[Blood eosinophils and clinical features of pneumoconiosis complicated with chronic obstructive pulmonary disease: A cross-sectional study]

Objective: To analyze the correlation between peripheral blood eosinophil (EOS) level and clinical characteristics of patients with pneumoconiosis complicated with chronic obstructive pulmonary disease (COPD) . Methods: From January 2007 to November 2020, newly diagnosed patients with pneumoconiosis complicated with COPD in Beijing Chaoyang Hospital, were retrospectively analyzed. These patients were stratified into EOS<100 cells/μl group and EOS≥100 cells/μl group, taking 100 cells/μl as the cut-off value. Demographic characteristics, clinical symptoms, lung function and laboratory indexes were compared between the two groups. Results: The median EOS count of patients with pneumoconiosis complicated with COPD was 100 (40, 180) cells/μl. 50.2% (160/319) had blood eosinophil counts ≥100 cells/μl, and 11.0% (35/319) had blood eosinophil counts ≥300 cells/μl. In comparison with EOS<100 cells/μl group, EOS≥100 cells/μl group were older (P=0.035), had higher body mass index (P=0.008), and had lower forced respiratory volume in the first second (P=0.017), had higher the ratio of residual volume to total lung volume (P=0.010), and had lower diffusing capacity of the lung for carbon monoxide (P=0.008). Arterial partial pressure of oxygen was significantly reduced in EOS≥100 cells/μl group (P=0.039). The peripheral blood EOS count was negatively correlated with forced vital capacity, forced breathing volume in the first second, carbon monoxide diffusion, peak expiratory flow, and maximum mid expiratory flow as a percentage of expected values (r(s)=-0.22, -0.18, -0.19, -0.19, -0.19, P=0.000, 0.001, 0.003, 0.008, 0.002), and positively correlated with the ratio of residual air volume to total lung volume (r(s)=0.17, P=0.002) . Conclusion: There was a correlation between blood EOS count and pulmonary function parameters, can proide reference for the diagnosis and treatment of chnoric obstuctive pulmmory disease in clinical practice.

A potassium-sensing niche in Arabidopsis roots orchestrates signaling and adaptation responses to maintain nutrient homeostasis

Organismal homeostasis of the essential ion K⁺ requires sensing of its availability, efficient uptake, and defined distribution. Understanding plant K⁺ nutrition is essential to advance sustainable agriculture, but the mechanisms underlying K⁺ sensing and the orchestration of downstream responses have remained largely elusive. Here, we report where plants sense K⁺ deprivation and how this translates into spatially defined ROS signals to govern specific downstream responses. We define the organ-scale K⁺ pattern of roots and identify a postmeristematic K⁺-sensing niche (KSN) where rapid K⁺ decline and Ca²⁺ signals coincide. Moreover, we outline a bifurcating low-K⁺-signaling axis of CIF peptide-activated SGN3-LKS4/SGN1 receptor complexes that convey low-K⁺-triggered phosphorylation of the NADPH oxidases RBOHC, RBOHD, and RBOHF. The resulting ROS signals simultaneously convey HAK5 K⁺ uptake-transporter induction and accelerated Casparian strip maturation. Collectively, these mechanisms synchronize developmental differentiation and transcriptome reprogramming for maintaining K⁺ homeostasis and optimizing nutrient foraging by roots.

[Clinical characteristics, treatment and outcome of chronic mercury-related nephrotic syndrome]

Objective: To investigate the etiology, clinical features, treatment and outcome of nephrotic syndrome associated with chronic mercury poisoning. Methods: From June 2013 to April 2018, Beijing Chaoyang Hospital, Capital Medical University received 33 patients with chronic mercury-neutral nephrotic syndrome. The clinical manifestations, laboratory tests, treatment methods, and outcomes were analyzed. Results: Among the 33 patients, 27 patients had mercury exposure due to daily-life contact and the other 6 patients were caused by iatrogenic mercury. The symptom was characterized by typical nephrotic syndrome such as lower extremity edema and proteinuria at first onset. The treatment was based on mercury-removing treatment, 19 cases were treated with mercury removal alone, 16 cases were completely relieved; 10 cases were treated with mercury removal and glucocorticoids, all of which were completely relieved; 4 cases were treated with mercury removal, glucocorticoids and immunosuppressive agents, all complete remission; clinical complete remission rate is about 90.9% (30 cases in total) . Urinary mercury levels decreased the fastest between the first and second courses of mercury treatment, but the total amount of urine protein increased. As the amount of urinary mercury excreted increased, the total amount of urine protein decreased gradually (Z=2.86, P<0.01) . Conclusion: The clinical features of chronic mercury-induced nephrotic syndrome are non-specific, easy to be misdiagnosed and missed. The treatment is mainly treated with mercury removal treatment. The prognosis is good. In severe cases, glucocorticoid therapy can be supplemented.

The Transcription Factor MYB59 Regulates K+/NO3 - Translocation in the Arabidopsis Response to Low K+ Stress

Potassium and nitrogen are essential nutrients for plant growth and development. Plants can sense potassium nitrate (K⁺/NO₃ ^-) levels in soils, and accordingly they adjust root-to-shoot K⁺/NO₃ ^- transport to balance the distribution of these ions between roots and shoots. In this study, we show that the transcription factorMYB59 maintains this balance by regulating the transcription of the Arabidopsis (Arabidopsis thaliana) Nitrate Transporter1.5 (NRT1.5)/ Nitrate Transporter/Peptide Transporter Family7.3 (NPF7.3) in response to low K⁺ (LK) stress. The myb59 mutant showed a yellow-shoot sensitive phenotype when grown on LK medium. Both the transcript and protein levels of NPF7.3 were remarkably reduced in the myb59 mutant. LK stress repressed transcript levels of both MYB59 and NPF7.3 The npf7.3 and myb59 mutants, as well as the npf7.3 myb59 double mutant, showed similar LK-sensitive phenotypes. Ion content analyses indicated that root-to-shoot K⁺/NO₃ ^- transport was significantly reduced in these mutants under LK conditions. Moreover, chromatin immunoprecipitation and electrophoresis mobility shift assay assays confirmed that MYB59 bound directly to the NPF7.3 promoter. Expression of NPF7.3 in root vasculature driven by the PHOSPHATE 1 promoter rescued the sensitive phenotype of both npf7.3 and myb59 mutants. Together, these data demonstrate that MYB59 responds to LK stress and directs root-to-shoot K⁺/NO₃ ^- transport by regulating the expression of NPF7.3 in Arabidopsis roots.

NRT1.5/NPF7.3 Functions as a Proton-Coupled H+/K+ Antiporter for K+ Loading into the Xylem in Arabidopsis

Potassium and nitrogen are essential macronutrients for plant growth and have a positive impact on crop yield. Previous studies have indicated that the absorption and translocation of K⁺ and NO₃^- are correlated with each other in plants; however, the molecular mechanism that coordinates K⁺ and NO₃^- transport remains unknown. In this study, using a forward genetic approach, we isolated a low-K⁺-sensitive Arabidopsis thaliana mutant, lks2, that showed a leaf chlorosis phenotype under low-K⁺ conditions. LKS2 encodes the transporter NRT1.5/NPF7.3, a member of the NRT1/PTR (Nitrate Transporter 1/Peptide Transporter) family. The lks2/nrt1.5 mutants exhibit a remarkable defect in both K⁺ and NO₃^- translocation from root to shoot, especially under low-K⁺ conditions. This study demonstrates that LKS2 (NRT1.5) functions as a proton-coupled H⁺/K⁺ antiporter. Proton gradient can promote NRT1.5-mediated K⁺ release out of root parenchyma cells and facilitate K⁺ loading into the xylem. This study reveals that NRT1.5 plays a crucial role in K⁺ translocation from root to shoot and is also involved in the coordination of K⁺/NO₃^- distribution in plants.

Hydrogeo-chemical impacts of air sparging remediation on a semi-confined aquifer: evidences from field monitoring and modeling

Air sparging (AS) was explored for remediation of a petroleum contaminated semi-confined groundwater system in NE China. Physical, hydro-chemical and hydraulic behaviors in subsurface environment during AS were investigated with support of modeling to understand the hydrogeo-chemical impacts of AS on the aquifer. The responses of groundwater, dissolved oxygen and temperature indicated that the radius of influence of AS was up to 8-9 m, and a 3D boundary of the zone of influence (ZOI) was accordingly obtained with volume of 362 m(3). Water mounding unlike normal observations was featured by continuous up-lift and blocked dissipation. AS induced water displacement was calculated showing no obvious spreading of contaminant plume under this AS condition. Slug tests were employed before and after AS to reveal that the physical perturbation led to sharp increase in permeability and porosity. Modeling indicated that the regional groundwater flow field was not affected by AS except the physical perturbation in ZOI. Hydro-chemically increase of pH and Eh, and reduction of TDS, electrical conductivity and bicarbonate were observed in ZOI during AS. PHREEQC modeling inferred that these chemical phenomena were induced by the inorganic carbon transfer during air mixing.

Lower blood glucose, hyperglucagonemia, and pancreatic alpha cell hyperplasia in glucagon receptor knockout mice

Glucagon, the counter-regulatory hormone to insulin, is secreted from pancreatic alpha cells in response to low blood glucose. To examine the role of glucagon in glucose homeostasis, mice were generated with a null mutation of the glucagon receptor (Gcgr(-/-)). These mice display lower blood glucose levels throughout the day and improved glucose tolerance but similar insulin levels compared with control animals. Gcgr(-/-) mice displayed supraphysiological glucagon levels associated with postnatal enlargement of the pancreas and hyperplasia of islets due predominantly to alpha cell, and to a lesser extent, delta cell proliferation. In addition, increased proglucagon expression and processing resulted in increased pancreatic glucogen-like peptide 1 (GLP-1) (1-37) and GLP-1 amide (1-36 amide) content and a 3- to 10-fold increase in circulating GLP-1 amide. Gcgr(-/-) mice also displayed reduced adiposity and leptin levels but normal body weight, food intake, and energy expenditure. These data indicate that glucagon is essential for maintenance of normal glycemia and postnatal regulation of islet and alpha and delta cell numbers. Furthermore, the lean phenotype of Gcgr(-/-) mice suggests glucagon action may be involved in the regulation of whole body composition.

Milk consumption and bone mineral content in Chinese adolescent girls

A cross-sectional study of a random sample of 649 girls, aged 12-14 years (mean +/- SD: 12.9 +/- 0.6 years), in the Beijing area examined the relationship between diet and bone mineral status. Food and nutrient intakes over the past year were estimated by means of a semiquantitative food frequency questionnaire. Bone mineral content (BMC) and bone width (BW) at the distal one-third and one-tenth radius and ulna were measured by single-photon absorptiometry. Results showed Beijing pubertal girls had a low mean milk consumption (fresh and powdered milk, vitamin D-fortified milk, and yogurt) at 50 g/day (95% confidence interval [CI] 44-55 g/day whereas one-third consumed no milk at all. Mean calcium intake was 356 +/- 97 mg/day of which only 21% was provided by milk and milk products. Milk intake varied by region (rural, suburban, and urban: 9, 36, and 83 g/day, respectively, p < 0.0005) as did the proportion of milk consumers in the three areas (30%, 64%, and 91%, p < 0.0005). Bone mineral density (BMD) at the distal one-third and one-tenth radius and one-tenth ulna was positively associated with milk consumption (p < 0.05). Multiple regression analysis of BMC on foods and nutrients as well as confounding factors, including weight, bone age, Tanner stage, and School Physical Activity Score (SPAS), showed that milk intake was the only dietary factor included in the models for BMC at the four bone sites measured. The model explained 54%-65% of the variation in BMC, and milk alone accounted for up to 3.2% of the variation. Milk was the only food group with significant partial correlation with BMC. SPAS, weight, bone age, and Tanner stage each accounted for a smaller variation in BMC (<1.8%). The results indicate that milk (presumably as an integrated source of nutrients) had a beneficial effect on bone mass of Beijing pubertal girls and was a better nutritional determinant of BMC than intake of any milk nutrient alone. Promotion of milk consumption should be considered for achieving optimal bone mass in this population group.

Clinicopathologic characteristics and postoperative outcome in Japanese and Chinese patients with thoracic esophageal cancer

We evaluated the clinicopathologic findings and surgical results of 140 patients with thoracic esophageal cancer treated at Shinshu University, Japan (Shinshu group), and compared them with those from 1164 patients treated at Hebei Medical College, China (Hebei group) to determine if the two groups showed any differences. The Shinshu group had significantly higher incidences of elderly patients (>70 years of age), male patients, and tumors located at the lower esophagus (p < 0.01). In the Hebei group, although the depth of tumor invasion was more advanced, the incidence of nodal metastasis was significantly lower (p < 0.01). Operative death and postoperative complications were more frequent in the Shinshu group. Comparison of the postoperative survival curves revealed significantly longer survival of patients with pT2 or pT3 tumor in the Hebei group (p < 0.01), but there were no significant differences between the two groups when the lesions were classified by pTNM stage. This study demonstrated several differences between the patients in the two areas in regard to the clinicopathologic characteristics of thoracic esophageal cancer. The most important characteristic of the esophageal cancer in the Hebei group appears to be the low incidence of nodal metastasis.

[Clinical application and technical problems of colonic interposition for esophageal substitution]

From Jan. 1980 to Jan. 1991, A total 41 patients, including 22 patients with corrosive stricture after esophageal chemical burns, 10 patients with cancer of the laryngopharynx, 7 patients with esophageal cancer and 1 case of cardiac carcinoma, underwent of colonic interposition for esophageal substitution. This accounted 0.7% of all of the esophageal reconstruction during the same period. There were 23 cases of retrosternal colonic bypass and 18 cases of trans-hiatal inversion-stripping esophagectomy without thoracotomy. The main postoperative complications were anastomotic leakage at the cervical region and incision infection, but no mortality. The indications, choice of the colonic segment and the technical problems of this operation were discussed.

[Diagnosis and treatment of primary bronchial low-grade malignant tumors]

From Jan. 1978 to July 1992, 24 cases with primary bronchial low-grade malignant tumors were be operated at our hospital. They were collected from 1016 cases with primary pulmonary malignant tumors in the same period treated in our hospital. The incidence was 2.36%. Eleven cases were of bronchial carcinoid, 10 were mucoepidermoid, and 3 were adenoid cystic carcinoma. The preoperative disease history was average 19.6 months. The resection rate was 95.8% (23/24). Postoperative 5-year survival was 70%. Even though the operation was palliative resection, the cases can life many years with tumor. In the group, the malignancy of mucoepidermoid carcinoma was the highest. The authors agree to discard the traditional term "bronchial adenoma". The clinical and pathological characteristics of every type of the tumors were discussed.

[Analysis of 110 cases of esophagogastrostomy by intraluminal elastic circular ligation with an absorbable supporting tube]

The result of 110 cases of esophagogastrostomy by intraluminal elastic circular ligation (IECL) with an absorbable supporting tube was reported. Postoperative X-ray observation of the tube showed that its supporting effect was satisfactory. The tube-drop time was 14.7 +/- 2.5 days and unaffected by the tube size or the site of anastomosis. The supporting tube could be safely absorbed or partially fragmented and expelled from the alimentary tract. Postoperative anastomotic leakage occurred in one case (0.91%) and the cause was analysed. The use of IECL, with the merits of saving time, anastomosing tightly and leaving no suture materials in the anastomotic site, can be expected to prevent the anastomotic leakage and may provide references for other gastrointestinal anastomosis.

Study on the mechanism of interferon action (XI)--Effect of pppA2'p5'A on the level of cAMP and cGMP in macrophages

In this paper, the increase of cellular cAMP and cGMP levels in macrophages induced by ppA2'p5' A2'p5'A (briefly 2'-5'P3A3) is first reported. The optimal concentration of 2'-5' P3A3 for the elevation of cellular cGMP to the highest level is 10(-7)-10(-6) mol/L, while that for cAMP is 10(-7) mol/L. The time for cGMP to reach its peak value is 15 min and that for cAMP is 2 h, when the cells are treated with 2'-5' P3A3 at 10(-7) mol/L, which is the optimal concentration for developing biological effect of macrophages (phagocytosis). These results suggest that cGMP and cAMP may be related to, or may be the mediators for, 2'-5'P3A3 action.

[New technique of esophagogastrostomy--improved intraluminal elastic circular ligation]

199 patients with carcinoma of the esophagus or gastric cardia treated by resection and intraluminal elastic circular ligation from January 1981 to July 1986 are reported. The management of these cases is divided into three periods for convenience in analysis: period of early practice 17 cases; period of technical and instrumental refinement 117 and period of standardization 65. No anastomotic leakage was found in 65 patients during the third period, indicating that the intraluminal elastic circular ligation is practical and advisable. In addition, this ligation, basing on successful animal experiments, is simpler and more rapid as compared with the manual method. Fundamental principles of this method are discussed. At present, the supporting tube needs further improvement.