Natural Killer Cells Are Characterized by the Concomitantly Increased Interferon-γ and Cytotoxicity in Acute Resolved Hepatitis B Patients

Natural killer (NK) cells are abundant in the liver and have been implicated in inducing hepatocellular damage in patients with chronic hepatitis B virus (HBV) infection. However, the role of NK cells in acute HBV infection remains to be elucidated. We comprehensively characterized NK cells and investigated their roles in HBV clearance and liver pathology in 19 chronic hepatitis B (CHB) patients and 21 acute hepatitis B (AHB) patients as well as 16 healthy subjects. It was found that NKp46⁺ NK cells were enriched in the livers of AHB and CHB patients. We further found that peripheral NK cells from AHB patients expressed higher levels of activation receptors and lower levels of inhibitory receptors than those from CHB patients and HC subjects, thus displaying the increased cytolytic activity and interferon-γ production. NK cell activation levels were also correlated positively with serum alanine aminotransferase levels and negatively with plasma HBV DNA levels in AHB patients, which is further confirmed by the longitudinal follow-up of AHB patients. Serum pro-inflammatory cytokine and chemokine levels were also increased in AHB patients as compared with CHB and HC subjects. Thus, the concomitantly increased interferon-γ and cytotoxicity of NK cells were associated with liver injury and viral clearance in AHB patients.     

A Unique Feature of Iron Loss via Close Adhesion of Helicobacter pylori to Host Erythrocytes

Iron deficiency anemia is an extra-stomach disease experienced in H. pylori carriers. Individuals with type A blood are more prone to suffering from H. pylori infection than other individuals. To clarify the molecular mechanisms underlying H. pylori-associated anemia, we collected erythrocytes from A, B, O, and AB blood donors and analyzed morphology, the number of erythrocytes with H. pylori colonies attached to them, and iron contents in erythrocytes and H. pylori (NCTC11637 and SS1 strains) by means of optical microscopy, scanning electron microscopy, and synchrotron radiation soft X-ray imaging. The number of type A erythrocytes with H. pylori attached to them was significantly higher than that of other erythrocytes (P<0.05). Far more iron distribution was observed in H. pylori bacteria using dual energy analysis near the iron L2, 3 edges by soft X-ray imaging. Iron content was significantly reduced in host erythrocytes after 4 hours of exposure to H. pylori. H. pylori are able to adhere more strongly to type A erythrocytes, and this is related to iron shift from the host to the bacteria. This may explain the reasons for refractory iron deficiency anemia and elevated susceptibility to H. pylori infection in individuals with type A blood.     

Retrospective Analysis of 234 Nasopharyngeal Carcinoma Patients with Distant Metastasis at Initial Diagnosis: Therapeutic Approaches and Prognostic Factors

Purpose

The purpose of this retrospective study was to identify the independent prognostic factors and optimize the treatment for nasopharyngeal carcinoma (NPC) patients with distant metastasis at initial diagnosis.

Methods

A total of 234 patients referred between January 2001 and December 2010 were retrospectively analyzed. Among the 234 patients, 94 patients received chemotherapy alone (CT), and 140 patients received chemoradiotherapy (CRT). Clinical features, laboratory parameters and treatment modality were examined with univariate and multivariate analyses.

Results

The median overall survival (OS) time was 22 months (range, 2-125 months), and the 1-year, 2-year, 3-year overall survival rates were 82.2%, 51.3% and 34.1%. The overall response and disease control rates of metastatic lesions after chemotherapy were 56.0% and 89.8%. The factors associated with poor response were karnofsky performance score (KPS) <80, liver metastasis, lactate dehydrogenase (LDH)>245 IU/L, and number of chemotherapy cycles <4. The 3-year OS of patients receiving CRT was higher than those receiving CT alone (48.2% vs. 12.4%, p<0.001). Subgroup analysis showed that significantly improved survival was also achieved by radiotherapy of the primary tumor in patients who achieved complete remission (CR)/partial remission (PR) or stable disease (SD) of metastatic lesions after chemotherapy. Significant independent prognostic factors of OS were KPS, liver metastasis, levels of LDH, and multiple metastases. Treatment modality, response to chemotherapy and chemotherapy cycles were also associated with OS.

Conclusion

A combination of radiotherapy and chemotherapy seems to have survival benefits for selected patients with distant metastases at initial diagnosis. Clinical and laboratory characteristics can help to guide treatment selection. Prospective randomized studies are needed to confirm the result.     

半干旱黄土高原苜蓿草地撂荒过程土壤水分变化特征

土壤水分是黄土高原植被恢复和生态建设的主要限制因子,明确土壤水分随植被演替的变化规律是阐明黄土高原植被与水分相互作用机制的重要基础。以半干旱黄土高原小流域苜蓿草地撂荒过程为研究对象,通过对2016-2018年生长季苜蓿群落、苜蓿+赖草群落、赖草群落和长芒草群落四种草地群落0-1.8 m土壤水分进行动态监测以及0-5 m深度土壤水分测定,分析不同演替阶段苜蓿草地土壤水分的动态特征,探讨土壤水分对苜蓿草地撂荒过程的响应。结果表明：（1）在苜蓿草地撂荒演替过程中,土壤水分随群落恢复时间的延长呈先增加后降低的变化,降水的年际动态显著影响不同演替群落的土壤水分响应;（2）0-0.4 m土壤水分主要受降水影响,使得各草地群落在这一层次没有显著差异（P>0.05）,而1 m以下的土壤水分含量则主要受植被类型的影响,各草地群落之间存在显著差异（P<0.05）;（3）0-5 m深层土壤水分随群落的演替,1 m以下各土层土壤水分含量逐渐增加,表明撂荒过程中使土壤水分得到了一定程度的恢复。研究结果揭示了苜蓿草地撂荒过程土壤水分的变化规律,可为黄土高原生态恢复提供理论依据。     

Responses of plant 15N natural abundance and isotopic fractionation to N addition reflect the N status of a temperate steppe in China

Aims Elevated anthropogenic nitrogen (N) deposition could alter N status in temperate steppe. However, threshold observations of N status change from N limit to N saturation by far are not conclusive in these ecosystems. Research on the natural abundance of¹⁵N (δ¹⁵N) could greatly help provide integrated information about ecosystem N status. The goal of this study was to investigate the suitability of measurements of δ¹⁵N of major ecosystem N pools and several key species, plant¹⁵N fractionation, together with key vegetation and soil indicators in response to N fertilization as a tool to identify the N status in a temperate steppe in Inner Mongolia.     

Identification of differentially expressed genes in primary Sjögren's syndrome

Primary Sjögren's syndrome (pSS) is a chronic systemic autoimmune disease that affects exocrine glands. To study the molecular mechanism and identify crucial genes/pathways in pSS pathogenesis, the microarray-based whole-genome gene expression profiles from salivary glands of patients with pSS and non-sicca controls were retrieved. After normalization and subsequent batch effect adjustment, significance analysis of microarrays method was applied to five available datasets, and 379 differentially expressed genes (DEGs) were identified. The 300 upregulated DEGs were enriched in Gene Ontology terms of immune and inflammatory responses, including antigen processing and presentation, interferon-mediated signaling pathway, and chemotaxis. Previously reported pSS-associated genes, including HLA-DRA, TAP2, PRDM1, and IFI16, were found to be significantly upregulated. The downregulated DEGs were enriched in pathways of salivary secretion, carbohydrate digestion and absorption, and starch and sucrose metabolism, implying dysfunction of salivary glands during pathogenesis. Next, a protein-protein interaction network was constructed, and B2M, an upregulated DEG, was shown to be a hub, suggesting its potential involvement in pSS development. In summary, we found the activation of pSS-associated genes in pathogenesis, and provide clues for salivary glands dysfunction. Experimental investigation on the identified DEGs in this study will deepen our understanding on pSS.     

城市群生态安全格局构建:概念辨析与理论思考

城市群是城市发展到一定阶段通过城市间物流、人流和能流高度融合而形成的区域性复合生态系统,如何保障城市群生态安全与健康发展成为当前关注的热点问题。本研究系统分析了生态安全、城市生态安全与城市群生态安全的内涵。认为狭义上城市群生态安全侧重于城市群内部生态空间优化和生态系统服务功能提升,重点关注城市群地区生态用地空间优化与"三生空间"（生态、生活及生产空间）的合理布局。广义上的城市群生态安全不仅需要考虑城市群内部生态系统结构和功能协调及其生态系统服务的供需平衡,也需要从区域尺度考虑城市群与其他区域之间的协调关系。城市群生态安全格局构建的目的则是保障城市群内部区域一体化协调发展,满足人们日常生活的基本需求,实现城市群与区域之间物流、能流和人流的有序流通。在城市群生态安全格局构建时,除了遵循生态安全一般性原则外,还需要遵循以下原则：①生态系统服务供需平衡尺度效应;②生态安全保障的阈值效应;③生态安全格局的空间联动效应。最后文章提出了城市群生态安全格局构建的基本思路和技术路径。