Preoperative exercise training decreases complications of minimally invasive lung cancer surgery: A randomized controlled trial.

OBJECTIVE: Limited evidence exists regarding the efficacy of preoperative exercise in reducing short-term complications after minimally invasive surgery in patients with non-small cell lung cancer. This study aims to investigate the impact of preoperative exercise on short-term complications after minimally invasive lung resection. METHODS: In this prospective, open-label, randomized (1:1) controlled trial at Xiangya Hospital, China (September 2020 to February 2022), patients were randomly assigned to a preoperative exercise group with 16-day alternate supervised exercise or a control group. The primary outcome assessed was short-term postoperative complications, with a follow-up period of 30 days postsurgery. RESULTS: A total of 124 patients were recruited (preoperative exercise group n = 62; control n = 62). Finally, 101 patients (preoperative exercise group; n = 51 and control; n = 50) with a median age of 56 years (interquartile range, 50-62 years) completed the study. Compared with the control group, the preoperative exercise group showed fewer postoperative complications (preoperative exercise 3/51 vs control 10/50; odds ratio, 0.17; 95% CI, 0.04-0.86; P = .03) and shorter hospital stays (mean difference, -2; 95% CI, -3 to -1; P = .01). Preoperative exercise significantly improved depression, stress, functional capacity, and quality of life (all P < .05) before surgery. Furthermore, preoperative exercise demonstrated a significantly lower minimum blood pressure during surgery and lower increases in body temperature on day 2 after surgery, neutrophil-to-lymphocyte ratio, and neutrophil count after surgery (all P < .05). Exploratory research on lung tissue RNA sequencing (5 in each group) showed downregulation of the tumor necrosis factor signaling pathway in the preoperative exercise group compared with the control group. CONCLUSIONS: Preoperative exercise training decreased short-term postoperative complications in patients with non-small cell lung cancer.

Source-specific light absorption and radiative effects decreases and indications due to the lockdown.

The 'extreme' emission abatement during the lockdown (from the end of 2019 to the early 2020) provided an experimental period to investigate the corresponding source-specific effects of aerosol. In this study, the variations of source-specific light absorption (babs) and direct radiative effect (DRE) were obtained during and after the lockdown period by using the artificial neural network (ANN) and source apportionment environmental receptor model. The results showed that the babs decreased for all sources during the two periods. The most reductions were observed with ∼90% for traffic-related emissions (during the lockdown) and ∼85% for coal combustion (after the lockdown), respectively. Heightened babs (370 nm) values were obtained for coal and biomass burning during the lockdown, which was attributed to the enhanced atmospheric oxidization capacity. Nevertheless, the variations of babs (880 nm) after the lockdown was mainly due to the weakening of oxidation and reduced emissions of secondary precursors. The present study indicated that the large-scale emission reduction can promote both reductions of babs (370 nm) and DRE (34-68%) during the lockdown. The primary emissions decrease (e.g., Traffic emission) may enhance atmosphere oxidation, increase the ultraviolet wavelength light absorption and DRE efficiencies. The source-specific emission reduction may be contributed to various radiation effects, which is beneficial for the adopting of control strategies.

Extracellular macrophage migration inhibitory factor (MIF) downregulates adipose hormone-sensitive lipase (HSL) and contributes to obesity.

Attenuation of adipose hormone sensitive lipase (HSL) may impair lipolysis and exacerbate obesity. We investigate the role of cytokine, macrophage migration inhibitory factor (MIF) in regulating adipose HSL and adipocyte hypertrophy. Extracellular MIF downregulates HSL in an autocrine fashion, by activating the AMPK/JNK signaling pathway upon binding to its membrane receptor, CD74. WT mice fed high fat diet (HFD), as well as mice overexpressing MIF, both had high circulating MIF levels and showed suppression of HSL during the development of obesity. Blocking the extracellular action of MIF by a neutralizing MIF antibody significantly reduced obesity in HFD mice. Interestingly, intracellular MIF binds with COP9 signalosome subunit 5 (Csn5) and JNK, which leads to an opposing effect to inhibit JNK phosphorylation. With global MIF deletion, adipocyte JNK phosphorylation increased, resulting in decreased HSL expression, suggesting that the loss of MIF's intracellular inhibitory action on JNK was dominant in Mif-/- mice. Adipose tissue from Mif-/- mice also exhibited higher Akt and lower PKA phosphorylation following HFD feeding compared with WT, which may contribute to the downregulation of HSL activation during more severe obesity. Both intracellular and extracellular MIF have opposing effects to regulate HSL, but extracellular actions predominate to downregulate HSL and exacerbate the development of obesity during HFD.

Elaborations of the influencing factors on the formation of secondary inorganic aerosols in a heavily polluted urban area of China.

In this study, online water-soluble inorganic ions were detected to deduce the formation mechanism of secondary inorganic aerosol in Xianyang, China during wintertime. The dominant inorganic ions of sulfate (SO42-), nitrate (NO3-), and ammonium (NH4+) (the sum of those is abbreviated as SNA) accounted for 17%, 21%, and 12% of PM2.5 mass, respectively. While the air quality deteriorated from excellent to poor grades, the precursor gas sulfur dioxide (SO2) of SO42- increased and then decreased with a fluctuation, while nitrogen dioxide (NO2) and ammonia (NH3), precursors of NO3- and NH4+, and SNA show increasing trends. Meteorological factors including boundary layer height (BLH), temperature, and wind speed also show decline trends, except relative humidity (RH). Meanwhile, the secondary conversion ratio shows a remarkable increasing trend, indicating that there was a strong secondary transformation. From the perspective of chemical mechanisms, RH is positively correlated with sulfur oxidation ratios (SOR), nitrogen oxidation ratios (NOR), and ammonia conversion ratios, representing that the increase of humidity could promote the generation of SNA. Notably, SOR and NOR were also positively related to the ammonia. On the one hand, the low wind speed and BLH led to the accumulation of pollutants. On the other hand, the increases of RH and ammonia promoted more formations of SNA and PM2.5. The results advance our identification of the contributors to the haze episodes and assist to establish more efficient emission controls in Xianyang, in addition to other cities with similar emission and geographical characteristics.

Cardiorespiratory fitness and morbidity and mortality in patients with non-small cell lung cancer: a prospective study with propensity score weighting.

INTRODUCTION: This study aimed to investigate the association between cardiorespiratory fitness (CRF) and perioperative morbidity and long-term mortality in operable patients with early-stage non-small cell lung cancer (NSCLC). PATIENTS AND METHODS: This prospective study included consecutive patients with early-stage NSCLC who underwent presurgical cardiopulmonary exercise testing between November 2014 and December 2019 (registration number: ChiCTR2100048120). Logistic and Cox proportional hazards regression were applied to evaluate the correlation between CRF and perioperative complications and long-term mortality, respectively. Propensity score overlap weighting was used to adjust for the covariates. We performed sensitivity analyses to determine the stability of our results. RESULTS: A total of 895 patients were followed for a median of 40 months [interquartile range 25]. The median age of the patients was 59 years [range 26-83], and 62.5% were male. During the study period, 156 perioperative complications and 146 deaths were observed. Low CRF was associated with a higher risk of death (62.9 versus 33.6 per 1000 person-years; weighted incidence rate difference, 29.34 [95% CI, 0.32 to 58.36] per 1000 person-years) and perioperative morbidity (241.6 versus 141.9 per 1000 surgeries; weighted incidence rate difference, 99.72 [95% CI, 34.75 to 164.70] per 1000 surgeries). A CRF of ≤ 20 ml/kg/min was significantly associated with a high risk of long-term mortality (weighted hazard ratio, 1.98 [95% CI, 1.31 to 2.98], p < 0.001) and perioperative morbidity (weighted odds ratio, 1.93 [1.28 to 2.90], p = 0.002) compared to higher CRF. CONCLUSION: The study found that low CRF is significantly associated with increased perioperative morbidity and long-term mortality in operable patients with early-stage NSCLC.

Low cardiorespiratory fitness is significantly associated with increased perioperative morbidity and long-term mortality in operable patients with early-stage non-small cell lung cancer.Future research is recommended to investigate the potential prognostic role of integrating cardiorespiratory fitness into the currently used prognosis algorithm for patients with non-small cell lung cancer.

[Retracted] Astragaloside IV inhibits platelet­derived growth factor­BB­stimulated proliferation and migration of vascular smooth muscle cells via the inhibition of p38 MAPK signaling.

[This retracts the article DOI: 10.3892/etm.2014.1905.].

Exercise prevents fatal stress-induced myocardial injury in obese mice.

Introduction: This study aimed to explore whether aerobic exercise (AE) can prevent fatal stress-induced myocardial injury. Methods: Thirty C57BL/6J mice were divided into either a normal diet, high-fat diet, or high-fat diet plus AE (n=10 per group). The AE protocol consisted of eight weeks of swimming. At the end of the diet and AE interventions, the mice were stimulated with fatal stress caused by exhaustive exercise (forced weight-loaded swimming until exhaustion), after which cardiac function was evaluated using echocardiography, myocardial ultrastructure was examined using transmission electron microscopy, and myocardial apoptosis was assessed using western blotting and TUNEL. Mitophagy, mitochondrial biogenesis and dynamics, and activation of the macrophage migration inhibitor factor (MIF)/AMP-activated protein kinase (AMPK) pathway were evaluated using quantitative PCR and western blotting. Obesity phenotypes were assessed once per week. Results: AE reversed high-fat diet-induced obesity as evidenced by reductions in body weight and visceral fat compared to obese mice without AE. Obesity exacerbated fatal stress-induced myocardial damage, as demonstrated by impaired left ventricular ejection fraction and myocardial structure. The apoptotic rate was also elevated upon fatal stress, and AE ameliorated this damage. Obesity suppressed mitophagy, mitochondrial fission and fusion, and mitochondrial biogenesis, and these effects were accompanied by suppression of the MIF/AMPK pathway in the myocardium of mice subjected to fatal stress. AE alleviated or reversed these effects. Conclusion: This study provides evidence that AE ameliorated fatal stress-induced myocardial injury in obese mice. The cardioprotective effect of AE in obese mice might be attributed to improved mitochondrial quality.

The long-term impact of the COVID-19 pandemic on physical fitness in young adults: a historical control study.

The strength of evidence regarding long-term changes to fitness resulting from the coronavirus disease 2019 (COVID-19) lockdowns is deficient. This two-site retrospective study aimed to investigate the long-term changes in physical fitness among young adults a year after the onset of the pandemic using a robust historical control. University freshmen who underwent physical fitness tests in 2019 and completed a follow-up in 2020 (study group) were included. The primary focus was to compare the current cohort with a historical control group who completed the same tests a year prior (2018). A total of 5376 individuals were recruited, of which 2239 were in the study group. Compared with the control, the study group exhibited a decrease in anaerobic fitness, with an overall difference of -0.84 (95% confidence interval [CI], [-1.33 to -0.36]); declines in aerobic fitness, with a difference of -2.25 [-3.92 to -0.57] for males and -4.28 [-4.97 to -3.59] for females; a reduced explosive fitness (-2.68 [-3.24 to -2.12]); and a decreased upper-body strength in females (-1.52 [-2.16 to -0.87]). The fitness of young adults has been considerably compromised by COVID-19 lockdowns, highlighting the importance of promoting physical activity to prevent long-term health implications.

Intermittent fasting activates macrophage migration inhibitory factor and alleviates high-fat diet-induced nonalcoholic fatty liver disease.

Switching to normal diet (ND) is the regular therapy for high-fat diet (HFD)-induced nonalcoholic fatty liver disease (NAFLD). Intermittent fasting (IF) is a unique treatment which may exhibits better therapeutic efficacy. Thus, we aim to investigate the therapeutic effects of these treatments and exploring the mechanisms. In the present study, NAFLD mouse model was induced by a 10-week HFD. Thereafter, mice adopted continued HFD, ND, or IF for the next 12 weeks. Finally, the liver was then harvested to assess lipid deposition, lipid metabolism, apoptosis, and autophagy, while blood was collected to determine blood glucose and insulin. The results showed that IF and ND treatment improved lipid deposition and metabolic disorder of NAFLD mice; the increasing body weight, liver weight, and HOMA-IR index of HFD mice were also alleviated by IF and ND. Furthermore, IF and ND treatment activated the macrophage migration inhibitory factor (MIF)/AMPK pathway and regulated its downstream autophagy and apoptosis. However, the efficacy of IF was better than ND. Both IF and ND activates MIF signaling and alleviate the lipotoxicity of NAFLD while IF therapy is more effective than ND. The different MIF up-regulation might be the underlying mechanism of why IF benefits more than ND.

A pref-1-controlled non-inflammatory mechanism of insulin resistance.

While insulin resistance (IR) is associated with inflammation in white adipose tissue, we report a non-inflammatory adipose mechanism of high fat-induced IR mediated by loss of Pref-1. Pref-1, released from adipose Pref-1+ cells with characteristics of M2 macrophages, endothelial cells or progenitors, inhibits MIF release from both Pref-1+ cells and adipocytes by binding with integrin ß1 and inhibiting the mobilization of p115. High palmitic acid induces PAR2 expression in Pref-1+ cells, downregulating Pref-1 expression and release in an AMPK-dependent manner. The loss of Pref-1 increases adipose MIF secretion contributing to non-inflammatory IR in obesity. Treatment with Pref-1 blunts the increase in circulating plasma MIF levels and subsequent IR induced by a high palmitic acid diet. Thus, high levels of fatty acids suppress Pref-1 expression and secretion, through increased activation of PAR2, resulting in an increase in MIF secretion and a non-inflammatory adipose mechanism of IR.

County-level and monthly resolution multi-pollutant emission inventory for residential solid fuel burning in Fenwei Plain, China.

The Fenwei Plain (FWP) in central China is the fourth largest plain nationwide. This region has experienced severe air pollution during the past decades, largely due to residential solid fuel burning. A regional-scale emission inventory covering multi-pollutants was currently unavailable for this area due to the lack of localized emission factors (EFs) from various sources. In this study, localized EFs derived from previous in situ measurements and detailed county-level activity data were used to develop an emission inventory of particulate and gaseous pollutants for the source sector of five residential solid fuels in the FWP in 2020. Emissions of particulate matter with an aerodynamic diameter of ≤2.5 µm (PM2.5), organic carbon (OC), elemental carbon (EC), ions, polycyclic aromatic hydrocarbons (PAHs), carbon monoxide (CO), nitrogen oxides (NOx), sulfur dioxide (SO2), and volatile organic compounds (VOCs) were estimated to be 230-290, 89-160, 20-29, 31-54, 0.93-22, 2100-3600, 64-87, 9.3-12, and 45-92 Gg/yr, respectively. The county-level distribution characteristics differed between pollutant species due to their different EFs and consumption patterns of solid fuels. Shouyang County emitted most for all pollutants (2.66%-4.91% of the region total) except PM2.5 and SO2, for which Xiangfen and Hongtong County emitted the most (2.64% and 2.90%), respectively. Emissions were higher in cold (SO2 during November to January, other pollutants during November to February) than warm months. Uncertainties in this newly developed emission inventory were estimated to be 25.2%-69.8%, much lower than those of existing ones, demonstrating the reliability of this inventory. Gini coefficients indicated that EC, PAHs, NOx, and VOC emissions exhibited evident regional disparities, e.g., Yuncheng and Jinzhong had high pollution levels despite low economic output. Future emission control policies should first focus on developing regions with high pollution in FWP.

Prognostic role of minute ventilation/carbon dioxide production slope for perioperative morbidity and long-term survival in resectable patients with nonsmall-cell lung cancer: a prospective study using propensity score overlap weighting.

BACKGROUND: The role of minute ventilation/carbon dioxide production ( / CO 2 ) slope, a ventilation efficiency marker, in predicting short-term and long-term health outcomes for patients with nonsmall-cell lung cancer (NSCLC) undergoing lung resection has not been well investigated. MATERIAL AND METHODS: This prospective cohort study consecutively enrolled NSCLC patients who underwent a presurgical cardiopulmonary exercise test from November 2014 to December 2019. The association of / CO 2 slope with relapse-free survival (RFS), overall survival (OS), and perioperative mortality was evaluated using the Cox proportional hazards and logistic models. Covariates were adjusted using propensity score overlap weighting. The optimal cut-off point of the E/ CO 2 slope was estimated using the receiver operating characteristics curve. Internal validation was completed through bootstrap resampling. RESULTS: A cohort of 895 patients [median age (interquartile range), 59 (13) years; 62.5% male] was followed for a median of 40 (range, 1-85) months. Throughout the study, there were 247 relapses or deaths and 156 perioperative complications. The incidence rates per 1000 person-years for relapses or deaths were 108.8 and 79.6 among patients with high and low E/ CO 2 slopes, respectively [weighted incidence rate difference per 1000 person-years, 29.21 (95% CI, 7.30-51.12)]. A E/ CO 2 slope of greater than or equal to 31 was associated with shorter RFS [hazard ratio for relapse or death, 1.38 (95% CI, 1.02-1.88), P =0.04] and poorer OS [hazard ratio for death, 1.69 (1.15-2.48), P =0.02] compared to a lower / CO 2 slope. A high E/ CO 2 slope increased the risk of perioperative morbidity compared with a low E/ CO 2 slope [odds ratio, 2.32 (1.54-3.49), P <0.001]. CONCLUSIONS: In patients with operable NSCLC, a high E/ CO 2 slope was significantly associated with elevated risks of poorer RFS, OS, and perioperative morbidity.

Capillary rise induced salt deterioration on ancient wall paintings at the Mogao Grottoes.

Salt deterioration has been found to be a major threat to wall paintings at culture heritage sites in arid areas along the Silk Road. However, the routes of water migration that cause the efflorescence have not been identified, and consequently, effective preservation measures have not been developed. Our microanalysis, by interrogating 93,727 individual particles collected in a Mogao cave in Dunhuang, China, revealed that capillary rise of water in the earthen plasters drives the deterioration of wall paintings. The vertical distribution of chloride and sulfate particles in the salt efflorescence and their morphologies implied a migration of salts through capillary rise and subsequent crystal growth under environmental conditions exerts sufficient pressure to cause surface decay and loss. These results indicate that blocking the water capillary rise under the porous structures is likely the most effective route to prevent rapid deterioration of the ancient wall paintings. These salt transport and deterioration mechanisms in an arid environment, suggests that a wide range of management strategies and protective measures could be developed to effectively preserve heritage sites in arid regions, especially along the Silk Road.

Light-induced wrinkling instability of confined annulus liquid crystal elastomer film.

Authors of previous studies have focused on wrinkling phenomena in thin films with relatively large stiffness under mechanical loadings. A liquid crystal elastomer (LCE) is a smart soft material sensitive to various environmental stimuli. In this letter, we investigate the wrinkling instability of a confined LCE film with different inner hole sizes induced by light illumination. The LCE film is clamped at the outer edge and has a free inner edge. Based on linear perturbation analysis, we obtain the critical condition for the onset of wrinkling instability. Whether the film will remain flat or bifurcate into a wrinkled state is determined by the value of expansion coefficient, light intensity, inner hole size, and thickness of the LCE film. We find that a film with a bigger inner hole size corresponds to a large wrinkle number and show that the expansion coefficient of a LCE and light intensity can be used to adjust the wrinkling instability behavior and time consumption for the appearance of wrinkles.

High time-resolution source apportionment and health risk assessment for PM2.5-bound elements at an industrial city in northwest China.

To better respond to heavy air pollution, the local government of Baoji City, a traditionally industry dominated city in northwest China, released several warning levels between December 2019 and January 2020. The system aims to provide a more efficient control of pollution sources. In this study, a high-time resolution measurement of PM2.5-bound elements was applied to capture the diurnal-scale dynamic processes associated with major pollution activities in northwest China. A series of elements were quantified and used for source apportionment using the positive matrix factorization (PMF) model. Combined with the local characteristics, nine sources were resolved with contributions in descending order: fugitive dust (36.6 %), biomass burning (20.1 %), traffic-related (10.4 %), coal combustion (10.0 %), titanium alloy smelting (7.2 %), As-related industry (6.9 %), Zn-related industry (5.6 %), molybdenum alloy smelting (2.5 %), and Cr-related industry (0.7 %). The health risk assessment indicated non-carcinogenic risks for Mn and carcinogenic risks for As and Cr in both adults and children. The cumulative non-carcinogenic risk for the elements was 3.2 times the safety threshold, while the carcinogenic risk (CR) was 6.8 and 27 times the acceptable levels for children and adults, respectively. For source-resolved risks, As- and Cr-related industry emissions showed the highest carcinogenic risk. Five of the nine resolved sources for adults have CR values 1.4 and 9.7 times the acceptable level. This study provides valuable information for developing targeted strategies to control air pollutants and protect public health.

Variations of the urban PM2.5 chemical components and corresponding light extinction for three heating seasons in the Guanzhong Plain, China.

In order to investigate the variations of PM2.5 (particulate matter with an aerodynamic diameter less than 2.5 µm) chemical components responding to the pollution control strategy and their effect on light extinction (bext) in the Guanzhong Plain (GZP), the comparisons of urban atmospheric chemical components during the heating seasons were extensively conducted for three years. The average concentration of PM2.5 decreased significantly from 117.9 ± 57.3 µg m-3 in the heating season 1 (HS1) to 53.5 ± 31.3 µg m-3 in the heating season 3 (HS3), which implied that the effective strategies were implemented in recent years. The greatest contribution to PM2.5 (∼30%) was from Organic matter (OM). The heightened contributions of the secondary inorganic ions (SNA, including NO3-, SO42-, and NH4+) to PM2.5 were observed with the values of 34% (HS1), 41% (HS2), and 42% (HS3), respectively. The increased percentages of NO3- contributions indicated that the emission of NOx should be received special attention in the GZP. The comparison of PM2.5 chemical compositions and implications across major regions of China and the globe were investigated. NH4NO3 was the most important contributor to bext in three heating seasons. The average bext was decreased from 694.3 ± 399.1 Mm-1 (HS1) to 359.3 ± 202.3 Mm-1 (HS3). PM2.5 had a threshold concentration of 75 µg m-3, 64 µg m-3, and 57 µg m-3 corresponding to the visual range (VR) < 10 km in HS1, HS2, and HS3, respectively. The enhanced impacts of the oxidant on PM2.5 and O3 were observed based on the long-term variations in PM2.5 and OX (Oxidant, the sum of O3 and NO2 mixing ratios) over the five heating seasons and PM2.5 and O3 over six summers from 2016 to 2021. The importance of coordinated control of PM2.5 and O3 was also investigated in the GZP.

Urgency of controlling agricultural nitrogen sources to alleviate summertime air pollution in the North China Plain.

Agricultural nitrogen sources (ANS) have played an increasingly important role in the air quality since ANS emission controls are much weaker than those for fossil fuel combustion sources due to the increasing food demand. However, ANS emissions are highly uncertain due to stochastic agricultural management activities and limited field measurements, and impacts of ANS on the air quality remain elusive. In the study, the WRF-Chem model has been used to investigate ANS shares in near surface air pollutant concentrations during a growing season in the North China Plain (NCP), with ANS emissions constrained by satellite retrievals. Soil NOX and agricultural NH3 emissions are about 36% and 92% of their total emissions during the growing season. Sensitivity studies demonstrate that ANS count 16.9 µg m-3 (9.9%) of the mean maximum daily average 8-h ozone concentrations (MDA8 [O3]) and 8.9 µg m-3 (31.7%) of fine particulate matter concentrations ([PM2.5]) on average in the NCP. Additionally, the contributions of ANS to MDA8 [O3] and [PM2.5] increase with the deterioration of air pollution in cities. A 50% emission reduction in ANS decreases MDA8 [O3] ([PM2.5]) from 4.2% to 8.4% (from 19.7% to 31.9%) when the air quality changes from being lightly to heavily polluted in terms of MDA8 [O3] (hourly [PM2.5]). Without fossil fuel combustion emissions, the simulated average MDA8 [O3] and [PM2.5] are 111.7 and 8.2 µg m-3 in cities of the NCP, respectively, exceeding the new standards from the World Health Organization. Our study highlights important contributions of ANS to air quality and the urgency of ANS emission abatement for air pollution alleviation during summertime in the NCP.

Rhodiola pre-conditioning reduces exhaustive exercise-induced myocardial injury of insulin resistant mice.

Myocardial injury reduction and recovery under acute cardiac stress are adversely impacted by insulin resistance (IR). We previously demonstrated that Rhodiola improved cardiac anti-stress capacity in mice. Thus, this study focuses on the preventive efficacy of Rhodiola on exhaustive exercise (EE)-induced myocardial injury of IR mice. An 8-week high-fat diet (HFD) model of IR mice was established. Rhodiola was administrated by garaging. After the 8-week intervention, half of the mice performed EE to simulate acute cardiac stress, and determine myocardial injury; The remaining mice were sacrificed following fasting to assess metabolic disorder. We found myocardial injury induced by EE in IR mice was worse and was alleviated by Rhodiola pre-conditioning. Further, the nuclear factor erythroid 2-related factor 2 (Nrf2)-related antioxidant system was impaired by HFD, while mitochondrial dynamic fusion and fission were activated by HFD as a physiological protective compensation. The Rhodiola administration rescued Nrf2 impairment and further facilitated mitochondrial fusion and fission. All these results indicate that Rhodiola is a potential treatment for the prevention of cardiac events in type 2 diabetes mellitus and metabolic syndrome patients, and the Nrf2-related antioxidant activity and mitochondrial dynamics are the proposed mechanisms.

The relationship between the intensified heat waves and deteriorated summertime ozone pollution in the Beijing-Tianjin-Hebei region, China, during 2013-2017.

Summertime ozone (O3) pollution has frequently occurred in the Beijing-Tianjin-Hebei (BTH) region, China, since 2013, resulting in detrimental impacts on human health and ecosystems. The contribution of weather shifts to O3 concentration variability owing to climate change remains elusive. By combining regional air chemistry model simulations with near-surface observations, we found that anthropogenic emission changes contributed to approximately 23% of the increase in maximum daily 8-h average O3 concentrations in the BTH region in June-July-August (JJA) 2017 (compared with that in 2013). With respect to the weather shift influence, the frequencies, durations, and magnitudes of O3 exceedance were consistent with those of the heat wave events in the BTH region during JJA in 2013-2017. Intensified heat waves are a significant driver for worsening O3 pollution. In particular, the prolonged duration of heat waves creates consecutive adverse weather conditions that cause O3 accumulation and severe O3 pollution. Our results suggest that the variability in extreme summer heat is closely related to the occurrence of high O3 concentrations, which is a significant driver of deteriorating O3 pollution.

Rhodiola activates macrophage migration inhibitory factor to alleviate non-alcoholic fatty liver disease.

AIMS: Rhodiola was found to be a potential treatment for nonalcoholic fatty liver disease (NAFLD). The macrophage migration inhibitory factor (MIF)-regulated lipophagy and lipid metabolism might be the therapeutic targets of Rhodiola. MAIN METHODS: A 16-week high-fat diet (HFD) was used to simulate a NAFLD mouse model. Rhodiola extract or normal saline were administrated to mice. Blood was collected to assess blood glucose and insulin, and livers were harvested to assess lipid accumulation and metabolism. In cell experiments, the active ingredient of Rhodiola, salidroside, and recombinant MIF protein (rMIF) were used to treat palmitate (PA)-incubated HepG2 cells, with MIF-siRNA or NC-siRNA transfection. Then, the level of lipophagy and lipid metabolism was examined. KEY FINDINGS: Rhodiola improved lipid accumulation and metabolism disorder of HFD mice. The oil red O staining of the liver showed that increased lipid droplets in the NAFLD liver could be relieved by Rhodiola; Rhodiola also alleviated the increasing body weight, liver weight, and HOMA-IR index of HFD mice. Results in cell experiments were consistent: salidroside relieved the lipid droplet accumulation and triglyceride release in PA cells, as well as reduced lipophagosome and lipid metabolism disorder in PA cells. However, all these effects of salidroside were partially blocked by MIF-siRNA transfection. SIGNIFICANCE: Rhodiola reduces lipid accumulation in the liver of NAFLD by facilitating the MIF pathway and the downstream lipophagy and lipid metabolism. MIF may be an endogenous regulator of liver lipophagy and lipid metabolism and a potential therapeutic target for NAFLD.