[Formulation of expert consensus on clinical application of external ethnic medicine: taking Baimai Ointment as an example].

The concept of ethnic medicine is divided into a broad sense and a narrow sense. The broad concept refers to the traditional medicine of the Chinese nation, and the narrow concept refers to the traditional medicine of Chinese ethnic minorities. The external medicine is one of the main forms of ethnic medicine, and it is also the important content of ethnic medicine for external use, which is widely used in clinical practice. As the theory of ethnic medicine is unique, the application methods have certain characteristics, which are the key technical parts of clinical practice. However, the existing traditional Chinese medicine consensus formulation me-thods cannot meet the needs of the consensus formulation of the external ethnic medicine. Therefore, the methods suitable for expert consensus on external ethnic medicine are required. This article took Expert opinion on clinical application of Baimai Ointment as an exa-mple, and explorde a reasonable, effective, multi-dimensional, and multi-stage method to formulate expert consensus on the external ethnic medicine. In this research, three-dimensional sources of information, including ancient classics, clinical research evidence, and expert application experiences, were systematically and scientifically collected. After organization and analysis, the information was formed into comprehensive evidence. In a formal consensus meeting, part of the recommendations reached consensus. As to the issues that did not reach agreement, in-depth interviews were used to explore the reasons for the differences and resolve the disagreements. Finally, unanimous recommendations were reached. There are common problems during the formulation process of Expert opinion on clinical application of Baimai Ointment. This study is expected to provide references for the formulation of expert consensus on other external ethnic medicine.

Reynoutria japonica Houtt for Acute Respiratory Tract Infections in Adults and Children: A Systematic Review.

Introduction: Respiratory tract infections (RTIs) are a major cause of morbidity and mortality in some high-risk groups including children and older adults. There is evidence that Chinese herbal medicine has an effect on RTIs. Reynoutria japonica Houtt (better known under its synonym Fallopia japonica (Houtt.) Ronse Decr.) (F. japonica), a commonly used Chinese herbal medicine, has a high content of resveratrol and glycosides. In traditional Chinese medicine theory, F. japonica has the effect of clearing heat in the body, improving blood and qi circulation, eliminating phlegm, and relieving cough, so it may have an effect on RTIs. Methods: This systematic review was registered under PROSPERO CRD42020188604. Databases were searched for randomized controlled trials of F. japonica as a single herb, or as a component of a complex herbal formula for RTIs. Quality of methodology was assessed by two reviewers independently using the Cochrane Risk of Bias Tool. The primary outcome was symptom improvement rate. The secondary outcome measures were fever clearance time, Murray lung injury score and incidence of adverse effects. The extracted data were pooled and meta-analysed by RevMan 5.3 software. Results: Eight RCTs with 1,123 participants with acute RTIs were included in this systematic review, and all the RCTs used F. japonica as part of a herbal mixture. Only one included trial used F. japonica in a herbal mixture without antibiotics in the treatment group. The findings showed that herbal remedies that included F. japonica could increase the symptom improvement rate (risk ratio 1.14, 95% confidence intervals [1.09, 1.20], I2 = 0%, p < 0.00001, n = 7 trials, 1,013 participants), shorten fever duration, reduce Murray lung injury score and did not increase adverse events (RR 0.33, 95% CI [0.11, 1.00], I2 = 0%, p = 0.05, n = 5 trials, 676 participants). Conclusion: There is limited but some evidence that F. japonica as part of a herbal mixture may be an effective and safe intervention for acute RTIs in clinical practice. In future studies it would be preferable to evaluate the effectiveness and safety of using F. japonica without antibiotics for acute RTIs.

[Systematic review of efficacy and safety of Ginkgo biloba extract 50 in treatment of ischemic stroke].

The present study aimed to systematically evaluate the efficacy and safety of Ginkgo biloba extract 50(GBE50) in the treatment of ischemic stroke. The databases including CNKI, Wanfang, VIP, SinoMed, PubMed, EMbase, and Cochrane Library were searched for randomized controlled trial(RCT) of GBE50 for the treatment of ischemic stroke reported between database inception and May 2020. The methodological quality of the included RCTs was evaluated via the Cochrane risk of bias tool. The RevMan 5.4 was used for Meta-analysis. Sixteen RCTs were included, involving 1 615 patients with acute ischemic stroke. Most of the included RCTs reported the methods of random sequence generation, but only two performed the concealment of random sequence. All RCTs failed in blinding. Two RCTs reported the information of cases lost to follow-up and drop-outs. Since the number was small, the baselines of groups remained balanced. All RCTs reported key outcomes of ischemic stroke, which made selective reporting bias in a low risk. Meta-analysis results revealed that GBE50 combined with routine therapies could effectively lower the score of the National Institutes of Health stroke scale(NIHSS) and restore cognitive function and daily activity in ischemic stroke patients. Compared with routine therapies, the combination is advantageous in treating patients with ischemic stroke. However, high-quality multicenter RCTs with large sample sizes are still required for verification.

[Investigation on the resistance of wheat germplasm resources to aphid based on fuzzy recognition and electrical penetration graph (EPG)techniques]. / 基于模糊识别和刺探电位技术鉴定小麦种质资源抗蚜性.

We analyzed the resistance of wheat germplasm resources with different genetic backgrounds to aphids by fuzzy recognition technique in field and electrical penetration graph (EPG) in laboratory, with the aim to find new aphid-resistance resource. Results from a two-year field experiment showed that most trititrigia had medium and low resistance, while most triticale were medium and low susceptible. The trititrigia 21 (medium resistance), trititrigia 22 (low resistance), triticale 31 (medium susceptable) and triticale 32 (low susceptable) with stable resistance traits and diffe-rent resistance levels were selected for feeding behavior analysis of Sitobion avenae. We analyzed the basic waveforms, including non-feeding wave (Np), probing wave (P), potential drop (Pd), secretion of water saliva wave (E1), phloem feeding wave (E2), cellular mechanical hindrance wave (F), and xylem feeding wave (G). The time for initial probe of S. avenae on trititrigia was significantly longer than that of triticale, while the duration of E1 wave on trititrigia was significantly longer than that of triticale. The duration of F wave on trititrigia 21 and the Np wave on the trititrigia 22 were the longest, while that of P wave on triticale 31 and the G wave on triticale 32 were the longest. Taking the durations of E1, F and Np waves as indices, the field identification on the resis-tance of wheat germplasm resources to aphid based on fuzzy recognition technique was basically consistent with that using EPG. Our results suggest that E1, F and Np waves could be used to evaluate the resistance levels of wheat to aphid. Tititrigia 21 and 22 were more resistant to aphid, which could be used as the germplasm for breeding aphid-resistance wheat varieties.

Destrin Contributes to Lung Adenocarcinoma Progression by Activating Wnt/ß-Catenin Signaling Pathway.

Lung cancer, especially lung adenocarcinoma, is one of the most common neoplasms worldwide. However, the mechanisms underlying its initiation, development, and metastasis are still poorly understood. Destrin (DSTN) is a member of ADF/cofilin family. Its detailed biological function remains unknown, although it is reported that DSTN is involved in cytoskeleton remodeling and regulation of actin filament turnover. Recent evidence has shown that high expression of cofilin-1 is associated with invasion and poor prognosis of several types of human tumors, but the detailed mechanism is still entirely unclear, particularly in lung cancer tumorigenesis and malignancy. Here, we report that DSTN was highly expressed in a mouse lung cancer model induced by urethane and in clinical lung adenocarcinoma tissue samples. Its expression level was positively correlated with cancer development, as well as metastasis to the liver and lymph nodes. Consistently, it was directly associated with the poor prognosis of lung adenocarcinoma patients. Furthermore, we also found that DSTN promotes cell proliferation, invasion, and migration in vitro, and facilitates subcutaneous tumor formation and lung metastasis via intravenous injection in vivo. Mechanically, DSTN associates with and facilitates nuclear translocation of ß-catenin, which promotes epithelial-to-mesenchymal transition (EMT). Taken together, our results indicated that DSTN enhances lung cancer malignancy through facilitating ß-catenin nuclear translocation and inducing EMT. Combined with multivariate analyses, DSTN might potentially serve as a therapeutic target and an independent prognostic marker of lung adenocarcinoma. IMPLICATIONS: This finding indicates that DSTN facilitates ß-catenin nuclear translocation and promotes malignancy in lung adenocarcinoma.

[Variant analysis on steroid 5-reductase type 2 deficiency caused by a novel SRD5A2 mutation].

This article reported the clinical characteristics and SRD5A2 gene mutation pattern of a child with steroid 5-α reductase type 2 deficiency. The 2-month-old boy showed hypospadias and short penis shortly after birth. DNA was extracted from the peripheral blood of the child and his parents. The endocrine disease-related genes were captured and sequenced by high-throughput sequencing technology, and the family DNA samples were verified by Sanger sequencing. The results showed that c.680G>A(p.R227Q) and c.608G>A(p.G203D) compound heterozygous mutations existed in the SRD5A2 gene of the child. The c.680G>A mutation inherited from his father, which was a known pathogenic mutation. The c.608G>A mutation originated from his mother, which was a novel mutation discovered in this study. These results provide molecular evidence for the etiological diagnosis of the child and genetic counseling for the family, as well as extend the mutation spectrum of SRD5A2 gene.

[Heavy metal pollution and comprehensive ecological risk assessment of surface soil in diffe-rent functional areas of Shenzhen, China]. / æ·±åœ³å¸‚ä¸åŒåŠŸèƒ½åŒºåœŸå£¤è¡¨å±‚é‡é‡‘å±žæ±¡æŸ“åŠå ¶ç»¼åˆç”Ÿæ€é£Žé™©è¯„ä»·.

To explore the impact of urban functional zones on surface soil metal pollution, we analyzed the concentrations and pollution status of eight heavy metals (i.e., Mn, Ni, Cr, Pb, Cd, Zn, Cu, and As) in surface soils from various urban functional zones of Shenzhen City. Nemero index and potential ecological hazard indices were used to quantify the ecological risk levels of different heavy metals in different urban functional zones. Moreover, we spatially classified ecological risk zones for soil heavy metal pollution. Results showed that: 1) concentrations of Cd, Zn, Cu, and As in the surface soil were heavily impacted by human activities, while those of Mn, Ni, Cr, and Pb were not. High-intensity urbanization and industrialization with the constraints of physical environment were identified as the determining factors for regional and functional variation of heavy metal pollution. 2) Pb, Cd, Zn, and Cu had high pollution risks in the surface soils, with Pb having the highest risk, which necessitated further management and control of heavy metals. The overall level of heavy metal pollution risk in the surface soils of Shenzhen was higher than that of other cities in China. 3) Nemero index and potential ecological hazard indices had different emphases in terms of assessing the risk level of heavy metals. Those indices showed different performances in the risk assessment of single heavy metal, overall ecological risks in the different urban functional zones, and ecological risk classification of heavy metal pollution in the urban surface soils. We suggest that those indices should be combined to provide more holistic information about urban heavy metal pollution.

Icariin attenuated oxidative stress induced-cardiac apoptosis by mitochondria protection and ERK activation.

Our previous study showed that Icariin (ICA) has anti-cardiac hypertrophy effect in rats with an unknown mechanism. In the present study, we aimed to clarify the cardiac protective effect and mechanism of ICA in vitro. H9C2 cardiac myocytes were incubated with H2O2 to build up the oxidative stress injury model. The results showed that pre-treatment of ICA protected cells against the toxicity induced by H2O2. H2O2 treatment significantly reduced H2O2-induced apoptosis, evidenced by lower Annexin V/PI stained cells and less PARP and caspase-3/9 activation. Mitochondria membrane potential (MMP) dissipation occurred following the exposure of H2O2, which could be prevented by ICA treatment. Moreover, Ca2+ homeostasis was preserved by ICA and ROS generation was significantly suppressed by ICA incubation. Interestingly, ICA treatment increased the phosphorylation of upstream ERK mitogen-activated protein kinase (MAPK) while ERK inhibitor U1026 could reverse the protective effect of ICA. Overall, ICA seems to protect the cardiac cells from oxidative stress injury through ROS scavenge and stimulation of ERK pathway which may explain its effects in vivo.

[Pollution of Halogenated Polycyclic Aromatic Hydrocarbons in Atmospheric Particulate Matters of Shenzhen].

Concentrations of halogenated polycyclic aromatic hydrocarbons ( HPAHs) in atmospheric PM10 and PM2.5 samples collected from Shenzhen were determined using GC-MS. Total concentrations of nine HPAHs in atmospheric PM10 and PM2.5 samples ranged from 118 to 1,476 pg · m(-3) and 89 to 407 pg · m(-3), respectively. In PM10 and PM(2.5) samples, the concentration of 9-BrAnt was the highest, followed by 7-BrBaA and 9, 10-Br2Ant. Seasonal levels of total HPAHs in atmospheric PM10 and PM2.5 samples in Shenzhen decreased in the following order: winter > autumn > spring > summer, whereas concentrations of individual HPAHs showed different seasonal levels. Meteorological conditions, including temperature, precipitation, and relative humidity, might be important factors affecting the seasonal levels of HPAHs in atmospheric PM10 and PM2.5 In addition, there were significant correlations between concentrations of HPAHs and parent PAHs. Finally, the toxic equivalency quotients (TEQs) of HPAHs were estimated. The TEQs of HPAHs in atmospheric PM10 and PM2.5 samples ranged from 17.6 to 86.2 pg · m(-3) and 14.6 to 70.4 pg · m(-3), respectively. Among individual HPAHs, 7-BrBaA contributed greatly to the total TEQs of HPAHs. Our results indicated that the total TEQs of HPAHs were lower than parent PAHs in atmospheric PM10 and PM2.5 samples in Shenzhen.

Plant uptake, translocation, and return of polycyclic aromatic hydrocarbons via fine root branch orders in a subtropical forest ecosystem.

Fine roots of woody plants are a heterogeneous system differing markedly in structure and function. Nevertheless, knowledge about the plant uptake of organic pollutants via fine roots is scarce to date. In the present study, plant uptake, translocation, and return of polycyclic aromatic hydrocarbons (PAHs) via fine roots in a subtropical forest ecosystem were investigated. Levels of Σ15PAHs in different fine root branch orders of Michelia macclurei, Cryptocarya concinna, Cryptocarya chinensis, and Canthium dicoccums varied from 5072±1419 ng g(-1) to 6080±1656 ng g(-1), 4037±410 ng g(-1) to 6101±972 ng g(-1), 3308±1191 ng g(-1) to 4283±237 ng g(-1), and 3737±800 ng g(-1) to 4895±1216 ng g(-1), respectively. Overall, concentrations of low-molecular-weight PAHs with 2-3 aromatic rings were higher than high-molecular-weight PAHs with 4-6 aromatic rings in all fine root branch orders. There were obvious translocations of PAHs between adjacent branch orders and a net accumulation of PAHs may occur in the fourth- and fifth-order roots. The storage of PAHs in the fine root system showed an obvious increasing trend along the branch orders ascending for all tree species. The return flux of PAHs via fine roots mortality showed an obvious decreasing trend with the branch orders ascending across the four tree species. Lower order roots contributed greatly to the total PAHs return flux. Our results indicated that fine roots turnover is an effective pathway for perennial tree species to remove environmental toxicants absorbed into them.

Cumulative health risk assessment of halogenated and parent polycyclic aromatic hydrocarbons associated with particulate matters in urban air.

Halogenated polycyclic aromatic hydrocarbons (HPAHs) have been reported to occur widely in urban air. Nevertheless, knowledge about the human health risk associated with inhalation exposure to HPAHs is scarce so far. In the present study, nine HPAHs and 16 PAHs were determined in atmospheric particulate matter (PM) collected from Shenzhen, China to address this issue. Concentrations of Σ9HPAHs varied from 0.1 to 1.5 ng/m(3) and from 0.09 to 0.4 ng/m(3) in PM10 and PM2.5 samples, respectively. As for individuals, 9-bromoanthracene, 7-bromobenz(a)anthracene, and 9,10-dibromoanthracene were the dominant congeners. Levels of Σ16PAHs in PM10 and PM2.5 samples ranged from 3.2 to 81 ng/m(3) and from 2.8 to 85 ng/m(3), respectively. Among individual PAHs, chrysene, benzo[b]fluoranthene, and indeno[1,2,3-c,d]pyrene were the main congeners. According to the season, concentrations of HPAHs and PAHs in atmospheric PM10/PM2.5 samples show a similar decreasing trend with an order: winter>autumn>spring>summer. The daily intake (DI) of PM10/PM2.5-bound HPAHs and PAHs were estimated. Our results indicated that children have the highest DI levels via inhalation exposure. The incremental lifetime cancer risk (ILCR) induced by PM10/PM2.5-bound HPAHs and PAHs were calculated. The ILCR values showed a similar decreasing trend with an order: adults>children>seniors>adolescent. Overall, the ILCR values induced by HPAHs and PAHs were far below the priority risk level (10(-4)), indicating no obvious cancer risk. To our knowledge, this is the first study to investigate the human health risk associated with inhalation exposure to PM10/PM2.5-bound HPAHs.

Field and modeling study of PBDEs uptake by three tree species.

A quantitative model was developed to predict the contributions of various pathways of taking up polybrominated diphenyl ethers (PBDEs) into leaves of three evergreen tree species, including soil-root-leaf pathway, soil-air-leaf pathway, and gaseous deposition. The contributions of soil-root-leaf pathway were negligible for PBDE accumulation in leaves. Soil-air-leaf pathway accounted for 16.3% and 3.8% of the total BDE-28 and BDE-47 levels in leaves, respectively; but for the PBDE congeners with log KAW≤-4 and log KOA>11, this pathway was ignorable. The contributions of gaseous deposition varied widely, accounting for 10%-50% for BDE-28, 100, 153, 154, and 183, 34%-96% for BDE-47, and <5% for BDE-209 of the measured concentrations in leaves of the three tree species. Therefore, direct atmosphere deposition without the influence of soil volatilization was a significant pathway for foliar uptake of BDE-47, 99, 100, 153, 154, and 183 on a background of low contaminated soil. For BDE-209, atmospheric particulate deposition dominates its foliar uptake.

Bisphenol A in supermarket receipts and its exposure to human in Shenzhen, China.

Paper receipt has been documented as one major source of bisphenol A (BPA) for human exposure but little has been done by researchers to elaborate the potential health risk caused by handling paper receipt up to date. In the present study, BPA was analyzed in 42 supermarket receipts collected from Shenzhen, China. BPA was detected in all samples at concentrations ranging from 2.58 to 14.7mgg(-1). In most cases, the total amount of BPA on the receipt was at least one thousand times the amount found in the epoxy lining of a food can, another controversial use of the chemical. The estimated daily intakes (EDI) of BPA via handling of supermarket receipt ranged from 2 to 347µgday(-1) (mean, 40.4µgday(-1)) for a supermarket cashier and from 0.24 to 3.98µgday(-1) (mean, 0.69µgday(-1)) for general population. Based on the cumulative probability distribution of the calculated daily exposure to BPA via handling supermarket receipt, the EDI at the 0.1th and 1th percentile for supermarket cashier and general population, were already larger than 100ng (kgbw)(-1)day(-1), while at the 0.2th and 71th percentile, the EDI for both populations reached 1000ng (kgbw)(-1)day(-1). Considering the adverse endocrine disruptive effects of BPA and the dosage exposure level (from tens to hundreds ng (kgbw)(-1)day(-1)), human exposure to BPA in Shenzhen deserves more attention. Sensitivity analysis result showed that the handling time and frequency of supermarket receipts are the most important variables that contributed to most of the total variance of exposure.

Incidence of polybrominated diphenyl ethers in central air conditioner filter dust from a new office building.

This study examined polybrominated diphenyl ethers (PBDEs) in central air conditioner filter (CACF) dust from a new office building in Shenzhen, China. Human exposure to PBDE via dust inhalation and ingestion were also estimated. PBDEs level in CACF dust was lower than those in the other countries and regions. Approximately 0.671 pg/kg bw/day PM(2.5) (Particulate Matter up to 2.5 µm in size) bounded Σ(15)PBDEs can be inhaled deep into the lungs and 4.123 pg/kg bw/day PM(10) (Particulate Matter up to 10 µm in size) bounded Σ(15)PBDEs tend to be deposited in the upper parts of the respiratory system. The average total intake of Σ(15)PBDEs via dust inhalation and ingestion for adults reached ∼ 141 pg/kg bw/day in this building. This value was far below the reference dose (RfD) recommended by United States Environmental Protection Agency. Human exposure to PBDEs via dust inhalation and ingestion in the new building is less than the old ones.