Prevalence of Inflammatory Heart Disease Among Professional Athletes With Prior COVID-19 Infection Who Received Systematic Return-to-Play Cardiac Screening.

Importance: The major North American professional sports leagues were among the first to return to full-scale sport activity during the coronavirus disease 2019 (COVID-19) pandemic. Given the unknown incidence of adverse cardiac sequelae after COVID-19 infection in athletes, these leagues implemented a conservative return-to-play (RTP) cardiac testing program aligned with American College of Cardiology recommendations for all athletes testing positive for COVID-19. Objective: To assess the prevalence of detectable inflammatory heart disease in professional athletes with prior COVID-19 infection, using current RTP screening recommendations. Design, Setting, and Participants: This cross-sectional study reviewed RTP cardiac testing performed between May and October 2020 on professional athletes who had tested positive for COVID-19. The professional sports leagues (Major League Soccer, Major League Baseball, National Hockey League, National Football League, and the men's and women's National Basketball Association) implemented mandatory cardiac screening requirements for all players who had tested positive for COVID-19 prior to resumption of team-organized sports activities. Exposures: Troponin testing, electrocardiography (ECG), and resting echocardiography were performed after a positive COVID-19 test result. Interleague, deidentified cardiac data were pooled for collective analysis. Those with abnormal screening test results were referred for additional testing, including cardiac magnetic resonance imaging and/or stress echocardiography. Main Outcomes and Measures: The prevalence of abnormal RTP test results potentially representing COVID-19-associated cardiac injury, and results and outcomes of additional testing generated by the initial screening process. Results: The study included 789 professional athletes (mean [SD] age, 25 [3] years; 777 men [98.5%]). A total of 460 athletes (58.3%) had prior symptomatic COVID-19 illness, and 329 (41.7%) were asymptomatic or paucisymptomatic (minimally symptomatic). Testing was performed a mean (SD) of 19 (17) days (range, 3-156 days) after a positive test result. Abnormal screening results were identified in 30 athletes (3.8%; troponin, 6 athletes [0.8%]; ECG, 10 athletes [1.3%]; echocardiography, 20 athletes [2.5%]), necessitating additional testing; 5 athletes (0.6%) ultimately had cardiac magnetic resonance imaging findings suggesting inflammatory heart disease (myocarditis, 3; pericarditis, 2) that resulted in restriction from play. No adverse cardiac events occurred in athletes who underwent cardiac screening and resumed professional sport participation. Conclusions and Relevance: This study provides large-scale data assessing the prevalence of relevant COVID-19-associated cardiac pathology with implementation of current RTP screening recommendations. While long-term follow-up is ongoing, few cases of inflammatory heart disease have been detected, and a safe return to professional sports activity has thus far been achieved.

Antioxidant and anti-inflammatory activities of selected Chinese medicinal plants and their relation with antioxidant content.

BACKGROUND: The main aim of this study is to evaluate the antioxidant and anti-inflammatory properties of forty four traditional Chinese medicinal herbal extracts and to examine these activities in relation to their antioxidant content. METHODS: The antioxidant activities were investigated using DPPH radical scavenging method and yeast model. The anti-inflammatory properties of the herbal extracts were evaluated by measuring their ability to inhibit the production of nitric oxide and TNF-α in RAW 264.7 macrophages activated by LPS and IFN- γ, respectively. The cytotoxic effects of the herbal extracts were determined by Alomar Blue assay by measuring cell viability. In order to understand the variation of antioxidant activities of herbal extracts with their antioxidant contents, the total phenolics, total flavonoids and trace metal (Mg, Mn, Cu, Zn, Se and Mo) quantities were estimated and a correlation analysis was carried out. RESULTS: Results of this study show that significant levels of phenolics, flavonoids and trace metal contents were found in Ligustrum lucidum, Paeonia suffuticosa, Salvia miltiorrhiza, Sanguisorba officinalis, Spatholobus suberectus, Tussilago farfara and Uncaria rhyncophylla, which correlated well with their antioxidant and anti-inflammatory activities. Some of the plants displayed high antioxidant and anti-inflammatory activities but contained low levels of phenolics and flavonoids. Interestingly, these plants contained significant levels of trace metals (such as Zn, Mg and Se) which are likely to be responsible for their activities. CONCLUSIONS: The results indicate that the phenolics, flavonoids and trace metals play an important role in the antioxidant activities of medicinal plants. Many of the plants studied here have been identified as potential sources of new antioxidant compounds.

Antioxidant and immunomodulatory activities of polysaccharides from the roots of Sanguisorba officinalis.

The roots of Sanguisorba officinalis are used in traditional Chinese medicine for the treatment of diseases such as inflammation and internal haemorrhage. Several scientific investigations involving extraction and pharmacological studies of terpenoids and triterpenoid glycosides from this herb have been carried out. However, little is known regarding the immunomodulatory and antioxidant properties of polysaccharides from S. officinalis. Hence the polysaccharides from this herb have been investigated here. The hot water extract of S. officinalis has been fractionated using size-exclusion chromatography to obtain four polysaccharide fractions designated as SOP-1, SOP-2, SOP-3 and SOP-4. The range of molecular masses of these fractions were from 280 Da to 2000 kDa, and their sugar compositions consisted mainly of fructose, glucose, xylose, arabinose, and rhamnose. The antioxidant activities of the crude polysaccharide fractions were evaluated in a biological assay using Saccharomyces cerevisiae, whereas the radical scavenging activity was measured using the 2,2-diphenyl-1-picrylhydrazyl (DPPH) method. Analysis of the immunomodulatory activities of these polysaccharide fractions were measured by using mouse macrophages. Most of the polysaccharide fractions have stimulated the production of nitric oxide and tumour necrosis factor-α (TNF-α), and also displayed antioxidant activities. These results suggest that the roots of S. officinalis are likely to have therapeutic value for the treatment of cancer.

Antioxidant and anti-inflammatory activities of selected medicinal plants containing phenolic and flavonoid compounds.

The antioxidant, anti-inflammatory, and cytotoxic activities of water and ethanol extracts of 14 Chinese medicinal plants were investigated and also their total phenolics and flavonoid contents measured. The antioxidant activity was evaluated in a biological assay using Saccharomyces cerevisiae , whereas the radical scavenging activity was measured using the 2,2-diphenyl-1-picrylhydrazyl (DPPH) method. Total phenolics and flavonoid contents were estimated by Folin-Ciocalteu and aluminum chloride methods, respectively. The anti-inflammatory activities of the plant extracts were determined by measuring the inhibition of production of nitric oxide (NO) and TNF-α in LPS and IFN-γ activated RAW 264.7 macrophages. Their cytotoxic activities against macrophages were determined by Alamar Blue assay. Four plants, namely, Scutellaria baicalensis , Taxillus chinensis , Rheum officinale , and Sophora japonica , showed significant antioxidant activity in both yeast model and also free radical scavenging methods. The ethanol extract of S. japonica showed highest levels of phenolics and flavonoids (91.33 GAE mg/g and 151.86 QE mg/g, respectively). A positive linear correlation between antioxidant activity and the total phenolics and flavonoid contents indicates that these compounds are likely to be the main antioxidants contributing to the observed activities. Five plant extracts (S. baicalensis, T. chinensis, S. japonica, Mahonia fortunei , and Sophora flavescens ) exhibited significant anti-inflammatory activity by in vitro inhibition of the production of NO and TNF-α with low IC(50) values. These findings suggest that some of the medicinal herbs studied in this paper are good sources of antioxidants.

Risks to human health and estuarine ecology posed by pulling out creosote-treated timber on oyster farms.

Five oyster farms in Port Stephens, Australia were studied to identify consequences of using creosote-treated posts and the risks posed by removing the posts. Gas chromatography coupled with mass spectrometry (GC/MS) was used to measure polycyclic aromatic hydrocarbons (PAHs) and phenols in sediments, timber, water and oyster tissue. Before posts were removed, the total PAHs in surface sediment on farms was 24.1 mgkg(-1) dry weight. This increased to 45.5 mgkg(-1) dry weight after the posts were pulled out and remained significantly higher 6 months later at 59.7 mgkg(-1) dry weight. A similar increase was found in deeper sediments. The sediment attached to creosote-treated posts had a total concentration of PAHs of 484-2642 mgkg(-1) dry weight, while the corresponding value for the sediment on tar-treated posts was only 30.7 mgkg(-1) dry weight. The surface timber of creosote-treated posts had high levels of PAHs and an average post contained 43 g of PAHs. The total PAHs dispersed to the environment when a creosote-treated post was pulled out was at least 0.67 g. The main species were PAHs with low-molecular weights: fluoranthene, phenanthrene, pyrene, acenaphthylene and chrysene. Benzo(a)pyrene represented 1-10% of PAHs in most samples. Bioassays with creosote-contaminated sediment revealed that Sydney rock oysters (Saccostrea glomerate) and Pacific oysters (Crassostrea gigas) accumulated PAHs at (mgkg(-1) wet tissue weight): 11.3-15.3 and 35.5-47.9, respectively, when exposed for 5 days to water with < 1 microgl(-1) PAHs. Wild oysters growing on creosote-treated posts had high levels of phenols (0.09-6.92 mgkg(-1) wet weight) and PAHs (0.59-1.01 mgkg(-1) wet weight). The dilemma posed by removing creosote-treated posts and dispersing carcinogenic, bioavailable contaminants needs to be managed in light of risks to human health and estuarine ecology.

Mitochondrial DNA variation among populations of the glassy-winged sharpshooter, Homalodisca coagulata.

The glassy-winged sharpshooter, Homalodisca coagulata (Homoptera: Cicadellidae), is a highly polyphagous insect species that is distributed throughout most of the southern regions of the United States. In the last 10 years, H. coagualta has become established in California and represents a significant threat to the state's 35 billion dollar wine and table grape industries. DNA sequencing analysis was used to characterize a portion of the mitochondrial cytochrome oxidase I gene from a single population of the smoke tree sharpshooter, Homalodisca liturata, in California and from 20 natural populations of H. coagulata distributed in Tahiti, California, Texas, Louisiana, Mississippi, Alabama, and Florida. The results indicate that H. liturata and H. coagulata are genetically distinct, suggesting that they do not hybridize. Populations of H. coagulata are geographically structured into two groups of haplotypes; a group of populations from east of the Mississippi River including Louisiana, Mississippi, Alabama and Florida and a group comprised of populations west of the Mississippi River from Texas and California, and from Tahiti. There was no genetic structure among haplotypes within the eastern and western groups, respectively. The data also indicates that H. coagulata in California most likely originated from a source in Texas and not from any of the populations east of the Mississippi River.