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1.
Chemosphere ; 286(Pt 1): 131626, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34346333

RESUMO

Extraction uranium from complicated aqueous solutions (seawater and nuclear wastewater) has been promoting the development of multi-functional adsorbents with high adsorption capacities and high selectivity. Here, we proposed a co-immobilization approach to preparing uranium adsorbents. Due to specific recognition and binding between functional groups, bayberry tannin (BT) and hydrous titanium oxide (HTO) were co-immobilized onto nano collagen fibrils (NCFs). The adsorption performances of NCFs-HTO-BT to uranium were systematically investigated in two aqueous systems, including nuclear wastewater and seawater. Results proved that NCFs-HTO-BT possessed the remarkable adsorption capacities and affinities for uranium in wastewater (393.186 mg g-1) and spiked seawater (14.878 mg g-1) with the uranium concentration of 320 mg g-1 and 8 mg g-1, respectively. Based on characteristic analysis of the adsorbent before and after uranium adsorption, the hydroxyl groups of HTO, the adjacent phenolic hydroxyl groups of BT, and nitrogen-containing and oxygen-containing functional groups of NCFs were active sites for uranium adsorption.


Assuntos
Myrica , Urânio , Adsorção , Água do Mar , Taninos , Titânio , Águas Residuárias
2.
Environ Res ; 203: 111864, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34389351

RESUMO

Epidemiologic studies have shown that the fine particulate matter 2.5 (PM2.5) exaggerates chronic airway inflammation involving in acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Surfactant proteins (SPs) decreases significantly related to airflow limitation and airway inflammation. However, how to restore the reduction of SPs levels in airway inflammation exposed to PM2.5 has not been well understood. In the present study, the SPs including SPA, SPB, SPC and SPD levels in bronchoalveolar lavage fluid (BALF) were detected from patients with stable COPD. Rats were exposed to cigarette smoke and PM2.5. After given with Surfaxin, the expression of SPs, protein kinase C (PKC) and tight junction protein (ZO-1) in lung tissue and the levels of C-reactive protein (CRP) and fibrinogen (FIB) in plasma was observed. The results showed that SPA, SPB and SPD were significantly lower than those of the control group (p < 0.01). PM2.5 aggravated smoking-induced airway inflammation and oxidative stress demonstrated by pathological changes of lung tissue and increased levels of CRP and PKC in vivo. PM2.5 decreased the expression of all the SPs and ZO-1, which could be significantly restored by Surfaxin. These findings indicate that Surfaxin protects the alveolar epithelium from PM2.5 in airway inflammation through increasing SPs.

3.
Sci Total Environ ; 806(Pt 4): 150899, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34656594

RESUMO

To address the problem of difficult disposal caused by poor dewaterability of high-organic sludge in wastewater treatment plant, this study developed a sludge composite conditioner (SCC) consisting of sodium dodecyl sulfate (SDS), HCl and FeCl3. It has the potential to significantly improve the dewaterability of the high-organic sludge with the VSS/MLSS of 80%. The moisture content (MC) and bound water content of sludge were reduced from 98.00 to 59.65% and from 3.42 to 0.91 g/g dry sludge (DS) after being conditioned, respectively. The surfactant (SDS) promoted the dissolution of extracellular polymeric substances (EPS). The acid (HCl) enhanced the decomposition of the sludge flocs, making the insoluble EPS peel off and turn into the liquid phase. As a result, total EPS decreased by 52.70% compared to the original sludge. In addition, due to the neutralization effect of protons and FeCl3, the Zeta potential increased remarkably from -13.80 mV to -1.72 mV and the dispersed sludge particles formed during EPS dissolution process were re-flocculated, which increased the average size of the sludge particles. The ratio of proteins (PN)/polysaccharides (PS) also increased from 1.69 to 3.81. And a quantitative model of optimum dosage of SCC agents based on the influence of the sludge PS, PN and EPS content has been established, aiming to determine the dosage of each conditioner according to the properties of target sludge. In general, the SCC provided an effective pathway for sludge deep dewatering.

4.
Sci Total Environ ; 806(Pt 3): 151252, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34710409

RESUMO

The temperature of the rivers in the Qilian Mountains, China varies widely from day to night, and Gymnocypris chilianensis living in these rivers may experience a change of 10 °C to 20 °C within a day. To explore the mechanisms underlying G. chilianensis responses to heat stress, we conducted an acute temperature stress experiment. In response to heat stress, levels of antioxidant enzymes (SOD\CAT\MDA) first increased and then decreased with time, but T-AOC levels only decreased. The activities of key glycolytic enzymes HK and PFK in the liver also first increased and then decreased and transaminase (AST/ALT) activity increased significantly. We obtained 5350 significantly different genes through transcriptome sequencing with enrichment pathways including primarily glycine, serine and threonine metabolism, cysteine and methionine metabolism, tryptophan metabolism, fructose and mannose metabolism, steroid hormone biosynthesis, and fatty acid degradation. A total of 457 differential metabolites were identified in the liver under thermal stress, most of which are involved in biochemical pathways of amino acid metabolism. Biosynthesis of amino acids indicated that G. chilianensis maintained physiological homeostasis by enhancing glucose metabolism and regulating lipid and amino acid metabolism pathways under thermal stress. We also randomly selected 12 key response genes for validation using qRT-PCR. This is the first study describing the mechanisms underlying responses to thermal stress in G. chilianensis, and may also provide reference data for the study of environmental mutations in indigenous fish in the Qinghai-Tibet Plateau and Qilian Mountains.

6.
Environ Pollut ; 292(Pt A): 118276, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34606973

RESUMO

Limnologists and governments have long had an interest in whether nitrogen (N) and/or phosphorous (P) limit algal productivity in lakes. However, the types and importance of anthropogenic and biogeochemical processes of N and P differ with lake trophic status. Here, a global lake dataset (annual average data from 831 lakes) demonstrates that total nitrogen (TN): total phosphorous (TP) ratios declined significantly as lakes become more eutrophic. From oligotrophic to hypereutrophic lakes, the probability of N and P co-limitation significantly increases from 15.0 to 67.0%, while P-only limitation decreases from 77.0 to 22.3%. Furthermore, TN:TP ratios are mainly affected by concentrations of TP (r = -0.699) rather than TN (r = -0.147). These results reveal that lake eutrophication mainly occurs with increasing P rather than N, which shifts lake ecosystems from stoichiometric P limitation toward a higher probability of N and P co-limitation. This study suggests that low N:P stoichiometry and a high probability of N and P co-limitation tend to occur in eutrophic systems.


Assuntos
Lagos , Fósforo , Ecossistema , Nitrogênio , Probabilidade
7.
J Ethnopharmacol ; 283: 114670, 2022 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-34653522

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Fritillariae thunbergii Miq (FTM)exhibit versatile biological activities including the significant antitussive and expectorant activities. As a herbal medicine, the therapeutic effects of FTM may be expressed by multi-components which have complicated integration effects on multi-targets. With the time going, the different processing methods of FTM has been changed a lot. Thus,the study described the effect of processing methods to FTM and its quality. MATERIAL AND METHOD: Studies were undertaken by using UHPLC-LTQ Orbitrap MS and pharmacodynamic models. All reagents were involved of analytical grade. While a HPLC-ELSD's method has been developed and validated, a certified Quality System is conformed to ICH requirements. The experimental animals followed the animal welfare guidelines. AIM OF THE STUDY: We aimed to found the differences after the different processing methods of FTM, and to demonstrate the changes could be selected as quality control indicators, and established a method for simultaneous determination of these for quality control. RESULTS: we have previously found two new steroidal alkaloids: zhebeininoside and imperialine-3-ß-D-glucoside from the different processing methods of FTM, which is the difference between the different processing methods of FTM, mainly on the steroidal alkaloids. The activity analysis of zhebeininoside, imperialine-3-ß-D-glucoside, verticine and verticinone showed that the mouse model of cough expectorant has antitussive effect. The positive drug selected was dextromethorphan syrup. The positive group showed biological activity, but the blank group showed nothing. The model group showed illness which means that the model was effective. There are two ways of the mechanism of action of the expectorant action which can make sputum thin, reduce its viscosity, and be easy to cough up, or can accelerate the movement of mucous cilia in the respiratory tract and promote the discharge of sputum. In our study, the content of phenol red was significantly reduced in the administration group. CONCLUSIONS: To sum up, our results suggest that zhebeininoside and other three components cloud be selected as quality control indicators, and a method for simultaneous determination of zhebeininoside and other three components was established for quality control.

8.
J Hazard Mater ; 423(Pt B): 127181, 2022 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-34844338

RESUMO

As anthropogenic antibiotics, quinolones, e.g., ofloxacin have adverse impacts on ecological systems and human heaths. The removal of quinolones is of great importance, and adsorption techniques have been widely used to remove this hazardous contaminant. However, a robust and easy-operating adsorbent is still emergently required due to the complex chemical structure of quinolones. In this study, we successfully synthesized the promising metallic carbons (MCs) containing carbon nanotubes and cobalt nanoparticles by carbonizing Zn/Co-ZIF at 900 °C. Three different molar ratios of Co and Zn were applied to optimize the adsorption capacity on ofloxacin (OFL). Results showed MC with molar ratio of Co and Zn at 3:1 (Co-CNT/NPC3/1) achieved the maximal adsorption capacity to 118.3 mg g-1. Its adsorption performance was satisfied in the pH range from 5 to 9 and ionic strengths at 0.01 M. The main mechanisms for these adsorptions were identified as electrostatic attraction, metal coordination and π-π EDA. Removal efficiencies of quinolones higher than 68 mg g-1 indicated the strong feasibility of this adsorbent for wastewater treatments. The regeneration of Co-CNT/NPC3/1 at 600 °C allowed its at least 4-time reusability and its magnetic property enabled external magnets to recycle it from real environments.

9.
J Med Virol ; 2021 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-34850402

RESUMO

INTRODUCTION: This study aimed to explore the application value of two laboratory tests in the diagnosis of Epstein-Barr virus-associated infectious mononucleosis (EBV-IM) in children. METHODS: From January 2018 to December 2020, 166 patients with EBV-IM were included in this study. Two methods were used in the analysis. The results of both tests were compared and analyzed. RESULTS: The age of onset of EBV-IM is mainly distributed in the range of 0-6 years, and no difference by gender is observed. The sensitivity and specificity of EBV testing by PCR were 49.4% and 89.8%, respectively, and the area under the receiver operating characteristic curve (AUC) was 0.714 (0.662-0.762). When using the immunofluorescence method to detect EBV antibodies, the two indices with the highest diagnostic efficacy were low-affinity EBV-CA IgG and EBV-CA IgM, and their AUC values were 0.798 (0.751-0.840) and 0.663 (0.609-0.713), respectively. When combining the two indices for testing, the AUC values of EBV-CA IgM + low-affinity EBV-CA IgG, EBV-DNA + EBV-CA IgM, and EBV-DNA + low-affinity EBV-CA IgG were 0.904(0.867-0.933), 0.768 (0.719-0.812) and 0.963 (0.937-0.981), respectively. The diagnostic efficacy of the combined EBV-DNA + EBV-CA IgM + low-affinity EBV-CA IgG test was optimal compared with that of a single index or the combination of two indices, with an AUC of 0.999 (0.986-1.000) (P < 0.05), sensitivity of 100%, and specificity of 89.8%. CONCLUSIONS: The combined immunofluorescence and real-time PCR method has high sensitivity and specificity and good application value in the clinical diagnosis of EBV-IM. This article is protected by copyright. All rights reserved.

10.
Environ Pollut ; : 118604, 2021 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-34856244

RESUMO

Per- and polyfluoroalkyl substances (PFASs) have been found to be widely present in soil. Dissolved organic matter (DOM) in soil are supposed to greatly affect the bioavailability of PFASs in soil. Herein, hydroponic experiments were conducted to understand the impacts of two kinds of typical DOM, bovine serum albumin (BSA) and humic acid (HA), on the uptake and translocation of legacy PFASs and their emerging alternatives, perfluorooctane sulfonic acid (PFOS), perfluorooctane acid (PFOA), perfluorohexane sulfonic (PFHxS) and 6:2 chlorinated polyfluoroalkyl ether sulfonate (6:2 Cl-PFESA) in wheat (Triticum aestivum L.). The results indicated that both HA and BSA significantly inhibited the bioaccumulation and translocation of PFASs in the roots and shoots of wheat, and the impacts of BSA were greater than HA. This difference was explained by the greater binding affinities of the four PFASs with BSA than with HA, as evidenced by the equilibrium dialysis and isothermal titration calorimetry (ITC) analyses. It was noting that inhibition impacts of the BSA-HA mixture (1:1) were lower than BSA alone. The results of Fourier transform infrared (FT-IR) spectroscopy and excitation-emission matrix (EEM) fluorescence spectroscopy suggested that HA could bind with the fluorescent tryptophan residues in BSA greatly, competing the binding sites with PFASs and forming a cover on the surface of BSA. As a result, the binding of PFASs with BSA-HA complex was much lower than that with BSA, but close to HA. The results of this study shed light on the impacts of DOM in soil on the bioaccumulation and translocation of PFASs in plants.

11.
Front Psychol ; 12: 744237, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34858277

RESUMO

How to achieve business model innovation (BMI) has always been a focus topic in the field of entrepreneurship. Based on cognitive theory, this study takes new ventures as the research object to build a theoretical model to explore the impact of entrepreneurial cognition on BMI choice, its intermediary mechanism, and boundary conditions. We test our framework with a sample of 242 questionnaires; the empirical research results show that entrepreneurial configuration cognition, willing cognition, and ability cognition indirectly affect the BMI of new ventures. Strategic sensitivity (SSE) mediated the relationship between entrepreneurial cognition and BMI; knowledge diversity positively moderates the relationship between SSE and BMI. Machine learning algorithm research has found three prediction models for BMI of new ventures. By constructing a theoretical analysis framework of BMI from the perspective of cognition, the results deepen the relevant research on BMI of new ventures, clarify the source of unique characteristics and capabilities of entrepreneurs, provide a new research perspective for analyzing the impact mechanism of entrepreneurial cognition on BMI, enrich the research results in the field of "situation-cognition behavior," and further clarify the important role of knowledge in the development of new ventures.

12.
Front Oncol ; 11: 751396, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34765556

RESUMO

Background: Uniportal video-assisted thoracoscopic surgery (UniVATS) was utilized with a rapid growth. The evidence is sparse, however, on whether to add external suction to water-seal drainage for chest drainage after UniVATS. This retrospective propensity score-matched study aimed to identify the necessity of adding external suction to chest drainage after UniVATS. Methods: Patients with lung cancer who underwent UniVATS were included from our prospectively maintained database. Patients were divided into two cohorts based on the addition of external suction to postoperative water-seal drainage or not. Propensity score-matched analysis was performed to identify the impact of suction on chest tube duration, incidence of persistent air leak, hospital stay, and hospitalization cost. Multivariable model with interaction terms was constructed to identify impact of covariables on effect of suction. Results: The two cohorts matched well on baseline characteristics (nonsuction: 173; suction: 96). Compared with nonsuction group, suction group showed longer median chest tube duration (3 vs. 2 days, p = 0.003), higher incidences of persistent air leak (9.4% vs. 1.2%, p = 0.003), persistent drainage (16.8% vs. 5.8%, p = 0.007), and reduced drainage volume within first 3 postoperative days (386.90 vs. 504.78 ml, p = 0.011). Resection extent was identified to mediate the relationship between suction and chest tube drainage. Conclusions: These findings discouraged adding external suction to water-seal drainage after UniVATS regarding longer chest tube duration and more persistent air leak. Patients undergoing lobectomy would benefit more from water-seal drainage without external suction compared with those doing sublobectomy.

13.
Front Nutr ; 8: 735742, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34765630

RESUMO

Radix paeoniae alba (RPA) is a kind of herbal medicine of traditional Chinese medicine (TCM) that is widely used for the treatment of liver diseases and rheumatoid arthritis in clinical practice. As a result of the low extraction efficiency of RPA by the conventional method, many patients are given high dosages. In this study, four exposure doses of dielectric barrier discharge (DBD) plasma (0, 60, 120, and 180 s) were applied to modify the extraction efficiency of paeoniflorin, benzoylpaeoniflorin, tannic acid, gallic acid, 2'-hydroxy-4'-methoxyacetophenone, and polysaccharide in RPA. Finally, the application of plasma for 180 s exhibited a 24.6% and 12.0% (p < 0.001) increase of tannic acid and polysaccharide contents, however, a 2.1% (p < 0.05) and 5.4% (p < 0.001) reduction of paeoniflorin and gallic acid composition, respectively, and no significant difference (p > 0.05) in results obtained from benzoylpaeoniflorin and 2'-hydroxy-4'-methoxyacetophenone contents. Our results of scanning electron microscopy (SEM), automatic specific surface area and pore analyzer, Fourier transform infrared spectroscopy (FTIR), X-ray photoelectron spectroscopy (XPS), and thermal gravimetric analysis (TGA) indicated that DBD plasma can etch the surface and undergo graft polymerization by reactive species thereby changing the water/oil holding capacity and eventually changing the extraction efficiency of bioactive compounds in RPA. Overall, our observations provide a scientific foundation for modifying the extraction efficiency of bioactive ingredients related to the pharmacological activities of RPA.

16.
JAMA Surg ; 2021 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-34730772

RESUMO

Importance: KRAS variants are associated with tumor progression; however, the prevalence of KRAS variant subtypes and their association with survival and recurrence in patients with intrahepatic cholangiocarcinoma (ICC) after curative resection are largely unknown. Objective: To explore the prognostic association of KRAS variant subtypes with survival and recurrence in patients with ICC. Design, Setting, and Participants: In this cohort study, patients who underwent curative resection for ICC from January 2009 through December 2016 at a single hospital in China were recruited, and whole-exome sequencing, targeted sequencing, and Sanger sequencing were performed to identify KRAS variants. Kaplan-Meier and log-rank tests were used to compare overall survival (OS) and disease-free survival (DFS). Univariate and multivariate analyses were performed using the Cox proportional hazards regression model. Data were analyzed from April 2020 to January 2021. Interventions: Hepatectomy in patients with ICC. Main Outcomes and Measures: The association of KRAS variant subtypes with OS and DFS. Results: Of 1024 included patients with ICC, 621 (60.6%) were male, and the mean (SD) age was 59.2 (10.2) years. A total of 14 different subtypes of KRAS somatic variants affecting 127 patients (12.4%) were identified. G12D was the most frequent allele in this cohort, accounting for 55 of 127 identified KRAS variants (43.3%), followed by G12V (25 [19.7%]), G12C (9 [7.1%]), and G13D (8 [6.3%]). Compared with patients with wild-type KRAS, patients with variant KRAS were more likely to have high levels of carbohydrate antigen 19-9 (92 of 127 [72.4%] vs 546 of 897 [60.9%]; P = .01) and γ-glutamyltransferase (72 of 127 [56.7%] vs 420 of 897 [46.8%]; P = .04). Multivariable analysis revealed that G12 KRAS variants but not non-G12 KRAS variants were independently associated with worse OS (hazard ratio [HR], 1.69; 95% CI, 1.31-2.18; P < .001) and DFS (HR, 1.47; 95% CI, 1.16-1.88; P = .002). Among the patients with G12 KRAS variants, the G12V KRAS variant was the strongest prognostic determinant for the worst OS (HR, 3.05; 95% CI, 1.94-4.79; P < .001) and DFS (HR, 1.79; 95% CI, 1.13-2.85; P = .01). Conclusions and Relevance: In this cohort study, the distribution of KRAS variant subtypes was characterized in a large cohort of patients with ICC from China. The presence of G12 KRAS variants but not non-G12 KRAS variants was associated with worse survival and increased risk of recurrence. Patients with the G12V variant exhibited the worst outcomes in the whole cohort.

17.
Sensors (Basel) ; 21(21)2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34770578

RESUMO

Water environmental Internet of Things (IoT) system, which is composed of multiple monitoring points equipped with various water quality IoT devices, provides the possibility for accurate water quality prediction. In the same water area, water flows and exchanges between multiple monitoring points, resulting in an adjacency effect in the water quality information. However, traditional water quality prediction methods only use the water quality information of one monitoring point, ignoring the information of nearby monitoring points. In this paper, we propose a water quality prediction method based on multi-source transfer learning for a water environmental IoT system, in order to effectively use the water quality information of nearby monitoring points to improve the prediction accuracy. First, a water quality prediction framework based on multi-source transfer learning is constructed. Specifically, the common features in water quality samples of multiple nearby monitoring points and target monitoring points are extracted and then aligned. According to the aligned features of water quality samples, the water quality prediction models based on an echo state network at multiple nearby monitoring points are established with distributed computing, and then the prediction results of distributed water quality prediction models are integrated. Second, the prediction parameters of multi-source transfer learning are optimized. Specifically, the back propagates population deviation based on multiple iterations, reducing the feature alignment bias and the model alignment bias to improve the prediction accuracy. Finally, the proposed method is applied in the actual water quality dataset of Hong Kong. The experimental results demonstrate that the proposed method can make full use of the water quality information of multiple nearby monitoring points to train several water quality prediction models and reduce the prediction bias.

18.
Surgeon ; 2021 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-34782237

RESUMO

BACKGROUND: Emergence delirium (ED) is a common phenomenon occurring in the recovery period. The aim of this study was to investigate the incidence, risk factors, and consequences of ED in adults after elective brain tumor resection. METHODS: We retrospectively analyzed the data of a prospective cohort performed in a tertiary university hospital. Adult patients admitted to the intensive care unit (ICU) immediately after elective brain tumor resection were consecutively enrolled. Level of consciousness was assessed using the Richmond Agitation-Sedation Scale and ED was assessed using the Confusion Assessment Method for the ICU. Risk factors for ED were determined by multivariable logistic regression. RESULTS: A total of 659 patients met the inclusion criteria, of which 41 patients with coma were excluded. Among the remaining 618 patients, 131 (21.2%) developed ED. Independent risk factors for ED were: age, education level, use of anticholinergic and mannitol, Glasgow Coma Score and arterial partial pressure of oxygen postoperatively, postoperative pain, malignant tumor, and frontal approach craniotomy. ED was associated with increased postoperative delirium, longer length of hospital stay, and higher hospitalization costs. There was no significant difference in the neurological function deficits (modified Rankin Scale score) between ED and non-ED groups. CONCLUSIONS: ED has a high incidence and is associated with poor outcomes in adults after elective brain tumor resection. Early screening and prevention for ED should be established in perioperative management of this population.

19.
Clin Chim Acta ; 523: 525-531, 2021 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-34748781

RESUMO

BACKGROUND: Liver cirrhosis is closely related to the abnormal liver function and occurrence of liver cancer. Accurate non-invasive assessment of liver cirrhosis is of great significance for preventing disease progression and treatment decision-making. We aim to develop and validate a non-invasive diagnostic model for liver cirrhosis in patients with chronic hepatitis B (CHB). METHODS: From July 2015 to April 2017, seven-hundred fifty-four patients with primary HBV-related liver cancer who underwent hepatectomy were reprospectively recruited. All patients were examined with 2D-SWE and serologic testing preoperatively, which were utilized for measurement of liver stiffness and serum fibrosis models. The stage of liver fibrosis was evaluated using a resected liver specimen. Least absolute shrinkage and selection operator (Lasso) regression was used for feature selection and binary logistic regression analysis was chosen to build a diagnostic model, which was presented as a nomogram and evaluated for calibration, discrimination and clinical usefulness. The performance of noninvasive model was then prospectively validated in an independent cohort (361 patients) by the ROC curve analysis. RESULTS: The diagnostic model, which consists of 5 selected clinical characteristics (PIII-NP, IV-C, Hyaluronan, Platelet and Liver stiffness), showed the strongest correlation with liver fibrosis stage (ρ = 0.702, P < 0.05). Compared with APRI, FIB-4, King's Score, and Forns Index, the model presented the optimal discrimination and the best predictive performance with the highest AUC in the training cohort (0.866, 95%CI 0.840-0.892, P < 0.05) and validation cohorts (0.852, 95%CI 0.813-0.890, P < 0.05). Decision curve analysis demonstrated that nomogram based on the model was extremely useful for diagnosing cirrhosis in patients with chronic hepatitis B. CONCLUSION: This study proposes a non-invasive diagnostic model that incorporates the clinical predictors which can be conveniently used in the individualized diagnosis of HBV-related liver cirrhosis.

20.
Nutrition ; 93: 111412, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34749061

RESUMO

OBJECTIVES: Skeletal muscle accounts for 80% of whole body insulin-stimulated glucose uptake, and it plays a key role in preventing and curing obesity and insulin resistance (IR). Vitamin K2 (VK2) plays a beneficial role in improving mitochondrial function through SIRT1 signaling in high-fat diet (HFD)-induced mice and palmitate acid (PA)-treated C2C12 cells. A previous study also found VK2 increases oxidative muscle fibers and decreases glycolytic muscle fibers in obesity-induced mice, however, the underlying molecular mechanism of effect of VK2 on increasing oxidative fibers have not been well established. METHODS: C57BL/6 male mice were induced IR using HFD fed. Animals received HFD for eight weeks, and different doses of VK2 were supplemented by oral gavage for the last eight weeks were randomly and equally divided into seven groups. C2C12 cells were exposed to different doses of PA for 16 h to mimic insulin resistance in vivo. Skeletal muscle types and mitochondrial function evaluated. C2C12 cells were transfected with SIRT1 siRNA. RESULTS: The present study first revealed that VK2 intervention also alleviated plasma non-esterified fatty acid levels that contribute to obesity-induced IR, VK2 administration also could effectively increase the proportion of slow-twitch fibers by improving mitochondrial function via SIRT1 signaling pathway in both HFD-fed mice and PA-exposed cells. However, the benefits of VK2 were abrogated in C2C12 transfected with SIRT1 siRNA in PA-treated C2C12 cells. Thus, SIRT1 is partially required for VK2 improvement the proportion of slow-twitch fiber in PA-treated C2C12 cells. CONCLUSION: Naturally occurring VK2 increases slow-twitch fibers by improving mitochondrial function and decreasing non-esterified fatty acid levels via partially SIRT1/SIRT3 signaling pathway. These data have potential importance for the therapy for a number of muscular and neuromuscular diseases in humans.

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