Migration and distribution of cadmium in aquatic environment: The important role of natural biofilms

For a better understanding of the migration process of trace metals in aquatic environment with multiple phases, dynamic processes of Cd reaching quasi-equilibrium among different phases, including water, natural biofilms and surficial sediments, were investigated, using microcosmic simulating systems. The processes of the re-equilibrium of Cd after a supplement of Cd and after an adjustment of solution pH were also investigated. The results showed both the migration of Cd from water to the solid materials, and the accumulation of Cd in the solid materials. (Modified) pseudo-second-order kinetic model can be used to simulate such processes. However, Cd content in biofilms and sediments varied in different ways: Cd in biofilms increased rapidly at first, then decreased, and finally approached constancy, while Cd in sediments increased slowly and continuously. The more the Cd was added in the water, the higher the Cd contents in solid phases, and the quicker the Cd accumulation and decrease process would be. The decrease of solution pH promoted the release of adsorbed Cd from the solid phases, especially from biofilms, while the increase of pH stimulated the migration of Cd to the solids. Therefore, as an indicator and temporary reservoir of trace metals in water, which respond rapidly to the variation of trace metal concentration in water, biofilms play a role in indicating and buffering the variation of trace metals in water. Although the response of sediments to the variation of metal concentration in water is very slow, most trace metals migrate to sediments eventually, thus sediments play a role as a more stable and massive reservoir for trace metals in water.

Contaminants of emerging concern in a freeze-thaw river during the spring flood

Pharmaceuticals, personal care products, and environment estrogens, as contaminants of emerging concern (CECs), have been widely detected in aquatic environments around the world. However, surveys of seasonal freeze-thaw rivers with special hydrological features are limited. To address this, in this study the occurrence, distribution, ecological risk, and mass flux of 22 CECs in the Jilin Songhua River in northeast China, a famously seasonal freeze-thaw river at mid- and high-latitude regions, were investigated during its spring flood period. The results indicate that estriol had a maximum concentration of 27.4 ng·L^-1 in the mainstream river water. Doxycycline had a maximum concentration of 204.4 ng·L^-1 in the tributary river water and 103.0 ng·L^-1 in the riverine wastewater treatment plant (WWTP) effluents. The mean concentrations of the targeted CECs in the spring flood were 1.4 times higher than those found in our previous investigation during the summer flood. A risk assessment showed that estrone posed a high risk in the mainstream, doxycycline posed a high risk in the tributaries, and ofloxacin posed a high risk in the riverine WWTP effluents. In addition, erythromycin and lincomycin posed a medium to high risk in the river water and WWTP effluents. The major contribution of the CECs in the mainstream came from its tributaries, which contributed a total of >50% in the spring flood period. The results suggest that some appropriate measures should be taken to reduce the contribution of the CECs from the tributaries to the seasonal freeze-thaw river in its spring flood period.

Multimedia fate modeling of antibiotic sulfamethoxazole, lincomycin, and florfenicol in a seasonally ice-covered river receiving WWTP effluents

As a result of the widespread use of antibiotics, a large amount of excretions from human and animals, containing antibiotic residues, is discharged into aquatic environments, leading to potential adverse effects on the ecosystems' health. These residues' impact on seasonally ice-covered rivers remains under investigated. To understand the environmental fate of antibiotics with high-detection frequencies and concentration levels, sulfamethoxazole, lincomycin, and florfenicol were used as models in the present study. A Level IV fugacity model was established and applied to a seasonally ice-covered river receiving municipal wastewater treatment plant (WWTP) effluents, the Songhua River in Northeast China. Model validation and sensitivity analysis suggested that the fugacity model could successfully simulate the monitoring concentration within an average difference of one logarithmic unit. The advection process played a major role in the transport and attenuation of the antibiotics in the ice-covered river receiving WWTP effluents. The scenario simulation indicated that increasing the targeted antibiotic concentrations in WWTP effluents to μg L^-1 could keep the targeted antibiotic concentrations higher than 10 ng L^-1 in the receiving river from the WWTP discharge source to 25 km downstream. This finding also demonstrates that the depth of water and ice, as well as flow velocity, play key roles in the fate of antibiotics in the ice-covered river receiving WWTP effluents. To our best knowledge, this is the first major study to combine experimental investigation with modeling to explore the environmental behaviors and fate of antibiotics in such a river.

The Toxicological Effects of Mercury Exposure in Marine Fish

Since the Minamata incident in Japan, the public have become increasingly aware of the negative health effects caused by mercury pollution in the ocean. Consequently, there has been significant interest in the health of humans eating fish exposed to mercury (Hg). However, the toxicity of mercury to the marine fish themselves has received far less attention. In this review, we summarize mercury accumulation in marine fish and the toxicological effects of mercury exposure. Results showed that the bioaccumulation of mercury in marine fish was highly variable, and its concentration was affected by the specific physiological and ecological characteristics of different fish species. Mercury exposure can produce teratogenic, neurotoxic effects, and reproductive toxicity. These effects can then cause harm to cells, tissues, proteins and genes, and ultimately, the survival, growth, and behavior of marine fish. Future studies should afford more attention to the toxicological effect of mercury exposure upon marine fish.

Evaluation of Pistia stratiotes fractions as effective larvicide against Anopheles mosquitoes

Mosquito are well-known vectors that cause diseases particularly malaria and filariasis which are detrimental to human health. These vectors occur mainly in tropical countries where more than 2 billion people live in endemic regions with about one million deaths been claimed yearly from malaria and filariasis. The study is aimed at evaluating the larvicidal activity of Pistia stratiotes fractions on Anopheles mosquitoes (Diptera: Culicidae). The ethyl acetate extract of P. stratiotes was obtained through percolation process and was chromatographed to yield nine fractions. The larvicidal activity of each of the nine fractions was tested in triplicates by exposing the larvae to 500, 250, 125, 62.5 and 31.3 µg/ml, respectively. Phytochemical screening of the nine fractions revealed the presence of alkaloids, flavonoids, glycosides and phlobatannins in varying quantities. The result obtained shows that fraction E has the highest lethal effect on the Anopheles larvae at LC₅₀ =14.81 µg/ml and was weakly effective at 602.03 µg/ml on brine shrimp larvae. The gas chromatography mass spectrometry analysis of fraction E revealed the presence of 35 pre-cursor compounds. Hence, ethyl acetate fractions of P. stratiotes could be an effective larvicide against Anopheles mosquito larvae as it has been found to be harmless to other aquatic organisms. Further work should be done on other aquatic weeds that have larvicidal potential to isolate the bioactive compounds.

mcr-1 facilitated selection of high-level colistin-resistant mutants in Escherichia coli

OBJECTIVES

The mcr-1 gene is the first reported plasmid-mediated colistin resistance gene. It has caused worldwide concern about the colistin resistance in Gram-negative bacteria. The aim of this research was to study the impact of mcr-1 on the selection of high-level colistin resistance (HLCR) mutations in Escherichia coli and Klebsiella pneumoniae.

METHODS

We detected the HLCR mutation rates of Enterobacteriaceae strains (K. pneumoniae XH209, KP10, and E. coli Q3, ATCC 25922) and their transformants harbouring the mcr-1 gene. Further analysis of the HLCR mutants was conducted by sequencing, plasmid elimination experiment, and real-time quantitative PCR.

RESULTS

For XH209, mean mutation rate of XH209-pMCR was 1.7 (95% confidence interval (CI) 0.76-2.54) × 10^-8, while XH209 and XH209-pCR2.1 showed mutation rates of 2.0 (95% CI, 1.32-2.67) × 10^-8 and 2.3 (95% CI 1.47-3.13) × 10^-8. For KP10 and its derived strains KP10-pCR2.1, KP10-pMCR, the mutation rates were 3.5 (95% CI 0.77-6.13) × 10^-8, 4.8 (95% CI 0.69-8.94) × 10^-8 and 4.2 (95% CI 0.95-7.54) × 10^-8 respectively. The mutation rates of E. coli strains Q3-pMCR and ATCC25922-pMCR were 3.4 (95% CI 0.19-7.47) × 10^-8 and 1.54 (95% CI 0.27-2.8) × 10^-9, which were significantly higher than their corresponding non-mcr-1-carrying strains (p < 0.05).

CONCLUSIONS

Beside the knowledge that mcr-1 mediates low-level colistin resistance, this gene also facilitates selection of HLCR mutants in E. coli, but does not affect K. pneumoniae.

Role of dissolved organic matter from natural biofilms in oxytetracycline photodegradation

Dissolved organic matter (DOM) is one of the most important factors that influence the photodegradation of antibiotics in the aquatic environment. However, the mechanisms by which DOM produced by natural biofilms (BDOM) influences photodegradation are poorly understood. Here, the influences of BDOM and fulvic acid (FA) as model DOM on the photodegradation of the antibiotic oxytetracycline (OTC) were investigated, and the differences between the characteristics of BDOM and FA were determined by ultraviolet, infrared, and three-dimensional fluorescence spectrum analyses. In addition, an experiment on the scavengers of reactive oxygen species (ROS) was also conducted to explore related mechanisms. The results indicated that the aromaticity degree and molecular weight of BDOM were lower than those of FA. The OTC photodegradation rates increased from 9.7 × 10^-2 to 19.9 × 10^-2 min^-1 with increasing BDOM concentration, while they decreased from 8.9 × 10^-2 to 5.6 × 10^-2 min^-1 with increasing FA concentration. Excited triplet-state BDOM (³BDOM*) and singlet oxygen (¹O₂) simultaneously promoted the photodegradation of H₂OTC and HOTC^-. However, FA inhibited OTC photodegradation through strong light-shielding effects. These results are beneficial for understanding the effects of natural biofilms on the antibiotic photodegradation in the aquatic environment.

Occurrence and ecological risk assessment of 22 emerging contaminants in the Jilin Songhua River (Northeast China)

Rivers may receive pharmaceuticals, personal care products, and environment estrogens, which are emerging concerns, from various sources. Understanding the fate of these emerging contaminants (ECs) from the sources to their receiving river is important for assessing their ecosystem risk. Here, the occurrence, seasonal variation, spatial distribution, and ecological risk of 22 ECs in water and sediments from the Jilin Songhua River, as well as in the effluents from the riverside Jilin wastewater treatment plant (WWTP) were investigated. Results indicated that estriol with the highest median concentration of 21.5 ng L^-1 in the river water and with the highest median concentration of 481.5 ng g^-1 in the sediments, and methylparaben with the highest concentration of 29.6 ± 2.9 ng L^-1 in the WWTP effluents were the predominant contaminants. The total concentration of ECs in the river water in the dry season was about 1.5 times higher than that in the wet season. The concentrations of these ECs close to the contaminated tributary and the WWTP were relatively high. Risk assessment showed that the maximum risk quotient value of estrone was 1.07 in the river water and estriol was 2.10 in the effluents. In addition, erythromycin posed generally medium risk in the river water and WWTP effluents. It should be paid attention to the prior control of the three contaminants in the river region.

[The diagnostic value of copeptin in the cardiorenal syndrome rats and the association with heart and kidney impairment]

To explore the diagnostic value of copeptin (CPP) in cardiorenal syndrome (CRS) in rats and the association between CPP and impairment of heart and kidney, 60 male SD rats were randomly divided into blank control group (CK group), kidney failure group (SNX group), heart failure group (MI group), and CRS group. Heart and kidney function and their histology changes in rats from each group were detected. The correlation between serum CPP and heart and kidney function indexes was performed with Pearson correlation analysis. The HE staining of heart and kidney showed that the tissue lesion was more severe in CRS group than in SNX group and MI group. There was a significant positive correlation between serum CPP and brain natriuretic peptide (BNP) (r=0.638, P<0.05). No correlation was observed between serum CPP and cardiac function index (left ventricular systolic pressure, left ventricular diastolic pressure, left ventricular end-diastolic pressure) or renal function index (serum creatinine, urine creatinine, blood urea nitrogen) (r=0.512, 0.189,-0.063, 0.207, 0.290, 0.595, respectively, all P>0.05). The CPP level is associated with the degree of heart and kidney damage in CRS rats.

Effects of heavy metal species, concentrations, and speciation on pentachlorophenol sorption by river biofilms

The sorption of trace organic pollutants at solid/liquid interfaces is one of the most important processes that influence their fate and behaviours in the aquatic environment. Sorption is affected by coexisting contaminants. The process and extent to which coexisting heavy metals affect the sorption of organochlorine pesticides (OCPs), especially acid radical anion heavy metals, are still unclear. Here, the effects of the species, concentrations, and speciation of the heavy metals Cu, Pb, and Cr, and the metalloid As on the sorption of pentachlorophenol (PCP), as a model OCP, by river biofilms were investigated through batch experiments. The results show that the presence of Cu, Pb, Cr, and As decreased the maximum sorption quantity of PCP onto the biofilms by 67.7, 9.2, 58.4, and 14.4%, respectively. The inhibitory effect of heavy metals on sorption decreased as the initial concentration ratios of heavy metals to PCP increased. In addition, the impact of heavy metals on PCP sorption was attributed to differences in heavy metal speciation. Cu and Pb commonly existed as divalent cations, but Cr and As existed as anionic acid radicals under the experimental conditions. The inhibitory effects of heavy metals on PCP sorption by biofilms were enhanced as the cation valence state increased, while the effects were weakened as the anionic acid radical valence state increased. Although all four heavy metals had inhibitory effects on PCP sorption by biofilms, there were distinct differences in the mechanisms causing these effects.

Polycyclic aromatic hydrocarbons (PAHs) in an urban river at mid and high latitudes: A case study in Siping, a traditional industrial city in Northeast China

The occurrence, spatial distribution, seasonal variation, sources, and ecological risks of polycyclic aromatic hydrocarbons (PAHs) in overlying water and surface sediments from Tiaozi River, which is an urban river running through the downtown of Siping City, a traditional industrial city of northeastern China, were investigated. The total PAH concentrations (ΣPAHs) in water varied from 473.5 to 2674.3 ng/L with a mean value of 1272.6 ng/L and ranged from 601.5 to 2906.3 ng/g with a mean value of 1534.4 ng/g in sediments. Both the individual and total PAH concentrations in water and sediments decreased from upstream to downstream, and the average ΣPAHs between the four seasons in water and sediments decreased in the following order of winter> autumn> spring> summer. The composition of the PAHs was characterized by an abundance of PAHs from 2 rings to 4 rings, and the predominant components were naphthalene, chrysene, and benzo(a)anthracene. The identification of the source indicated that coal combustion could be the main contributor to the PAHs. The equivalent toxic concentrations of benzo[a]pyrene in the water ranged from 11.5 to 33.1 ng/L, which were much higher than the concentration limit, suggesting that PAHs in the water could cause potential risks. The risk assessment of PAHs in sediments also showed that PAHs could cause negative effects on aquatic organisms in this river.

Inhibitory effects of extracellular polymeric substances on ofloxacin sorption by natural biofilms

Natural biofilms have strong affinities for organic contaminants, and their extracellular polymeric substances (EPS) have been thought to control the sorption process. However, the role of EPS in the sorption of antibiotics, an emerging concern, is poorly understood. Here, soluble (SEPS) and bound EPS (BEPS) were extracted from intact biofilms incubated at different lengths of time to obtain SEPS- and BEPS-free biofilms. Batch sorption experiments and infrared spectroscopy were used to investigate the role of EPS in the sorption of ofloxacin (OFL) by natural biofilms. The sorption capacities of OFL onto intact biofilms were lower than that those onto SEPS-free and BEPS-free biofilms. Partition and Langmuir adsorption contributed to the sorption of OFL onto these biofilms. SEPS and BEPS suppressed partitioning of OFL into biofilm organic matter. Meanwhile, the formation of hydrogen bonds could affect the Langmuir adsorption of OFL onto BEPS-free biofilms. These sorption mechanisms occurred simultaneously and enhanced the sorption capacities of biofilms after EPS removal. The information obtained in this study is beneficial for understanding the interaction mechanisms between antibiotics and natural biofilms.

Effects of lead, cadmium, chromium, and arsenic on the sorption of lindane and norfloxacin by river biofilms, particles, and sediments

The sorption of both classic and emerging organic contaminants onto aquatic solids is a critical process that controls their fate in natural waters. Sorption is affected by numerous factors, including coexisting heavy metals. The mechanisms of the influence of heavy metals, especially those occurring in acid radical anions, are still unclear. Here, the effects of Pb, Cd, Cr, and As on the sorption of lindane and norfloxacin (NOR) onto natural biofilms, suspended particles, and sediments from one river were investigated following batch equilibration methods. In addition, changes in representative components that have important roles in sorption from these solids in the presence and absence of metals were characterized by spectrum analyses. The results indicated that sorption of lindane and NOR on the three solids in the absence of heavy metals was highly linear and nonlinear, respectively. Pb and Cd promoted and Cr and As suppressed hydrophobic lindane sorption on the three solids. This was because Pb and Cd enhanced but Cr and As weakened the hydrophobicity of these solids. Pb, Cd, Cr, and As decreased NOR sorption on sediments and suspended particles at pH 5.7~6.3. This was due to electrostatic competition between cationic Pb/Cd and NORH₂⁺, and the combination of Cr/As acid radicals with NORH₂⁺, which suppressed its ion-exchange adsorption. Pb, Cd, Cr, and As generally increased the sorption of NOR onto the biofilms at pH 5.7~6.3. Pb and Cd strengthened the flocculation of dissolved organic matter combined with NORH₂⁺ onto the biofilms. Cr and As enhanced the hydrophilicity of biofilms, and then increased their sorption of NOR with active hydrophilic groups. The mechanisms of how different heavy metals affect NOR sorption by biofilms were more complicated than the mechanisms affecting lindane sorption, as well as by sediments and particles.

Phylogenetic estimates of diversification rate are affected by molecular rate variation

Molecular phylogenies are increasingly being used to investigate the patterns and mechanisms of macroevolution. In particular, node heights in a phylogeny can be used to detect changes in rates of diversification over time. Such analyses rest on the assumption that node heights in a phylogeny represent the timing of diversification events, which in turn rests on the assumption that evolutionary time can be accurately predicted from DNA sequence divergence. But there are many influences on the rate of molecular evolution, which might also influence node heights in molecular phylogenies, and thus affect estimates of diversification rate. In particular, a growing number of studies have revealed an association between the net diversification rate estimated from phylogenies and the rate of molecular evolution. Such an association might, by influencing the relative position of node heights, systematically bias estimates of diversification time. We simulated the evolution of DNA sequences under several scenarios where rates of diversification and molecular evolution vary through time, including models where diversification and molecular evolutionary rates are linked. We show that commonly used methods, including metric-based, likelihood and Bayesian approaches, can have a low power to identify changes in diversification rate when molecular substitution rates vary. Furthermore, the association between the rates of speciation and molecular evolution rate can cause the signature of a slowdown or speedup in speciation rates to be lost or misidentified. These results suggest that the multiple sources of variation in molecular evolutionary rates need to be considered when inferring macroevolutionary processes from phylogenies.

Patterns of Multivitamin Use after Colorectal Cancer Diagnosis in Association with Long-term Survival

Multivitamin use has been related to a modest reduced risk of colorectal cancer (CRC), but evidence on its use after diagnosis in relation to survival has been limited. Incident, invasive CRC cases were identified through cancer registries from 1997–2008 and enrolled in four population-based sites of the Colon Cancer Family Registry (Fred Hutchinson Cancer Research Center, Cancer Care Ontario, Mayo Clinic, and the Universities of Queensland and Melbourne). At enrollment, a standardized interview ascertained multivitamin use in the year prior to diagnosis. A follow-up questionnaire was administered approximately 5 years after baseline, with 2,586 participants providing information on their multivitamin use at both time points. Survival outcomes were identified through linkage to national death registries. Delayed-entry Cox regression was used to estimate the association between patterns of multivitamin use and overall or CRC-specific survival (Hazard Ratio (HR) and 95% Confidence Interval (CI)), with survival time beginning at the 5-year follow-up survey. Models were adjusted for age at diagnosis, sex, body mass index, smoking history, stage, study center, and number of days from diagnosis to baseline survey. Over a median 4.8 years after the follow-up survey, 397 participants died (103 from CRC). Multivitamin use was common: at the 5-year follow-up, 37% reported continued use since before diagnosis, 12% had initiated use, 17% had discontinued use, and only 34% participants reported never using multivitamins. Compared to never use of multivitamins, continued use was significantly associated with increased subsequent overall survival (HR = 0.71, 95% CI: 0.55–0.91). However, this association did not reach statistical significance for CRC-specific survival (HR = 0.76, 95% CI: 0.47–1.24). No significant association was observed for discontinuing (HR = 0.92, 95% CI: 0.68–1.25) or initiating (HR = 0.80, 95% CI: 0.55–1.13) multivitamin use from baseline to follow-up, compared to never users, though initiating use trended towards increased survival. These findings suggest that continuing multivitamin use after a CRC diagnosis may increase survival; replication and details on the specific micronutrients included are needed.

Zfp462 deficiency causes anxiety-like behaviors with excessive self-grooming in mice

Zfp462 is a newly identified vertebrate-specific zinc finger protein that contains nearly 2500 amino acids and 23 putative C2H2-type zinc finger domains. So far, the functions of Zfp462 remain unclear. In our study, we showed that Zfp462 is expressed predominantly in the developing brain, especially in the cerebral cortex and hippocampus regions from embryonic day 7.5 to early postnatal stage. By using a piggyBac transposon-generated Zfp462 knockout (KO) mouse model, we found that Zfp462 KO mice exhibited prenatal lethality with normal neural tube patterning, whereas heterozygous (Het) Zfp462 KO (Zfp462^+/- ) mice showed developmental delay with low body weight and brain weight. Behavioral studies showed that Zfp462^+/- mice presented anxiety-like behaviors with excessive self-grooming and hair loss, which were similar to the pathological grooming behaviors in Hoxb8 KO mice. Further analysis of grooming microstructure showed the impairment of grooming patterning in Zfp462^+/- mice. In addition, the mRNA levels of Pbx1 (pre-B-cell leukemia homeobox 1, an interacting protein of Zfp462) and Hoxb8 decreased in the brains of Zfp462^+/- mice, which may be the cause of anxiety-like behaviors. Finally, imipramine, a widely used and effective anti-anxiety medicine, rescued anxiety-like behaviors and excessive self-grooming in Zfp462^+/- mice. In conclusion, Zfp462 deficiency causes anxiety-like behaviors with excessive self-grooming in mice. This provides a novel genetic mouse model for anxiety disorders and a useful tool to determine potential therapeutic targets for anxiety disorders and screen anti-anxiety drugs.

Abrp, a new gene, confers reduced susceptibility to tetracycline, glycylcine, chloramphenicol and fosfomycin classes in Acinetobacter baumannii

Acinetobacter baumannii, a non-fermenting gram-negative coccobacillus, is a major pathogen responsible for a variety of healthcare-associated infections, including pneumonia, urinary tract and bloodstream infections. Moreover, A. baumannii is associated with alarming increases in drug resistance rates to almost all available antibiotics leaving limited treatment options. Here, we characterize the biological functions of a novel gene, abrp, which encodes a peptidase C13 family. We demonstrate that the abrp is associated with decreased susceptibility to tetracycline, minocycline, doxycycline, tigecycline, chloramphenicol and fosfomycin. Deletion of abrp was able to increase cell membrane permeability and display slower cell growth rate. Results from the present study show that abrp plays an important role in conferring reduced susceptibility to different classes of antibiotics and cell growth in A. baumannii. The change of antibiotic sensitivities may result from modifications to the cell membrane permeability of A. baumannii.

Effects of tubificid bioturbation on pore structures in sediment and the migration of sediment particles

In this study, the effects of tubificid bioturbation near the water-sediment interface on pore structures and the migration of sediment particles were evaluated using a series of simulations. In these experiments, the distribution and variation of the tubificid burrows and the macropores in the sediment were investigated by X-ray computed tomography (CT) and digital image collecting, without sampling or disturbing the sediment. The migration of the sediment particles was also determined using CT by adding BaSO4 microspheres to the sediment as a tracer. The effects of tubificid bioturbation on the distribution and migration of contaminants in the sediment were verified by adding Pb-containing sediment layers to the sediment. The results indicate that after the addition of the tubificids, both the burrows and the macropores in the sediments increased with time, and the rate of increase slowed gradually. With the increased worm density, the burrows and the pore structures also increased. The in-depth distribution of the burrows and macropores was determined by the settlement time of the worms: with the settlement time increasing from 3 to 19 days, the depth of the zone with the highest density of burrows and macropores increased from 0-30 to 30-50 mm and from 0-10 to 30-60 mm, respectively. The distribution of the burrows and macropores was closely related to the distribution of the tubificids. Thickening of the oxidized zones in the superficial sediments in the presence of tubificid bioturbation was also observed. The main action of tubificids on the sediment particles was the transport of particles from the inner sediment (especially in the range of 30-50 mm in depth) to the water-sediment interface. The migration of Pb in the contaminated sediment with tubificid bioturbation could be interpreted by the variation in the burrows and macropores and the migration of sediment particles. Both the formation and the variation in the burrows and macropores, as well as the transport of particles from the inner sediment to the interface, would affect the behaviors of contaminants in the sediment and overlaying water near the water-sediment interface.

Tracking a hospital outbreak of KPC-producing ST11 Klebsiella pneumoniae with whole genome sequencing

An outbreak of carbapenem-resistant Klebsiella pneumoniae strains emerged at a hospital, and was tracked in order to understand the spread of these infectious pathogens. A total of 66 K. pneumoniae strains were collected from sterile samples in 2012. The MICs of 20 antimicrobial agents were determined for all strains. Molecular typing was performed with pulsed-field gel electrophoresis (PFGE). Twelve blaKPC-producing K. pneumoniae strains isolated from ten patients were selected for whole genome sequencing. Phylogenetic reconstruction of these 12 strains was performed by the use of single-nucleotide polymorphism (SNP) row sequences of each draft genome sequence. Plasmids from the 12 strains were separated by S1 digestion and PFGE. The 12 K. pneumoniae strains isolated from the ten patients were deemed to be representative of the hospital outbreak, owing to their similar PFGE patterns. These 12 blaKPC-producing strains conferred multidrug resistance, which contrasted with the remaining 54, more susceptible, strains in the hospital. Differences in SNPs between each draft genome of the blaKPC-producing strains partitioned the 12 outbreak strains into three separate clades. The patients with each clade shared close hospital units. All 12 strains harboured at least one multidrug resistance plasmid. Strains showing high-level resistance may facilitate nosocomial dissemination and result in an infectious pathogen outbreak. Although the 12 blaKPC-producing K. pneumoniae strains possessed similar PFGE patterns, SNP variations throughout the genome allowed the strains to be divided into three clades. These results suggest that three independent transmission events led to hospital-wide dissemination of the outbreak strains.

The role of 3D computed tomography (CT) imaging in the diagnosis of foreign body aspiration in children

OBJECTIVE

The aim of this study was to improve the understanding of FBA in children and to decrease the rate of misdiagnosis, missed diagnosis and morbidity.

PATIENTS AND METHODS

We analyzed the clinical features and the three-dimensional reconstructed CT images of 590 children with foreign body aspiration (FBA) in the Xuzhou area of the Jiangsu province.

RESULTS

CT imaging revealed common complications of FBA including emphysema (n = 379), pneumonia (n = 174), and atelectasis (n = 26). The remaining 120 patients had no visible complications on the three-dimensional reconstructed CT images. Serious complications including pneumothorax, pneumomediastinum, subcutaneous emphysema, pneumatorrhachis could also be observed. The types of foreign bodies were diverse: the most common were peanuts and sunflower seeds. The diagnostic accuracy of the three-dimensional CT imaging was high, with a sensitivity and specificity of 99.83% and 99.89%, respectively.

CONCLUSIONS

3D CT imaging is an accurate, non-invasive technique to evaluate children with suspected FBA that can help decrease the rate of misdiagnosis and eliminate a delay in treatment for this potentially life-threatening condition.

Obesity, hypertension and diabetes mellitus affect complication rate of different nephrectomy techniques

INTRODUCTION

To investigate whether obesity, hypertension, and diabetes mellitus (DM) would increase post-nephrectomy complication rates using standardized classification method.

METHODS

We retrospectively included 843 patients from March 2006 to November 2012, of whom 613 underwent radical nephrectomy (RN) and 229 had partial nephrectomy (PN). Modified Clavien classification system was applied to quantify complication severity of nephrectomy. Fisher's exact or chi-square test was used to assess the relationship between complication rates and obesity, hypertension, as well as DM.

RESULTS

The prevalence of obesity, hypertension, and DM was 11.51%, 30.84%, 8.78%, respectively. The overall complication rate was 19.31%, 30.04%, 35.71% and 36.36% for laparoscopic radical nephrectomy (LRN), open-RN, LPN and open-PN respectively. An increasing trend of low grade complication rate as BMI increased was observed in LRN (P=.027) and open-RN (P<.001). Obese patients had greater chance to have low grade complications in LRN (OR=4.471; 95% CI: 1.290-17.422; P=0.031) and open-RN (OR=2.448; 95% CI: 1.703-3.518; P<.001). Patients with hypertension were more likely to have low grade complications, especially grade ii complications in open-RN (OR=1.526; 95% CI: 1.055-2.206; P=.026) and open PN (OR=2.032; 95% CI: 1.199-3.443; P=.009). DM was also associated with higher grade i complication rate in open-RN (OR=2.490; 95% CI: 331-4.657; P=.016) and open-PN (OR=4.425; 95% CI: 1.815-10.791; P=.013). High grade complication rates were similar in comparison.

CONCLUSIONS

Obesity, hypertension, and DM were closely associated with increased post-nephrectomy complication rates, mainly low grade complications.

Tigecycline resistance in Acinetobacter baumannii mediated by frameshift mutation in plsC, encoding 1-acyl-sn-glycerol-3-phosphate acyltransferase

Acinetobacter baumannii is an important pathogen of healthcare-associated infections and shows multidrug resistance. With the increasing application of tigecycline, isolates resistant to this antibiotic are of growing concern clinically. However, the definitive mechanism of tigecycline resistance remains unclear. To explore the mechanism of tigecycline resistance in A. baumannii, a tigecycline-resistant strain was obtained by increasing the concentration of the antimicrobial in liquid culture. Three mutations were identified by the whole genome comparison, including one synonymous substitution in a hypothetical protein and a frameshift mutation in plsC and omp38. The plsC gene was confirmed to cause decreased susceptibility to tigecycline by a complementation experiment and cellular membrane change was detected by flow cytometry. By measuring the relative growth rate, the fitness cost of plsC was estimated to be approximately 8 %. In conclusion, plsC was found to play an important role in tigecycline resistance in A. baumannii. The minor fitness cost of plsC indicates a high risk of the emergence and development of tigecycline resistance in A. baumannii.

Homocysteine induces blood vessel global hypomethylation mediated by LOX-1

Homocysteine (Hcy) is an independent risk factor of atherosclerosis through its involvement with the methionine cycle. In this study, we aimed to determine the blood vessel global methylation rate in Hcy-induced atherosclerosis in apolipoprotein-E-deficient (ApoE-/-) mice, and to explore the possible mechanism of this change in endothelial cells. ApoE-/- mice were divided into a hyperlipidemia (HLP) group, a hyperhomocysteinemia (HHcy) group, and an HHcy + folate + vitamin B12 (HHcy+FA+VB) group. Wild-type C57BL/6J mice were prepared as controls. Total Hcy, lipids, S-adenosylmethionine (SAM), and S-adenosylhomocysteine (SAH) contents in serum were measured with an automatic biochemistry analyzer and high-performance liquid chromatography. Methylation of B1 repetitive elements in blood vessels was tested using nested methylation-specific-polymerase chain reaction (nMS-PCR). Endothelial cells (ECs) were pretreated with Hcy or by adding FA and VB. Lectin-like oxidized LDL receptor-1 (LOX-1) expressions were determined by quantitative PCR, Western blot, and nMS-PCR. The HHcy group displayed severe HLP and HHcy. SAM and SAH contents were also elevated in the HHcy group compared with other groups. Methylation of B1 repetitive elements was significantly increased in the HHcy group (0.5050 ± 0.0182) compared to the HLP (0.5158 ± 0.0163) and control (0.5589 ± 0.0236) groups. mRNA and protein expressions of LOX-1 increased (0.2877 ± 0.0341, 0.6090 ± 0.0547), whereas methylation expression decreased (0.5527 ± 0.0148) after 100 μM Hcy stimulation in ECs. In conclusion, Hcy-induced atherosclerosis was closely associated with induced hypomethylation status in the blood vessel, and this process was partially mediated by LOX-1 DNA methylation.

Immunoglobulin (Ig)M antibodies against oxidized cardiolipin but not native cardiolipin are novel biomarkers in haemodialysis patients, associated negatively with mortality

The risk of premature death is high in haemodialysis (HD) patients. Antibodies against cardiolipin (anti-CL) are thrombogenic in diseases such as systemic lupus erythematosus (SLE). CL is easily oxidized (Ox) and plays a role in apoptosis. In this work we studied immunoglobulin (Ig)M anti-CL and anti-OxCL in HD-patients. We conducted an observational study with a prospective follow-up examining the relationship between anti-CL, anti-OxCL and mortality risk in a well-characterized cohort of 221 prevalent HD patients [56% men, median age 66 (interquartile range 51-74) years, vintage time 29 (15-58) months] with a mean follow-up period of 41 (20-48 months). According to the receiver operator characteristic (ROC) analysis, anti-OxCL [area under the curve (AUC) 0·62, P < 0·01], but not anti-CL (AUC 0·52, P = 0·2), is associated with mortality. In crude and adjusted Cox analysis, every log increase in anti-OxCL inversely predicted all-cause [adjusted hazard ratios (HR) 0·62 (0·43-0·89)] and CVD-related [adjusted HR 0·56 (0·32-0·98)] mortality. Patients with anti-OxCL levels below median also had increased all-cause and cardiovascular disease (CVD)-related mortality. Although anti-OxCL and anti-phosphorylcholine (PC) were related positively to each other (ρ = 0·57, P < 0·01), patients with one or two of these autoantibody levels below the median were associated with an incrementally increased death risk. Anti-OxCL were co-factor β2-GPI-independent; anti-CL from patients with anti-phospholipid antibody syndrome were β2-GPI-dependent, while sera from HD-patients less so. Sera from healthy donors was not β2-GPI-dependent. Anti-OxCL IgM is β2-glycoprotein 1 (GPI)-independent and a novel biomarker; low levels are associated with death among HD patients (and high levels with decreased risk). Combination with anti-PC increases this association. Putative therapeutic implications warrant further investigation.

Inhibition of hepatic fibrosis with artificial microRNA using ultrasound and cationic liposome-bearing microbubbles

We sought to investigate the antifibrotic effects of an artificial microRNA (miRNA) targeting connective tissue growth factor (CTGF) using the ultrasound-targeted cationic liposome-bearing microbubble destruction gene delivery system. Cationic liposomes were conjugated with microbubbles using a biotin-avidin system. Plasmids carrying the most effective artificial miRNA sequences were delivered by ultrasound-targeted cationic liposome-bearing microbubble destruction gene delivery system to rats with hepatic fibrosis. The results show that this method of gene delivery effectively transported the plasmids to the rat liver. The artificial miRNA reduced hepatic fibrosis pathological alterations as well as the protein and mRNA expressions of CTGF and transforming growth factor β1. Furthermore, the CTGF gene silencing decreased the levels of type I collagen and α-smooth muscle actin (P<0.01). These data suggest that delivery of an artificial miRNA targeted against CTGF using ultrasound-targeted cationic liposome-bearing microbubble destruction may be an efficacious therapeutic method to ameliorate hepatic fibrosis.

Investigation on pretreatment of centrifugal mother liquid produced in the production of polyvinyl chloride by air-Fenton technique

Centrifugal mother liquid (CML) is one of the main sources of wastewater produced during the production of polyvinyl chloride in chlor-alkali industry. CML is a typical poorly biodegradable organic wastewater, containing many kinds of refractory pollutants. Specifically, it contains dissolved refractory polymers, especially polyvinyl alcohol (PVA), which can pass though the biotreatment processes and clog the membranes used for further treatment. In this study, to ensure the CML applicable to biotreatment and membrane treatment, a novel efficient and mild technique, air-Fenton treatment, was employed as a pretreatment technique to improve biodegradability of the CML and to break down the polymers in the CML. Firstly, the technique was optimized for the CML treatment by optimizing the main parameters, including the dosage of ferrous sulfate, initial pH of the wastewater, [H2O2]/[Fe(2+)], aeration rate, reaction time, and temperature, based on removal efficiency of COD and PVA from the CML. Then, the optimized technique was tested and evaluated. The results indicated that under the optimized conditions, the air-Fenton treatment could remove 66, 98, and 55 % of the COD, PVA, and TOC, respectively, from the CML. After the treatment, biodegradability of the wastewater increased significantly (BOD/COD increased from 0.31 to 0.68), and almost all of the PVA polymers were removed or broken down. Meanwhile, concentration of the remaining iron ions, which were added during the treatment, was also quite low (only 2.9 mg/L). Furthermore, most of the suspended materials and ammonia nitrogen, and some of the phosphorus in the wastewater were removed simultaneously.

Realization of high performance silicon nanowire based solar cells with large size

We report the realization of high performance silicon nanowire (SiNW) based solar cells with a conversion efficiency of 17.11% and a large size of 125 × 125 mm(2). The key factor for success lies in an efficient approach of dielectric passivation to greatly enhance the electrical properties while keeping the advantage of excellent light trapping of the SiNW structure. The suppression of carrier recombination has been demonstrated through the combination of the SiO2/SiNx stack, which exhibits a good passivation effect on heavily doped SiNWs via reducing both the Shockley-Read-Hall recombination and near surface Auger recombination. We have examined in detail the effects of different passivations and SiNW lengths on the effective minority carrier lifetime, reflectance and carrier recombination characteristics, as well as cell performance. The proposed passivation techniques can be easily adapted to conventional industrial manufacturing processes, providing a potential prospect of SiNW based solar cells in mass production.