bluuebunny/crossref_metadata_2025 huggingface dataset:
The Transformation of Inorganic and Methylmercury in the Presence of l-Cysteine Capped CdSe Nanoparticles
Authors: Shi Xiangming , Zhao Jing , Wang Yongchen , Mason Robert P.
Published: December 2021

Transformations of mercury (Hg) forms in the aquatic environment is a crucial aspect of Hg fate, transport and the bioaccumulation of methylmercury (CH3Hg; MeHg), which is the form that drives most human health concerns. Transformations between Hg forms on surfaces have been inadequately studied but here we report on the interaction of inorganic Hg (HgII) and MeHg with chalcogenide nanoparticles (NPs); specifically L-cysteine capped CdSe nanocrystals. The study sheds light on the transformation of the Hg species and the interaction mechanisms, by examining the product composition, reaction mass balance and the distribution between the liquid and solid phase. The results showed that the quenching of the photoluminescence (PL) of CdSe NPs was greater for HgII than MeHg, and that HgII caused significant PL quenching even when its concentration was in the nM range. Over 90% of HgII was found associated with the solid phase while most MeHg existed in the liquid phase in the experimental solutions. No dimethylmercury ((CH3)2Hg; DMeHg) was produced from the interaction of MeHg and the NPs, in contrast to findings with microparticles. However, a fast and complete MeHg transformation into HgII occurred when the MeHg + NPs mixture was exposed to light. A scheme for the MeHg degradation was derived and is presented, and it was concluded that the precipitation of HgSe accelerated the MeHg degradation. These results provide insight into the abiotic pathways for MeHg degradation in environmental waters in the presence of NPs.
Application of Atmospheric Solids Analysis Probe Mass Spectrometry for the Taxonomic Analysis of Pollen
Authors: Latinovic Adelina , Nichols David S. , Adams Vanessa M. , McQuillan Peter B.
Published: December 2021

Globally, both managed and wild pollination services are unable to meet current rates of crop production and pollination demand. Wild pollination services could be improved through the reforestation of agricultural land margins, however plant–pollinator networks remain poorly understood and the collection of key floral traits a complex process. Herein, we consider the merits of pollen as a floral trait and the application of a rapid pollen comparison method in assessing whether pollen traits are conserved at a taxonomic level. Reporting the previously unstudied, pollen fingerprints of 18 Australian plant species, these are compared against the seed crop Daucus carota L. and two naturalised Brassica hybrids. Applying atmospheric solids analysis probe mass spectrometry (ASAP-MS) for rapid pollen fingerprinting, pollens are compared through non-metric multidimensional scaling (NMDS), Jaccard index correlation and hierarchical clustering. Demonstrating the merits of this analytical method for the grouping of potential revegetation flora, we identify key pollen similarities and differences that could correlate with wild pollinator preferences.
Successional and Intraspecific Variations in Leaf Traits, Spectral Reflectance Indices and Herbivory in a Brazilian Tropical Dry Forest
Authors: Alves Alline Mendes , Espírito-Santo Mário Marcos do , Silva Jhonathan O. , Faccion Gabriela , Sanchez-Azofeifa Arturo , Ferreira Kleiperry Freitas
Published: December 2021

Leaf traits are good indicators of ecosystem functioning and can affect herbivory and leaf reflectance patterns, allowing a better understanding of changes in environmental conditions, such those observed during forest natural regeneration. The aim of this study was to evaluate the intraspecific variation in leaf traits and their influence on the pattern of herbivory and leaf reflectance in three species distributed along a successional gradient (early, intermediate and late stages) in a tropical dry forest (TDF) in northern Minas Gerais, Brazil. We sampled individuals of the following abundant tree species that occurred in multiple successional stages: Cenostigma pluviosum, Handroanthus ochraceus, and Tabebuia reticulata. We collected 10 leaves from each tree to determine the contents of chlorophyll a, b, and total, carotenoids and water, as well as the percentage of leaf area removed by herbivores and leaf specific mass (LSM). We also measured five spectral reflectance indices (Normalized Difference Vegetation Index-NDVI, Simple Ratio-SR, modified Normalized Difference-nND, modified SR-mSR and Water Index-WI) using a portable spectrometer. Our results showed intraspecific differences in most leaf traits along the successional gradient, suggesting that local adaptation may play an important role in plant community assembly. However, herbivory only differed for H. ochraceus in early and intermediate stages, but it was not affected by the leaf traits considered here. Spectral reflectance indices also differed among successional stage for all species together and for each species separately, except for T. reticulata in intermediate and late stages. Thus, leaf spectral signatures may be an important tool to the remote detection of different successional stages in TDFs, with implications for forest management.
Circular RNA, microRNA and Protein Profiles of the Longissimus Dorsi of Germany ZIKA and Sichuan White Rabbits
Authors: Zhang Xiangyu , Zhang Cuixia , Yang Chao , Kuang Liangde , Zheng Jie , Tang Li , Lei Min , Li Congyan , Ren Yongjun , Guo Zhiqiang , Ji Yang , Deng Xiaodong , Huang Dengping , Wang Gaofu , Xie Xiaohong
Published: December 2021

Due to the dietetic properties and remarkable nutritive value of rabbit meat, its industry is increasing rapidly. However, the association between circular RNAs, microRNAs, and proteins and muscle fiber type, and meat quality of rabbit is still unknown. Here, using deep sequencing and iTRAQ proteomics technologies we first identified 3159 circRNAs, 356 miRNAs, and 755 proteins in the longissimus dorsi tissues from Sichuan white (SCWrabs) and Germany great line ZIKA rabbits (ZIKArabs). Next, we identified 267 circRNAs, 3 miRNAs, and 29 proteins differentially expressed in the muscle tissues of SCWrabs and ZIKArabs. Interaction network analysis revealed some key regulation relationships between noncoding RNAs and proteins that might be associated with the muscle fiber type and meat quality of rabbit. Further, miRNA isoforms and gene variants identified in SCWrabs and ZIKArabs revealed some pathways and biological processes related to the muscle development. This is the first study of noncoding RNA and protein profiles for the two rabbit breeds. It provides a valuable resource for future studies in rabbits and will improve our understanding of the molecular regulation mechanisms in the muscle development of livestock. More importantly, the output of our study will benefit the researchers and producers in the rabbit breeding program.
Targeting TREM2 for Parkinson’s Disease: Where to Go?
Authors: Li Xiao-xian , Zhang Feng
Published: December 2021

Parkinson’s disease (PD) is one of most common neurodegenerative disorders caused by a combination of environmental and genetic risk factors. Currently, numerous population genetic studies have shown that polymorphisms in myeloid cell-triggered receptor II (TREM2) are associated with a variety of neurodegenerative disorders. Recently, TREM2 has been verified to represent a promising candidate gene for PD susceptibility and progression. For example, the expression of TREM2 was apparently increased in the prefrontal cortex of PD patients. Moreover, the rare missense mutations in TREM2 (rs75932628, p.R47H) was confirmed to be a risk factor of PD. In addition, overexpression of TREM2 reduced dopaminergic neurodegeneration in the 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine mouse model of PD. Due to the complex pathogenesis of PD, there is still no effective drug treatment. Thus, TREM2 has received increasing widespread attention as a potential therapeutic target. This review focused on the variation of TREM2 in PD and roles of TREM2 in PD pathogenesis, such as excessive-immune inflammatory response, α-Synuclein aggregation and oxidative stress, to further provide evidence for new immune-related biomarkers and therapies for PD.
Differential Affinities of a Pocillopora damicornis Galectin to Five Genera of Symbiodiniaceae at Different Temperatures
Authors: Wang Xingjuan , Wu Zhongjie , Wu Yibo , An Mingxun , Zhou Zhi , Lin Senjie
Published: December 2021

The symbiosis of coral-Symbiodiniaceae is the quintessential basis of the coral reef ecosystem, and its breakdown results in coral bleaching, one of the most severe ecological catastrophes in the ocean. Critical to the establishment of the symbiosis is the host’s specific recognition of the symbionts through the binding of the coral host’s pattern recognition receptors (PRRs) to the symbiont cell surface’s glycoconjugates. However, the molecular basis for this recognition process is poorly understood. The present study investigated the binding affinities of the coral galectin PdGLT-1 to different symbiodiniacean species under different temperatures. At 25°C, the PdGLT-1 recombinant protein (rPdGLT-1) exhibited different binding affinities to different symbiodiniacean species from five genera, with a significantly higher binding affinity (p < 0.05) to Fugacium kawagutii (2.6-fold) and Cladocopium goreaui (1.9-fold) than Symbiodinium microadriaticum. The binding topology of rPdGLT-1 differed among the five symbiodiniacean species; for S. microadriaticum, Breviolum minutum, and Durusdinium trenchii, the binding was on some specific sites on the cell surface, whereas for C. goreaui and F. kawagutii, the binding signals were detected over the whole cell surface. Interestingly, PdGLT-1 binding induced agglutination of F. kawagutii cells but not of C. goreaui, explaining why C. goreaui was the most dominant symbiodiniacean symbionts in corals. Moreover, the affinity of rPdGLT-1 to Symbiodiniaceae was affected by temperature, and the highest binding affinities were observed at 30, 20, 30, 35, and 30°C for S. microadriaticum, B. minutum, C. goreaui, D. trenchii, and F. kawagutii, respectively. The optimal binding temperatures were consistent with the current understanding that D. trenchii was the most thermal resistant among these species. These results suggest that the binding affinity of the PRR PdGLT-1 may determine the specificity of host-symbiont pairing and explain why Cladocopium is the dominant symbionts of coral P. damicornis at normal temperature, and corals with Durusdinium symbionts may survive better at high temperature.
In situ Skeletal Growth Rates of the Solitary Cold-Water Coral Tethocyathus endesa From the Chilean Fjord Region
Authors: Rossbach Susann , Rossbach Felix Ivo , Häussermann Verena , Försterra Günter , Laudien Jürgen
Published: December 2021

Cold-water corals (CWC) can be found throughout a wide range of latitudes (79°N–78°S). Since they lack the photosymbiosis known for most of their tropical counterparts, they may thrive below the euphotic zone. Consequently, their growth predominantly depends on the prevalent environmental conditions, such as general food availability, seawater chemistry, currents, and temperature. Most CWC communities live in regions that will face CaCO3 undersaturation by the end of the century and are thus predicted to be threatened by ocean acidification (OA). This scenario is especially true for species inhabiting the Chilean fjord system, where present-day carbonate water chemistry already reaches values predicted for the end of the century. To understand the effect of the prevailing environmental conditions on the biomineralization of the CWC Tethocyathus endesa, a solitary scleractinian widely distributed in the Chilean Comau Fjord, a 12-month in situ experiment was conducted. The in situ skeletal growth of the test corals was assessed at two sites using the buoyant weight method. Sites were chosen to cover the naturally present carbonate chemistry gradient, with pH levels ranging between 7.90 ± 0.01 (mean ± SD) and 7.70 ± 0.02, and an aragonite saturation (Ωarag) between 1.47 ± 0.03 and 0.98 ± 0.05. The findings of this study provide one of the first in situ growth assessments of a solitary CWC species, with a skeletal mass increase of 46 ± 28 mg per year and individual, at a rate of 0.03 ± 0.02% day. They also indicate that, although the local seawater chemistry can be assumed to be unfavorable for calcification, growth rates of T. endesa are comparable to other cold-water scleractinians in less corrosive waters (e.g., Lophelia pertusa in the Mediterranean Sea).
How Does Ocean Acidification Affect the Early Life History of Zostera marina? A Series of Experiments Find Parental Carryover Can Benefit Viability or Germination
Authors: Lowell Alyson , Infantes Eduardo , West Laura , Puishys Lauren , Hill Claudia E. L. , Ramesh Kirti , Peterson Bradley , Cebrian Just , Dupont Sam , Cox T. Erin
Published: December 2021

Elevated partial pressure of carbon dioxide (pCO2) as a concomitant of global climate change may facilitate the establishment of future seagrass meadows and subsequently its benefit could be incorporated into techniques to increase restoration success. In five manipulative experiments, we determined how increased CO2 affects the maturation of flowers, and the development of seeds and seedlings for the foundation species Zostera marina. Experiments tested the development from both seeds collected from non-treated flowering shoots (direct) and seeds harvested from flowering shoots after CO2 exposure (parental carryover). Flowering shoots were collected along the western coast of Sweden near the island of Skafto. The seeds produced were used in experiments conducted at Kristineberg, Sweden and Dauphin Island, AL, United States. Experiments varied in temperature (16, 18°C) and salinity (19, 33 ppt), as well as duration and magnitude of elevated CO2 exposure. Flowering maturation, spathe number, seed production, and indicators of seed quality did not appear to be affected by 39–69 days of exposure to CO2 conditions outside of natural variability (pCO2 = 1547.2 ± 267.60 μatm; pHT = 7.53 ± 0.07). Yet, seeds produced from these flowers showed twofold greater germination success. In another experiment, flowering shoots were exposed to an extreme CO2 condition (pCO2 = 5950.7 ± 1,849.82 μatm; pHT = 6.96 ± 0.15). In this case, flowers generated seeds that demonstrated a fivefold increase in an indicator for seed viability (sinking velocity). In the latter experiment, however, germination appeared unaffected. Direct CO2 effects on germination and seedling production were not observed. Our results provide evidence of a parental CO2 effect that can benefit germination or seed viability, but early benefits may not lead to bed establishment if other environmental conditions are not well suited for seedling development. Outcomes have implications for restoration; CO2 can be supplied to flowering shoot holding tanks to bolster success when the purpose is to redistribute seeds to locations where beds are extant and water quality is adequate.
Source Level of Antarctic Blue and Fin Whale Sounds Recorded on Sonobuoys Deployed in the Deep-Ocean Off Antarctica
Authors: Miller Brian S. , Calderan Susannah , Leaper Russell , Miller Elanor J. , Širović Ana , Stafford Kathleen M. , Bell Elanor , Double Michael C.
Published: December 2021

The source levels, SL, of Antarctic blue and fin whale calls were estimated using acoustic recordings collected from directional sonobuoys deployed during an Antarctic voyage in 2019. Antarctic blue whale call types included stereotyped song and downswept frequency-modulated calls, often, respectively, referred to as Z-calls (comprising song units-A, B, and C) and D-calls. Fin whale calls included 20 Hz pulses and 40 Hz downswept calls. Source levels were obtained by measuring received levels (RL) and modelling transmission losses (TL) for each detection. Estimates of SL were sensitive to the parameters used in TL models, particularly the seafloor geoacoustic properties and depth of the calling whale. For our best estimate of TL and whale-depth, mean SL in dB re 1 μPa ± 1 standard deviation ranged between 188–191 ± 6–8 dB for blue whale call types and 189–192 ± 6 dB for fin whale call types. These estimates of SL are the first from the Southern Hemisphere for D-calls and 40 Hz downsweeps, and the largest sample size to-date for Antarctic blue whale song. Knowledge of source levels is essential for estimating the detection range and communication space of these calls and will enable more accurate comparisons of detections of these sounds from sonobuoy surveys and across international long-term monitoring networks.
Air-Flow Impacting: A New Mechanochemical Method for Continuous, Highly Efficient, Large-Scale Synthesis of Metal–Organic Frameworks and Mechanistic Research
Authors: Zhao Jun
Published: December 2021

The novel air-flow impacting (AFI) synthesis technology for mechanochemical synthesis of MOFs (ZIF-67) was first reported. AFI was an improvement of the traditional mechanochemical synthesis method. The results indicated that ZIF-67 was successfully synthesized after 30 min at a rate of 60 kg h−1. The as-prepared ZIF-67 was characterized by Fourier transform infrared spectroscopy (FT-IR), powder x-ray diffraction (P-XRD), thermogravimetric analysis (DTA/TG), scanning electron microscope (SEM), transmission electron microscope (TEM), and single-crystal x-ray diffraction. The kinetic analysis of the reaction mechanism was carried out by detecting the P-XRD patterns of the products with different reaction times. The synthesis belonged to the one-dimensional diffusion-controlled model.
Case Report: Respiratory Management With a 47-Day ECMO Support for a Critical Patient With COVID-19
Authors: Xu Wen , Tan Ruoming , Huang Jie , Qin Shuai , Wu Jing , Qiu Yuzhen , Xie Simin , Xu Yan , Du Ying , Li Feng , Li Bailing , Li Yingchuan , Gao Yuan , Li Xin , Qu Hongping
Published: December 2021

This paper reports a complete case of severe acute respiratory distress syndrome (ARDS) caused by coronavirus disease 2019 (COVID-19), who presented with rapid deterioration of oxygenation during hospitalization despite escalating high-flow nasal cannulation to invasive mechanical ventilation. After inefficacy with lung-protective ventilation, positive end-expiratory pressure (PEEP) titration, prone position, we administered extracorporeal membrane oxygenation (ECMO) as a salvage respiratory support with ultra-protective ventilation for 47 days and finally discharged the patient home with a good quality of life with a Barthel Index Score of 100 after 76 days of hospitalization. The purpose of this paper is to provide a clinical reference for the management of ECMO and respiratory strategy of critical patients with COVID-19-related ARDS.
Association Between Bedtime at Night and Systolic Blood Pressure in Adults in NHANES
Authors: Su Yingjie , Li Changluo , Long Yong , He Liudang , Ding Ning
Published: December 2021

Objectives: This study aimed to explore the association between bedtime at night and systolic blood pressure (SBP) in adults.

Methods: We conducted a cross-sectional study composed of 7,642 individuals from the National Health and Nutrition Examination Survey (NHANES). Bedtime was defined as the response to the question: “What time do you usually fall asleep on weekdays or workdays?” SBP was taken using the average of all measured values. Multiple linear regression analyses were done to explore the relationship between bedtime and SBP.

Results: The bedtime was changed from categorical variable to continuous variable for data analysis, and a significantly negative association was identified between bedtime and SBP (β, −0.23 [95% CI, −0.43, −0.02]). With the delay of bedtime, the SBP showed a gradual decrease trend, and it was dropped to the lowest at 0:00. After 0:00, the SBP was gradually increased with the delay of sleep time. The stratified analyses showed that in the female group, with the delay of bedtime, the range of SBP was decreased more obviously at 0:00. In the 18–45 year group, bedtime had little effect on SBP. Among ≥45 years old group, this trend was still the same. In the black group, an obvious downward trend was found at 22:00.

Conclusion: With the delay of bedtime, the SBP had shown a gradual decrease trend, and it was dropped to the lowest at 0:00. After 0:00, the SBP was gradually increased with the delay of sleep time. Bedtime and SBP showed a U-shaped relationship.
Assessment of General Populations Knowledge, Attitude, and Perceptions Toward the Coronavirus Disease (COVID-19): A Cross-Sectional Study From Pakistan
Authors: Khattak Saadullah , Khan Maqbool , Usman Tahir , Ali Johar , Wu Dong-Xing , Jahangir Muhammad , Haleem Kashif , Muhammad Pir , Rauf Mohd Ahmar , Saddique Kamran , Khan Nazeer Hussain , Li Tao , Wu Dong-Dong , Ji Xin-Ying
Published: December 2021

Background: Coronavirus disease 2019 (COVID-19) is a global health threat and caused a universal psychosocial impact on the general population. Therefore, the knowledge, attitude, and perceptions (KAPs) of the general population are critical for the development and effective implementation of standard operating procedures (SOP) to contain the contagion and minimize the losses. Therefore, the current study was conducted to understand and evaluate the KAPs of Pakistani populations toward the COVID-19.

Methods: An online cross-sectional study was carried out among participants from 1 May to 30 July 2020 in different areas of Pakistan. The respondents of the study were the general population with age ≥ 18 years. The poll URL was posted on several channels after a call for participation. Other social media platforms such as WeChat, WhatsApp, Facebook, Twitter, Instagram, Messenger, and LinkedIn were engaged to maximize general population engagement. The questionnaire included details about sociodemographic, knowledge about COVID-19, perceptions toward universal safety precautions of COVID-19, and beliefs attitude toward the COVID-19. The obtained data were exported into a Microsoft Excel spreadsheet and SPSS software version 21 for windows. The descriptive statistics values were presented in frequencies and percentages. Binary logistic regression, Chi-square test, and one-way ANOVA were applied to analyze the participants' socio-demographic characteristics and variables related to KAPs. P-value < 0.05 was recorded as significant.

Results: A total of 1,000 participants were invited of which 734 participated in this study. The response rate was 73.4% (734/1,000). The gender, marital status, education, and residence showed a significant association with the knowledge score. The majority of the study participants were thinking that COVID-19 may be more dangerous in elderly individuals 94.5% (n = 700), and individuals with chronic diseases or severe complications 96.7% (n = 710) (p = 0.00). More than half of the participants 52.5% (n = 385) showed their concern that either they or their family members might get the infection. More than 98% (n = 703), (P-value = 0.00) of the participants held that COVID-19 would be successfully controlled in Pakistan by following the standard SOPs and government guidelines.

Conclusion: This study showed that the general population of Pakistan has good awareness and reasonable attitudes and perceptions toward the full features of the COVID-19. The current study suggests that mass-level effective health education programs are necessary for developing countries to improve and limit the gap between KAP toward COVID-19.
Elizabethkingia miricola Causes Intracranial Infection: A Case Study
Authors: Gao Hongguang , Li Tian , Feng Li , Zhang Shu
Published: December 2021

Background:Elizabethkingia miricola is a rarely encountered bacterium in clinical practice. It is a rare gram-negative rod-shaped bacterium associated with lung and urinary tract infections, but never found in cerebrospinal fluid. This paper reports a case of an adult patient infected by E. miricola via an unknown route of infection causing a severe intracranial infection. Elizabethkingia miricola was detected by culture and Metagenomic next generation sequencing in CSF. Early identification of this strain and treatment with sensitive antibiotics is necessary to reduce morbidity and mortality.

Case Report: A 24-year-old male was admitted to a West China Hospital because of headache and vomiting for 2 months. Symptom features included acute onset and long duration of illness. Notably, headache and vomiting were the primary neurological symptoms. Routine cerebrospinal fluid culture failed to identify the bacterium; however, Elizabethkingia miricola bacterium was detected via second-generation sequencing techniques. Elizabethkingia miricola was found to be a multi-drug resistant organism, hence, treatment with ceftriaxone, a commonly used drug for intracranial infections was ineffective. This strain eventually caused severe intracranial infection resulting in the death of the patient.

Conclusion: In summary, this study comprehensively describes a case of an adult patient infected by E. miricola and discusses its early identification as well as application of sensitive antibiotics in the emergency setting.
Association Between Helicobacter Pylori Infection and Non-alcoholic Fatty Liver Disease, Hepatic Adipose Deposition and Stiffness in Southwest China
Authors: Liu Ying , Li Dongyu , Liu Yuping , Shuai Ping
Published: December 2021

Background: Both nonalcoholic fatty liver disease (NAFLD) and Helicobacter pylori (H. pylori) infection have high prevalence worldwide, and the relationship between both remains controversial. We try to investigate whether H. pylori infection is associated with NAFLD and increased liver fat deposition and stiffness in this cross-sectional study.

Methods: The physical examination data of 5,665 subjects were obtained from February 2018 to June 2019 in this study. Clinical and biochemical data were collected. NAFLD was diagnosed using abdominal color Doppler ultrasonography. Liver steatosis and stiffness were understood by two parameters of transient elastography (TE): fat attenuation parameter (FAP) and liver stiffness measurement (LSM). H. pylori infection was determined using the 13C urea breath tests.

Results: The total prevalence of NAFLD and H. pylori infection was 30.2 and 37.0%, respectively. In men, the prevalence of NAFLD and the levels of FAP and LSM in H. pylori-positive group were significantly higher than H. pylori-negative group (all p < 0.01), but no significant difference was found in women. In men, the infection rate of H. pylori in NAFLD group and LSM ≥ 7.4 kPa group was significantly higher than control group. Multivariate logistic regression analysis revealed that H. pylori infection was not independently associated with NAFLD and FAP ≥ 240 dB/m. However, H. pylori infection was associated with LSM ≥ 7.4 kPa in men.

Conclusions: Our study suggests that H. pylori infection is not significantly associated with NAFLD and elevated liver steatosis, whereas it may be the risk factor of elevated liver stiffness in men.
Association of Psoriasis With Anxiety and Depression: A Case–Control Study in Chinese Patients
Authors: Jing Danrong , Xiao Hui , Shen Minxue , Chen Xiang , Han Xi , Kuang Yehong , Zhu Wu , Xiao Yi
Published: December 2021

Background: Patients with psoriasis are prone to suffer from anxiety and depression during their lifetime. This study aimed to investigate the association of psoriasis with anxiety and depression in Chinese patients.

Methods: A case-control study in Chinese patients with psoriasis vulgaris and healthy controls was conducted. Clinical information based on patient-reported, clinical information, and reliable structured questionnaires were collected. Multivariable logistic regression was used to investigate the associations, in terms of adjusted odds ratios (AORs).

Results: We continuously selected 1,571 patients who were firstly diagnosed with psoriasis vulgaris, and 1,571 healthy controls, matched by age and sex. The risk of depression in the psoriasis vulgaris group was higher than that in the healthy controls (AOR = 1.30, P = 0.047), while no differences were found in the risk of anxiety between the two groups (AOR = 1.18, P = 0.381). Subgroup analysis by disease onsets showed that late-onset psoriasis (LOP) was significantly associated with a higher risk of anxiety (AOR = 1.47, P = 0.033) and depression symptoms (AOR = 1.85, P = 0.012) but not with early-onset psoriasis (EOP). Subgroup analysis by disease severity indicated that no difference was observed in the associations of mild psoriasis vulgaris, moderate-to-severe psoriasis vulgaris with anxiety and depression.

Conclusion: Patients with psoriasis vulgaris were more likely to develop depression compared with the general population. LOP patients were positively associated with anxiety and depression. We believe the screening of emotional disorders should be included in the daily management of psoriasis patients.
Dynamic R2' Imaging can Be a Biomarker for Diagnosing and Staging Early Acute Kidney Injury in Animals
Authors: Zhang Bihui , Yao Ziping , Gao Weizheng , Wang Chengyan , Kong Hanjing , Zhang Jue , Yang Min
Published: December 2021

Background: Early diagnosis of acute kidney injury (AKI) is essential in clinical settings. None of the current biomarkers are widely applied. The combination of pulse-shifting multi-echo asymmetric spin-echo sequence (psMASE) and a modified hemodynamic response imaging (HRI) technique is promising. The purpose of this study was to evaluate the feasibility of psMASE combined with HRI in detecting early ischemic AKI in animal models of different severities.

Methods: Twenty rabbits were divided into four groups (mild, moderate, and severe AKI and control groups). Transarterial embolization with different doses of microspheres was performed to establish AKI animal models of different severities. The 3T psMASE and HRI scans of kidneys were conducted. The R2*, R2, and R2' during room air and gas stimulation were acquired and the difference of R2' (dR2') was evaluated in different AKI groups.

Results: The values were not different in R2* and R2 during room air and in R2* and R2, and R2' during gas stimulation. The value of R2' was significantly different during room air (P = 0.014), but the difference was only found between control and moderate/severe AKI groups (P = 0.032 and 0.022). The values of dR2' were different among groups (P < 0.0001) and differences between every two groups except comparison of moderate and severe AKI groups were significant (P < 0.01).

Conclusion: The dR2' imaging acquired by a combination of renal psMASE and HRI technique can serve as a potential quantitative biomarker for early detection and staging of AKI.
HAT2CH2 Score Predicts Systemic Thromboembolic Events in Elderly After Cardiac Electronic Device Implantation
Authors: Chen Ju-Yi , Chen Tse-Wei , Lu Wei-Da
Published: December 2021

Background: The HAT2CH2 score has been evaluated for predicting new onset atrial fibrillation, but never for adverse systemic thromboembolic events (STE) in elderly. We aimed to evaluate the HAT2CH2 score and comparing to atrial high rate episodes (AHRE) ≥24 h for predicting STE in older patients with cardiac implantable electronic devices (CIED) implantation.

Methods: We retrospective enrolled 219 consecutive patients ≥ 65 years of age undergoing CIED implantation. The primary endpoint was subsequent STE. For all patients in the cohort, the CHA2DS2-VASc, C2HEST, mC2HEST, HAVOC, HAT2CH2 scores and AHRE ≥ 24 h were determined. AHRE was defined as > 175 bpm lasting ≥ 30 s. Multivariate Cox regression analysis with time-dependent covariates was used to determine variables associated with independent risk of STE.

Results: The median patient age was 77 years, and 61.2% of the cohort was male. During follow-up (median, 35 months), 16 STE occurred (incidence rate, 2.51/100 patient-years; 95% CI, 1.65–5.48). Multiple Cox regression analysis showed that the HAT2CH2 score (HR, 3.405; 95% CI, 2.272–5.104; p < 0.001) was an independent predictor for STE. The optimal HAT2CH2 score cutoff value was 3, with the highest Youden index (AUC, 0.907; 95% CI, 0.853–0.962; p < 0.001). The STE rate increased with increasing HAT2CH2 score (p < 0.001).

Conclusions: This study is the first to show the prognostic value of the HAT2CH2 score for STE occurrence in older patients with CIEDs.
Tocilizumab in the Treatment of Chronic Antibody-Mediated Rejection Post Kidney Transplantation: Clinical and Histological Monitoring
Authors: Noble Johan , Giovannini Diane , Laamech Reda , Imerzoukene Farida , Janbon Bénédicte , Marchesi Laura , Malvezzi Paolo , Jouve Thomas , Rostaing Lionel
Published: December 2021

Introduction: Chronic antibody-mediated rejection (cAMR) has very few effective therapeutic options. Interleukin-6 is an attractive target because it is involved in inflammation and humoral immunity. Therefore, the use of tocilizumab (anti-IL6 receptor, TCZ) is a potential valuable therapeutic option to treat cABMR in kidney-transplant (KT) recipients.

Materials and Methods: This single-center retrospective study included all KT recipients that received monthly TCZ infusions in the setting of cABMR, between August 2018 and July 2021. We assessed 12-month renal function and KT histology during follow-up.

Results: Forty patients were included. At 12-months, eGFR was not significantly different, 41.6 ± 17 vs. 43 ± 17 mL/min/1.73 m2 (p = 0.102) in patients with functional graft. Six patients (15%) lost their graft: their condition was clinically more severe at the time of first TCZ infusion. Histological follow-up showed no statistical difference in the scores of glomerulitis, peritubular capillaritis, and interstitial fibrosis/tubular atrophy (IFTA). Chronic glomerulopathy score however, increased significantly over time; conversely arteritis and inflammation in IFTA ares improved in follow-up biopsies.

Conclusion: In our study, the addition of TCZ prevented clinical and histological worsening of cABMR in KT recipients, except for more severely ill patients. Randomized studies are needed to clarify the risk/benefit of TCZ in cABMR.
Association Between Uric Acid and Worsening Peripheral Microangiopathy in Systemic Sclerosis
Authors: Pagkopoulou Eleni , Soulaidopoulos Stergios , Triantafyllidou Eva , Malliari Afrodite , Kitas George D. , Garyfallos Alexandros , Dimitroulas Theodoros
Published: December 2021

Objective: The key element in the pathogenesis of systemic sclerosis (SSc) is microcirculatory changes in several vascular beds. Uric acid is associated with endothelial dysfunction and therefore, microvascular damage. The aim of this study was to examine the association between uric acid (UA) and peripheral microvascular involvement in patients with SSc.

Methods: We included consecutive, consenting patients with SSc. Serum UA, urea and creatinine were measured, and glomerular filtration rate (GFR) was calculated with CKD-EPI. All participants underwent nailfold video-capillaroscopy (NVC) to evaluate the microcirculation.

Results: A total of 64 patients (95.3% women) were included in the study. UA levels were significantly associated with the number of avascular areas (r = 0.290; p = 0.020), whereas no correlation was shown for the GFR (r = −0.065; p = 0.609). A significant trend of UA in the three capillaroscopic patterns was shown (3.90 ± 1.52 vs. 4.15 ± 0.98 vs. 5.38 ± 2.26; for early, active, and late patterns respectively, p = 0.028). Multivariate analysis showed that male gender (β = 3.049; 95% CI = 0.997–5.101) and UA (β = 0.352; 95% CI = 0.117–0.588) were independently associated with the number of avascular areas.

Conclusion: These data suggest that UA levels are significantly associated with the capillaroscopic patterns, reflecting a progressive microvasculopathy.
Association of Prior to Intensive Care Unit Statin Use With Outcomes on Patients With Acute Kidney Injury
Authors: Tu Boxiang , Tang Yuanjun , Cheng Yi , Yang Yuanyuan , Wu Cheng , Liu Xiaobin , Qian Di , Zhang Zhansai , Zhao Yanfang , Qin Yingyi , He Jia
Published: December 2021

Purpose: To evaluate the association of prior to intensive care unit (ICU) statin use with the clinical outcomes in critically ill patients with acute kidney injury (AKI).

Materials and Methods: Patients with AKI were selected from the Medical Information Mart for Intensive Care IV (version 1.0) database for this retrospective observational study. The primary outcome was 30-day intensive care unit (ICU) mortality. A 30-day in-hospital mortality and ICU length of stay (LOS) were considered as secondary outcomes. Comparison of mortality between pre-ICU statin users with non-users was conducted by the multivariate Cox proportional hazards model. Comparison of ICU LOS between two groups was implemented by multivariate linear model. Three propensity score methods were used to verify the results as sensitivity analyses. Stratification analyses were conducted to explore whether the association between pre-ICU statin use and mortality differed across various subgroups classified by sex and different AKI stages.

Results: We identified 3,821 pre-ICU statin users and 9,690 non-users. In multivariate model, pre-ICU statin use was associated with reduced 30-day ICU mortality rate [hazard ratio (HR) 0.68 (0.59, 0.79); p < 0.001], 30-day in-hospital mortality rate [HR 0.64 (0.57, 0.72); p < 0.001] and ICU LOS [mean difference −0.51(−0.79, −0.24); p < 0.001]. The results were consistent in three propensity score methods. In subgroup analyses, pre-ICU statin use was associated with decreased 30-day ICU mortality and 30-day in-hospital mortality in both sexes and AKI stages, except for 30-day ICU mortality in AKI stage 1.

Conclusion: Patients with AKI who were administered statins prior to ICU admission might have lower mortality during ICU and hospital stay and shorter ICU LOS.
Metagenomic Next-Generation Sequencing of Cerebrospinal Fluid for the Diagnosis of Cerebral Aspergillosis
Authors: Xing Xiao-Wei , Yu Su-Fei , Zhang Jia-Tang , Tan Rui-Shu , Ma Yu-Bao , Tian Xia , Wang Rong-Fei , Yao Guo-En , Cui Fang , Gui Qiu-Ping , Yu Sheng-Yuan
Published: December 2021

Purpose: Cerebral aspergillosis (CA) is a rare but often fatal, difficult-to-diagnose, opportunistic infection. The utility of metagenomic next-generation sequencing (mNGS) for diagnosis of CA is unclear. We evaluated the usefulness of mNGS of the cerebrospinal fluid (CSF) for the diagnosis of CA.

Methods: This prospective study involved seven consecutive patients with confirmed CA in whom CSF mNGS was performed. Serum (1→3)-β-D-glucan and galactomannan levels were determined, and histopathological examination and mNGS of the CSF were conducted. CSF specimens from three non-infected patients were used as positive controls.

Results: mNGS of the CSF was positive in six of the seven confirmed CA cases (85.71% sensitivity). In the cryptococcal meningitis group (control), mNGS of the CSF was positive for Aspergillus in two patients (84.62% specificity). The positive likelihood ratio, negative likelihood ratio, and Youden’s index of mNGS for CA in the CSF were 5.565, 0.169, and 0.7, respectively. Among the six mNGS-positive cases, more than two Aspergillus species were found in four (4/6, 66.67%). In the positive controls, the addition of one A. fumigatus spore yielded a standardised species-specific read number (SDSSRN) of 25.45 by mNGS; the detection rate would be 0.98 if SDSSRN was 2.

Conclusion: mNGS facilitates the diagnosis of CA and may reduce the need for cerebral biopsy in patients with suspected CA.

Trial Registration Number: Chinese Clinical Trial Registry, ChiCTR1800020442.
High Expression of Glycolytic Genes in Clinical Glioblastoma Patients Correlates With Lower Survival
Authors: Stanke Kimberly M , Wilson Carrick , Kidambi Srivatsan
Published: December 2021

Glioblastoma (GBM), the most aggressive brain tumor, is associated with a median survival at diagnosis of 16–20 months and limited treatment options. The key hallmark of GBM is altered tumor metabolism and marked increase in the rate of glycolysis. Aerobic glycolysis along with elevated glucose consumption and lactate production supports rapid cell proliferation and GBM growth. In this study, we examined the gene expression profile of metabolic targets in GBM samples from patients with lower grade glioma (LGG) and GBM. We found that gene expression of glycolytic enzymes is up-regulated in GBM samples and significantly associated with an elevated risk for developing GBM. Our findings of clinical outcomes showed that GBM patients with high expression of HK2 and PKM2 in the glycolysis related genes and low expression of genes involved in mitochondrial metabolism-SDHB and COX5A related to tricarboxylic acid (TCA) cycle and oxidative phosphorylation (OXPHOS), respectively, was associated with poor patient overall survival. Surprisingly, expression levels of genes involved in mitochondrial oxidative metabolism are markedly increased in GBM compared to LGG but was lower compared to normal brain. The fact that in GBM the expression levels of TCA cycle and OXPHOS-related genes are higher than those in LGG patients suggests the metabolic shift in GBM cells when progressing from LGG to GBM. These results are an important step forward in our understanding of the role of metabolic reprogramming in glioma as drivers of the tumor and could be potential prognostic targets in GBM therapies.
Recent Developments in Data-Assisted Modeling of Flexible Proteins
Authors: Czaplewski Cezary , Gong Zhou , Lubecka Emilia A. , Xue Kai , Tang Chun , Liwo Adam
Published: December 2021

Many proteins can fold into well-defined conformations. However, intrinsically-disordered proteins (IDPs) do not possess a defined structure. Moreover, folded multi-domain proteins often digress into alternative conformations. Collectively, the conformational dynamics enables these proteins to fulfill specific functions. Thus, most experimental observables are averaged over the conformations that constitute an ensemble. In this article, we review the recent developments in the concept and methods for the determination of the dynamic structures of flexible peptides and proteins. In particular, we describe ways to extract information from nuclear magnetic resonance small-angle X-ray scattering (SAXS), and chemical cross-linking coupled with mass spectroscopy (XL-MS) measurements. All these techniques can be used to obtain ensemble-averaged restraints or to re-weight the simulated conformational ensembles.
A Sulfuryl Group Transfer Strategy to Selectively Prepare Sulfated Steroids and Isotopically Labelled Derivatives
Authors: Alshehri Jaber A. , Gill Daniel M. , Jones Alan M.
Published: December 2021

The treatment of common steroids: estrone, estradiol, cortisol, and pregnenolone with tributylsulfoammonium betaine (TBSAB) provides a convenient chemoselective conversion of the steroids alcohol/phenol moiety to the corresponding steroidal organosulfate. An important feature of the disclosed methodology is the millimolar scale of the reaction, and the isolation of the corresponding steroid sulfates as their biologically relevant sodium salts without the need for ion-exchange chromatography. The scope of the method was further explored in the estradiol and pregnanediol steroid systems with the bis-sulfated derivatives. Ultimately, a method to install an isotopic label, deuterium (2H) combined with estrone sulfation is a valuable tool for its mass-spectrometric quantification in biological studies.
Longitudinal Changes in Brain Gyrification in Schizophrenia Spectrum Disorders
Authors: Pham Tien Viet , Sasabayashi Daiki , Takahashi Tsutomu , Takayanagi Yoichiro , Kubota Manabu , Furuichi Atsushi , Kido Mikio , Noguchi Kyo , Suzuki Michio
Published: December 2021

Previous magnetic resonance imaging (MRI) studies reported increased brain gyrification in schizophrenia and schizotypal disorder, a prototypic disorder within the schizophrenia spectrum. This may reflect deviations in early neurodevelopment; however, it currently remains unclear whether the gyrification pattern longitudinally changes over the course of the schizophrenia spectrum. The present MRI study using FreeSurfer compared longitudinal changes (mean inter-scan interval of 2.7 years) in the local gyrification index (LGI) in the entire cortex among 23 patients with first-episode schizophrenia, 14 with schizotypal disorder, and 39 healthy controls. Significant differences were observed in longitudinal LGI changes between these groups; the schizophrenia group exhibited a progressive decline in LGI, predominantly in the fronto-temporal regions, whereas LGI increased over time in several brain regions in the schizotypal and control groups. In the schizophrenia group, a greater reduction in LGI over time in the right precentral and post central regions correlated with smaller improvements in negative symptoms during the follow-up period. The cumulative medication dosage during follow-up negatively correlated with a longitudinal LGI increase in the right superior parietal area in the schizotypal group, but did not affect longitudinal LGI changes in the schizophrenia group. Collectively, these results suggest that gyrification patterns in the schizophrenia spectrum reflect both early neurodevelopmental abnormalities as a vulnerability factor and active brain pathology in the early stages of schizophrenia.
Association Between Sex Hormones and Visual Field Progression in Women With Primary Open Angle Glaucoma: A Cross-Sectional and Prospective Cohort Study
Authors: Qiu Yichao , Yu Jian , Tang Li , Ren Jun , Shao Mingxi , Li Shengjie , Song Yunxiao , Cao Wenjun , Sun Xinghuai
Published: December 2021

Purpose: We evaluated the level of sex hormones in female patients with primary open angle glaucoma (POAG) to determine whether they are associated with the onset and/or progression of POAG.

Methods: The cross-sectional study enrolled 63 women with POAG and 56 healthy women as normal control subjects. Furthermore, 57 women with POAG were included and followed-up for at least 2 years in the cohort study. All subjects were evaluated for serum concentration of sex hormones [prolactin (PRL), luteinizing hormone (LH), testosterone (TESTO), follicle-stimulating hormone (FSH), progesterone (PROG), and estrogen (E2)] and underwent visual field (VF) examination. In the cross-sectional study, Spearman analysis, linear regression analysis, and logistic regression analysis were performed to assess risk factors for POAG in women. In the cohort study, Cox regression analyses and Kaplan–Meier survival analysis were performed to identify factors associated with VF progression in women with POAG.

Results: In the cross-sectional study, the level of E2 was significantly lower in the POAG group than in the normal group (p < 0.05). Multiple logistic regression showed that the decreased level of E2 was a risk factor of POAG (OR = 0.27, 95% CI = 0.09–0.78, p < 0.05), especially in premenopausal subjects. In the cohort study, there were 29 non-progression subjects and 28 progression subjects. Patients in the progression group had significantly lower levels of E2 than those in the no progression group (p < 0.01). The decreased level of E2 at baseline was associated with POAG progression (HR = 0.08, 95% CI = 0.02–0.46, p < 0.05), especially in premenopausal subjects. Patients with POAG and with lower baseline E2 levels had significantly lower VF non-progression rates than patients with higher E2 levels (log-rank test p < 0.001), especially premenopausal subjects (log-rank test p < 0.05). Additionally, logistic regression analyses, Cox regression analyses, and Kaplan–Meier survival analysis showed that PROG, LH, FSH, and TESTO were risk factors of POAG and/or significantly associated with POAG progression.

Conclusion: A decreased E2 level is a POAG risk factor and is associated with VF progression in women with POAG, especially in premenopausal subjects. Additionally, other sex hormones (PROG, LH, FSH, and TESTO) might also play a role in POAG pathogenesis.