Zinc Supplements and Bone Health: The Role of the RANKL-RANK Axis as a Therapeutic Target

Background: To this day, empirical data suggests that zinc has important roles in matrix synthesis, bone turnover, and mineralization and its beneficial effects on bone could be mediated through different mechanisms. The influence of zinc on bone turnover could be facilitated via regulating RANKL/RANK/OPG pathway in bone tissue. Therefore, the aim of the study was to conduct a review to investigate the possible effect of the zinc mediated bone remodeling via RANKL/RANK/OPG pathway. Methods: A comprehensive systematic search was performed in MEDLINE/PubMed, Cochrane Library, SCOPUS, and Google Scholar to explore the studies investigating the effect of zinc as a bone remodeling factor via RANKL/RANK/OPG pathway regulation. Subsequently, the details of the pathway and the impact of zinc supplements on RANKL/RANK/OPG pathway regulation were discussed. Results: The pathway could play an important role in bone remodeling and any imbalance between RANKL/RANK/OPG components could lead to extreme bone resorption. Although the outcomes of some studies are equivocal, it is evident that zinc possesses protective properties against bone loss by regulating the RANKL/RANK/OPG pathway. There are several experiments where zinc supplementation resulted in upregulation of OPG expression or decreases RANKL level. However, the results of some studies oppose this. Conclusion: It is likely that sufficient zinc intake will elicit positive effects on bone health by RANKL/RANK/OPG regulation. Although the outcomes of a few studies are equivocal, it seems that zinc can exert the protective properties against bone loss by suppressing osteoclastogenesis via downregulation of RANKL/RANK. Additionally, there are several experiments where zinc supplementation resulted in upregulation of OPG expression. However, the results of limited studies oppose this. Therefore, aside from the positive role zinc possesses in preserving bone mass, further effects of zinc in RANKL/RANK/OPG system requires further animal/human studies. © 2019 Elsevier Gmb

The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set

Background Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy

Preserved Filamentous Microbial Biosignatures in the Brick Flat Gossan, Iron Mountain, California

A variety of actively precipitating mineral environments preserve morphological evidence of microbial biosignatures. One such environment with preserved microbial biosignatures is the oxidized portion of a massive sulfide deposit, or gossan, such as that at Iron Mountain, California. This gossan may serve as a mineralogical analogue to some ancient martian environments due to the presence of oxidized iron and sulfate species, and minerals that only form in acidic aqueous conditions, in both environments. Evaluating the potential biogenicity of cryptic textures in such martian gossans requires an understanding of how microbial textures form biosignatures on Earth. The iron-oxide-dominated composition and morphology of terrestrial, nonbranching filamentous microbial biosignatures may be distinctive of the underlying formation and preservation processes. The Iron Mountain gossan consists primarily of ferric oxide (hematite), hydrous ferric oxide (HFO, predominantly goethite), and jarosite group minerals, categorized into in situ gossan, and remobilized iron deposits. We interpret HFO filaments, found in both gossan types, as HFO-mineralized microbial filaments based in part on (1) the presence of preserved central filament lumina in smooth HFO mineral filaments that are likely molds of microbial filaments, (2) mineral filament formation in actively precipitating iron-oxide environments, (3) high degrees of mineral filament bending consistent with a flexible microbial filament template, and (4) the presence of bare microbial filaments on gossan rocks. Individual HFO filaments are below the resolution of the Mars Curiosity and Mars 2020 rover cameras, but sinuous filaments forming macroscopic matlike textures are resolvable. If present on Mars, available cameras may resolve these features identified as similar to terrestrial HFO filaments and allow subsequent evaluation for their biogenicity by synthesizing geochemical, mineralogical, and morphological analyses. Sinuous biogenic filaments could be preserved on Mars in an iron-rich environment analogous to Iron Mountain, with the Pahrump Hills region and Hematite Ridge in Gale Crater as tentative possibilities. Key Words: Geobiology—Biosignatures—Filaments—Mars—Microbial fossils. Astrobiology 15, 637–668

Manejo de nitrogênio no milho sob plantio direto com diferentes plantas de cobertura, em Latossolo Vermelho Nitrogen management in corn under no-tillage with different cover crops in a Rhodic Hapludox soil

O objetivo deste trabalho foi definir a melhor dose e época de aplicação, e a eficiência de utilização do N, utilizando-se uréia marcada com 15N, pelo milho cultivado sob plantio direto, em sucessão à crotalária (Crotalaria juncea), ao milheto (Pennisetum americanum) e à vegetação espontânea (pousio), em um Latossolo Vermelho no Cerrado. O delineamento experimental foi o de blocos ao acaso, com 24 tratamentos e quatro repetições, em esquema fatorial incompleto, 3x3x2 + 6: três doses de N (80, 130 e 180 kg ha-1); três sistemas de cobertura do solo (crotalária, milheto e pousio); duas épocas de aplicação do N (estádio quatro ou oito folhas); e seis tratamentos adicionais (três sem aplicação de N e três que receberam 30 kg ha-1 de N na semeadura). O cultivo do milho em sucessão à crotalária proporciona maior quantidade na planta e aproveitamento pela planta do N proveniente do fertilizante e maior produtividade de grãos. A aplicação do N ao milho com quatro folhas proporciona maior produtividade de grãos, comparada à aplicação com oito folhas, quando em sucessão ao milheto.<br>The objective of this work was to evaluate the best rate and time for N application, and N utilization using urea-15N, by corn crop grown under no-tillage system, in succession to sun hemp (Crotalaria juncea L.), millet (Pennisetum americanum) and to the spontaneous vegetation (fallow ground), in a Rhodic Hapludox soil in Cerrrado. The experimental design was randomized complete blocks, with 24 treatments and four replications, in an incomplete factorial 3x3x2 + 6: three N rates (80, 130 and 180 kg ha-1 N); three preceding cover crops (sun hemp, millet and fallow ground); two N application time (four leaves or eight leaves stage); and six additional treatments (three without N application and three that received 30 kg ha-1 N at seeding). The corn grown in succession to sun hemp provided higher amount of N derived from fertilizer, N utilization efficiency and grain yield. Application of N to corn four leaves stage provides higher grain yield, compared to the application to eight leaves stage, in succession to millet