The role of gut microbiota in diabetic peripheral neuropathy rats with cognitive dysfunction.

Introduction: Owing to advancements in non-invasive magnetic resonance imaging, many studies have repeatedly showed that diabetes affects the central nervous system in the presence of peripheral neuropathy, suggesting a common or interacting pathological mechanism for both complications. Methods: We aimed to investigate the role of abnormal gut microbiota in rats with diabetic peripheral neuropathy (DPN) combined with cognitive dysfunction. Glucose-compliant rats with nerve conduction deficits were screened as a successful group of DPN rats. The DPN group was then divided into rats with combined cognitive impairment (CD) and rats with normal cognitive function (NCD) based on the results of the Novel object recognition test. Rat feces were then collected for 16S rRNA gene sequencing of the intestinal flora. Results and Discussion: The results revealed that abnormalities in Firmicutes, Ruminococcaceae, Bacteroidia, and Actinobacteria-like microorganisms may induce DPN complicated by cognitive dysfunction.

Zinc finger E-box binding homebox 2 alleviated experimental osteoarthritis in rats.

AIMS: Osteoarthritis (OA) is a chronic inflammatory disease, characterized by degradation of extracellular matrix, apoptosis of chondrocytes and inflammation in articular cartilage. Zinc finger E-box binding homebox 2 (ZEB2), a transcription repressor, has been demonstrated with anti-inflammatory role in some cells. The analysis from GEO data reveals that ZEB2 expression is upregulated in articular cartilage of OA patients and experimental OA rodents. This study aims to confirm the function of ZEB2 in OA process. MATERIAL AND METHODS: The experimental OA was induced by anterior cruciate ligament transaction (ACLT) in rats, and the adenovirus loaded with ZEB2 coding sequence was intra-articularly injected into rats (1 × 10 PFU). The primary articular chondrocytes were stimulated by interleukin-1ß (IL-1ß) (10 ng/ml) to mimic the osteoarthritic injury, and transfected with the adenovirus carrying ZEB2 coding or silencing sequence. The apoptosis, content of extracellular matrix, inflammation, and the activity of NFκB signaling in chondrocytes and cartilage were determined. RESULTS: ZEB2 was highly expressed in osteoarthritic cartilage tissues and IL-1ß-treated chondrocytes. The overexpression of ZEB2 restrained ACLT- or IL-1ß administration-induced apoptosis, matrix degradation and inflammation in vivo or in vitro, evidenced by changed levels of cleaved caspase-3/PARP, collagen-II, aggrecan, matrix metalloproteinase 3/13, tumor necrosis factor-α and interleukin-6. Additionally, the phosphorylation of NFκB p65, IκBα and IKKα/ß, and the nuclear translocation of p65 was blocked by ZEB2, implying inactivation of this signaling. CONCLUSIONS: ZEB2 mitigated osteoarthritic symptoms in rats and chondrocytes, and NFκB signaling might be involved. These findings may provide novel insights for clinical treatment of OA.

Effects of Dexmedetomidine on Systemic Inflammation and Postoperative Complications in Laparoscopic Pancreaticoduodenectomy: A Double-blind Randomized Controlled Trial.

BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) may induce intense inflammatory response which might be related to the patient's outcomes. Clinical dexmedetomidine (DEX) has been widely used for opioid-sparing anesthesia and satisfactory sedation. The objective of this study was to investigate the influence of DEX on inflammatory response and postoperative complications in LPD. METHODS: Ninety-nine patients undergoing LPD were randomly assigned to two groups: normal saline (NS) and DEX. The primary outcome was the neutrophil-to-lymphocyte ratio (NLR) differences postoperatively within 48 h. Secondary outcomes were postoperative complications, the length of postoperative hospital stay and the incidence of ICU admission. Other outcomes included anesthetics consumption and intraoperative vital signs. RESULTS: NLR at postoperative day 2 to baseline ratio decreased significantly in the DEX group (P = 0.032). Less major complications were observed in the DEX group such as pancreatic fistula, delayed gastric emptying and intra-abdominal infection (NS vs. DEX, 21.7% vs. 13.6%, P = 0.315; 10.9% vs. 2.3%, P = 0.226; 17.4% vs. 11.4%, P = 0.416, respectively) though there were no statistical differences. Three patients were transferred to the ICU after surgery in the NS group, while there was none in the DEX group (P = 0.242). The median postoperative hospital stay between groups were similar (P = 0.313). Both intraoperative propofol and opioids were less in the DEX group (P < 0.05). CONCLUSIONS: Intraoperative DEX reduced the early postoperative inflammatory response in LPD. It also reduced the use of narcotics that may related to reduced major complications, which need additional research further.

Efficacy and safety of remimazolam besylate in bronchoscopy for adults: A multicenter, randomized, double-blind, positive-controlled clinical study.

Background: With the development of fiberoptic bronchoscopy in the diagnosis and treatment of various pulmonary diseases, the anesthesia/sedation requirements are becoming more demanding, posing great challenges for patient safety while ensuring a smooth examination/surgery process. Remimazolam, a brand-new ultra-short-acting anesthetic, may compensate for the shortcomings of current anesthetic/sedation strategies in bronchoscopy. Methods: This study was a prospective, multicenter, randomized, double-blind, parallel positive controlled phase 3 clinical trial. Subjects were randomized to receive 0.2 mg/kg remimazolam besylate or 2 mg/kg propofol during bronchoscopy to evaluate the efficacy and safety of remimazolam. Results: A total of 154 subjects were successfully sedated in both the remimazolam group and the propofol group, with a success rate of 99.4% (95%CI of the adjusted difference -6.7 × 10%-6% to -5.1 × 10%-6%). The sedative effect of remimazolam was noninferior to that of propofol based on the prespecified noninferiority margin of -5%. Compared with the propofol group, the time of loss of consciousness in the remimazolam group (median 61 vs. 48s, p < 0.001), the time from the end of study drug administration to complete awakening (median 17.60 vs. 12.80 min, p < 0.001), the time from the end of bronchoscopy to complete awakening (median 11.00 vs. 7.00 min, p < 0.001), the time from the end of study drug administration to removal of monitoring (median 19.50 vs. 14.50 min, p < 0.001), and the time from the end of bronchoscopy to removal of monitoring (median 12.70 vs. 8.60 min, p < 0.001) were slightly longer. The incidence of Adverse Events in the remimazolam group and the propofol group (74.8% vs. 77.4%, p = 0.59) was not statistically significant, and none of them had Serious Adverse Events. The incidence of hypotension (13.5% vs. 29.7%, p < 0.001), hypotension requiring treatment (1.9% vs. 7.7%, p = 0.017), and injection pain (0.6% vs. 16.8%, p < 0.001) were significantly lower in the remimazolam group than in the propofol group. Conclusion: Moderate sedation with 0.2 mg/kg remimazolam besylate is effective and safe during bronchoscopy. The incidence of hypotension and injection pain was less than with propofol, but the time to loss of consciousness and recovery were slightly longer. Clinical Trial Registration: clinicaltrials.gov, ChiCTR2000039753.

High-flow nasal cannula oxygen therapy during anesthesia recovery for older orthopedic surgery patients: A prospective randomized controlled trial.

BACKGROUND: Hypoxemia is a common complication in older patients during postoperative recovery and can cause pulmonary complications. Therefore, reducing the incidence of postoperative hypoxemia is a clinical concern. AIM: To investigate the clinical efficacy of high-flow nasal cannula oxygen (HFNCO) in the resuscitation period of older orthopedic patients. METHODS: In this prospective randomized controlled trial, 60 older patients who underwent orthopedic surgery under general anesthesia were randomly divided into two groups: those who used conventional face mask and those who used HFNCO. All patients were treated with 60% oxygen for 1 h after extubation. Patients in the conventional face mask group were treated with a combination of air (2 L) and oxygen (2 L) using a traditional mask, whereas those in the HFNCO group were treated with HFNCO at a constant temperature of 34 °C and flow rate of 40 L/min. We assessed the effectiveness of oxygen therapy by monitoring the patients' arterial blood gas, peripheral oxygen saturation, and postoperative complications. RESULTS: The characteristics of the patients were comparable between the groups. One hour after extubation, patients in HFNCO group had a significantly higher arterial partial pressure of oxygen (paO2) than that of patients in conventional face mask group (P < 0.001). At extubation and 1 h after extubation, patients in both groups showed a significantly higher arterial partial pressure of carbon dioxide (paCO2) than the baseline levels (P < 0.001). There were no differences in the saturation of peripheral oxygen, paO2, and paCO2 between the groups before anesthesia and before extubation (P > 0.05). There were statistically significant differences in paO2 between the two groups before anesthesia and 1 h after extubation and immediately after extubation and 1 h after extubation (P < 0.001). However, there were no significant differences in the oxygen tolerance score before leaving the room, airway humidification, and pulmonary complications 3 d after surgery between the two groups (P > 0.05). CONCLUSION: HFNCO can improve oxygen partial pressure and respiratory function in elderly patients undergoing orthopedic surgery under general endotracheal anesthesia. Thus, HFNCO can be used to prevent postoperative hypoxemia.

Curcumin Ameliorates the Experimental Diabetic Peripheral Neuropathy through Promotion of NGF Expression in Rats.

Increasing evidence suggested that inhibiting the apoptosis of Schwann cells (SCs) and promoting nerve growth factor (NGF) expression in sciatic nerves play key roles in preventing the onset of diabetic peripheral neuropathy (DPN). Curcumin, a primary bioactive substance in turmeric with multiple characteristics, has been shown to have many therapeutic effects in a variety of diseases. However, curcumin is poorly studied in the DPN models. We aimed to explore the therapeutic benefits and underlying mechanism of curcumin in high fat/sugar diets joint streptozotocin (STZ)-induced DPN rat models. Sprague-Dawley (SD) rats were divided into five groups (6 rats per group), control group, DPN group, Curcumin groups (50, 100, and 150 mg/kg). Curcumin was administered intragastrically once per day for 4 continuous weeks. Body weight (BW) and fasting blood glucose (FBG) were monitored in all groups. The mechanical withdraw threshold (MWT) was measured. We also assessed neuropathic change by testing nerve conductance velocity (NCV) in sciatic nerves. TEM was applied to observe the sciatic nerves ultrastructure. The SCs apoptosis in sciatic nerves was stained using TUNEL kit. NGF contents in sciatic nerves and serum were detected using western blotting and ELISA analysis. The results showed curcumin had no obvious effect on the BW and FBG change. Curcumin (100 and 150 mg/kg) attenuated the MWT, NCV, and sciatic nerves ultrastructure in DPN rats. Curcumin (50, 100 and 150 mg/kg) reduced SCs apoptosis in sciatic nerves. In addition, curcumin at 150 mg/kg had the best efficacy in increasing protein expression of NGF in sciatic nerves and serum NGF level. Our work demonstrated that curcumin has neuroprotective effects for the treatment of DPN.

Severe gastric insufflation and consequent atelectasis caused by gas leakage using AIR-Q laryngeal mask airway: A case report.

BACKGROUND: The airways of patients undergoing awake craniotomy (AC) are considered "predicted difficult airways", inclined to be managed with supraglottic airway devices (SADs) to lower the risk of coughing or gagging. However, the special requirements of AC in the head and neck position may deteriorate SADs' seal performance, which increases the risks of ventilation failure, severe gastric insufflation, regurgitation, and aspiration. CASE SUMMARY: A 41-year-old man scheduled for AC with the asleep-awake-asleep approach was anesthetized and ventilated with a size 3.5 AIR-Q intubating laryngeal mask airway (LMA). Air leak was noticed with adequate ventilation after head rotation for allowing scalp blockage. Twenty-five minutes later, the LMA was replaced by an endotracheal tube because of a change in the surgical plan. After surgery, the patient consistently showed low tidal volume and was diagnosed with gastric insufflation and atelectasis using computed tomography. CONCLUSION: This case highlights head rotation may cause gas leakage, severe gastric insufflation, and consequent atelectasis during ventilation with an AIR-Q intubating laryngeal airway.

Association between anesthesia technique and complications after hip surgery in the elderly population.

BACKGROUND: Spinal anesthesia is superior to general anesthesia for postoperative recovery in older patients (≥ 65 age). However, evidence for this is lacking. AIM: To evaluate the effect of anesthesia on postoperative complications in older patients undergoing hip surgery. METHODS: This is a retrospective, propensity score-matched, cohort study. Patients ≥ 65-years-old who underwent hip surgery at the Traditional Chinese Medicine of Guangdong Provincial Hospital in China from October 2016 to June 2020 were included. The operative methods were femoral fracture's internal fixation and hip replacement. The orthopedic doctors in different hospitals of our group have varied requirements for patients' out-of-bed time after surgery. Therefore, spinal anesthesia or general anesthesia was selected according to the requirements of the orthopedic doctors. The primary outcome of this study was complications during the hospitalization of the postoperative patient. The length of hospital stay, postoperative blood transfusion, routine blood analysis, renal function, coagulation function, and inflammatory correlations were secondary outcomes. Propensity score matching (PSM) was performed utilizing logistic regression. RESULTS: Among the 864 patients identified from the electronic medical record data database, we screened out those with incomplete medical record data. After PSM of the baseline values of the two groups of patients, data of 309 patients (206 patients in spinal anesthesia group and 103 patients in general anesthesia) were utilized in this study. 67/309 patients had complications, including postoperative limb dysfunction, pulmonary infection, delirium, lower extremity venous thrombosis, and shock. The incidence of complications was not related to anesthesia methods (P > 0.05), but the levels of D-Dimer (P = 0.017), fibrinogen (P = 0.005), and high-sensitivity C-reactive protein (hsCRP) (P = 0.002) in the spinal anesthesia group were significantly higher than those in the general anesthesia group. CONCLUSION: Anesthesia technology is not a risk factor for postoperative complications of hip surgery. The levels of D-Dimer and hsCRP were higher in the spinal anesthesia group.

Characterization of the metabolites of irisflorentin by using ultra-high performance liquid chromatography combined with quadrupole/orbitrap tandem mass spectrometry.

Irisflorentin is one of the bioactive constituents from the root of Belamcanda chinensis (L.) DC, which displayed anti-inflammatory and anti-tumor activities. In this work, the in vitro metabolism of irisflorentin was investigated using liver microsomes and hepatocytes. The metabolites were identified by ultra-high performance liquid chromatography combined with quadrupole/orbitrap tandem mass spectrometry. Under the current conditions, a total of 11 metabolites were detected and structurally identified according to accurate masses, fragment ions and retention times. Metabolite M10, identified as 6,7-dihydroxy-5,3',4',5'-tetramethoxy isoflavone, was biosynthesized and unambiguously characterized by nuclear magnetic resonance spectroscopy. The metabolic pathways of irisflorentin included oxidation, demethylation and glucuronidation. M10 was the most abundant metabolite in all tested species. Further phenotyping studies revealed that α-naphthoflavone and ketoconazole displayed significant inhibitory effect on the formation of M10. Cytochrome P450 (CYP) 1A2 and 3A4 were the major enzymes responsible for the formation of M10 by using individual recombinant human CYP450 enzymes. For the first time the current study provides an overview of the in vitro metabolic fates of irisflorentin, which is helpful for us to predict the human metabolism and the potential drug-drug interactions caused by irisflorentin.

Long non-coding RNA MALAT1 exacerbates acute respiratory distress syndrome by upregulating ICAM-1 expression via microRNA-150-5p downregulation.

Acute respiratory distress syndrome (ARDS) is a severe form of acute lung injury in which severe inflammatory responses induce cell apoptosis, necrosis, and fibrosis. This study investigated the role of lung adenocarcinoma transcript 1 (MALAT1) in ARDS and the underlying mechanism involved. The expression of MALAT1, microRNA-150-5p (miR-150-5p), and intercellular adhesion molecule-1 (ICAM-1) was determined in ARDS patients and lipopolysaccharide (LPS)-treated human pulmonary microvascular endothelial cells (HPMECs). Next, the interactions among MALAT1, miR-150-5p, and ICAM-1 were explored. Gain- or loss-of-function experiments in HPMECs were employed to determine cell apoptosis and inflammation. Furthermore, a mouse xenograft model of ARDS was established in order to verify the function of MALAT1 in vivo. MALAT1 and ICAM-1 were upregulated, while miR-150-5p was downregulated in both ARDS patients and LPS-treated HPMECs. MALAT1 upregulated ICAM-1 expression by competitively binding to miR-150-5p. MALAT1 silencing or miR-150-5p overexpression was shown to suppress HPMEC apoptosis, decrease the expressions of pro-inflammatory cytokines (IL-6, IL-1ß and TNF-α) and E-selectin in HPMECs, as well as alleviated lung injury in nude mice. These findings demonstrated that MALAT1 silencing can potentially suppress HPMEC apoptosis and alleviate lung injury in ARDS via miR-150-5p-targeted ICAM-1, suggestive of a novel therapeutic target for ARDS.

[Distribution and Potential Risk of Organochlorine Pesticides in the Soil of a Submerged Area Around Miyun Reservoir].

Soil samples collected from a submerged area around Miyun Reservoir were analyzed for organochlorine pesticide (OCP) residues using GC-MS. The distribution characteristics and possible sources of OCPs were studied, as well as the potential ecological risk. The results showed the following:① the residuals of OCPs in the surface soil were mainly hexachlorocyclohexanes (HCHs) and dichlorodiphenyltrichloroethanes (DDTs), and the average contents of HCHs and DDTs were 1.74 ng·g-1 and 1.01 ng·g-1, respectively. In comparison with other lakes and reservoirs in China, the mean value of DDT content of the soil samples from Miyun Reservoir was slightly less, whereas the mean value of HCH content was similar to other waterbodies. ② There was a distinct spatial distribution of OCPs in soils of the submerged area. Specifically, the OCP content in the water-land interlaced soil was generally higher, with distinct differences to the water or in land. In the eastern region of the reservoir and in the Chaohe River inflow area, the residues of OCPs were mainly DDTs, as was the case for the submerged soils of small isolated watersheds. The OCPs in the submerged area of the northern reservoir and the western central reservoir were mainly γ-HCH residues, while HCH and DDT residues were found in high proportions in the flooded area where the Baihe River inflows. These patterns were related to sources of pollutants; ③ the source analysis showed that sources of HCHs could be related to lindane input, while DDTs mainly derived from the early residues in the environment; ④ there was low ecological risk from OCPs in most of the samples, and a potential risk from DDT in the Baihe inflow area and in the central submerged zone of the western reservoir.

microRNA-328 in exosomes derived from M2 macrophages exerts a promotive effect on the progression of pulmonary fibrosis via FAM13A in a rat model.

Currently, exosome-enclosed microRNAs (miRs) in exhaled breath have potential for biomarker discovery in patients with pulmonary diseases. This study was performed to investigate the roles of M2 macrophage-derived exosomes expressing miR-328 in pulmonary fibrosis (PF). Microarray-based analysis was used to screen differentially expressed genes (DEGs) and regulatory miRs in PF. The miR-target relationship between FAM13A and miR-328 was confirmed. The expression of FAM13A and miR-328 was measured in PF rats, and gain- and loss-of-function assays were conducted to determine the regulatory effects of FAM13A and miR-328 on PF. In addition, exosomes derived from M2 macrophages were isolated and then cocultured with pulmonary interstitial fibroblasts to identify the role of these exosomes in PF. Furthermore, the effects of M2 macrophage-derived exosomes overexpressing miR-328 on pulmonary fibroblast proliferation and the progression of PF were assessed in vivo. miR-328 might perform a vital function in PF by regulating FAM13A. FAM13A expression was downregulated while miR-328 expression was upregulated in rats with PF, and a miR-target relationship between miR-328 and FAM13A was observed. Additionally, miR-328 overexpression and FAM13A silencing each were suggested to promote pulmonary interstitial fibroblast proliferation and the expression of Collagen 1A, Collagen 3A and α-SMA. Then, in vitro experiments demonstrated that M2 macrophage-derived exosomes overexpressing miR-328 contributed to enhanced pulmonary interstitial fibroblast proliferation and promoted PF. Furthermore, in vivo experiments confirmed the promotive effects of M2 macrophage-derived exosomes overexpressing miR-328 on the progression of PF. Collectively, the results showed that M2 macrophage-derived exosomes overexpressing miR-328 aggravate PF through the regulation of FAM13A.

[Potential Risk and Distribution Characteristics of PPCPs in Surface Water and Sediment from Rivers and Lakes in Beijing, China].

Thirty-four water samples and twenty-three sediment samples from the urban rivers, ten water samples and five sediment samples from urban lakes were collected in Beijing. Ten PPCPs (acetaminophen, lincomycin, caffeine, trimethoprim, azithromycin, sulfamethoxazole, diltiazem, tylosin, carbamazepine, fluoxetine) were extracted from water samples by solid-phase extraction (SPE) and from sediment samples by ultrasonic extraction, and then analyzed by high-performance liquid chromatography coupled with tandem mass spectrometry (HPLC-MS/MS). The ranges of geometric mean values were 0-655 ng·L-1 and 0-252 ng·L-1 in water samples from urban rivers and lakes,respectively. The range of detection ratio was 0-100% for 10 PPCPs in river water samples, caffeine was the dominant pollutant in water samples and the detection ratio was 100%, whereas sulfamethoxazole, diltiazem and tylosin were not detected in river samples. The range of detection ratio was 0-100% for 10 PPCPs in lake water samples. The detection ratios of acetaminophen, lincomycin, caffeine and azithromycin were 100%, whereas sulfamethoxazole, diltiazem, tylosin, carbamazepine were not detected in lake water samples. The ranges of geometric mean values were N.D.-1709 ng·g-1and N.D.-35.9 ng·g-1in sediment samples from urban rivers and lakes, respectively. The ranges of detection ratio were 4%-96% and 0-100% for 10 PPCPs in river and lake sediment samples, respectively. The detection ratio of trimethoprim was 96% and that of tylosin was 4% in river sediment, the detection ratio of diltiazem was 100% and caffeine, tylosin,carbamazepine were not detected. The concentrations of PPCPs in water and sediment samples from Yongyin River, Liangshui River, Tonghui River, Bahe River were higher than those in other rivers. The concentrations of PPCPs in water and sediment samples from Yongding River,Kunyu River were lower than those in other rivers. Further risk assessment results showed that the overall risk was not high in water of rivers and lakes and the RQ values were below 0.1, which showed low risk to microorganisms. But the condition was not the same in sediment from rivers and lakes. The RQ values of acetaminophen were between 0.1 and 1 in sediments from Yongyin River, Tonghui River, Bahe River. The RQ values of lincomycin were between 0.1 and 1 in sediments from Yongyin River, Wenyu River,Tonghui River, Hucheng River, Bahe River, Liangshui River, Houhai Lake. The RQ values of trimethoprim were between 0.1 and 1 in sediments from Yongyin River, Qinghe River, Wenyu River, Tonghui River Hucheng River, Bahe River, Liangma River, Liangshui River and Houhai Lake. The RQ values of azithromycin were between 0.1 and 1 in sediments from Liangma River, Liangshui River, which all showed medium risk to microorganisms in sediments. The RQ values of azithromycin exceeded 1 from Yongyin River, Qinghe River, Wenyu River, Tonghui River, Bahe River and Houhai Lake, which showed high risk to microorganisms in sediments.

[Pollution Characteristics of Chlorobenzenes in Organs of Fish from Typical Epidemic Areas of Schistosomiasis Prevalence].

Sixty-eight fish samples were collected from typical epidemic areas of schistosomiasis prevalence. The contents of 12 CB congeners in fish samples were measured using GC/MS technique. The results indicated that 1,3-DIC, 1,4-DIC, 1,2-DIC and HCB were the most predominant CB congeners in the samples from the studying area. The source of HCB was PCP (pentachlorophenol), which was used to control the schistosomiasis prevalence, used in study area. And DIC came from the degradation of HCB and the articles of daily use. The geometric average of CBs in muscle ranged from 2731.50 to 7811.23 ng·g-1 lipid weight, while the summarized concentration of CBs in fish gonads, brains, kidneys, livers ranged from 2557.89 to 4640.05 ng·g-1 lipid weight, 2423.18 to 3329.61 ng·g-1 lipid weight, 1628.05 to 4667.76 ng·g-1 lipid weight and 704.92 to 1086.96 ng·g-1 lipid weight, respectively. When compared to other studies in China and other countries, the concentrations of CBs in these fish samples were at a relatively high level.

[Spatial, Temporal Distribution Characteristics and Potential Risk of PPCPs in Surface Sediments from Taihu Lake].

Fourteen sediment samples from 15 river estuaries and six sediments from 6 drinking water resource were collected from Taihu Lake. Nine pharmaceutical and personal care products(PPCPs) in the sediments samples were measured by using the HPLC-MS/MS technique. The ranges of geometric mean values were 1.60-129 ng·g-1 and 1.36-22.0 ng·g-1, respectively. Caffeine was the dominant pollutant in fourteen sediments near the river estuary, the content of which covered 52% of amounts of 9 PPCPs. Lincomycin, trimethoprime, azithromycin, sulfamethoxazole and tylosin were the dominant pollutants in six sediments near the drinking water resource, the contents of which covered 79% of amounts 9 PPCPs. From the point of spatial distribution, the results of PPCPs in Zhushan bay and East of Yixing in the northwest and west of Taihu Lake showed higher concentration than those in other sample sites. From the composition, the origin of PPCPs was different. Municipal sewage, stock farming and aquaculture were the main sources of PPCPs in Taihu Lake. Pharmaceuticals of human use showed the dominant pollution in fourteen sediments near the river estuary and drugs of veterinary use showed the dominant pollution in six sediments near the water resource. The concentrations of PPCPs in fourteen sediments of river mouth showed high level. It suggested that PPCPs pollutants were discharged to Taihu Lake continuously. Further risk assessment results showed that the overall risk was not high except for some PPCPs compounds. The RQ exceeded 1 for acetaminophen, azithromycin and sulfamethoxazole in the surface sediments of 15 river estuaries and 6 water resources, which showed high risk. The RQ was between 0.01 to 0.1 for carbazepine in the surface sediments of 15 river estuaries and 6 water resources, which showed medium risk. The RQ was below 0.01 for caffeine, lincomycin, trimethoprim, diltiazem and tylosin in the sediments of 15 river estuaries and 6 water resources, which showed low risk.

Study on the clinical efficacy of Human Urinary Kalllikrein in the treatment of acute cerebral infarction according to TOAST classification.

To observe and evaluate the clinical efficacy of Human Urinary Kallikrein in the treatment of acute cerebral infarction (ACT) according to TOAST (The Trial of Org 10172 in Acute Stroke Treatment) classification. In accordance with randomized controlled trial, 110 patients with acute cerebral infarction were randomly assigned to kallikrein treatment group (55 cases) and control group (55 cases). TOAST classification and basic treatment were administrated on patients between two groups respectively. 0.15 PNA unit of Human Urinary Kallikrein injection plus 100 mL saline in intravenous infusion was performed in the kallikrein group, with once a day for 14 consecutive days. The National Institutes of Health Stroke Scale (NIHSS) scores in two groups were analyzed before and after the treatment. No difference was shown in the NIHSS scores before treatment among patients between two groups (P>0.05). While after the treatment, the NIHSS scores in both groups were reduced (P<0.05) and the NIHSS scores in the kallikrein treatment group were less than those in control group (P<0.05). Moreover, after the treatment, the NIHSS scores for large-artery atherosclerosis subtype (L) and small-artery occlusion lacunar subtype (S) as two subtypes of TOAST classification in the two groups were both reduced (P<0.05). After the treatment, NIHSS scores for L subtype in the kallikrein treatment were less than those in the control group (P<0.05). After the treatment, NIHSS scores for S subtype in the kallikrein treatment were less than those in the control group, without statistically significant difference. Comparisons on clinical efficacy indicated differences on the S subtype between two groups (P<0.05). The standardization effective rate was calculated, indicating 81.82% in the kallikrein treatment group and 54.55% in the control group, respectively. In TOAST classification, Human Urinary Kallikrein is able to remarkably improve the NIHSS scores for L subtype and S subtype patients with acute cerebral infarction and help to enhance the clinical efficacy.

[Distribution Characteristics and Potential Risk of CBs in Aquatic Organisms from Typical Epidemic Areas of Schistosomiasis Prevalence].

Eleven mollusca samples and 32 fish samples were collected from typical epidemic areas of schistosomiasis prevalence. The contents of 12 CB congeners in aquatic organism samples were measured using the GC/MS technique. The results indicated that 1,3-DIC, 1,4-DIC, 1,2-DIC and HCB were the most predominant CB congeners in the samples from the studying area. The geometric average of CBs in muscle of mollusca was 11 947 ng x g(-1) lipid weight. The summarized concentration of CBs in fish muscle ranged from 1 851 to 8 159 ng x g(-1) lipid weight. The highest concentration of CBs sum was detected in the catfish, while the lowest one was found in the crucian carp. The concentrations of CBs in fish samples were much higher than those reported in other countries, while in mollusca samples were at the same level. The estimated cumulative cancerigenic risks for the local residents consumed the aquatic organisms from the studying area were 1.49 x 10(-7) and 3.73-21.1 x 10(-7), respectively for mollusca and fish, both of which were acceptable.

Chronic exposure to pentachlorophenol alters thyroid hormones and thyroid hormone pathway mRNAs in zebrafish.

Pentachlorophenol (PCP) is frequently detected in the aquatic environment and has been implicated as an endocrine disruptor in fish. In the present study, 4-month-old zebrafish (Danio rerio) were exposed to 1 of 4 concentrations of PCP (0.1, 1, 9, and 27 µg/L) for 70 d. The effects of PCP exposure on plasma thyroid hormone levels, and the expression levels of selected genes, were measured in the brain and liver. The PCP exposure at 27 µg/L resulted in elevated plasma thyroxine concentrations in male and female zebrafish and depressed 3, 5, 3'-triiodothyronine concentrations in males only. In both sexes, PCP exposure resulted in decreased messenger RNA (mRNA) expression levels of thyroid-stimulating hormone ß-subunit (tshß) and thyroid hormone receptor ß (trß) in the brain, as well as increased liver levels of uridine diphosphoglucuronosyl transferase (ugt1ab) and decreased deiodinase 1 (dio1). The authors also identified several sex-specific effects of PCP exposure, including changes in mRNA levels for deiodinase 2 (dio2), cytosolic sulfotransferase (sult1 st5), and transthyretin (ttr) genes in the liver. Environmental PCP exposure also caused an increased malformation rate in offspring that received maternal exposure to PCP. The present study demonstrates that chronic exposure to environmental levels of PCP alters plasma thyroid hormone levels, as well as the expression of genes associated with thyroid hormone signaling and metabolism in the hypothalamic-pituitary-thyroid (HPT) axis and liver, resulting in abnormal zebrafish development.

[Biomagnification of heavy metals in the aquatic food chain in Daning River of the Three Gorges Reservoir during initial impoundment].

Heavy metals have been accumulated in sediment after impoundment in the Three Gorges Reservoir (TGR). In order to evaluate the risk of biomagnification of heavy metals, we investigated the trophic relationships and heavy metal concentrations in fish from a tributary within TGR. Sixteen fish species were collected from Daning River, and concentrations of eight heavy metal elements (Cr, Ni, Cu, Zn, Pb, Cd, As, and Hg) were determined, as well as the ratios of stable carbon and nitrogen isotopes. Results showed that most heavy metal concentrations were low in TGR, but changed significantly among different species. The delta13C values varied significantly among different groups (-22. 80 per thusand - 28. 97 per thusand) ; while the delta15N values (6. 41 per thusand - 13. 88 per thusand) varied based on their feeding types. A significantly trophic level-dependent increase was found in concentrations of Hg, indicating an overall biomagnification of Hg; but the increase of Hg concentration per trophic level was lower than that in previous studies. No tendency towards trophic-level enrichment was observed for other elements studied. However, a much higher heavy metal concentration was observed in small-sized fish samples, indicating a potential risk in environment.