Bioconjugation of nanozyme and natural enzyme for ultrasensitive detection of cholesterol.

When nanozymes are used in biological analysis, higher activity can improve the detection sensitivity, and better selectivity can eliminate other interference. To improve the specificity and sensitivity, we fabricated an innovative bioconjugated nanozyme with natural enzyme (BNNZ), in which natural ChOx was immobilized onto histidine-modified Fe3O4 (His-Fe3O4) with hydrophilic poly(ethylene glycol) (PEG) as a linker. ChOx could specifically catalyze the oxidation of cholesterol to generate H2O2 molecule, and then the newly formed H2O2 oxidized the colorless 3,3',5,5'-tetramethylbenzidine (TMB) into blue ox-TMB by peroxidase-like His-Fe3O4. According to the above cascade reaction, the BNNZ-based colorimetric strategy was proposed for the detection of cholesterol. Wherein, natural enzymes specifically catalyzed substrates, which endowed BNNZ with excellent specificity for target molecules; meanwhile, the introduction of histidine on His-Fe3O4 effectively increased the peroxidase-like activity of BNNZ, which provided a guarantee for sensitivity. Furthermore, BNNZ after reaction could be rapidly separated by an external magnetic field without interfering with colorimetric quantitative detection. The proposed strategy exhibited excellent sensitivity with limit of detection of 0.446 µM and was successfully used for the detection of cholesterol in spiked human serum sample with recovery and relative standard deviation in the range of 97.9-103.5% and 2.5-4.0%, respectively. This work indicates that the bioconjugation of nanozyme and natural enzyme may be a universal strategy for synthesis of high-performance enzyme-nanozyme systems, and the new-type BNNZ will be widely used in biological detection and disease treatment.

[Output Characteristics of Nitrogen and Phosphorus from Non-Point Source Pollution of Typical Land Use in A Micro-Watershed in Hilly Red Soil Region].

Scientific identification of runoff output characteristics of different land use patterns is the premise of controlling non-point source pollution in watersheds. The hydrology and output process of non-point source pollutants of forest, planting, and construction land with different rainfall characteristics were observed using a micro-watershed in a low mountain and hilly region of Southern China. The results showed that land use affected the hydrological characteristics and water quality processes of runoff. The characteristics of runoff generation time and cumulative rainfall under typical rainfall conditions were as follows:construction land(9 min, 2.0 mm), planting land(35 min, 11.4 mm), and forest land(108 min, 24 mm). There were significant differences in the three land use types in the pollution output process characteristics, such as pollutant concentration of total suspended matter(TSS), total nitrogen(TN) and phosphorus(TP), their components, N/P ratio change, and output intensity. Under typical rainfall, different land use types had similar pollution output stages, the mass concentrations of TSS, TN, and TP in the initial runoff were high, and then gradually stabilized. In addition, the first 30 min of the flow generation process contributed to the TSS, TN, and TP loads within the 23%-43% range. At the annual scale, there were significant differences between the contribution rate of each land use type to TN and TP load and ratio per unit area; the highest contribution to total pollution load was planting land(57% and 45%), while the highest in pollution load per unit area was construction land(9.50-12.50). The results also showed that the distribution of key non-point source areas had different spatial and temporal dynamics, which was comprehensively determined by the land use types in catchment units, the characteristics of annual rainfall, among other factors. With the increase in rainfall, the main contribution non-point source pollution in the micro-watershed changed from construction land to planting land. Targeted ecological interception strategies should be implemented based on the distribution characteristics of key source areas and characteristics of underlying surface runoff production process.

[Effects of Spartina alterniflora Invasion on Soil Phosphorus Forms in the Jiaozhou Bay Wetland].

To investigate the effects of Spartina alterniflora invasion on soil phosphorus(P) cycling in coastal wetlands, we selected a S. alterniflora zone(SA zone) and mudflat zone(MF zone) in the Jiaozhou Bay as the target areas for the study. The variability of total phosphorus(TP), inorganic phosphorus(IP), and their component contents in wetland soils after S. alterniflora invasion and their influencing factors was evaluated. The results showed that the average contents of TP(472.70 mg·kg-1) and IP(239.00 mg·kg-1) in the soils were significantly higher than those of TP(386.19 mg·kg-1) and IP(212.68 mg·kg-1) in the pre-invasion area, with an increase of 22.40% and 12.38%, respectively. The IP fractions in the study area were dominated by calcium-phosphorus(Ca-P) and iron-phosphorus(Fe-P), accounting for 45%-61% and 31%-49% of IP, respectively. The Ca-P content of the soil in the 10-30 cm layer decreased significantly(P<0.05) after S. alterniflora invasion, which was especially significant in July. The Fe-P content increased significantly(P<0.05); in the 0-40 cm soil layer, Fe-P was higher than that in the 40-60 cm layer(P<0.05), and showed significant enrichment in the 10-40 cm soil in July. The structural equation model showed that organic matter(OM) had a significant positive effect on TP and Fe-P after S. alterniflora invasion(P<0.01), and the normalized path coefficients were 0.775 and 0.724, respectively. Fe-P had a significant negative effect on Ca-P after invasion(P<0.01) with a normalised throughput coefficient of -0.435. The study found that S. alterniflora invasion generally increased wetland soil P content, while promoting the conversion of Ca-P to Fe-P, improving wetland P bioavailability.

[Influence of Impervious Surface Roughness on Accumulation and Erosion of Urban Non-Point Source Particles].

At present, there are few reports about how impervious surface microstructure characteristics affect the runoff output process of street dust. Based on field observations of 12 rainfall events, this study quantified the microstructure characteristics of impervious surfaces by structural depth (roughness) and analyzed the correlation between roughness and accumulation characteristics of street dust on sunny days as well as scouring characteristics in rainy days. The results show that the roughness of the underlying surface notably affects dust accumulation on sunny days and scouring in rainy days. The correlation between roughness and street dust accumulation (r=0.664, P<0.01) was enhanced on sunny days, and the correlation between roughness and street dust erosion (r=0.527, P<0.01) was enhanced by rainfall. The correlation of street dust accumulation and roughness of each particle size segment increased as particle size increased (0.529 ≤ r<0.757), and the correlation between street dust scouring amount and roughness decreased as particle size increased (0.603 > R > 0.209). By establishing the linear regression model of roughness and rainfall, the cumulative pollution load of TSS in rainfall runoff can be well predicted. The effects of roughness and rainfall on the cumulative load of grain sizes<20 µm and >250 µm are significant. These results elucidate the role of roughness and rainfall analysis in predicting surface runoff pollution load characteristics, which can provide new information for predicting and evaluating urban non-point source pollution.

[Transition of Particulate Pollutant in the Parcel-based Catchment of Sponge City].

Most sponge city constructions in China are carried out in urban parcel-based catchments, and the quality and quantity of surface runoff can be controlled by several low impact development (LID) facilities. However, there are few reports on the generation and control of urban diffuse pollution. In this study, two areas with different hardening rates were compared to analyze the load conditions during the accumulation-wash-off-transport process of particulate pollutants. The results showed that the road surface in the catchment was the main underlying surface that the particulate pollutants contributed to. The road dust accumulation in the medium hardening rate (61.1%) and high hardening rate (73.6%) plots accounted for 88.4% (2.22-12.51 g ·m-2) and 90.1% (4.99-33.43 g ·m-2) of the catchment area unit, respectively. The contribution to the suspended solids (SS) load of runoff was 91.7% (0.97-7.34 g ·m-2) and 90.5% (0.92-18.77 g ·m-2), respectively. The SS load of road runoff accounted for approximately 95.2% and 83.1%, respectively. The pollution load (SS) after treatment by the LID facilities was approximately 24.0% and 40.2% of the surface runoff, respectively. The particle size distribution of road dust during the accumulation and wash-off processes was>150 µm, while that in surface and output runoff was <50 µm. With the increase in the impervious area, the distribution of finer particles (<105 µm) in the process of accumulation and wash-off increased (24.4%, 106.4%), while the distribution of particles <50 µm in road runoff decreased (12.4%). The particle size distribution of the accumulated, washed dust, and the rain runoff on the roof were roughly similar to those on the road. However, compared to the particle size distribution of road dust, in the accumulation and wash-off processes, the coarser particles (>1000 µm) of the medium hardening rate plot and the particles of size 250-450 µm and <45 µm of the high hardening rate plot increased significantly (>1000 µm: 58.1%, 108.5%; 250-450 µm: 72.9%, 41.8%; <45 µm: 59.2%, 64.8%). The results revealed the entire distribution process (accumulation-wash-off-transport) of particulate pollutants and the effect of LID facilities on the total SS pollution load of the catchment, which can provide an important reference for the scientific assessment of the project performance of LID installation in urban parcel-based catchments.

[Influence of Pervious/Impervious Pattern on Runoff and Pollution in Parcel-based Catchment].

Determining the influence of pervious/impervious underlying surface pattern (composition, position, proportion, etc.) on the generation capacity of surface runoff and pollution in the urban parcel-based catchment could aid in alleviating the urban waterlogging and control non-point source pollution significantly. Landscape metrics were used to analyze the relationship between the characteristics of pervious/impervious underlying surface pattern and total runoff (Q) and the cumulative load of dissolved pollutants (Ld) and particulate pollutants (Lp). The results showed that: ① For the metrics of fragmentation, the patch density (PD) was positively correlated with Q and Ld. and largest patch index (LPI) was negatively correlated with them. Especially, the PD exhibited a significantly positive correlation with Ld(r=0.59, P<0.05, calculated in COD). However, the LPI exhibited a significantly negative correlation with Ld (r=-0.60, P<0.05, calculated in COD). ② For the metrics of complexity, landscape shape index (LSI) was positively correlated with Q and Lp, and mean shape index (MSI) was negatively correlated with them. Especially, the LSI exhibited a significantly positive correlation with Lp (r=0.61, P<0.05, calculated in TP) significantly. However, the MSI exhibited a significantly negative correlation with Lp (r=-0.62, P<0.01, calculated in TP) significantly. ③ For the metrics of vergence, the split index (SPLIT) was positively correlated with Q and Ld, and the cohesion index (COHESION) was negatively correlated with them. The COHESION exhibited a significantly negative correlation with Ld(r=-0.59, P<0.05, calculated in COD), whereas the SPLIT exhibited a significantly positive correlation with Ld (r=0.6, P<0.05, calculated in COD). ④ In the planning on the distribution and pattern of pervious surface under small-scale catchment, it is suggested that the scattered small-regular patches should be transformed to large-irregular patches or patch group. The relationship of the fragmentation, complexity, and vergence of pervious/impervious surface, with the runoff generation, and pollution output in parcel-based catchment was analyzed, which provided a new method for rainfall runoff and pollution control by considering rational allocation of LID facilities in terms of its pattern characteristics (area, distance, shape, etc.).

[Pollutant Transport Analysis and Source Apportionment of the Entire Non-point Source Pollution Process in Combined Sewer Systems].

A comprehensive and scientific understanding of non-point source pollutant transport pathways and source apportionment in combined sewer systems is essential for managing and improving the urban water environment. This study analyzed build-up and wash-off processes of pollutants on road surfaces and in sewers within a catchment of combined sewer systems in a typical old district in Zhuhai. Besides, source apportionment of the entire urban non-point source pollution was investigated by using the mass conservation method. The outcomes revealed that the build-up load of road deposited sediments in the study area was (28.81±10.69) g·m-2. The average wash-off load of road deposited sediments during five different rainfall events was (19.27±10.90) g·m-2 and the wash-off percentage was (52.69±13.3)%. The event mean concentrations of suspended solids (SS) in road runoff were 52-109 mg·L-1, and the event mean concentrations of SS in sewer runoff were 68-158 mg·L-1. Source apportionment analysis showed that road runoff, domestic wastewater, and sewer sediments contributed 39%-72%, <20%, and 13%-56% to SS, respectively. The thickness of sewer sediments increased by 1-14 cm during light and moderate rains, and the thickness decreased by 7-17 cm during heavy rains. It was found that rainfall characteristics affected the contribution percentages of pollution sources. The contribution of pollution from road runoff, domestic sewage, and sewer sediments in combined sewer systems were 2%-52%, 9%-65%, and 8%-81%, respectively. The derived outcomes should be useful for developing recommendations to control non-point source pollution in combined sewer systems and improve urban receiving water quality in China.

[Evaluation of Effect of Urban Non-point Source Pollution Control on Porous Asphalt-Bio-retention Combined Roads].

Different combinations of low impact development (LID) technologies can be applied for control of urban non-point source pollution. There are currently few evaluations of urban non-point source pollution and pollution load reduction based on a combination of porous asphalt and bio-retention. Taking Shenzhen International Low Carbon City as an example, road-deposited sediments were collected prior to and after rainfall events. Runoff was monitored under six typical rainfall events, from porous asphalt and the inlet/outlet of bio-retention. Through analysis of changes in the process of "build-up-wash-off-transport" of pollutant loads, the average build-up of road-deposited sediments in the study area was found to be (15.80±3.79) g·m-2; the mass percentage of road-deposited sediments (size>250 µm) was approximately 65.14%. The average wash-off percentage of six different intensity rainfall events was 17.15%, and road-deposited sediments (size<105 µm) were carried by 62.71%-74.94%. The average pollution loads of surface runoff pollutants SS, TN, and TP were 2.02, 0.025, and 0.0013 g·m-2, respectively. The removal rates of SS, TN, and TP through porous asphalt under infiltration and filtration were 70.26%, 46.29%, and 19.27%, respectively. The secondary purification removal rates of runoff water in bio-retention were 85.25%, 20.22%, and 70.27%, respectively. Pollutant loads into Dingshan River totaled 0.08, 0.011, and 0.0003 g·m-2, representing 4.05%, 43.47%, and 24.39% of runoff. The combination thus had a significant effect on runoff purification. Through quantitative research on the formation of non-point source pollution, this paper provides a scientific basis for estimating pollution loads of urban non-point source pollution and evaluating the performance of LID projects. It makes suggestions for the popularization and application of LID and sponge city design in China.

[Spectral Analysis of Trace Fluorine Phase in Phosphogypsum].

Phosphogypsum, which contains more than 90% of the calcium sulfate dehydrate (CaSO4 · 2H2O), is a kind of important renewable gypsum resources. Unlike the natural gypsum, however, phosphorus, fluorine, organic matter and other harmful impurities in phosphogypsum limit its practical use. To ascertain the existence form, content and phase distribution of trace fluoride in phosphogypsum has important theoretical values in removing trace fluoride effectively. In this present paper, the main existence form and phase distribution of trace fluoride in phosphogypsum was investigated by the combination of X-ray photoelectron spectroscopy (XPS) and Electron microprobe analysis (EMPA). The results show that trace fluoride phase mainly includes NaF, KF, CaF2, K2SiF6, Na2SiF6, Na3AlF6, K3AlF6, AlF3 · 3H2O, AlF2.3(OH)0.7 · H2O, Ca5(PO4)3F, Ca10(PO4)6F2. Among them, 4.83% of fluorine exists in the form of fluoride (NaF, KF, CaF2); Accordingly, 8.43% in the form of fluoride phosphate (Ca5(PO4)3F, Ca10(PO4)6F2); 12.21% in the form of fluorine aluminate (Na3AlF6, K3AlF6); 41.52% in the form of fluorosilicate (K2SiF6, Na2SiF6); 33.02% in the form of aluminum fluoride with crystal water (AlF3 · 3H2O, AlF2.3(OH)0.7 · H2O). In the analysis of phase constitution for trace elements in solid samples, the method of combining XPS and EMPA has more advantages. This study also provides theoretical basis for the removal of trace fluorine impurity and the effective recovery of fluorine resources.

[Characteristics of heavy metal contamination in street dusts along the urban-rural gradient around Beijing].

Road-deposited sediment (RDS) is an important carrier of the diffused pollution. This study analyzed the influences of the urban-suburban-rural gradient (central urban, urban village, central suburban county, rural town, and rural village areas) on the content and chemical fractions of heavy metals. The concentrations of five heavy metals (Cr, Cu, Ni, Pb, and Zn) in RDS in the central urban area were the highest, and the lowest concentrations appeared in the rural village area. The mass of RDS per unit area were opposite to the metals concentrations in distribution. The proportion of weak acid extractable Ni, Pb, and Zn in RDS was higher than that of Cr and Cu. The contribution of heavy metals in smaller grain size (32.4% - 62.4%) was greater than that in coarser grain size (22.9% - 49.6%). It will be helpful to reduce the RDS pollution for runoff and apply appropriate strategies for controlling runoff pollution from RDS according to RDS and its contribution to heavy metal pollution along the urban-rural gradient.

[Migration and transformation of heavy metals in street dusts with different particle sizes during urban runoff].

The heavy metal pollution in runoff caused by street dust washoff has been an increasingly prominent problem in the context of rapid urbanization in China. Based on measurement of heavy metal contents in street dusts with different particle sizes and an experiment of street dust washoff using simulated rainfall, we analyzed the role of particle size of street dust in heavy metal pollution, and the variation in geometrical forms of heavy metals during street dust washoff. Our results showed that the heavy metal concentration decreased from "static" street dust to "dynamic" runoff particulate in the same diameter particles. Heavy metals in street dust were dissolved and extracted during washoff. The average loss proportion of the five metals (Cr, Cu, Ni, Pb, Zn) were 24.3%, 56.8%, 34.3%, 22.8%, 27.3%, respectively. The loss proportion increased with the decrease of the particle size of street dust. Proportion of extracted form dust was higher in street than that in washoff samples, which suggested some dissolved loss in water. In washoff samples, dissolved metals of waterphase did not have significant changes; however, heavy metals with particle state in waterphase reduced rapidly during runoff. Meanwhile, heavy metals of solid-phase particle reduced during runoff. Street dust with small particle size had higher loss rate during runoff. The variation rate of street dust loss among different particle sizes varied from 4.6% to 62.1%. Street dust with smaller particle size had higher migration ability in runoff, which was more risky to urban water pollution.

Development of a novel method combining HPLC fingerprint and multi-ingredients quantitative analysis for quality evaluation of traditional Chinese medicine preparation.

A novel method combining high performance liquid chromatography (HPLC) fingerprint and simultaneous quantitative analysis of multiple active components was developed and validated for quality evaluation of one type of traditional Chinese medicine preparations: Shuang-huang-lian (SHL) oral liquid formulation. For fingerprint analysis, 45 peaks were selected as the common peaks to evaluate the similarities among several different SHL oral liquid preparations collected from manufacturers. Additionally, simultaneous quantification of eleven markers, including chlorogenic acid, caffeic acid, rutin, forsythiaside, scutellarin, baicalin, forsythin, luteoloside, apigenin, baicalein and wogonin, was performed. Statistical analysis of the obtained data demonstrated that our method has achieved desired linearity, precision and accuracy. Finally, concentrations of these eleven markers in SHL oral liquid prepared by different manufacturers in China were determined. These results demonstrated that the combination of HPLC chromatographic fingerprint and simultaneous quantification of multi-ingredients offers an efficient and reliable approach for quality evaluation of SHL oral liquid preparations.

[Polymorphisms of Arg389Gly of ß1-adrenergic receptor gene and essential hypertension risk: a meta analysis].

OBJECTIVE: To evaluate the associations between polymorphisms Arg389Gly of ß1-adrenergic receptor gene and essential hypertension risk. METHODS: "Hypertension", "polymorphism", "Arg389Gly" and "beta1-adrenergic" or "beta1-adrenoceptor" were used as key words to search the relevant publications between January 1990 and June 2011 in the databases of Pubmed, CNKI and Wanfang. Additional references cited in the retrieved articles were also evaluated. Between-study heterogeneity test was performed by the χ(2)-based Q test. Fix/random-effect model was used for data pooling. Publication bias was evaluated with the linear regression asymmetry Egger's and Begg's tests. RESULTS: Fourteen case-control studies containing 6429 cases of essential hypertension cases and 6986 controls were included for the analyses of Arg389Gly and risk of essential hypertension. Between-study heterogeneity was significant across all studies (q = 37.32, P < 0.001). After stratification by sample size, among the sub-group with a sample size of over 500 cases, the Gly/Gly carriers had significantly a lower risk of essential hypertension than the Arg/Arg carriers (OR = 0.84, 95%CI 0.73 - 0.98). There was no between-study heterogeneity (q = 1.10, P = 0.777). In addition, the risk borderline decreased in the Arg/Gly carriers (OR = 0.95, 95%CI 0.91 - 1.00). The results of dominant model also showed that the risk of essential hypertension significantly decreased (OR = 0.95, 95%CI 0.91 - 0.99) among the Arg/Gly and Gly/Gly carries versus the Arg/Arg carriers. CONCLUSION: The Arg389Gly Arg/Arg genotype carriers are associated with an elevated risk of essential hypertension. And Arg389Gly of ß1-adrenergic receptor gene may play a role in the susceptibility of essential hypertension.

Electrochemical real-time detection of L-histidine via self-cleavage of DNAzymes.

Herein, a rapid electrochemical biosensor for L-histidine based on highly specific, L-histidine-dependent DNAzymes is described. DNA with a single, sessile ribo-adenine, self-cleaves in the presence of L-histidine, allowing a ferrocene tag to transfer electrons to the electrode. The double-stranded DNA complex was chemi-absorbed to a gold electrode via a 3' terminal thiol. The signal of this proposed sensor is linear over the range, 1 nM to 10 µM, with R=0.98775. To improve signal intensity, gold nanoparticles were anchored to a gold electrode surface which had been previously modified with self-assembled monolayers of 1,6-hexanedithiol. With gold nanoparticle modification, a lower detection limit of 0.1 pM L-histidine and a good linear relationship over the range, 0.1 pM to 50 nM were obtained. The proposed biosensor presents high specificity for L-histidine, is not affected by the presence of other amino acids, and demonstrates excellent enantio-selectivity toward L-histidine. This proposed sensor protocol offers reasonable selectivity, rapid speed, and operational convenience for real sample assays.

[Associations of polymorphisms of methionine synthase A2756G and methionine synthase reductase G66A with the risks of coronary artery disease: a meta-analysis].

OBJECTIVE: To evaluate the associations between polymorphisms of methionine synthase(MTR) A2756G and methionine synthase reductase(MTRR) G66A and risk of coronary artery disease. METHODS: Literatures in Medline reporting the relationship between polymorphisms of MTR A2756G and MTRR G66A and risk of coronary artery disease from January 1990 to May 2010 were searched. A total of 14 relevant articles were selected and 13 of them met the criteria. A Meta-analysis was performed to estimate the pooled odds ratio (OR) to evaluate the relationship between polymorphisms of MTR A2756G and MTRR G66A and risk of coronary artery disease. All analyses were performed using the STATA statistical software. RESULTS: Among the 13 studies, eight case-control studies containing 2143 cases of coronary artery disease and 2270 controls were included in the analysis of MTR A2756G and risk of coronary artery disease. Meanwhile, five case-control studies with 811 cases of coronary artery disease and 387 controls were included in the analysis of MTRR G66A and risk of coronary artery disease. In the analysis of MTRR G66A related to the risk of coronary artery disease, there were 246 GG carries, 397 AG carriers and 168 AA carriers in the group of coronary artery disease, against 102 GG carriers, 203 AG carriers and 82 AA carriers in the control group. Compared with the MTRR GG carriers, the risk of coronary artery disease decreased significantly by 27% (OR = 0.73, 95%CI: 0.54 - 0.99) and 25% (OR = 0.75, 95%CI: 0.56 - 1.00) (Egger's test t = -0.19, P = 0.862) in the MTRR 66 AG and AG/AA carriers, respectively, and also decreased in the MTRR AA carriers but significant difference was observed (OR = 0.84, 95%CI: 0.42 - 1.68). There was no significant association between coronary artery disease and MTR A2756G. CONCLUSION: These results suggest that MTRR66 may play a role in coronary artery disease susceptibility. MTRR 66 A allele carries are associated with a statistically significant decreased risk of coronary artery disease susceptibility.

[The risk predictive value of high sensitivity C-reactive protein level for new hemorrhagic stroke events].

OBJECTIVE: To study the risk prediction for new intracerebral hemorrhage (ICH) with high sensitivity C-reactive protein (hs-CRP) level. METHODS: In a retrospective, nested, case-controlled study, 323 cases of ICH were identified and matched with 646 controls. The hs-CRP levels at baseline were compared between the two groups. The relevance of different hs-CRP levels and the risk of ICH were analyzed. RESULTS: The ICH group had a higher median hs-CRP levels (1.10 mg/L) as compared with the control group (0.66 mg/L) with significant difference (P<0.01). In addition, the increase of risk associated with hs-CRP levels was primarily observed in the individuals with the highest quartile of hs-CRP levels (>2.12 mg/L). These patients had an increased risk of ICH (OR 2.58, 95%CI 1.77 to 3.76) as compared with those in the lowest quartile (≤0.30 mg/L). Individuals with baseline hs-CRP levels above the specified cut point of 3 mg/L or more and those in the 80th percentile were at a markedly increased risk of ICH (for specified cut point of 3 mg/L, OR 2.26, 95%CI 1.60 - 3.20, P<0.01; for 80th percentile, OR 2.24, 95%CI 1.60 - 3.13, P<0.01, respectively). CONCLUSIONS: Risk of ICH might be predicted with the level of hs-CRP. With the increase of hs-CRP level at baseline, the risk of ICH was increased.

[Analysis of the complication and prevention on treatment of osteoporotic vertebral compressive fractures by percutaneous vertebroplasty (PVP)].

OBJECTIVE: To analyze the reasons of the complications,and the measures taken for the prevention and treatment by percutaneous vertebroplasty (PVP) for osteoporotic thoracolumbars vertebral compressive fractures. METHODS: From May 2004 to June 2008, 204 patients with 286 diseased vertebrae underwent PVP under the guidance of C-arm fluoroscopy, and 56 patients with complications included 18 males, 38 females, ranging in age from 58 to 93 years, with an average of 72 years. The condition of leakage of bone cement and complications was observed. RESULTS: The complications related to the leakage of PMMA found in 60 vertebrae in 49 cases: vertebral canal in 5 cases, intervertebral foramina in 3 cases, soft tissue besides vertebrae in 20 cases,intervertebral discs in 15 cases, venous plexus besides vertebrae in 6 cases. The complications no related to the leakage of PMMA found in 7 cases: the nerve roots injuried in 3 cases; the pain of the patient worsened temporarily in 2 cases; the blood pressure of the patient descent temporarily in 2 cases. CONCLUSION: The main reasons of complications are no-integrated of the compressived vertebrae,unstandard skills of injecting,unsuitable opportunity and quantity of injecting PMMA, unsufficient monitoring of C-arm fluoroscopy, the toxicity of PMMA. The measures of prevention and treatment is strict indication, standard skills of injecting, sufficient monitoring of C-arm fluoroscopy, suitable opportunity and quantity of injecting PMMA, electrocardio-monitoring in operation.

Mechanism of metal-independent decomposition of organic hydroperoxides and formation of alkoxyl radicals by halogenated quinones.

The metal-independent decomposition of organic hydroperoxides and the formation of organic alkoxyl radicals in the absence or presence of halogenated quinones were studied with electron spin resonance (ESR) and the spin-trapping agent 5,5-dimethyl-1-pyrroline N-oxide (DMPO). We found that 2,5-dichloro-1,4-benzoquinone (DCBQ) markedly enhanced the decomposition of tert-butylhydroperoxide (t-BuOOH), leading to the formation of the DMPO adducts with t-butoxyl radicals (t-BuO* and methyl radicals *CH(3)). The formation of DMPO/t-BuO* and DMPO/*CH(3) was dose-dependent with respect to both DCBQ and t-BuOOH and was not affected by iron- or copper-specific metal chelators. Comparison of the data obtained with DCBQ and t-BuOOH with those obtained in a parallel study with ferrous iron and t-BuOOH strongly suggested that t-BuO* was produced by DCBQ and t-BuOOH through a metal-independent mechanism. Other halogenated quinones were also found to enhance the decomposition of t-BuOOH and other organic hydroperoxides such as cumene hydroperoxide, leading to the formation of the respective organic alkoxyl radicals in a metal-independent manner. Based on these data, we propose a mechanism for DCBQ-mediated t-BuOOH decomposition and formation of t-BuO*: a nucleophilic attack of t-BuOOH on DCBQ, forming a chloro-t-butylperoxyl-1,4-benzoquinone intermediate, which decomposes homolytically to produce t-BuO*. This represents a mechanism of organic alkoxyl radical formation not requiring the involvement of redox-active transition metal ions.

Metal-independent production of hydroxyl radicals by halogenated quinones and hydrogen peroxide: an ESR spin trapping study.

The metal-independent production of hydroxyl radicals (*OH) from H(2)O(2) and tetrachloro-1,4-benzoquinone (TCBQ), a carcinogenic metabolite of the widely used wood-preservative pentachlorophenol, was studied by electron spin resonance methods. When incubated with the spin trapping agent 5,5-dimethyl-1-pyrroline N-oxide (DMPO), TCBQ and H(2)O(2) produced the DMPO/*OH adduct. The formation of DMPO/*OH was markedly inhibited by the *OH scavenging agents dimethyl sulfoxide (DMSO), ethanol, formate, and azide, with the concomitant formation of the characteristic DMPO spin trapping adducts with *CH(3), *CH(CH(3))OH, *COO(-), and *N(3), respectively. The formation of DMPO/*OH and DMPO/*CH(3) from TCBQ and H(2)O(2) in the absence and presence, respectively, of DMSO was inhibited by the trihydroxamate compound desferrioxamine, accompanied by the formation of the desferrioxamine-nitroxide radical. In contrast, DMPO/*OH and DMPO/*CH(3) formation from TCBQ and H(2)O(2) was not affected by the nonhydroxamate iron chelators bathophenanthroline disulfonate, ferrozine, and ferene, as well as the copper-specific chelator bathocuproine disulfonate. A comparative study with ferrous iron and H(2)O(2), the classic Fenton system, strongly supports our conclusion that *OH is produced by TCBQ and H(2)O(2) through a metal-independent mechanism. Metal-independent production of *OH from H(2)O(2) was also observed with several other halogenated quinones.