration of rice grains meets the food safety standards. In the present study, soil thresholds for Cd were derived using the method of species sensitivity distribution based on aging time, cultivars, and soil properties. Dataset from thirty-nine rice cultivars planted in different soils published in literature of five bibliographic databases were screened using designated search strings to explore their differences in Cd accumulation capacity in paddy soil. The empirical soil-plant transfer model was used to normalize the bioaccumulation data. Later, the soil Cd concentration for protecting 95% (HC5) of the cultivars was calculated using species sensitivity distribution curves fitted by the Burr III function. The soil Cd criteria derived from the added approach for risk assessment were proposed as continuous criteria based on the combination of soil pH and organic carbon in soil. Soil Cd criteria ranged from 0.34 to 1.18 mg/kg. The prediction model for HC5 was applied to field experimental data to validate its validity and applicability. The predicted Cd thresholds were less than the field experiment Cd thresholds. In conclusion, this study provided valuable and scientific bases for setting soil Cd criteria for paddy soils.

Uptake, translocation and biotransformation of selenium nanoparticles in rice seedlings (Oryza sativa L.).

BACKGROUND: Selenium (Se) in soil mainly consists of selenite, selenate, and elemental Se. However, little is known about the mechanism involved in the uptake and biotransformation of elemental Se by plants. RESULTS: In this study, the uptake, translocation, subcellular distribution and biotransformation of selenium nanoparticles (SeNPs) in rice (Oryza sativa L.), and a comparison with selenite and selenate, were investigated through hydroponic experiments. The study revealed that SeNPs could be absorbed by rice plants; and aquaporin inhibitor was responsible for a 60.4% inhibition of SeNP influx, while metabolic inhibitor was ineffective. However, the SeNPs uptake rate of rice roots was approximately 1.7 times slower than that of selenite or selenate. Under the SeNPs or selenite treatment, Se was primarily accumulated in roots rather than in shoots, whereas an opposite trend was observed with selenate treatment. Additionally, most of the absorbed Se was distributed in cell wall of the SeNPs or selenite treated-rice plants, while its proportion was the highest in soluble cytosol of the selenate treated-rice plants. The absorbed SeNPs or selenite was rapidly assimilated to organic forms, with SeMet being the most predominant species in both shoots and roots of the rice plants. However, following selenate treatment, Se(VI) remained as the most predominant species, and only a small amount of it was converted to organic forms. CONCLUSION: Therefore, this study provides a deeper understanding of the mechanisms associated SeNPs uptake and biotransformation within plants.

Ecological criteria for zinc in Chinese soil as affected by soil properties.

The increasing accumulation of zinc (Zn) in agricultural soils has led to the need to assess the potential risk of this element for terrestrial organisms. However, the soil ecological criteria in agricultural soil as a function of soil properties have been sparsely reported. In the present study, we derived the ecological criteria (expressed as predicted no effect concentration (PNEC)) for Zn in soils, based on ecotoxicity data for 19 terrestrial species in Chinese soils, the effect of soil properties on Zn ecotoxicity, differences in species sensitivity, and differences between laboratory and realistic field conditions. First, all ecotoxicity data of Zn for terrestrial organisms in Chinese soils were collected and filtered with given criteria to obtain reliable database. Second, the ecotoxicity data were normalized using Zn ecotoxicity predictive models to eliminate the effect of soil properties on Zn ecotoxicity, and corrected with leaching and aging factors to minimize the differences in Zn ecotoxicity under laboratory and field conditions. Then, species sensitivity distribution (SSD) curves were generated with a Burr Ⅲ function based on corrected ecotoxicity data. The concentration of Zn in soil that provides ecological safety for (100 - x)% of species (HCx), was calculated from the SSD curve and HC5 was used for estimation of PNEC. Finally, we developed the predictive models for HCx by quantifying the relationship between the Zn HCx and soil properties. Results showed that soil pH was the most crucial factor affecting Zn HCx values, with HC5 values varying from 38.3 mg/kg in an acidic soil to 263.3 mg/kg in an alkaline calcareous soil. Both the two-factor (soil pH and OC) and the three-factor (soil pH, OC and CEC) models predicted HCx values well, with determination coefficients (R2) of 0.941-0.959 and 0.978-0.982, respectively. This study provides a scientific and reliable basis for the improvement of ecological risk assessment and the establishment of soil environmental quality standards.

Ecological risk of copper and zinc and their different bioavailability change in soil-rice system as affected by biowaste application.

A large amount of organic fertilizer application could be accompanied by soil contamination caused by trace heavy metals. A field experiment was carried out in this study to examine the accumulation and availability of copper (Cu) and zinc (Zn) in soil, and their uptake by rice under continuous application of chicken manure, pig manure and sewage sludge. Results showed that after four years of chicken manure, pig manure and sewage sludge application, the soil Cu accumulation rates were 0.15-1.17 mg kg-1 yr-1, 1.01-4.22 mg kg-1 yr-1 and 0.13-1.15 mg kg-1 yr-1, respectively; Zn accumulation rates were 0.54-5.46 mg kg-1 yr-1, 1.51-9.65 mg kg-1 yr-1 and 1.13-10.47 mg kg-1 yr-1, respectively. Compared to the control, the chicken- and pig manure treatments significantly decreased the DTPA-extractable Cu, but increased the DTPA-extractable Zn in soils; thus decreased the Cu contents in rice grain by 2.2-40.6% and increased the grain Zn by 2.6-30.9%, respectively, with increasing application rates and number of years. The addition of sewage sludge significantly increased bioavailability of Zn in soil and its accumulation in rice, while had limited effect on Cu bioavailability. Results suggested that the continuous application of organic fertilizer with elevated Cu and Zn contents at high application rates can induce their accumulation in soil and affect their bioavailability differently.

Accumulation of potentially toxic elements in agricultural soil and scenario analysis of cadmium inputs by fertilization: A case study in Quzhou county.

Fertilizer application has greatly increased crop yield, however impurities in mineral or organic fertilizers, such as heavy metals, are being added to agricultural soils, which would pose a high risk for soil and crop production. 115 soil samples were collected from Quzhou, a typical agricultural county in the North China Plain, to investigate the total content of cadmium (Cd), arsenic (As), lead (Pb), nickel (Ni), copper (Cu), zinc (Zn) and chromium (Cr) in soils. The contamination levels and source apportionment of studied elements were explored by the pollution indices, multivariate statistical approaches and geostatistical analysis. The ranges of Cd, As, Pb, Ni, Cu, Zn and Cr were between 0.08 and 0.35, 5.34-15.9, 7.34-38.9, 12.9-61.3, 7.80-27.0, 31.4-154, and 17.0-50.5 mg/kg and with the mean values 0.16, 9.20, 16.0, 24.7, 17.6, 61.1, and 29.5 mg/kg, respectively. The studied area was slightly polluted mainly by Cd, and higher pollution was found in soils under vegetable crops. The application of mineral phosphate fertilizer and livestock manure were the main source of Cd and Zn, and other elements (As, Pb, Ni and Cu) might originate from soil parent materials. Scenario analyses were performed using the R programming language, based on the cadmium contents in mineral phosphate fertilizers and livestock manures. The results showed that the long-term application of phosphate fertilizers would lead to some Cd enrichment in soil without risk of substantial pollution. Compared to pure mineral fertilizers, the long-term application of blended fertilizers (30% livestock manures and 70% phosphate fertilizers) or livestock manures would incur a higher Cd pollution risk within a short period, with a maximum probability of Cd risk of 55.21%. Mitigation measurements and scientific agronomic practices should be developed to minimize the risk of potential toxic elements in agricultural soil.

Effect of selenium on the uptake kinetics and accumulation of and oxidative stress induced by cadmium in Brassica chinensis.

Pak choi can readily accumulate cadmium (Cd) into its edible parts; this can pose a threat to human health. Although not essential for higher plants, selenium (Se) can be favorable for plant growth and antioxidative defense under heavy metal stress conditions. A pak choi hydroponic experiment was conducted to investigate the effect of two forms of Se on the Cd uptake kinetics and accumulation and oxidative stress. The results showed that selenite and selenate remarkably enhanced Cd uptake kinetics in pak choi. The maximum Cd uptake rate increased by more than 100% after treatment with 5 µM of selenite and selenate, and it further increased after treatment with 20 µM of both Se forms. The effects of Se on Cd content depended on the Se form, exposure time, and Cd dosage. Selenite reduced the Cd content in shoots by 41% after 3 days of treatment with 10 µM Cd, whereas selenate increased this rate by 89%. Both forms of Se decreased Cd content in the shoots by 40% after 7 days of treatment with 10 µM Cd, but they increased the Cd content by approximately 30% after treatment with 50 µM Cd. Se enhanced Cd-induced oxidative stress in pak choi. Malondialdehyde (MDA) generation was promoted by more than 33% by selenite and selenate treatments in combination with 10 µM Cd, and it was further enhanced by 106% and 185% at 50 µM Cd, respectively. Selenite also increased the H2O2 content at both Cd doses, but selenate did not have significant effects on H2O2 production. The effects of Se on antioxidative enzyme activity also depended on the dose of Cd. Selenite and selenate inhibited catalase activity by 11% and 29%, respectively, at 10 µM Cd, and by 13% and 42%, respectively, at 50 µM Cd. Moreover, both forms of Se increased superoxide dismutase activity after treatment with 10 µM Cd but inhibited its activity at 50 µM Cd. Therefore, Se exhibits dual effects on Cd accumulation and oxidative stress in pak choi and might cause further stress when combined with higher doses of Cd.

Arsenic uptake and accumulation in rice (Oryza sativa L.) with selenite fertilization and water management.

The accumulation of arsenic (As) in rice grain is a potential threat to human health. Our study investigated the possible mediatory role of selenite fertilization on As uptake and accumulation by rice (Oryza sativa L.) under different water management regimes (aerobic or flooded) in a pot experiment. Soil solutions were also extracted during the growing season to monitor As dynamics. Results showed that As contents in the soil solutions, seedlings, and mature rice were higher under flooded than under aerobic water management. Under aerobic conditions, selenite additions slightly increased As concentrations in soil solutions (in the last two samplings), but decreased As levels in rice plants. Relative to the control, 0.5 mg kg-1 selenite decreased rice grain As by 27.5%. Under flooded conditions, however, selenite additions decreased As in soil solutions, while increased As in rice grain. Tendencies also showed that selenite additions decreased the proportion of As in rice shoots both at the seedling stage and maturity, and were more effective in aerobic soil. Our results demonstrate that the effect of selenite fertilizer on As accumulation by rice is related to water management.

Effects of continuous fertilization on bioavailability and fractionation of cadmium in soil and its uptake by rice (Oryza sativa L.).

A four-year field trial was conducted in a rice paddy in southern China to determine the effects of continuous phosphate fertilizer, pig manure, chicken manure, and sewage sludge application on soil Cd accumulation in soil and Cd uptake by rice. The results showed that continuous application of fertilizers with higher Cd levels caused Cd to accumulate and redistribute in various soil fractions. In turn, these effects influenced Cd bioavailability in rice plants. After four years of phosphate fertilizer, pig manure, chicken manure, and sewage sludge application, the annual soil Cd accumulation rates were 0.007-0.032 mg kg-1, 0.005-0.022 mg kg-1, 0.002-0.013 mg kg-1, and 0.032-0.087 mg kg-1, respectively. Relative to the control, the pig- and chicken manure treatments significantly increased soil pH and reduced DTPA-extractable Cd (DTPA-Cd) and the exchangeable Cd fraction (Exc-Cd). In contrast, sewage sludge application significantly increased DTPA-Cd and Cd in all soil fractions. Phosphate fertilization had no significant effect on soil pH, DTPA-Cd, or Exc-Cd. Pearson's correlation coefficients showed that the rice grain Cd levels varied directly with DTPA-Cd, and Exc-Cd but inversely with soil pH. Pig- or chicken manure decreased rice grain Cd content, but sewage sludge increased both soil Cd availability and rice grain Cd uptake. Application of phosphate fertilizer had no significant effect on rice grain Cd content. The continuous use of organic- or phosphate fertilizer with elevated Cd content at high application rates may induce soil Cd accumulation and influence rice grain Cd accumulation.

Effect of humic acid-based amendments with foliar application of Zn and Se on Cd accumulation in tobacco.

The smoke of tobacco is a major source of exposure to Cd in humans and therefore it is urgent to find a way to a method to reduce Cd accumulation in tobacco. A four-month tobacco pot experiment was conducted to investigate the effects of two base treatments (humic acid-based amendments) and two foliar treatments (Zn and Se) on Cd uptake by tobacco. The results showed that Cd in tobacco was mainly transferred into leaves, which could be significantly reduced by both applied amendments. The Cd contents in leaves were reduced by up to 67%. Foliar Zn alone significantly decreased Cd contents in leaves while foliar Se slightly increased them. When base and foliar treatments were combined, base treatments had dominant effects but those of foliar treatments were not distinct. The applied amendments did reduce Cd contents in all the parts of tobacco and the translocation into leaves and they were more effective than foliar Zn and Se.

Cadmium uptake dynamics and translocation in rice seedling: Influence of different forms of selenium.

Selenium (Se) can alleviate the toxicity of cadmium (Cd), but little is known about its mechanism in Cd uptake and translocation in plants. We investigated the effects of exogenous selenite, selenate, and selenomethionine (SeMet) on Cd uptake and translocation within rice (Oryza sativa L., Zhunliangyou 608) seedlings, and the concentration-dependent uptake kinetics of Cd into rice roots (with or without Se) were determined. The effect of the endogenous Se pool on Cd uptake was also investigated. Results of uptake kinetics showed that selenite slightly promoted Cd influx during 1h of exposure, compared with no selenite addition; Vmax of Cd uptake increased by 13.8% in 10µM selenite treatment; while the presence of selenate had no effect on the influx of Cd. When exposed to Cd (5µM) over 20h (with selenite) or 30h (with selenate or SeMet), Se addition (5µM) decreased Cd uptake and root-to-shoot translocation; after 30h selenite, selenate, or SeMet addition decreased Cd uptake by roots by 28.6%, 17.7% or 12.1%, respectively. Besides, as the selenite levels in the treatment solutions (1µMCd) increased (0, 0.1, 1, and 5µM, Se), Cd uptake and translocation were both significantly reduced, while the inhibitive effect was more significant at lower levels of selenate. Pretreatment of selenite or selenate (5µM) also decreased Cd uptake by 24.9% or 15.7%, and reduced the root-to-shoot transfer factor by 41.4% or 36.2% after 144h of subjection to Cd (5µM), respectively. The presence of selenite decreased Cd content more effectively than did selenate. Our results demonstrated that Se can effectively reduce the Cd translocation from roots to shoots in rice seedlings.

Role of anti-inflammatory cytokines IL-4 and IL-13 in systemic sclerosis.

OBJECTIVE: The aim of this paper is to review the anti-inflammatory cytokines IL-4 and IL-13 and their receptor signals; we discuss new insight into their possible roles in systemic sclerosis (SSc) and their overlapping function in SSc. INTRODUCTION: SSc is a connective tissue disease characterized by fibrosis. The exact etiology of SSc is unknown, and no therapy has been proved effective in modifying its course. Recently the roles of IL-4 and IL-13 in the development of SSc have been extensively considered. The possible roles of IL-4 and IL-13, especially their overlapping function, in SSc are not well documented. METHODS: A literature survey was performed using a PubMed database search to gather complete information regarding IL-4 and IL-13 and their role in inflammation. RESULTS AND CONCLUSIONS: The participation of complex pathways of IL-4 and IL-13 in the process of inflammation and fibrosis action in SSc is still not very clear, and some pathogenesis of regulation found in vitro needs to be further proved. There is still more work which could be done to achieve useful developments with therapeutic benefit in SSc.

The epidemiology of alcohol consumption and multiple sclerosis: a review.

Alcohol consumption is accounted for a large proportion in patients with multiple sclerosis (MS) and may be a modifiable lifestyle factor that affects the risk of developing the disease. The epidemiological studies about the association between MS and alcohol consumption have got corresponding studies during the last decade. It has been suggested that alcohol consumption was associated with mood disorders, disability and even onset of MS, but a common theme is lacking. To make an understanding of the effect of alcohol consumption on MS, the related epidemiological evidence and potential mechanisms are reviewed.

Micronutrients, their potential effect on patients with systemic sclerosis.

Over the past years, several evidences have supported an important role of specific micronutrients, including vitamin A, vitamin D and vitamin E in immune dysfunction, vascular involvement and fibrotic changes involved in systemic sclerosis (SSc) development. In PubMed, eight clinical trials about the therapy of micronutrients on SSc patients were searched out using medical subject headings terms (SSc: "scleroderma, localized", "scleroderma, systemic", "scleroderma, diffuse" and "scleroderma, limited"; vitamins "vitamin A", "thiamin", "riboflavin", "niacin", "pantothenic acid", "vitamin B 6", "biotin", "folic acid", "vitamin B 12", "inositol", "choline", "ascorbic acid", "vitamin D", "vitamin E", "tocopherols", "vitamin K" and "vitamin P"; and minerals: "calcium", "magnesium", "potassium", "sodium", "phosphorus", "sulfur", "chlorine", "iron", "copper", "iodine", "zinc", "selenium", "manganese", "molybdenum", "cobalt", "chromium", "tin", "vanadium", "silicon", "nickel" and "fluorine"). This brief review will summarize current understanding on that for the further prospect of future studies. Though the clinical trials for the treatment of SSc with micronutrients are still in their infancy, more researches are needed to substantiate the current results and accelerate the knowledge in this field.

Heavy Metals in Agricultural Soils: Sources, Influencing Factors, and Remediation Strategies.

Soil heavy metal pollution is a global environmental challenge, posing significant threats to eco-environment, agricultural development, and human health. In recent years, advanced and effective remediation strategies for heavy metal-contaminated soils have developed rapidly, and a systematical summarization of this progress is important. In this review paper, first, the anthropogenic sources of heavy metals in agricultural soils, including atmospheric deposition, animal manure, mineral fertilizers, and pesticides, are summarized. Second, the accumulation of heavy metals in crops as influenced by the plant characteristics and soil factors is analyzed. Then, the reducing strategies, including low-metal cultivar selection/breeding, physiological blocking, water management, and soil amendment are evaluated. Finally, the phytoremediation in terms of remediation efficiency and applicability is discussed. Therefore, this review provides helpful guidance for better selection and development of the control/remediation technologies for heavy metal-contaminated agricultural soils.