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This study aimed to evaluate the effects of dietary supplementation with different types of Saccharomyces cerevisiae fermentation products (SCFP) on lactational performance, metabolism, acute phase protein response, and antioxidant capacities in dairy cows from -21 to 56 d in milk (DIM). One hundred and 80 multiparous Holstein dairy cows were blocked by parity, expected calving date, pre-trial body condition score, and previous 305-d ME yield, and then randomly assigned to 1 of 3 dietary treatments: basal diet (CON; n = 60), basal diet supplemented with 40 g/d of SCFP1 (XPC; n = 60; XPC, Diamond V, Cedar Rapids, IA), and basal diet supplemented with 19 g/d of SCFP2 (NTK; n = 60, NutriTek®, Diamond V, Cedar Rapids, IA). Blood (n = 15, 13 and 12 in the CON, XPC and NTK groups, respectively) was sampled at -7 ± 3, + 3, + 7, + 21, and + 28 d, and milk samples (n = 19, 18 and 15 in the CON, XPC and NTK groups, respectively) was sampled during 1-8 wk from a subset of cows from -21 to 56 d relative to calving. Data were analyzed using the MIXED procedure in SAS (SAS Institute Inc.). All data were subjected to repeated measures ANOVA. Dietary treatment (TRT), time, and their interaction (TRT × time) were considered as fixed effects and cow as the random effect. Cows fed XPC and NTK had greater energy-corrected milk (ECM). Supplementing NTK increased milk fat content and yield, and 3.5% fat-corrected milk (FCM) yield compared with CON. Milk urea nitrogen (MUN) was lower in XPC cows than CON. SCFP supplementation decreased plasma ß-hydroxybutyrate (BHB), ceruloplasmin (CER), haptoglobin (HPT), and interleukin-1ß (IL-1ß) concentrations, whereas increased plasma phosphorus (P) concentrations. In addition, cows fed NTK showed lower creatinine (CR) and cortisol (COR) concentrations but increased plasma calcium (Ca) and myeloperoxidase (MPO) concentrations than those in the CON cows. In addition, cows fed NTK and XPC both had reduced plasma concentrations of serum amyloid-A (SAA) at 3 DIM of lactation compared with CON fed cows. Furthermore, SCFP cows had greater concentrations of plasma glucose (GLU) and calcium (Ca) than CON cows at 7 DIM, and greater concentrations of plasma phosphorus (P) at 21 DIM. Between different SCFP type fed groups, plasma concentrations of nonesterified fatty acids (NEFA), MDA, creatinine (CR), SAA, and HPT were lower in cows fed NTK compared with cows fed XPC at 7 DIM. Overall, our results indicate the potential benefits of supplementing SCFP in transition dairy cows by modulating immunity, liver metabolic function and supporting ECM yield. The results also suggest that NutriTek at 19 g/d appears to support the performance and health of dairy cows better compared with XPC at 40 g/d, based on improved metabolic and inflammatory status during the transition period.
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Background: Paenibacillus thiaminolyticus, a species of genus Paenibacillus of the family Paenibacillaceae, exists widely in environments and habitats in various plants and worms, and occasionally causes human infections. This work aimed to characterize the function of a novel aminoglycoside O-nucleotidyltransferase resistance gene, designated ant(6)-If, from a P. thiaminolyticus strain PATH554. Methods: Molecular cloning, antimicrobial susceptibility testing, enzyme expression and purification, and kinetic analysis were used to validate the function of the novel gene. Whole-genome sequencing and comparative genomic analysis were performed to investigate the phylogenetic relationship of ANT(6)-If and other aminoglycoside O-nucleotidyltransferases, and the synteny of ant(6)-If related sequences. Results: The recombinant with the cloned ant(6)-If gene (pMD19-ant(6)-If/DH5α) demonstrated a 128-fold increase of minimum inhibitory concentration level against streptomycin, compared with the control strains (DH5α and pMD19/DH5α). The kinetic parameter kcat/Km of ANT(6)-If for streptomycin was 9.01 × 103 M-1·s-1. Among the function-characterized resistance genes, ANT(6)-If shared the highest amino acid sequence identity of 75.35% with AadK. The ant(6)-If gene was located within a relatively conserved genomic region in the chromosome. Conclusion: ant(6)-If conferred resistance to streptomycin. The study of a novel resistance gene in an unusual environmental bacterium in this work contributed to elucidating the resistance mechanisms in the microorganisms.
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In this study, we identified and characterized a novel chromosomally-encoded class B metallo-ß-lactamase (MBL) gene designated bla WUS-1 in a carbapenem-resistant isolate Myroides albus P34 isolated from sewage discharged from an animal farm. Comparative analysis of the deduced amino acid sequence revealed that WUS-1 shares the highest amino acid similarities with the function-characterized MBLs MUS-1 (AAN63647.1; 70.73%) and TUS-1 (AAN63648.1; 70.32%). The recombinant carrying bla WUS-1 exhibited increased MICs levels against a number of ß-lactam antimicrobials such as carbenicillin, ampicillin and imipenem, and ß-lactamase inhibitors (clavulanic acid and tazobactam). The metallo-ß-lactamase WUS-1 could also hydrolyze these antimicrobials and the hydrolytic activities could be inhibited by EDTA. Genetic context analysis of bla WUS-1 revealed that no mobile genetic element was found in its surrounding region. The plasmid pMA84474 of Myroides albus P34 harbored 6 resistance genes (bla OXA-347, aadS, bla MYO-1, ereD, sul2 and ermF) within an approximately 17 kb multidrug resistance (MDR) region. These genes, however, were all related to mobile genetic elements.
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In this study, we characterized a novel chromosome-encoded aminoglycoside nucleotidyltransferase (ANT), AadA36, from the Providencia stuartii strain P14 isolated from the sputum specimen of a burn patient at a hospital in Wenzhou, China. Among the functionally characterized ANTs, AadA36 shared the highest amino acid sequence identity of 51.91% with AadA14. The whole genome of P. stuartii P14 consisted of one chromosome and two plasmids (designated pP14-166 and pP14-114). A total of 19 genes with ≥80% similarity with functionally characterized antimicrobial resistance genes (ARGs) were identified in the whole genome, including aminoglycosides [aac(2')-Ia, aph(6)-Id, aph(3â³)-Ib, aac(6')-Ib, ant(3â³)-IIa, aph(3')-Ia], ß-lactams (bla CMY-2 and bla OXA-10) and so on. Antimicrobial susceptibility testing showed that the aadA36 gene conferred specific resistance to spectinomycin and streptomycin, and the minimum inhibitory concentration (MIC) of these antimicrobials increased 128- and 64-fold compared with the control strain. The kinetic parameters of AadA36 were consistent with the MIC data of spectinomycin and streptomycin, with kcat /Km ratios of (1.07 ± 2.23) × 104 M-1 s-1 and (8.96 ± 1.01) × 103 M-1 s-1, respectively. The identification of a novel aminoglycoside resistance gene will help us further understand the complexity of the resistance mechanisms and provide deep insights into the dissemination of resistance genes in the microbial population.
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Herein, step-scheme (S-scheme) CuBi2O4/CuO (CBO/CuO) composite films were successfully synthesized on glass substrates by the ultra-fast spraying-calcination method. The photocatalytic activities of the obtained materials for CO2 reduction in the presence of H2O vapor were evaluated under visible light irradiation (λ > 400 nm). Benefiting from the construction of S-scheme heterojunction, the CO, CH4 and O2 yields of the optimal CBO/CuO composite reached 1599.1, 5.1 and 682.2 µmol/m2 after irradiation for 9 h, and the selectivity of the CO product was notably enhanced from below 18.5% to above 98.5% compared with those of the bare samples. In the sixth cycling experiment, the yields of main products decreased by less than 15%, and a high CO selectivity was still kept. The enhanced photocatalytic performance of CO2 reduction was attributed to the efficient separation of photogenerated charge carriers. Based on the photocatalytic activity, band structure and in situ-XPS results, the S-scheme charge transfer mechanism was conformed. The study provides an insight into the design of S-scheme photocatalysts for selective CO2 conversion.
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A novel chromosome-encoded aminoglycoside O-nucleotidyltransferase AadA33 was identified in Providencia vermicola strain P13. The AadA33 shares the highest amino acid identity of 51.28% with the function characterized AadA31. Antibiotic susceptibility testing and enzyme kinetics analysis revealed that the function of AadA33 is to mediate spectinomycin and streptomycin resistance. The recombinant strain harboring aadA33 (pUCP20-aadA33/Escherichia coli DH5α) displayed >256- and 128-fold increases in the minimum inhibitory concentration levels to spectinomycin and streptomycin, respectively, compared with the control strains pUCP20/DH5α. Enzyme kinetic parameters manifested the substrate of AadA33 including spectinomycin and streptomycin, with k cat/K m of 3.28 × 104 (M-1 s-1) and 3.37 × 104 (M-1 s-1), respectively. Bioinformatics analysis revealed its structural mechanism of antimicrobial resistance, genetic context, and phylogenetic relationship with other aminoglycoside O-nucleotidyltransferases. This study of AadA33 contributed to understanding the function and resistance mechanism of aminoglycoside O-nucleotidyltransferase.
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Florfenicol is widely used for the treatment of bacterial infections in domestic animals. The aim of this study was to analyze the molecular mechanisms of florfenicol and oxazolidinone resistance in Enterococcus isolates from anal feces of domestic animals. The minimum inhibitory concentration (MIC) levels were determined by the agar dilution method. Polymerase chain reaction (PCR) was performed to analyze the distribution of the resistance genes. Whole-genome sequencing and comparative plasmid analysis was conducted to analyze the resistance gene environment. A total of 351 non-duplicated enteric strains were obtained. Among these isolates, 22 Enterococcus isolates, including 19 Enterococcus. faecium and 3 Enterococcus. faecalis, were further studied. 31 florfenicol resistance genes (13 fexA, 3 fexB, 12 optrA, and 3 poxtA genes) were identified in 15 of the 19 E. faecium isolates, and no florfenicol or oxazolidinone resistance genes were identified in 3 E. faecalis isolates. Whole-genome sequencing of E. faecium P47, which had all four florfenicol and oxazolidinone resistance genes and high MIC levels for both florfenicol (256 mg/L) and linezolid (8 mg/L), revealed that it contained a chromosome and 3 plasmids (pP47-27, pP47-61, and pP47-180). The four florfenicol and oxazolidinone resistance genes were all related to the insertion sequences IS1216 and located on two smaller plasmids. The genes fexB and poxtA encoded in pP47-27, while fexA and optrA encoded in the conjugative plasmid pP47-61. Comparative analysis of homologous plasmids revealed that the sequences with high identities were plasmid sequences from various Enterococcus species except for the Tn6349 sequence from a Staphylococcus aureus chromosome (MH746818.1). The current study revealed that florfenicol and oxazolidinone resistance genes (fexA, fexB, poxtA, and optrA) were widely distributed in Enterococcus isolates from animal in China. The mobile genetic elements, including the insertion sequences and conjugative plasmid, played an important role in the horizontal transfer of florfenicol and oxazolidinone resistance.
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In this study, Cu and Cu2O hybrid nanoparticles were synthesized onto the WO3 nanoflake film using a one-step electrodeposition method. The critical advance is the use of a heterojunction consisting of WO3 flakes and Cu2O as an innovative stack design, thereby achieving excellent performance for CO2 photoreduction with water vapor under visible light irradiation. Notably, with the modified Cu nanoparticles, the selectivity of CH4 increased from nearly 0% to 96.7%, while that of CO fell down from 94.5% to 0%. The yields of CH4, H2 and O2 reached 2.43, 0.32 and 3.45 mmol/gcat after 24 h of visible light irradiation, respectively. The boosted photocatalytic performance primarily originated from effective charge-transfer in the heterojunction and acceleration of electron-proton transfer in the presence of Cu nanoparticles. The S-scheme charge transfer mode was further proposed by the in situ-XPS measurement. In this regard, the heterojunction construction showed great significance in the design of efficient catalysts for CO2 photoreduction application.
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Research on resistance against polymyxins induced by the mcr-1 gene is gaining interest. In this study, using agar dilution method, polymerase chain reaction, and comparative genomic analysis, we investigated the colistin resistance mechanism of clinical E. coli isolates. The minimum inhibitory concentration (MIC) analysis results revealed that of the 515 isolates tested, bacteria with significantly increased MIC levels against colistin were isolated in 2019. Approximately one-fifth (17.14% to 19.65%) of the isolates showed MIC values ≥1 mg/L against colistin in 2015, 2016, and 2017. However, in 2019, up to three-quarters (74.11%, 146/197) of the isolates showed MIC values ≥1 mg/L against colistin indicating an increase in colistin resistance. Six isolates (EC7518, EC4968, EC3769, EC16, EC117, EC195, 1.13%, 6/515) were found to carry the mcr-1 gene and a novel mcr-1 variant with Met2Ile mutation was identified in EC3769. All six strains showed higher MIC levels (MIC=4 mg/L) than any mcr-1-negative strains (MIC ≤ 2 mg/L). Whole-genome sequencing of the six mcr-1-positive isolates revealed that EC195 carried the highest number of resistance genes (n = 28), nearly a half more than those of the following EC117 (n = 19). Thus, EC195 showed a wider resistance spectrum and higher MIC levels against the antimicrobials tested than the other five isolates. Multi-locus sequence typing demonstrated that these mcr-1-positive strains belonged to six different sequence types. The six mcr-1 genes were located in three different incompatibility group plasmids (IncI2, IncHI2 and IncX4). The genetic context of mcr-1 was related to a sequence derived from Tn6330 (ISApl1-mcr-1-pap2-ISApl1). Investigations into the colistin resistance mechanism and characterization of the molecular background of the mcr genes may help trace the development and spread of colistin resistance in clinical settings.
Subject(s)
Colistin , Escherichia coli Proteins , Anti-Bacterial Agents/pharmacology , Colistin/pharmacology , Drug Resistance, Bacterial/genetics , Escherichia coli , Escherichia coli Proteins/genetics , Microbial Sensitivity Tests , Multilocus Sequence Typing , PlasmidsABSTRACT
Background: The intrinsic resistance mechanism plays an essential role in the bacterial resistance to a variety of the antimicrobials. The aim of this study is to find the chromosome-encoded novel antimicrobial resistance gene in the clinical isolate. Methods: The function of the predicted resistance gene was verified by gene cloning and antibiotic susceptibility test. Recombinant protein expression and enzyme kinetic studies were performed to explore the in vivo activity of the enzyme. Expression of the resistance gene exposed to antimicrobial was determined by RT-qPCR. Whole genome sequencing and bioinformatic analysis were applied to analyze the genetic context of the resistance gene. Results: The novel aminoglycoside (AG) resistance genes designated aph(9)-Ic and aph(9)-Ic1 confer resistance to spectinomycin, and a recombinant strain harboring aph(9)-Ic (pMD19-T-aph(9)-Ic/DH5α) showed a significantly increased minimum inhibitory concentration (MIC) level against spectinomycin compared with the control strains (DH5α and pMD19-T/DH5α). The result of the kinetic analysis of APH(9)-Ic was consistent with the MIC result for the recombinant pMD19-T-aph(9)-Ic/DH5α, showing the efficient catalytic activity for spectinomycin [kcat/Km ratio = (5.58 ± 0.31) × 104 M-1·s-1]. Whole-genome sequencing demonstrated that the aph(9)-Ic gene was located on the chromosome with a relatively conserved genetic environment, and no mobile genetic element was found in its surrounding region. Among all the function-characterized resistance genes, APH(9)-Ic shares the highest amino acid sequence identity of 33.75% with APH(9)-Ia. Conclusion: We characterized a novel AG resistance gene aph(9)-Ic and its variant aph(9)-Ic1 that mediated spectinomycin resistance from S. maltophilia. The identification of the novel AG resistance genes will assist us in elucidating the complexity of resistance mechanisms in microbial populations.
Subject(s)
Spectinomycin , Stenotrophomonas maltophilia , Kanamycin Kinase/genetics , Kinetics , Stenotrophomonas maltophilia/genetics , Anti-Bacterial Agents/pharmacology , Aminoglycosides/pharmacology , Microbial Sensitivity Tests , Drug Resistance, Bacterial/geneticsABSTRACT
Multidrug-resistant bacteria from different sources have been steadily emerging, and an increasing number of resistance mechanisms are being uncovered. In this work, we characterized a novel resistance gene named aac(2')-If from an isolate of a novel Providencia species, Providencia wenzhouensis R33 (CCTCC AB 2021339). Susceptibility testing and enzyme kinetic parameter analysis were conducted to determine the function of the aminoglycoside 2'-N-acetyltransferase. Whole-genome sequencing and comparative genomic analysis were performed to elucidate the molecular characteristics of the genome and the genetic context of the resistance gene-related sequences. Among the functionally characterized resistance genes, AAC(2')-If shares the highest amino acid sequence identity of 70.79% with AAC(2')-Ia. AAC(2')-If confers resistance to several aminoglycoside antibiotics, showing the highest resistance activity against ribostamycin and neomycin. The recombinant strain harboring aac(2')-If (pUCP20-aac(2')-If/DH5α) showed 256- and 128-fold increases in the minimum inhibitory concentration (MIC) levels to ribostamycin and neomycin, respectively, compared with those of the control strains (DH5α and pUCP20/DH5α). The results of the kinetic analysis of AAC(2')-If were consistent with the MIC results of the cloned aac(2')-If with the highest catalytic efficiency for ribostamycin (k cat /K m ratio = [3.72 ± 0.52] × 104 M-1 â s-1). Whole-genome sequencing demonstrated that the aac(2')-If gene was located on the chromosome with a relatively unique genetic environment. Identification of a novel aminoglycoside resistance gene in a strain of a novel Providencia species will help us find ways to elucidate the complexity of resistance mechanisms in the microbial population.
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Photocatalysis of dye degradation is one of green and cheap technologies for solving environmental pollution. Whereas it is rarely concerned that the degradation process varied with the change of solution condition, this work studied the influence of hydrion in the solution on the photodegradation process of Rhodamine B (RhB) over g-C3N4. The photocatalytic activity of RhB degradation was enhanced gradually with increased hydrion content in the system. The efficiency for RhB degradation over g-C3N4 in weak acidic system with interference of multiple metal-ions still reached near 95% after 30 min of natural sunlight irradiation. A large amount of oxidation species and the hydroxylation mineralization process were induced by increasing the hydrion concentration. Two degradation processes for deethylation of four ethyl groups and the direct chromophoric degradation were discovered and proved by multifarious intermediates in different systems using the ESR technique, LC/MS and GC/MS analysis. In addition, the photosensitization played a critical role in the RhB degradation. A feasible degradation mechanism was proposed for the RhB degradation based on the experimental results.
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In this work, we characterized a novel chromosome-encoded AmpC ß-lactamase gene, bla PRC-1, in an isolate of a newly classified Pseudomonas species designated Pseudomonas wenzhouensis A20, which was isolated from sewage discharged from an animal farm in Wenzhou, China. Susceptibility testing, molecular cloning, and enzyme kinetic parameter analysis were performed to determine the function and enzymatic properties of the ß-lactamase. Sequencing and comparative genomic analysis were conducted to clarify the phylogenetic relationship and genetic context of the bla PRC-1 gene. PRC-1 is a 379-amino acid AmpC ß-lactamase with a molecular weight of 41.48 kDa and a predicted pI of 6.44, sharing the highest amino acid identity (57.7%) with the functionally characterized AmpC ß-lactamase PDC-211 (ARX71249). bla PRC-1 confers resistance to many ß-lactam antibiotics, including penicillins (penicillin G, amoxicillin, and amoxicillin-clavulanic acid) and cephalosporins (cefazolin, ceftriaxone, and cefotaxime). The kinetic properties of PRC-1 were compatible with those of a typical class C ß-lactamase showing hydrolytic activities against ß-lactam antibiotics, and the hydrolytic activity was strongly inhibited by avibactam. The genetic context of bla PRC-1 was relatively conserved, and no mobile genetic element was predicted in its surrounding region. Identification of a novel ß-lactamase gene in an unusual environmental bacterium reveals that there might be numerous unknown resistance mechanisms in bacterial populations, which may pose potential risks to human health due to universal horizontal gene transfer between microorganisms. It is therefore of great value to carry out extensive research on the mechanism of antibiotic resistance.
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The development of WO3-based gas sensors for analysis of acetone in exhaled breath is significant for noninvasive diagnosis of diabetes. A series of Fe-doped hexagonal and monoclinic WO3 phase-junction (Fe-h/m-WO3) sensors were synthesized by the hydrothermal calcination method, and the influences of operating temperature and light irradiation on the response were studied. Under light emitting diode (LED) illumination, Fe-h/m-WO3 exhibited higher responses to acetone than those of the undoped WO3-based sensors at an operating temperature of 260 °C with 90% relative humidity, and good linearity between response and acetone concentration (0.5 to 2.5 ppm) was achieved under the 90% relative humidity condition. Meanwhile, the optimal Fe-h/m-WO3 sensor exhibited high selectivity and stability for a duration of three months. The excellent sensing performance of Fe-h/m-WO3 was attributed to the formation of phase-junction and Fe doping, and these were beneficial for the separation of photon-generated carriers and oxygen adsorption on the WO3 surface, promoting the generation of superoxide radicals, which was demonstrated by electron paramagnetic resonance and photocurrent tests. Additionally, the Fe-doped WO3 phase-junction sample also showed good photocatalytic performance for rhodamine B degradation. This study may provide some insights into rational design of new types of gas sensors and offer an alternative for noninvasive diagnosis of diabetes.
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OBJECTIVE: To study the value of serum gamma-glutamyl transpeptidase (GGT) combined with direct bilirubin (DB) in the diagnosis of biliary atresia. METHODS: A total of 667 infants with cholestasis who were hospitalized and treated from July 2010 to December 2018 were enrolled as subjects. According to the results of intraoperative cholangiography and follow-up, they were divided into biliary atresia group with 234 infants and cholestasis group with 433 infants. The two groups were compared in terms of age of onset, sex, and serum levels of total bilirubin (TB), DB, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bile acid (TBA), and GGT. A receiver operating characteristic (ROC) curve analysis was performed for indices with statistical significance, and the area under the ROC curve (AUC) and the optimal cut-off value for diagnosis were calculated. RESULTS: The biliary atresia group had a significantly younger age of onset than the cholestasis group (P<0.001). There were no significant differences in sex, ALT, and AST between the two groups (P>0.05), while the biliary atresia group had significantly higher serum levels of TB, DB, TBA, and GGT than the cholestasis group (P<0.05). GGT combined with DB had the highest AUC of 0.892 (95% confidence interval: 0.868-0.916) in the diagnosis of biliary atresia. At the optimal cut-off values of 324.0 U/L for GGT and 115.1â µmmol/L for DB, GGT combined with DB had a sensitivity of 79.8% and a specificity of 83.2% in the diagnosis of biliary atresia. CONCLUSIONS: GGT combined with DB has high sensitivity and specificity in the diagnosis of biliary atresia and can be used as an effective indicator for diagnosis of biliary atresia in infants.
Subject(s)
Biliary Atresia , gamma-Glutamyltransferase/blood , Alanine Transaminase , Aspartate Aminotransferases , Biliary Atresia/diagnosis , Bilirubin , Humans , InfantABSTRACT
Photocatalytic degradation by efficient and easy recyclable semiconductor-catalysts is an ideal way to solve the environmental problem. A series of Fe2O3/Polystyrene (Fe2O3/PS) composite fibers with hydrophobic property were obtained by the electrospinning and γ-Ray irradiation methods. The γ-Ray irradiation treatment not only formed steady micro-nano construction of nanoparticles and fiber, but also reduced the hydroxyl group on Fe2O3 surface. The high photocatalytic efficiencies of Fe2O3/PS fiber were discovered with the high content of 4-chlorophenol (4-CP) and 4-nitrophenol (4-NP), due to the synergetic effect of adsorption and degradation. The suitable adsorption capacity of Fe2O3/PS could promote the utilization of the generated hydroxyl radical(OH) to directly oxidize the adsorbed pollutant molecules. Additionally, the photocatalytic activities for 4-CP and 4-NP still reached 80% and 75% in the 6th cycling and the composite fiber exhibited the good recyclability, which has the application development prospect for wastewater treatment. The mechanism of 4-CP and 4-NP decomposition was verified. Hence, the gained results could provide some insights into phenol degradation over the multifunctional and efficient catalyst.
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RATIONALE: Cholestasis in pediatric patients has diverse etiologies and can be broadly classified as intrahepatic or extrahepatic. The common causes of extrahepatic cholestasis are bile duct calculus, inflammation, or pancreatitis. Malignant tumor is a rare cause of bile ducts obstruction in adolescent. Here we report a 14-year-old male patient with cholestasis due to poorly differentiated adenocarcinoma. PATIENT CONCERNS: A 14-year-old male patient with cholestasis was admitted because of jaundice, weakness, weight loss, and stomach pain for 2 months. The patient had been diagnosed with epilepsy 4 years previously and was being treated with sodium valproate and oxcarbazepine. On admission, laboratory studies showed elevated levels of aspartate aminotransferase (271âIU/L), alanine aminotransferase (224âIU/l), γ-glutamyltransferase (1668.9âIU/L), total bilirubin (66.4âµmol/L), and direct bilirubin (52.6âµmol/L). Additional laboratory tests eliminated common causes of cholestasis such as bacterial/viral infection, autoimmune liver disease, Wilson disease, Alagille syndrome, or progressive familial intrahepatic cholestasis type 3. The results of laboratory investigations showed no improvement after 10 days of treatment with ursodeoxycholic acid and vitamins A, D, and K1. Enhanced magnetic resonance imaging demonstrated a tumor of 22âmm diameter in the duodenal lumen and dilatation of the common bile duct. Endoscopic retrograde cholangiopancreatography detected a tumor in the duodenal lumen. DIAGNOSIS: Considering the clinical features, imaging manifestation, endoscopic findings, and pathologic characteristic, the patient was diagnosed with poorly differentiated adenocarcinoma. INTERVENTIONS: The patient underwent pancreaticoduodenectomy and chemotherapy. OUTCOME: The patient recovered well. Elevated levels of tumor biomarkers or abnormal liver function tests have not occurred during the 2-year follow-up. CONCLUSION: Cholestasis resulting from primary duodenal papillary carcinoma is rare in pediatric patients but should be considered in the differential diagnosis.
Subject(s)
Ampulla of Vater/pathology , Carcinoma, Papillary/complications , Cholestasis/etiology , Duodenal Neoplasms/complications , Adolescent , Carcinoma, Papillary/pathology , Cholestasis/pathology , Duodenal Neoplasms/pathology , Humans , MaleABSTRACT
Increasing the efficiency of dye degradation is a critical issue for the application for photocatalysis. It is one of the greatest challenges to enhance the utilization of photo generated carriers in semiconductor, especially for sunlight irradiation. In this study, I/C-codoped TiO2 was synthesized by a simple solvothermal-calcination method. The codoping interstitial carbon and substitutional iodine not only widened the light absorption range of the TiO2 photocatalysts, but also enhanced the separation of photo-induced carriers. The photocatalytic activities of RhB and MO degradation over the 4-I/C-TiO2 photocatalyst could reach 98.2% and 94.2% after 25 min visible light irradiation (λ ≥ 400 nm), respectively. Notably, 4-I/C-TiO2 showed good activity for MO and RhB mixed degradation and could also accomplish the photocatalytic degradation in the above mixed system under natural sunlight irradiation. According to the dark catalytic experiment, I/C-codoping could effectively accelerate the formation of hydroxyl radicals from the generated H2O2, which was formed for the enhanced photocatalytic activity of dye degradation. The gained knowledge may provide some insights into the photocatalytic degradation over the codoped TiO2 catalyst.
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Photocatalytic degradation by semiconductors is an ideal way to solve the environmental problem. Here, the porous Mn doped g-C3N4 photocatalyst was synthesized by the calcination-refluxing method. The as-prepared g-C3N4 exhibits the high activity of photocatalytic degradation under visible light irradiation ( > 400nm) in the mixed system of Cr(VI) and organic pollutants. Especially, the photocatalytic activity of Cr(VI) reduction was increased from 9.5% to 76.5%, while that of Rhodamine B(RhB) degradation was enhanced from 15.3% to 88.9% after 60min irradiation. The porous Mn doped g-C3N4 still keeps the high degradation efficiency of mixed pollutants in the 7th running. Based on the computational modeling, the Mn doping and carboxyl modification affect the atomic arrangement and molecular orbital distribution of the g-C3N4 semiconductor, leading to the enhancement of photo-induced carrier separation. Additionally, the active oxygen species and intermediates in the photoreaction process were discovered by ESR measurement and UV-vis test. The RhB degradation in synergistic photocatalysis not only inhibits the reverse reaction of Cr(VI) reduction, but also validly supply the photogenerated electrons by the photosensitization effect. This work may be useful for rationally designing photocatalysts and providing illuminating insights into the photocatalytic mechanism.
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In planar n-i-p heterojunction perovskite solar cells, the electron transport layer (ETL) plays important roles in charge extraction and determine the morphology of the perovskite film. Here, we report a solution-processed carbon quantum dots (CQDs)/TiO2 composite that has negligible absorption in the visible spectral range, a very attractive feature for perovskite solar cells. Using this novel CQDs/TiO2 ETL in conjunction with a planar n-i-p heterojunction, we achieved an unprecedented efficiency of â¼19% under standard illumination test conditions. It was found that a CQDs/TiO2 combination increases both the open circuit voltage and short-circuits current density as compared to using TiO2 alone. Various advanced spectroscopic characterizations including ultrafast spectroscopy, ultraviolet photoelectron spectroscopy, and electronic impedance spectroscopy elucidate that the CQDs increases the electronic coupling between the CH3NH3PbI3-xClx and TiO2 ETL interface as well as energy levers that contribute to electron extraction.