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Zhang Y, Zhu Y, Shao Y, Rong C, Pan Z, Deng J. Toxicity of disinfection byproducts formed during the chlorination of sulfamethoxazole, norfloxacin, and 17β-estradiol in the presence of bromide. Environ Sci Pollut Res Int 2021; 28:50718-50730. [PMID: 33966160 DOI: 10.1007/s11356-021-14161-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 04/23/2021] [Indexed: 06/12/2023]
Abstract
Brominated disinfection byproducts (Br-DBPs) are formed during the disinfection process of water containing bromine ions, such as marine aquaculture water. Little attention has been paid to Br-DBPs with anthropogenic chemicals as precursors. This study summarized the sodium hypochlorite (NaClO) oxidation of three frequently used pharmaceuticals, including two antibiotics, norfloxacin (NOR) and sulfamethoxazole (SMX), and the growth hormone estrogen 17β-estradiol (E2). Transformations of the pharmaceuticals were found to be faster in marine aquaculture water than in distilled water. Several Br-DBPs and Cl-DBPs were identified for NOR, SMX, and E2. It was shown that the carboxyl group, piperazine ring, C3, and C8 atoms were the primary reaction sites on NOR. The aniline moiety and S-N bond were identified to be the reaction sites on SMX. The C2, C4, C9, and C16 atoms were the potential reaction centers on E2. Preliminary calculation by QSAR model indicated that the value of logKow significantly increased with an increase in the number of bromine atoms in the Br-DBPs. The results of the bioconcentration factors (BCF) analysis suggested that the bioaccumulation of Br-DBPs were greater than that chlorinated DBPs (Cl-DBPs) in distilled water.
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Affiliation(s)
- Yuanyuan Zhang
- School of Marine Sciences, Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning, 530004, China
| | - Yunjie Zhu
- School of Marine Sciences, Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning, 530004, China
| | - Yanan Shao
- School of Marine Sciences, Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning, 530004, China
| | - Chuan Rong
- School of Marine Sciences, Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning, 530004, China
| | - Zihan Pan
- School of Marine Sciences, Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning, 530004, China
| | - Jie Deng
- Guangxi Bo-Huan Environmental Consulting Services Co. Ltd, 12 Kexing Road, Gaoxin District, Nanning, 530007, Guangxi Autonomous Region, China.
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Zhang Y, Pan Z, Rong C, Shao Y, Wang Y, Yu K. Transformation of antibacterial agent roxithromycin in sodium hypochlorite disinfection process of different water matrices. Sep Purif Technol 2019. [DOI: 10.1016/j.seppur.2018.11.061] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Rong C, Shao Y, Wang Y, Zhang Y, Yu K. Formation of disinfection byproducts from sulfamethoxazole during sodium hypochlorite disinfection of marine culture water. Environ Sci Pollut Res Int 2018; 25:33196-33206. [PMID: 30255267 DOI: 10.1007/s11356-018-3278-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Accepted: 09/18/2018] [Indexed: 06/08/2023]
Abstract
The fates of the antibiotic sulfamethoxazole (SMX) in the chlorination of fresh water, simulated brackish marine culture water, and marine water were investigated. SMX was oxidized by sodium hypochlorite (NaClO) at different reaction rates in the different samples. The oxidation of SMX followed pseudo-first-order kinetics, and the rate constant was the largest in marine water (3.44 min-1), as Br- ions promote the oxidation reaction. Moreover, the kinds of disinfection byproducts (DBPs) were also affected by Br- ions. Br-DBPs were found in the simulated brackish marine culture water and marine water disinfection systems. The structures of the DBPs indicated that S-C cleavage, polymerization, S-N hydrolysis, chlorine/bromine substitution, and desulfonation reactions occurred on SMX during the disinfection process. EPI (Estimation Programs Interface) Suite™ and absorbable organic halogen (AOX) analysis were used to evaluate the toxicity of the DBPs. The results suggested that DBPs in the simulated brackish marine culture water and marine water systems were more toxic than those in the fresh water system.
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Affiliation(s)
- Chuan Rong
- School of Marine Sciences, Guangxi University, Nanning, 530004, China
- School of Resources, Environment and Materials, Guangxi University, Nanning, 530004, China
- Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, No. 100 East Daxue Road, Xixiangtang District, Nanning, 530004, Guangxi Autonomous Region, China
| | - Yanan Shao
- School of Marine Sciences, Guangxi University, Nanning, 530004, China
- School of Resources, Environment and Materials, Guangxi University, Nanning, 530004, China
- Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, No. 100 East Daxue Road, Xixiangtang District, Nanning, 530004, Guangxi Autonomous Region, China
| | - Yinghui Wang
- School of Marine Sciences, Guangxi University, Nanning, 530004, China
- Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, No. 100 East Daxue Road, Xixiangtang District, Nanning, 530004, Guangxi Autonomous Region, China
| | - Yuanyuan Zhang
- School of Marine Sciences, Guangxi University, Nanning, 530004, China.
- Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, No. 100 East Daxue Road, Xixiangtang District, Nanning, 530004, Guangxi Autonomous Region, China.
| | - Kefu Yu
- School of Marine Sciences, Guangxi University, Nanning, 530004, China.
- Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, No. 100 East Daxue Road, Xixiangtang District, Nanning, 530004, Guangxi Autonomous Region, China.
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Shao Y, Pan Z, Rong C, Wang Y, Zhu H, Zhang Y, Yu K. 17β-estradiol as precursors of Cl/Br-DBPs in the disinfection process of different water samples. Environ Pollut 2018; 241:9-18. [PMID: 29793109 DOI: 10.1016/j.envpol.2018.05.035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Revised: 05/08/2018] [Accepted: 05/11/2018] [Indexed: 06/08/2023]
Abstract
During chlorine disinfection process, reactions between the disinfectant and 17β-estradiol (E2) lead to the formation of halogenated disinfection byproducts (DBPs) which can be a risk to both ecosystem and human health. The degradation and transformation products of E2 in sodium hypochlorite (NaClO) disinfection processes of different water samples were investigated. The reaction kinetics research showed that the degradation rates of E2 were considerably dependent on the initial pH value and the types of water samples. In fresh water, synthetic marine aquaculture water and seawater, the reaction rate constant was 0.133 min-1, 2.067 min-1 and 2.592 min-1, respectively. The reasons for the above phenomena may be due to the different concentrations of bromide ions (Br-) in these three water samples which could promote the reaction between NaClO and E2. Furthermore, Br- could also cause the formation of brominated DBPs (Br-DBPs). The main DBPs, reaction centers and conceivable reaction pathways were explored. Seven halogenated DBPs have been observed including three chlorinated DBPs (Cl-DBPs) and four Br-DBPs. The active sites of E2 were found to be the pentabasic cyclic ring and the ortho position of the phenol moiety as well as C9-C10 position. The identified Cl/Br-DBPs were also confirmed in actual marine aquaculture water from a shrimp pond. The comparison of bio-concentration factors (BCF) values based on calculation of EPI-suite showed that the toxicities of the Br-DBPs were stronger than that of their chloride analogues. The absorbable organic halogens (AOX) analysis also suggested that the DBPs produced in the marine aquaculture water were more toxic than that in the fresh water system.
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Affiliation(s)
- Yanan Shao
- School of Marine Sciences, Guangxi Key Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning 530004, China; School of Resources, Environment and Materials, Guangxi University, Nanning, 530004, China
| | - Zihan Pan
- School of Marine Sciences, Guangxi Key Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning 530004, China
| | - Chuan Rong
- School of Marine Sciences, Guangxi Key Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning 530004, China; School of Resources, Environment and Materials, Guangxi University, Nanning, 530004, China
| | - Yinghui Wang
- School of Marine Sciences, Guangxi Key Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning 530004, China
| | - Hongxiang Zhu
- Guangxi Key Laboratory of Clean Plup & Papermaking and Pollution Control, Nanning 530004, China
| | - Yuanyuan Zhang
- School of Marine Sciences, Guangxi Key Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning 530004, China.
| | - Kefu Yu
- School of Marine Sciences, Guangxi Key Laboratory on the Study of Coral Reefs in the South China Sea, Guangxi University, Nanning 530004, China.
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Zhang Y, Rong C, Song Y, Wang Y, Pei J, Tang X, Zhang R, Yu K. Oxidation of the antibacterial agent norfloxacin during sodium hypochlorite disinfection of marine culture water. Chemosphere 2017; 182:245-254. [PMID: 28500969 DOI: 10.1016/j.chemosphere.2017.05.023] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Revised: 05/02/2017] [Accepted: 05/03/2017] [Indexed: 06/07/2023]
Abstract
Chlorination disinfection and antibiotic addition are two universal processes of marine culture. The generation of disinfection byproducts (DBPs) is unavoidable. Antibiotic residue not only pollutes water but also acts as a precursor to the production of new DBPs. The fate of antibiotic norfloxacin (NOR) in chlorination disinfection was investigated. It was observed that NOR could be oxidized by disinfection agent sodium hypochlorite, but the oxidation rate varied considerably with the type of disinfected water. For fresh water, marine culture water and sea water, the reaction rate constant was 0.066 min-1, 0.466 min-1 and 1.241 min-1, respectively. The difference was primarily attributed to the promotion role of bromide ions in seawater and marine culture water. Moreover, the bromide ions could result in the generation of brominated DBPs (Br-DBPs). The kinetics, products, reaction centers and mechanisms were investigated. The active site of NOR was found to be the N4 atom on piperazinyl in fresh water. During marine culture water and sea water disinfection, the carboxyl on NOR was oxidized and two Br-DBPs were formed. This was attributed to the lowering of the reaction's required activation energy when performed in the presence of bromide ions. The Br-DBPs were also confirmed in real shrimp pond brackish water. Quantitative structure activity relationships and the total organic halogen analysis showed that the DBPs in marine culture water possessed stronger toxicological properties than the DBPs in fresh water. The toxicity increase was attributed to the production of Br-DBPs in the disinfection process of marine culture water.
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Affiliation(s)
- Yuanyuan Zhang
- School of Marine Sciences, Guangxi University, Nanning 530004, China; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China
| | - Chuan Rong
- School of Marine Sciences, Guangxi University, Nanning 530004, China; School of Environment, Guangxi University, Nanning 530004, China
| | - Yanqun Song
- School of Marine Sciences, Guangxi University, Nanning 530004, China; School of Environment, Guangxi University, Nanning 530004, China
| | - Yinghui Wang
- School of Marine Sciences, Guangxi University, Nanning 530004, China; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China
| | - Jiying Pei
- School of Marine Sciences, Guangxi University, Nanning 530004, China; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China
| | - Xinying Tang
- School of Marine Sciences, Guangxi University, Nanning 530004, China; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China
| | - Ruijie Zhang
- School of Marine Sciences, Guangxi University, Nanning 530004, China; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China
| | - Kefu Yu
- School of Marine Sciences, Guangxi University, Nanning 530004, China; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China; Guangxi Laboratory on the Study of Coral Reefs in the South China Sea, Nanning 530004, China.
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Zhang Y, Shang J, Song Y, Rong C, Wang Y, Huang W, Yu K. Selective Fenton-like oxidation of methylene blue on modified Fe-zeolites prepared via molecular imprinting technique. Water Sci Technol 2017; 75:659-669. [PMID: 28192360 DOI: 10.2166/wst.2016.525] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
A facile strategy to increase the selectivity of heterogeneous Fenton oxidation is investigated. The increase was reached by increasing selective adsorption of heterogeneous Fenton catalyst to a target pollutant. The heterogeneous Fenton catalyst was prepared by a two-step process. First, zeolite particles were imprinted by the target pollutant, methylene blue (MB), in their aggregations, and second, iron ions were loaded on the zeolite aggregations to form the molecule imprinted Fe-zeolites (MI-FZ) Fenton catalyst. Its adsorption amount for MB reached as high as 44.6 mg g-1 while the adsorption amount of un-imprinted Fe-zeolites (FZ) is only 15.6 mg g-1. Fenton removal efficiency of MI-FZ for MB was 87.7%, being 33.9% higher than that of FZ. The selective Fenton oxidation of MI-FZ for MB was further confirmed by its removal performance for the mixed MB and bisphenol A (BPA) in solution. The removal efficiency of MB was 44.7% while that of BPA was only 14.9%. This fact shows that molecular imprinting is suitable to prepare the Fe-zeolites (FZ)-based Fenton catalyst with high selectivity for removal of target pollutants, at least MB.
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Affiliation(s)
- Yuanyuan Zhang
- School of Marine Sciences, Coral Reef Research Center of China, Guangxi University, Nanning 530004, China E-mail:
| | - Jiaobo Shang
- School of Marine Sciences, Coral Reef Research Center of China, Guangxi University, Nanning 530004, China E-mail:
| | - Yanqun Song
- School of Marine Sciences, Coral Reef Research Center of China, Guangxi University, Nanning 530004, China E-mail:
| | - Chuan Rong
- School of Marine Sciences, Coral Reef Research Center of China, Guangxi University, Nanning 530004, China E-mail:
| | - Yinghui Wang
- School of Marine Sciences, Coral Reef Research Center of China, Guangxi University, Nanning 530004, China E-mail:
| | - Wenyu Huang
- School of Marine Sciences, Coral Reef Research Center of China, Guangxi University, Nanning 530004, China E-mail:
| | - Kefu Yu
- School of Marine Sciences, Coral Reef Research Center of China, Guangxi University, Nanning 530004, China E-mail: ; South China Sea Institute of Oceanology, Chinese Academy of Sciences, Guangzhou 510301, China
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Shang J, Song Y, Rong C, Wang Y, Wang L, Zhang Y, Yu K. Preparation and selective adsorption of organic pollutants by an inorganic molecular imprinted polymer. Water Sci Technol 2016; 74:1193-1201. [PMID: 27642839 DOI: 10.2166/wst.2016.244] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
A novel inorganic molecular imprinted polymer (MIP) was synthesized by adding Al(3+) to the Fe/SiO2 gel with Acid Orange II (AO II) as the template. The MIP was characterized by scanning electron microscopy, X-ray diffraction, Fourier transform infrared spectroscopy and nitrogen adsorption-desorption measurement. Compared with the non-imprinted polymer (NIP), the MIP enhanced the adsorption capacity of the target pollutants AO II. The selective adsorption capacity study indicated that the MIP adsorbed more AO II than the interferent Bisphenol A (BPA), which also has the structure of a benzene ring, thus proving the selective adsorption capacity of the MIP for template molecules AO II. In addition, the adsorption of AO II over MIP belonged to the Langmuir type and pseudo-second adsorption kinetics, and Dubinin-Radushkevich model indicates that the adsorption process of AO II over MIP and NIP are both given priority to chemical adsorption. The MIP reusability in performance was demonstrated in at least six repeated cycles.
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Affiliation(s)
- Jiaobo Shang
- School of Marine Sciences, Guangxi University, Nanning 530004, China E-mail:
| | - Yanqun Song
- School of Marine Sciences, Guangxi University, Nanning 530004, China E-mail:
| | - Chuan Rong
- School of Marine Sciences, Guangxi University, Nanning 530004, China E-mail:
| | - Yinghui Wang
- School of Marine Sciences, Guangxi University, Nanning 530004, China E-mail: ; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China
| | - Liwei Wang
- School of Marine Sciences, Guangxi University, Nanning 530004, China E-mail: ; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China
| | - Yuanyuan Zhang
- School of Marine Sciences, Guangxi University, Nanning 530004, China E-mail: ; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China
| | - Kefu Yu
- School of Marine Sciences, Guangxi University, Nanning 530004, China E-mail: ; Coral Reef Research Center of China, Guangxi University, Nanning 530004, China; South China Sea Institute of Oceanology, Chinese Academy of Sciences, Guangzhou 510301, China
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Rong C, Cui X, Chen J, Qian Y, Jia R, Hu Y. DNA methylation profiles in placenta and its association with gestational diabetes mellitus. Exp Clin Endocrinol Diabetes 2015; 123:282-8. [PMID: 25962407 DOI: 10.1055/s-0034-1398666] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Emerging evidences indicate that placenta plays a critical role in gestational diabetes mellitus (GDM). DNA methylation could be associated with altered placental development and functions. This study is to uncover the genome-wide DNA methylation patterns in this disorder. DNA methylation was measured at >385,000 CpG sites using methylated DNA immunoprecipitation (MeDIP) and a huamn CpG island plus promoter microarray. We totally identified 6,641 differentially methylated regions (DMRs) targeting 3,320 genes, of which 2,729 DMRs targeting 1,399 genes, showed significant hypermethylation in GDM relative to the controls, whereas 3,912 DMRs targeting 1,970 genes showed significant hypomethylation. Functional analysis divided these genes into different functional networks, which mainly involved in the pathways of cell growth and death regulation, immune and inflammatory response and nervous system development. In addition, the methylation profiles and expressions of 4 loci (RBP4, GLUT3, Resistin and PPARα) were validated by BSP for their higher log2 ratio and potential functions with energy metabolism. This study demonstrates aberrant patterns of DNA methylation in GDM which may be involved in the pathophysiology of GDM and reflect the fetal development. Future work will assess the potential prognostic and therapeutic value for these findings in GDM.
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Affiliation(s)
- C Rong
- Division of Endocrinology, Drum Tower Clinical Medical College of Nanjing Medical University, Nanjing, China
| | - X Cui
- Nanjing Maternal and Child Health Medical Institute, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing, China
| | - J Chen
- Nanjing Maternal and Child Health Medical Institute, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing, China
| | - Y Qian
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing, China
| | - R Jia
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing, China
| | - Y Hu
- Division of Endocrinology, Drum Tower Clinical Medical College of Nanjing Medical University, Nanjing, China
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Long W, Shi Z, Fan S, Liu L, Lu Y, Guo X, Rong C, Cui X, Ding H. Association of maternal KIR and fetal HLA-C genes with the risk of preeclampsia in the Chinese Han population. Placenta 2014; 36:433-7. [PMID: 24951171 DOI: 10.1016/j.placenta.2014.05.008] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Revised: 05/21/2014] [Accepted: 05/24/2014] [Indexed: 01/05/2023]
Abstract
INTRODUCTION This study is to investigate the distribution of inhibitory and activating killer-cell immunoglobulin-like receptors (KIRs) and the combination of KIR/human leukocyte antigen (HLA)-C in women with preeclampsia in the Chinese Han population. METHODS A total of 271 patients and 295 controls were enrolled in our study. The inhibitory/activating KIR and HLA-C genes were detected using the PCR-SSP (polymerase chain reaction with sequence-specific primers) method. RESULTS Our result showed that decreased numbers of individual activating KIR genes (2DS2, 2DS3, and 2DS5) were observed in women with preeclampsia. Furthermore, the gene frequency of total activating KIRs was significantly lower in patients compared with that of the controls (P = 0.03). The frequency of the KIR2DL1 gene was increased in women with preeclampsia when a homozygous HLA-C2 allele appeared in the fetus. CONCLUSION The results suggest that a KIR genetic variation might influence the risk of preeclampsia. The lack of activating KIRs could possibly lower uterine natural killer (uNK) cell activation, thereby contributing to the pathogenesis of preeclampsia. Moreover, the imbalance of the inhibitory or activating signals at the maternal-fetal interface seems to play a regulatory role in the occurrence of preeclampsia.
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Affiliation(s)
- W Long
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China
| | - Z Shi
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China
| | - S Fan
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China
| | - L Liu
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China
| | - Y Lu
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China
| | - X Guo
- Maternal and Child Health Medical Institute, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China
| | - C Rong
- Maternal and Child Health Medical Institute, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China
| | - X Cui
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China.
| | - H Ding
- Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China.
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Hong Y, Zhijun H, Jingjing C, Rong C, Ming C. Amlodipine plus telmisartan or amiloride for hypertension in moderate and high-risk patients. Heart 2011. [DOI: 10.1136/heartjnl-2011-300867.567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Jingli C, Rong C, Rubai X. Influence of colorectal laparoscopic surgery on dissemination and seeding of tumor cells. Surg Endosc 2006; 20:1759-61. [PMID: 17024537 DOI: 10.1007/s00464-005-0694-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2005] [Accepted: 04/11/2006] [Indexed: 10/24/2022]
Abstract
BACKGROUND This study aimed to compare the influence of colorectal laparoscopic surgery and conventional surgery on dissemination and seeding of tumor cells. METHODS Intraoperative peritoneal lavage cytology was performed for 36 patients with colorectal cancer during colorectal laparoscopic surgery and for 45 patients with colorectal cancer during conventional surgery. Cytology was examined twice: immediately after opening of the peritoneal cavity and just before closure of the abdomen. Saline was poured into the peritoneal cavity, and 100 ml fluid was retrieved after irrigation. Laparoscopic instruments were lavaged after surgery with 100 ml of saline. Carbon dioxide (CO(2)) was derived through the trocar side orifice after pneumoperitoneum during laparoscopic coloectomy and filtered through 100 ml of saline. Cytologic examination of the filtrate was performed after the filtration process, smear, cell block, and staining. RESULTS Malignant cells were not detected in the CO(2) filtrate gas. The incidence of positive cytology in the lavage of the instruments during laparoscopic surgery was 2.78%. The incidence of positive cytology during laparoscopic surgery was 33.33% in the prelavage and 8.33% in the postlavage. The incidence of positive cytology during conventional surgery was 33.33% in the prelavage and 11.11% in the postlavage. CONCLUSION During colorectal laparoscopic surgery, CO(2) pneumoperitoneum does not affect tumor cell dissemination and seeding. In this study, laparoscopic techniques used in colorectal cancer surgery were not associated with a greater risk for intraperitoneal dissemination of cancer cells than the conventional technique.
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Affiliation(s)
- C Jingli
- Department of General Surgery, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang Province, People's Republic of China.
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