The effects of different electrode materials on the electric field-assisted co-composting system for the soil remediation of heavy metal pollution.

The electric field-assisted composting system (EACS) is an emerging technology that can enhance composting efficiency, but little attention has been given to electrode materials. Herein, an EACS was established to investigate the effects of electrode materials on humic substance formation and heavy metal speciation. Excitation-emission matrix analysis showed that carbon-felt and stainless-steel electrodes increased humic acid (HA) by 48.57 % and 47.53 %, respectively. In the EACS with the carbon-felt electrode, the bioavailability factors (BF) of Cu and Cr decreased by 18.00 % and 7.61 %, respectively. Despite that the stainless-steel electrodes decreased the BF of As by 11.26 %, the leaching of Cr, Ni, Cu, and Fe from the electrode itself is an inevitable concern. Microbial community analyses indicated that the electric field increased the abundance of Actinobacteria and stimulated the multiplication of heavy metal-tolerant bacteria. Redundancy analysis indicates that OM, pH, and current significantly affect the evolution of heavy metal speciation in the EACS. This study first evaluated the metal leaching risk of stainless-steel electrode, and confirmed that carbon-felt electrode is environment-friendly material with high performance and low risk in future research with EACS.

Immobilization of Pb in waste water and soil by tourmaline-biochar composites (TBs): Characteristics and mechanisms.

Novel tourmaline-biochar composites (TBs) were synthesized by introducing tourmaline (TM) into pomelo peel biochar (BC). The surface properties of TBs and BC were studied and the adsorption performances for Pb2+ were investigated. Compared to pristine BC, the adsorption ability for Pb2+ on TBs was enhanced with the increase of TM in TBs, and up to 514.62 mg/g on 5%TB. The enrichment of inorganic metals caused by TM in TBs made the precipitation and cation ion exchange become the main mechanisms in adsorbing Pb2+, and the amounts of adsorbing Pb2+ by those two mechanisms on TBs were 1.10-1.48 times and 1.20-1.30 times those of BC, respectively. Furthermore, applying TBs to practical contaminated soil increased the soil pH and electrical conductivity (EC) after 15 days of incubation. The increased content of residual-Pb and reduced exchangeable-Pb and DTPA-Pb indicated that TBs were favorable for the immobilization of Pb in soil. This study gives a new perspective on the synthesis of tourmaline-biochar composite and their application in Pb-polluted water and soil.

Genetic evidence strengthens the bidirectional connection between oral health status and psychiatric disorders: A two-sample Mendelian randomization study.

BACKGROUND: Observational studies cannot accurately infer the causal associations between oral health status and psychiatric disorders. METHODS: We conducted univariate and multivariate Mendelian randomization (MR) analyses using single nucleotide polymorphisms (SNPs) associated with eight oral health statuses (periodontitis, DMFS, Nteeth, toothache, loose teeth, painful gums, bleeding gums, and mouth ulcers) and four psychiatric disorders (Schizophrenia, Major Depressive Disorder (MDD), anxiety and stress-related disorder (ASRD), and Bipolar Disorder (BIP)) as instrumental variables. Genetic data were sourced from the Gene-lifestyle interactions in dental endpoints (GLIDE), UK Biobank, Psychiatric Genomics Consortium (PGC), and Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH). The inverse variance-weighted (IVW) approach, supported by a comprehensive sensitivity analysis, was employed. RESULTS: Genetically predicted mouth ulcers were significantly linked to higher MDD (OR = 2.17, 95 % CI: 1.33--3.54, P< 0.01) and BIP risks (OR = 2.25, 95 % CI: 1.22-4.15, P = 0.01). BIP heightened bleeding gums risk (OR = 1.01, 95 % CI: 1.00-1.01, P < 0.01). These associations were adjusted for smoking status and alcohol consumption. Painful gums were significantly associated with MDD risk (OR = 96.48, 95 % CI: 2.66-3495.28, P = 0.01), while MDD raised periodontitis risk (OR = 2.15, 95 % CI: 1.24-3.75, P = 0.01), both confounded by smoking and alcohol. Relatively small effects between several variables, while others could not withstand correction for multiple tests. LIMITATIONS: The sample size and limitation to European populations limits the study generalizability. CONCLUSIONS: This study provide evidence of possible causal relationships between several oral health conditions and mental illness. Focusing on oral health and valuing mental health are important for each other and overall health.

Elaborating the mechanism of lead adsorption by biochar: Considering the impacts of water-washing and freeze-drying in preparing biochar.

This paper examined the impacts of different pretreatments on the characteristics of biochar and its adsorption behavior for Pb2+. Biochar with combined pretreatment of water-washing and freeze-drying (W-FD-PB) performed a maximum adsorption capacity for Pb2+ of 406.99 mg/g, higher than that of 266.02 mg/g on water-washing pretreated biochar (W-PB) and 188.21 mg/g on directly pyrolyzed biochar (PB). This is because the water-washing process partially removed the K and Na, resulting in the relatively enriched Ca and Mg on W-FD-PB. And the freeze-drying pretreatment broke the fiber structure of pomelo peel, favoring the development of a fluffy surface and large specific surface area during pyrolysis. Quantitative mechanism analysis implied that cation ion exchange and precipitation were the driving forces in Pb2+ adsorption on biochar, and both mechanisms were enhanced during Pb2+ adsorption on W-FD-PB. Furthermore, adding W-FD-PB to Pb-contaminated soil increased the soil pH and significantly reduced the availability of Pb.

Regulation of tourmaline-mediated Fenton-like system by biochar: Free radical pathway to non-free radical pathway.

The heterogeneous Fenton-like systems induced by Fe-containing minerals have been largely applied for the degradation of organic pollutants. However, few studies have been conducted on biochar (BC) as an additive to Fenton-like systems mediated by iron-containing minerals. In this study, the addition of BC prepared at different temperatures was found to significantly enhance the degradation of contaminants in the tourmaline-mediated Fenton-like system (TM/H2O2) using Rhodamine B (RhB) as the target contaminant. Furthermore, the hydrochloric acid-modified BC prepared at 700 °C (BC700(HCl)) could achieve complete degradation of high concentrations of RhB in the BC700(HCl)/TM/H2O2 system. Free radical quenching experiments showed that TM/H2O2 system removed contaminants mainly mediated by the free radical pathway. After adding BC, the removal of contaminants is mainly mediated by the non-free radical pathway in BC700(HCl)/TM/H2O2 system which was confirmed by the Electron paramagnetic resonance (EPR) experiments and electrochemical impedance spectroscopy (EIS). In addition, BC700(HCl) had broad feasibility in the degradation of other organic pollutants (Methylene Blue (MB) 100%, Methyl Orange (MO) 100%, and tetracycline (TC) 91.47%) in the tourmaline-mediated Fenton-like system. Possible pathways for the degradation of RhB by the BC700(HCl)/TM/H2O2 system were also proposed.

Retrospective Analysis of Azithromycin-Resistant Ureaplasma urealyticum and Mycoplasma hominis Cervical Infection Among Pregnant Women.

Purpose: Ureaplasma urealyticum and Mycoplasma hominis began to show resistance to azithromycin, a macrolide antibiotic commonly used in pregnancy. Unfortunately, there are few effective and safe drugs in the clinic for genital mycoplasmas in pregnant women. In the present study, we investigated the prevalence of azithromycin-resistant U. urealyticum and M. hominis infections in pregnant women. The secondary research objects were possible influencing factors and consequences of insensitive Mycoplasma infection. Patients and methods: A retrospective analysis was carried out in pregnant women who underwent cervical Mycoplasma culture between October 2020 and October 2021 at a large general hospital in eastern China. The sociological characteristics and clinical information of these women were collected and analyzed. Results: A total of 375 pregnant women were enrolled, and 402 cultured mycoplasma specimens were collected. Overall, 186 (49.60%) patients tested positive cervical Mycoplasma infection, and 37 (9.87%) had infections caused by azithromycin-resistant Mycoplasma. In total, 39 mycoplasma samples were insensitive to azithromycin in vitro, also showing extremely high resistance to erythromycin, roxithromycin, and clarithromycin. Azithromycin was the only antibiotic used in women with Mycoplasma cervical infection, regardless of azithromycin resistance in vitro. Statistical results showed that azithromycin-resistant cervical Mycoplasma infection in pregnant women was unrelated to age, body mass index (BMI), gestational age, number of embryos, and assisted reproductive technology (ART) use, but led to a significantly increased incidence of adverse pregnancy outcomes (spontaneous abortion (SA), preterm birth (PTB), preterm prelabor rupture of membranes (PPROM), and stillbirth). Conclusion: Azithromycin-resistant U. urealyticum and M. hominis cervical infections are relatively common during pregnancy, and can increase the risk of adverse pregnancy outcomes; however, there is currently a lack of safe and effective drug treatments. Herein, we show that azithromycin-resistant mycoplasma infection requires timely intervention.

Effects of Tai Chi on patients with moderate to severe COPD in stable phase.

This study was designed to investigate the effects of Tai Chi training on moderate to severe Chronic obstructive pulmonary disease (COPD) in the stable phase. This was a 2-arm randomized clinical trial. A total of 226 COPD patients with moderate to severe in the stable phase were allocated to either the control group or the observation group. The observation of the frequency of acute exacerbation for both groups lasted for at least 52 weeks follow-up. Changes in lung function and symptom scores of health-related quality of life (St George's Respiratory Questionnaire score) were also compared between the 2 groups. The accompanying anxiety and depressive symptoms of the patients were evaluated using the Self-Rating Depression Scale and Self-Rating Anxiety Scale prior to the procedure and 52 weeks later. Patients with moderate to severe COPD in China were divided into the Tai Chi group (n = 116) or control group (n = 110). After excluding 10 patients who fell off, 108 patients were enrolled in each group. Evidently, the matched group had higher exacerbation rate than the Tai Chi group (P < .05). Both groups showed no significant improvement in lung function (P > .05) but showed significant improvement in morbidity of acute exacerbation and quality of life (P < .05) compared with their former performance. Compared with regular therapy, Tai Chi also improved health-related quality of life (P < .05). The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores of the 2 groups of patients after treatment and 52-week after treatment showed a notable decrease (P < .05). Overall, Tai Chi treatment was well tolerated. For moderate to severe COPD patients, regular treatment with Tai Chi can not only improve their health-related quality of life but also reduce the exacerbation rate compared with regular treatment alone. Tai Chi is recommended for COPD rehabilitation.

Trajectory of suicidal ideation among medical students during the COVID-19 pandemic: the role of childhood trauma.

BACKGROUND: The aim of this study was to understand the longitudinal trajectory of suicidal ideation (SI) among Chinese medical students and the role of childhood trauma (CT). METHODS: Using a whole-group sampling method, we assessed SI in 2192 (male = 834, female = 1358) medical students on three occasions over a period of one year. The Suicidal Ideation Self-Assessment Scale (SISAS) and the Childhood Trauma Questionnaire-Short Form (CTQ-SF) were used to assess SI and CT. The growth mixture modeling (GMM) was used to classify the developmental trajectory of SI. RESULTS: A greater number of medical students were experiencing suicidal ideation during the COVID-19 pandemic. The trajectory of SI among medical students was divided into two groups: a low risk, slowly rising group and a high risk, continuous group. The low risk, slowly rising group had a significant time effect (B = 1.57, p < 0.001) and showed a slowly increasing trend. Emotional neglect (EN), physical neglect (PN), emotional abuse (EA) and physical abuse (PA) all had significant positive predictive effects for the high risk, continuous group (B = 0.18-0.65, P < 0.01). CONCLUSION: The trajectory of SI among medical students can be divided into a low risk, slowly rising group and a high risk, continuous group; the more EN, PN, EA and PA experienced during childhood, the more likely medical students are to develop a high risk, continuous state of SI.

Improving the humification by additives during composting: A review.

Humic substances (HSs) are key indicators of compost maturity and are important for the composting process. The application of additives is generally considered to be an efficient and easy-to-master strategy to promote the humification of composting and quickly caught the interest of researchers. This review summarizes the recent literature on humification promotion by additives in the composting process. Firstly, the organic, inorganic, biological, and compound additives are introduced emphatically, and the effects and mechanisms of various additives on composting humification are systematically discussed. Inorganic, organic, biological, and compound additives can promote 5.58-82.19%, 30.61-50.92%, 2.3-40%, and 28.09-104.51% of humification during composting, respectively. Subsequently, the advantages and disadvantages of various additives in promoting composting humification are discussed and indicated that compound additives are the most promising method in promoting composting humification. Finally, future research on humification promotion is also proposed such as long-term stability, environmental impact, and economic feasibility of additive in the large-scale application of composting. It is aiming to provide a reference for future research and the application of additives in composting.

The stress model of neuroticism and anxiety symptoms in fishermen.

BACKGROUND: Marine fishermen experience high levels of environmental and relationship stress and anxiety. The current study explored the role of stress in the relationship between neuroticism and anxiety symptoms among marine fishermen. MATERIALS AND METHODS: Participants (fishermen from Tanmen in Qionghai city, Hainan Province) completed three questionnaires: the NEO-Five-Factor Inventory-Neuroticism Subscale (NEO-FFI-N); the Mental Stressor Investigation Questionnaire (MSIQ); and the Mood and Anxiety Symptoms Questionnaire-30-item-Anxious Arousal Subscale (MASQ-D30-AA) within 1 week before embarking on a fishing trip and then again within 1 week after their return to port. The data were subjected to correlational analyses and structural equation modelling. RESULTS: Positive correlations were found between NEO-FF-N (neuroticism) score, MSIQ score (total stress), MSIQ work-relationship score, ship environmental stress score, and MASQ score (anxiety symptoms). Regression analyses showed environmental stress had a significant moderating effect on the relationship between neuroticism and anxiety symptoms, and further analysis showed a mediating effect of work-relationship stress on the relationship between neuroticism and anxiety symptoms. CONCLUSIONS: Marine fishermen with high environmental stress had greater anxiety symptoms than those with low environmental stress. Neuroticism in marine fishermen further affects anxiety symptoms by affecting the level of work-relationship stress.

An electrochemical aptasensor with N protein binding aptamer-complementary oligonucleotide as probe for ultra-sensitive detection of COVID-19.

The emergence of the COVID-19 epidemic has affected the lives of hundreds of millions of people globally. There is no doubt that the development of fast and sensitive detection methods is crucial while the worldwide effective vaccination programs are miles away from actualization. In this study, we have reported an electrochemical N protein aptamer sensor with complementary oligonucleotide as probe for the specific detection of COVID-19. The electrochemical aptasensor was prepared by fixing the double-stranded DNA hybrid obtained by the hybridization of N protein aptamer and its Fc-labeled complementary strand on the surface of a gold electrode. After incubation with the target, the aptamer dissociated from the labeled complementary DNA oligonucleotide hybrid to preferentially bind with N protein in the solution. The concentration of N protein was measured by detecting the changes in electrochemical current signals induced by the conformational transformation of the complementary DNA oligonucleotide left on the electrode surface. The sensor had a linear relationship between the logarithm of the N protein concentration from 10 fM to 100 nM (ΔIp = 0.098 log CN protein/fM - 0.08433, R2 = 0.99), and the detection limitation was 1 fM (S/N = 3). The electrochemical aptamer sensor was applied to test the spiked concentrations of throat swabs and blood samples from three volunteers, and the obtained results proved that the sensor has great potentials for the early detection of COVID-19 in patients.

Fabrication, application, and mechanism of metal and heteroatom co-doped biochar composites (MHBCs) for the removal of contaminants in water: A review.

The potential risk of various contaminants in water has recently attracted public attention. Biochars and modified biochars have been widely developed for environmental remediation. Metal and heteroatom co-doped biochar composites (MHBCs) quickly caught the interest of researchers with more active sites and higher affinity for contaminants compared to single-doped biochar by metal or heteroatoms. This study provides a comprehensive review of MHBCs in wastewater decontamination. Firstly, the main fabrication methods of MHBCs were external doping and internal doping, with external doping being the most common. Secondly, the applications of MHBCs as adsorbents and catalysts in water treatment were introduced emphatically, which mainly included the removal of metals, antibiotics, dyes, pesticides, phenols, and other organic contaminants. Thirdly, the removal mechanisms of contaminants by MHBCs were deeply discussed in adsorption, oxidation and reduction, and degradation. Furthermore, the influencing factors for the removal of contaminants by MHBCs were also summarized, including the physicochemical properties of MHBCs, and environmental variables of pH and co-existing substance. Finally, futural challenges of MHBCs are proposed in the leaching toxicity of metal from MHBCs, the choice of heteroatoms on the fabrication for MHBCs, and the application in the composite system and soil remediation.

Effects of CaO2 based Fenton - like reaction on heavy metals and microbial community during co-composting of straw and sediment.

In this study, a Fenton-like system was constructed by CaO2 and nano-Fe3O4 in the co-composting system of straw and sediment. Its effect on the passivation of heavy metals and the evolution of microbial community were investigated. The results showed that the establishment of CaO2-Fenton-like system increased the residual Cu and residual Zn by 27.62% and 16.80%, respectively. In addition, the CaO2-Fenton-like system facilitated the formation of humic acid (HA) up to 20.84 g·kg-1. Redundancy analysis (RDA) showed that the CaO2-Fenton-like system accelerated bacterial community succession and promoted the passivation of Cu and Zn. Structural equation models (SEMs) indicated that Fenton reaction affected Cu and Zn passivation by affecting pH, bacterial communities, and HA. This study shows that the CaO2-Fenton-like system could promote the application of composting in the remediation of heavy metals contamination in sediment.

Effect of attapulgite on heavy metals passivation and microbial community during co-composting of river sediment with agricultural wastes.

This paper investigated the effects of attapulgite addition on the physicochemical processes, heavy metal transformation, and microbial community during the composting of agricultural wastes and sediment. In addition, the correlation between environmental factors, heavy metals (HMs), and microbial community was also assessed by redundancy analysis (RDA). The results showed that pile B with attapulgite addition entered the thermophilic phase earlier and lasted longer than pile A as the control group. The reduction in the bioavailability of HMs (Cr, Cd, and Zn) was also greater in pile B, and the passivation of HMs was ranked as Cd > Zn > Cr. The relative abundance of phylum Proteobacteria, Firmicutes, Bacteroidetes, and Actinobacteria was the highest throughout the composting process. Furthermore, the RDA showed that the bacterial community composition was significantly correlated with temperature and C/N ratio in pile A, while significantly correlated with organic matter and pH in pile B. And the addition of attapulgite facilitated the conversion of HMs into more stable fractions by Pseudomonas. The study would provide a reference for the application of attapulgite to remediate the river sediment polluted by HMs.

Evolution of humic substances and the forms of heavy metals during co-composting of rice straw and sediment with the aid of Fenton-like process.

The Fenton-like process was established by Fe3O4 nanomaterials (NMs) and Phanerochaete chrysosporium or oxalate, and applied to the co-composting of rice straw and sediment to study its effect on the formation of humic substance and the bioavailability of Cd, Cu, and Pb. Results shown that the application of Fenton-like process significantly promoted the passivation of Cd and Cu, while not shown obvious enhancement for Pb. The decrease of exchangeable fraction Cd (EXC-Cd) and the humic acid (HA) content in pile B with Fe3O4 NMs and oxalate were highest, which were 22.35% and 20.3 g/kg, respectively. Redundancy analyses (RDA) manifested that the Fenton-like process enhanced the influence of humus substance on the bioavailability of Cd, Cu, and Pb. Excitation-emission matrix (EEM) fluorescence spectra analysis suggested that Fenton-like process could obviously enhance the generation of humic substance. This research provides a new perspective and way for composting to remediate heavy metals pollution.

Hydroxyapatite modified sludge-based biochar for the adsorption of Cu2+ and Cd2+: Adsorption behavior and mechanisms.

This study prepared sewage sludge, a municipal solid waste, into a biochar modified by hydroxyapatite (HAP) as a new and efficient absorbent (HAP-SSBC) for removal of Cu2+ and Cd2+ from aqueous solution. Adsorption experiment revealed that HAP-SSBC exhibited significantly higher adsorption performance than raw sludge-based biochar (SSBC). At 298.15 K, the maximum adsorption capacity of Cu2+ and Cd2+ via Langmuir model were 89.98 and 114.68 mg/g, respectively. Adsorption kinetic experiment revealed that chemisorption was the main reaction. Analysis of X-ray diffraction (XRD), Fourier transform infrared (FT-IR) spectroscopy and X-ray photoelectron spectrum (XPS) further confirmed that the main mechanisms were ion exchange with Ca2+, complexion by -OH and -COOH, and forming Cu-π or Cd-π binding with aromatic CC on HAP-SSBC surface. Overall, combing HAP and SSBC to be a new adsorbent is beneficial to the resource utilization of sludge and shows a good prospect for heavy metal removal in aqueous solution.

Work Stress and Depressive Symptoms in Fishermen With a Smoking Habit: A Mediator Role of Nicotine Dependence and Possible Moderator Role of Expressive Suppression and Cognitive Reappraisal.

This study examined pathways of influence between work stress, depressive symptoms, nicotine dependence, expressive suppression, and cognitive reappraisal in fishermen with smoking habits in Qionghai, Hainan province, China (N = 1068). These fishermen responded to multiple assessments a week before leaving on a deep-sea fishing trip, including a Mental Stressor Investigation Questionnaire (MSIQ), the Center for Epidemiological Studies Depression Scale (CES-D), the Russell Reason for Smoking Questionnaire (RRSQ), and an Emotion Regulation Questionnaire (ERQ). Structural equation modeling (SEM) analyses of the collected data in Mplus 7 showed that work stress and nicotine dependence were independent predictors of depressive symptoms. The relationship between work stress and depressive symptoms was found to be partially mediated by nicotine dependence and be moderated by cognitive reappraisal. The evidence suggests it advantageous to examine the need of work stress, nicotine dependence, and cognitive reappraisal when attempting to understand depressive symptoms in fishermen with a smoking habit. These findings suggest that improving nicotine dependence through work stress management and training in cognitive reappraisal could be utilized as effective modalities for improving depressive symptoms.

Poly(Ionic Liquid): A New Phase in a Thermoregulated Phase Separated Catalysis and Catalyst Recycling System of Transition Metal-Mediated ATRP.

Poly(ionic liquid)s (PILs) have become the frontier domains in separation science because of the special properties of ionic liquids as well as their corresponding polymers. Considering their function in separation, we designed and synthesized a thermoregulated PIL. That is, this kind of PIL could separate with an organic phase which dissolves the monomers at ambient temperature. When heated to the reaction temperature, they become a homogeneous phase, and they separate again when the temperature falls to the ambient temperature after polymerization. Based on this, a thermoregulated phase separated catalysis (TPSC) system for Cu-based atom transfer radical polymerization (ATRP) was constructed. The copper catalyst (CuBr2) used here is easily separated and recycled in situ just by changing the temperature in this system. Moreover, even when the catalyst had been recycled five times, the controllability over resultant polymers is still satisfying. Finally, only 1~2 ppm metal catalyst was left in the polymer solution phase, which indicates the really high recycling efficiency.

Surface modification of carbon nanotubes by using iron-mediated activators generated by electron transfer for atom transfer radical polymerization.

Herein, a surface-initiated activator generated by electron transfer for an atom transfer radical polymerization (AGET ATRP) system was developed on the surface of multiwall carbon nanotubes (MWCNTs) by using FeCl3·6H2O as the catalyst, tris-(3,6-dioxoheptyl) amine (TDA-1) as the ligand and ascorbic acid (AsAc) as the reducing agent. A wide range of polymers, such as polystyrene (PS), poly(methyl methacrylate) (PMMA) and poly(poly(ethylene glycol) methyl ether methacrylate) (PPEGMA), were successfully grafted onto the surfaces. The core-shell structure of MWCNTs@PS was observed by TEM. Both Raman spectra and the results of hydrolysis of MWCNTs@PS (after extraction by THF) confirmed that the PS chains were covalently tethered onto the surfaces of the MWCNTs. Due to superior biocompatibility of the iron catalyst, the strategy of modification of MWCNTs via iron-mediated AGET ATRP provided a promising method for the controllable and biocompatible modification of nanomaterials.

Increased serum VDBP as a risk predictor for steroid resistance in asthma patients.

BACKGROUND: Asthmatic symptoms usually can be controlled with corticosteroids, but partly asthmatic patients do not respond to corticosteroids, steroid resistance (SR) play a significant role in the poorly responding. However, no approach can accurately predict steroid responsiveness in asthma patients, so prediction of SR with noninvasive means has become a critical issue. OBJECTIVE: The aim of this study was to evaluate the difference in serum proteomes between steroid-sensitive asthma (SSA) and steroid-resistant asthma (SRA) patients and identify potential biomarkers for the prediction of SR in asthma patients. METHODS: We performed a proteomic approach of fluorescence-based difference gel electrophoresis (DIGE) and mass spectrometry to identify biomarkers in the serum obtained from SRA and SSA patients (n = 6 in each group). The interesting biomarker was further studied using western blot and enzyme-linked immunosorbent assays (ELISA). RESULTS: Seven differentially expressed proteins between SSA and SRA group were identified. Among them, vitamin D-binding protein (VDBP) attracted our further attention as the greatest changed protein. Serum VDBP was significantly up-regulated in SRA group compared with SSA group, and the differential expression was confirmed with western blot analysis. The ELISA data showed the serum level of VDBP was significantly higher in SRA group than that in SSA and control group (496.50 ± 204.62 vs. 279.73 ± 163.65, 241.93 ± 98.58 µg/ml, respectively, p < 0.01). Correlation analysis indicated serum VDBP was positively correlated with neutrophils% and monocytes% (p < 0.05), but inversely correlate with serum 25OHD (p < 0.05). Regression analysis showed increased serum VDBP was a risk predictor of SRA, and serum 25OHD was an independent influential factor of serum VDBP. Using the receiver operating characteristic curve, we determined the area under the curve (AUC) of VDBP was 0.792, and the optimal serum cutoff value of VDBP was 355.8 µg/ml, which can discriminate SRA from asthma patients with 65.2% sensitivity and 83.7% specificity. CONCLUSIONS: This study provides a novel overview of the difference in serum proteomes of SSA and SRA. We suppose serum VDBP may serve as a useful biomarker for predicting SR in asthma patients, and may participate in the pathogenesis of SRA.