血清IL-4、IL-6、IL-33与老年重症肺炎患者肠道菌群的相关性分析及对预后的影响

摘要 目的：探究老年重症肺炎患者血清白介素（IL）-4、IL-6、IL-33与肠道菌群变化的相关性及预后影响因素。方法：选取我院2020年1月-2022年1月期间收治的老年重症肺炎患者中筛选82例纳入重症组,从同期老年健康体检志愿者中选取50例纳入正常组。对比两组的IL-4、IL-6、IL-33与肠道菌群水平差异,Pearson相关系数分析肠道菌群与IL-4、IL-6、IL-33水平相关性,根据重症组随访6个月的预后情况分为生存组55例、死亡组27例,对比生存组、死亡组的临床因素差异,多因素Logistic回归模型分析重症肺炎死亡的影响因素。结果：（1）对比正常组,重症组的IL-4、IL-6、IL-33水平均明显升高（P<0.05）;（2）对比正常组,重症组的大肠埃希菌水平均明显升高且双歧杆菌水平明显降低（P<0.05）;（3）大肠埃希菌与IL-4、IL-6、IL-33均呈正相关,双歧杆菌与IL-4、IL-6、IL-33均呈负相关;（4）对比生存组,死亡组年龄、急性生理和慢性健康（APACHE-Ⅱ）评分、IL-4、IL-6、IL-33、大肠埃希菌、机械通气比例、餐后2 h平卧比例均明显更高且双歧杆菌明显更低（P<0.05）;（5）重症肺炎死亡的独立危险因素包括年龄增加、APACHE-Ⅱ评分升高、IL-4升高、IL-6升高、IL-33升高、大肠埃希菌升高、机械通气、餐后2 h平卧且独立保护因素是双歧杆菌升高。结论：老年重症肺炎患者存在明显的炎症反应与肠道菌群失衡,患者的IL-4、IL-6、IL-33、大肠埃希菌、双歧杆菌异常变化并且存在密切关系,老年重症肺炎患者的年龄、机械通气、餐后体位等因素均会影响其预后生存结局。     

血清PGRN、SFRP1、CCL26与支气管哮喘急性发作期患者肺功能和气道炎症的相关性研究

摘要 目的：探讨支气管哮喘（BA）急性发作期患者血清颗粒蛋白前体（PGRN）、分泌型卷曲相关蛋白1（SFRP1）、C-C基序趋化因子配体26（CCL26）与肺功能和气道炎症的相关性。方法：选取2021年1月～2022年6月我院收治的118例BA急性发作期患者作为急性发作期组,根据病情分级将BA急性发作期患者分为轻度亚组55例、中度亚组43例、重度亚组20例,另选取同期77例BA临床控制期患者（临床控制期组）和60例体检健康志愿者（对照组）分别作为对照。采用Pearson相关性分析BA急性发作期患者血清PGRN、SFRP1、CCL26水平与肺功能和气道炎症指标的相关性。结果：对照组、临床控制期组、急性发作期组血清PGRN水平和第1秒用力呼气容积占预计值百分比（FEV₁%pred）、峰值呼气流速（PEF）依次降低,SFRP1、CCL26水平和呼出气一氧化氮（FeNO）、外周血嗜酸性粒细胞（EOS）计数依次升高（P＜0.05）。轻度亚组、中度亚组、重度亚组血清PGRN水平和FEV₁%pred、PEF依次降低,SFRP1、CCL26水平和FeNO、外周血EOS计数依次升高（P＜0.05）。Pearson相关性分析显示,BA急性发作期患者血清PGRN水平与FEV₁%pred、PEF呈正相关,与FeNO、外周血EOS计数呈负相关（P＜0.05）,SFRP1、CCL26与FEV₁%pred、PEF呈负相关,与FeNO、外周血EOS计数呈正相关（P＜0.05）。结论：BA急性发作期患者血清PGRN水平降低,SFRP1、CCL26水平升高,与病情严重程度、肺功能和气道炎症有关,可能成为BA急性发作期患者新的治疗靶点。     

食管癌患者放射治疗中照射体积和时间与外周血淋巴细胞绝对值的相关性研究

摘要 目的：探究照射体积和时间与食管癌患者外周血淋巴细胞绝对值的相关性。方法：本研究方案将纳入2019年1月~2019年12月蚌埠医学院第一附属医院放疗科收治的放疗或同步放化疗食管癌患者84例,其中单独放疗患者24例,同步放化疗患者60例,采用血液细胞分析仪测定患者放疗期间每周复查外周血白细胞（WBC）、中性粒细胞（N）、淋巴细胞（L）、血红蛋白（HB）及血小板（PLT）计数等指标。Pearson相关性分析照射时间、剂量及体积与外周血指标之间的相关性。结果：食管癌放疗患者,包括同步放化疗及单纯放疗亚组,在治疗1-6周,照射时间与外周血指标均无相关性（P>0.05）。但在放疗第5-6周,患者放疗剂量与WBC、N、L、HB呈负相关（P<0.05）,同步放化疗亚组患者照射剂量与WBC、N、L、HB呈负相关（P<0.05）。在治疗1-4周,不同照射剂量下各梯度照射剂量对应照射体积与外周血指标均无相关性（P>0.05）。但在第5-6周时,患者不同梯度照射剂量下各照射体积与WBC、N呈负相关（P<0.05）,同时在20Gy-60Gy照射剂量,尤其20Gy和30Gy照射剂量下照射体积与L呈负相关（P<0.05）。同步放化疗亚组患者不同照射剂量下各照射体积与WBC、N呈负相关（P<0.05）,同时在20Gy-60Gy照射剂量下照射体积与L呈负相关（P<0.05）,而且在60Gy照射剂量下照射体积与HB呈负相关（P<0.05）。结论：放疗患者特别是同步放化疗亚组患者照射体积、照射剂量与食管癌患者外周血淋巴细胞计数成负相关,基线淋巴细胞与食管癌患者外周血淋巴细胞计数成正相关,而照射时间与食管癌患者外周血淋巴细胞计数无相关性。     

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。     

Episodic exposure to acid and aluminium in soft water: survival and recovery of brown trout,Salmo trutta L.

Yolk-sac fry, swim-up fry and 1–2 yr juveniles of brown trout, Sulmo trutta L., were exposed to episodes of aluminium and low pH, maximum aluminium concentration 12 μmol l⁻¹ (323 μg l⁻¹), minimum pH 4.5, total duration up to 54 h (yolk-sac fry) or up to 78 h (swim-up fry and juveniles), in an artificial soft water medium, [Ca] 20 μmol l⁻¹ (0–8 mg l⁻¹) (nominal baseline: pH 5.6, zero aluminium concentration). Yolk-sac fry mortality was nil or very low. A marked increase in susceptibility, with high mortalities, occurred when the yolk was fully absorbed. Mortality of juveniles exposed to two successive episodes was lower than would have been expected on the basis of comparisons with mortalities in single episodes, and mortality declined as the interval between the two episodes was increased. Disturbance of sodium, potassium or calcium balance or gill damage in surviving yolk-sac fry or juveniles was still evident 5 to 6 days after the end of a single episode.     

Glutamine repeats and inherited neurodegenerative diseases: molecular aspects

Several dominantly inherited, late onset, neurodegenerative diseases are due to expansion of CAG repeats, leading to expansion of glutamine repeats in the affected proteins. These proteins are of very different sizes and, with one exception, show no sequence homology to known proteins or to each other; their functions are unknown. In some, the glutamine repeat starts near the N-terminus, in another near the middle and in another near the C-terminus, but regardless of these differences, no disease has been observed in individuals with fewer than 37 repeats, and absence of disease has never been found in those with more than 41 repeats. Protein constructs with more than 41 repeats are toxic to E. coli and to CHO cells in culture, and they elicit ataxia in transgenic mice. These observations argue in favour of a distinct change of structure associated with elongation beyond 37–41 glutamine repeats. The review describes experiments designed to find out what these structures might be and how they could influence the properties of the proteins of which they form part. Poly- -glutamines form pleated sheets of β-strands held together by hydrogen bonds between their amides. Incorporation of glutamine repeats into a small protein of known structure made it associate irreversibly into oligomers. That association took place during the folding of the protein molecules and led to their becoming firmly interlocked by either strand- or domain-swapping. Thermodynamic considerations suggest that elongation of glutamine repeats beyond a certain length may lead to a phase change from random coils to hydrogen-bonded hairpins. Possible mechanisms of expansion of CAG repeats are discussed in the light of looped DNA model structures.     

外源钙调蛋白对植物细胞分裂增殖作用的研究

外源钙调蛋白（Ｃａｌｍｏｄｕｌｉｎ,ＣａＭ）对胡萝卜悬浮细胞增殖具明显促进作用,不同浓度ＣａＭ的促进程度不同,７ｕｇ／ｍｌ时促进作用最大。ＣａＭ抑制剂ＴＦＰ（Ｔｒｉｆｌｕｏｐｅｒ－ａｚｉｎｅ）则明显抑制该悬浮细胞的增殖,ＴＦＰ浓度越高则抑制作用越强。另外,外源ＣａＭ可以加快珍珠梅花粉第二次有丝分裂,改变生殖细胞有丝分裂各期花粉管的比例,说明外源ＣａＭ对植物体细胞和性细胞的增殖和分裂均有促进作用。     

Organic acid exudation as an aluminum-tolerance mechanism in maize (Zea mays L.)

In this study, the role of root organic acid synthesis and exudation in the mechanism of aluminum tolerance was examined in Al-tolerant (South American 3) and Al-sensitive (Tuxpeño and South American 5) maize genotypes. In a growth solution containing 6 M Al³⁺, Tuxpeño and South American 5 were found to be two- and threefold more sensitive to Al than South American 3. Root organic acid content and organic acid exudation from the entire root system into the bulk solution were investigated via high-performance liquid chromatographic analysis while exudates collected separately from the root apex or a mature root region (using a dividedroot-chamber technique) were analyzed with a more-sensitive ion chromatography system. In both the Al-tolerant and Al-sensitive lines, Al treatment significantly increased the total root content of organic acids, which was likely the result of Al stress and not the cause of the observed differential Al tolerance. In the absence of Al, small amounts of citrate were exuded into the solution bathing the roots. Aluminum exposure triggered a stimulation of citrate release in the Al-tolerant but not in the Al-sensitive genotypes; this response was localized to the root apex of the Al-tolerant genotype. Additionally, Al exposure triggered the release of phosphate from the root apex of the Al-tolerant genotype. The same solution Al³⁺ activity that elicited the maximum difference in Al sensitivity between Al-tolerant and Al-sensitive genotypes also triggered maximal citrate release from the root apex of the Al-tolerant line. The significance of citrate as a potential detoxifier for aluminum is discussed. It is concluded that organic acid release by the root apex could be an important aspect of Al tolerance in maize.Abbreviations SA3 South American 3, an Al-tolerant maize cultivar - SA5 South American 5, an Al-sensitive maize cultivar The authors would like to express their appreciation to Drs. John Thompson, Ross Welch and Mr. Stephen Schaefer for their training and guidance in the use of the chromatography systems. This work was supported by a Swiss National Science Foundation Fellowship to Didier Pellet, and U.S. Department of Agriculture/National Research Initiative Competitive Grant 93-37100-8874 to Leon Kochian. We would also like to thank Drs. S. Pandey and E. Ceballos from the CIMMYT Regional office at CIAT Cali, Colombia for providing seed for the maize varieties and inbred line.     

PHOTOSYNTHETIC CHARACTERISTICS OF THE COCCOLITHOPHORID EMILIANIA HUXLEYI (PRYMNESIOPHYCEAE) EXPOSED TO ELEVATED CONCENTRATIONS OF DISSOLVED INORGANIC CARBON1

Light-saturated photosynthesis (P_max) of Emiliania huxleyi (Lohmann) Hay et Mohler is known to be carbonlimited at natural concentrations of dissolved inorganic carbon (DIC). In the present study, light-limited and light-saturated photosynthetic rates of E. huxleyi were studied at three concentrations of DIC (2.4, 7.4, and 12.4 mM) for high-calcite (C_in/C_tot=0.48) and low-calcite (C_in/C_tot=0.08) cells of the same strain. The photosynthetic efficiency (α) and the maximum quantum yield (θ_max)A increased by more than a factor of 2 from the lowest to the highest DIC level. P_max a, and θ_max were always higher for the high-calcite than for the low-calcite cells at identical DIC levels. This may indicate that the calcifcation process acts as an extra supplier of CO₂ for photosynthesis making the CO₂ shortage at natural DIC levels a little smaller for high-calcite than for low-calcite E. huxleyi. A dependency of θ_max on DIC has not previously been shown for marine phytoplankton. θ_max is a key parameter in recent biooptical models of phytoplankton productivity, and the results from the present study are therefore important for modeling the productivity of E. huxleyi.     

Monitoring uptake and contents of Mg,Ca and K in Norway spruce as influenced by pH and Al,using microprobe analysis and stable isotope labelling

In a model system using intact spruce trees (Picea abies [L.] Karst.) we followed the path of magnesium, calcium and potassium during uptake into the root and during long-range transport into the shoot, by multiple stable isotope labelling. The roots of two- and three-year-old spruce trees originating from soil culture were removed from the soil and, in part or in toto, exposed to labelling solutions containing the stable isotopes ²⁵Mg or ²⁶Mg, ⁴¹K and ⁴²Ca or ⁴⁴Ca. Optical-emission-spectroscopy (ICP-OES) of plant fractions and labelling solutions was combined with the quantitative analysis of stable isotope ratios in sections of shock frozen, cryosubstituted material using the laser-microprobe-mass-analyser (LAMMA). This combination allowed us to distinguish, both in bulk samples and on the cellular level between (i) the fraction of elements originally present in the plant before the start of the labelling, (ii) the material taken up from the labelling solution into the plant and (iii) any material released by the plant into the labelling solution.In single-root labelling experiments, roots of three-year-old spruce trees, grown in nursery soil, were exposed to various pH conditions. The exchange of Mg and Ca with the labelling solution was nearly 100% in the cell walls of the mycorrhized finest roots. This exchange was only slightly affected by a step down to pH 3.5. The absolute Mg and Ca content in the cell walls was moderately reduced by incubation at pH 3.5 and strongly reduced in the presence of Al at this pH. After a pH 3.5 and 2 mM Al treatment we found Al in the xylem cell walls and the cortex cell lumina at elevated concentrations. To analyse the combined effect of high Al and high proton concentrations on the long-range transport, we used a split-root system. The root mass of an intact two-year-old spruce tree, grown in mineral soil, was divided into even parts and both halves incubated in solutions with two sets of different stable isotopes of Mg and Ca (side A: no Al, ²⁵Mg and ⁴²Ca; side B: +Al, ²⁶Mg and ⁴⁴Ca) and ⁴¹K on both sides. We observed a large uptake of Mg, Ca and K into the plant and a pronounced release. The net uptake of all three elements was lower from the Al-doted solution. In cross-sections of the apical shoot we found after seven-day labelling period about 60–70% of the Mg and Ca and 30% of the K content in the xylem cell walls originating from both labelling solutions. The clear majority of the Mg and Ca label originated from the Al-doted side.