维生素D缺乏与儿童反复呼吸道感染的关系及机制

呼吸道感染是常见的儿科疾病,有着显著的发病率和死亡率,反复呼吸道感染会严重影响儿童的生活质量和身体健康。维生素D具有一系列与人体健康有关的作用,包括与呼吸道的感染有关。为了分析维生素D与儿童反复呼吸道感染的关系,探讨维生素D影响呼吸道感染的机制,本研究通过临床分析了维生素D缺乏与儿童反复呼吸道发生之间的相关性,通过构建炎症模型,观察了外源维生素D对人气道上皮细胞增殖分化的影响,运用ELISA检测了维生素D对人气道上皮细胞和中性粒细胞释放炎症因子(IL-1β,IL-6和TNF-α)的影响。本结果表明,维生素D缺乏与儿童反复呼吸道感染相关,并且维生素D能促进人气道上皮细胞的增殖分化,但对人气道上皮细胞和中性粒细胞炎症因子的产生无显著影响。     

Modeling of exposure to mercury in different environmental media over a 30-year period: A case study of Shimen reservoir,northern Taiwan

Abstract

Mercury is affected by the movement mechanisms in the environmental media and is normally present in dry and wet depositions and surface and water vapor, among other things. The rapid growth of mercury-related industries in the past two decades reflects the result of its increased use in water sources such as in the Shimen reservoir, northern Taiwan. Consequently, residents living nearby are exposed to mercury almost every day. In light of the effects of continued exposure to the deleterious properties of mercury, this study provides modeling results of the atmosphere, soil, and freshwater over a 30-year period (2016–2046). The associated influences in the media and mercury contamination during this period will be determined via sensitivity analysis. Finally, the results of this study facilitate the assessment of potential health hazards associated with mercury inhalation and the ingestion of MeHg-contaminated fish. The mean daily dose (mg/kg) and hazard quotient (HQ) in the children and adult were 3.52E-13 (HQ = 4.10E-09) and 1.19E-13 (HQ = 1.39E-09) for Hg inhalation and 6.38E-05 (HQ = 6.38E-01) and 4.47E-05 (HQ = 4.47E-01) for ingestion of MeHg+-contaminated fish.     

Zinc nutritional status influences ZnT1 and ZIP4 gene expression in children with a high risk of zinc deficiency

IntroductionSubclinical deficiency of zinc is associated with impairment of immune system function, growth, and cognitive development in children. Although plasma zinc is the best available biomarker of the risk of zinc deficiency in populations, its sensitivity for early detection of deficiency is limited. Therefore, we aimed to investigate zinc deficiency among preschool children and its relationship with whole blood gene expression of zinc transporters ZIP4 and ZnT1.Material and methodsThis cross-sectional study included 139 children aged 32–76 months enrolled in philanthropic day-care centers. We performed an anthropometric evaluation, weighed food record and dietary record for dietary assessment, blood sample collection for zinc, and whole blood gene expression analyses of ZnT1 (SLC30A1) and ZIP4 (SLC39A4).ResultsZinc deficiency was observed in 26.6 % of the children despite adequate zinc intake and a phytate:zinc molar ratio < 18. Usual zinc intake did not affect whole blood gene expression of zinc transporters, but zinc status influenced ZnT1 and ZIP4 whole blood mRNA. Children with zinc deficiency exhibited 37.1 % higher ZnT1 expression and 45.3 % lower ZIP4 expression than children with adequate zinc (p < 0.05).ConclusionChildren with plasma zinc deficiency exhibited higher expression of ZnT1 and lower expression of ZIP4 in whole blood mRNA, reinforcing the existence of strong regulation of mineral homeostasis according to the nutritional status, indicating that this analysis may be useful in the evaluation of dietary interventions.     

维生素A、E水平与儿童反复呼吸道感染的相关性和危险因素研究

摘要 目的：研究维生素A（VA）、维生素E（VE）水平与儿童反复呼吸道感染（RRI）的相关性和危险因素。方法：选择本院2017年1月~2019年10月诊治的318例RRI患儿,同期选择285例健康体检儿童作为对照组,比较各组VA、VE表达情况,并分析儿童RRI发生的危险因素。结果：RRI组VA及VE水平低于对照组,VA及VE缺乏率高于对照组,差异有统计学意义（P<0.05）。1~3岁患儿VA及VE水平高于3~6岁组且高于>6岁组（P<0.05）。对照组和RRI组性别、出生时体重比较无统计学差异（P>0.05）;RRI组自然分娩、母乳喂养率低于对照组,偏食、过敏体质、抗生素滥用、人均居住面积<13 m²、母亲文化高中及以下率高于对照组（P<0.05）。多因素Logistic回归分析显示,早产、偏食、过敏体质、被动吸烟、抗生素滥用、人均居住面积<13 m²是RRI发生的独立危险因素,VA、VE、自然分娩、母乳喂养、母亲文化程度是RRI发生的保护因素。结论：RRI儿童VA、VE水平较低,且RRI的发生和多种危险因素相关,临床应针对性的进行预防干预。     

Dietary intake of artificial food color additives containing food products by school-going children

Nutritional risk in children is associated with food safety. This is the first study to identify the food type consumed by 6–17-year-old school-going children in Saudi Arabia. Eight permitted artificial food color additives, including Tartrazine (E102), Sunset Yellow (E110), Carmoisine (E122), Allura Red (E129), Indigo Carmine (E132), Brilliant Blue (E133), Fast Green (E143), and Black PN (E151), and two non-permitted ones, Erythrosine (E127) and Red 2G (E128), were determined using 24-h dietary recall questionnaires. Artificial color additives in 839 food products were divided into nine categories, including biscuits, cakes, chocolates, chips, ice cream, juices and drinks, candy, jelly, and chewing gum, are determined using high performance liquid chromatography and diode array detector. The results indicated a high intake of juices and drinks, ice cream, and cakes, but low consumption of chewing gum among school-going children. Among the permitted artificial food color additives, Brilliant Blue (E133) (54.1%) and Tartrazine (E102) (42.3%) were the most commonly used. Sunset Yellow (E110) in one chocolate sample, Tartrazine (E102) and Sunset Yellow (E110) in one and two juice and drink samples, respectively, and Brilliant Blue (E133) in two candy samples exceeded the permitted level. Therefore, further investigations are needed to provide insights into the possible adverse health effects of high intake of these additives in artificial food coloring on the test population are warranted.     

Wonderful Ways with Color

Abstract

Editor's note: This essay is the seventh in an occasional series on past treatments of major issues in arts education policy from antiquity through the twentieth century. Future essays will appear as occasion arises.     

Thiopurine S-Methyltransferase Gene Polymorphisms in a Healthy Slovak Population and Pediatric Patients with Inflammatory Bowel Disease

Thiopurine methyltransferase (TPMT) is a key component in thiopurine metabolism. There is an insufficient evidence about the distribution of the genotype frequencies of TPMT variants and frequencies of TPMT alleles associated with intermediate and deficient activity in a healthy Slovak population and pediatric patients with inflammatory bowel disease (IBD). TPMT variant alleles (*1,*2, *3A, *3B, and *3C) were determined in 114 children treated for IBD and in 281 healthy volunteers. Mutant alleles were present in 9/114 (7.89%) in the IBD patients and in 23/281 (8.19%) of probands. The distribution of the most frequent variants of TPMT gene was similar in a healthy population and patients with IBD.     

Evaluation of urinary trans-3′-hydroxycotinine as a biomarker of children's environmental tobacco smoke exposure

Abstract

The utility of urinary trans-3′-hydroxy cotinine (3HC) as a biomarker of environmental tobacco smoke (ETS) exposure was investigated in comparison with urinary cotinine (COT), the sum (3HC?+?COT), and ratio of the two nicotine metabolites (3HC/COT). Participants were 150 ETS exposed children (aged 1–44 months) and their parents. Child urine samples were collected during 3weekly baseline assessments and at interviews administered 3, 6, 12, and 18 months after baseline. Findings indicate that 3HC and COT can be measured reliably (rho?=?0.96, 0.88) and show equivalent levels of repeated measures stability (rho?=?0.71, 0.75). COT, 3HC, and 3HC?+?COT showed equally strong associations with air nicotine levels, reported ETS contamination, and reported ETS exposure (r=0.60–0.70). The intraclass correlations of 3HC/COT were lower than those for COT or 3HC. Older children had a higher 3HC/COT ratio than younger children (3.5 versus 2.2), and non-Hispanic White children had a higher ratio than African-American children (3.2 versus 1.9). These findings suggest that COT, 3HC, and 3HC?+?COT are approximately equivalent and equally strong biomarkers of ETS exposure in children. Moreover, 3HC/COT may provide a useful indicator to investigate age- and race-related differences in the metabolism of COT and 3HC.