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Objective: Rare coexistence of disease or pathology Background: A flare, or flare-up, of systematic lupus erythematosus (SLE) is diagnosed by an increase in disease activity in one or more organs, new symptoms, or changes in laboratory measurements. A hematoma can occur in the sheath of the rectus abdominis following muscle trauma or rupture of an epigastric vessel, or it can occur spontaneously. This report is of a 28-year-old woman who presented with a clinical flare of SLE and abdominal pain due to rectus sheath hematoma. Case Report: A 28-year-old woman had been suspected of having SLE 9 years ago and had received glucocorticoid therapy combined with hydroxychloroquine. However, lupus flared after she discontinued glucocorticoids, and she was admitted with a 1-month history of marked generalized edema, abdominal distension, frothy urine, and massive ascites. During hospitalization, she abruptly developed a continuous, stabbing abdominal pain and a bulge over the right abdomen as a result of straining during a bowel movement. On examination, a well-demarcated round mass that measured 121×96 mm was detected in the right quadrant. Abdominal emergency computed tomography revealed a right rectus sheath hematoma (21.4×4.7 cm). After her condition improved, the patient underwent an ultrasound-guided renal biopsy and was diagnosed with class III (A/C) and class V lupus nephritis. Conclusions: This case has shown that spontaneous rectus sheath hematoma can occur without a history of trauma in a patient with an exacerbation of SLE. This association appears to be rare, and the cause is unknown. [ABSTRACT FROM AUTHOR]

Urban plants have been proven to mitigate ambient particulate matter (PM), which can benefit urban planners in their attempts to control urban air pollution. In this study, PM depositions on the leaves of 8 tree species were quantitatively analysed in 7 functional areas of the city of Nanjing, China, over the course of one year. The results demonstrated that leaf PM included different particle size fractions (PM10 and PM2.5), and differed among seasons and species. The highest amounts of total PM, PM10, and PM2.5 were found in the industrial area, and the mean values were 80.24 μg/cm2, 52.14 μg/cm2, and 15.51 μg/cm2, respectively, and the highest accumulation of total PM (60.65 μg/cm2), PM10 (37.29 μg/cm2), and PM2.5 (11.23 μg/cm2) occurred in winter. Significant differences were found between the tree species tested. Cedrus deodara exhibited high amounts of the total PM, PM10, and PM2.5 accumulations. This study examined the mass and quantity distribution of PM among tree species, and identified the particles combined with a scanning electron microscope (SEM). In terms of particle mass, 48% of the identified particles had a diameter of 10 μm, and only 18.3% of them had a diameter of 2.5 μm. In terms of particle number, the results indicated that 73% of them had a diameter of 2.5 μm, and only 5.5% of them had a diameter of 10 μm. To test the relationship between leaf traits and PM2.5 accumulation, results showed that stomata size, density, and hair were significantly related to the PM2.5 capture quantity. As far as we know, this is the first paper to present the mass and quantity distribution of the PM of different tree species in Nanjing. The results not only give comprehensive insights into the dust-retaining capability of tree species but also offer a selection of species for urban green areas where the goal is to mitigate urban airborne PM. [ABSTRACT FROM AUTHOR]

The foliar surface of plants can capture atmospheric pollutants. Foliage dust is especially useful for passive adsorption of anthropogenic polycyclic aromatic hydrocarbons (PAHs) present in total suspended particles (TSPs). The objective of this study was to compare the dust-retaining capability of typical trees along an urbanization gradient in Nanjing, China. We also studied the concentrations of 16 PAHs in the foliage dust of four typical tree species. We concluded that the dust-retaining capability of the four typical tree species generally decreased in the order: Firmiana simplex > Symplocos sumuntia > Photinia serrylata > Osmanthus fragrans. The highest amounts of dust per unit leaf area were captured by F. simplex, and the mean values were 84.57, 63.11, and 56.29 μg·cm-2 in urban, suburban, and rural areas, respectively. PAH concentrations in foliage dust in urban areas were significantly higher than those in suburban and rural areas. Our results suggested that grooves surrounding the stomata and the distribution of tomentum over the leaf surface were the most important factors affecting the accumulation of dust, by facilitating the capture of fine dust particles, which tend to have higher PAH concentrations than larger particles. Scanning electron microscopy (SEM) of the leaf surface of F. simplex revealed that it was covered by tomentum, with grooves surrounding the stomata, and identified this species as a potential biomonitor for atmospheric pollution. From this study, it is evident that PAH concentration of foliage dust can act as indicator of air pollution. [ABSTRACT FROM AUTHOR]

Renal fibrosis is the final common pathway of all progressive renal disease. Excessive and chronic activation of the Wnt/β‑catenin signaling pathway results in chronic kidney disease (CKD) progression. To mimic CKD, the present study used 5/6‑nephrectomized rats, and alterations in kidney histology, expression of β‑catenin and renal cell apoptosis were assessed. In addition, mesangial cells were cultured in vitro and transfected with β‑catenin siRNA to evaluate the effect of blocking Wnt/β‑catenin signaling on cell apoptosis and the expression of markers of renal fibrosis. The results demonstrated that CKD rat kidney tissues exhibited moderate renal fibrosis and significantly increased expression levels of β‑catenin and apoptosis associated proteins compared with sham‑operated rats. In vitro, silencing of β‑catenin by siRNA attenuated tumor necrosis factor‑α‑induced apoptosis and decreased mRNA expression levels of various markers of fibrosis, including fibronectin, transforming growth factor‑β, and collagen I, III and IV. In conclusion, inhibition of Wnt/β‑catenin signaling by β‑catenin silencing attenuated apoptosis and expression of fibrosis‑associated markers in renal cells. The present study suggested that the Wnt/β‑catenin signaling pathway may serve as a potential treatment strategy for renal fibrotic disorders. [ABSTRACT FROM AUTHOR]

The enantioselective synthesis of a new tricyclic tyrosine analogue is reported. This conformationcontrained SH2 domain ligand scaffold 2 was designed on the basis of the natural ligand, whose structure contains the elements of a tyrosine moiety having Χ¹ and Χ² angles constrained to values observed for a phosphotyrosyl (pTyr) residue bound to the p56[sup lck] SH2 domain. It represents a unique, highly constrained amino acid, which may be of value in signal transduction studies. Three key steps, an asymmetric tandem Michael addition, an intramolecular Friedel-Crafts reaction, and an intramolecular Mannich reaction, were successfully applied in the presented synthetic route. [ABSTRACT FROM AUTHOR]

Examines the enantioselective synthesis of a novel amino acid found in polyoxypeptins. Availability of chemical substrates and inexpensive reagents; Percentage of oxygen atoms in the molecules; Synthesis of cyclic sulfate.

Purpose: To determine the effect of hyperhomocysteinemia on cisp TIN-induced acute kidney damage, as well as the mechanism involved. Methods: Forty-eight healthy mice were assigned to control and model groups, having 16 and 32 mice, respectively. Cisplatin was intraperitoneally given to model mice at a level of 20 mg/kg. Serum levels of homocysteine (Hcy), BUN and creatinine (Scr) were measured in each group, and changes in kidney coefficient were calculated. Changes in levels of glucose regulatory protein 78 (GRP78) and cysteinedependent aspartate-directed protease-12 (Caspase-12) were determined with immunohistochemistry and Western blot assay. Results: Serum Hcy, BUN, Scr, renal coefficient, and the expression levels of GRP78 and Caspase-12 in kidney of model mice were markedly elevated, relative to control values (p < 0.05). However, relative to model mice, serum Hcy, BUN, Scr, renal coefficient, apoptosis level of renal tubular epithelial cells, and GRP78, Caspase-12 expression levels in renal tissue were significantly increased in the highmethionine intervention group (p < 0.05). Conclusion: Cisplatin induces acute renal injury in mice. Hyperhomocysteinemia may aggravate cisp TIN-induced acute renal injury by upregulating the expression of endoplasmic reticulum stress protein. [ABSTRACT FROM AUTHOR]

Background: Peritoneal dialysis (PD) patients have a high incidence of cardiovascular events (CVEs). Left ventricular fraction shortening (LVFS), one of the echocardiographic parameters, is an independent risk factor for mortality in previous studies. The aim of this study was to evaluate associations between LVFS and CVEs in PD patients. Methods: This was a single-center observational cohort study. Seven hundred and eighty-four PD patients were enrolled from 1 January 2012 to 1 June 2021 and followed until 1 June 2022. The primary outcome was the incidence of CVEs. PD patients were categorized into three groups according to the tertiles of LVFS levels (tertile 1-tertile 3). Kaplan-Meier method, Cox proportional hazard models and competing risk regression models were used for survival analysis. The areas under the curve (AUC) of receiver-operating characteristic analysis was used to determine the predictive values of LVFS for CVEs. A preplanned subgroup analysis was assessed according to age, gender, and the presence of hypertension and dyslipidemia, etc. Results: During a median follow-up period of 42.3 months (interquartile range 24.0-79.0 months), 259 CVEs occurred. Compared to the other two groups respectively, patients in tertile 3 group had the lowest incidence of CVEs (24.5% vs 31.6% vs 43.0%, respectively, p < 0.05). After multiple adjustments, the tertile 3 group was associated with the 45.1% decrease in the CVEs hazard compared to that of the tertile1 group (SHR = 0.549, 95%CI: 0.395-0.762, p < 0.001). Subgroup analysis demonstrated that tertile 1 group as the reference, the association between LVFS and CVEs in tertile 3 group was robust among female patients (HR = 0.506, 95%CI: 0.309-0.829, p = 0.007), aged < 45 years (HR = 0.496, 95%CI: 0.331-0.744, p = 0.001), history of hypertension (HR = 0.586, 95%CI: 0.349-0.872, p = 0.008) and combined with dyslipidemia (HR = 0.464, 95%CI: 0.269-0.799, p = 0.006). Conclusions: This study suggests that LVFS is independently associated with the increased risk of CVEs in PD patients, especially those with aged < 45 years, female, with hypertension and dyslipidemia. [ABSTRACT FROM AUTHOR]

Background: Functional impairment, malnutrition and fluid overload are prevalent in patients undergoing maintenance hemodialysis (MHD). The extracellular water/body cell mass ratio (ECW/BCM) is a new indicator reflecting fluid overload and malnutrition. A previous study has suggested that it performs better than other indices in assessing fluid status. This study investigates the relationship between pre-dialysis whole-body ECW/BCM and physical function in MHD patients. Methods: We conducted a multicenter, cross-sectional study in Guizhou Province in Southwest China. The Karnofsky Performance Status (KPS) was used to evaluate patients' functional status. Patients with KPS scores of = 80 were considered to have a functional impairment. The body composition was measured using the body composition monitor (BCM), and the value of the ECW/BCM ratio was calculated. The subjects were classified into three groups according to ECW/BCM tertiles. Multiple logistic regression models and interactive analyses were conducted. Results: The final analysis included 2818 subjects. Multivariate logistic regression analyses showed that compared with the lowest tertile (tertile 1), the adjusted odds ratio of functional impairment were 1.95 (95% CI: 1.21-3.13, p < 0.001) and 2.10 (95% CI: 1.31-3.37, p < 0.001) in the second and the third tertiles of ECW/BCM, respectively after adjusting for age, sex, current smoking status, history of stroke, heart failure, diabetes, and myocardial infarction. Subgroup analysis showed that the association existed stably across all subgroups stratified by age, gender, cognitive impairment (CI), history of stroke, heart failure, and diabetes (all p values for interaction >0.05). Conclusions: Elevated ECW/BCM is independently linked to an increased risk of functional impairment in patients with MHD. [ABSTRACT FROM AUTHOR]

Understanding the regional propensity differences of atherosclerosis (AS) development is hindered by the lack of animal models suitable for the study of the disease process. In this paper, we used 3SASCVD dogs, an ideal large animal human-like models for AS, to interrogate the heterogeneity of AS-prone and AS-resistant arteries; and at the single-cell level, identify the dominant cells involved in AS development. Here we present data from 3S-ASCVD dogs which reliably mimic human AS pathophysiology, predilection for lesion sites, and endpoint events. Our analysis combined bulk RNA-seq with single-cell RNA-seq to depict the transcriptomic profiles and cellular atlas of AS-prone and AS-resistant arteries in 3S-ASCVD dogs. Our results revealed the integral role of smooth muscle cells (SMCs) in regional propensity for AS. Notably, TNC+ SMCs were major contributors to AS development in 3S-ASCVD dogs, indicating enhanced extracellular matrix remodeling and transition to myofibroblasts during the AS process. Moreover, TNC+ SMCs were also present in human AS-prone carotid plaques, suggesting a potential origin of myofibroblasts and supporting the relevance of our findings. Our study provides a promising large animal model for pre-clinical studies of ASCVD and add novel insights surrounding the regional propensity of AS development in humans, which may lead to interventions that delay or prevent lesion progression and adverse clinical events. [ABSTRACT FROM AUTHOR]

A new method for converting a microdroplet on a piezoelectric substrate into continuous fluid flow in microchannels is presented. An interdigital transducer with 27.5 MHz center frequency is fabricated on a 1280 yx-LiNbO3 piezoelectric substrate for exciting surface acoustic wave. A PDMS (Polydimethylsiloxane) microchannel is mounted on the piezoelectric substrate. One end of the microchannel is connected with water absorbing paper, while the other end of the microchannel is in touch with a droplet to be converted. The surface acoustic wave is used for controlling the evaporation velocity of the fluid in the microchannel. Part of fluid in the droplet can be entered into the microchannel and transported there due to the evaporation and capillary effects. Red dye solution is used to demonstrate the conversion of the droplet and the transportation of the fluid in the microchannel. Results show that the droplet on the piezoelectric substrate can successfully be converted into continuous fluid. The flow velocity is increased with the power of the electric signal applied to the interdigital transducer. Average flow velocity is 0.0235μl/s when the power of the electric signal is 30.0dBm. The work is helpful for piezoelectric microfluidic devices for biochemical analysis. [ABSTRACT FROM AUTHOR]

Objective: Immune inflammatory cells and cytokines play an important role in the occurrence and development of diabetic nephropathy (DN). Acteoside has been reported to regulate the inflammation and immune response. The study aims to investigate the effects of acteoside on the expressions of MCP-1 and TGF-β1 on nephropathy in diabetic mice. Methods: C57BL/6J mice in the model group were given a single intraperitoneal injection of STZ (150 mg/kg). Model mice were divided randomly into two groups: 5 without treatment, 5 treated with acteoside. After continuous administration for 8 weeks, serum, urine, and kidney tissue were collected, then, ralated biochemical parameters, pathological characteristics and MCP-1 and TGF-β1 mRNA or protein were detected. The NRK-52E cells were divided into three groups as follows: the normal control group (NC group), the high glucose group (HS group), the high glucose+acteoside group (HS+ACT group). The expressions of MCP-1 and TGF-β1 in the mRNA and protein levels were assessed with RT-PCR, western blot and ELISA. Results: The expressions of MCP-1 and TGF-β1 were significantly enhanced in DN group and dramatically reduced after acteoside treatment. Compared with those in NC group, the expressions of MCP-1 and TGF-β1 in NRK-52E cell of HS group were sizgnificantly enhanced, while both were significantly decreased in HS+ACT group compared with HS group. Conclusion: Our findings indicate that Acteoside has protective effects on DNvia inhibiting the expressions of MCP-1 and TGF-β1. [ABSTRACT FROM AUTHOR]

Peritoneal dialysis (PD) patients have a high incidence of poor clinical outcomes, which is related to the inflammatory and nutritional status of this population. Platelet-to-albumin ratio (PAR), recently identified as a useful biomarker to monitor inflammation and nutrition, can predict a poor prognosis in various diseases. The aim of this study was to investigate the association between PAR and technique failure and mortality in PD patients. This single-center retrospective study enrolled 405 PD patients from 1 January 2011 to 31 December 2019 and collected complete demographic characteristics, clinical laboratory baseline data. The outcomes were technique failure and mortality. The associations between PAR and technique failure, death were analyzed by Cox proportional hazard models and competing risk regression models with kidney transplantation as a competing event. The areas under the curve (AUC) of receiver-operating characteristic analysis were used to determine the predictive values of PAR for technique failure and mortality. During a median follow-up period of 24.0 (range, 4.0–91.0) months, 139 (34.3%) PD patients experienced technique failure, 61 (15.1%) PD patients died. The patients with higher PAR levels had increased risk of technique failure and mortality. After adjustment for confounding factors, we found that high PAR levels were risk factor for both technique failure (subdistribution hazard ratio [SHR] 1.775; 95%CI, 1.157–2.720; p = 0.033] and mortality [SHR 3.710; 95%CI, 1.870–7.360; p < 0.001]. The predictive ability of PAR was superior to platelet and albumin based on AUC calculations for technique failure and mortality. PAR was a risk factor associated with technique failure and mortality in PD patients. [ABSTRACT FROM AUTHOR]

Objective(s): To explore the effect of verbascoside on renal fibrosis in unilateral ureteral obstruction (UUO) rats. Materials and Methods: Twenty Sprague-Dawley rats were randomly distributed into sham-operated, UUO, and UUO+Verbascoside groups. After two weeks of rat model construction, urine and blood samples were collected for biochemical analysis while kidney tissues were harvested for hematoxylin and eosin (H&E), Masson's Trichrome, and immunohistochemistry staining. Pearson coefficient was used to analyze the correlation between the two proteins. Results: Verbascoside improved UUO-induced renal dysfunction as detected by decreased serum creatinine, urea nitrogen, and urinary protein excretion rate. In UUO rats, H&E staining result revealed increased total nucleated cell number, and Masson's Trichrome staining results showed tubular interstitial fibrosis with the deposition of collagen fibrils. Besides, expressions of fibrosis-related proteins including collagen type I (COL-I), α-smooth muscle actin (a-SMA), and tissue inhibitor of metalloproteinase 2 (TIMP2) expressed higher in the UUO group. Moreover, macrophage infiltration-related factors such as CD68+, F4/80+ cells, and suppressor of cytokine signaling-3 (SOCS3) were significantly higher in the UUO group than in sham-operated rats. However, after administration with verbascoside, the accumulation of collagen fibrils and total nucleated cell numbers were mitigated. Likewise, macrophage infiltration was extenuated and fibrosis-related proteins were down-regulated in the UUO+Verbascoside rats. Correlation analysis indicated that macrophage infiltration-related markers were related to fibrosis-related factors. Conclusion: Verbascoside could alleviate renal fibrosis in UUO rats probably through ameliorating macrophage infiltration. [ABSTRACT FROM AUTHOR]

Background: The purpose of the present study was to explore the association between restingmetabolic rate (RMR) and protein-energy wasting (PEW) risk in Chinese hemodialysis patients by age and gender subgroup. Methods: RMR and body composition (body cell mass (BCM) and fat mass) of 774 patients undergoing hemodialysis were estimated by bio-electrical impedance analysis (BIA). Anthropometric data were collected by a standard measurement protocol, and the upper arm muscle circumference (AMC) was calculated. Biochemical nutritional and dialysis parameters were obtained. Linear regression analysis was used to analyze the relationship among RMR, body composition and nutritional factors. Results: The mean age was 54.96+- 15.78 years. RMR level in patients was 1463.0 (1240.5, 1669.0) kcal/d. In multiple linear regression models, BCM, left calf circumference (LCC), fat mass were the determinants association with RMR (P<0.001). Among the patients in the sample, 133 (17.2%) had been diagnosed with PEW per International Society of Renal Nutrition and Metabolism (ISRNM) criteria and 363 (46.9%) were being at risk PEW. The area under the receiver-operating characteristic curve (AUC) of RMR for predicting risk PEW was greater than RMR/BCM and RMR/body surface area (BSA). When the cutoff of RMR was 1481 kcal/d it had the higher sensitivity and specificity (82 and 42%), and the AUC was 0.68 in elderly maintenance hemodialysis (MHD) patients (P<0.001). After adjustment for potential confounders, lowest RMR quartile level (<1239) increased the risk of PEW (OR = 4.71, 95% CI: 1.33-16.64, P=0.016) in all patients. Conclusions: Older patients with PEW have a lower RMR reduction. RMR and RMR/BCM may play the role in objective screening to detect risk PEW in MHD patients, especially in males. [ABSTRACT FROM AUTHOR]

Objective(s): Acute renal ischemia may cause acute renal dysfunction due to lack of blood supply; the manifestations are renal tubular cell apoptosis, infiltration of macrophages, and microvascular destruction. Many studies have shown that erythropoietin (EPO) and vitamin D3 (VD3) can be used to prevent or treat renal ischemia-reperfusion (I/R) injury, and VD3 may interact with EPO. In the present study, the effects of the combination of VD3 and EPO in I/R acute kidney injury were studied. Materials and Methods: Rats were divided into 5 groups: sham-operated (SHAM), AKI without treatment (AKI-control), AKI treatment with VD3(AKI+VD3), AKI treatment with EPO(AKI+EPO), AKI treatment with VD3 and EPO(AKI+VD3+EPO). The effects of the combination of VD3 and EPO on AKI were assessed by histologic, inflammation, and apoptosis studies. Results: The degree of damage in renal tissue was significantly reduced in VD3, EPO, and combined groups. Combination therapy with VD3 and EPO markedly improved Creatinine clearance rate (CCr). The combined treatment group showed the lowest F4/80+ and CD68+ expressions. The expression of Bcl-2 in the combined treatment group was higher than those in VD3 group and the EPO group, while Bax's expression goes in the opposite direction. Conclusion: This provides further evidence that VD3 and EPO have beneficial effects in I/R injury via anti-inflammatory and anti-apoptosis pathways. The synergistic protective effect of VD3 and EPO is of profound significance in the development of new strategies for the prevention and treatment of acute kidney injury (AKI). [ABSTRACT FROM AUTHOR]

Alterations in messenger RNAs (mRNAs) of protein-coding genes can influence the malignant behaviors of acute lymphoblastic leukemia (ALL) cells. According to the prediction from The Cancer Genome Atlas (TCGA) database, we discovered that glutathione peroxidase 1 (GPX1) was up-regulated in acute myeloid leukemia (LAML) tissues, which pushed us to explore the feasible role and its related modulatory mechanism of GPX1 in ALL. In this research, we first proved the high expression of GPX1 in ALL cells compared with normal cells. Functional assays further revealed that the proliferation was obstructed and the apoptosis was facilitated in ALL cells with silenced GPX1. Then, both miR-491-5p and miR-214-3p that were down-regulated in ALL cells were affirmed to target GPX1. Subsequently, VPS9D1 antisense RNA 1 (VPS9D1-AS1) was recognized as the upstream regulator of miR-491-5p-miR-214-3p/GPX1 axis in a competing endogenous RNA (ceRNA) model. Importantly, we proved that VPS9D1-AS1 served as a tumor promoter in ALL through elevating GPX1. In conclusion, VPS9D1-AS1 contributed to ALL cell proliferation through miR-491-5p-miR-214-3p/GPX1 axis, hinting an optional choice for the treatment of ALL. [ABSTRACT FROM AUTHOR]

This paper studied the fermentation rules of apple cider vinegar from fruit juice, to provide a theoretical guidance for the production of apple cider vinegar. Using Fuji apples as raw materials, the process parameters (fermentation temperatnre, fermentation time, stirring speed, and inoculat ion amount) of apple cider vinegar fermentation were optimized through single-factor experiments and response surface analysis. The results indicated that the fermentation temperatnre had no significant effect on the total acid content of apple cider vinegar fermentation, the fermentation time had an extremely significant effect on the total acid content of apple cider vinegar fermentation, and the stirring speed and inoculation amount had a significant effect on the total acid content of apple cider vinegar fermentation. Through process optimization, the optimal process parameters for apple cider vinegar fermentation are fermentation temperature of 33 °C, fermentation time of 39 h, stirring speed of 1500 r/min, and acetic acid bacteria inoculation amount of 7%. Under such conditions, the total acid content of fermented apple cider vinegar is 62. 22 g/L, very close to the predicted value of the model, indicating that the process parameters of acetic acid fermentation obtained by response surface methodology ( RSM) optimization are reliable and can be used for actual production prediction. [ABSTRACT FROM AUTHOR]

This study investigated the role of insulin-like growth factor-1/insulin-like growth factor-1 receptor (IGF-1/IGF-1R) in the genesis and progression of diabetic kidney disease (DKD) in a streptozotocin (STZ)-induced mouse diabetes model. We showed elevated IGF-1 expression in the DKD kidneys after 16 wk of diabetic onset. Intraperitoneal administration of IGF-1R inhibitor (glycogen synthase kinase-3β, GSK4529) from week 8 to week 16 postdiabetes induction ameliorated urinary albumin excretion and kidney histological changes due to diabetes, including amelioration of glomerulomegaly, inflammatory infiltration, and tubulointerstitial fibrosis. The GSK4529 treatment also attenuated alterations in renal tubular expression of E-cad and matrix protein fibronectin. Moreover, renal fibrosis in DKD (without treatment) was associated with Snail1 overexpression that was effectively prevented by IGF-1R inhibition. Further experiments in cultured renal epithelial cells (NRK) showed that IGF-1 silencing reproduced in vivo effects of IGF-1R inhibition with markedly attenuated Snail1 expression and near normalization of the Ecad1 and fibronectin expression pattern. Further Snail1 silencing prevented high-glucose-induced changes without affecting IGF-1 expression, consistent with Snail1 acting downstream to IGF-1. The antifibrotic effects were also shown with benazepril or insulin treatment but to a much lesser degree. In summary, in STZ-induced diabetic mice, activation of IGF-1 in diabetic kidneys induces fibrogenesis through Snail1 upregulation. The diabetes-related histological and functional changes, as well as fibrogenesis, can be attenuated by IGF-1/IGF-1R inhibition. [ABSTRACT FROM AUTHOR]

Background: Dyslipidemia in pregnancy are associated with gestational diabetes mellitus (GDM), preeclampsia, preterm birth and other adverse outcomes, which has been extensively studied in western countries. However, similar studies have rarely been conducted in Asian countries. Our study was aimed at investigating the associations between maternal dyslipidemia and adverse pregnancy outcomes among Chinese population.Methods: Data were derived from 934 pairs of non-diabetic mothers and neonates between 2010 and 2011. Serum blood samples were assayed for fasting total cholesterol (TC), triglycerides (TG), high-density lipoprotein-cholesterol (HDL-C), and low-density lipoprotein-cholesterol (LDL-C) concentrations during the first, second and third trimesters. The present study explored the associations between maternal lipid profile and pregnancy complications and perinatal outcomes. The pregnancy complications included GDM, preeclampsia and intrahepatic cholestasis of pregnancy (ICP); the perinatal outcomes included preterm birth, small/large for gestational age (SGA/LGA) infants and macrosomia. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated and adjusted via stepwise logistic regression analysis. Optimal cut-off points were determined by ROC curve analysis.Results: After adjustments for confounders, every unit elevation in third-trimester TG concentration was associated with increased risk for GDM (OR = 1.37, 95% CI: 1.18-1.58), preeclampsia (OR = 1.50, 95% CI: 1.16-1.93), ICP (OR = 1.28, 95% CI: 1.09-1.51), LGA (OR = 1.13, 95% CI: 1.02-1.26), macrosomia (OR = 1.19, 95% CI: 1.02-1.39) and decreased risk for SGA (OR = 0.63, 95% CI: 0.40-0.99); every unit increase in HDL-C concentration was associated with decreased risk for GDM and macrosomia, especially during the second trimester (GDM: OR = 0.10, 95% CI: 0.03-0.31; macrosomia: OR = 0.25, 95% CI: 0.09-0.73). The optimal cut-off points for third-trimester TG predicting GDM, preeclampsia, ICP, LGA and SGA were separately ≥ 3.871, 3.528, 3.177, 3.534 and ≤ 2.530 mmol/L. The optimal cut-off points for third-trimester HDL-C identifying GDM, macrosomia and SGA were respectively ≤ 1.712, 1.817 and ≥ 2.238 mmol/L.Conclusions: Among Chinese population, maternal high TG in late pregnancy was independently associated with increased risk of GDM, preeclampsia, ICP, LGA, macrosomia and decreased risk of SGA. Relative low maternal HDL-C during pregnancy was significantly associated with increased risk of GDM and macrosomia; whereas relative high HDL-C was a protective factor for both of them. [ABSTRACT FROM AUTHOR]

Global maps of land cover and leaf area index (LAI) from the Moderate Resolution Imaging Spectroradiometer (MODIS) are available from the Earth Resources Observation System Data Center. Validation of these MODIS terrestrial products is crucial for scientific research. Numerous pre- and postlaunch validation activities have been completed during the last several years. However, such work was mainly located in North America, Europe, and Africa. The validated vegetation types were principally focused on woodland and savanna. In this paper, we evaluated the Collection 3 MODIS land cover (MODI2Q1) and the Collection 4 MODIS LAI (MOD15A2) prod- ucts in the North China Plain (NCP). We placed the emphasis on croplands by: 1) developing an accurate land cover map, based on the MODIS LAlIfraction of photosynthetically active radiation land cover classification scheme; 2) deriving empirical LAI validation maps, based on in situ measurement and Landsat Thematic Mapper imagery; and 3) conducting an initial MODIS validation exercise to assess the quality of MODIS products. The results indicate that an apparent misclassification exists between grasses/cereal crop and broadleaf crop biomes in the MODIS land cover product. Although MODIS LA! could resemble the general pattern of the LA! seasonal vegetation variation in the NCP, the MODIS LA! algorithm markedly underestimated LA! values (down to 2–3 m²/m²) for the April 2004 winter wheat cropland. Biorne misclassification and the atmospheric effect of cloud or aerosol were proven to decrease the value of MODIS LAI, but these impacts cannot fully explain the significant underestimation. Additional studies are needed to understand the main reasons for this underestimation in the study area. [ABSTRACT FROM AUTHOR]