Higher visceral adiposity index is associated with increased likelihood of abdominal aortic calcification

Background: The negative effects of visceral adiposity accumulation on cardiovascular health have drawn much attention. However, the association between the Visceral Adiposity Index (VAI) and Abdominal Aortic Calcification (AAC) has never been reported before. The authors aimed to investigate the association between the VAI and AAC in US adults. Methods: Cross-sectional data were derived from the 2013 to 2014 National Health and Nutrition Examination Survey (NHANES) of participants with complete data of VAI and AAC scores. Weighted multivariable regression and logistic regression analysis were conducted to explore the independent relationship between VAI and AAC. Subgroup analysis and interaction tests were also performed. Results: A total of 2958 participants were enrolled and participants in the higher VAI tertile tended to have a higher mean AAC score and prevalence of severe AAC. In the fully adjusted model, a positive association between VAI and AAC score and severe AAC was observed (β = 0.04, 95% CI 0.01‒0.08; OR = 1.04, 95% CI 1.01‒1.07). Participants in the highest VAI tertile had a 0.41-unit higher AAC score (β = 0.41, 95% CI 0.08‒0.73) and a significantly 68% higher risk of severe AAC than those in the lowest VAI tertile (OR = 1.68, 95% CI 1.04‒2.71). Subgroup analysis and interaction tests indicated that there was no dependence for the association of VAI and AAC. Conclusion: Visceral adiposity accumulation evaluated by the VAI was associated with a higher AAC score and an increased likelihood of severe AAC

Targeting Regulatory T Cell Plasticity with BCL-2 Inhibition

The specific BCL-2 small molecule inhibitor venetoclax has been shown to effectively induce apoptosis in a wide range of malignancies either alone and in combination with other drugs. Based upon these results, there has been considerable growth in its use in clinical studies used alone and in combination with chemotherapy and immune-based therapies. Lympho- cytes, and T cells in particular, rely heavily on BCL-2 for survival and function. This has been determined largely by genetic deletion or overexpression of BCL-2 in murine models. However, the adaptive effects of short or long-term small molecule BCL-2 family blockade on surviving immune cell subsets and their function is not fully understood. In the current work, we aimed to better understand the effect of long-term systemic treatment with venetoclax on regulatory T (Treg) cells, which are relatively apoptotically resistant to specific BCL-2 drugging compared to other T cells. Our results indicate that long-term BCL-2 blockade by venetoclax results in Treg plasticity towards a TH17-like functional state which aids in anti-PD-1 efficacy. Our data further highlights the importance of Treg instability on the efficacy of anti-PD-1 checkpoint blockade which will be beneficial for the clinical efficacy of immunotherapy

Thermal Concentration on Thermoelectric Thin Film for Efficient Solar Energy Harvesting

Thermoelectric generators can directly harvest and convert ambient thermal energy into electricity, which makes it ideal for thermal energy conversion. However, the limited working temperature gradient developed by direct solar radiation severely restricts the performance and the application of solar thermoelectric generators. Here, we report a multilayer thin film integrating a solar selective absorbing coating and a thermoelectric layer, where an in-plane temperature gradient was established. The temperature gradient was relatively large since the absorbed solar energy could only flow through the restricted cross-section of the thin film, representing a high thermal concentration. The fabricated thin-film solar thermoelectric generators (100 mm × 15 mm) achieve an open-circuit voltage of about 300 mV, and an output power of 0.83 μW under AM 1.5G conditions. Our work opens up a promising new strategy to achieve the simple and cost-effective conversion of solar energy into electricity by thermal concentration

Association of Peridialysis Blood Pressure and Its Variability with Cardiovascular Events in Hemodialysis Patients

Background/Aims: Blood pressure variability (BPV) is a novel cardiovascular risk factor for the population undergoing hemodialysis (HD). Methods: We conducted a retrospective cohort study of 526 HD patients. Four short-term peridialysis BPV metrics were analyzed: systolic blood pressure (SBP) change, SBP coefficient of variation (CV), SBP intradialytic average real variability (ARV), and absolute SBP residual. Multi variate analysis with Cox regression models were used to account for the potential confounders. Results: Short-term BPV is found to be affected by age, pre-dialysis SBP, antihypertensive drugs, dialysis time, and vascular access. Calcium-channel blockers (CCBs) were found to be associated with lower BPV than those on non-CCB therapy or no antihypertensive drugs. Patients dialyzed in the morning had a greater absolute SBP change than those dialyzed in the afternoon or evening. Patients using fistulas had a lower BPV than catheters. Higher BPV metrics including SBP CV (unadjusted hazard ratio [HR]: 1.37, 95% confidence interval [CI] 1.14-1.66, p=0.001), SBP intradialytic ARV (unadjusted HR: 1.46, 95% CI: 1.20-1.77, p< 0.001), and SBP residual (unadjusted HR: 1.47, 95% CI: 1.21-1.79, p< 0.001) were associated with a greater risk of cardiovascular events. After complete multivariate adjustment for other potential confounders, the HR remained statistically significant for SBP intradialytic ARV (HR 1.31, 95% CI: 1.04-1.66, p=0.024). Conclusion: Peridialytic BPV may be a potential target for improved blood pressure (BP) management in HD patients. Each short-term BPV metric has different advantages and disadvantages and should be applied according to the clinical context and purpose

Supplemental Material, sj-pdf-1-ptd-10.1177_08968608231221952 - COVID-19 and outcomes in Chinese peritoneal dialysis patients

Supplemental Material, sj-pdf-1-ptd-10.1177_08968608231221952 for COVID-19 and outcomes in Chinese peritoneal dialysis patients by Ruoxi Liao, Xueli Zhou, Dengyan Ma, Shaofen Wang, Ping Fu and Hui Zhong in Peritoneal Dialysis International</p

Resolvin D1 attenuates sepsis induced acute kidney injury targeting mitochondria and NF-κB signaling pathway

Background: Acute kidney injury is a highly common and multifactorial renal disease resulting in significant morbidity and mortality, especially sepsis-induced acute kidney injury. There is no effective therapy available to treat or prevent sepsis-induced acute kidney injury. One of the specialized pro-resolving mediators, Resolvin D1 exhibits special anti-inflammatory effects in several inflammatory disease models, but there is little evidence about the effect and mechanism of Resolvin D1 in sepsis-induced acute kidney injury. Methods: We conducted experiments to explore the effect and mechanism of Resolvin D1 in sepsis-induced acute kidney injury. In vitro, human proximal tubular epithelial cells were used to test the apoptosis ratio, cell viability and reactive oxygen species level. In vivo, C57BL/6 mice were injected with lipopolysaccharide to establish a sepsis-induced acute kidney injury model. Renal function and structure, apoptosis ratio of kidney cells, mitochondrial structure and function and related protein and gene levels were assessed. Results: In vitro, the resolvin D1-treated group showed higher cell viability and lower reactive oxygen species levels and apoptosis ratios than the LPS group. In vivo, Resolvin D1 can not only improve renal function and mitochondrial function but also reduce the apoptosis ratio, while mediating mitochondrial dynamics and inhibiting NF-κB pathway. Conclusions: Resolvin D1 has a good renoprotective effect by maintaining mitochondrial dynamics and inhibiting the NF-κB pathway