A Simulation Study of the Effect of Clinical Characteristics and Treatment Choice on Reliever Medication Use, Symptom Control and Exacerbation Risk in Moderate-Severe Asthma.

INTRODUCTION: The relationship between immediate symptom control, reliever medication use and exacerbation risk on treatment response and factors that modify it have not been assessed in an integrated manner. Here we apply simulation scenarios to evaluate the effect of individual baseline characteristics on treatment response in patients with moderate-severe asthma on regular maintenance dosing monotherapy with fluticasone propionate (FP) or combination therapy with fluticasone propionate/salmeterol (FP/SAL) or budesonide/formoterol (BUD/FOR). METHODS: Reduction in reliever medication use (puffs/24 h), change in symptom control scores (ACQ-5), and annualised exacerbation rate over 12 months were simulated in a cohort of patients with different baseline characteristics (e.g. time since diagnosis, asthma control questionnaire (ACQ-5) symptom score, smoking status, body mass index (BMI) and sex) using drug-disease models derived from large phase III/IV clinical studies. RESULTS: Simulation scenarios show that being a smoker, having higher baseline ACQ-5 and BMI, and long asthma history is associated with increased reliever medication use (p < 0.01). This increase correlates with a higher exacerbation risk and higher ACQ-5 scores over the course of treatment, irrespective of the underlying maintenance therapy. Switching non-responders to ICS monotherapy to combination therapy after 3 months resulted in immediate reduction in reliever medication use (i.e. 1.3 vs. 1.0 puffs/24 h for FP/SAL and BUD/FOR, respectively). In addition, switching patients with ACQ-5 > 1.5 at baseline to FP/SAL resulted in 34% less exacerbations than those receiving regular dosing BUD/FOR (p < 0.01). CONCLUSIONS: We have identified baseline characteristics of patients with moderate to severe asthma that are associated with greater reliever medication use, poor symptom control and higher exacerbation risk. Moreover, the effects of different inhaled corticosteroid (ICS)/long-acting beta agonist (LABA) combinations vary significantly when considering long-term treatment performance. These factors should be considered in clinical practice as a basis for personalised management of patients with moderate-severe asthma symptoms.

In this study we looked at how different factors affect the response to asthma treatment in people with moderate to severe asthma who are taking regular medication. Specifically, we wanted to quantify how much asthma duration, differences in the degree of symptom control and lung function, as well as smoking habit, body weight, and sex influence how well someone responds to regular maintenance therapy. Using computer simulations based on models obtained from data in a large patient population with moderate­severe asthma, we explored scenarios that reflect real-life management of patients undergoing treatment with inhaled corticosteroids alone or in combination with long-acting beta agonists over a 12-month period. We looked at how much reliever inhaler they use, how well they rate their asthma control, and how often they have asthma attacks. By considering these results together, we evaluated how well the treatments work on ongoing symptoms and/or reduce the risk of future asthma attacks. Our simulations showed that smokers, people with higher asthma symptom scores, who are obese, and have a longer history of asthma tend to use their reliever inhalers more often. This was linked to a higher risk of having asthma attacks and worse symptom control. Switching those patients who do not respond well to their initial treatment with corticosteroid to combination therapy reduced how much reliever inhaler they need. Also, the effects of fluticasone propionate/salmeterol combination therapy were greater than budesonide/formoterol. In conclusion, our study found that certain patient characteristics can predict how well someone responds to asthma treatment.

Cellulose esters: Synthesis for further formation of films with magnetite nanoparticles incorporated.

This study investigated the homogeneous synthesis of cellulose acetate (CA) and propionate (CP) with varying degrees of substitution (DS) from sisal cellulose in a N, N-dimethylacetamide/lithium chloride (DMAc/LiCl) solvent system. These esters were used to prepare neat (CADSF/CPDSF) and nanocomposite films (CADSFFe/CPDSFFe) from prior synthesized magnetite nanoparticles (NPs, Fe3O4, 5.1 ± 0.5 nm). Among the CA and CP series, the composite CA0.7FFe and the neat CP0.7F films exhibited the highest modulus of elasticity, 2105 MPa and 2768 MPa, respectively, probably a consequence of the continuous fibrous structures present on the surface of these films. Microsphere formation on the film's surface was observed in scanning electron microscopy micrographs. This points to applications in the controlled release of targeted substances. The VSM analysis showed that the cellulosic matrices preserved the superparamagnetic characteristics of the NPs. This study suggested a reduced coupling effect between nanoparticles inside polymeric films due to magnetic saturation at low fields. CA0.7FFe and CA1.3FFe composite films reached a saturation magnetization (MSAT) of 46 emu/g around 7 kOe field. Hosting magnetite nanoparticles in cellulose ester matrices may be an interesting way to develop new functional cellulose-based materials, which have the potential for diverse applications, including microelectromechanical systems and microsensors.

Guava fibre characterization and effects on digestibility, fermentation products, gastrointestinal transit time and palatability of dry diets for dogs.

The use of fruit fibres as a way of reusing industrial waste is attractive and necessary, increasing the efficiency and reducing the environmental impact of the industry. This study characterized guava fibre as a fibrous ingredient and evaluated its effects when included in extruded diets for dogs on nutrient digestibility, faecal traits, fermentation products, gastrointestinal transit time and palatability. Four diets were formulated: CO (control diet, no fibrous ingredients added), GF3 (3% guava fibre), GF6 (6% guava fibre) and GF12 (12% guava fibre). The guava fibre was added to diets in replacement of maize, with small adjustments in the other ingredients to ensure similar contents of protein and fat. The diets were fed to 24 adult Beagle dogs (6 per diet) during 15 days for adaptation followed by 15 days for assessment of digestibility, fermentation end products and gastrointestinal transit time. The palatability of G6 and G12 treatments was evaluated against the CO by the two-pan test. Results were compared by analysis of variance and polynomial contrasts according to the guava fibre inclusion level (p < 0.05). The addition of guava fibre did not change nutrient intake except for the increase on dietary fibre (p < 0.001). Fibre inclusion resulted in a quadratic reduction in total tract apparent digestibility for dry matter, organic matter, crude protein and crude energy (p < 0.001), and on the metabolizable energy content of the foods (p < 0.001). Guava fibre addition did not change the faecal concentration of ammonia, lactic acid, faecal pH and branched chain fatty acids but it decreased acetic and propionic acids concentration (p < 0.01). The inclusion of 12% guava fibre did result in a faster transit time (p = 0.046) compared to the control diet. Guava fibre can be characterized as a novel insoluble non-fermentable fibre source that could be safely used in levels up to 12% in canine extruded diets.

Megasphaera elsdenii and Saccharomyces cerevisiae as direct fed microbials and their impact on ruminal microbiome during an acute acidosis challenge in continuous culture.

Our objective was to evaluate the effects of combinations of Saccharomyces cerevisiae and Megasphaera elsdenii as direct-fed microbials (DFM) on ruminal microbiome during an acute acidosis challenge in a continuous culture system. Treatments provided a DFM dose of 1 × 108 colony-forming unit (CFU)/mL, as follows: control (no DFM), YM1 (S. cerevisiae and M. elsdenii strain 1), YM2 (S. cerevisiae and M. elsdenii strain 2), and YMM (S. cerevisiae and half of the doses of M. elsdenii strains 1 and 2). We conducted four experimental periods of 11 d, which consisted of non-acidotic days (1 to 8) and acidotic challenge days (9 to 11) to establish acute ruminal acidosis conditions with a common basal diet containing 12% neutral detergent fiber and 58% starch. Treatments were applied from days 8 to 11, and samples of liquid and solid-associated bacteria were collected on days 9 to 11. Overall, 128 samples were analyzed by amplification of the V4 region of bacterial 16S rRNA, and data were analyzed with R and SAS for alpha and beta diversity, taxa relative abundance, and correlation of taxa abundance with propionate molar proportion. We observed a lower bacterial diversity (Shannon index, P = 0.02) when YM1 was added to the diet in comparison to the three other treatments. Moreover, compared to control, addition of YM1 to the diet increased relative abundance of phylum Proteobacteria (P = 0.05) and family Succinivibrioceae (P = 0.05) in the solid fraction and tended to increase abundance of family Succinivibrioceae (P = 0.10) and genus Succinivibrio (P = 0.09) in the liquid fraction. Correlation analysis indicated a positive association between propionate molar proportion and relative abundance of Proteobacteria (r = 0.36, P = 0.04) and Succinivibrioceae (r = 0.36, P = 0.05) in the solid fraction. The inclusion of YM1 in high-grain diets with a high starch content resulted in greater abundance of bacteria involved in succinate synthesis which may have provided the substrate for the greater propionate synthesis observed.

Organic acids for broilers: Effects on intestinal morphology and growth performance / Ácidos orgánicos para pollos de engorde: Efectos sobre la morfología intestinal y el rendimiento del crecimiento / Ácidos orgânicos para frangos de corte: Efeitos na morfologia intestinal e no desempenho de crescimento

Abstract Background: Organic acids and ammonium salts added to drinking water can optimize productivity of broiler chickens. Objective: To evaluate the effect of acidifying drinking water on productive performance, blood and intestinal pH, and intestinal morphology of broilers. Methods: 1,400 one-day-old broiler chicks were used to evaluate two pH levels (4 and 6) of drinking water during three periods (1-21, 1-28, and 1-42 days of age). The treatments consisted of water added with a blend of formic acid (31%), propionic acid (19%), and their salts ammonium formate (26%), and ammonium propionate (6%) compared to a control group (pH 8). Results: Compared to the control, the groups consuming water at pH 6 (0.038 moles) continuously for 42 days improved (p≤0.01) live weight (2.785 vs 2.691 kg), feed conversion ratio (1.430 vs 1.463 kg/kg), and increased the number of intestinal villi (59.0 vs 55.7). Additionally, blood and intestinal pH was reduced vs the control group (7.75 vs 7.89; 6.32 vs 6.41, respectively). Conclusion: The blend of formic and propionic acids and their ammonium salts in drinking water at pH 6 during the complete production cycle of broilers improves performance, increases the number of intestinal villi, and reduces the pH of blood, duodenum, and ileum.

Resumen Antecedentes: Agregar ácidos orgánicos y sus sales amoniacales en el agua de bebida de pollos de engorde puede optimizar su productividad. Objetivo: Evaluar el efecto de la acidificación del agua de bebida sobre el rendimiento productivo, pH sanguíneo e intestinal, y morfología intestinal del pollo de engorde. Métodos: Se utilizaron 1.400 pollos de engorde de un día de edad para evaluar dos niveles de pH (4 y 6) en agua de bebida durante tres períodos (1-21, 1-28 y 1-42 días de edad). Los tratamientos consistieron en agua con una mezcla de ácido fórmico (31%), ácido propiónico (19%) y sus sales formiato de amonio (26%) y propionato de amonio (6%) en comparación con un grupo control (pH 8). Resultados: En comparación con el control, los grupos que recibieron agua a pH 6 (0,038 moles) continuamente durante 42 días tuvieron mejor (p≤0,01) rendimiento en términos de peso vivo (2,785 vs 2,691 kg) y conversión alimenticia (1,430 vs 1,463 kg/kg) así como un mayor número de vellosidades intestinales (59,0 vs 55,7). Adicionalmente, el pH sanguíneo e intestinal disminuyó vs el grupo control (7,75 vs 7,89; 6,32 vs 6,41, respectivamente). Conclusión: La mezcla de ácidos fórmico y propiónico y sus sales de amonio en el agua de bebida a pH 6 durante todo el ciclo productivo mejora los parámetros productivos en pollos de engorde, aumenta el número de vellosidades intestinales y reduce el pH de la sangre, duodeno e íleon.

Resumo Antecedentes: Recomendações para a aplicação de mistura de ácidos orgânicos e sais de amônio na água potável são necessárias para otimizar a produtividade em frangos de corte. Objetivo: Avaliar o efeito da acidificação da água de bebida no desempenho produtivo, pH sanguíneo e intestinal e morfologia intestinal. Métodos: 1.400 pintos de corte entre 1 e 42 dias de idade foram utilizados para avaliar dois níveis de pH (4 e 6) na água de beber entre três períodos (1-21, 1-28 e 1-42 dias de idade) de tratamentos em água com uma mistura de ácido fórmico 31%, ácido propiônico 19%, e seus sais formato de amônio 26% e propionato de amônio 6% em relação ao controle (pH 8). Resultados: Os grupos que receberam água continuamente pH 6 (0,038 mols), por 42 dias tiveram melhor desempenho em relação ao controle (p≤0,01) em termos de peso vivo (2,785 vs 2,691 kg) e conversão alimentar (1,430 vs 1,463 kg/kg), bem como aumento do número de vilosidades intestinais (59,0 vs 55,7), sangue e pH intestinal reduzidos vs controle (7,75 vs 7,89; 6,32 vs 6,41). Conclusão: A mistura dos ácidos fórmico e propiônico e seus sais de amônio na água de bebida em pH 6 durante o ciclo completo de produção melhorou os parâmetros de produção em frangos de 42 dias de idade e aumentou o número de vilosidades intestinais e uma redução no sangue, duodeno, e pH do íleo.

Effect of propionate, monensin, and saccharomyces cerevisiae or their combination on production and rumen fermentation of holstein steers.

This study aimed to evaluate the effects of calcium propionate (PrCa), PrCa + monensin sodium (PrCa + Mon), and PrCa + Saccharomyces cerevisiae (PrCa + Sc) on the productive performance of Holstein steers. Twenty-four Holstein steers (270.0 ± 25.85 kg) were distributed individually into four treatments of six replicates. The treatments were control (no additives), PrCa (10 g/kg), PrCa + Mon (10 g/kg + 30 mg/kg), and PrCa + Sc (10 g/kg + 12.8 × 109 cfu). The steers were fed for 43 days, and afterwards, nutrient intake and digestibility as well as volatile fatty acids were determined, while the weight gained, feed efficiency, and CH4 production were calculated. Diet of PrCa + Sc had the highest (P < 0.0001) acid detergent fiber intake and propionate acid as well as the nutrient digestibility, with lowest (P < 0.0001) rumen acetic acid, methane, and protozoa concentration versus other diets. In conclusion, dietary inclusion of PrCa + Sc (10 g/kg + 12.8 × 109 cfu) improved nutrient digestibility, rumen fermentation, and reduced methane emission, thereby enhancing the possibility of ecofriendly ruminant farming.

Engineered Bacteria for Short-Chain-Fatty-Acid-Repressed Expression of Biotherapeutic Molecules.

Short-chain fatty acids (SCFA) such as propionate and butyrate are critical metabolites produced by the gut microbiota. Microbiome dysbiosis resulting in altered SCFA profiles is associated with certain diseases, including inflammatory bowel diseases (IBD), characterized by a reduction in butyrate concentration and active intestinal inflammation. There is an increasing interest in the use of engineered bacteria as diagnostic and therapeutic tools for gut diseases. In this study, we developed genetic circuits capable of sensing SCFA concentrations to build biosensors that express a response protein (superfolder green fluorescent protein [sfGFP]) in amounts inversely proportional to the SCFA concentration. We also built biotherapeutics expressing the cytokine granulocyte-macrophage colony-stimulating factor (GM-CSF) using the same logic. The propionate biotherapeutic expressed larger amounts of mouse GM-CSF in the absence of propionate. The butyrate biotherapeutics presented the expected behavior only at the beginning of the kinetics and an accelerated response in the absence of butyrate. Overall, these genetic systems may function as complementary diagnostic tools for measuring SCFAs and as delivery vehicles for biotherapeutic molecules. IMPORTANCE Short-chain fatty acids are key molecules produced by the gut microbiome. Their concentrations are altered in certain diseases. Here, we created molecular biosensors that quantify the absence of propionate and butyrate, using logic "NOT" gates and bacterial promoters. Finally, we show that these genetic systems could be useful for the delivery of therapeutic molecules in the gut, in the absence of these acids.

Serum and salivary cytokines in patients with oral lichen planus treated with Photobiomodulation.

OBJECTIVES: To evaluate the serum and salivary levels of IL-1ß, IL-6, IL-17A, TNF-α, IL-4, and IL-10 in patients with oral lichen planus (OLP) treated with Photobiomodulation (PBM) and clobetasol propionate 0.05%. MATERIAL AND METHODS: Thirty-four OLP patients were randomized into two groups: Control (clobetasol propionate 0.05%) and PBM (660 nm, 100 mW, 177 J/cm2 , 5 s, 0.5 J per point). Serum and saliva were collected at baseline and at the end of treatment (after 30 days) and evaluated using ELISA. The cytokine results were correlated with pain, clinical subtypes, and clinical scores of OLP. RESULTS: IL-1ß, IL-6, IL-17A, TNF-α, and IL-4 levels were higher in saliva in relation to serum. IL-1ß was the most concentrated cytokine in saliva, and a positive correlation with the severity of OLP was noticed. After treatment with corticosteroid, IL-1ß in saliva decreased significantly. No modulation of all cytokines was observed after PBM. CONCLUSION: IL-1ß appears to be an important cytokine involved in OLP pathogenesis. In addition, the mechanisms of action of PBM do not seem to be linked to the modulation of pro or anti-inflammatory cytokines at the end of treatment. It is possible that this events occurred early during treatment.

Analysis of the Propionate Metabolism in Bacillus subtilis during 3-Indolacetic Production.

The genera Bacillus belongs to the group of microorganisms that are known as plant growth-promoting bacteria, their metabolism has evolved to produce molecules that benefit the growth of the plant, and the production of 3-indole acetic acid (IAA) is part of its secondary metabolism. In this work, Bacillus subtilis was cultivated in a bioreactor to produce IAA using propionate and glucose as carbon sources in an M9-modified media; in both cases, tryptophan was added as a co-substrate. The yield of IAA using propionate is 17% higher compared to glucose. After 48 h of cultivation, the final concentration was 310 mg IAA/L using propionate and 230 mg IAA/L using glucose, with a concentration of 500 mg Trp/L. To gain more insight into propionate metabolism and its advantages, the genome-scale metabolic model of B. subtilis (iBSU 1147) and computational analysis were used to calculate flux distribution and evaluate the metabolic capabilities to produce IAA using propionate. The metabolic fluxes demonstrate that propionate uptake favors the production of precursors needed for the synthesis of the hormone, and the sensitivity analysis shows that the control of a specific growth rate has a positive impact on the production of IAA.

Flavoring properties that affect the retention of volatile components during encapsulation process.

Flavorings are widely used in food and beverage industries and spray drying is the most cost-effective encapsulation technique to deliver stable products. Generally, the same slurry is used to encapsulate both hydrophilic and hydrophobic flavors which led sometimes to lower retention. The same slurry formulation composed by Modified Starch and Maltodextrin 20DE was loaded with 35% of two different flavorings (orange and passion fruit) and, spray dried under the same conditions. The flavorings selected had different octanol/water partition coefficients and their composition affected the emulsion stability. Orange flavoring presented clearly better emulsion stability than passion fruit flavoring, confirmed by size distribution and Turbiscan Stability Index (TSI orange ≪ TSI passion fruit). A key learning from this work is that the best infeed emulsion achieved by the most hydrophobic flavoring, presented the lowest droplet size and yielded in final bigger particle size and the best encapsulation efficiency result (>92%).

Effects of choline chloride on the ruminal microbiome at 2 dietary neutral detergent fiber concentrations in continuous culture.

Our objective was to evaluate the effects of unprotected choline chloride (Cho) on the ruminal microbiome at 2 dietary neutral detergent fiber (NDF) concentrations. We hypothesized that the effects of Cho on ruminal bacterial populations would depend on NDF. Eight dual-flow continuous-culture fermentors were arranged in a duplicated 4 × 4 Latin square as a 2 × 2 factorial with the following treatments: (1) 30% NDF-control (30% NDF diet, no supplemental choline); (2) 30% NDF-Cho (30% NDF diet plus 1.9 g of choline ion per kg of dry matter); (3) 40% NDF-control (40% NDF diet, no supplemental choline); and (4) 40% NDF-Cho (40% NDF diet plus 1.9 g of choline ion per kg of dry matter). We did 4 fermentation periods of 10 d each and used the last 3 d for collection of samples of solid and liquid digesta effluents for DNA extraction. Overall, 32 solid and 32 liquid samples were analyzed by amplification of the V4 variable region of bacterial 16S rRNA. Data were analyzed with R (R Project for Statistical Computing) and SAS (SAS Institute Inc.) to determine effects of Cho, NDF, and NDF × Cho on taxa relative abundance. The correlation of propionate molar proportion with taxa relative abundance was also analyzed. At the phylum level, relative abundance of Firmicutes in the liquid fraction tended to be greater when Cho was supplemented with a 30% NDF diet. At the order level, Cho increased Coriobacteriales in solid fraction and decreased Fibrobacterales in liquid fraction. Moreover, Cho decreased abundance of Clostridiales and increased Selenomonadales in the solid fraction, only with the 30% NDF diet. For genera, lower abundance of Pseudobutyrivibrio resulted from Cho in solid and liquid fractions. Greater abundance of Succinivibrio in solid and Selenomonas and Selenomonas 1 in liquid resulted from Cho with the 30% NDF diet. Propionate molar proportion was positively correlated with relative abundance of order Selenomonadales in solid and liquid fractions, and with genus Succinivibrio in solid and genera Selenomonas and Selenomonas 1 in liquid. Our results indicate that Cho primarily decreases abundance of bacteria involved in fiber degradation and increases abundance of bacteria mainly involved in nonstructural carbohydrate degradation and synthesis of propionate, particularly when a diet with 30% NDF is provided.

Prevotella: A Key Player in Ruminal Metabolism.

Ruminants are foregut fermenters that have the remarkable ability of converting plant polymers that are indigestible to humans into assimilable comestibles like meat and milk, which are cornerstones of human nutrition. Ruminants establish a symbiotic relationship with their microbiome, and the latter is the workhorse of carbohydrate fermentation. On the other hand, during carbohydrate fermentation, synthesis of propionate sequesters H, thus reducing its availability for the ultimate production of methane (CH4) by methanogenic archaea. Biochemically, methane is the simplest alkane and represents a downturn in energetic efficiency in ruminants; environmentally, it constitutes a potent greenhouse gas that negatively affects climate change. Prevotella is a very versatile microbe capable of processing a wide range of proteins and polysaccharides, and one of its fermentation products is propionate, a trait that appears conspicuous in P. ruminicola strain 23. Since propionate, but not acetate or butyrate, constitutes an H sink, propionate-producing microbes have the potential to reduce methane production. Accordingly, numerous studies suggest that members of the genus Prevotella have the ability to divert the hydrogen flow in glycolysis away from methanogenesis and in favor of propionic acid production. Intended for a broad audience in microbiology, our review summarizes the biochemistry of carbohydrate fermentation and subsequently discusses the evidence supporting the essential role of Prevotella in lignocellulose processing and its association with reduced methane emissions. We hope this article will serve as an introduction to novice Prevotella researchers and as an update to others more conversant with the topic.

Bioadhesive 3D-Printed Skin Drug Delivery Polymeric Films: From the Drug Loading in Mesoporous Silica to the Manufacturing Process.

The alliance between 3D printing and nanomaterials brings versatile properties to pharmaceuticals, but few studies have explored this approach in the development of skin delivery formulations. In this study, clobetasol propionate (CP) was loaded (about 25% w/w) in mesoporous silica nanomaterial (MSN) to formulate novel bioadhesive and hydrophilic skin delivery films composed of pectin (5% w/v) and carboxymethylcellulose (5% w/v) by 3D printing. As a hydrophobic model drug, CP was encapsulated in MSN at a 3:1 (w/w) ratio, resulting in a decrease of CP crystallinity and an increase of its dissolution efficiency after 72 h (65.70 ± 6.52%) as compared to CP dispersion (40.79 ± 4.75%), explained by its partial change to an amorphous form. The CP-loaded MSN was incorporated in an innovative hydrophilic 3D-printable ink composed of carboxymethylcellulose and pectin (1:1, w/w), which showed high tensile strength (3.613 ± 0.38 N, a homogenous drug dose (0.48 ± 0.032 mg/g per film) and complete CP release after 10 h. Moreover, the presence of pectin in the ink increased the skin adhesion of the films (work of adhesion of 782 ± 105 mN·mm). Therefore, the alliance between MSN and the novel printable ink composed of carboxymethylcellulose and pectin represents a new platform for the production of 3D-printed bioadhesive films, opening a new era in the development of skin delivery systems.

Efficacy and safety of fluticasone propionate nasal spray in treatment ofadenoidal hypertrophic snoring in children

Abstract This study investigatedthe efficacy and safety offluticasone propionate nasal spray in treatment of adenoidal hypertrophic snoring in children.Fifty-six children with adenoidal hypertrophic snoring were enrolled. According to adenoidal-nasopharyngeal ratio (ANR) in lateral nasal X-ray examination,the children were assigned in moderategroup (23 cases) and severegroup (33 cases).The fluticasone propionate nasal spray was used for all patientsfor 4 weeks.In 56 patients, after treatment, compared with before treatment, the snoring, sleep apneaand nasal obstruction scores in moderategroupand the nasal obstruction score in severegroupwere significantly decreased,respectively (P < 0.05).The decreases of snoring, sleep apnea, mouth breathing and nasal obstruction scores after treatment in moderate group were significantly higher than those in severe group, respectively (P <0.001).After treatment, in 18 patients with ateral nasal X-ray examination,the adenoid size was obviously reduced, and the nasopharynx airway was obviously enlarged. The meanANRdropped from 0.76±0.10 to 0.72±0.09(P <0.001).Duringtreatment, only 2 of 56 patients were reported with intranasal dryness and occasional epistaxis, which were self-healed without treatment.Fluticasone propionate nasal spray is effective and safe for treatment of children's snoring caused by adenoidal hypertrophy.

Peculiarities of nitronate monooxygenases and perspectives for in vivo and in vitro applications.

Nitroalkanes such as nitromethane, nitroethane, 1-nitropropane (1NP), and 2-nitropropane (2NP), derived from anthropogenic activities, are hazardous environmental pollutants due to their toxicity and carcinogenic activity. In nature, 3-nitropropionate (3NPA) and its derivatives are produced as a defense mechanism by many groups of organisms, including bacteria, fungi, insects, and plants. 3NPA is highly toxic as its conjugate base, propionate-3-nitronate (P3N), is a potent inhibitor of mitochondrial succinate dehydrogenase, essential to the tricarboxylic acid cycle, and can inhibit isocitrate lyase, a critical enzyme of the glyoxylate cycle. In response to these toxic compounds, several organisms on the phylogenetic scale express genes that code for enzymes involved in the catabolism of nitroalkanes: nitroalkane oxidases (NAOs) and nitronate monooxygenases (NMOs) (previously classified as nitropropane dioxygenases, NPDs). Two types of NMOs have been identified: class I and class II, which differ in structure, catalytic efficiency, and preferred substrates. This review focuses on the biochemical properties, structure, classification, and physiological functions of NMOs, and offers perspectives for their in vivo and in vitro applications. KEY POINTS: • Nitronate monooxygenases (NMOs) are key enzymes in nitroalkane catabolism. • NMO enzymes are involved in defense mechanisms in different organisms. • NMO applications include organic synthesis, biocatalysts, and bioremediation.

Effects of Dietary Calcium Propionate Supplementation on Hypothalamic Neuropeptide Messenger RNA Expression and Growth Performance in Finishing Rambouillet Lambs.

The objective of this experiment was to evaluate the effects of feeding different levels concentrations of dietary calcium propionate (CaPr) on lambs' growth performance; ruminal fermentation parameters; glucose-insulin concentration; and hypothalamic mRNA expression for neuropeptide Y (NPY), agouti-related peptide (AgRP), and proopiomelanocortin (POMC). Thirty-two individually fed lambs were randomly assigned to four treatments: (1) control diet (0 g/kg of CaPr), (2) low CaPr, (30 g/kg dry matter (DM)), (3) medium CaPr, (35 g/kg DM), and (4) high CaPr (40 g/kg DM). After 42 days of feeding, lambs were slaughtered for collecting samples of the hypothalamus. Data were analyzed as a complete randomized design, and means were separated using linear and quadratic polynomial contrast. Growth performance was not affected (p ≥ 0.11) by dietary CaPr inclusion. The ruminal concentration of total volatile fatty acids (VFA) increased linearly (p = 0.04) as dietary CaPr increased. Likewise, a linear increase in plasma insulin concentration (p = 0.03) as dietary CaPr concentration increased. The relative mRNA expression of NPY exhibited a quadratic effect (p < 0.01), but there were significant differences in the mRNA expression of AgRP and POMC (p ≥ 0.10). Dietary calcium propionate did not improve lamb growth performance in lambs feed with only forage diets. Intake was not correlated with feed intake with mRNA expression of neuropeptides.

Effects of dietary chromium propionate and space allowance on performance and carcass responses of growing-finishing pigs.

In a 72-d trial, 256 pigs (Line 600 × 241, DNA Columbus, NE) were used to determine the effect of dietary Cr (Cr propionate; Kemin Industries, Des Moines, IA) and physical space restriction on performance and carcass characteristics of finishing pigs. Pens were blocked by initial weight and randomly assigned to treatments with eight pigs per pen and eight pens per treatment. Treatments were arranged in a 2 × 2 factorial with main effects of Cr (control and Cr propionate, 200 µg/kg added Cr) and space allowances (0.91 m2/animal: normal and 0.63 m2/animal: restricted). Pigs were fed in three dietary phases and pigs were weighed approximately every 14 d throughout the study. Feed efficiency was calculated as both a standard gain to feed ratio and as an adjusted G:F ratio at a common final bodyweight. There were no evidence of space allocation × Cr interactions for any measured responses (P > 0.05). Space restriction decreased (P < 0.001) daily weight gain, final body weight, hot carcass weight, and daily feed intake, but increased carcass yield (P = 0.009) and decreased backfat depth (P = 0.003). Feed efficiency was greater for pigs provided a normal space allowance when adjusted for a common final bodyweight (P = 0.021), although no evidence of a difference was observed for unadjusted G:F (P = 0.687). Adding Cr to the diet reduced G:F on both an adjusted and unadjusted basis (P ≤ 0.021). There was marginally significant evidence that pigs provided Cr had lower average daily gain (P = 0.079) and final bodyweight (P = 0.056) compared to pigs not provided added Cr. There was marginally significant evidence that Cr resulted in greater backfat depth (P = 0.069), although no evidence of a difference in other carcass parameters were observed (P > 0.10). These results demonstrated that there were no interactions between Cr propionate and space allocation, illustrating that under the conditions of this study Cr propionate did not provide an advantage in growth performance or carcass characteristics in either adequate or restricted space allocation.

Narasin inclusion for feedlot lambs fed a diet containing high amounts of ground flint corn

Narasin is an antibacterial agent that may change rumen fermentation. Two experiments were proposed to evaluate the efficiency of narasin inclusion for lambs fed a diet containing high amounts of ground flint corn. Thirty rumen-cannulated wethers were used to evaluate nutrient digestibility, nitrogen balance, and rumen metabolism (Exp. 1); and forty-five lambs were used to evaluate performance (Exp. 2) of animals fed with narasin for high flint corn diets. The experimental diets were: control or basal diet without additives (C); 25 mg of monensin kg-¹ of dry matter (DM) (M); and inclusion of 5 (N5), 10 (N10), and 15 (N15) mg of narasin kg-¹ of DM. The statistical analyses were performed using the MIXED procedure of SAS. Monensin increased DM digestibility compared to C (p = 0.01) and increasing doses of narasin linearly increased DM digestibility (p < 0.01). There was a quadratic effect (p = 0.10) for molar proportion of acetate peaking at N15. Monensin inclusion increased (p = 0.07) propionate compared to C; however, it did not differ from narasin. The increasing levels of narasin linearly decreased the total volatile fatty acids concentration in the rumen (p = 0.02). Monensin and C showed a similar performance. The increasing levels of narasin linearly increased (p <= 0.04) average daily gain and feed efficiency. Monensin and narasin changed rumen fermentation and improved overall nutrient digestibility. However, lambs that received narasin showed improved performance when compared with animals that received M.(AU)

Low doses of monensin for lambs fed diets containing high level of ground flint corn

Two experiments were proposed to evaluate the addition of monensin for lambs fed diets containing a high level of mature ground flint corn. The experimental diets were as follows: no inclusion of monensin (M0) and inclusion of 8 (M8), 16 (M16) and 24 mg kg-¹ of monensin (M24). In experiment 1, eight cannulated wethers were divided into a double 4 × 4 Latin square experimental design to evaluate nutrient digestibility, plasma parameters and rumen fermentation. The experiment lasted 112 days, divided into four periods of 28 days each. In experiment 2, ninety-two lambs were used in a randomized block design to evaluate the performance over 56 days. In experiment 1, doses of monensin had no effect on nutrient intake (p >= 0.07) and digestibility (p >= 0.09). There was a quadratic effect for acetate molar proportion (p = 0.01), acetate to propionate ratio (p = 0.04) and rumen pH (p < 0.01). However, there was no effect on the molar proportion of propionate and butyrate. The monensin decreased linearly the total SCFA concentration (p < 0.01). The inclusion of monensin increased glucose (p < 0.01) and decreased lactate concentration in plasma (p = 0.05). In experiment 2, monensin decreased dry matter intake (p = 0.04). However, there was a quadratic effect for average daily gain (p = 0.03) and feed efficiency (p < 0.01), with the greatest values observed for the M8 diet. Thus, the inclusion of 8 mg kg-¹ of dry matter diet (DM) improves ruminal fermentation and plasma parameters, resulting in greater growth performance in lambs.(AU)

Low doses of monensin for lambs fed diets containing high level of ground flint corn

Two experiments were proposed to evaluate the addition of monensin for lambs fed diets containing a high level of mature ground flint corn. The experimental diets were as follows: no inclusion of monensin (M0) and inclusion of 8 (M8), 16 (M16) and 24 mg kg-¹ of monensin (M24). In experiment 1, eight cannulated wethers were divided into a double 4 × 4 Latin square experimental design to evaluate nutrient digestibility, plasma parameters and rumen fermentation. The experiment lasted 112 days, divided into four periods of 28 days each. In experiment 2, ninety-two lambs were used in a randomized block design to evaluate the performance over 56 days. In experiment 1, doses of monensin had no effect on nutrient intake (p >= 0.07) and digestibility (p >= 0.09). There was a quadratic effect for acetate molar proportion (p = 0.01), acetate to propionate ratio (p = 0.04) and rumen pH (p < 0.01). However, there was no effect on the molar proportion of propionate and butyrate. The monensin decreased linearly the total SCFA concentration (p < 0.01). The inclusion of monensin increased glucose (p < 0.01) and decreased lactate concentration in plasma (p = 0.05). In experiment 2, monensin decreased dry matter intake (p = 0.04). However, there was a quadratic effect for average daily gain (p = 0.03) and feed efficiency (p < 0.01), with the greatest values observed for the M8 diet. Thus, the inclusion of 8 mg kg-¹ of dry matter diet (DM) improves ruminal fermentation and plasma parameters, resulting in greater growth performance in lambs.