MicroRNA-126 in dogs with immune complex-mediated glomerulonephritis

BACKGROUND

Most proteinuric dogs with naturally occurring chronic kidney disease have amyloidosis (AMYL), glomerulosclerosis (GS), or immune complex-mediated glomerulonephritis (ICGN), each with different treatment and prognosis. A noninvasive and disease-specific biomarker is lacking.

HYPOTHESIS

We hypothesized that the expression pattern of biofluid microRNA (miRNAs and miRs) would correlate with disease progression and categorization.

ANIMALS

Archived serum and urine samples from 18 dogs with glomerular disease and 6 clinically healthy dogs; archived urine samples from 49 dogs with glomerular disease and 13 clinically healthy dogs.

METHODS

Retrospective study. Archived biofluid samples from adult dogs with biopsy-confirmed glomerular disease submitted to the International Veterinary Renal Pathology Service between 2008 and 2016 were selected. Serum and urinary miRNAs were isolated and profiled using RNA sequencing. Urinary miR-126, miR-21, miR-182, and miR-486 were quantified using quantitative reverse transcription PCR.

RESULTS

When comparing more advanced disease with earlier disease, no serum miRNAs were differentially expressed, but urinary miR-21 and miR-182 were 1.63 (95% CI: .86-3.1) and 1.45 (95% CI: .82-2.6) times higher in azotemic dogs, respectively (adjusted P < .05) and weakly correlated with tubulointerstitial fibrosis (miR-21: r = .32, P = .03; miR-182: r = .28, P = .05). Expression of urinary miR-126 was 10.5 (95% CI: 4.1-26.7), 28.9 (95% CI: 10.5-79.8), and 126.2 (95% CI: 44.7-356.3) times higher in dogs with ICGN compared with dogs with GS, AMYL, and healthy controls, respectively (P < .001).

CONCLUSIONS AND CLINICAL IMPORTANCE

The miR-126 could help identify dogs that might benefit from immunosuppressive therapy in the absence of a biopsy. MiR-21 and miR-182 are potential markers of disease severity and fibrosis.

Serotonin reduction in post-acute sequelae of viral infection

Post-acute sequelae of COVID-19 (PASC, "Long COVID") pose a significant global health challenge. The pathophysiology is unknown, and no effective treatments have been found to date. Several hypotheses have been formulated to explain the etiology of PASC, including viral persistence, chronic inflammation, hypercoagulability, and autonomic dysfunction. Here, we propose a mechanism that links all four hypotheses in a single pathway and provides actionable insights for therapeutic interventions. We find that PASC are associated with serotonin reduction. Viral infection and type I interferon-driven inflammation reduce serotonin through three mechanisms: diminished intestinal absorption of the serotonin precursor tryptophan; platelet hyperactivation and thrombocytopenia, which impacts serotonin storage; and enhanced MAO-mediated serotonin turnover. Peripheral serotonin reduction, in turn, impedes the activity of the vagus nerve and thereby impairs hippocampal responses and memory. These findings provide a possible explanation for neurocognitive symptoms associated with viral persistence in Long COVID, which may extend to other post-viral syndromes.

Comparison of RNA isolation and library preparation methods for small RNA sequencing of canine biofluids

BACKGROUND

Small RNA sequencing (RNA-seq) of biofluids is challenging due to the relative scarcity of microRNAs (miRNAs), limited sample volumes, and the lack of a gold standard isolation method. Additionally, few comparisons exist for the RNA isolation and sequencing methods of biofluids.

OBJECTIVES

We aimed to compare the performance of six commercial RNA isolation kits and two library preparation methods for small RNA-seq using canine serum and urine.

METHODS

Serum and urine were collected from seven dogs with protein-losing nephropathy, and the samples were pooled. Total RNA from serum (2 mL) and urine (10 mL) was isolated in triplicate using three methods each for serum (Zymo Direct-zol, mirVana PARIS, miRCURY Biofluids) and urine (Qiagen exoRNeasy, Norgen Urine Exosome, miRCURY Exosome). For each sample type, the two kits yielding the highest RNA concentration were selected, and small RNA-seq was performed using TruSeq and NEXTflex library preparations. Data were analyzed by CPSS 2.0 and DESeq2.

RESULTS

For serum, Zymo Direct-zol combined with NEXTflex was the only combination that enabled successful library preparation, while for urine, Qiagen exoRNeasy combined with NEXTflex outperformed other combinations for detecting miRNAs. The total number of miRNAs detected in serum and urine was 198 and up to 115, respectively. miRNA expression in serum was distinct from urine. Furthermore, the library preparation method introduced a higher variation of urine results than the RNA isolation method.

CONCLUSIONS

Different isolation and library preparation methods show significant differences in miRNA results that could affect biomarker discovery. Small RNA-seq provides an unbiased, global assessment to compare these methods in canine biofluids.

RNA-seq of serial kidney biopsies obtained during progression of chronic kidney disease from dogs with X-linked hereditary nephropathy

Dogs with X-linked hereditary nephropathy (XLHN) have a glomerular basement membrane defect that leads to progressive juvenile-onset renal failure. Their disease is analogous to Alport syndrome in humans, and they also serve as a good model of progressive chronic kidney disease (CKD). However, the gene expression profile that affects progression in this disease has only been partially characterized. To help fill this gap, we used RNA sequencing to identify differentially expressed genes (DEGs), over-represented pathways, and upstream regulators that contribute to kidney disease progression. Total RNA from kidney biopsies was isolated at 3 clinical time points from 3 males with rapidly-progressing CKD, 3 males with slowly-progressing CKD, and 2 age-matched controls. We identified 70 DEGs by comparing rapid and slow groups at specific time points. Based on time course analysis, 1,947 DEGs were identified over the 3 time points revealing upregulation of inflammatory pathways: integrin signaling, T cell activation, and chemokine and cytokine signaling pathways. T cell infiltration was verified by immunohistochemistry. TGF-β1 was identified as the primary upstream regulator. These results provide new insights into the underlying molecular mechanisms of disease progression in XLHN, and the identified DEGs can be potential biomarkers and therapeutic targets translatable to all CKDs.

Alterations in the baroreceptor-heart rate reflex in conscious inbred polydipsic (STR/N) mice

STR/N is an inbred strain of mice which is known to exhibit extreme polydipsia and polyuria. We previously found central administration of angiotensin II enhanced cardiovascular responses in STR/N mice than normal mice, suggesting that STR/N mice might exhibit different cardiovascular responses. Therefore, in this study, we investigated daily mean arterial blood pressure and heart rate, and changes in the baroreceptor-heart rate reflex in conscious STR/N mice and control (ICR) mice. We found that variability in daily mean arterial blood pressure and heart rate was significantly larger in STR/N mice than in ICR mice (p<0.05). There was a stronger response to phenylephrine (PE) in STR/N mice than in ICR mice. For baroreceptor reflex sensitivity, in the rapid response period, the slopes of PE and sodium nitroprusside (SNP) were more negative in STR/N mice than in ICR mice. In the later period, the slopes of PE and SNP were negatively correlated between heart rate and blood pressure in ICR mice, but their slopes were positively correlated in STR/N mice. These results indicated that STR/N mice exhibited the different cardiovascular responses than ICR mice, suggesting that the dysfunction of baroreceptor reflex happened in conscious STR/N mice.

A health risk assessment of reclaimed municipal wastewater for industrial and miscellaneous use

The study evaluated the safety of reclaimed water using health risk assessment and biotoxicity tests. The reclaimed water was produced from reverse osmosis and used in industrial and miscellaneous purposes. The health risk assessment was conducted based on the concentrations of detectable pollutants in reclaimed water in a hypothetical scenario. The estimated carcinogenic and non-carcinogenic risks are lower than the generally accepted level. Biotoxicity evaluation included three genotoxicity tests, a chronic toxicity test using medaka fishes, and a subchronic toxicity test using mice. The reclaimed water is not genetically toxic, and does not cause significant chronic effects on these model organisms. These results confirm the safety of using reclaimed water from municipal wastewater treatment plants.

Recycling of spent filter backwash water using coagulation-assisted membrane filtration: effects of submicrometre particles on membrane flux

Membrane separation technology has been widely used for recycling of spent filter backwash water (SFBW) in water treatment plant. Membrane filtration performance is subject to characteristics of the particles in the SFBW. A bench-scale microfiltration (MF) coupled with pre-coagulation was set up to evaluate the recovery efficiency of SFBW. Effect of particle size distribution and zeta potential of the coagulated SFBW on the membrane filtration as well as the coagulation strategies were investigated. Pore clogging was more severe on the membrane with 1.0 mum pore size than on the membrane with 0.5 mum pore size due to the fact that submicrometre particles are dominant and their diameters are exactly closed to the pore size of the MF membrane. Pre-settling induced more severe irreversible fouling because only the submicrometre particles in the water become predominant after settling, resulting in the occurrence of more acute pore blocking of membrane. By contrast, pre-coagulation mitigates membrane fouling and improves membrane flux via enlarging particle size on membrane surface. The variations of zeta potential in response to coagulant dosing as well as fractal dimension were also compared with the performance of the subsequent filtration. The result showed that pre-coagulation induced by charge neutralization at the optimum dosage where the zeta potential is around zero leads to the optimal performance of the subsequent membrane filtration for SFBW recycling. At such condition, the fractal dimension of coagulated flocs reached minimum.

Reclamation of the wastewater from an industrial park using hollow-fibre and spiral-wound membranes: 50 m3 d(-1) pilot testing and cost evaluation

The feasibility of reclaiming effluent from industrial park wastewater treatment plants through a membrane process was evaluated in three phases. In phase 1 we selected nine wastewater treatment plants (WWTPs), each with a design capacity exceeding 10,000 m3 d(-1), and analyzed the corresponding effluent composition. 'Potential recycling percentage', R, ranged from 50% to 80% for the industrial park WWTPs, indicating a high feasibility for the reuse of effluent. In phase 2, a 50 m3 d(-1) pilot plant was installed in one of the selected WWTPs and underwent testing for one year. The quality of the reclaimed water was suitable for general-purpose industrial use. In the two ultrafiltration (UF) modules tested, the hydrophilic polyethersulfone hollow-fibre module was more tolerant to variable properties, and had higher recycling percentages than those of backwashable hydrophobic polyvinylidene difluoride spiral-wound module. Using the spiral-wound UF module helped reduce the cost for producing 1 m3 of reclaimed water (US$0.80) compared with a hollow-fibre module (US$0.88). In phase 3, we evaluated the negative effects of refluxing the reverse osmosis retentate, containing high total dissolved solids and non-biodegradable organics, with the biological treatment unit of the upstream WWTP. Biological compactibility tests showed that the refluxed retentate ratio should be reduced to maintain the conductivity of mixed liquor in the aeration tank at less than 110% of the original value.

Reuse potential analysis on WWTP effluent of industrial parks in Taiwan

This study examined the reuse potential of the effluents discharged from several unified wastewater treatment plants (WWTPs) of industrial parks in Taiwan, with designed capacity exceeding 10,000 CMD. Parameters were selected based on the relevant reuse purposes. The "potential recycling percentage", R of the WWTP effluent was defined as the maximal percentage of pure water extractable by the "ideal reverse osmosis module" while the RO retentate still met local effluent standards and required no treatment. The analytical results demonstrated that the WWTP effluents had potential for recycling. A pilot plant was installed in one of the WWTPs. The treatment process included a sand filter, an ultrafiltration unit (UF) and a reverse osmosis module (RO). Results of this study demonstrated that the production quantity and quality are stable and appropriate for various purposes, including both industrial and domestic applications.

Size-dependent anaerobic digestion rates of flocculated activated sludge: role of intrafloc mass transfer resistance

The anaerobic digestion rate for flocculated sludge has been considered to be lower than that of original sludge, particularly in the later stages of digestion; attributed this relatively slower rate to the increased mass transfer resistance for reactants through the large flocs after flocculation. This study confirmed that methane production was retarded by flocculation. The structure of the floc was identified with fluorescence in situ hybridization (FISH) and a confocal laser scanning microscope (CLSM) technique. To verify the mass transfer resistance induced by flocculation, microsensors were applied to assess the response of oxygen concentration distribution inside the flocs that are subjected to sudden changes in ambient oxygen levels. Response time for the electrode at a floc's center was five times greater than the response time in original sludge flocs. Although the effective diffusivity of oxygen in the floc increased by 2.3 times after flocculation, the increased size of the flocculated floc was the major contributor to the total mass transfer resistance to oxygen.

Energy demand in sludge dewatering

This work investigates the energy required to dewater a suspension, i.e., activated sludge dewatered by centrifugation or consolidation. Total energy input to the suspension from the dewatering device, bond strength between adjacent water and solid surface, and intra-cake friction loss were evaluated for original and flocculated sludges. In centrifugal dewatering, most energy input during the initial stage was consumed by overcoming process irreversibility other than intra-cake friction, and, thereby, had a low energy efficiency. To increase centrifuge speed or to flocculate the sludge at optimal flocculant dosage would yield a high-energy input. In the consolidation test, most energy input at the initial stage was consumed in breaking down the bond strength until the moisture content reduced to less than the critical content. During subsequent dewatering stages, friction loss became the dominant source of energy loss. Dewatering sludge with high-energy efficiency is beneficial to optimally operate a dewatering process.

Comparison of dewaterability and floc structure of synthetic sludge with activated sludge

This work compared the appearance, dewaterability, floc size, fractal dimensions derived from free-settling test and light-scattering test, and detailed structural information of floc interior including porosity, Sierpinski carpet fractal dimension, and the fractal dimension of the pore boundaries of a synthetic sludge and an activated sludge. The present synthetic sludge could probe the change in filterability and in fractal dimensions extracted from small angle light scattering test and from free-settling test after conditioning, however, failed to reproduce the detailed structural information of sludge flocs. The use of specific synthetic sludge depends on the field of interest. For instance, the present synthetic sludge is not appropriate to simulate the intrafloc transport of solute owing to its incapability to reproduce the detailed floc structure or to its change after conditioning.

Advective flow in a sludge floc

The interior of sludge floc is highly heterogeneous, while the large pores in the floc control the advective flow. This work for the first time numerically details fluid flow and mass transfer processes in pores of activated sludge floc. The dimensionless permeabilities and mass dispersion coefficients were contoured against pore size ratio and the floc Reynolds number. With a pore size less than 20% of the floc size, the commonly adopted homogeneous model overestimates the floc permeability, and pore velocity is less than 2% of the bulk velocity. This is particularly true for flocs with low porosity. Although the convective flux is low, the dispersive mass transfer rate can be much higher than the diffusional rate, attributable to the strong Taylor dispersion effect. The three-dimensional pore structures in waste activated-sludge floc were identified using confocal laser scanning microscope (CLSM) images. Large pores were used to numerically estimate the permeability and dispersion coefficient for these pores. The permeability and the dispersion coefficient of the tortuous pores can be one order of magnitude lower than those for the equivalent straight pores. Besides the dispersion effect, the pore tortuosity appeared as the most important geometrical factor retarding the advective flow in the sludge pores. In addition, the small side pores connected to the large pore had only a mild effect on the flow process, and can be neglected in analysis.

Effect of pre-hydrolysis on floc structure

Morphological changes in flocs were elucidated by small-angle light scattering, free settling tests and microscopic observation to determine the effects of pre-hydrolysis (alkaline treatment and ultrasonication) on two sludges--primary raw sludge from the Malabar Sewage Treatment Plant, Sydney (sludge M) and biological sludge collected at the nitrogen removal unit of St Marys Sewage Treatment Plant in Sydney (sludge S). Ultrasonication or alkaline treatment released a marked amount of insoluble organic matter in a soluble form. The latter treatment was more efficient than the former. Meanwhile, the pre-hydrolyzed flocs had more compact structures than the original ones, as shown by their higher free-settling fractal dimension, lower areal porosity and smaller internal pores. In particular, alkaline treatment yielded flocs with more compact interiors than did ultrasonication. Such detailed structural information could not be elicited by monitoring the change in floc size. The greater resistance to mass transfer of the hydrolyzed flocs thus produced does not reduce the efficiency of subsequent digestion, indicating that the surface reaction rate on the solid surface might have dominated since the pre-hydrolysis steps modified the local chemical environment to promote digestion.

Data management using the personal digital assistant in an acute pain service

Handheld personal digital assistants (PDA) are increasingly being used by physicians for a variety of information and data management purposes. We evaluated a PDA-based data management system for our acute pain service. A structured questionnaire survey was conducted to assess staff experience and attitude towards the paper system before the introduction of the PDA, and three months after introduction of the PDA system. We compared the time taken to conduct the acute pain round before and after the implementation of the PDA. The time saved in data management and the amount of paper saved were estimated. Data from 177 patients with a total of 635 acute pain follow-up visits were entered over a three-month period. User satisfaction, ease of access to drug reference and clinical guidelines were similar between the two systems. The respondents found that the PDA was easy to use but less so than the paper system (P = 0.007), in particular, when accessing a patient's cumulative data (P = 0.007). There was no missed follow-up or data entry with the use of PDA. The time taken to attend follow-up visits was similar for the two systems (Paper: 8.8 +/- 3.2 compared to PDA: 7.0 +/- 2.0 minutes, P = 0.151). The estimated annual amount of paper and time saved in data management was 650 sheets and 130 man-hours respectively. Our experience with the use of the PDA in APS was satisfactory. The PDA system can potentially reduce time and paper use and missed data entry and patient follow-up.

Bilevel thresholding of floc images

Frequently encountered problems on bilevel thresholding of floc images include information loss during the image conversion stage, sampling bias owing to spatially inhomogeneous luminous flux over an optical microscope image or among a series of images, thresholding error adopting various algorithms, and resampling errors during three-dimensional reconstruction. Among these steps the choice of thresholding algorithm could yield most of the processing error. Ways to reduce the potential processing errors are discussed.

Structure of conditioned sludge flocs

Free settling tests, small-angle light scattering, microtome-slicing techniques, and confocal laser scanning microscopy were performed to examine how the cationic flocculation or freezing and thawing affected the floc structure. The floc size, internal pore size, mass fractal dimensions determined from free-settling test or small angle light scattering test, aeral porosity, boundary fractal dimension and Sierpinski carpet fractal dimension of pore boundary from 2D slices, and the volume porosity, compactness, and the pores' box-counting fractal dimension from 3D reconstructed image, were estimated and compared. Cationic flocculation would produce large flocs with internal pores of shape resembling a long "tube" with rough surface. Freezing and thawing would produce flocs with internal pores with lower aspect ratio and a smoother boundary.

Bilevel thresholding of sliced image of sludge floc

This work examined the feasibility of employing various thresholding algorithms to determining the optimal bilevel thresholding value for estimating the geometric parameters of sludge flocs from the microtome sliced images and from the confocal laser scanning microscope images. Morphological information extracted from images depends on the bilevel thresholding value. According to the evaluation on the luminescence-inverted images and fractal curves (quadric Koch curve and Sierpinski carpet), Otsu's method yields more stable performance than other histogram-based algorithms and is chosen to obtain the porosity. The maximum convex perimeter method, however, can probe the shapes and spatial distribution of the pores among the biomass granules in real sludge flocs. A combined algorithm is recommended for probing the sludge floc structure.

Anaerobic digestion of polyelectrolyte flocculated waste activated sludge

This work examined how adding one of three polyelectrolyte flocculants (T3052: cationic, T2000: non-ionic, and T1052: anionic) affected the anaerobic digestion of wastewater sludge. Methane production, floc characteristics (morphology and zeta-potential) and process parameters (soluble chemical oxygen demands (SCODs) and reductive potentials) were monitored along the digestion tests. The digestion rates of T2000- and T1052-conditioned sludge resembled that for original sludge. The T3052-flocculated sludge generated methane at a higher rate during the first 6 days of digestion than did the original one. In the following stage, the digestion rate of sludge flocculated with T3052 at dosage exceeding 15 g/kg dried solids declined. For example, at 40 days of digestion the methane production amounts for original, 15 g/kg DS flocculated, and 40 g/kg flocculated sludge were of 136, 105, and 85 g/kg DS, respectively. The role of flocculants could change in different stages of digestion. The dosed polymers had no apparent toxicity to the inoculum used. The changes in SCOD, adenosintriphosphate concentrations, oxidative and reductive potential, and zeta-potentials did not correlate with the noted hindered digestion for T3052-conditioned sludge. Microphotographic observation revealed that the flocs of T3052-conditioned sludge were not only of a large size, but also were resistant to structural deterioration during digestion. Therefore, mass transfer resistance was proposed to account for the hindered digestion efficiency observed for T3052-conditioned sludge.

Hydrogen production from wastewater sludge using a Clostridium strain

Limited data in literature revealed a relatively low hydrogen yield from wastewater sludge, ca. 0.16 mg/g-dried solids, using anaerobic fermentation. We demonstrated in this work a much higher hydrogen yield, around 1.1 mg-H2/g-dried solids using a clostridium strain isolated from the sludge sample. The formed hydrogen would be consumed after passing the peak value at around 30-36 h of fermentation. We examined the effects of employing five different pre-treatments on substrate sludge, but noted no appreciable enhancement in hydrogen yield as commonly expected for methane production. Since a vast amount of organic matters had been released to water after hydrogen fermentation, we externally dosed methanogenic bacteria to the fermented liquor to produce methane. The fermented liquor could produce more methane than the non-fermented sample, indicating that the dosed methanogenic bacteria readily utilized the organic matters derived from the fermentation test.

Use of hospitalization and pharmaceutical prescribing data to compare the prevaccination burden of varicella and herpes zoster in Australia

The aims of the study were to compare the burden of varicella and herpes zoster in Australia. No national surveillance exists for varicella or herpes zoster. We used hospital morbidity data from 1993-9 and pharmaceutical prescribing data from 1995-9. In the financial year 1998/99, there were 4718 hospitalizations for zoster compared to 1991 for varicella. For varicella the mean age of patients was 15 years compared to 69 years for zoster. The mean length of stay in hospital was 4.2 days for varicella and 12.7 days for zoster. Varicella accounted for 8396 (3726 with principal diagnosis varicella) bed days compared to 26 266 (5382 with principal diagnosis of zoster) for zoster. The in-hospital case-fatality rate was 0.4% for varicella and 1% for zoster. In 1999, 59 200 community-based cases of zoster were treated with antivirals. We estimate that 157 266 cases of zoster occurred in the community in 1999, a rate of 830 per 100 000 population. Herpes zoster has a higher burden of disease than varicella, and must be a component of disease surveillance in order to determine the full impact of vaccination on the epidemiology of varicella zoster virus (VZV).

Using filtrate of waste biosolids to effectively produce bio-hydrogen by anaerobic fermentation

Waste biosolids collected from sewage works is a biomass containing a vast amount of polysaccharides and proteins, and thus is considered a potential substrate for producing hydrogen using anaerobic fermentation. This work demonstrated, contrary to the common assumption, that the solids phase in waste activated biosolids presents extra nutrients for anaerobes; it in fact prohibits effective bio-hydrogen production. Using filtrate after removal of solids from biosolids produces more hydrogen than using the whole biosolids, with the former reaching a level an order of magnitude higher than the literature results.

Producing hydrogen from wastewater sludge by Clostridium bifermentans

Excess wastewater sludge collected from the recycling stream of an activated sludge process is biomass that contains large quantities of polysaccharides and proteins. However, relevant literature indicates that the bio-conversion of wastewater sludge to hydrogen is limited and therefore not economically feasible. This work examined the anaerobic digestion of wastewater sludge using a clostridium strain isolated from the sludge as inoculum. A much higher hydrogen yield than presented in the literature was obtained. Also, the effects of five pre-treatments-ultrasonication, acidification, sterilization, freezing/thawing and adding methanogenic inhibitor-on the production of hydrogen were examined. Freezing and thawing and sterilization increased the specific hydrogen yield by 1.5-2.5 times to that of untreated sludge, while adding an inhibitor and ultrasonication reduced the hydrogen yield.

Gravitational sedimentation of flocculated waste activated sludge

The sedimentation characteristics of flocculated wastewater sludge have not been satisfactorily explored using the non-destructive techniques, partially owing to the rather low solid content (ca. 1-2%) commonly noted in the biological sediments. This paper investigated, for the first time, the spatial-temporal gravitational settling characteristics of original and polyelectrolyte flocculated waste activated sludge using Computerized Axial Tomography Scanner. The waste activated sludge possessed a distinct settling characteristic from the kaolin slurries. The waste activated sludges settled more slowly and reached a lower solid fraction in the final sediment than the latter. Flocculation markedly enhanced the settleability of both sludges. Although the maximum achievable solid contents for the kaolin slurries were reduced, flocculation had little effects on the activated sludge. The purely plastic rheological model by Buscall and White (J Chem Soc Faraday Trans 1(83) (1987) 873) interpreted the consolidating sediment data, while the purely elastic model by Tiller and Leu (J. Chin. Inst. Chem. Eng. 11 (1980) 61) described the final equilibrated sediment. Flocculation produced lower yield stress during transient settling, thereby resulting in the more easily consolidated sludge than the original sample. Meanwhile, the flocculated activated sludge was stiffer in the final sediment than in the original sample. The data reported herein are valuable to the theories development for clarifier design and operation.

Effects of jiawey siwu on rat activity

Jiawey siwu (JS) is a modified formula of siwu with the addition of Ginseng Radix and Eucommiae Cortex. We studied the CNS effect of JS on pentobarbital-induced hypnosis in ICR mice after acute oral administration. We also investigated the motor activity and exercise performance effects of JS in SD rats after subchronic (12 days) and chronic (8 weeks) oral administration with an activity cage and rotarod, respectively. The duration of pentobarbital-induced hypnosis was significantly decreased in mice after acute oral administration of 0.21, 1.05 or 4.2 g/kg JS. The time of ambulatory activity and time on the rotarod significantly increased in rats after subchronic and chronic oral administration of 1.05 g/kg JS, respectively. These results indicate that JS potentially increased the excitability of the CNS in mice, as well as increasing motor activity and physical endurance in rats.

"Weak" ultrasonic pre-treatment on anaerobic digestion of flocculated activated biosolids

This study examined how "weak" ultrasonic pre-treatment affects anaerobic digestion of waste biosolids, treated with a cationic polyelectrolyte flocculant. In relation to pre-treatment, the term "weak" used refers to the fact that the total ultrasonic energy input to biosolids is insufficient to fully disrupt its floc structure or the cell walls, as described in the literature. Methane production potential, floc characteristics (size, morphology and zeta-potential) and process parameters (chemical oxygen demands and oxidative-reductive potentials) were monitored, as the digestion was tested. The presence of polyelectrolyte flocculants enhanced methane production within 6 days of digestion (phase I), but inhibited the digestion thereafter (phase II). Following pre-treatment by sonication (0.33 W/mL, 20 min), the methane productions of both original and flocculated biosolids significantly increased. The underlying mechanisms of weak ultrasonic pre-treatment are discussed.

Batch Gravitational Sedimentation of Slurries

We investigated the batch settling behavior of the kaolin slurry and the UK ball clay slurry at various initial solids fractions (phi(0)s) using a computerized axial tomography scanner (CATSCAN). The spatio-temporal evolutions of solids fractions in the consolidating sediments were continuously monitored. Since the interface between the sediment and the supernatant of the investigated slurries was blurred, an averaging procedure was employed to estimate their null-stress solids fractions (phi(g)s). Besides the rather slow settling for the high-phi(0) slurries, the basic settling characteristics resemble each other regardless of whether phi(0)>phi(g) or vice versa. The above-mentioned experimental data reveal that the investigated slurries are neither purely elastic nor purely plastic in rheological behavior. On contrary to most model works a blurred supernatant-sediment interface makes difficulty in the gel point determination. During initial settling the high-phi(0) slurries clearly exhibit a finite yield stress to resist deformation. That is, the slurries are plastic fluids. However, the network structure in the slurries deteriorates gradually in the subsequent settling stage while the final, equilibrated sediment reveals a continuous distribution in solids fraction. Restated, the final sediment possesses as a purely elastic characteristic. The model parameters of theory by Buscall and White were regressed by the dynamic consolidating sediment data, while those by Tiller and Leu were obtained using the final equilibrated sediment data. Calculations from both models reveal that ball clay slurry is more compressible than is the kaolin slurry. The high-phi(S0) slurry would yield the less compressible sediment.

Using ATP bioluminescence technique for monitoring microbial activity in sludge

This study demonstrates, for the first time, that the presence of suspended solids in waste-activated sludge interferes with adenosine triphosphate (ATP) bioluminescence tests. The sludge subject to acid/alkaline treatment represented the test sample. Without consideration of the effect of solid concentrations, one would erroneously estimate the density levels of heterotrophic bacteria in the sludge using ATP data. A light blockage model was proposed to evaluate the luminescence reading without the interference of suspended solids.

Tracheal intubation using suspension laryngoscopy in an infant with Goldenhar's syndrome

We present a case of a ten-month-old boy with Goldenhar's syndrome and significant retrognathia in whom a tracheostomy was performed to relieve upper airway obstruction. Tracheal intubation was facilitated by direct suspension laryngoscopy using a slotted rigid laryngoscope. We propose this technique as an alternative method for tracheal intubation in infants and young children with a difficult airway. The management of the difficult airway in children with Goldenhar's syndrome is discussed.

High-speed sludge freezing

The investigation examined the feasibility of applying a "high-speed freezing technique, using liquid nitrogen freezing, to condition activated sludges and alum sludges. Experimental results indicate that the freezing speed is much faster than that adopted in most previous works on sludge freezing. Although the filterability and settleability of the alum sludge is improved by 3-min liquid nitrogen freezing, no similar improvement is observed for activated sludge. Moreover, curing affects neither sludge after liquid nitrogen freezing, but affects the slow-freezing activated sludge.

Experimental analysis of centrifugal dewatering process of polyelectrolyte flocculated waste activated sludge

The study experimentally investigated the centrifugal separation of moisture from activated sludge subject to cationic polyelectrolyte flocculation. An arm-suspended centrifuge was employed which allowed in-situ detection on all positions of interfaces of centrifuged sludge as functions of time. Experimental results revealed that, sludge flocculation would yield a significant sedimentation effect at the first phase of centrifugation. Therefore, not as suggested in conventional centrifugal-filtration models, the most significant moisture-removal stages included filtrate to flow through a wet cake. Moreover, an optimal rotational speed exists at which the moisture-removal rate reaches a maximum value. New theories/correlations are required to describe centrifugation dewatering of polyelectrolyte flocculated sludge.

Observations on changes in ultrasonically treated waste-activated sludge

This work experimentally elucidates the effects of ultrasonic treatment on the physical, chemical, and biological characteristics of a waste-activated sludge. A critical ultrasonic power level exists above which, accompanied with the release of divalent cations from the sludge body, the floc structure effectively disintegrated, microbial level acceptably disinfected, and particulate organic compounds sufficiently transformed into soluble state. Both ultrasonic vibration and bulk temperature rise contribute to the treatment efficiency. Possible mechanisms of ultrasonic treatment are discussed.

Thermal pyrolysis characteristics of polymer flocculated waste activated sludge

Polyelectrolyte conditioning is a common practice in wastewater management. This paper experimentally elucidated the thermal pyrolysis characteristics of waste activated sludge at a temperature range of 300-900 K (27-627 degrees C) using thermogravimetric analysis (TGA) in inert atmosphere, with especial attention on the effect of polyelectrolyte flocculation (using cationic polyacrylamide). On the pyrolysis rate vs temperature plot two maxima were noted. At the heating rate of 8 degrees C/min, polyelectrolyte does not influence the pyrolysis process. As higher heating rates (14 and 20 degrees C/min), on the other hand, flocculation to charge neutralization point would enhance the rate of thermal pyrolysis. A simple two parallel-reaction kinetic model is applied to interpret the experimental data. Possible roles of flocculant on sludge pyrolysis are discussed on the basis of change in sludge structures and the hindrance of surface reactions of sludge particles.

Lone atrial fibrillation in elderly persons: a marker for cardiovascular risk

BACKGROUND

The risk of stroke in persons aged 60 years and younger with lone atrial fibrillation (LAF) is no greater than in the general population. The effect of older age on the risk of stroke in persons with LAF is less well established.

PARTICIPANTS AND METHODS

The risk of stroke in persons with LAF and without substantial comorbidities was examined in a population-based study at a single institution in Olmsted County, Minnesota, and compared with that in an age- and sex-matched population. The mean age was 74 years (range, 61-97 years). The median duration of follow-up was 9.6 years until death or last follow-up.

RESULTS

Of 55 patients, 26 had 31 cardiovascular events during follow-up, occurring a median of 5.1 years after diagnosis (range, 0.7-18 years). Of 11 cerebrovascular events, 6 were transient ischemic attacks and 5 were strokes. The event rates (percentage per person-year) were 0.9% for stroke, 1.1% for transient cerebral ischemia, and 2.6% for myocardial infarction, for a total cardiovascular event rate of 5.0% per person-year. The corresponding rates for the age- and sex-matched control group were 0.2%, 0%, and 1.1%, for a total of 1.3% per person-year. The incidence of total cardiovascular events was significantly greater (P< .01) in those with LAF, although there was no difference in survival.

CONCLUSION

Lone atrial fibrillation occurring after age 60 years is a risk marker for a substantial increase in cardiovascular events that warrants consideration for antithrombotic therapy.

The Role of Ionic Surfactants in Compression Dewatering of Alum Sludge

This work has experimentally investigated the characteristics of filtration followed by consolidation dewatering of an alum sludge, with especial attention to the effects of adding ionic surfactants (SDS or CTAB). The filtration and consolidation stages at a pressure of 3000 psi were discussed separately. The efficiency of filtration is enhanced in the presence of surfactant molecules; however, the cationic surfactant (CTAB) raises the consolidation rate while the anionic surfactant (SDS) retards it. A newly proposed rheological model has been employed for interpreting the consolidation data. CTAB would not alter markedly the moisture distribution in the sludge, but SDS does increase markedly the amount of the tightly bound moisture by diminishing the portion occupied by pore water. The possible role of surfactants in the sludge flocs is considered. Both surfactants can be used as conditioning aids during the filtration stage. However, the applications of SDS to the consolidation stage are not encouraged. Copyright 1998 Academic Press.

Dolichoectasia of the intracranial arteries in patients with first ischemic stroke: a population-based study

OBJECTIVE

The objective of this study was to estimate the frequency of intracranial arterial dolichoectasia among patients with first ischemic stroke and to compare clinical characteristics, survival, and recurrence in those with and without the abnormality.

BACKGROUND

Dolichoectasia may cause cerebral infarction by thrombosis, embolism, stenosis, or occlusion of deep penetrating arteries.

METHODS

The chi-square, Fisher's exact, and logrank tests were used to compare clinical characteristics, survival, and recurrence for patients with and without dolichoectasia among the 387 residents of Rochester, MN, who had brain CT or MRI for first cerebral infarction from 1985 through 1989.

RESULTS

Twelve patients (3.1%) had dolichoectasia. Patients with dolichoectasia were more likely to have had stroke fitting a clinical and radiographic pattern of lacunar infarction than those without (42% and 17% respectively; p=0.04). Dolichoectasia was detected in the vertebrobasilar system in eight patients (66.7%), in the carotid system in two patients (16.7%), and in both circulatory systems in two patients (16.7%). There were no significant differences in the following characteristics among those with and without dolichoectasia: age, sex, hypertension, diabetes, smoking, and preceding transient ischemic attack. Patients with dolichoectasia had better survival (relative risk [RR] for death, 0.26; p=0.04) after first cerebral infarction but higher rates of stroke recurrence (RR, 2.4; p=0.02).

CONCLUSIONS

Dolichoectasia is detected in 38 of patients with first cerebral infarction and is associated with better survival but higher rates of stroke recurrence.

Patent foramen ovale in patients with cerebral infarction. A transesophageal echocardiographic study

OBJECTIVES

To determine the frequency of patent foramen ovale (PFO) among various subtypes of cerebral infarction. To determine whether any historical or clinical characteristics predict the presence or absence of PFO in these patients.

DESIGN

Comorbidity and infarct subtype study.

SETTING

Referral-based study.

PATIENTS

One hundred sixteen patients with cerebral infarction consecutively referred for transesophageal echocardiography during a 6-month period.

MAIN OUTCOME MEASURES

Infarct subtype classification was made using a clinical and radiographic diagnostic rubric similar to that used by the Stroke Data Bank of the National Institute of Neurological Diseases and Stroke. The frequency of various risk factors and clinical characteristics in patients with and in those without PFO and the frequency of PFO in patients with various infarct subtypes were compared (chi 2 or Fisher exact tests).

RESULTS

Patent foramen ovale was detected in 37 patients (32%). Mean age was similar in those with (60 years) and those without (64 years) PFO. Patent foramen ovale was more frequent among men (39%) than women (20%, P = .03). Patients with PFO had a lower frequency of atrial fibrillation, diabetes mellitus, hypertension, and peripheral vascular disease compared with those without PFO. There was no difference in frequency of the following characteristics in patients with PFO compared with those without PFO: pulmonary embolus, chronic obstructive pulmonary disease, pulmonary hypertension, peripheral embolism, prior cerebral infarction, nosocomial cerebral infarction, Valsalva maneuver at the same time of cerebral infarction, recent surgery, or hemorrhagic transformation of cerebral infarction. Patent foramen ovale was found in 22 (40%) of 55 patients with infarcts of uncertain cause and in 15 (25%) of 61 with infarcts of known cause (cardioembolic, 21%; large vessel atherostenosis, 25%; lacune, 40%) (P = .08). When the analysis was restricted to patients who underwent Valsalva maneuver, PFO with right to left or bidirectional shunt was found in 19 (50%) of 38 patients with infarcts of uncertain cause and in 6 (20%) of 30 with infarcts of known cause (P = .01).

CONCLUSION

Although PFO was overrepresented in patients with infarcts of uncertain in our and other studies, it has a high frequency among patients with cerebral infarction of all types. The relation between PFO and stroke requires further study.

Polymer Dose Effects on Filtration Followed by Expression of Clay Slurries

Filtration followed by expression characteristics of cationic polymer conditioned clay slurries are reported for the first time in this work. As the polymer dosage increases, the resistance to filtration greatly decreases until a specific dose has been reached, where the zeta potential is close to zero. And further increase in polymer dose conversely raises the resistance. The expression data are interpreted by the Terzaghi-Voigt combined model, from which the model parameters are evaluated. The polymer conditioning has only a mild effect on the primary consolidation process but has, however, a considerable influence on secondary consolidation characteristics. When zeta potential changes from negative to positive, both the easiness of creeping of constituent particles within the sludge cake and the fraction of moisture removal by the secondary consolidation attain a maximum. The optimal polymer dose criterion considering the filtration and expression stages separately, or in combination, is

Dementia after ischemic stroke: a population-based study in Rochester, Minnesota (1960-1984)

We used the medical records linkage system for the population of Rochester, Minnesota, to identify persons in the community who had their first cerebral infarct without previous dementia. In this cohort (n = 971), the incidence of dementia in the first year was nine times greater than expected, but if we did not observe dementia in the first year, the risk of dementia in the cohort each year thereafter was about twice the risk in the population. After the first year, a 50% increase was observed in Alzheimer's disease in the cohort compared with that in the community. Although the incidence of dementia increased with increasing age, the standardized morbidity ratios decreased with increasing age. Age, sex (male), and second stroke were significant independent predictors of dementia in a multivariate Cox proportional hazards model. There was no effect of location or clinical severity of infarct on the rate of occurrence of dementia.

The poor prognosis of ruptured intracranial aneurysms of the posterior circulation

The first 48 hours after aneurysmal subarachnoid hemorrhage are critical in determining final outcome. However, most patients who die during this initial period are not included in hospital-based studies. We investigated the occurrence of subarachnoid hemorrhage in a population-based study to evaluate possible predictors of poor outcome. All patients diagnosed with aneurysmal subarachnoid hemorrhage between 1955 and 1984 were selected for analysis of mortality in the first 30 days using the medical record-linkage system employed for epidemiological studies in Rochester, Minnesota. One hundred and thirty-six patients were identified. The mean age of these 99 women and 37 men was 55 years. Rates for survival to 48 hours were 32% for the 19 patients with posterior circulation aneurysms, 77% for the 87 patients with anterior circulation aneurysms, and 70% for the 30 patients with a presumed aneurysm (p < 0.0001). Rates for survival to 30 days were 11%, 57%, and 53%, respectively, in these three patient groups (p < 0.0001). Clinical grade on admission to the hospital, the main variable predictive of death within 48 hours, was significantly worse in patients with posterior circulation aneurysms than in others (p < 0.0001). The prognosis of ruptured posterior circulation aneurysms is poor. The high early mortality explains why posterior circulation aneurysms are uncommon in most clinical series of patients with subarachnoid hemorrhage. The management of incidentally discovered intact posterior circulation aneurysms may be influenced by these findings.

The contribution of non-insulin-dependent diabetes to lower-extremity amputation in the community

BACKGROUND

Despite the significant public health burden of lower-extremity amputations in diabetes mellitus, few data are available on the epidemiology of lower-extremity amputations in diabetes mellitus in the community setting.

METHODS

A retrospective incidence cohort study based in Rochester, Minn, was conducted.

RESULTS

Among the 2015 diabetic individuals free of lower-extremity amputation at the diagnosis of diabetes mellitus, 57 individuals underwent 79 lower-extremity amputations (incidence, 375 per 100,000 person-years; 95% confidence interval, 297 to 467). Among the 1826 patients with non-insulin-dependent diabetes mellitus, 52 underwent 73 lower-extremity amputations, and the subsequent incidence of lower-extremity amputation among these residents was 388 per 100,000 person-years (95% confidence interval, 304 to 487). Of the 137 insulin-dependent diabetic patients, four subsequently underwent five lower-extremity amputations (incidence, 283 per 100,000 person-years; 95% confidence interval, 92 to 659). Twenty-five years after the diagnosis of diabetes mellitus, the cumulative risk of one lower-extremity amputation was 11.2% in insulin-dependent diabetes mellitus and 11.0% in non-insulin-dependent diabetes mellitus. When compared with lower-extremity amputation rates for Rochester residents without diabetes, patients with non-insulin-dependent diabetes mellitus were nearly 400 times more likely to undergo an initial transphalangeal amputation (rate ratio, 378.8) and had almost a 12-fold increased risk of a below-knee amputation (rate ratio, 11.8). In this community, more than 60% of lower-extremity amputations were attributable to non-insulin-dependent diabetes mellitus.

CONCLUSIONS

These population-based data document the magnitude of the elevated risk of lower-extremity amputation among diabetic individuals. Efforts should be made to identify more precisely risk factors for amputation in diabetes and to intervene in the processes leading to amputation.

The contribution of non-insulin-dependent diabetes to lower-extremity amputation in the community

BACKGROUND

Despite the significant public health burden of lower-extremity amputations in diabetes mellitus, few data are available on the epidemiology of lower-extremity amputations in diabetes mellitus in the community setting.

METHODS

A retrospective incidence cohort study based in Rochester, Minn, was conducted.

RESULTS

Among the 2015 diabetic individuals free of lower-extremity amputation at the diagnosis of diabetes mellitus, 57 individuals underwent 79 lower-extremity amputations (incidence, 375 per 100,000 person-years; 95% confidence interval, 297 to 467). Among the 1826 patients with non-insulin-dependent diabetes mellitus, 52 underwent 73 lower-extremity amputations, and the subsequent incidence of lower-extremity amputation among these residents was 388 per 100,000 person-years (95% confidence interval, 304 to 487). Of the 137 insulin-dependent diabetic patients, four subsequently underwent five lower-extremity amputations (incidence, 283 per 100,000 person-years; 95% confidence interval, 92 to 659). Twenty-five years after the diagnosis of diabetes mellitus, the cumulative risk of one lower-extremity amputation was 11.2% in insulin-dependent diabetes mellitus and 11.0% in non-insulin-dependent diabetes mellitus. When compared with lower-extremity amputation rates for Rochester residents without diabetes, patients with non-insulin-dependent diabetes mellitus were nearly 400 times more likely to undergo an initial transphalangeal amputation (rate ratio, 378.8) and had almost a 12-fold increased risk of a below-knee amputation (rate ratio, 11.8). In this community, more than 60% of lower-extremity amputations were attributable to non-insulin-dependent diabetes mellitus.

CONCLUSIONS

These population-based data document the magnitude of the elevated risk of lower-extremity amputation among diabetic individuals. Efforts should be made to identify more precisely risk factors for amputation in diabetes and to intervene in the processes leading to amputation.

Modular design of the Enterococcus hirae muramidase-2 and Streptococcus faecalis autolysin

The mature forms of the extracellular muramidase-2 of Enterococcus hirae and Streptococcus faecalis autolysin have very similar primary structures. Each consists of an active-site-containing N-terminal domain fused to a multiple-repeat C-terminal domain. Polypeptide segments occurring at equivalent places in these two bacterial wall lytic enzymes have homologues in two phage lysozymes and in three functionally unrelated proteins, illustrating the principle that protein molecules frequently are constructed from modules that are linked in a single polypeptide chain.

Cloning and sequence analysis of the muramidase-2 gene from Enterococcus hirae

Extracellular muramidase-2 of Enterococcus hirae ATCC 9790 was purified to homogeneity by substrate binding, guanidine-HCl extraction, and reversed-phase chromatography. A monoclonal antibody, 2F8, which specifically recognizes muramidase-2, was used to screen a genomic library of E. hirae ATCC 9790 DNA in bacteriophage lambda gt11. A positive phage clone containing a 4.5-kb DNA insert was isolated and analyzed. The EcoRI-digested 4.5-kb fragment was cut into 2.3-, 1.0-, and 1.5-kb pieces by using restriction enzymes KpnI, Sau3AI, and PstI, and each fragment was subcloned into plasmid pJDC9 or pUC19. The nucleotide sequence of each subclone was determined. The sequence data indicated an open reading frame encoding a polypeptide of 666 amino acid residues, with a calculated molecular mass of 70,678 Da. The first 24 N-terminal amino acids of purified extracellular muramidase-2 were in very good agreement with the deduced amino acid sequence after a 49-amino-acid putative signal sequence. Analysis of the deduced amino acid sequence showed the presence at the C-terminal region of the protein of six highly homologous repeat units separated by nonhomologous intervening sequences that are highly enriched in serine and threonine. The overall sequence showed a high degree of homology with a recently cloned Streptococcus faecalis autolysin.

Reduction mammaplasty: cosmetic or reconstructive procedure?

Ninety-two of 220 plastic surgeons submitted information from 600 women (the last 15 to 20 reduction mammaplasties by each surgeon) regarding height, weight, and amount of breast tissue removed. In a second survey to estimate percentages of women who sought reduction mammaplasties for purely cosmetic reasons, for mixed reasons, and for purely medical reasons, 132 of the same 220 surgeons responded. All women whose removed breast weight was less than the 5th percentile sought the procedure for purely cosmetic reasons, and all women whose breast weight was greater than the 22nd percentile sought the procedure for medical reasons. Those women whose removed breast tissue weight was between the 5th and the 22nd percentiles had mixed reasons for requesting the procedure.

Regulation of pyrimidine biosynthesis in Pseudomonas cepacia

Pyrimidine biosynthesis was investigated in Pseudomonas cepacia ATCC 17759. The presence of the de novo pyrimidine biosynthetic pathway enzyme activities was confirmed in this strain. Following transposon mutagenesis of the wild-type cells, a mutant strain deficient for orotidine 5'-monophosphate decarboxylase activity (pyrF) was isolated. Uracil, cytosine or uridine supported the growth of this mutant. Uracil addition to minimal medium cultures of the wild-type strain diminished the levels of the de novo pyrimidine biosynthetic enzyme activities, while pyrimidine limitation of the mutant cells increased those de novo enzyme activities measured. It was concluded that regulation of pyrimidine biosynthesis at the level of enzyme synthesis in P. cepacia was present. Aspartate transcarbamoylase activity was found to be regulated in the wild-type cells. Its activity was shown to be controlled in vitro by inorganic pyrophosphate, adenosine 5'-triphosphate and uridine 5'-phosphate.

Pyrimidine biosynthetic pathway of Pseudomonas fluorescens

Pyrimidine biosynthesis in Pseudomonas fluorescens strain A126 was investigated. In this study, de novo pyrimidine biosynthetic pathway mutant strains were isolated using both conventional mutagenesis and transposon mutagenesis. The resulting mutant strains were deficient for either aspartate transcarbamoylase, dihydroorotase or orotate phosphoribosyltransferase activity. Uracil, uridine or cytosine could support the growth of every mutant strain selected. In addition, the aspartate transcarbamoylase mutant strains could utilize orotic acid to sustain their growth while the orotidine-5'-monophosphate decarboxylase mutant strains grew slowly upon uridine 5'-monophosphate. The wild-type strain and the mutant strains were used to study possible regulation of de novo pyrimidine biosynthesis in P. fluorescens. Dihydroorotase specific activity more than doubled after the wild-type cells were grown in orotic acid relative to unsupplemented minimal-medium-grown cells. Starving the mutant strains of pyrimidines also influenced the levels of several de novo pyrimidine biosynthetic pathway enzyme activities.

Pyrimidine ribonucleoside catabolism in Pseudomonas fluorescens biotype A

The pyrimidine ribonucleosides uridine or cytidine were shown to serve as a source of nitrogen or carbon for the growth of Pseudomonas fluorescens strain A126. After incubation of either pyrimidine ribonucleoside with extracts of this strain, the resultant catabolic products were detected by thin-layer chromatography. It was found that pyrimidine ribonucleoside catabolism in this pseudomonad involved the enzymes nucleoside hydrolase and cytosine deaminase. The specific activities of both these enzymes could be influenced by the nitrogen or carbon source present in the medium.