The Regulatory T Cell in Active Systemic Lupus Erythematosus Patients: A Systemic Review and Meta-Analysis

Background: Regulatory T cells (Tregs) researches in systemic lupus erythematosus (SLE) have floundered over the years, reports on the numbers and function of Tregs in SLE present quite contradictory results. We therefore conducted a meta-analysis to verify the changes of Tregs in active SLE.Methods: We systematically searched PubMed, Embase, and ISI web of knowledge databases for eligible articles. In total, 628 active SLE patients and 601 controls from 18 studies were included. Due to a high degree of heterogeneity, a random effects model was used to assess the mean differences in Treg percentages, absolute numbers, and suppression capacities of Tregs between active SLE and controls. Further, subgroup analysis was performed to identify potential sources of heterogeneity.Results: The pooled percentages of Tregs in active SLE patients were found to be lower than those in controls (−0.864 ± 0.308, p = 0.005), with great heterogeneity (I2 = 95.01). The discrepancy of published results might result from the following differences among studies: gating strategies for Tregs, diagnostic criteria for SLE, and thresholds of SLEDAI chosen to differentiate between active and inactive SLE. In active SLE, Tregs gated based on CD25 alone showed lower pooled frequency than those gated by Foxp3+ or CD127low/∅. The percentages of Tregs in active SLE was significantly lower than that in controls when the enrolled SLE patients were diagnosed according to the 1997 modified criteria, whereas they were comparable to controls when diagnosed by the 1982 criteria; the higher threshold of SLEDAI score used to define active SLE tended to achieve a lower percentage of Tregs. The pooled absolute numbers of Tregs in active SLE were significantly decreased compared to those in controls (−1.328 ± 0.374, p < 0.001), but seemed to be unaffected by gating strategies. Suppression capacities of Tregs from active SLE patients showed no abnormalities based on the limited pooled data. Longitudinal monitoring of active SLE showed a significant decrease in Treg percentage at remission.Conclusions: This study implies that loss of Tregs may play a role in the pathogenesis of active SLE and help clarify contradictory Treg results in SLE

Reconstructing South China in Phanerozoic and Precambrian supercontinents

This paper is financially supported by a NSFC Major Program (41190070) entitled “Reconstruction of East Asian Blocks in Pangea”. PAC acknowledges support from the Australian Research Council grant FL160100168 and WW thanks the support from “Thousand Youth Talents Plan”.The history of the South China Craton and the constituent Yangtze and Cathaysia blocks are directly linked to Earth's Phanerozoic and Precambrian record of supercontinent assembly and dispersal. Exposed Archean rocks are limited to isolated fragments in the Yangtze Block that preserve a record of Meso- to Neo-Archean magmatism, sedimentation and metamorphism associated with a period of global craton formation and stabilization that corresponds with the assembly of the Kenor supercontinent/supercraton. However, there are insufficient data to link its history with other similar aged cratons. The tectonostratigraphic record in South China in the Paleoproterozoic, corresponding with the assembly of Nuna, suggests that rock units in the Yangtze Block were spatially linked with northwestern Laurentia and possibly Siberia, whereas Cathaysia was joined to northern India. During the formation of Rodinia at the end of the Mesoproterozoic through to that of Pangea in the mid-Paleozoic, Cathaysia remained joined to northern India. Early Neoproterozoic supra-subduction zone magmatic arc-back arc assemblages ranging in age from ~ 1000 Ma to 810 Ma occur within Cathaysia, along its northwestern margin, and along the southeastern margin of the Yangtze Block. These rocks provide a record of convergent plate interaction, which continued along the western margin of the Yangtze Block until around 700 Ma and correlates with similar along strike subduction zone magmatism in northwest India, Seychelles and Madagascar. During the final assembly of Gondwana in the early Paleozoic suturing of India-South China with the Western Australia-Mawson blocks along the Kuunga Orogen resulted in the accretion of the Sanya Block of Hainan Island with the rest of Cathaysia. The accretion of Laurussia to Gondwana in the mid-Paleozoic to form Pangea corresponds with the initiation of lithospheric extension along the northern margin of Gondwana and the separation of a number of continental blocks, including South China, which then drifted northward across the Paleo-Tethys to collide with the Asian segment of Pangea in the Permo-Triassic.PostprintPeer reviewe

Topography and structural diversity regulate ecosystem multifunctionality in a subtropical evergreen broad-leaved forest

Forest functionality is generally considered a byproduct of forest diversity. Perhaps unsurprisingly, many researchers associate increasing multi-functionality with increasing diversity. Diversity, however, is an often-overused word that may describe a host of features, including the diversity of species, functional trait and structure. Furthermore, variable environmental features (such as topography) influence the interaction between forest plants and their function. Incorporating complex topography (like that associated with tropical and subtropical forests) into estimates of forest functionality is challenging and highly uncertain. In this paper, we applied structural equation models to disentangle the relative importance of topography and different components of what might be considered “plant diversity” to forest multifunctionality using repeated census of a 20-ha subtropical forest plot. We found that multifunctionality was principally influenced by structural diversity more so than either species composition or functional trait diversity. In our SEM model approach, we observed variations in topography could account for about 30% of variation in multifunctionality. Furthermore, variations in topography could indirectly influence forest multifunctionality by changing species composition, functional trait diversity, and structural diversity. Our work highlights the importance of topography and forest structure in regulating subtropical forest multifunctionality on the local scale. This suggests future subtropical forest management should focus on regulating forest structure. Namely, our results suggest land managers must take topography (and the complex interaction between topography and plant diversity) into account in order to build robust and multifunctional forests

Helium-bearing superconductor at high pressure

Helium (He) is the most inert noble gas at ambient conditions. It adopts a hexagonal close packed structure (P63/mmc) and remains in the insulating phase up to 32 TPa. In contrast, lithium (Li) is one of the most reactive metals at zero pressure, while its cubic high-pressure phase (Fd-3m) is a weak metallic electride above 475 GPa. Strikingly, a stable compound of Li5He2 (R-3m) was formed by mixing Fd-3m Li with P63/mmc He above 700 GPa. The presence of helium promotes the lattice transformation from Fd-3m Li to Pm-3m Li, and tuns the three-dimensional distributed interstitial electrons into the mixture of zero- and two-dimensional anionic electrons. This significantly increases the degree of metallization at the Fermi level, consequently, the coupling of conductive anionic electrons with the Li-dominated vibrations is the key factor to the formation of superconducting electride Li5He2 with a transition temperature up to 26 K, dynamically stable to pressures down to 210 GPa.Comment: 5 pages, 3 figure

The EuroMyositis registry: an international collaborative tool to facilitate myositis research

Aims: The EuroMyositis Registry facilitates collaboration across the idiopathic inflammatory myopathy (IIM) research community. This inaugural report examines pooled Registry data. Methods: Cross-sectional analysis of IIM cases from 11 countries was performed. Associations between clinical subtypes, extramuscular involvement, environmental exposures and medications were investigated. Results: Of 3067 IIM cases, 69% were female. The most common IIM subtype was dermatomyositis (DM) (31%). Smoking was more frequent in connective tissue disease overlap cases (45%, OR 1.44, 95% CI 1.09 to 1.90, p=0.012). Smoking was associated with interstitial lung disease (ILD) (OR 1.32, 95% CI 1.06 to 1.65, p=0.013), dysphagia (OR 1.43, 95% CI 1.16 to 1.77, p=0.001), malignancy ever (OR 1.78, 95% CI 1.36 to 2.33, p<0.001) and cardiac involvement (OR 2.40, 95% CI 1.60 to 3.60, p<0.001). Dysphagia occurred in 39% and cardiac involvement in 9%; either occurrence was associated with higher Health Assessment Questionnaire (HAQ) scores (adjusted OR 1.79, 95% CI 1.43 to 2.23, p<0.001). HAQ scores were also higher in inclusion body myositis cases (adjusted OR 3.85, 95% CI 2.52 to 5.90, p<0.001). Malignancy (ever) occurred in 13%, most commonly in DM (20%, OR 2.06, 95% CI 1.65 to 2.57, p<0.001). ILD occurred in 30%, most frequently in antisynthetase syndrome (71%, OR 10.7, 95% CI 8.6 to 13.4, p<0.001). Rash characteristics differed between adult-onset and juvenile-onset DM cases ('V' sign: 56% DM vs 16% juvenile-DM, OR 0.16, 95% CI 0.07 to 0.36, p<0.001). Glucocorticoids were used in 98% of cases, methotrexate in 71% and azathioprine in 51%. Conclusion: This large multicentre cohort demonstrates the importance of extramuscular involvement in patients with IIM, its association with smoking and its influence on disease severity. Our findings emphasise that IIM is a multisystem inflammatory disease and will help inform prognosis and clinical management of patients