The mechanism of hydrating and solidifying green mine fill materials using circulating fluidized bed fly ash-slag-based agent

This study focused on classifying and disposing Circulating fluidized bed (CFB) fly ashes from the level of its origin, and proposed an optimal formulation system for clinker-free cemented backfill materials. CFB fly ash-blast furnace slag (BFS)-based cemented backfill materials with unequal strength grades are used in different locations of the goaf that require more than 1 Mpa and 4 Mpa, respectively, and the leaching levels of all toxic components are lower than the underground III water quality standard limit when the additional amount of CFB fly ash does not exceed 60 wt.%. The stable S/S of Cl^- is due to the combined effect of chemical fixation of HCC and physical adsorption of the C-S-H/C-A-S-H phase. B2(20 wt.% CFB fly ash) exhibits more functional hydration products and higher degree of polymerization with the hydration age extension. Ettringite is the major effective product of CFB fly ash-BFS-based cemented system due to low level of chlorine environment and HCC transformation. CFB fly ash with appropriate active Al₂O₃ can dissolve and promote [AlO₄]^5- to substitute [SiO₄]^4- to form the C-A-S-H phase with longer chains and higher degree of polymerization with increase in Al/Si ratio of C-A-S-H/C-S-H phase.

Treatment of municipal solid waste incineration fly ash: State-of-the-art technologies and future perspectives

Municipal solid waste incineration (MSWI) fly ash is considered as a hazardous waste that requires specific treatment before disposal. The principal treatments encompass thermal treatment, stabilization/solidification, and resource recovery. To maximize environmental, social, and economic benefits, the development of low-carbon and sustainable treatment technologies for MSWI fly ash has attracted extensive interests in recent years. This paper critically reviewed the state-of-the-art treatment technologies and novel resource utilization approaches for the MSWI fly ash. Innovative technologies and future perspectives of MSWI fly ash management were highlighted. Moreover, the latest understanding of immobilization mechanisms and the use of advanced characterization technologies were elaborated to foster future design of treatment technologies and the actualization of sustainable management for MSWI fly ash.

Targeting cholesterol biosynthesis promotes anti-tumor immunity by inhibiting long noncoding RNA SNHG29-mediated YAP activation

Anti-tumor immunity through checkpoint inhibitors, specifically anti-programmed death 1 (PD-1)/programmed death ligand 1 (PD-L1) interaction, is a promising approach for cancer therapy. However, as early clinical trials indicate that colorectal cancers (CRCs) do not respond well to immune-checkpoint therapies, new effective immunotherapy approaches to CRC warrant further study. Simvastatin is an inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A (CoA) reductase (HMGCR), the rate-limiting enzyme of the mevalonate (MVA) pathway for the cholesterol biosynthesis. However, little is known about the functions of simvastatin in the regulation of immune checkpoints or long noncoding RNA (lncRNA)-mediated immunoregulation in cancer. Here, we found that simvastatin inhibited PD-L1 expression and promoted anti-tumor immunity via suppressing the expression of lncRNA SNHG29. Interestingly, SNHG29 interacted with YAP and inhibited phosphorylation and ubiquitination-mediated protein degradation of YAP, thereby facilitating downregulation of PD-L1 transcriptionally. Patient-derived tumor xenograft (PDX) models and the clinicopathological analysis in samples from CRC patients further supported the role of the lncRNA SNHG29-mediated PD-L1 signaling axis in tumor microenvironment reprogramming. Collectively, our study uncovers simvastatin as a potential therapeutic drug for immunotherapy in CRC, which suppresses lncRNA SNHG29-mediated YAP activation and promotes anti-tumor immunity by inhibiting PD-L1 expression.

Feasibility of using fly ash-slag-based binder for mine backfilling and its associated leaching risks

As a binder to completely replace Portland cement for mine backfilling, the use of clinker-free cementitious materials combined with municipal solid waste incineration (MSWI) fly ash is proposed to achieve the targets of low-cost green backfilling, safe disposal and resource utilisation of bulk urban hazardous waste and metallurgical solid waste. This study balances the positive and negative effects of adding MSWI fly ash to the backfill by controlling its quantity in the binders, thus establishing an optimal concentration of 49 wt.% steel slag (SS), 21 wt.% blast furnace slag (BFS), 10 wt.% MSWI fly ash and 20 wt.% flue gas desulfurisation (FGD) gypsum. It is also reported that the filling performance of slurry (A2) satisfied strength requirements and is very suitable for long-distance transportation according to filling parameters. The leaching levels of the target elements (Cr, Ni, Zn, As, Cd, Sb, Pb, Hg and dioxins) for A2 matrix are lower than the required maximum concentration limits for the underground class Ⅲ water standard. Furthermore, the risk of leaching harmful constituents is mainly controlled by the pH of the environmental and the excellent buffering capacity of the matrix can reduce the potential leaching risk. The encapsulation, precipitation and adsorption of low-solubility double salts, such as hydrate calcium chloroaluminate (HCC) and ettringite, are the solidification/stabilisation (S/S) mechanism of series A on harmful substances. In addition, the high degree of polymerization(Ca/Si = 1.18 < 1.2, at 90d), the formation of long-chain C-S-H gels in binder A2-2, the dense pore structure lead to very stable growth in strength and control of leaching risks in subsequent periods.

Spastic paraplegia as the only symptom in two adult-onset patients carrying a novel pathogenic variant in PYCR2

A novel pathogenic PYCR2 variant and corresponding brain images in two patients characterized by spastic paraplegia.

Influence of calcium hydroxide addition on arsenic leaching and solidification/stabilisation behaviour of metallurgical-slag-based green mining fill

In this study, metallurgical-slag-based binder (MSB) with different dosages of calcium hydroxide (CH) was mixed with high-arsenic-containing mine tailings (HAMT) to form green mining fill samples (GMFs) for As solidification/stabilisation (S/S). The As leaching characteristics of the GMFs were evaluated using pH-dependent leaching tests, semi-dynamic leaching tests and toxicity leaching tests. The effective diffusion coefficient (D_e) decreased from 6.98 × 10^-14 to 5.90 × 10^-15 cm²/s and the leachability index (LI) increased from 13.53 to 14.73 after 3 wt.% CH was added to the GMFs. The GMFs containing 0 wt.% CH (GMF-0C) and those containing 3 wt.% CH (GMF-3C) reached pH = 2 with acid addition amounts of 9.0 meq/g-dry and 9.3 meq/g-dry at 90 d curing time, and the maximum As leaching concentrations of GMF-0C and GMF-3C reached 10.47 mg/L and 7.47 mg/L, respectively, indicating that GMF-3C exhibited better acid neutralisation and As retention capacities than GMF-0C. Further, a Tescan Integrated Mineral Analyser (TIMA) was used to analyse the dominant hydration products of GMF-3C, which revealed that calcium silicate hydrate, CASH, ettringite and zeolite phases represented approximately 22.5 wt.% of the products. These results provide an understanding regarding the safe large-scale utilisation of GMFs.

Investigation into the semi-dynamic leaching characteristics of arsenic and antimony from solidified/stabilized tailings using metallurgical slag-based binders

The leaching characteristics of metallurgical slag-based binders (MSB) solidified/stabilized tailings containing arsenic (As) and antimony (Sb), were investigated via a series of semi-dynamic leaching tests using three kinds of leachant, for the simulation of actual leaching conditions. The effectiveness of solidification/stabilization (S/S) treatment was evaluated by measuring the observed diffusion coefficients (D_obs). It was found that MSB efficiently prevented As and Sb leaching, providing D_obs values in the range of 10^-15 to 10^-13 cm²/s and 10^-11 to 10^-9 cm²/s, respectively, with the exception that the leaching mechanism of As was dissolution rather than diffusion under acetic acid leaching conditions. Physical encapsulation was found to be the dominant mechanism for Sb immobilization, while the dominant mechanism of As immobilization was precipitation in the monolithic MSB S/S treated tailings (MST). Results showed that the concentrations of leached As, Sb, Ca and Si, were affected by leachant pH and total acidity as well as the MSB constituent ratio. The effect of these parameters may be attributed to the stability of hydration products and their influence on the buffering capacity and structure of matrices, and the leachant pH and total acidity having the greatest influence on leaching characteristics.

Increased HSPG2 expression independently predicts poor survival in patients with oligoastrocytoma and oligodendroglioma

OBJECTIVE

Perlecan, which is also called heparan sulfate proteoglycan 2 (HSPG2), is a protein encoded by the HSPG2 gene that maps to 1p36.12 in the human genome. In this study, we assessed the independent prognostic value of HSPG2 in terms of overall survival (OS) and recurrence-free survival (RFS) in patients with LGG.

PATIENTS AND METHODS

A retrospective study was conducted by using data in the Cancer Genome Atlas-Low Grade Glioma (TCGA-LGG).

RESULTS

Increased HSPG2 expression was an independent prognostic indicator of poor OS in oligoastrocytoma (HR: 1.644, 95% CI: 1.116-2.423, p = 0.012) and in oligodendroglioma (HR: 1.459, 95% CI: 1.138-1.871, p = 0.003). In addition, increased HSPG2 expression independently predicted poor RFS in oligodendroglioma (HR: 1.402, 95% CI: 1.110-1.770, p = 0.005). Furthermore, we observed that high HSPG2 expression was associated with significantly shorter OS and RFS in oligodendroglioma, no matter the patients received radiotherapy or not. Using copy number alterations (CNAs) and DNA methylation data in TCGA-LGG, we found that DNA copy deletion was generally associated with decreased HSPG2 expression. Regression analysis suggested a weak negative correlation between HSPG2 expression and HSPG2 DNA methylation (Pearson's r = -0.388).

CONCLUSIONS

Increased HSPG2 expression could independently predict poor OS in oligoastrocytoma and oligodendroglioma and also independently predicted poor RFS in oligodendroglioma. Its expression is modulated by both DNA copy number and DNA methylation in oligodendroglioma.

Tim4 regulates NALP3 inflammasome expression and activity during monocyte/macrophage dysfunction in septic shock patients

Sepsis is the leading cause of death in burn patients. Monocytes/macrophages rapidly exhibit impaired production of proinflammatory cytokines and an elevated generation of anti-inflammatory cytokines in septic patients with immunosuppression. However, the expression patterns of Tim4 and Nod-like receptor protein 3 (NALP3) inflammasome and their roles during immunosuppression in septic shock patients are not well understood. Tim4 and NALP3 inflammasome expression in monocytes were downregulated in immunosuppressive patients with sepsis compared with healthy volunteers. Meanwhile, NALP3 inflammasome expression was upregulated by Tim4 overexpression in murine bone marrow-derived macrophages (BMDMs) and J774A.1 macrophages. Tim4 overexpression improved the ability of BMDMs and J774A.1 macrophages to produce proinflammatory cytokines and increased the expression of cleaved-caspase-1 (p10) after LPS/ATP stimulation. In addition, overexpression of Tim4 enhanced phagocytosis of apoptotic polymorphonuclear neutrophils (PMNs) by BMDMs and J774A.1 macrophages, while depletion of NALP3 in Tim4 overexpressing BMDMs and J774A.1 macrophages decreased phagocytosis of apoptotic PMNs. In summary, the expression of Tim4 and NALP3 inflammasome in monocytes/macrophages was downregulated in septic shock patients, and diminished expression of Tim4 and NALP3 inflammasome in monocytes/macrophages might play a critical role in sepsis-elicited immunosuppression.

Long noncoding RNA GAS5 inhibits progression of colorectal cancer by interacting with and triggering YAP phosphorylation and degradation and is negatively regulated by the m6A reader YTHDF3

Background

YAP activation is crucial for cancer development including colorectal cancer (CRC). Nevertheless, it remains unclear whether N6-Methyladenosine (m⁶A) modified transcripts of long noncoding RNAs (lncRNAs) can regulate YAP activation in cancer progression. We investigated the functional link between lncRNAs and the m⁶A modification in YAP signaling and CRC progression.

Methods

YAP interacting lncRNAs were screened by RIP-sequencing, RNA FISH and immunofluorescence co-staining assays. Interaction between YAP and lncRNA GAS5 was studied by biochemical methods. MeRIP-sequencing combined with lncRNA-sequencing were used to identify the m⁶A modified targets of YTHDF3 in CRC. Gain-of-function and Loss-of-function analysis were performed to measure the function of GAS5-YAP-YTHDF3 axis in CRC progression in vitro and in vivo.

Results

GAS5 directly interacts with WW domain of YAP to facilitate translocation of endogenous YAP from the nucleus to the cytoplasm and promotes phosphorylation and subsequently ubiquitin-mediated degradation of YAP to inhibit CRC progression in vitro and in vivo. Notably, we demonstrate the m⁶A reader YTHDF3 not only a novel target of YAP but also a key player in YAP signaling by facilitating m⁶A-modified lncRNA GAS5 degradation, which profile a new insight into CRC progression. Clinically, lncRNA GAS5 expressions is negatively correlated with YAP and YTHDF3 protein levels in tumors from CRC patients.

Conclusions

Our study uncovers a negative functional loop of lncRNA GAS5-YAP-YTHDF3 axis, and identifies a new mechanism for m⁶A-induced decay of GAS5 on YAP signaling in progression of CRC which may offer a promising approach for CRC treatment.

[The hybridization and integration in the treatment of cerebral vascular diseases]

Multi-modalities integration is important in improving the outcome of patients with neurovascular diseases.Based on hybrid operation, this mode also integrates modern intraoperative image and monitoring techniques such as neuronavigation and intraoperative electrophysiological monitoring, providing safe, effective and cost-efficient therapies to certain diseases with the cooperation of neurosurgery and neurology department, which has been becoming the direction of modern individualized precise neurosurgery development.

Binding properties of two ruthenium(II) polypyridyl complexes [Ru(bpy)2(dppz-Br)]2+ and [Ru(dmb)2(dppz-Br)]2+ with the RNA poly(U)•poly(A)*poly(U) triplex

Two ruthenium(II) polypyridyl complexes containing different ancillary ligands, [Ru(bpy)₂(dppz-Br)]²⁺ (Ru1; bpy = 2,2'-bipyridine dppz-Br = 7-Br-dipyrido[3,2-a,2',3'-c]-phenazine) and [Ru(dmb)₂(dppz-Br)]²⁺ (Ru2; dmb = 4,4'-dimethyl-2,2'-bipyridine), have been synthesized and characterized. Binding properties of Ru1 and Ru2 with the RNA poly(U)•poly(A)*poly(U) triplex have been investigated by UV-Vis spectroscopy, fluorescence spectroscopy, viscosity measurements as well as circular dichroism and thermal denaturation. Spectrophotometric studies together with viscosity measurements suggest that both Ru1 and Ru2 bind with the triplex by intercalation mode, and the melting experiments demonstrate that the two complexes can effectively enhance the triplex stabilization. However, results indicate that Ru1 stabilizes the third-strand and Watson-Crick base-paired duplex of the triplex without obvious selectivity. In contrast, Ru2 prefers to bind with the third strand rather than the Watson-Crick base-paired duplex of the triplex to a some extent under the same conditions used in this study, thereby significantly stabilizing the third strand. The obtained results of this study suggest that slight differences in the ancillary ligands bpy and dmb should be the main factor affecting the binding interactions of the two complexes with the triplex.

Immobilisation of high-arsenic-containing tailings by using metallurgical slag-cementing materials

The mixture of finely ground blast furnace slag (BFS), basic oxygen furnace (BOF) steel slag (SS), and flue gas desulfurisation (FGD) gypsum could be used as cement to solidify heavy metals. In this study, these cementitious materials were combined with high-arsenic-containing tailings to form cemented backfill material (CBM). The results indicated that the optimal design of CBM was that of specimen CBM2 which showed good early strength (10.09 MPa) at a curing age of 3 days containing 60% BF slag, 30% SS, and 10% gypsum. And the arsenic leaching concentration of CBM2 at a curing age of 7 days and 28 days were both less than the limits specified in standards for drinking water quality (Chinese Standard GB 5749-2006). The predominant hydration products of CBM2 contained rod-like ettringite and amorphous C-S-H gel both of which promote arsenic solidification.

[Monitoring by high-sensitivity HBV DNA assay during treatment in chronic hepatitis B e antigen negative patients]

Objective: To explore the efficacy of tenofovir disoproxil and adefovir dipivoxil treatment in patients with hepatitis B virus e antigen (HBeAg) negative was analyzed through the comparison of highly sensitive HBV viral load monitoring with HBV genotyping and drug resistance mutations. Methods: The clinical data of newly diagnosed chronic hepatitis B patients from January 2015 to June 2017 in outpatients and inpatients were randomly divided into tenofovir and adefovir group. Quantitative detection of HBV DNA levels before therapy and at 12, 24, 48, 96, and 120 weeks after therapy were determined for HBV genotypes and drug-resistant mutations in HBeAg-negative patients. Student's t-test was used to compare the measurement data between groups. The data of comparison between groups were tested by χ (2). Results: A total of 106 cases of HBeAg-negative patients were collected. Tenofovir disoproxil had a higher rate of HBV DNA suppression (54%) than adefovir dipivoxil treatment (42%), but the difference was not statistically significant (P = 0.19). After 120 weeks of treatment, a total of 46 patients (93.9%) were enrolled in the tenofovir disoproxil group with HBV DNA quantitation < 2 000 IU / ml. Adefovir dipivoxil group of patients with HBV DNA < 2 000 IU / ml a total of 40 cases, accounting for 75.5%. The difference between the two groups was statistically significant (P < 0.05). For 49 cases of HBeAg-negative patients, HBV B, C, B and C were mixed before tenofovir dipivoxil treatment, and C1653T, A1762T and G1764A mutation sites were detected in patients with D genotype. Patients C, B, C, B, and C were examined for C1673T, G1896, G1858, G1899A. After treatment, the detection rate of the above mutation sites decreased, but C1653T, C1673T and G1899A were not detected. New mutation sites such as G1915A / C, L180M, M204V, V207I / L, T184A and V173L were detected, Low resistance rate (25%). Conclusion: Tenofovir disoproxil can be recommended as a treatment for HBeAg-negative patients. For HBeAg-negative patients, the choice of high-sensitivity detection of HBV DNA levels, better monitoring of anti-HBV efficacy.

Use of Ladle Furnace Slag and Other Industrial By-Products to Encapsulate Chloride in Municipal Solid Waste Incineration Fly Ash

Municipal solid waste incineration fly ash (MSWIFA) is a hazardous by-product of waste incineration. The objective of this research is to encapsulate the chloride in MSWIFA and to develop a utilizable construction material using MSWIFA, ground granulated blast-furnace slag (GGBFS), ladle furnace slag (LFS), and gypsum. A secondary objective of the work is to explain the hydration and encapsulation mechanisms in this material system using isothermal calorimetry (IC), X-ray diffraction (XRD), thermogravimetric analysis (TGA), scanning electron microscopy (SEM), and ion chromatography (IC). The predominant hydration products are ettringite, Friedel's salt, and C-S-H gel, with Friedel's salt and C-S-H dominating in systems high in LFS and ettringite and C-S-H gel dominating in systems low in LFS. The chloride encapsulation showed a strong correlation with the Friedel's salt amount; however, some encapsulation was also likely due to physical binding in the C-S-H gel. In a system with 30% MSWIFA (by mass), the optimal amount of LFS for strength and chloride encapsulation is 20%⁻40% (by mass).

Treatment Strategy for Unruptured Intracranial Aneurysm in Elderly Patients: Coiling, Clipping, or Conservative?

An increasing number of unruptured intracranial aneurysms (UIAs) has been discovered in elderly patients in recent years, but the optimal treatment strategy for these patients remains controversial. We report our six-year experience treating UIAs in elderly patients (≥ 70 years old). A retrospective review was conducted of elderly patients who harbored UIAs treated by conservative observation, microsurgical clipping, or endovascular coiling between January 2009 and December 2014. The patients’ clinical and imaging information was recorded. Treating methods, procedure-related complications, imaging results, and clinical outcomes were analyzed. A total of 141 consecutive elderly patients with 166 UIAs were enrolled in our study. In all, 64 patients with 79 aneurysms were treated with coiling, and 14 patients with 14 aneurysms were treated with clipping. The remaining 63 patients with 73 aneurysms were placed under conservative observation. The average modified Rankin scale was 0.99 (range 0–6) in the full cohort after a mean follow-up of 50.4 months (range 0–70 months). There was no significant difference of modified Rankin scale in patients with UIAs treated by different methods. Multivariate analysis showed that age (p=0.030) and aneurysm size (p=0.011) were independent risk factors for unfavorable outcome of UIAs in the elderly. Patient age (p=0.010) and aneurysm size (p=0.020) were also significantly associated with unfavorable outcome of UIAs managed with observation initially. Our results indicated that endovascular coil embolization and clipping were both safe and effective treatment methods for UIAs in the elderly. Aggressive treatment for UIAs in elderly patients with risk factors of aneurysm rupture should be considered positively.

Structural decomposition analysis of embodied carbon in trade in the middle reaches of the Yangtze River

The middle reaches of the Yangtze River are the first demonstration zone for low-carbon urbanization in the midwest regions of China, and the division of carbon emission reduction responsibility is an important aspect of construction of ecological civilization. In this paper, the embodied carbon emissions in trade are estimated by using an input-output model in the middle reaches of the Yangtze River, and then a structural decomposition analysis (SDA) model is further applied to conduct decomposition analysis on factors of embodied carbon changes. Our primary findings show the following: (1) Production-based CO₂ emissions from Hubei and Hunan are higher than consumption-based CO₂ emissions. There are situations in Jiangxi and Anhui where production-based CO₂ emissions are both higher and lower than consumption-based CO₂ emissions. However, inter-regional trade implied carbon is dominated by net inflows. Moreover, the inter-regional embodied carbon emissions in trade mainly flow out to relatively developed regions, such as Jiangsu and Shanghai. The inflow of embodied carbon in trade comes mainly from relatively backward economic development areas, such as Shaanxi and Inner Mongolia. (2) From the perspective of industry, industries in Jiangxi and Anhui are dominated by net inflow, whereas industries in Hunan and Hubei are dominated by net outflow. Meanwhile, industry in the middle reaches of the Yangtze River displays a high carbon-locked phenomenon. Specifically, the high carbon-locked outflow industries are mainly concentrated in the transportation and warehousing industry, agriculture, and the chemical industry, and the outflow provinces flow out mainly to Jiangsu, Guangdong, and other economically developed regions; high carbon-locked inflows are concentrated in metal smelting and rolling processing, food manufacturing and tobacco processing, and construction, and the provinces are mainly Hebei, Henan, and Inner Mongolia, where economic development is lacking. (3) Furthermore, the results of SDA decomposition indicate that scale effect is generally the most important factor leading to embodied carbon outflow. Meanwhile, the energy carbon emission effect, the energy intensity effect, and the structural effect are important factors-the inter-industry association effect mainly promotes the embodied carbon outflow. Consequently, based on the distinction between production and consumer responsibility, and from the perspective of scale effect and structural effect, the related policy suggests that consumers should be held responsible.

[Specific changes of intestinal microflora in children with nonalcoholic fatty liver disease]

Objective: To analyze the composition and richness of intestinal microflora in children with non-alcoholic fatty liver disease (NAFLD) and the role of which in pathogenesis of NAFLD. Methods: This was a prospective case-control study. From November 2015 to June 2017, 19 children diagnosed with NAFLD according to the 2010 edition of diagnostic criteria were enrolled voluntarily in the Second and First Affiliated Hospitals of Zhejiang Chinese Medicine University. Twenty-two healthy children were enrolled in the control group. Among the patients, 10 were males and 9 were females, at the mean age of (11.0±1.0) years; 10 males and 12 females in the control group, at the mean age of (9.0±1.2) years. The body mass index (BMI) and waist circumference were recorded, and the fasting blood glucose, total cholesterol, triglyceride, high-density lipoprotein and low-density lipoprotein were detected. Feces were collected and the fecal microorganisms were extracted with magnetic beads methods; the composition and the richness of intestinal microflora in the two groups were detected with 16S rDNA high throughput sequencing technology. The KO differential gene expression and KEGG signal pathway enrichment were analyzed with PICRUST software. The intestinal flora characteristics between the two groups were compared with t test or Mann-Whitney U test and Willcoxon W test. Results: The BMI, waist circumference and triglyceride were higher in NAFLD group than those in the control group (BMI (25.1±2.7) vs. (18.2±1.5)kg/m(2), t=9.912, P=0.000; waist circumference (88.6±6.6) vs. (71.5±6.3) cm, t=8.520, P=0.000; triglyceride (0.9±0.4) vs.(0.7±0.3)mmol/L, t=2.060, P=0.046). The abundance and diversity index of intestinal microflora were lower in the NAFLD group (Shannon index 3.99 (3.13, 4.54) vs. 4.63 (4.21, 4.81), Z=-2.065, P=0.039; Simpson index 0.85 (0.70, 0.89) vs. 0.90 (0.88, 0.93), Z=-2.431, P=0.015; ACE index 235.76 (205.26, 361.94) vs. 326.96 (275.34, 368.65), Z=-2.092, P=0.036). At the level of phylum, the proportion of Actinomycetes was lower and the proportion of Thermus was higher in NAFLD group (Actinobacteri 29.807 (14.723, 62.080) ×10(-3) vs. 63.212 (46.133, 172.071) ×10(-3), Z=-2.667, P=0.008; Thermus 0.033 (0.000, 0.226) ×10(-3) vs. 0.000 (0.000, 0.031) ×10(-3), Z=-2.729, P=0.006) . At the level of genus, the proportion of Bacteroides and Bifidobacterium in the NAFLD group were significantly lower (Bacteroides 78.757 (11.430, 151.621) ×10(-3) vs. 356.821 (161.049, 403.037) ×10(-3), Z=-2.771, P=0.006; Bifidobacterium 19.680 (6.181, 53.944) ×10(-3) vs. 54.721 (31.911, 146.410) ×10(-3), Z=-2.458, P=0.014); the proportion of Prevotella in NAFLD group was significantly higher (3.089 (0.165, 63.502) ×10(-3) vs. 0.432 (0.029, 2.257) ×10(-3), Z=-2.112, P=0.035). Based on the KEGG database, 78 differentially expressed genes and 26 differential metabolic pathways were found, among which the function genes of K01470, K01961 and K07258 were concentrated in the pathways of arginine and proline metabolism, fatty acid synthesis, and polysaccharides biosynthesis and metabolism. Besides, these three function genes were related to Bacteroides, Prevotella, Bifidobacterium and Ruminococcus. Conclusion: NAFLD children have intestinal flora disturbances in both diversity and abundance, which may alter lipid metabolic pathways through differential gene expressions, contributing to the pathogenesis of NAFLD.