Resting-state fMRI network efficiency as a mediator in the relationship between the glymphatic system and cognitive function in obstructive sleep apnea hypopnea syndrome: Insights from a DTI-ALPS investigation.

INTRODUCTION: Obstructive sleep apnea hypopnea syndrome (OSAHS) is associated with cognitive impairment and physiological complications, necessitating further understanding of its mechanisms. This study investigates the relationship between glymphatic system function, brain network efficiency, and cognitive impairment in OSAHS patients using diffusion tensor image analysis along the perivascular space (DTI-ALPS) and resting-state fMRI. MATERIALS AND METHODS: This study included 31 OSAHS patients and 34 age- and gender-matched healthy controls (HC). All participants underwent GE 3.0T magnetic resonance imaging (MRI) with diffusion tensor image (DTI) and resting-state fMRI scans. The DTI-ALPS index and brain functional networks were assessed. Differences between groups and correlations with clinical characteristics were analyzed. Additionally, the mediating role of brain network efficiency was explored. Finally, receiver operating characteristics (ROC) analysis assessed diagnostic performance. RESULTS: OSAHS patients had significantly lower ALPS-index (1.268 vs. 1.431, p < 0.0001) and moderate negative correlation with Apnea Hypopnea Index (AHI) (r = -0.389, p = 0.031), as well as moderate positive correlation with Montreal Cognitive Assessment (MoCA) (r = 0.525, p = 0.002). Moreover, global efficiency (Eg) of the brain network was positively correlated with the ALPS-index and MoCA scores in OSAHS patients (r = 0.405, p = 0.024; r = 0.56, p = 0.001, respectively). Furthermore, mediation analysis showed that global efficiency partially mediated the impact of glymphatic system dysfunction on cognitive impairment in OSAHS patients (indirect effect = 4.58, mediation effect = 26.9 %). The AUROC for identifying OSAHS and HC was 0.80 (95 % CI 0.69 to 0.91) using an ALPS-index cut-off of 1.35. CONCLUSIONS: OSAHS patients exhibit decreased ALPS-index, indicating impaired glymphatic system function. Dysfunction of the glymphatic system can affect cognitive function in OSAHS by disrupting brain functional network, suggesting a potential underlying pathological mechanism. Additionally, preliminary findings suggest that the ALPS-index may offer promise as a potential indicator for OSAHS.

Chronic effects of microcystin-LR at environmental relevant concentrations on photosynthesis of Typha angustifolia Linn.

Understanding the growth and development of aquatic plants in eutrophic water is of great significance for the selection of potential candidate plant for use in the phytoremediation of eutrophic aquatic ecosystems. The present study aimed to investigate the chronic effects of microcystin-LR (MC-LR) on photosynthesis in the leaves of Typha angustifolia Linn. Photosynthetic activity was stimulated in the leaves following exposure to 4.6 µg L-1 MC-LR for six weeks based on the enhancement of Ribulose-1, 5-bisphosphate carboxylase/oxygenase (Rubisco) activity and net photosynthetic rate (PN). However, PN decreased significantly after exposure to 49.1 or 98.3 µg L-1 MC-LR, via non-stomatal limitation by reducing the chlorophyll a and b contents and Rubisco activity. In addition, glycolate oxidase (GO) and serine:glyoxylate aminotransferase (SGAT) activities decreased significantly, indicating that the photorespiration pathway was affected adversely. The intercellular carbon dioxide (Ci) concentration decreased significantly following exposure to 98.3 µg L-1 MC-LR, accompanied with decreases in PN and stomatal conductivity (gs), indicating that stomatal limitation on the photosynthesis system in T. angustifolia L. was observed after exposure to 98.3 µg L-1 MC-LR. Under long-term exposure to MC-LR (49.1-98.3 µg L-1), oxidation stress was severe in the aquatic plant, and non-stomatal limitation or stomatal limitation effects on the photosynthesis system were obvious, resulting in decreases in photosynthesis rates.

Nitrogen Metabolism in Acorus calamus L. Leaves Induced Changes in Response to Microcystin-LR at Environmentally Relevant Concentrations.

Acorus calamus L., a semiaquatic plant with a high capacity to remove nitrogen and phosphorus from polluted water, is a potential candidate plant for use in the restoration of eutrophic aquatic ecosystems. However, it is not clear how microcystins (MCs), commonly found in eutrophic water, influence plant growth since the effects of MCs are likely to be dose and species dependent. The present study aimed to investigate the regulation of nitrogen metabolism, a key metabolic process related to plant growth, in the leaves of A. calamus L. exposed to microcystin-leucine-arginine (MC-LR) (1.0-29.8 µg/L). Nitrate (NO3-) uptake, assimilation and transformation was stimulated in the leaves of A. calamus L. when exposed to 1.0 µg/L MC-LR through the elevation of nitrate reductase (NR), glutamine synthetase (GS), glutamate synthase (GOGAT), glutamic-pyruvic transaminase (GPT), and glutamic-oxaloacetic transaminase (GOT) activity. Conversely, MC-LR inhibited nitrogen metabolism by decreasing NO3- uptake and the activities of enzymes related to nitrogen metabolism following exposure to MC-LR (9.9-29.8 µg/L) for 30 days, while, ammonium nitrogen (NH4+) content and glutamate dehydrogenase (GDH) activity increased significantly (p < 0.05, LSD test), when compared with the control group. Chronic exposure to MC-LR (9.9-29.8 µg/L) negatively influenced nitrogen metabolism in A. calamus L. leaves, which suggested that it may not be a suitable candidate species for use in the restoration of eutrophic aquatic ecosystems containing MC-LR at concentrations ≥ 9.9 µg/L.