Effectiveness of the ALT/AST ratio for predicting insulin resistance in a Korean population: A large-scale, cross-sectional cohort study

Insulin resistance is a common pathophysiology in patients with type 2 diabetes mellitus, cardiovascular disease, and non-alcoholic fatty liver disease. Thus, screening for the risk of insulin resistance is important to prevent disease progression. We evaluated the alanine aminotransferase/aspartate aminotransferase (ALT/AST) ratio to predict insulin resistance in the general population, regardless of comorbidities. Datasets from the 2015, 2019, and 2020 Korea National Health and Nutrition Examination Surveys were used, and the following four indices were implemented to indicate insulin resistance: fasting serum glucose, insulin, homeostatic model assessment for insulin resistance (HOMA-IR), and β-cell function. We analyzed the degree of association between the liver enzyme profile and insulin resistance indices using Pearson's correlation coefficient and determined the associations using linear or logistic regression analysis. Accordingly, ALT levels in both sexes were positively and consistently correlated with the four aforementioned insulin resistance indices in stratification analyses based on diabetes, dyslipidemia, alcohol consumption, and obesity status. In multivariate linear regression, when comparing with ALT levels, the ALT/AST ratio exhibited superior predictive performance for fasting serum glucose and HOMA-β in Korean men and improved outcomes for all insulin resistance indices in Korean women. In this analysis that included a large community-based population, the ALT/AST ratio was a more useful predictive marker than the HOMA-IR. Regarding the predicted presence or absence of insulin resistance, the ALT/AST ratio could better predict HOMA-IR than the ALT level alone in Koreans. A simple, precise marker that represents the ALT/AST ratio could be a practical method to screen for insulin resistance in the general population, regardless of diabetes mellitus, alcohol intake, and sex.

Association of triglyceride/high-density lipoprotein cholesterol ratio with subclinical inflammation and 10-year cardiovascular disease risk as determined by Framingham risk scores in Korean male smokers

Various risk factors and the multifactorial pathophysiology of cardiovascular disease (CVD) have been studied. We focused on the interaction between insulin resistance and inflammatory processes. Thus, we analyzed the association of triglyceride/high-density lipoprotein cholesterol (TG/HDL) ratio with subclinical inflammation and CVD risk in male smokers. We retrospectively reviewed medical records from the Health Promotion Center of Severance Hospital in Korea between 2015 and 2017. Subjects were currently smoking men aged 30 to 59, with leukocyte counts within the normal range, for a total of 1,566. We grouped participants into four groups using the median TG/HDL ratio and the median leukocyte count. The odds ratio (OR) of high Framingham 10-year CVD risk (≥10%) was calculated using multiple logistic regression. The median Framingham 10-year CVD risk increased significantly from Group 1 (low leukocyte count, low TG/HDL ratio) to Group 4 (high leukocyte count, high TG/HDL ratio). The OR for Group 4 was 2.46 compared with Group 1 after adjusting for various CVD risk factors. In subgroup analysis, the OR of the highest leukocyte group was 1.57 compared to the lowest leukocyte group after adjusting for other variables. In conclusion, TG/HDL ratio and subclinical inflammation were positively related to CVD risk in Korean male smokers.

Association of triglyceride/high-density lipoprotein cholesterol ratio with subclinical inflammation and 10-year cardiovascular disease risk as determined by Framingham risk scores in Korean male smokers

Various risk factors and the multifactorial pathophysiology of cardiovascular disease (CVD) have been studied. We focused on the interaction between insulin resistance and inflammatory processes. Thus, we analyzed the association of triglyceride/high-density lipoprotein cholesterol (TG/HDL) ratio with subclinical inflammation and CVD risk in male smokers. We retrospectively reviewed medical records from the Health Promotion Center of Severance Hospital in Korea between 2015 and 2017. Subjects were currently smoking men aged 30 to 59, with leukocyte counts within the normal range, for a total of 1,566. We grouped participants into four groups using the median TG/HDL ratio and the median leukocyte count. The odds ratio (OR) of high Framingham 10-year CVD risk (≥10%) was calculated using multiple logistic regression. The median Framingham 10-year CVD risk increased significantly from Group 1 (low leukocyte count, low TG/HDL ratio) to Group 4 (high leukocyte count, high TG/HDL ratio). The OR for Group 4 was 2.46 compared with Group 1 after adjusting for various CVD risk factors. In subgroup analysis, the OR of the highest leukocyte group was 1.57 compared to the lowest leukocyte group after adjusting for other variables. In conclusion, TG/HDL ratio and subclinical inflammation were positively related to CVD risk in Korean male smokers.

First Report of Soybean Pod and Stem Blight Caused by Diaporthe phaseolorum var. sojae in Taiwan

Genera, Diaporthe and Phomopsis, from an important pathogenic complex of soybean (Glycine max) throughout the world, cause reductions in plant stands, yield, and seed health and quality (1). In a study of the Diaporthe/Phomopsis complex in Taiwan in March 2008, four stem samples with black fruiting structures in linear rows on senescent soybean were collected from the research fields at AVRDC, Shanhua, Tainan, Taiwan. Unidentified fungal isolates were obtained by surface disinfection of infected stems and plating excised tissues on potato dextrose agar (PDA). Colonies of the isolates showed ropelike white mycelia with yellowish tonalities. Small and scattered black stromata were observed frequently in the medium. Mutic pycnidia were found solitarily or aggregated in conidiomata on PDA plates after 10 days of incubation at 24°C with a 12-h photoperiod with near-UV light. All isolates produced α-conidia that measured 8.78 × 3.32 (7.00 to11.00 × 3.00 to 4.00) μm, and sporadically, β-conidia of 30.58 × 0.85 (26.00 to 33.00 × 0.60 to 1.20) μm. Perithecia were not observed in the collected stem samples or the fungal cultures on PDA. Restriction fragment length polymorphism patterns of the PCR products amplified by ITS₄ and ITS₅ primers for all isolates were identical to the patterns reported for Diaporthe phaseolorum var. sojae (3). Thus, all isolates were identified as D. phaseolorum var. sojae on the basis of morphologic and genetic characteristics (2,3). Pathogenicity was confirmed through inoculations during the V2 growth stage of soybean seedlings by atomizing conidial suspensions (1 × 10⁷ α-conidia/ml) of each isolate on soybean seedlings as well as by injecting the inoculum into soybean stems separately. Four plants in each of three replications were inoculated for each method and six noninoculated plants served as controls. Plants were incubated in a growth chamber at 25°C and maintaining relative humidity at 100% by a humidifier for 48 h in darkness; thereafter, plants were maintained in the greenhouse at temperatures ranging from 23 to 34°C. Seven days after inoculation, red-brown leaf spots and coalescent lesions were observed on seedlings atomized by inoculum suspensions, as well as brown lesions and black pycnida in linear rows observed on plants inoculated by stem injection. No symptoms were observed on noninoculated plants. The fungal isolates obtained from inoculated soybeans were morphologically identical to those used as inoculum. The pathogenicity test was repeated twice. To our knowledge, this is the first explicit report identifying the causal agent of soybean pod and stem blight in Taiwan. The vouchers of infected specimens are available at AVRDC-The World Vegetable Center. Reference: (1) R. P. Mulrooney. Plant Dis. 70:600, 1988. (2) R. N. Pioli et al. Phytopathology 93:136, 2003. (3) A. W. Zhang et al. Phytopathology 88:1306, 1998.

The assessment of ankle joint forces during the postural balance control movement

The purpose of this study was to calculate three-dimensional angular displacements, moments and joint reaction forces of the ankle joint during the waist pulling, and then, we assessed the reaction forces and bone-on-bone forces within ankle joint during postural balance control movement. With experiments and MATLAB simulation we could calculate ankle joint kinematic and kinetic data. The results presented in this study will be useful data for understanding the injury mechanism of ankle joint during postural balance control.

High glucose dialysis solutions increase synthesis of vascular endothelial growth factors by peritoneal vascular endothelial cells

OBJECTIVE

Increased peritoneal vasculature has been reported in long-term peritoneal dialysis (PD), and vascular endothelial growth factors (VEGFs) have been found in dialysate. High concentrations of glucose or lactate, glucose degradation products (GDPs), and low pH of dialysis solutions are all possible factors in increased peritoneal VEGF synthesis. In this study, we investigated the effects of high glucose dialysis solutions on VEGF synthesis by peritoneal vascular endothelial cells (PVECs).

METHODS

The PVECs were isolated from rat omentum and were incubated for 4 hours in three different culture media [M199 media (control), conventional dialysis solutions containing 4.25% glucose diluted with an equal volume of M199 media (HGD), and M199 media containing 118 mmol/L mannitol as an osmolar control (mannitol)]. Levels of VEGF protein in the culture supernatant were measured by ELISA, and mRNA expression was determined by Northern blot analysis. Data are presented as percent of control.

RESULTS

After incubation for 4 hours, the number of cells did not differ between the 3 groups. Levels of VEGF in culture supernatant were significantly higher in the HGD group (124% +/- 19%, p = 0.006) as compared with the control and mannitol (85% +/- 10%) groups. The mRNA expression of VEGF appeared to be higher in the HGD group (128% +/- 49%) than in the control and mannitol (94% +/- 18%) groups.

CONCLUSION

High glucose dialysis solutions increased VEGF synthesis by PVECs. The relationship between VEGF synthesis by PVECs and neovascularization of the peritoneum observed in long-term peritoneal dialysis patients has to be studied further.

Perception of wheezing in the elderly asthmatics

BACKGROUND

In elderly asthmatics, underdiagnosis is one of the important features. The main reason for underdiagnosis is thought to be a low frequency in complaining of symptoms due to the reduction of intellectual recognition and physical activity. Among the various symptoms, wheezing is the principal clue in diagnosing bronchial asthma, and decreased complaints for wheezing are also noted in elderly asthmatics. The objective of this study is to determine if less complaints of wheezing in elderly asthmatic is due to decrease in the development of wheezing.

METHODS

61 young (20-39 years old), 68 middle-aged (40-59 years old) and 65 elderly (older than 60 years old) stable asthmatic subjects were studied (each group shall be called, hereafter, Young Group, Middle-aged Group and Old Group, respectively). During the methacholine induced airway narrowing, lung auscultation and questionnaire survey about presence and perception of wheezing were conducted in 194 asthmatics.

RESULTS

One hundred and sixty-nine patients (87%) developed wheezing during the methacholine induced airway obstruction. The frequency of wheezing during the methacholine challenge was found to be comparable among the groups. The methacholine concentration, % fall in FEV1, and FEV1 levels of the initial detection of wheezing were not different among the groups. Among the patients who developed wheezing, 47 patients (77%), 42 patients (61.8%) and 26 patients (40%) complained of wheezing in Young, Middle and Old Group, respectively.

CONCLUSION

In conclusion, the decreased perception of wheezing is a main factor for the low frequency of complaints of wheezing in elderly asthmatics.

Improvement of tagatose conversion rate by genetic evolution of thermostable galactose isomerase

To enhance the isomerization rate of galactose into tagatose, a thermostable galactose isomerase, which was isolated from bacteria growing in a hot spring, was genetically improved using the error-prone PCR method. From 500 mutant clones, a clone showing improved conversion activity was selected. The sequence of the selected clone had five amino acid changes: His(228)-->Asp, Gly(384)-->Asp, Ser(393)-->Thr, Lys(428)-->Asn and Asp(475)-->Lys. The improved galactose isomerase had an 11-fold higher reaction rate than the original.