Risk factors for agitation in home-cared older adults with dementia: evidence from 640 elders in East China

BackgroundAgitation is common among older adults with dementia, negatively affecting their quality of life and their caregivers’. Since home care remains the dominant approach for older adults, this study investigates the risk factors for agitation in older adults with dementia in China.MethodsWe perform a cross-sectional study of home-cared older adults with dementia in Ningbo, China, using 2020 data. We use a self-made questionnaire to investigate the risks of agitated behavior and its related factors. We perform descriptive, univariate, and regression analyses.FindingsWe address 640 older Chinese adults; 42.8% of the sample exhibits one or more agitated behaviors. We find that basic health issues, such as activities of daily living (ADL), family support issues, such as Zarit Burden Interview (ZBI) scale and Family APGAR Questionnaire (APGAR), and behavioral awareness issues, such as fall and scald, significantly influence the occurrence of agitation behaviors (p < 0.05). Older adults with severe ADL disorder (b = 6.835, β = 0.196, p < 0.001), ZBI score of 67.00–88.0 (b = 10.212, β = 0.248, p = 0.005), severe APGAR disorder (b = 3.699, β = 0.100, p = 0.012) and a history of fall (b = 9.311, β = 0.199, P = <0.001) or scald (b = 9.288, β = 0.125, p = 0.002) are more likely to exhibit agitated behaviors.InterpretationAgitated behavior in home-cared older adults with dementia are diverse and related to mental state, family support, and behavioral awareness issues. Caregivers, often family members, should be attentive to the needs of dementia patients and take active and effective measures to improve their quality of life. They should be aware of the causes and triggers of agitated behavior and take steps to reduce its occurrence

Pressure-induced Large Emission Enhancements of Cadmium Selenide Nanocrystals.

Pressure-quenching of optical emission largely limits the potential application of many materials in optical pressure-sensing devices, since emission intensity is crucially connected to performance. Boosting visible-light emission at high pressure is, therefore, an important goal. Here, we demonstrate that the emission of CdSe nanocrystals (NCs) can be enhanced by more than an order of magnitude by compression. The brightest emission can be achieved at pressures corresponding to the phase transitions in different sized CdSe NCs. Very bright blue emission can be obtained by exploiting the increase in bandgap with increasing pressure. First-principles calculations indicate that the interaction between the capping oleic acid (OA) layer and the CdSe core is strengthened with increased Hirshfeld charge at high pressure. The effective surface reconstruction associated with the removal of surface-related trap states is highly responsible for the pressure-induced emission enhancement of these CdSe NCs. These findings pave the way for designing a stress nanogauge with easy optical readout and provide a route for tuning bright-fluorescence imaging in response to an externally-applied pressure.The authors acknowledge funding support from the National Key R&D Program of China (No. 2018YFA0305900), the National Natural Science Foundation of China (Nos. 21725304, 11774125, 61525404, 11504368, 11774120, 21673100, and 91227202), the Chang Jiang Scholars Program of China (No. T2016051), Changbai Mountain Scholars Program (No. 2013007), National Defense Science and Technology Key Laboratory Fund (6142A0306010917), Scientific Research Planning Project of the Education Department of Jilin Province (JJKH20180118KJ), and Program for Innovative Research Team (in Science and Technology) in University of Jilin Province. S.A.T.R. acknowledges the support of the NERC grant NE/P019714/1. X.F. is grateful for the support of the China Scholarship Council

CD180 Ligation Inhibits TLR7- and TLR9-Mediated Activation of Macrophages and Dendritic Cells Through the Lyn-SHP-1/2 Axis in Murine Lupus

Activation of TLR7 and TLR9 by endogenous RNA- or DNA-containing ligands, respectively, can lead to hyper-activation of immune cells, including macrophages and DCs, subsequently contributes to the pathogenesis of SLE. CD180, a TLR-like protein, is specifically involved in the development and activation of immune cells. Our previous study and others have reported that CD180-negative B cells are dramatically increased in SLE patients and responsible for the production of auto-antibodies. However, the mode of CD180 expression on macrophages and DCs in SLE remains unclear and the role of CD180 on regulating TLR7- and TLR9-mediated activation of macrophages and DCs are largely unknown. In the present study, we found that the percentages of CD180-negative macrophages and DCs were both increased in SLE patients and lupus-prone MRL/lpr mice compared with healthy donors and wild-type mice, respectively. Notably, ligation of CD180 significantly inhibited the activation of TLR7 and TLR9 signaling pathways in macrophages and DCs through the Lyn-SHP-1/2 axis. What's more, injection of anti-CD180 Ab could markedly ameliorate the lupus-symptoms of imiquimod-treated mice and lupus-prone MRL/lpr mice through inhibiting the activation of macrophages and DCs. Collectively, our results highlight a critical role of CD180 in regulating TLR7- and TLR9-mediated activation of macrophages and DCs, hinting that CD180 can be regarded as a potential therapeutic target for SLE treatment

Leukadherin-1-Mediated Activation of CD11b Inhibits LPS-Induced Pro-inflammatory Response in Macrophages and Protects Mice Against Endotoxic Shock by Blocking LPS-TLR4 Interaction

Dysregulation of macrophage has been demonstrated to contribute to aberrant immune responses and inflammatory diseases. CD11b, expressed on macrophages, plays a critical role in regulating pathogen recognition, phagocytosis, and cell survival. In the present study, we explored the effect of leukadherin-1 (LA1), an agonist of CD11b, on regulating LPS-induced pro-inflammatory response in macrophages and endotoxic shock. Intriguingly, we found that LA1 could significantly reduce mortalities of mice and alleviated pathological injury of liver and lung in endotoxic shock. In vivo studies showed that LA1-induced activation of CD11b significantly inhibited the LPS-induced pro-inflammatory response in macrophages of mice. Moreover, LA1-induced activation of CD11b significantly inhibited LPS/IFN-γ-induced pro-inflammatory response in macrophages by inhibiting MAPKs and NF-κB signaling pathways in vitro. Furthermore, the mice injected with LA1-treated BMDMs showed fewer pathological lesions than those injected with vehicle-treated BMDMs in endotoxic shock. In addition, we found that activation of TLR4 by LPS could endocytose CD11b and activation of CD11b by LA1 could endocytose TLR4 in vitro and in vivo, subsequently blocking the binding of LPS with TLR4. Based on these findings, we concluded that LA1-induced activation of CD11b negatively regulates LPS-induced pro-inflammatory response in macrophages and subsequently protects mice from endotoxin shock by partially blocking LPS-TLR4 interaction. Our study provides a new insight into the role of CD11b in the pathogenesis of inflammatory diseases

Molecular Cloning, Characterization and Expression Analysis of Two Members of the Pht1 Family of Phosphate Transporters in Glycine max

BACKGROUND: Phosphorus is one of the macronutrients essential for plant growth and development. The acquisition and translocation of phosphate are pivotal processes of plant growth. In a large number of plants, phosphate uptake by roots and translocation within the plant are presumed to occur via a phosphate/proton cotransport mechanism. PRINCIPAL FINDINGS: We cloned two cDNAs from soybean (Glycine max), GmPT1 and GmPT2, which show homology to the phosphate/proton cotransporter PHO84 from the budding yeast Saccharomyces cerevisiae. The amino acid sequence of the products predicted from GmPT1 and GmPT2 share 61% and 63% identity, respectively, with the PHO84 in amino acid sequence. The deduced structure of the encoded proteins revealed 12 membrane-spanning domains with a central hydrophilic region. The molecular mass values are ∼58.7 kDa for GmPT1 and ∼58.6 kDa for GmPT2. Transiently expressed GFP-protein fusions provide direct evidence that the two Pi transporters are located in the plasma membrane. Uptake of radioactive orthophosphate by the yeast mutant MB192 showed that GmPT1 and GmPT2 are dependent on pH and uptake is reduced by the addition of uncouplers of oxidative phosphorylation. The K(m) for phosphate uptake by GmPT1 and GmPT2 is 6.65 mM and 6.63 mM, respectively. A quantitative real time RT-PCR assay indicated that these two genes are expressed in the roots and shoots of seedlings whether they are phosphate-deficient or not. Deficiency of phosphorus caused a slight change of the expression levels of GmPT1 and GmPT2. CONCLUSIONS: The results of our experiments show that the two phosphate transporters have low affinity and the corresponding genes are constitutively expressed. Thereby, the two phosphate transporters can perform translocation of phosphate within the plant

The implications of FASN in immune cell biology and related diseases

Abstract Fatty acid metabolism, particularly fatty acid synthesis, is a very important cellular physiological process in which nutrients are used for energy storage and biofilm synthesis. As a key enzyme in the fatty acid metabolism, fatty acid synthase (FASN) is receiving increasing attention. Although previous studies on FASN have mainly focused on various malignancies, many studies have recently reported that FASN regulates the survival, differentiation, and function of various immune cells, and subsequently participates in the occurrence and development of immune-related diseases. However, few studies to date systematically summarized the function and molecular mechanisms of FASN in immune cell biology and related diseases. In this review, we discuss the regulatory effect of FASN on immune cells, and the progress in research on the implications of FASN in immune-related diseases. Understanding the function of FASN in immune cell biology and related diseases can offer insights into novel treatment strategies for clinical diseases

Fermentation quality, aerobic stability and in vitro gas production kinetics and digestibility in total mixed ration silage treated with lactic acid bacteria inoculants and antimicrobial additives

The objective was to evaluate the effectiveness of lactic acid bacteria (LAB) inoculants and chemical additives on the fermentation quality, aerobic stability and in vitro gas production kinetics and digestibility of total mixed ration (TMR) silage. Total mixed ration (568 g/kg dry matter (DM)) was ensiled with six experimental treatments: (1) no additives (control); (2) Lactobacillus buchneri (LB; applied at 1 × 106 cfu/g fresh weight (FW)); (3) Lactobacillus casei (LC; applied at 1 × 106 cfu/g FW); (4) calcium propionate (CAP; applied at 0.5% FW); (5) sodium diacetate (SD; applied at 0.5% FW); (6) potassium sorbate (PS; applied at 0.1% FW). All silos (18 L) were opened for fermentation quality, in vitro gas production kinetics and digestibility analysis after 90 days of ensiling, and then subjected to aerobic stability test for 14 days. All the TMR silage was well-preserved with low pH (4.36 ∼ 4.66) and acceptable levels of butyric acid (1.02 ∼ 2.51 g/kg DM) and ammonia nitrogen (86.3 ∼ 107 g/kg total nitrogen). All the groups were steady during 14 days of aerobic exposure, while SD group was more stable with lower (p < 0.05) yeast (4.60 vs. 5.17 ∼ 5.77 log10 cfu/g FW) and mould (3.33 vs. 4.12 ∼ 4.64 log10 cfu/g FW) populations than other treated groups on day 14. Moreover, SD group had the highest (p < 0.05) in vitro digestibility of dry matter (67.8 vs. 56.6 ∼ 63.5%) and neutral detergent fibre (61.7 vs. 50.5 ∼ 57.4%) among all groups. Overall, SD is recommended as additive to improve fermentation quality, in vitro ruminal digestibility, and aerobic stability of TMR silage.HIGHLIGHTS After 14 days of aerobic exposure, the yeast and mould populations in TMR silage can be efficiently inhibited by sodium diacetate treatment. Sodium diacetate treatment evidently enhanced in vitro digestibility of dry matter and neutral detergent fibre compared to other treatments. Sodium diacetate is recommended as additive to improve fermentation quality, in vitro ruminal digestibility, and aerobic stability of TMR silage

Gender Differences of B Cell Signature in Healthy Subjects Underlie Disparities in Incidence and Course of SLE Related to Estrogen

The aim of the present study was to investigate mechanism of the gender differences of B cells. The results showed that 358 differential gene expressions (DEGs) were displayed between healthy females and males. Compared with male, 226 and 132 genes were found to be up- and downregulated in the female. 116 genes displayed possible correlation with estrogen. Moreover, the upregulated DEGs (Cav1, CD200R1, TNFRSF17, and CXCR3) and downregulated DEGs (EIF1AY and DDX3Y) in healthy female may be involved in gender predominance of some immune diseases. Furthermore, signaling pathway analysis for estrogen-relevant DEGs showed that only 26 genes were downregulated in SLE female versus SLE male, of which expressions of 8 genes had significant difference between SLE females and SLE males but are having nonsignificant difference between healthy females and healthy males. Except for the 5 Y-chromosome-related genes or varients, only 3 DEGs (LTF, CAMP, and DEFA4) were selected and qRT-PCR confirmed that the expressions of LTF and CAMP decreased significantly in B cells from female SLE patients. These data indicated that the gender differences were existent in global gene expression of B cells and the difference may be related to estrogen

Tuning Nucleation Sites to Enable Monolayer Perovskite Films for Highly Efficient Perovskite Solar Cells

The nucleation site plays a critical role in achieving the full coverage of perovskite film at both the macroscopic and microscopic scales, and it is systematically investigated for the first time in this study. The results show that under natural conditions, the incomplete coverage of perovskite film is due to both heterogeneous nucleation and homogeneous nucleation. The established concentration field and temperature field in the precursor solution show that there are two preferential nucleation sites, i.e., the upper surface of the precursor solution (homogeneous nucleation) and the surface of the substrate (heterogeneous nucleation). The nucleation sites are tuned by decreasing the drying pressure from the atmosphere to 3000 Pa, and then to 100 Pa, and then the microstructures of the perovskite films change from an incomplete coverage state to a monolayer full coverage state, and then to a bilayer full coverage state. At last, when the full coverage perovskite films are assembled into perovskite solar cells, the photovoltaic performance of the monolayer perovskite solar cells is slightly greater than that of the bilayer perovskite solar cells. The electrochemical characterization shows that there is more restrained internal recombination of the monolayer perovskite solar cells compared with bilayer perovskite solar cells