Clinical value of ultrasound in adult Wilms' tumor patient with uremia: A case report and literature review.

RATIONALE: Wilms' tumor (WT) is the most common pediatric kidney malignancy and is rarely found in adults. Nonspecific clinical symptoms and imaging features often lead to delayed diagnosis or misdiagnosis of adult WT, resulting in poor clinical outcomes. Ultrasound (US), as an efficient and noninvasive examination method, has been widely used in clinical diagnosis and treatment. Therefore, various US evidence is meaningful to improve understanding of adult WT characteristics in ultrasound. PATIENT CONCERNS: A 45-year-old female patient with uremia (regular hemodialysis for 13 years) with painless gross hematuria was diagnosed with a right kidney tumor penetrating to the lung. Preoperatively, B-mode ultrasonography showed an ill-defined hyperechoic mass in the right kidney, which revealed an unclear border, uneven internal echoes, and calcification. Besides, the internal blood flow signal of the tumor was detected. Contrast-enhanced ultrasound (CEUS) showed an uneven hyper-enhancement in the tumor ("fast in and slow out"). Contrast-enhanced computed tomography of the kidney indicated a similar result as the CEUS. Moreover, the chest CT identified multiple pulmonary metastatic nodules. DIAGNOSES: An ultrasound-guided percutaneous core needle biopsy of the tumor proceeded to make a definite diagnosis of adult WT (epithelial type). INTERVENTIONS: The patient was treated with tislelizumab. OUTCOMES: No progress was found to date. LESSONS: We report the first case in which CEUS was performed in an adult WT patient with uremia and multiple pulmonary metastases. The features obtained by the US can help in the diagnosis of adult WT and direct further diagnostic procedures.

[Association of fatty acid composition in human milk with breast milk jaundice in neonates].

OBJECTIVE: To study the association of fatty acid composition in human milk with breast milk jaundice (BMJ) in neonates. METHODS: A total of 30 full-term neonates who were admitted to the neonatal intensive care unit from October 2016 to October 2017 and were diagnosed with late-onset BMJ were enrolled as the BMJ group. Thirty healthy neonates without jaundice or pathological jaundice who were admitted to the confinement center during the same period of time were enrolled as the control group. Related clinical data were collected, including sex, mode of birth, feeding pattern, gestational age, birth weight, gravida, parity, and peak level of total serum bilirubin. Breast milk was collected from the mothers, and the MIRIS human milk analyzer was used to measure macronutrients (fat, protein, and carbohydrate) and calorie. Gas chromatography was used to analyze the content of different fatty acids in breast milk. RESULTS: The control group had higher levels of macronutrients in human milk than the BMJ group, with significant differences in fat, dry matter, and calorie (P < 0.05). In addition, 25 fatty acids were detected in breast milk, including 9 saturated fatty acids, 6 monounsaturated fatty acids, and 10 polyunsaturated fatty acids. The comparison of the percentage composition of different fatty acids showed that compared with the control group, the BMJ group had significantly lower percentage compositions of C15:0, C16:0, C17:0, C18:0, C20:0, C18:1n9t, C20:1n9, C18:3n6, C22:2, and C22:6n3 (DHA) and higher percentage compositions of C10:0, C12:0, C14:0 in breast milk (P < 0.05). CONCLUSIONS: Some macronutrients and fatty acid composition in human milk may be associated with the pathogenesis of BMJ in neonates.

[Mechanism of thymol inhibiting Botrytis cinerea: PAO-H2O2 system]. / éºé¦™è‰é šæŠ‘åˆ¶ç°éœ‰èŒçš„ä½œç”¨æœºç†: PAO-H2O2系统.

Gray mold disease caused by Botrytis cinerea infection is one of the major crop diseases. The application of environmental-friendly fungicides to control gray mold disease has been drawing great attention. Thymol, a natural compound, showed strong antifungal activity against Botrytis cinerea. We investigated the role of polyamine oxidase (PAO)-dependent hydrogen peroxide (H2O2) production in thymol-inhibited B. cinerea growth by using physiological and biochemical approaches. The results showed that: 1) Thymol significantly inhibited the growth of B. cinerea, with remarkable increases in H2O2 content, malondialdehyde (MDA) content, and PAO activity in mycelium. 2) Inhibition of PAO activity (addition of specific inhibitor MDL, N,N'-butanedienyl butanediamine) resulted in significant decreases in the contents of H2O2 and MDA as well as the partial recovery of mycelial growth under thymol treatment, suggesting that thymol might trigger PAO-dependent H2O2 accumulation resulting in oxidative injury and thus inhibit the growth of mycelium. 3) A PAO homologue gene BcPAO was cloned from B. cinerea. Multi-alignment combined with phylogenetic analysis showed that BcPAO protein had typical conserved domain of PAO family members. 4) Thymol at low concentrations did not affect the transcriptional level of BcPAO. However, the transcription of BcPAO was up-regulated remarkably by thymol at high concentration. This suggested that thymol-stimulated PAO activity may be resulted from the regulation of BcPAO. We conclude that oxidative injury caused by PAO-dependent H2O2 production is one of the possible antifungal modes of thymol against B. cinerea. The antifungal mode of thymol found in this study may provide basis for the application of environmental-friendly fungicides.

[Implantation strategy of tissue-engineered liver based on decellularized spleen matrix in rats].

OBJECTIVE: To explore the optimal implantation strategy of tissue-engineered liver (TEL) constructed based on decellularized spleen matrix (DSM) in rats. METHODS: DSM was prepared by freeze-thawing and perfusion with sodium dodecyl sulfate (SDS) of the spleen of healthy SD rats. Primary rat hepatocytes isolated using modified Seglen 2-step perfusion method were implanted into the DSM to construct the TEL. The advantages and disadvantages were evaluated of 4 transplant strategies of the TEL, namely ectopic vascular anastomosis, liver cross-section suture transplantation, intrahepatic insertion and mesenteric transplantation. RESULTS: The planting rate of hepatocytes in the DSM was (74.5∓7.7)%. HE staining and scanning electron microscopy showed satisfactory cell status, and immunofluorescence staining confirmed the normal expression of ALB and G6Pc in the cells. For TEL implantation, ectopic vascular anastomosis was difficult and resulted in a mortality rate of 33.3% perioperatively and massive thrombus formation in the matrix within 6 h. Hepatic cross-section suture failed to rapidly establish sufficient blood supply, and no viable graft was observed 3 days after the operation. With intrahepatic insertion method, the hepatocytes in the DSM could survive as long as 14 days. Mesenteric transplantation resulted in a hepatocyte survival rate of (38.3+7.1)% at 14 days after implantation. CONCLUSION: TEL constructed based on DSM can perform liver-specific functions with a good cytological bioactivity. Mesenteric transplantation of the TEL, which is simple, safe and effective, is currently the optimal transplantation strategy.

The endogenous nitric oxide mediates selenium-induced phytotoxicity by promoting ROS generation in Brassica rapa.

Selenium (Se) is suggested as an emerging pollutant in agricultural environment because of the increasing anthropogenic release of Se, which in turn results in phytotoxicity. The most common consequence of Se-induced toxicity in plants is oxidative injury, but how Se induces reactive oxygen species (ROS) burst remains unclear. In this work, histofluorescent staining was applied to monitor the dynamics of ROS and nitric oxide (NO) in the root of Brassica rapa under Se(IV) stress. Se(IV)-induced faster accumulation of NO than ROS. Both NO and ROS accumulation were positively correlated with Se(IV)-induced inhibition of root growth. The NO accumulation was nitrate reductase (NR)- and nitric oxide synthase (NOS)-dependent while ROS accumulation was NADPH oxidase-dependent. The removal of NO by NR inhibitor, NOS inhibitor, and NO scavenger could alleviate Se(IV)-induced expression of Br_Rbohs coding for NADPH oxidase and the following ROS accumulation in roots, which further resulted in the amelioration of Se(IV)-induced oxidative injury and growth inhibition. Thus, we proposed that the endogenous NO played a toxic role in B. rapa under Se(IV) stress by triggering ROS burst. Such findings can be used to evaluate the toxic effects of Se contamination on crop plants.

Selenium inhibits root elongation by repressing the generation of endogenous hydrogen sulfide in Brassica rapa.

Selenium (Se) has been becoming an emerging pollutant causing severe phytotoxicity, which the biochemical mechanism is rarely known. Although hydrogen sulfide (H2S) has been suggested as an important exogenous regulator modulating plant physiological adaptions in response to heavy metal stress, whether and how the endogenous H2S regulates Se-induce phytotoxicity remains unclear. In this work, a self-developed specific fluorescent probe (WSP-1) was applied to track endogenous H2S in situ in the roots of Brassica rapa under Se(IV) stress. Se(IV)-induced root growth stunt was closely correlated with the inhibition of endogenous H2S generation in root tips. Se(IV) stress dampened the expression of most LCD and DCD homologues in the roots of B. rapa. By using various specific fluorescent probes for bio-imaging root tips in situ, we found that the increase in endogenous H2S by the application of H2S donor NaHS could significantly alleviate Se(IV)-induced reactive oxygen species (ROS) over-accumulation, oxidative impairment, and cell death in root tips, which further resulted in the recovery of root growth under Se(IV) stress. However, dampening the endogenous H2S could block the alleviated effect of NaHS on Se(IV)-induced phytotoxicity. Finally, the increase in endogenous H2S resulted in the enhancement of glutathione (GSH) in Se(IV)-treated roots, which may share the similar molecular mechanism for the dominant role of H2S in removing ROS by activating GSH biosynthesis in mammals. Altogether, these data provide the first direct evidences confirming the pivotal role of endogenous H2S in modulating Se(IV)-induced phytotoxicity in roots.

[Effects of NaCl stress on polyamines metabolism in vegetable soybean].

By adopting vermiculite culture, this paper studied the malondialdehyde (MDA) content and polyamines (PAs) metabolism in the seeds of two vegetable soybean cultivars with different salt tolerance under the stress of 100 mmol NaCl x L(-1). NaCl stress increased the MDA contents in the seeds of the two cultivars significantly, but the increment was lower for salt-resistant cultivar 'Lülingtezao' (LL) than for salt-sensitive cultivar 'Lixianggaochan 95-1' (LX). In the whole period of NaCl stress, LL seeds had higher contents of free spermine (Spm), conjugated Spm, conjugated spermidine (Spd), bound Spd and bound putrescine (Put), higher values of (Spd+Spm)/Put and (cPAs+bPAs)/fPAs, and lower value of Put/PAs, and had higher content of free Spd in the mid and late period (9-15 d) of NaCl stress, as compared with LX seeds. In a longer term (6-15 d) of the stress, LL seeds maintained a higher activity of arginine decarboxylase (ADC) and a lower activity of polyamine oxidase (PAO). All the results suggested that LL seeds had stronger capabilities for polyamines synthesis and for the transformation of Put to Spd and Spm and of free polyamine to conjugated and bound polyamines, which effectively inhibited the membrane lipid peroxidation, possibly being one of the important reasons for the stronger salt tolerance of LL.

[Effects of NaCl stress on polyamine contents in grafted cucumber leaves].

With a Japanese salt-tolerant pumpkin cultivar 'King Shintosa' (Cucurbita maxima x C. moschata) as rootstock and a cucumber (Cucumis sativus) cultivar 'Xintaimici' as cion, this paper studied the temporal dynamics of different form polyamines contents in the leaves of grafted and own-rooted cucumber plants under 100 mmol x L(-1) NaCl stress. The results showed that the free putrescence (Put) content of graftedplant leaves (G2) was significantly higher than that of own-rooted plant leaves (O2), except on the second day of NaCl stress. During the whole period of NaCl stress, the free spermidine (Spd) and spermine (Spm) contents of G2 were significantly higher than those of O2, and the total free polyamine content of G2 peaked on the fourth day of stress. The free Put/PAs value of G2 was significantly lower than that of O2 except on the fourth day of stress, but (Spd + Spm)/Put value was significantly higher than that of O2 during the whole period of stress. In the test period, the contents of conjugated and bound Put, Spd, Spm of G2 were significantly higher than those of O2. The total conjugated and bound polyamine contents of G2 peaked on the sixth day of stress. Both conjugated Put/PAs and conjugated (Spd + Spm)/Put values had a similar changing trend to free polyamine. The bound Put/PAs value of G2 was significantly lower than that of O2 except on the sixth day of stress, while the bound (Spd + Spm)/Put value was significantly higher than that of O2 during the whole period of stress. All of these demonstrated that grafted cucumber plant possessed a stronger salt tolerance.

[Effects of NaCl stress on the growth, antioxidant enzyme activities and reactive oxygen metabolism of grafted eggplant].

By the method of hydroponics and with the salt-tolerant eggplant cultivar 'Torvum Vigor' (Solanum torvum) from Japan as rootstock and the cultivar 'Suqiqie' (Solanum melongena L. ) as scion, this paper studied the differences between grafted and own-root seedlings in their photosynthetic characteristics, antioxidant enzyme activities, and reactive oxygen metabolism under 80 mmol x L(-1) NaCl stress. The results showed that under NaCl stress, the dry mass, chlorophyll content and photosynthetic rate of grafted seedlings were 67.8%, 8. 8% and 31.1% higher than those of own-root seedlings, respectively, and the antioxidant enzyme activities were significantly higher while the O2* producing rate and the hydrogen peroxide (H2O2) and malondiadehyde (MDA) contents were significantly lower in grafted seedlings leaves than in own-root seedlings. For both grafted and own-root seedlings, NaCl stress reduced the chlorophyll content and photosynthetic rate, but increased the O2* producing rate and the H2O2 and MDA contents significantly. However, the growth of grafted seedlings was less affected by NaCl stress. The stronger salt tolerance of grafted eggplant seedlings was related to their higher antioxidant enzyme activities and less oxidative damage.