Characterization of Early Disease Status in Treatment-Naive Male Paediatric Patients with Fabry Disease Enrolled in a Randomized Clinical Trial

Trial Design

This analysis characterizes the degree of early organ involvement in a cohort of oligo-symptomatic untreated young patients with Fabry disease enrolled in an ongoing randomized, open-label, parallel-group, phase 3B clinical trial.

Methods

Males aged 5–18 years with complete α-galactosidase A deficiency, without symptoms of major organ damage, were enrolled in a phase 3B trial evaluating two doses of agalsidase beta. Baseline disease characteristics of 31 eligible patients (median age 12 years) were studied, including cellular globotriaosylceramide (GL-3) accumulation in skin (n = 31) and kidney biopsy (n = 6; median age 15 years; range 13–17 years), renal function, and glycolipid levels (plasma, urine).

Results

Plasma and urinary GL-3 levels were abnormal in 25 of 30 and 31 of 31 patients, respectively. Plasma lyso-GL-3 was elevated in all patients. GL-3 accumulation was documented in superficial skin capillary endothelial cells (23/31 patients) and deep vessel endothelial cells (23/29 patients). The mean glomerular filtration rate (GFR), measured by plasma disappearance of iohexol, was 118.1 mL/min/1.73 m² (range 90.4–161.0 mL/min/1.73 m²) and the median urinary albumin/creatinine ratio was 10 mg/g (range 4.0–27.0 mg/g). On electron microscopy, renal biopsy revealed GL-3 accumulation in all glomerular cell types (podocytes and parietal, endothelial, and mesangial cells), as well as in peritubular capillary and non-capillary endothelial, interstitial, vascular smooth muscle, and distal tubules/collecting duct cells. Lesions indicative of early Fabry arteriopathy and segmental effacement of podocyte foot processes were found in all 6 patients.

Conclusions

These data reveal that in this small cohort of children with Fabry disease, histological evidence of GL-3 accumulation, and cellular and vascular injury are present in renal tissues at very early stages of the disease, and are noted before onset of microalbuminuria and development of clinically significant renal events (e.g. reduced GFR). These data give additional support to the consideration of early initiation of enzyme replacement therapy, potentially improving long-term outcome.

Trial Registration

ClinicalTrials.gov NCT00701415     

海南岛早志留世晚期腕足类Xinanospirifer的发现--兼论南好组

海南岛保亭县毛感乡南兵至南好公路边南好组以往被确认为下石炭统岩关阶 ,并认为与其下的上志留统足赛岭组呈角度不整合接触。著者最近在该剖面南好组中发现兰多维列世特里奇期晚期 (LateTelychian)Xi nanospirifer腕足动物群和三叶虫Latiproetuscf.latilimbatus,证明久归于下石炭统岩关阶南好组的地质时代应改归于早志留世 (Llandoverian) ;海南岛地区在早志留世明显属于扬子地台区的范畴 ;从地质时间上还暗示南好组与其下伏的足赛岭组不可能存在角度不整合接触 ;     

Preliminary crystallographic studies of two C-terminally truncated copper-containing nitrite reductases from Achromobacter cycloclastes: changed crystallizing behaviors caused by residue deletion

The C-terminal segment of copper-containing nitrite reductase from Achromobacter cycloclastes (AcNiR) has been found essential for maintaining both the quaternary structure and the enzyme activity of AcNiR. C-terminal despentapeptide AcNiR (NiRc-5) and desundecapeptide AcNiR (NiRc-11) are two important truncated mutants whose activities and stability have been affected by residue deletion. In this study, the two mutants were crystallized using the hanging drop vapor diffusion method. Crystals of NiRc-5 obtained at pH 5.0 and 6.2 both belonged to the P2(1)2(1)2(1) space group with unit cell parameters a=99.0 A, b=117.4 A, c=122.8 A (pH 5.0) and a=98.9A, b=117.7A, c=123.0A (pH 6.2). NiRc-11 was crystallized in two crystal forms: the tetragonal form belonged to the space group P4(1) with a=b=96.0A and c=146.6A; the monoclinic form belonged to the space group P2(1) with a=86.0A, b=110.1A, c=122.7A, and beta=101.9 degrees. The crystallizing behaviors of the two mutants differed from that of the native enzyme. Such change in combination with residue deletion is also discussed here.     

Isolation of New Delhi metallo‐β‐lactamase 1‐producing Vibrio cholerae non‐O1, non‐O139 strain carrying ctxA,st and hly genes in southern Vietnam

Vibrio cholerae non‐O1, non‐O139 (VC_NAG) organisms are universally present in the aquatic environment and regarded as non‐pathogenic bacteria. However, considering that they do occasionally induce gastroenteritis, a study of their virulence and antibiotic resistance genes is important. The presence of enteropathogenic genes, including ctxA, VC_NAG‐specific heat‐stable toxin gene (st), hemolysin (hly), and zona occludens toxin (zot) was determined by PCR in 100 VC_NAG strains isolated in southern Vietnam in 2010–2013 from 94 environmental and six human origins. These 100 VC_NAG strains were also tested phenotypically and genotypically for the presence of the New Delhi metallo‐β‐lactamase (NDM‐1). Of the 100 VC_NAG strains tested, six were positive for ctxA; five from the environment and one of human origin. The st gene was detected in 17 isolates, 15 and two of which were of environmental and human origins, respectively. Gene hly was detected in 19 VC_NAG strains examined, two of which were isolated from humans and 17 from environments. The zot gene was not detected in any of the strains tested. Three VC_NAG strains of environmental origin were confirmed to produce NDM‐1 and the bla_NDM‐1 gene was detected in those strains by PCR. Of note, one of the three NDM‐1‐producing VC_NAG strains was confirmed to carry ctxA, st and hly genes concurrently. This is the first report of isolation of NDM‐1‐producing VC_NAG strains in Vietnam.     

C肽与胰岛素双标记时间分辨荧光免疫分析法的建立及初步临床应用

建立钐(Sm3+)标记检测C肽(C-peptide)及铕(Eu3+)标记检测胰岛素(insulin)的双标记时间分辨荧光免疫分析法(TRFIA),并初步尝试检测人血C肽以及胰岛素含量.将抗C肽单克隆抗体(Biodesign No.E54094M)与抗insulin单克隆抗体(BiodesignNo.E86306M)混合包被96孔板,然后用Sm3+标记抗C肽单克隆抗体(Medix No.9103),Eu3+标记抗insulin单克隆抗体(Biodesign No.E86802M),运用双抗体夹心一步法建立C肽/胰岛素双标记时间分辨免疫荧光分析法.结果显示:C肽分析灵敏度为0.2μg/L,线性范围为0.5～22μg/L,平均回收率达到99.6%,分析内和分析间变异系数分别为4.6%～6.0%和5.1%～7.6%.胰岛素分析灵敏度为0.8 mU/L,线性范围为3.6～180 mU/L,平均回收率为99.4%,分析内和分析间变异系数分别为3.7%～6.0%和5.1%～8.0%.C肽/胰岛素双标记检测试剂与PerkinElmer公司对应的单标记进口试剂盒分别同时测定血清样本200份,检测结果高度相关,具有较好的一致性,相关系数分别为0.98与0.99.总之,自建C肽/胰岛素双标记时间分辨荧光免疫分析方法的性能均可以达到临床检测要求,有望替代现有国内外较为昂贵的单标记试剂,可用于胰岛素分泌不足导致的糖尿病诊断及糖尿病的大规模普查筛选.     

Pharmacophore-based discovery of triaryl-substituted imidazole as new telomeric G-quadruplex ligand

Discovery of potent and selective ligands for telomeric G-quadruplex DNA is a challenging work. Through a combination approach of pharmacophore model construction, model validation, database virtual screening, chemical synthesis and interaction evaluation, we discovered and confirmed triaryl-substituted imidazole TSIZ01 to be a new telomeric G-quadruplex ligand with potent binding and stabilizing activity to G-quadruplex DNA, as well as a 8.7-fold selectivity towards telomeric G-quadruplex DNA over duplex DNA.     

甘肃兴隆山自然保护区马麝夏季栖息地特征及生境选择格局

2006—2008年夏季(7—8月),对甘肃兴隆山自然保护区马麝(Moschus Sifanicus)的栖息地特征和夏季生境选择格局进行了研究。用Mann-Whitney U检验和χ2检验比较了马麝夏季利用生境样地(n=71)和对照性非利用样地(n=264)间的海拔等17个生态变量的差异,结果表明,兴隆山马麝夏季利用生境的郁闭度[(53.87±3.09)%]和乔木均高[(7.57±0.83)m]均显著大于非利用样地[郁闭度:(49.07±1.66)%,乔木均高:(6.33±0.32)m],喜食植物多度[(12.97±1.80)]株也显著大于非利用样地[(9.61±0.67)株]。此外,与非利用样地相比,兴隆山马麝夏季倾向于选择位于中坡位较陡(67.61%)、距离水源较近(<1000m,77.46%)、隐蔽度(88.73%)和避风性均较好(90%)及距人为干扰较远(>1000m,76.06%)的生境;主成分分析结果表明,前4个因子的累积贡献率达72.45%,由乔木胸径和乔木郁闭度变量组成的乔木因子是决定马麝夏季生境选择的首要因素,此外,海拔因子,由地表植被盖度和食物多度组成的食物因子,由灌木盖度、乔木密度和灌木...     

我国设施黄瓜新育成品种芽期耐盐性评价

用100 mmol/L Mg(NO3)2盐溶液对不同生态类型的143个设施黄瓜新品种进行4 d芽期胁迫处理,调查各种质的发芽势、发芽指数、相对伤害率、发芽率、相对发芽率、第2天和第4天胚根伸长长度、后2 d胚根伸长速度等8个指标,利用各指标隶属函数值对其耐盐性进行聚类分析,并对耐盐强的种质进行恢复出苗初步筛选。研究结果表明,黄瓜萌发期的耐盐性强弱评价结果受多个指标的影响。8个发芽指标的变异系数为10.5%~81.0%,除了发芽率和相对发芽率的变异较小外,其他性状的变异幅度均较大(32.0%~81.0%);各性状指标变异系数在不同生态类型种质中表现不同,华北型和欧洲温室型种质以相对伤害率变异系数为最大,华南型和欧美加工型种质以后2 d胚根伸长速度变异系数最大。从种质总体抗盐结果看,欧美加工型和欧洲温室型>华南型>华北型。各指标隶属函数值聚类分析结果表明,将所有种质划为耐盐强、中、弱3类,其中耐盐强的品种共有54个,占37.8%。54个耐盐品种胁迫后经出苗试验初步筛选出12个恢复能力强的品种,即:J31-1>绿精灵>DRT5>YT24>东农02号>上海农科4号>冬灵102>IVF8>津优35>HGS-2>扬大13>J30-1。     

Systematic analysis of biochemical performance and the microbial community of an activated sludge process using ozone-treated sludge for sludge reduction

Two lab-scale bioreactors (reactors 1 and 2) were employed to examine the changes in biological performance and the microbial community of an activated sludge process fed with ozonated sludge for sludge reduction. During the 122 d operation, the microbial activities and community in the two reactors were evaluated. The results indicated that, when compared with the conventional reactor (reactor 1), the reactor that was fed with the ozonated sludge (reactor 2) showed good removal of COD, TN and cell debris, without formation of any excess sludge. In addition, the protease activity and intracellular ATP concentration of reactor 2 were increased when compared to reactor 1, indicating that reactor 2 had a better ability to digest proteins and cell debris. DGGE analysis revealed that the bacterial communities in the two reactors were different, and that the dissimilarity of the bacterial population was nearly 40%. Reactor 2 also contained more protozoa and metazoa, which could graze on the ozone-treated sludge debris directly.