Reversible splenial lesion syndrome in children: a retrospective study of 130 cases

BackgroundReversible splenial lesion syndrome (RESLES) is a new clinico-radiological syndrome. We retrospectively analyzed the clinical features of 130 children with RESLES in China, which is the largest case series available in the literature.MethodsThe clinical data of children diagnosed as RESLES in Jiangxi Provincial Children's Hospital between 2017 and 2023 were retrospectively analyzed. The 130 cases were divided into two groups: ≤ 3 years old group (group A) (n = 83) and > 3 years old group (group B) (n = 47). The chi-squared test or Fisher's test was used to evaluate the data.ResultsThe vast majority of patients (127/130 cases, 97.7%) had prodromal symptoms of infection. Preceding infections of the gastrointestinal tract were statistically more significant in group A (60/83, 72.3%) than in group B (11/47, 23.4%) (P < 0.05). Preceding infections of the respiratory tract were statistically more significant in group B (33/47, 70.2%) than in group A (17/83, 20.5%) (P < 0.05). Seizures were statistically more significant in group A (82/83, 98.8%) than in group B (24/47,51.1%) (P < 0.05). The disturbance of consciousness and headache/dizziness were statistically more significant in group B (27/47, 57.4%; 37/47, 78.7%) than in group A (3/83, 3.6%; 1/83, 1.2%), respectively (P < 0.05). Convulsions with mild gastroenteritis (CwG) were statistically more significant in group A (50/83, 60.2%) than in group B (8/47, 17.0%) (P < 0.05). However, encephalitis/encephalopathy was statistically more significant in group B (20/47, 42.6%) than in group A (10/83, 12.0%) (P < 0.05). MRI showed cytotoxic edema in typical locations (RESLES type-1 limited to the splenium of the corpus callosum and RESLES type-2 spread to the entire corpus callosum, adjacent white matter, or both). There was full recovery of the lesions of MRI in all cases from 3 days to 50 days after the initial examinations. All the children showed normal neurodevelopment.ConclusionInfection was the most common cause of RESLES. Infections of the gastrointestinal tract are common in ≤ 3 years old children, while infections of the respiratory tract are common in >3 years old children. Younger patients are more likely to develop convulsions, and older children were more likely to have symptoms with disturbance of consciousness and headache/dizziness. RESLES has characteristic MRI manifestations and a good prognosis

Activation of GABA type A receptor is involved in the anti-insomnia effect of Huanglian Wendan Decoction

Huanglian Wendan Decoction (HWD) is a traditional Chinese medicine (TCM) prescribed to patients diagnosed with insomnia, which can achieve excellent therapeutic outcomes. As positively modulating the γ-aminobutyric acid (GABA) type A receptors (GABAARs) is the most effective strategy to manage insomnia, this study aimed to investigate whether the activation of GABAARs is involved in the anti-insomnia effect of HWD. We assessed the metabolites of HWD using LC/MS and the Traditional Chinese Medicine Systems Pharmacology (TCMSP) database and tested the pharmacological activity in vitro and in vivo using whole-cell patch clamp and insomnia zebrafish model. In HEK293 cells expressing α1β3γ2L GABAARs, HWD effectively increased the GABA-induced currents and could induce GABAAR-mediated currents independent of the application of GABA. In the LC-MS (QToF) assay, 31 metabolites were discovered in negative ion modes and 37 metabolites were found in positive ion modes, but neither three selected active metabolites, Danshensu, Coptisine, or Dihydromyricetin, showed potentiating effects on GABA currents. 62 active metabolites of the seven botanical drugs were collected based on the TCMSP database and 19 of them were selected for patch-clamp verification according to the virtual docking simulations and other parameters. At a concentration of 100 μM, GABA-induced currents were increased by (+)-Cuparene (278.80% ± 19.13%), Ethyl glucoside (225.40% ± 21.77%), and β-Caryophyllene (290.11% ± 17.71%). In addition, (+)-Cuparene, Ethyl glucoside, and β-Caryophyllene could also serve as positive allosteric modulators (PAMs) and shifted the GABA dose-response curve (DRC) leftward significantly. In the PCPA-induced zebrafish model, Ethyl glucoside showed anti-insomnia effects at concentrations of 100 μM. In this research, we demonstrated that the activation of GABAARs was involved in the anti-insomnia effect of HWD, and Ethyl glucoside might be a key metabolite in treating insomnia

Application of Bayesian Approach to Dynamic Assessment of Flood in Urban Underground Spaces

Urban underground facilities tend to be vulnerable to flood that is generated by the breaking of a dam or a levee, or a flash flood after an exceptional rainfall. Rapid and dynamic assessment of underground flood evolution process is of great significance for safety evacuation and disaster reduction. Taking advantage of the Delphi method to determine the Bayesian conditional probabilities collected by expert knowledge, this paper proposes an integrated Bayesian Network (BN) framework for rapidly and dynamically assessing the flood evolution process and consequences in underground spaces. The proposed BN framework, including seventeen nodes, can represent the flood disaster drivers, flood disaster bearers, flood mitigation actions, and on-site feedback information. Given evidences to specific nodes, the risk distribution of typical flood scenarios can be quantitatively estimated. The results indicate that the proposed framework can be useful for dynamically evaluating underground flood evolution process and identifying the critical influencing factors. This BN-based framework is helpful for “Scenario-Response”-based predictive analyses to support decision that is related to flood disaster emergency response

Risk Assessment of Underground Subway Stations to Fire Disasters Using Bayesian Network

Subway station fires often have serious consequences because of the high density of people and limited number of exits in a relatively enclosed space. In this study, a comprehensive model based on Bayesian network (BN) and the Delphi method is established for the rapid and dynamic assessment of the fire evolution process, and consequences, in underground subway stations. Based on the case studies of typical subway station fire accidents, 28 BN nodes are proposed to represent the evolution process of subway station fires, from causes to consequences. Based on expert knowledge and consistency processing by the Delphi method, the conditional probabilities of child BN nodes are determined. The BN model can quantitatively evaluate the factors influencing fire causes, fire proof/intervention measures, and fire consequences. The results show that the framework, combined with Bayesian network and the Delphi method, is a reliable tool for dynamic assessment of subway station fires. This study could offer insights to a more realistic analysis for emergency decision-making on fire disaster reduction, since the proposed approach could take into account the conditional dependency in the fire propagation process and incorporate fire proof/intervention measures, which is helpful for resilience and sustainability promotion of underground facilities

Image_1_A case report of IgG4-related hepatic inflammatory pseudotumor in a 3-year old boy.jpeg

BackgroundHepatic Inflammatory Pseudotumor (IPT) is an infrequent condition often masquerading as a malignant tumor, resulting in misdiagnosis and unnecessary surgical resection. The emerging concept of IgG4-related diseases (IgG4-RD) has gained widespread recognition, encompassing entities like IgG4-related hepatic IPT. Clinically and radiologically, corticosteroids and immunosuppressive therapies have proven effective in managing this condition.Case PresentationA 3-year-old Chinese boy presented to the clinic with an 11-month history of anemia, fever of unknown origin, and a tender hepatic mass. Blood examinations revealed chronic anemia (Hb: 6.4 g/L, MCV: 68.6 fl, MCH: 19.5 pg, reticulocytes: 1.7%) accompanied by an inflammatory reaction and an elevated serum IgG4 level (1542.2 mg/L). Abdominal contrast-enhanced computed tomography unveiled a 7.6 cm low-density mass in the right lateral lobe, while magnetic resonance imaging demonstrated slight hypointensity on T1-weighted images and slight hyperintensity on T2-weighted images, prompting suspicion of hepatic malignancy. A subsequent liver biopsy revealed a mass characterized by fibrous stroma and dense lymphoplasmacytic infiltration. Immunohistochemical analysis confirmed the presence of IgG4-positive plasma cells, leading to the diagnosis of IgG4-related hepatic IPT. Swift resolution occurred upon initiation of corticosteroid and mycophenolate mofetil therapies.ConclusionThis study underscores the diagnostic approach to hepatic IPT, utilizing histopathology, immunostaining, imaging, serology, organ involvement, and therapeutic response. Early histological examination plays a pivotal role in clinical guidance, averting misdiagnosis as a liver tumor and unnecessary surgical interventions.</p

Effects of Intercropping and Nitrogen Application on Soil Fertility and Microbial Communities in Peanut Rhizosphere Soil

The intercropping of peanuts and sugarcane is a sustainable planting model that deserves in-depth research. For this study, two variables, i.e., intercropping status (peanut monocropping or sugarcane/peanut intercropping) and the level of nitrogen fertilization (low, medium, or high), were evaluated to analyze the effects of intercropping and nitrogen application on soil fertility and microbial communities in peanut rhizosphere soil. These analyses revealed that higher nitrogen application led to increased total nitrogen (TN), available nitrogen (AN), and soil organic matter (OM) levels in rhizosphere soil for both monocropped and intercropped peanuts, with a decrease in pH. Monocropped peanuts had higher TN, total phosphorus (TP), and total potassium (TK) levels compared to intercropped peanuts at the same nitrogen level but lower AN content and pH levels. The diversity of microbial communities in the rhizosphere soil of intercropped peanuts was significantly higher than that of monocropped peanuts under high levels of nitrogen fertilizer application. Higher levels of Gemmatimonadetes abundance were observed in intercropping rhizosphere soil, compared to that associated with peanut monocropping under low, middle, and high levels of nitrogen fertilizer application, whereas the opposite trend was observed for Chloroflexi abundance. Nitrospira abundance levels rose gradually in the monocropping treatment group, whereas the opposite trend was evident under intercropping conditions. Further analyses of nitrogen cycle-related genes demonstrated higher levels of nitrogen conversion cycle activity in intercropping peanut rhizosphere soil under low nitrogen levels, whereas nitrogen transformation cycle activity levels were higher in monocropping peanut rhizosphere soil under high levels of nitrogen amendment. It can be concluded that intercropping and nitrogen fertilizer application change the physical and chemical properties of soil, thus affecting the diversity and function of soil microbial communities in the peanut rhizosphere. These results offer a theoretical foundation for more efficient sugarcane/peanut intercropping systems

A Non-toxic and Efficient Method for Extracting DNA and RNA from Peanut

[Objectives] To establish a non-toxic and efficient method for extracting DNA and total RNA from peanuts and laying a solid foundation for the molecular biology study of peanuts. [Methods] Based on the principle and method of purifying nucleic acids by silica gel adsorption at high salt and low pH condition, a non-toxic and efficient method to extract peanut DNA and total RNA using cetyltrimethyl ammonium bromide (CTAB) extraction solution was designed. The quality and purity of nucleic acids were detected by agarose gel electrophoresis and nucleic acids protein analyzer, respectively. The quality of DNA was further verified by enzyme digestion and PCR amplification using molecular marker techniques. The quality of total RNA was further verified by reverse transcription (RT)-PCR of actin gene and cDNA-SCoT gene differential display technique. [Results] The agarose gel electrophoresis test showed that the peanut DNA extracted by a low-toxic and effective method is free of contamination and degradation. Through the detection by the nucleic acid protein analyzer, the DNA concentration, yield, A260/A280 and A260/A230 of 5 peanut varieties were 419.6-498.2 ng/μL, 20.98-24.91 μg/g, 1.89-1.96 and 2.03-2.28, respectively. The DNA was of high quality and can be completely digested by EcoRI restriction enzymes, and also can be used for SCoT and SRAP molecular marker technology analysis. The RNA extracted from different tissues of peanuts showed no visible DNA bands by non-denaturing agarose gel electrophoresis. The separated 28S bands were brighter than 18S. The ratio of A260/A280 and A260/A230 showed that the RNA quality was good and can be used for reverse transcription, RT-PCR of actin gene and amplification of cDNA-SCoT gene differential display technique. [Conclusions] This experiment established a low-toxic and effective method for extracting DNA and total RNA from peanuts. Compared with traditional methods, this method is more time-saving and cheaper than commercial kits. The most important point is that this method does not use toxic reagents such as phenol, chloroform and isopropanol. Thus, it is expected to be widely applied in molecular biology research

Table_2_Beneficial shift of rhizosphere soil nutrients and metabolites under a sugarcane/peanut intercropping system.xlsx

Intercropping systems have been studied as a sustainable agricultural planting pattern to increase soil quality and crop yields. However, the relationships between metabolites and soil physicochemical properties remain poorly understood under sugarcane/peanut intercropping system. Thus, we determined the rhizosphere soil physicochemical properties, and analyzed rhizosphere soil metabolites and root metabolites by metabolomics method under monoculture and intercropping patterns of sugarcane and peanut. The results showed that pH, the contents of total phosphorus (P), total potassium (K), available nitrogen (N), available phosphorus (P), and available potassium (K) were higher in rhizosphere soil of intercropping peanut than monoculture peanut, and the content of total P was higher in rhizosphere soil of intercropping sugarcane than monoculture sugarcane. Sugarcane/peanut intercropping also significantly increased the activities of acid phosphatase and urease in rhizosphere soil. The metabolomics results showed that 32 metabolites, mainly organic acids and their derivatives (25.00%), nucleotides and their metabolites (18.75%), were detected in root and rhizosphere soil samples. In the MP-S (rhizosphere soil of monoculture peanut) vs. IP-S (rhizosphere soil of intercropping peanut) comparison, 47 differential metabolites (42 upregulated) were screened, including glycerolipids (19.15%), organic acids and their derivatives (17.89%), and amino acids and their metabolites (12.77%). In the MS-S (rhizosphere soil of monoculture sugarcane) vs. IS-S (rhizosphere soil of intercropping sugarcane) comparison, 51 differential metabolites (26 upregulated) were screened, including heterocyclic compounds (15.69%), glycerolipids (11.76%), and organic acids and their derivatives (9.80%). The metabolite species from MP-S, MS-S, IP-S, and IS-S were similar, but some metabolite contents were significantly different, such as adenine, adenosine, maltotriose, thermozeaxanthin-13 and PE-NMe (20:0/24:0). Adenine and adenosine were detected in root and rhizosphere soils, and their levels were increased in the intercropping treatment, which were mainly related to enhanced purine metabolism in root and rhizosphere soils under the sugarcane/peanut intercropping system. Importantly, adenine and adenosine were significantly positively correlated with total P and total K contents, acid phosphatase and urease activities, and pH. This study clarified that the sugarcane/peanut intercropping system could improve soil nutrients and enzymes and was related to purine metabolism.</p