Genetically predicted obesity and risk of hip osteoarthritis.

OBJECTIVES: To determine the causal association between genetically predicted obesity and the risk of hip osteoarthritis. METHODS: We performed two-sample Mendelian randomization (MR) analysis to analyze the association between body mass index (BMI) and hip osteoarthritis using pooled-level genome-wide association study (GWAS) data. The inverse variance weighted (IVW), MR‒Egger, and weighted median methods were used to estimate the causal association. In addition, we applied the MR Steiger filtering method, MR robust adjusted profile score (MR.RAPS) methods, and the MR Pleiotropy RESidual Sum and Outlier (MR-PRESSO) global test to examine and address potential horizontal pleiotropy. RESULTS: We found a causal relationship between genetically predicted BMI and the risk of hip osteoarthritis by the IVW method [OR = 1.45, 95% confidence interval (CI) = 1.04-2.00, P = 0.02]. In the sensitivity analysis, the results of the MR‒Egger and weighted median methods revealed similar estimations but with a wide CI with lower precision. The funnel plot, MR-Egger intercept, and MR-PRESSO all indicated the absence of a directional pleiotropic effect. In addition, no heterogeneity was observed in the present analysis. Therefore, the result of IVW is most suitable and reliable for the present MR analysis. CONCLUSION: There is a causal relationship between obesity and a higher risk of hip osteoarthritis, suggesting that weight management may be an intervention for the prevention and management of hip osteoarthritis. LEVEL OF EVIDENCE: Bioinformatics, Basic science.

Improving the compatibility and toughness of sustainable polylactide/poly(butylene adipate-co-terephthalate) blends by incorporation of peroxide and diacrylate.

Polylactide/poly(butylene adipate-co-terephthalate) (PLA/PBAT) blends were compatibilized using dicumyl peroxide (DCP) and poly(ethylene glycol) 600 diacrylate (PEG600DA) through a one-step melt-blending process. The compatibility and performance of these blends were subsequently characterized. The results showed that grafts formed "in situ" effectively improved the compatibility and interfacial adhesion between PLA and PBAT phases. Melt viscosity and elasticity of both the PLA/PBAT/DCP and PLA/PBAT/DCP/PEG600DA blends evinced significant increases. Compared to PLA alone, both cold and melt crystallization abilities of the PLA/PBAT/DCP/PEG600DA blends were enhanced, with crystallinities increasing by 5 % - 10 %. Furthermore, the thermal stability, as well as hydrophobicity and oleophobicity of the compatibilized blends improved. In comparison with PLA, the elongation at break and notched impact strength for the PLA/PBAT/DCP/PEG600DA (60/40/0.1/4) blend achieved increases of 290 % and 44.23 kJ/m2, corresponding to improvements of 279 % and 1457 %, respectively. The toughening effect was substantially influenced by the ductile matrix (either a co-continuous phase or a flexible PBAT matrix) in addition to the strong interfacial adhesion and fine phase domain. These eco-friendly blends exhibit considerable potential for packaging articles and 3D printing products owing to their excellent mechanical properties and enhanced melt rheology.