Astragalus Injection for Hypertensive Renal Damage: A Systematic Review

Objective. To evaluate the effectiveness of astragalus injection (a traditional Chinese patent medicine) for patients with renal damage induced by hypertension according to the available evidence. Methods. We searched MEDLINE, China National Knowledge Infrastructure (CNKI), Chinese VIP Information, China Biology Medicine (CBM), and Chinese Medical Citation Index (CMCI), and the date of search starts from the first of database to August 2011. No language restriction was applied. We included randomized controlled trials testing astragalus injection against placebo or astragalus injection plus antihypertensive drugs against antihypertensive drugs. Study selection, data extraction, quality assessment, and data analyses were conducted according to the Cochrane review standards. Results. 5 randomized trials (involving 429 patients) were included and the methodological quality was evaluated as generally low. The pooled results showed that astragalus injection was more effective in lowering β2-microglobulin (β2-MG), microalbuminuria (mAlb) compared with placebo, and it was also superior to prostaglandin in lowering blood urea nitrogen (BUN), creatinine clearance rate (Ccr). There were no adverse effects reported in the trials from astragalus injection. Conclusions. Astragalus injection showed protective effects in hypertensive renal damage patients, although available studies are not adequate to draw a definite conclusion due to low quality of included trials. More rigorous clinical trials with high quality are warranted to give high level of evidence

Development of risk prediction model for cognitive impairment in patients with coronary heart disease: A study protocol for a prospective, cross-sectional analysis

BackgroundIschemic heart disease and degenerative encephalopathy are two main sources of disease burden for the global elderly population. Coronary heart disease (CHD) and cognitive impairment, as representative diseases, are prevalent and serious illnesses in the elderly. According to recent research, patients with CHD are more likely to experience cognitive impairment and their cognitive ability declines more quickly. Vascular risk factors have been associated with differences in cognitive performance in epidemiological studies, but evidence in patients with CHD is more limited. Inextricably linked between the heart and the brain. Considering the unique characteristics of recurrent cognitive impairment in patients with CHD, we will further study the related risk factors. We tried to investigate the potential predictors of cognitive impairment in patients with CHD through a prospective, cross-sectional study.MethodsThe cross-sectional study design will recruit 378 patients with CHD (≥65 years) from Xiyuan Hospital of China Academy of Chinese Medical Sciences. The subjects' cognitive function is evaluated with MoCA scale, and they are divided into cognitive impairment group and normal cognitive function group according to the score results. Demographic data, disease characteristics (results of coronary CT/ angiography, number of stents implanted, status of diseased vessels), laboratory tests (biochemistry, coagulation, serum iron levels, pulse wave velocity), metabolites (blood samples and intestinal metabolites), and lifestyle (smoking, alcohol consumption, sleep, physical activity) will be assessed as outcome indicators. Compare the two groups and the correlation analysis will be performed on the development of mild cognitive impairment. Mann-Whitney U or X2 test was selected to describe and evaluate the variation, and logistics regression analysis was employed to fit the prediction model. After that, do the calibration curve and decision curve to evaluate the model. The prediction model will be validated by a validation set.DiscussionTo explore the risk factors related to mild cognitive impairment (MCI) in patients with CHD, a new predictive model is established, which can achieve advanced intervention in the occurrence of MCI after CHD. Owing to its cross-sectional study design, the study has some limitations, but it will be further studied by increasing the observation period, adding follow-up data collection or prospective cohort study. The study has been registered with the China Clinical Trials Registry (ChiCTR2200063255) to conduct clinical trials

Mendelian randomization study reveals a causal relationship between serum iron status and coronary heart disease and related cardiovascular diseases

BackgroundGrowing observational studies have shown that abnormal systemic iron status is associated with Coronary heart disease (CHD). However, these results from observational studies was not entirely consistent.It remains unclear whether this relationship represents causality.It is necessary to explore the causal relationship between iron status and CHD and related cardiovascular diseases (CVD).ObjectiveWe aimed to investigate the potential casual relationship between serum iron status and CHD and related CVD using a two-sample Mendelian randomization (MR) approach.MethodsGenetic statistics for single nucleotide polymorphisms (SNPs) between four iron status parameters were identified in a large-scale genome-wide association study (GWAS) conducted by the Iron Status Genetics organization. Three independent single nucleotide polymorphisms (SNPs) (rs1800562, rs1799945, and rs855791) aligned with four iron status biomarkers were used as instrumental variables. CHD and related CVD genetic statistics We used publicly available summary-level GWAS data. Five different MR methods random effects inverse variance weighting (IVW), MR Egger, weighted median, weighted mode, and Wald ratio were used to explore the causal relationship between serum iron status and CHD and related CVD.ResultsIn the MR analysis, we found that the causal effect of serum iron (OR = 0.995, 95% CI = 0.992–0.998, p = 0.002) was negatively associated with the odds of coronary atherosclerosis (AS). Transferrin saturation (TS) (OR = 0.885, 95% CI = 0.797–0.982, p = 0.02) was negatively associated with the odds of Myocardial infarction (MI).ConclusionThis MR analysis provides evidence for a causal relationship between whole-body iron status and CHD development. Our study suggests that a high iron status may be associated with a reduced risk of developing CHD

Analysis of beauvericin in Isaria cicadae Miquel culture on different media

Objective To analyze beauvericin and enniatins concentrations in the culture complex after Isaria cicadae Miquel was inoculated on different media for certain time. Methods One strain of Isaria cicadae Miquel was inoculated on 4 kinds of liquid culture media and 4 kinds of solid culture media. After incubation for 1-7 weeks under 25 ℃, high performance liquid chromatography tandem mass spectrometry was employed to detect beauvericin and enniatins. Results The detection rates of beauvericin in Isaria cicadae Miquel culture on 4 kinds of liquid media ranged between 42.9%-100.0%, and the beauvericin concentrations varied from 1.0 to 94.6 μg/L. The positive rates of beauvericin in Isaria cicadae Miquel culture on 4 kinds of solid media were 100.0%, and the beauvericin concentrations ranged from 60.9 to 44 677.5 μg/kg. Enniatins were negative for Isaria cicadae Miquel on 8 kinds of culture media. Conclusion The strain of Isaria cicadae Miquel used in our study could produce beauvericin in 8 kinds of culture media after incubation for certain time, and the beauvericin concentrations in solid media were much higher than in liquid media. The strain of Isaria cicadae Miquel didn’t produce enniatins in 8 kinds of culture media after incubation for certain time

Foaming behaviour of primary, secondary and tertiary aqueous solution of amine for the removal of carbon dioxide

This study is focusing on the effect by the usage of different amine in order to remove acid gases that is foaming. Foam is made up of thousands of gas filled bubbles. Bubbles are formed when a liquid film encapsulates gas. This research is to investigate the foaming behaviour on the different cases for the primary (monoethanolamine, MEA), secondary (diethanolamine, DEA) and tertiary (methyldiethanolamine, MDEA) amine on the effect of concentration, temperature and impurities. Effect of all this parameters will be evaluated based on height of foam and collapse time of foam. Nitrogen gas (N2) will be used in this experiments as bubble gas. For this work several hypothesis has been set according to respectively cases. The hypothesis of this study is a higher solution concentration of MEA will reduce the foaminess. Other hypothesis is a higher solution temperature of MEA and DEA will reduce the foaminess also. Effects of impurities toward foaming formation are classified as following: iron sulphide, for MDEA solution foaming decrease; sodium chloride, for MDEA solution tendency for formation of foam decrease; methanol, foaming decrease in MDEA solution. It is apparently iron sulphide meet the most influential contaminants to the foam formation at the same concentrations of all impurities studie

Common ground on immune infiltration landscape and diagnostic biomarkers in diabetes-complicated atherosclerosis: an integrated bioinformatics analysis

IntroductionType 2 diabetes mellitus (T2DM) is a major cause of atherosclerosis (AS). However, definitive evidence regarding the common molecular mechanisms underlying these two diseases are lacking. This study aimed to investigate the mechanisms underlying the association between T2DM and AS.MethodsThe gene expression profiles of T2DM (GSE159984) and AS (GSE100927) were obtained from the Gene Expression Omnibus, after which overlapping differentially expressed gene identification, bioinformatics enrichment analyses, protein–protein interaction network construction, and core genes identification were performed. We confirmed the discriminatory capacity of core genes using receiver operating curve analysis. We further identified transcription factors using TRRUST database to build a transcription factor–mRNA regulatory network. Finally, the immune infiltration and the correlation between core genes and differential infiltrating immune cells were analyzed.ResultsA total of 27 overlapping differentially expressed genes were identified under the two-stress conditions. Functional analyses revealed that immune responses and transcriptional regulation may be involved in the potential pathogenesis. After protein–protein interaction network deconstruction, external datasets, and qRT-PCR experimental validation, four core genes (IL1B, C1QA, CCR5, and MSR1) were identified. ROC analysis further showed the reliable value of these core genes. Four common differential infiltrating immune cells (B cells, CD4+ T cells, regulatory T cells, and M2 macrophages) between T2DM and AS datasets were selected based on immune cell infiltration. A significant correlation between core genes and common differential immune cells. Additionally, five transcription factors (RELA, NFκB1, JUN, YY1, and SPI1) regulating the transcription of core genes were mined using upstream gene regulator analysis.DiscussionIn this study, common target genes and co-immune infiltration landscapes were identified between T2DM and AS. The relationship among five transcription factors, four core genes, and four immune cells profiles may be crucial to understanding T2DM complicated with AS pathogenesis and therapeutic direction

Optimization of the Best Polar Site for Antioxidant Activity of Panax ginseng Extract Based on Entropy Weight Method and Grey Relational Analysis Combined with Component Analysis

Objective: The differences in antioxidant activity of different polar parts of panax ginseng were investigated to screen the best active parts. Method: In this study, the water extract of Panax ginseng was extracted by petroleum ether, chloroform, ethyl acetate and n-butanol in turn. The contents of total phenolic acids, total saponins, total polysaccharides, total flavonoids, ginsenoside Rg1, ginsenoside Re and ginsenoside Rb1 in different polar parts were determined by high performance liquid chromatography (HPLC) and ultraviolet-visible (UV) spectrophotometer. The in vitro antioxidant activity of different polar parts was determined by DPPH free radical, ABTS+ free radical, hydroxyl radical, superoxide anion free radical and cell oxidative damage model. Combined with entropy weight method and grey relational analysis, the quality evaluation model of different polar parts of Panax ginseng was established. By weighting twelve quality characteristic indexes of different polar parts of Panax ginseng, the best antioxidant polar part of Panax ginseng was ultimately selected. Results: The differences in the components and antioxidant activity of different polar parts of Panax ginseng were obvious. Among them, the content of total phenolic acid, total flavonoids and ginsenoside Rb1 in n-butanol part was higher than that in other parts. The n-butanol part had the best antioxidant activity, and had certain scavenging ability to DPPH free radical, ABTS+ free radical, hydroxyl radical and superoxide anion free radical, and the corresponding IC50 values were 0.14, 0.57, 0.92 and 0.75 mg/mL, respectively. In addition, combined with the quality evaluation model, the relative correlation degrees of range of different polar parts of Panax ginseng was 0.352~0.618, and the relative correlation degree of n-butanol part was the highest (0.618), which further indicated that the antioxidant activity of n-butanol part was the strongest. Conclusion: Based on the evaluation results of entropy weight method and grey correlation analysis, the n-butanol part was preliminarily selected as the most ideal antioxidant part of Panax ginseng, which would provide a theoretical basis for the research of Panax ginseng as a natural antioxidant and the development and application of Panax ginseng antioxidant food

Comparative Genomic Analysis of the Foodborne Pathogen Burkholderia gladioli pv. cocovenenans Harboring a Bongkrekic Acid Biosynthesis Gene Cluster

The environmental bacterium Burkholderia gladioli pv. cocovenenans (B. cocovenenans) has been linked to fatal food poisoning cases in Asia and Africa. Bongkrekic acid (BA), a mitochondrial toxin produced by B. cocovenenans, is thought to be responsible for these outbreaks. While there are over 80 species in the Burkholderia genus, B. cocovenenans is the only pathovar capable of producing BA and causing human death. However, the genomic features of B. gladioli and the evolution of the BA biosynthesis gene cluster, bon, in B. cocovenenans remain elusive. In this study, 239 whole genome sequences (WGSs) of B. gladioli, isolated from 12 countries collected over 100 years, were used to analyze the intra-species genomic diversity and phylogenetic relationships of B. gladioli and to explore the origin and evolution of the bon gene cluster. Our results showed that the genome-wide average nucleotide identity (ANI) values were above 97.29% for pairs of B. gladioli genomes. Thirty-six of the 239 (15.06%) B. gladioli genomes, isolated from corn, rice, fruits, soil, and patients from Asia, Europe, North America, and South America, contained the bon gene cluster and formed three clades within the phylogenetic tree. Pan- and core-genome analysis suggested that the BA biosynthesis genes were recently acquired. Comparative genome analysis of the bon gene cluster showed that complex recombination events contributed to this toxin biosynthesis gene cluster’s evolution and formation. This study suggests that a better understanding of the genomic diversity and evolution of this lethal foodborne pathovar will potentially contribute to B. cocovenenans food poisoning outbreak prevention

Laboratory investigation of the first infant botulism case caused by type E botulinum neurotoxin producing Clostridium butyricum in China

Objective Laboratory investigation was performed on a suspected case of infant botulism. Methods Thirty samples of stool, left-over food and environment swabs related to the case were collected, Clostridium spp. isolation, identification and toxicity determination by mouse assay were carried out, and toxin production for isolate was conducted. Results Mice injected with the stool culture supernatant showed the typical signs of botulism including irritable, dyspnea, bellows breathing and quadriplegia followed by death. The toxicity of the stool culture supernatant was enhanced after the treatment by trypsinization but ceased after being heated at 100℃. The polyvalent antibody against botulinum neurotoxins (BoNTs) and the monovalent antibody against BoNT type E could protect mice from death. One gram-positive Clostridium isolate was cultured from infant stool sample. The morphology of the colony on the Columbia blood agar plate showed characteristics of irregular, translucent and flat with rootlike growth. It was positive for type E BoNT-encoding gene and identified as C. butyricum by 16S rRNA sequencing. Toxin production test illustrated that the C. butyricum isolate could produce type E BoNT. Conclusion This was an infant botulism caused by type E BoNT-producing C. butyricum

Metabolomic and transcriptomic analysis of the flavonoid biosynthesis pathway in Epimedium sagittatum (Sieb. et Zucc.) Maxim. from distinct locations

Epimedium sagittatum (Sieb. et Zucc.) Maxim. (ESM) which accumulates several principal flavonoid compounds including epimedin A, B, C and icariin, is extensively utilized in traditional herbs for sexual dysfunction, osteoporosis etc. In China, ESM has a wealth of wild plant resources and characterized by significant variability in medicinal compounds accumulation. Understanding the diversity of ESMs can lead to better utilization of these plant resources. In this study, we integrated the metabolomic and transcriptomic analysis of three ESMs that originated in Anhui, Hubei and Jiangxi in China. Results showed that the flavonoid biosynthesis as well as the related gene expression in these ESMs revealed substantial differences. For example, the epimedin A, B, C and icariin as well as some related gene expression in ESMs from Anhui are significantly lower than those of in others. These results suggested that the ESMs from wild population without quality checkout may not be suitable for directly use as the materials for preparation of Chinese medicine and ESMs with different accumulation of metabolites could be used for distinct applications