慢性牙周炎患者血清CGRP、PGE2、CCL20与牙周临床指标和Th17/Treg失衡的相关性分析

摘要 目的：探究慢性牙周炎患者血清降钙素基因相关肽（CGRP）、前列腺素E₂（PGE₂）、CC趋化因子配体20（CCL20）与牙周临床指标和辅助性T淋巴细胞17/调节性T淋巴细胞（Th17/Treg）失衡的相关性。方法：选取2020年5月-2022年5月海南省妇女儿童医学中心收治的91例慢性牙周炎患者,根据其严重程度分为轻度组（39例）、中度组（36例）、重度组（16例）,比较三组血清CGRP、PGE₂、CCL20、牙周临床指标[出血指数（BI）、探诊深度（PD）、附着丧失（AL）、菌斑指数（PLI）]、外周血Th17细胞比例、Treg细胞比例、Th17/Treg比值,采用Pearson相关分析血清CGRP、PGE₂、CCL20与牙周临床指标和Th17/Treg失衡的相关性。结果：与轻度组比较,中度组、重度组血清CGRP、Treg细胞比例显著降低（P＜0.05）,血清PGE₂、CCL20、BI、PD、PLI、AL、Th17细胞比例、Th17/Treg比值显著增高（P＜0.05）;与中度组比较,重度组血清CGRP、Treg细胞比例显著降低（P＜0.05）,血清PGE₂、CCL20、BI、PD、PLI、AL、Th17细胞比例、Th17/Treg比值显著增高（P＜0.05）。相关性结果提示,血清PGE₂、CCL20水平与BI、PD、PLI、AL、Th17细胞比例、Th17/Treg比值呈正相关（P＜0.05）,与Treg细胞比例呈负相关（P＜0.05）;血清CGRP水平与BI、PD、PLI、AL、Th17细胞比例、Th17/Treg比值呈负相关（P＜0.05）,与Treg细胞比例呈正相关（P＜0.05）。结论：慢性牙周炎患者血清CGRP、PGE₂、CCL20水平与疾病严重程度、牙周临床指标及Th17/Treg失衡显著相关,血清CGRP、PGE₂、CCL20可能通过影响Th17/Treg平衡参与慢性牙周炎的发生和发展。     

侵袭性牙周炎伴错牙合畸形患者牙周-正畸联合治疗前后血清SAA、leptin的变化及与牙周指标和辅助性T细胞亚群的相关性分析

摘要 目的：探讨侵袭性牙周炎伴错牙合畸形患者牙周-正畸联合治疗前后血清淀粉样蛋白A（SAA）、瘦素（leptin）的变化及与牙周指标和辅助性T细胞（Th）亚群的相关性。方法：选择2020年6月-2022年8月解放军总医院京中医疗区黄寺门诊部口腔科收治的80例侵袭性牙周炎伴错牙合畸形患者（牙周炎组）和65例于口腔门诊检查的健康志愿者（对照组）。所有患者均接受牙周-正畸联合治疗,治疗前后分别检测血清SAA、leptin水平以及外周血中Th1、Th2、Th17细胞占比,并评估牙周指标变化。Pearson相关性分析血清SAA、leptin水平与牙周指标以及外周血中Th1、Th2、Th17细胞占比的相关性。结果：牙周炎组治疗前血清SAA、leptin水平,外周血Th1、Th17细胞占比,出血指数（SBI）、菌斑指数（PLI）、附着丧失（AL）、牙周探诊深度（PD）高于对照组（P＜0.05）,外周血Th2细胞占比低于对照组（P＜0.05）。牙周炎组治疗后血清SAA、leptin水平,外周血Th1、Th17细胞占比,PLI、SBI、AL、PD较治疗前降低（P＜0.05）,外周血Th2细胞占比较治疗前增高（P＜0.05）。牙周炎组血清SAA、leptin与PLI、SBI、AL、PD,外周血Th1、Th17细胞占比呈正相关,与外周血Th2细胞占比呈负相关（P＜0.05）。结论：侵袭性牙周炎伴错牙合畸形患者血清SAA、leptin水平增高,经牙周-正畸联合治疗后下降,高水平SAA、leptin与牙周组织破坏程度以及Th亚群紊乱有关,检测血清SAA、leptin水平可评估侵袭性牙周炎牙周组织破坏程度以及细胞免疫状态。     

超声引导下隐神经联合IPACK阻滞对老年全膝关节置换术患者应激反应、炎性细胞因子及膝关节活动度的影响

摘要 目的：探讨超声引导下隐神经联合腘动脉与膝关节后囊间隙（IPACK）阻滞对老年全膝关节置换术（TKA）患者应激反应、炎性细胞因子及膝关节活动度的影响。方法：根据随机数字表法,将无锡市中医医院2021年3月~2022年9月期间收治的102例初次行TKA的老年患者分为观察组（超声引导下隐神经联合IPACK阻滞镇痛处理）和对照组（超声引导下隐神经镇痛处理）,每组各51例。对比两组疼痛情况、炎性细胞因子、应激反应指标、不良反应发生率、膝关节活动度。结果：观察组术后6 h、术后12 h、术后24 h视觉模拟评分法（VAS）评分低于对照组（P<0.05）。观察组术后48 h肿瘤坏死因子-α（TNF-α）、白细胞介素（IL）-6、IL-1β、β-淀粉样蛋白（Aβ）低于对照组（P<0.05）。观察组术后48 h血管紧张素Ⅱ（AngⅡ）、皮质醇（COR）低于对照组（P<0.05）。观察组术后24 h、术后48 h膝关节活动度大于对照组（P<0.05）。两组不良反应发生率对比无差异（P>0.05）。结论：超声引导下隐神经联合IPACK阻滞用于TKA患者,具有较好的镇痛效果,可减轻应激反应,抑制炎性细胞因子过度分泌,改善膝关节活动度,麻醉效果较好。     

The ecosystem approach to environmental assessment: moving from theory to practice

The ecosystem approach to environmental management is viewed by many as being fundamental to the development of appropriate management strategies. While this approach represents a major advance in the way researchers view environmental assessment, the approach in itself does not provide practical information as to what questions to ask and what tools to use in assessing and managing ecosystems. Similarly, the concept of ecosystem health, as it is usually defined, has little practical value for ecosystem managers. We suggest the next stage in environmental assessment will be the development of specific frameworks designed to assess individual ecosystems. Of primary importance is the need to consider the basic structure and function of the ecosystem itself. Such consideration, together with explicit identification of anthropogenic stresses particular to the system, serves to identify those components most at risk and those issues most deserving of attention. Researchers should explore critical linkages between environmental stressors and their observable, measurable and predictable effects on ecological parameters and use this understanding to develop a management strategy that incorporates appropriate ecological indicators. The importance of these considerations will be illustrated using examples from the Northern River Basins Study.     

Depleted mucosal antioxidant defences in inflammatory bowel disease

Experimental approaches designed to define the role of reactive oxygen and nitrogen species generated by inflammatory cells in the tissue injury seen in inflammatory bowel disease rarely consider the chemical antioxidant defences against such increased oxidant stress in the mucosa. In this investigation, we have analysed components of the aqueous and lipid phase antioxidant mucosal defences by measuring the total peroxyl radical scavenging capacity and the levels of urate, glutathione, -tocopherol, and ubiquinol-10 in paired noninflamed and inflamed mucosal biopsies from inflammatory bowel disease patients. Compared to paired noninflamed mucosa, decreases were observed in inflamed mucosa for total peroxyl radical scavenging capacity (55%, p = 0.0031), urate [Crohn's disease (CD), 62.2%, p = 0.066; ulcerative colitis (UC), 47.3%, p = 0.031], glutathione (UC, 59%, 7/8 patients, ns), total glutathione (UC 65.2%, 6/8 patients, ns), ubiquinol-10 (CD, 75.7%, p = 0.03; UC, 90.5%, p = 0.005). The mean -tocopherol content was unchanged. These observations support our earlier findings of decreased reduced and total ascorbic acid in inflamed IBD mucosa and demonstrate that the loss of chemical antioxidant defences affects almost all the major components. The decreased antioxidant defences may severely compromise the inflamed mucosa, rendering it more susceptible to oxidative tissue damage, hindering recovery of the mucosa and return of epithelial cell layer integrity. The loss of chemical antioxidant components provides a strong rationale for developing novel antioxidant therapies for the treatment of inflammatory bowel disease.     

A conceptual model for the assessment of depressional wetlands in the prairie pothole region

The U.S. Environmental Protection Agency's (EPA's), Environmental Monitoring and Assessment Program (EMAP) is developing a landscape-level conceptual model to evaluate the condition of depressional (basin-type) wetlands in the prairie pothole region (PPR) of the United States. This effort is underway to determine the current condition of the Nation's wetlands and to track how it is improving or degrading over time, as well as to identify management priorities over major geographic areas. The depressional wetlands in the PPR were selected by EMAP both because of the importance of this region for waterfowl and because of the efforts currently being conducted by federal agencies and academic institutions in this region. The PPR provides nesting habitat for more than 15 species of ducks, and supports as much as half of the total production of dabbling and diving ducks in North America. Wetlands in this area became a vulnerable resource after extensive draineage in the 1800s. We propose a conceptual model that represents a framework for guiding the development of ecological indicators, research activities, and data collection for the evaluation of wetland conditions. In princple, this conceptual model is applicable to wetlands in any part of the world.     

Chromosome numbers and differentiation of centrospermous families

The patterns of variation of chromosome numbers in theCentrospermae suggest a common ancestry of centrospermous anthocyanin and betalain families. Phylogenetic divergence in the order may have originated with progenitors similar to extantMolluginaceae, Aizoaceae orPhytolaccaceae taxa with x = 9. Evolutionary radiation and advancement in several lines then seems to have been paralleled by trends for increasing chromosome base numbers through dysploidy and polyploidy, e.g. towardsCaryophyllaceae, Portulacaceae-Basellaceae, Hectorellaceae, Cactaceae, Didieraceae, Nyctaginaceae andChenopodiaceae-Amaranthaceae. Presented in the Symposium Evolution of Centrospermous Families, during the XIIth International Botanical Congress, Leningrad, July 8, 1975.     

Scarcity-weighted global land and metal footprints

Resource scarcity poses an increasing threat to the supply security of modern economies. Some grand challenges ahead are the limits to agricultural expansion and the geologic scarcity of metals. To better understand the drivers behind land and metal depletion, footprint-type indicators are gaining importance. Such indicators, however, fail to differentiate between vastly different degrees of resource availability across regions. Using crop suitability areas and metal reserve base data, we calculate scarcity-weighted land and metal footprints for the major economies with the EXIOBASE global multi-regional input-output model. Scarcity-weighting causes a significant reordering of the global rankings of countries for both land and metal footprints. Land scarcity focuses mostly on cereals (∼54% from the total agricultural land used) and oil crops (∼15%), the former being notably affected by water scarcity issues in Asia and the Middle East. Metal scarcity focuses on copper ores (∼69%) and iron (∼11%), the former being a globally scarce metal impacting multiple economies. The large impact of scarcity-weighting suggests that, while non-weighted resource footprints are a valid proxy of resource use, these are not always aligned with further implications of resource depletion and supply security. In this sense, scarcity-weighting can offer an initial overview of those countries where analyses at finer scales may be more valuable. Our results also show that international trade is a major driver of land and metal depletion in some developing regions. This highlights the intersection of environmental justice and globalization, as the burden of resource depletion often falls into poorer regions which critically rely on exports.     

Synechococcus as an indicator of trophic status in the Cochin backwaters,west coast of India

Eutrophication is a major problem in coastal water bodies. Information about the trophic status of water bodies will enable proper management of coastal ecosystems. In this regard, biological organisms which are sensitive to environmental changes can serve as indicators of ecosystem trophic status. In this study, seasonal and spatial variations of picophytoplankton (PP; <3 μm size) community structure was assessed in the Cochin backwaters (CB) with respect to the prevailing environmental conditions during three seasons, post-monsoon (PM-I; October 2011 and PM-II; November 2012), pre-monsoon (PrM; May 2012) and monsoon (MON; August 2012). CB, along the west coast of India, receives continuous load of nutrients throughout the year through anthropogenic wastes. Trophic status index (TRIX) scores showed that CB is highly eutrophic with a high phytoplankton biomass. Synechococcus was the dominant PP observed in the study area. Seasonal and spatial salinity variations influenced the PP distribution, especially Synechococcus where PE-rich Synechococcus (SYN-PE) were dominant in higher saline (>30) and PC-rich Synechococcus (SYN-PC) in lower saline (<30) waters. SYN-PC showed a significant positive relation with chlorophyll a suggesting that this group contributes substantially to the total phytoplankton biomass. TRIX scores and SYN-PC: SYN-PE abundance ratio were negatively correlated with salinity suggesting an influence of the tidal amplitude. SYN-PC correlated positively and SYN-PE negatively with TRIX scores suggesting that these groups occupy contrasting ecological niches. These findings imply that PP distribution pattern can serve as an indicator of the trophic status of coastal water bodies.     

Development and validation of immune inflammation–based index for predicting the clinical outcome in patients with nasopharyngeal carcinoma

Inflammation indicators, such as systemic inflammation response index (SIRI), systemic immune‐inflammation index (SII), neutrophil‐to‐lymphocyte ratio (NLR) and platelet‐lymphocyte ratio (PLR), are associated with poor prognosis in various solid cancers. In this study, we investigated the predictive value of these inflammation indicators in nasopharyngeal carcinoma (NPC). This retrospective study involved 559 patients with NPC and 500 patients with chronic rhinitis, and 255 NPC patients were followed up successfully. Continuous variables and qualitative variables were measured by t test and chi‐square test, respectively. The optimal cut‐off values of various inflammation indicators were determined by receiver operating characteristic (ROC) curve. Moreover, the diagnostic value for NPC was decided by the area under the curves (AUCs). The Kaplan‐Meier methods and the log‐rank test were used to analyse overall survival (OS) and disease‐free survival (DFS). The independent prognostic risk factors for survival and influencing factors of side effects after treatment were analysed by Cox and logistic regression analysis, respectively. Most haematological indexes of NPC and rhinitis were significantly different between the two groups, and PLR was optimal predictive indicators of diagnosis. In the multivariable Cox regression analysis, PLR, WBC, RDW, M stage and age were independent prognostic risk factors. Many inflammation indicators that affected various side effects were evaluated by logistic regression analysis. In conclusion, the combined inflammation indicators were superior to single haematological indicator in the diagnosis and prognosis of NPC. These inflammation indicators can be used to supply the current evaluation system of the TNM staging system to help predict the prognosis in NPC patients.