Hyperuricemia as an independent risk factor for metabolic dysfunction-associated fatty liver disease in nonobese patients without type 2 diabetes mellitus.

According to the latest consensus statement, fatty liver complicated by specific metabolic abnormalities can be diagnosed as metabolic dysfunction-associated fatty liver disease (MAFLD) in nonobese patients without type 2 diabetes mellitus (T2DM). However, hyperuricemia (HUA), a manifestation of metabolic disorders, is excluded from diagnostic criteria. This study explored the association between HUA and MAFLD in nonobese patients without T2DM. A total of 28,187 participants were recruited from the Examination Center of the China-Japan Friendship Hospital from 2018 to 2022 and divided into four subgroups: nonobese patients without T2DM, obese patients without T2DM, nonobese patients with T2DM, and obese patients with T2DM. MAFLD was diagnosed by ultrasound combined with laboratory examinations. The association of HUA with MAFLD subgroups was performed by logistical regression analysis. The predictive ability of UA for MAFLD subgroups was assessed by receiver operating characteristics (ROC). HUA was positively associated with MAFLD in nonobese patients without T2DM in both males and females, even after adjusting for sex, BMI, dyslipidemia, and abnormal liver function. The association increased gradually with aging, especially in those over 40 yr old. HUA was an independent risk factor for MAFLD in nonobese patients without T2DM. We suggest that UA abnormalities might be considered in the diagnosis of MAFLD in nonobese patients without T2DM.NEW & NOTEWORTHY HUA is an independent risk factor for MAFLD in nonobese patients without T2DM. The association of HUA with MAFLD in nonobese patients without T2DM increased gradually with aging, especially in those over 40 yr old. In nonobese patients without T2DM, univariate analysis showed that females with HUA had a higher risk of MAFLD than males. However, the difference was narrowed after adjustment for confounders.

Meteorin-like protein overexpression ameliorates fulminant hepatitis in mice by inhibiting chemokine-dependent immune cell infiltration.

Myokines, which are recently identified cytokines secreted by skeletal muscle in response to stimulation, are crucial for the maintenance of liver function. Fulminant hepatitis (FH) is a life-threatening pathological condition with severe hepatic dysfunction. In this study, we investigated the role of meteorin-like (METRNL), a new myokine, in the pathogenesis of FH. We compared serum samples and liver tissues from FH patients and healthy controls and found that hepatic and serum METRNL levels were significantly increased in FH patients, and serum METRNL levels were related to disease severity in FH patients. We then established a concanavalin A-induced FH model in METRNL-overexpressing and control mice. We found that hepatic METRNL levels in FH mice were significantly increased, and METRNL in the liver was mainly derived from macrophages. In the cultured mouse macrophage line (RAW264.7 cells) and mouse primary peritoneal macrophages (PMs), METRNL overexpression significantly inhibited the release of the proinflammatory cytokines TNF and IL-1ß. In METRNL-overexpressing mice, concanavalin A-induced liver injury was significantly ameliorated. Moreover, METRNL overexpression significantly reduced chemokine-dependent inflammatory cell infiltration into the liver. METRNL overexpression also suppressed liver CD4+ T cell differentiation into Th 1 cells and inhibited the secretion of Th 1 cytokines. Taken together, these data suggest that METRNL overexpression effectively ameliorates FH. Therefore, METRNL may serve as a potential biomarker and therapeutic target for FH.

Understanding the influence of pre-ozonation on the formation of disinfection byproducts and cytotoxicity during post-chlorination of natural organic matter: UV absorbance and electron-donating-moiety of molecular weight fractions.

Pre-ozonation can reduce the formation of disinfection byproducts (DBPs) and related adverse effects during subsequent chlorination, but the change of each molecular weight (MW) fraction during each step of combined pre-ozonation and post-chlorination has not been well illustrated. In this study, it was investigated in terms of electron-donating-moieties (EDMs) and UVA254 for a representative natural organic matter from Suwanee river (SRNOM). Pre-ozonation suppressed the post-chlorination of SRNOM through oxidation of almost all EDMs (>85%) and UVA254 (>90%) in high MW fractions (HMW, >3.2 kDa) and moderate EDMs (43%) and UVA254 (72%) in medium MW fractions (MMW, 1.0-3.2 kDa). Furthermore, pre-ozonation led to comparable abatements of EDMs and UVA254 for HMW fractions, but lower abatement of EDMs than UVA254 for MMW fractions. However, when t-BuOH was used as an •OH-quencher, pre-ozonation led to a few instances in which there were higher abatements of EDMs than UVA254 for the MMW fraction. These findings suggested that the HMW fraction dominantly underwent ring-cleavage of phenols via O3- or •OH-oxidation. Differently, the MMW fraction underwent ring-cleavage of phenols and quinones-formation via O3-oxidation, but occasionally underwent hydroxylation and hydro-phenol formation via •OH-oxidation. Because of forehand elimination of reactive moieties (e.g. EDMs), pre-ozonation obviously inhibited the formation of representative DBPs (67%-84% inhibition), total organic chloride (51% inhibition) and cytotoxicity (31% inhibition), but may have promoted the formation of carbonyl-DBPs (trichloroacetone and chloral hydrate). When compared with UVA254, EDMs would better for surrogate of DBPs formation. EDM abatement surrogated the formation of total organic chlorine (TOCl) and cytotoxicity following a two-stage phase, possibly because the speciation of DBPs and transformation products varied with the abatement of EDMs.

Degradation of non-oxidizing biocide benzalkonium chloride and bulk dissolved organic matter in reverse osmosis concentrate by UV/chlorine oxidation.

Non-oxidizing biocide that is used to inhibit the microorganism growth on RO membrane, are observed to be high concentration and toxic in RO concentrate. The synergistic oxidation process (SOP) of UV/chlorine was investigated to simultaneously reduced the content (60.2 %) and toxicity (57.0 %) of a representative biocide dodecylbenzyldimethylammonium chloride (DDBAC) in real RO concentrate, with a UV fluence 1080 mJ/cm2 and chlorine dose 20 mg/L. Besides eliminating the DDBAC, UV/chlorine reduced the UVA254 and fluorescence of the dissolved organic matters (DOM). The oxidation mechanism was verified to be the radical electrophilic addition rather than the chlorine-electrophilic substitution through the decay of electron-donation moiety and UVA254. As results, high molecular weight fractions of DOM (>2k Da, 79.2 %) was cleaved into low molecular weight fractions (<0.4k Da, 18.4 %) and organic halide was formed. Parallel-factor analysis of the fluorescence components suggested that decomposition of the protein-like fluorophore is most likely to surrogate the biocide removal and organic halide formation compared to other fluorophore components and UVA254. Accordingly, a portable fluorescence probe with 400 nm excitation and 410-600 nm emission wavelengths was developed as an online surrogate for the DDBAC removal and organic halide formation.

Bacterial infection triggers and complicates acute-on-chronic liver failure in patients with hepatitis B virus-decompensated cirrhosis: A retrospective cohort study.

BACKGROUND: Reports on bacterial infection (BI) in decompensated cirrhosis (DC) is mainly from alcoholic cirrhosis. The role of BI as a trigger or complication of acute-on-chronic liver failure (ACLF) in patients with hepatitis B virus decompensated cirrhosis (HBV-DC) remains to be investigated. AIM: To investigate the impact of BI on the outcomes of the patients with HBV-DC admitted into the hospital with or without ACLF. METHODS: This retrospective study included patients with HBV-DC admitted to two tertiary centers in China. In-hospital overall survival, 90-d transplant-free survival, 5-year post-discharge survival, and cumulative incidence of ACLF were evaluated. Risk factors for death were analyzed considering liver transplantation as a competing event. RESULTS: A total of 1281 hospitalized HBV-DC patients were included; 284 had ACLF at admission. The overall prevalence of BI was 28.1%. The patients with BI had a significantly lower in-hospital survival and transplant-free 90-d survival than those without, in both the patients admitted with and without ACLF. The presence of BI significantly increased the risk of developing ACLF [sub-distribution hazard ratio (sHR) = 2.52, 95%CI: 1.75-3.61, P < 0.001] in the patients without ACLF. In the patients discharged alive, those who had an episode of BI had a significantly lower 5-year transplant-free survival. BI was an independent risk factor for death in the patients admitted without ACLF (sHR = 3.28, 95%CI: 1.93-5.57), while in ACLF admissions, the presence of pneumonia, but not other type of BI, independently increased the risk of death (sHR = 1.87, 95%CI: 1.24-2.82). CONCLUSION: BI triggers ACLF in patients with HBV-DC and significantly impairs short-term survival. HBV-DC patients should be monitored carefully for the development of BI, especially pneumonia, to avoid an adverse outcome.

Characterizing the molecular weight distribution of dissolved organic matter by measuring the contents of electron-donating moieties, UV absorbance, and fluorescence intensity.

Electron-donating moieties (EDM) have recently been used to characterize the redox properties and treatability of dissolved organic matter during water and wastewater treatment. In this study, size exclusion chromatography followed by a derivatization-spectrometric method was developed to determine the molecular weight (MW) distribution of EDM in dissolved organic matter. The relationships between EDM concentration and chromophore content (indicated by UVA254), fluorophore content (indicated by fluorescence), and dissolved organic carbon (DOC) concentration were analyzed for different MW fractions. In general, natural organic matter (NOM) showed higher total EDM concentration and higher EDM average MW than effluent organic matter (EfOM). For NOM, fractions with MW between 1.8 k and 6.9 k Da accounted for most of the EDM (45.4%-48.6%), followed by the fractions with MW < 1.8 k Da (25.6%-42.4%). By contrast, the EDM in EfOM occurred predominantly in fractions with MW < 1 k Da (51.8%-58.6%), with lower concentrations in fractions with MW > 1.8 k Da (<20.2%). The heterogeneous MW distribution of EDM was strongly correlated to the presence of chromophores, but not DOC or fluorophores. The EDM difference between MW fractions suggested that the fraction with MW 1.8-6.9 k Da (40.7%-47.1%) and the fractions with MW < 1 k Da (50.2%-58.8%) should be the dominant oxidant consumers in NOM and EfOM, respectively. When the EDM was normalized by the DOC for each MW fraction (EDMMW/DOCMW), the EDMMW/DOCMW of relatively high-MW fractions (>1.8 k Da) is 1.2-1.9 times of relatively low-MW (<1 k Da) fractions for both NOM and EfOM, which indicates that higher-MW fractions are more susceptible to chemical oxidations. The relationship between EDM change and UVA254 change varied for different MW fractions during advanced ozonation treatment, because of the different oxidation mechanisms in operation for MW fractions. The ozonation of EfOM fractions with higher MW (>1.8 k Da) and lower MW (<1 k Da) preferentially resulted in benzoquinone formation and ring-cleavage, respectively.

Elimination of isothiazolinone biocides in reverse osmosis concentrate by ozonation: A two-phase kinetics and a non-linear surrogate model.

Elimination of commercial Kathon biocide (methyl-isothiazolinone (MIT) and chloro-methyl-isothiazolinone (CMIT) mixture) by ozonation was investigated in real RO influent and concentrate. MIT and CMIT had different reactivities (second-order-rate-constants) with molecular ozone and OH. Ozonation of biocides followed an instantaneous phase (16.6 %-36.9 % contributions) and then a gradual phase (33.6 %-78.8 % contributions). Newly developed kinetics including both phases demonstrated that O3 oxidation contributed 25.6 %-39.8 % and <10 % of MIT and CMIT eliminations, respectively, and OH oxidation contributed 60.2 %-74.4 % and >90 % of MIT and CMIT eliminations, respectively. OH oxidation at the instantaneous phase accounted 15.7 %-37.9 % of total OH oxidation. Mass ratios of O3/DOC of 0.24 and 0.32 were needed for ∼80 % eliminations of MIT and CMIT in RO concentrate, respectively. The kinetics including both phases allowed a para-chlorobenzoic acid indicator model to predict MIT and CMIT elimination better than that including gradual ozonation only, with 58.9 %-96.0 % lower relative error. The attenuations of electron-donating-moiety indicated that O3 may preferentially react with chromophores through aromatic cleavage and electrophilic extraction, while •OH may non-selectively react with chromophores through predominant electrophilic addition. A surrogate model for biocide elimination by UVA254 loss was proposed to be nonlinear rather than linear, which reduced 31.8 %-71.3 % surrogating error.

Combination of catalytic ozonation by regenerated granular activated carbon (rGAC) and biological activated carbon in the advanced treatment of textile wastewater for reclamation.

Wastewater reclamation in the textile industry has attracted considerable attention. In this study, catalytic ozonation by regenerated granular activated carbon (rGAC) and its combination with biological activated carbon (BAC) was investigated for the reclamation of a real bio-treated dyeing and finishing wastewater (BDFW). Catalytic ozonation by rGAC (O3/rGAC) was 1.6-2.0 times more efficient than ozonation alone for pollutants degradation. Although iron oxide loaded rGAC (rGAC-Fe) improved the performance of catalytic ozonation by 14%-25%, but was labile (<2 days) compared to stable rGAC (>20 days). Catalytic ozonation improved the generation of •OH, contributing 1.1-1.7 times faster of chromophores decomposition and 0.24-0.55 times more increase of biodegradability than ozonation. However, catalytic ozonation increased the acute toxicity of BDFW by two times. The combination of O3/rGAC and BAC can synergistically reduce COD, chromophores, and color in BDFW during 45-day's continuous operation, the improvements than O3/rGAC being 21.0%, 18.8%, and 13.6%, respectively. Moreover, although O3/rGAC of BDFW increased the toxicity from 98.3 to 146.5 µg-HgCl2/L, post BAC significantly reduced the toxicity to 13.1 µg-HgCl2/L. Engineering practice of water reclamation by O3/rGAC-BAC was approved to be feasible based on both the water quality of treated water and the operation cost.

A nine-country study of the protein content and amino acid composition of mature human milk.

BACKGROUND: Numerous studies have evaluated protein and amino acid levels in human milk. However, research in this area has been limited by small sample sizes and study populations with little ethnic or racial diversity. OBJECTIVE: Evaluate the protein and amino acid composition of mature (≥30 days) human milk samples collected from a large, multinational study using highly standardized methods for sample collection, storage, and analysis. DESIGN: Using a single, centralized laboratory, human milk samples from 220 women (30-188 days postpartum) from nine countries were analyzed for amino acid composition using Waters AccQ-Tag high-performance liquid chromatography and total nitrogen content using the LECO FP-528 nitrogen analyzer. Total protein was calculated as total nitrogen×6.25. True protein, which includes protein, free amino acids, and peptides, was calculated from the total amino acids. RESULTS: Mean total protein from individual countries (standard deviation [SD]) ranged from 1,133 (125.5) to 1,366 (341.4) mg/dL; the mean across all countries (SD) was 1,192 (200.9) mg/dL. Total protein, true protein, and amino acid composition were not significantly different across countries except Chile, which had higher total and true protein. Amino acid profiles (percent of total amino acids) did not differ across countries. Total and true protein concentrations and 16 of 18 amino acid concentrations declined with the stage of lactation. CONCLUSIONS: Total protein, true protein, and individual amino acid concentrations in human milk steadily decline from 30 to 151 days of lactation, and are significantly higher in the second month of lactation compared with the following 4 months. There is a high level of consistency in the protein content and amino acid composition of human milk across geographic locations. The size and diversity of the study population and highly standardized procedures for the collection, storage, and analysis of human milk support the validity and broad application of these findings.