Status and costs of primary prevention for ischemic stroke in China.

Despite the benefits in reducing the risk of stroke, primary prevention is not well translated into practice. We sought to evaluate patient compliance with guidelines and the cost of primary stroke prevention in southwest China. We consecutively enrolled 305 patients with headaches and/or dizziness who were at high risk of stroke from our hospital. We retrospectively obtained their information, including the extent of their knowledge of stroke risk factors, adherence to guidelines, medications taken, and costs of primary prevention for stroke within the past year. Only 45.9% of patients had any knowledge of primary prevention, and only 17.0% had completely followed guidelines. Moreover, 79.0% of the patients were using medications, but only 39.3% took their medication as recommended. In patients who took medication, 89.6% were prescribed by physicians. The annual costs of primary prevention were estimated to be US$517.8 per capita, which included direct medical costs (US$435.4), direct non-medical costs (US$18.1), and indirect costs (US$64.3). Costs in the hypertension group were less than those reported by a similar international study. Although our population sample may not be representative of the population at high risk of stroke in China, it is appropriate for the evaluation of our primary prevention system. Primary prevention for stroke in southwest China is very challenging, with few medical resource investments. There is a current urgency to improve patient knowledge of primary prevention, which would bridge the gaps between guidelines and practice and increase medical resource investments.

Immunolocalization of aquaporins in rat brain.

The aquaporins (AQPs) are a family of homologous water channels expressed in many tissues. In this study, the expression and immunolocalization of different AQP subtypes in rat brains were investigated by RT-PCR, immunohistochemistry and immunofluorescence. The data showed that AQP1 was expressed in the subpial processes of astrocytes, choroid plexus and ependyma. AQP3, AQP5 and AQP8 had similar distribution patterns in piriform cortex, choroid plexus, hippocampus and dorsal thalamus. AQP4 and AQP9 were widely expressed in the rat brain and distributed in the subpial processes of astrocytes, ependyma, dorsal thalamus, hippocampus, white matter, suprachiasmatic nucleus (SCN) and supraoptic nucleus. AQP3, AQP4, AQP5, AQP8 and AQP9 were found in the Bergmann glial cells of cerebellum, cochlear nucleus and trapezoid nuclei. The distinct localization of various AQPs in cerebrum and the similarities of distribution patterns within cerebellum, cochlear nucleus and trapezoid nuclei suggest that AQPs may play an important role in maintaining the specific microenvironments of the brain.

Characterization of a thermostable and acidic-tolerable beta-glucanase from aerobic fungi Trichoderma koningii ZJU-T.

An extreme thermostable and acidic tolerable beta-glucanase was isolated and characterized from aerobic fungi Trichoderma koningii ZJU-T. The optimal reaction temperature and pH for the beta-glucanase were 100 degrees C and pH 2.0, respectively. The beta-glucanase showed increased stability at higher temperatures and lower pH values when compared to other beta-glucanases. The optimum conditions for the beta-glucanase stability were found to be pH 4.0 and 80 degrees C. Even subjected to 100 degrees C for 3 h, beta-glucanase activity did not show significant reduction. Moreover, K(+) significantly enhanced beta-glucanase activity at the concentration of 1 mM, while EDTA and other metal ions such as Mg(2+), Mn(2+), Zn(2+), Ca(2+), Fe(2+), Pb(2+), and Fe(3+) inhibited beta-glucanase activity. Denaturants, including sodium dodecyl sulfate (SDS) and mercaptoethanol, also inhibited beta-glucanase activity at a concentration of 5%. However, in the presence of 7 M urea, residual activity of the beta-glucanase still remained 14.5%.

Response surface methodology for optimizing the fermentation medium of alpha-galactosidase in solid-state fermentation.

AIMS: Alpha-galactosidase is applied in food and feed industries for hydrolysing raffinose series oligosaccharides (RO) that are the factors primarily responsible for flatulence upon ingestion of soybean-derived products. The objective of the current work was to develop an optimal culture medium for the production of alpha-galactosidase in solid-state fermentation (SSF) by a mutant strain Aspergillus foetidus. METHODS AND RESULTS: Response surface methodology (RSM) was applied to evaluate the effects of variables, namely the concentrations of wheat bran, soybean meal, KH(2)PO(4), MnSO(4).H(2)O and CuSO(4).5H(2)O on alpha-galactosidase production in the solid substrate. A fractional factorial design (FFD) was firstly used to isolate the main factors that affected the production of alpha-galactosidase and the central composite experimental design (CCD) was then adopted to derive a statistical model for optimizing the composition of the fermentation medium. The experimental results showed that the optimum fermentation medium for alpha-galactosidase production by Aspergillus foetidus ZU-G1 was composed of 8.2137 g wheat bran, 1.7843 g soybean meal, 0.001 g MnSO(4).H(2)O and 0.001 g CuSO(4).5H(2)O in 10 g dry matter fermentation medium. CONCLUSIONS: After incubating 96 h in the optimum fermentation medium, alpha-galactosidase activity was predicted to be 2210.76 U g(-1) dry matter in 250 ml shake flask. In the present study, alpha-galactosidase activity reached 2207.19 U g(-1) dry matter. SIGNIFICANCE AND IMPACT OF THE STUDY: Optimization of the solid substrate was a very important measure to increase enzyme activity and realize industrial production of alpha-galactosidase. The process of alpha-galactosidase production in laboratory scale may have the potential to scale-up.

Studies on a kinetic model for butyric acid bioproduction by Clostridium butyricum.

AIMS: This paper discusses the establishment of a kinetic model for cell growth, butyric acid production and substrate consumption of Clostridium butyricum ZJUCB in batch cultivation. METHODS AND RESULTS: Mathematic simulations were proposed by the logistic equation for the cell growth, the Luedeking-Piret equation for butyric acid production and the Luedeking-Piret-like equation for glucose consumption. CONCLUSION: We compared the performance of our model against that obtained by the empirically experimental design. The experiment-validated model was found suitable for studying butyric acid fermentation kinetics in a complex dynamic behaviour of C. butyricum, especially for its singular growth phenomenon. SIGNIFICANCE AND IMPACT OF THE STUDY: The model parameters are estimated from the data fitting and evaluated for simulation of the time courses of the concentrations of cell biomass, butyric acid and glucose and the model appears to fit the experimental data well. The results may be useful for butyric acid production by microbial fermentation.

Response surface methodology for optimizing the fermentation medium of Clostridium butyricum.

AIMS: Strains of Clostridium butyricum have been increasingly used as probiotics for both animals and humans. The aim of this study was to develop a growth medium for cultivating C. butyricum ZJUCB using a statistical methodology. METHODS AND RESULTS: Response surface methodology (RSM) was used to evaluate the effects of variables, namely the concentrations of the glucose, pectin, soyabean cake extract, casein, corn steep flour, ammonium sulphate, sodium bicarbonate and the medium initial pH. A fractional factorial design was applied to study the main factors that affected the growth of a probiotic strain of C. butyricum currently preserved in our lab and the central composite experimental design was adopted to derive a statistical model for optimizing the composition of the fermentation medium. The experimental results showed that the optimum fermentation medium for the growth of C. butyricum was composed of 2% glucose (w/v), 0.5% pectin (w/v), 0.2% casein (w/v), 3.98% soyabean cake extract, 0.1% (NH4)2SO4 (w/v), 0.124% NaHCO3 (w/v), 0.37% corn steep flour (w/v), 0.02% MnSO4 H2O (w/v), 0.02% MgSO4 7H2O (w/v) and 0.002% CaCl2 (w/v) at pH 7.5. CONCLUSIONS: After incubating 24 h in the optimum fermentation medium, the populations of the viable organisms were estimated to be 10(9) CFU ml(-1). In the present study, we report the optimization of a growth medium that produced increased yields using statistical approach. SIGNIFICANCE AND IMPACT OF THE STUDY: The use of bacteria as a probiotic is showing increasing potential. The development of a growth medium that has a high yield is an obvious need, and the approach to optimizing a growth medium is innovative.

[Expression pattern of mRNA for follistatin and inhibin/activin beta B-subunit during follicular and testicular development in duck].

Follistatin and inhibin/activin were closely related glycoprotein hormones. The quantitative competitive RT-PCR was used to investigate the expression of follistatin and inhibin/activin beta B-subunit mRNA in the developing ovarian follicles, immature and mature testes. The results revealed all samples showed the expression of mRNA for the two proteins, and the expression is more abundantly in the small follicles than in the large preovulatory follicles. Competitive RT-PCR revealed that the expression of follistatin is the highest in small yellow follicles (SYF), the mean relative content for the F1, F2, F3, F4, F5, F6-8, LWF (large white follicle), TI(immature testes), and TM(mature testes) was 0.011 +/- 0.004, 0.019 +/- 0.006, 0.021 +/- 0.009, 0.028 +/- 0.007, 0.075 +/- 0.023, 0.15 +/- 0.072, 0.29 +/- 0.068, 0.037 +/- 0.011, and 0.012 +/- 0.004, respectively, compared to a mean relative content of 1.00 for the SYF. The highest level of inhibin/activin beta B mRNA was also found in the SYF, the mean relative content for the F1, F2, F3, F4, F5, F6-8, LWF, TI, and TM was 0.009 +/- 0.003, 0.013 +/- 0.005, 0.019 +/- 0.007, 0.023 +/- 0.006, 0.29 +/- 0.084, 0.84 +/- 0.093, 0.031 +/- 0.008, 0.38 +/- 0.072, and 0.046 +/- 0.013, respectively, compared to a mean relative content of 1.00 for the SYF. Our data suggested that the expression pattern of mRNA for follistatin and inhibin/activin beta B-subunit was quite similar during follicular and testicular development. The great co-expression of mRNA for the two proteins in small follicles indicated that activin B(beta B-beta B) availability was tightly regulated by follistatin, and the two proteins might both play important roles in early follicular development.

[cDNA cloning and mRNA expression pattern in follicles of the mature inhibin alpha subunit from Xianju chicken].

The mature region of Xianju chicken inhibin alpha-subunit was amplified from the total RNA of follicle granulosa cells by RT-PCR using the primer pair designed according to the reported cDNA sequence of chicken inhibin alpha-subunit, and this fragment of alpha-subunit was cloned and sequenced subsequently. The results revealed that the mature alpha-subunit of Xianju chicken was a fragment of 113 amino acids containing one glycosylation site and seven cysteine residues. It was approximately 98% and 61.4%-68.7% identical in nucleotide sequence, 97.3% and 64.6%-69% similar in deduced amino acid sequence, respectively, in the mature region to the chicken and mammalian inhibin alpha-subunit cDNA clone. As for the mature chicken inhibin alpha-subunit, the number of potential glycosylation site and cysteine residues was the same, and their corresponding positions in the amino acid sequences were almost identical as compared to chicken and mammalian inhibin alpha-subunit, which indicated that the inhibin alpha-subunit was highly conserved among different species, implying an important role of inhibin alpha-subunit in various animals. The quantitative analysis of competitive RT-PCR for inhibin alpha-subunit revealed that the expression of alpha-subunit decreased with further follicle maturity from SYF to F1 follicle. The highest level of inhibin alpha-subunit mRNA was found in the SYF and F6-8 follicles, which indicated that inhibin alpha-subunit played an important role during the course of follicular recruitment, selection and dominance.

[Studies of the origin of Chinese domestic fowls].

A total of 539 bases fragment of mitochondrial DNA D-loop region of six domestic chicken breeds (30 individuals) were sequenced and compared to that of red junglefowl, grey junglefowl, green junglefowl and Lafayette's junglefowl issued in GenBank, and the phylogenetic trees for the chickens constructed based on the D-loop sequences. The results indicated that the four species of genus Gallus had great differences between each other, the G. g. domesticus was the next of kin to red junglefowl in Thailand and its adjacent regions, and near of kin to red junglefowl in Indonesian, Lafayette's junglefowl, grey junglefowl and green junglefowl one by one in proper order, suggesting that the red junglefowl in Thailand and its neighbour areas sufficed as the matriarchic ancestor of Chinese domestic fowls. It was also discovered that the two subspecies of Thailand i.e. G. g. gallus and G. g. spadiceus should belong to one subspecies because of their far lower differentiation compared to that among the domestic breeds.

[Expression of inhibin alpha and inhibin/activin beta A subunits in the developing follicles of the duck].

The very sensitive quantitative competitive reverse transcription-polymerase chain reaction (RT-PCR) was used to investigate the expression of mRNA for the inhibin alpha and inhibin/activin beta A subunit in the developing ovarian follicles of the duck. The results indicated all follicles showed the expression of mRNA for the inhibin alpha and inhibin/activin beta A. The inhibin alpha subunit mRNA is expressed more abundantly than the beta A subunit in the large preovulatory follicles. Competitive RT-PCR revealed that the expression of inhibin alpha subunit is the highest in small yellow follicles (SYF), the mean relative content for the F1, F2, F3, F4/5 and LWF (large white follicle) was 0.26 +/- 0.05, 0.28 +/- 0.07, 0.57 +/- 0.12, 0.98 +/- 0.09 and 0.026 +/- 0.006, respectively, compared to a mean relative content of 1.00 for the SYF. The highest level of inhibin/activin beta A mRNA was found in the F1 follicle, the mean relative content for the F2, F3, F4/5, SYF and LWF was 0.218 +/- 0.09, 0.111 +/- 0.03, 0.058 +/- 0.011, 0.053 +/- 0.013 and 0.005 +/- 0.002, respectively, compared to a mean relative content of 1.00 for the F1 follicle. Our data suggest that the expression of the alpha subunit is reduced with follicular development whereas beta A subunit expression is dramatically enhanced, which indicates the expression of inhibin alpha and inhibin/activin beta A subunit is differentially regulated during follicular development. In addition, the highest level of beta A mRNA in F1 follicle indicates the production of dimeric inhibin and/or activin primarily occurred in the largest F1 follicle.

[Effects of activin and follistatin on FSH receptor mRNA expression of cultured Shao duck granulosa cells].

The aim of this study was to investigate the action of activin and follistatin either alone or in combination on FSH receptor mRNA expression. The results showed that activin alone increased FSH receptor mRNA level in the presence or absence of FSH in cultured granulosa cells, and the stimulating effect of activin on FSH receptor level was dose-dependent. This effect of activin was inhibited by FSP treatment which alone had no effect on FSH receptor expression. From the results, it can be concluded that activin and follistatin both exert autocrine actions on granulosa cells, and the two factors, possibly by regulating FSH receptor expression, may play important roles in follicular development.

[Studies on polysaccharide alkaloids and minerals from Dendrobium moniliforme (L.) Sw].

OBJECTIVE: To explore contents of active substances in different part of Dendrobium monilifrome and the quality influenced by different drying processes. METHOD: Contents of alkaloids and polysaccharides in upper, middle, lower-stem and root part of Dendrobium moniliforme were determined by uv-spectrophotometer method. Contents of essential trace elements were determined by ICP method. RESULT: Contents of polysaccharides and alkaloids were highest in the upper-stem of D. montiliforme. Contents of active substances in different part of D. moniliforme were unequal. Distributions of polysaccharides and alkaloids in different parts were greatly influenced by drying procedures. CONCLUSION: Dendrobium moniliforme has higher contents of active ingredients, such as essential tract elements, alkaloids and polysaccharides. The ideal drying process after harvesting is to be the way dried by fire at a high temperature and desiccated at a temperature of 60 degreeC.

An anatomical study of the recurrent laryngeal nerve: its branching patterns and relationship to the inferior thyroid artery.

The aim of this study was to provide information about the morphology and topography of the recurrent laryngeal nerve (RLN), its external features and branches, as well as its relationship to the inferior thyroid artery, the inferior horn of the thyroid cartilage and the thyroid gland. The RLNs in 50 adult cadavers (100 sides) were dissected and analyzed. A communicating loop connecting one branch of the RLN to another or a twig originating from the cervical sympathetic trunk was present in 13 of 100 sides. A double left RLN appeared in 2 sides; a right non-recurrent inferior laryngeal nerve appeared in one side. All of the RLNs, including looped ones, bifurcated into laryngeal branches and extralaryngeal branches, with most of the former further dividing into the anterior and posterior branches entering the larynx. The relations of the RLN to the inferior thyroid artery, the inferior horn of the thyroid cartilage and the thyroid gland were inconstant. The information gained from this study will be of value in thyroid surgery.

Dietary macronutrients and blood pressure in southwestern China.

OBJECTIVES: To study the relationship between dietary macronutrients and blood pressure. DESIGN: A cross-sectional study. SETTING: Liangshan, southwestern China. PARTICIPANTS: Three hundred and twelve Yi farmers living in a remote mountainous area, and 264 Yi migrants and 251 Han people living in an urban setting. MAIN OUTCOME MEASUREMENTS: Blood pressure and dietary nutrient intake, obtained by asking the subjects to recall their nutrient consumption during the previous 24 h, were measured on three consecutive days. RESULTS: After adjusting for age, body mass index, alcohol use, urinary excretion of sodium, total energy intake and area of residence and after correcting for the effects of regression dilution bias, a 1 SD higher intake of dietary total protein (39 g) was associated with lower systolic (-3.55 mmHg), and diastolic (-2.16 mmHg) blood pressures. Likewise, a 1 SD higher fiber intake (10 g) was significantly associated both with a lower systolic (-2.20 mmHg) and with a lower diastolic (-2.08 mmHg) blood pressure. CONCLUSION: Diets higher in protein and fiber content are associated with a lower blood pressure in the present population sample. The present results indicate that dietary intake of macronutrients might be important in the development and prevention of high blood pressure.

The contribution of urinary cations to the blood pressure differences associated with migration.

People living in unacculturated societies have a low average blood pressure and little rise in blood pressure with age. In a community-based survey in southwestern China, the authors assessed the contribution of urinary cation excretion to differences in blood pressure between an unacculturated group (Yi farmers) and migrants to an urban environment, as well as urban controls from a different ethnic group (Han). In March 1989, blood pressure and overnight urinary electrolyte levels were measured on 3 consecutive days in 313 Yi farmers, 265 Yi migrants, and 253 urban Han residents, all male. Of the urinary electrolytes, a higher sodium:potassium ratio best explained the higher blood pressure in the migrants. Yi farmers had lower systolic (106.7 mmHg vs. 114.8 mmHg, respectively) and diastolic (66.2 mmHg vs. 71.3 mmHg, respectively) blood pressures than Yi migrants. However, even after adjustment for age, body mass index, alcohol intake, and urinary sodium, potassium, calcium, and magnesium excretion, Yi farmers continued to have lower average blood pressures than Yi migrants. In pooled analyses of all three groups, urinary sodium and calcium were positively related and urinary potassium and magnesium were inversely related to blood pressure. Migration is associated with a higher blood pressure that is only partially explained by higher levels of adiposity and alcohol and sodium intake and lower levels of potassium and magnesium intake.

Oats and buckwheat intakes and cardiovascular disease risk factors in an ethnic minority of China.

The relationship of oats and buckwheat intake to cardiovascular disease risk factors was studied in 850 Yi people, an ethnic minority in southwest China. Blood pressure was measured on 3 consecutive days. Serum total cholesterol, high-density-lipoprotein (HDL) cholesterol, and triglycerides were measured after a 14-h fast. Oats and buckwheat intakes were assessed by questionnaire. In multiple-regression analysis, oats intake (100 g/d) was associated with lower body mass index (-0.25, in kg/m2; P < 0.05), systolic (-3.1 mm Hg, P < 0.001) and diastolic (-1.3 mm Hg, P < 0.01) blood pressure, and HDL cholesterol (-0.13 mmol/L, P < 0.001). Buckwheat intake (100 g/d) was associated with lower serum total cholesterol (-0.07 mmol/L, P < 0.01) and low-density-lipoprotein cholesterol (-0.06 mmol/L, P < 0.05) and a higher ratio of HDL to total cholesterol (0.01, P < 0.05). These findings suggest a role for oats and buckwheat consumption in the prevention and treatment of both hypertension and hypercholesterolemia.

Cocaine-induced cerebrovasospasm and its possible mechanism of action.

Experiments were designed to study the effects and mechanism of action of cocaine (COC) on cerebrovascular tissues. Acute exposure to COC (10(-9) to 5 x 10(-3) M) induced contractile responses in isolated canine basilar (BA) and middle cerebral arteries in a dose-dependent manner, but not in mesenteric arteries. The presence or absence of intact endothelium did not alter COC concentration-response curves. The sensitivity to COC was higher in BA (ED50 = 7.20 +/- 0.16 x 10(-5) M) than middle cerebral arteries (ED50 = 1.25 +/- 0.12 x 10(-4) M). Similar effects of COC were also noted in BA from piglets (ED50 = 0.99 +/- 0.25 x 10(-4) M) and sheep (ED50 = 1.34 +/- 0.31 x 10(-4) M). A variety of amine antagonists, an opiate antagonist and an N-MDA receptor antagonist failed to interfere with the COC-induced contractions. However, haloperidol, indomethacin, verapamil and excess [Mg++]0 (4.8 x 10(-3) M) as well as removal of [Ca++]0 completely prevented vasospasms induced by COC. Dopamine and COC resulted in very similar concentration-response curves on canine BA. COC stimulation failed to affect vascular release of thromboxane B2, prostaglandins or 6-Keto-prostaglandin F1 alpha. Interestingly, 10(-7) M COC rapidly elevated intracellular free Ca++ concentrations of cultured cerebral vascular muscle cells about 50% over initial resting levels. The data suggest that COC produces cerebrovasospasm, probably by a direct action on cerebral blood vessels via promoting Ca++ influx and/or intracellular Ca++ release in cerebral vascular muscle cells, which may be modulated by Mg++.

Body mass and blood pressure in a lean population in southwestern China.

Body mass has been consistently associated with blood pressure in acculturated populations but not in lean populations with low blood pressures. In southwestern China, in 1989, the authors studied the relation between body mass and blood pressure in three community-based random samples: rural Yi farmers (5,023 men, 3,218 women); Yi migrants (1,656 men, 919 women); and Han Chinese living in an urban setting (2,173 men, 1,516 women). The Yi farmers had virtually no obesity or hypertension and had little rise in blood pressure with age. The Yi migrants and Han had a steeper slope of blood pressure with age and consequently more hypertension. For men and women, respectively, mean body mass index (weight (kg)/height (m)2) was 20.6 and 21.0 in the Yi farmers, 21.3 and 21.4 in the Yi migrants, and 21.0 and 21.4 in the Han. Both systolic and diastolic blood pressure were positively related to body mass index in all six ethnicity-sex groups, and the association remained statistically significant after adjustment for age, heart rate, smoking, alcohol intake, and physical activity. The change in mean blood pressure for each kg/m2 increase in body mass index, after adjustment for community of residence, was 1.47 mmHg for systolic pressure and 1.13 mmHg for diastolic pressure. The association between body mass index and blood pressure was greater in men than in women and greater in Yi migrants and Han than in Yi farmers. The percentages of hypertension attributable to overweight (body mass index > or = 25) among the Yi farmers, Yi migrants, and Han, respectively, were 4.1%, 34.1%, and 24.0% for men and 0%, 26.2%, and 28.9% for women. Thus, even in this lean Chinese population with a low mean blood pressure, body mass was positively and independently associated with increased blood pressure.

Alcohol use and blood pressure in an unacculturated society.

Alcohol intake has been associated with higher blood pressure in acculturated populations but not in unacculturated societies. We performed a cross-sectional survey of a random community sample of 5023 male Yi rural farmers and 1656 Yi and 2173 Han men living in an urban setting. Average alcohol intake among drinkers was 36.4 g/d in Yi farmers, 56.5 g/d in Yi migrants, and 38.7 g/d in Han men. Age-adjusted mean diastolic blood pressure was 66.9, 70.5, and 71.7 mm Hg, respectively. Diastolic blood pressure was higher at higher alcohol intakes in all three groups (all P < .001). After adjustment for age, body mass index, heart rate, smoking, and physical activity, the change (95% confidence interval) in diastolic blood pressure for each standard drink was 0.50 (0.38-0.62), 0.31 (0.18-0.43), and 0.24 (0.07-0.40) mm Hg for Yi farmers, Yi migrants, and Han men, respectively. The percentage of variance in diastolic blood pressure explained by alcohol intake was 5% for Yi farmers, 4% for Yi migrants, and 2% for Han men. In a random sample of 831 men, these associations were independent of urinary sodium, potassium, calcium, and magnesium and sodium-potassium ratio. In the Yi farmers, associations were less strong for systolic blood pressure and no longer significant after adjustment. Approximately 33% of hypertension could be attributed to daily alcohol use in the Yi groups compared with 9.5% in the Han people.(ABSTRACT TRUNCATED AT 250 WORDS)