社区2型糖尿病患者血糖自我管理水平调查及并发糖尿病周围神经病变的影响因素分析

摘要 目的：调查社区2型糖尿病（T2DM）患者血糖自我管理水平及分析T2DM并发糖尿病周围神经病变（DPN）的影响因素。方法：于2016年6月~2017年6月期间采用整群随机抽样法随机抽取苏州市6个社区符合纳排标准的539例T2DM患者进行问卷调查,了解社区T2DM患者血糖自我管理水平情况,对患者进行体格检查并检测血生化指标,统计社区T2DM患者的DPN发生情况,采用多因素logistic回归分析T2DM患者并发DPN的影响因素。结果：本次研究共发放调查问卷539份,实际回收531份,其中T2DM并发DPN者86例,根据是否并发DPN将所有入选患者分为DPN组（n=86）和无DPN组（n=445）。社区T2DM患者的糖尿病自我管理行为量表（SDSCA）平均得分率为（49.38±5.23）%,DPN组和无DPN组在病程、体质量指数（BMI）、腰围、糖化血红蛋白（HbAlc）、空腹胰岛素（FINS）、低 密 度 脂 蛋 白（LDL-C）、血 尿 素 氮（BUN）、血肌酐（Cr）、合并外周动脉疾病（PAD）、合并糖尿病视网膜病变（DR）中比较差异有统计学意义（P<0.05）。多因素logistic回归分析结果显示：病程≥7年、HbAlc≥8 mmol/L、合并PAD、合并DR、BMI≥25 kg/m²是社区 T2DM患者并发DPN的危险因素（P<0.05）。结论：苏州市6个社区的T2DM患者血糖自我管理水平较低,且T2DM并发DPN的概率较高,病程≥7年、HbAlc≥8 mmol/L、合并PAD、合并DR、BMI≥25 kg/m²均是社区 T2DM患者并发DPN的危险因素,临床可对上述危险因素采取积极有效的措施,以有效降低T2DM并发DPN的发生率。     

Immobilization of Rhizomucor miehei lipase onto montmorillonite K-10 and polyvinyl alcohol gel

Abstract

Immobilization of enzymes from different sources on various supports in designed systems increases enzymes’ stability by protecting the active site of it from undesired effect of reaction environment. Also, immobilization decreases the cost of separation and facilities the reuse of the enzymes. Therefore, the design of new immobilization enzyme preparations has been an inevitable area of modern biotechnology. Herein, Rhizomucor miehei lipase (RML) was immobilized on montmorillonite K-10 (MMT-RML) by adsorption and in polyvinyl alcohol (PVA-RML) by entrapment to obtain a more stable and active lipase preparation. The free and immobilized lipase preparations were characterized for p-nitrophenyl palmitate hydrolysis. The apparent Michaelis–Menten (K_mapp) constant was almost the same for the free RML and PVA-RML, whereas the corresponding value was 17.7-fold lower for MMT-RML. PVA-RML and MMT-RML have shown a 1.1 and 23.8 folds higher catalytic efficiency, respectively, than that of the free RML. The half-lives of PVA-RML and MMT-RML were found to be 7.4 and 3.4 times longer than the free RML at 35?°C, respectively. PVA-RML and MMT-RML maintained 65% and 87% of their initial activities after four reuses. These results showed that the catalytic performance of RML has improved significantly by immobilization.     

Characterization of alditol oxidase from Streptomyces coelicolor and its application in the production of rare sugars

A synthetic platform for the cascade synthesis of rare sugars using Escherichia coli whole cells was established. In the cascade, the donor substrate dihydroxyacetone phosphate (DHAP) was generated from glycerol by glycerol kinase (GK) and glycerol phosphate oxidase (GPO). The acceptor d-glyceraldehyde was directly produced from glycerol by an alditol oxidase. Then, the aldol reaction between DHAP and d-glyceraldehyde was performed by l-rhamnulose-1-phosphate aldolase (RhaD) to generate the corresponding sugar-1-phosphate. Finally, the phosphate group was removed by fructose-1-phosphatase (YqaB) to obtain the rare sugars d-sorbose and d-psicose. To accomplish this goal, the alditol oxidase from Streptomyces coelicolor (AldO_S.coe) was expressed in E. coli and the purified AldO_S.coe was characterized. Furthermore, a recombinant E. coli strain overexpressing six enzymes including AldO_S.coe was constructed. Under the optimized conditions, it produced 7.9 g/L of d-sorbose and d-psicose with a total conversion rate of 17.7% from glycerol. This study provides a useful and cost-effective method for the synthesis of rare sugars.     

Single-cell oil production by Mortierella isabellina DSM 1414 using different sugars as carbon source

Pure carbon sources, especially carbohydrates which are raw materials deriving from agro-industrial processes, are often used for small-scale single-cell oil production by fermentation. The aim of this study was to investigate the effects of different pure carbon sources on cell growth, lipid accumulation, and γ-linolenic acid (GLA) production by the filamentous fungus Mortierella isabellina DSM 1414 (Deutsche Sammlung von Mikroorganismen). The sugars utilized in this study are found extensively and abundantly in nature, especially in food raw materials and, in consequence, in agro-food industry wastes or surpluses. Thus, the potential of many waste materials containing these sugars to be used in the production of single-cell oil by fermentation could also be evaluated. The effects of the sugars utilized on cell growth, biomass production, and lipid production were investigated. Fatty acids were also analysed in the lipids produced at the end of the fermentations. Results showed that the maximum biomass production was 10.80 g/L in lactose-based media, while the maximum oil production was 5.44 g/L in maltose-based media. Oleic (20.42%–42.94%), palmitic (14.96%–22.19%), and stearic (9.00%–26.92%) acids were the major fatty acids along with linoleic acid (11.35%–18.67%) and GLA (3.56%–8.04%). The production of GLA as the target fatty acid was remarkable. This study indicates that agro-industrial waste including most of the sugars utilized (except for arabinose and sucrose with lipid production of 0.81 and 0.28 g/L, respectively) can be employed for production of single-cell oil by M. isabellina DSM 1414 which contains a high amount of GLA.     

莱菔子乙醇提取物对ApoE-/-小鼠血脂血糖及肝脂肪变性的影响*

目的:探讨莱菔子乙醇提取物(AERS)对ApoE^-/-小鼠血脂血糖及肝脂肪变性的影响及其机制。方法:随机将60只ApoE^-/-小鼠分为对照组(CG)、生理盐水组(NG)、罗格列酮组(RG)、AERS治疗组,后者再分成AERS低、中、高剂量组(AERS-L/M/H),每组10只。除CG常规饲料外,其他动物均以高脂高糖高盐饲料饲养9周,CG和NG分别每天以等容量NS灌胃1次,RG每天灌胃罗格列酮(1.33 mg·kg^-1,NS稀释成等容量溶液,每次0.2 ml·10 g^-1),AERS组动物每天分别予AERS灌胃(100、300和900 mg·kg^-1)9周后。肝病理学观察,检测FPG、FIns,计算胰岛素抵抗指数(IRI)和肝系数(LC)。检测血清ALT、AST、瘦素(LEP)、TNF-α及血脂水平(TC、FFA等)。Western blot检测肝脂质代谢相关蛋白表达(HMG-R、LDL-R、LEP-R)。结果:与CG相比,NG和RG肝脏外观(色泽、肿胀情况等)和病理学(脂肪变性、肝细胞坏死等)改变明显,而AERS-M/H与CG相似;与CG相比,血清FPG、Fins、IRI、ALT、AST、TNF-α、LC、TG、LDL-C、FFA、LEP等指标明显升高(P＜0.05);与NG相比,AERS呈现剂量依赖性降低(P＜0.05);与RG相比,AERS-H的FPG、Fins明显升高(P＜0.05),而IRI明显降低(P＜0.05);与NG和RG相比,AERS组的HMG-R和LEP-R蛋白表达呈剂量依赖性减少,而LDL-R蛋白表达呈剂量依赖性增加(P＜0.05)。结论:AERS能阻止高脂高糖饲料诱导ApoE^-/^-小鼠血脂血糖升高及肝脂肪变性,其机制与减少FFA和LEP的生成,抑制TNF-α、HMG-R、LEP-R蛋白表达和促进LDL-R的蛋白表达有关。     

三江平原湿地开垦对土壤氨基糖积累特征的影响

微生物残体在土壤有机质的形成和稳定过程中发挥着重要作用,但湿地开垦对土壤微生物残体积累特征的影响尚不清楚。本研究以三江平原小叶章湿地为对象,采集原始自然湿地和开垦改种豆科作物后不同耕作年限(5年、10年和25年)的土壤,以氨基糖为微生物残体的标识物,探讨湿地开垦对土壤微生物残体积累特征的影响。结果表明: 自然湿地开垦为农田后显著降低了土壤中氨基糖的含量,且随着开垦年限的增加,氨基糖的损失比例也增加。与自然湿地相比,开垦25年后土壤中的氨基葡萄糖、氨基半乳糖和胞壁酸含量分别下降38.0%、38.1%和35.9%,且在开垦最初5年中细菌来源的胞壁酸下降速率(25.8%)远高于真菌来源的氨基葡萄糖(14.9%),说明短期内湿地开垦对细菌的影响较真菌更加迅速。湿地开垦为农田5、15和25年后,土壤氨基糖总量分别下降21.1%、34.0%和38.0%;同时,氨基糖总量占土壤有机质的比例也受到湿地开垦的显著影响,由自然湿地中的4.8%降至开垦25年后的4.4%。这说明长期湿地开垦加速了土壤有机质中微生物来源有机组分的分解转化,进而改变土壤有机质的组成。这些变化将影响湿地生态系统中土壤有机质的长期稳定和功能演变。     

SGLT2抑制剂对2型糖尿病患者血糖、血尿酸水平及心脏功能的影响

摘要 目的：研究SGLT2抑制剂对2型糖尿病患者血糖、血尿酸水平及心脏功能的影响。方法：选取我院2019年1月~2020年6月收治的2型糖尿病合并稳定性心功能不全患者106例为研究对象,采用随机数字表法将患者分为两组,所有患者均给予2型糖尿病饮食控制治疗方案,并给予心功能不全对症药物治疗。对照组患者在此基础上给予二甲双胍,观察组在对照组的基础上给予SGLT2抑制剂达格列净。比较两组患者的血糖、血尿酸（uric acid,UA）、血清脑钠肽(brainnatriureticpeptide,BNP)水平、心脏功能及生活质量。结果：治疗前两组的餐后2 h血糖（2- hour postprandial glucose,2 h PBG）、空腹血糖（fasting blood glucose,FBG）及糖化血红蛋白（glycosylated hemoglobin,HbAIc）水平比较无差异（P＞0.05）,治疗后两组的上述指标均显著降低,且观察组显著低于对照组（P<0.05）;治疗前两组的UA和BNP水平比较无差异（P＞0.05）,治疗后两组的上述指标均显著降低,且观察组显著低于对照组（P<0.05）;治疗前两组的左室射血分数（left ventricular ejection fraction,LVEF）和左室舒张末期内径（left ventricular end diastolic diameter,LVEDD）水平比较无差异（P＞0.05）,治疗后观察组的LVEF水平显著升高,LVEDD水平显著降低（P<0.05）,但对照组治疗前后比较无差异（P＞0.05）;治疗前两组的SF-36健康调查量表(the SF-36 Health Survey,SF-36)评分比较无差异（P＞0.05）,治疗后两组的SF-36评分均显著上升,且观察组显著高于对照组（P<0.05）,两组的不良反应发生率比较无统计学差异（P＞0.05）。结论：达格列净可显著改善2型糖尿病合并稳定性心功能不全患者的血糖、血尿酸水平,还能够改善患者的心脏功能,值得临床借鉴。     

落叶松不同根序细根可溶性糖和淀粉浓度的差异和季节动态

非结构性碳水化合物是植物光合作用与生长利用之间主要的中间贮存物,在植物的生长和代谢过程中起着十分重要的作用。为了揭示落叶松(Larix gmelinii)根系根序间非结构性碳水化合物的分配及季节变化规律,探讨根系内可溶性糖和淀粉间的关系。本研究以落叶松根系为研究材料,在5~10月采集根系样品,采用根序法将细根分为1、2、3、4和5级,采用苯酚—浓硫酸方法和酶解法分别测定可溶性糖和淀粉浓度。结果表明:可溶性糖浓度在根序、月份及其交互差异性显著(P<0.001),1~5级根可溶性糖浓度的变化范围分别为4.42%~14.90%,4.35%~16.40%,5.67%~19.70%,5.91%~33.10%,6.95%~37.80%,不同根序可溶性糖浓度最大值均出现在7月。根序间淀粉浓度差异性不显著(P>0.05),月份间根系淀粉浓度差异显著(P<0.001),变化范围为23.36%~48.65%;淀粉浓度5~7月下降,随后上升,从8月份达到峰值,10月与5月差异不显著。研究结果可为阐明落叶松根系碳水化合物代谢和生长适应对策提供数据基础,对理解植物细根系统内部结构及功能异质性提供数据支撑。     

美洲大蠊乙醇提取物对香烟引起小鼠肺脏氧化应激的干预效果研究

美洲大蠊提取物具有显著的抗肿瘤、抗菌和抗肝纤维化等作用,但是,其对肺脏抗氧化应激效果的研究未见报道,本文主要探讨美洲大蠊乙醇提取物对熏烟小鼠血液和肺脏抗氧化应激的效果.选用雌性KM小鼠28只,随机分为对照组、熏烟组、低剂量和高剂量美洲大蠊醇提物组各7只,除对照组灌胃生理盐水外,其他各组每天中午和下午采用烟熏处理,持续31 d,其中第17天开始高剂量和低剂量组每天晚上灌胃美洲大蠊醇提物,实验结束后计算肺脏系数,检测血浆和肺脏组织匀浆中MDA、SOD、CAT、NO、GSH-Px和肺脏SOD、GSH-PX、CAT基因mRNA表达的水平以及肺脏组织病理结构的变化.结果表明:各组间肺脏系数和血浆、肺脏中总SOD和CAT的活力差异无统计学意义(P>0.05),但是与对照组相比,熏烟组显著升高了血浆和肺脏中NO以及肺脏中MDA的含量,显著降低了血浆中GSH-PX的活力和肺脏中该基因表达,差异具有统计学意义(P<0.05);而与熏烟组相比,低剂量和高剂量美洲大螊醇提物组均显著降低了血浆和肺脏中NO和MDA的水平,显著升高了肺脏GSH-PX的活力及其基因表达,高剂量组还显著升高了血浆中GSH-PX的活力,差异均具有统计学意义(P<0.05);高剂量美洲大蠊醇提物还对香烟造成的肺组织损害具有缓解作用.研究结果表明美洲大蠊乙醇提取物对熏烟小鼠血液和肺组织具有较好的抗氧化应激功能.