Comparable cognitive impairment was detected in MACS and CS and alleviated after remission of hypercortisolism in MACS

ContextFew studies have directly compared the cognitive characteristics of patients with mild autonomous cortisol secretion (MACS) and Cushing’s syndrome (CS). The effect of surgical or conservative treatment on cognitive function in patients with MACS is still unclear.ObjectiveTo compare the differences in cognitive function between patients with MACS and CS and evaluate the effect of surgery or conservative treatment on cognitive function.MethodsWe prospectively recruited 59 patients with nonfunctional adrenal adenoma (NFA), 36 patients with MACS, and 20 patients with adrenal CS who completed the global cognition and cognitive subdomains assessments. Seventeen MACS patients were re-evaluated for cognitive function after a 12-month follow-up period; of these, eleven underwent laparoscopic adrenalectomy and six received conservative treatment.ResultsPatients with MACS and CS performed worse in the global cognition and multiple cognitive domains than those with NFA (all P<0.05). No statistical difference was found in cognitive functions between patients with MACS and CS. Logistic regression analysis showed that patients with MACS (odds ratio [OR]=3.738, 95% confidence intervals [CI]: 1.329–10.515, P=0.012) and CS (OR=6.026, 95% CI: 1.411–25.730, P=0.015) were associated with an increased risk of immediate memory impairment. Visuospatial/constructional, immediate and delayed memory scores of MACS patients were significantly improved at 12 months compared with pre-operation in the surgical treatment group (all P<0.05), whereas there was no improvement in the conservative treatment group.ConclusionPatients with MACS have comparable cognitive impairment as patients with CS. Cognitive function was partially improved in patients with MACS after adrenalectomy. The current data support the inclusion of cognitive function assessment in the clinical management of patients with MACS

The effect of Chinese herbal medicine <i>Orthosiphon aristatus</i> on water drinking and serum urea content of domestic cat in summer

Domestic cat (Felis silvestris catus) drinks less water and urinates less,and has high incidence of urinary system diseases.Orthosiphon aristatus is a traditional Chinese herbal medicine with very good diuretic effect.In this study,10 domestic cats were used for testing.The results showed that the addition of 1% (mass fraction) O.aristatus can significantly increase the water consumption of domestic cats and reduce their serum urea nitrogen content,but does not affect their body weight and feed intake.This test shows that O.aristatus has potential for increasing urinary output and reducing urinary system diseases of domestic cats

Flux Pinning Properties of Single-Grain Bulk GdBCO Superconductors Processed by Different Thicknesses of Y123 Liquid Source

The performance of critical current density of GdBa2Cu3O7−δ (GdBCO or Gd123) superconductor bulk has an important influence on its practical applications. In this work, four single-domain GdBCO superconductor bulks were successfully processed by the modified top-seeded melt-texture growth method. The addition of a YBa2Cu3O7−δ (Y123) liquid source with different thicknesses, 0 mm (S0), 3 mm (S3), 5 mm (S5), 7 mm (S7), was introduced to study the influence on the superconducting properties. GdBCO bulk with the addition of the Y123 liquid source with a 3-mm thickness shows the best superconducting properties. The addition of the Y123 liquid source results in a decrease in the Gd3+ ion concentration required for Gd123 growth; thus, Gd2BaCuO5 (Gd211) particles in the liquid source need a larger self-decomposition to diffuse Gd3+ ions to Gd123 growth front, which refines the size and leads to a homogenous distribution of the Gd211 particles in the bulks. Thus, the more pinning centers of fined Gd211 particles improve the superconducting properties of GdBCO bulk. With increases in the thickness of Y123 liquid source to 5 mm and 7 mm, high RE3+ (Gd3+ and Y3+) concentration can coarsen Gd211 particles and fuse with Gd211 liquid source. The superconducting properties apparently drop. Therefore, the addition of a Y123 liquid source with a suitable thickness is a positive modification to obtain high-performance GdBCO bulk

Short-length large-mode-area photonic crystal fiber laser operating at 978 nm

The laser performance of a short-length Yb-doped rod-type photonic crystal fiber (PCF) laser is studied experimentally both in the three-level scheme and quasi-four-level scheme in this contribution. In the free oscillation mode, the rod-type PCF laser produce 13.6 W output power on the quasi-four-level system with center wavelength of 1030 nm. The laser operating on the three-level system is obtained with the introduction of specialized feedback around the 976 nm radiation. Up to 7 W output power is generated with wavelength centered in 978 nm

Population genetic structure of Culex tritaeniorhynchus in different types of climatic zones in China

Abstract Background Culex tritaeniorhynchus is widely distributed in China, from Hainan Island in the south to Heilongjiang in the north, covering tropical, subtropical, and temperate climate zones. Culex tritaeniorhynchus carries 19 types of arboviruses. It is the main vector of the Japanese encephalitis virus (JEV), posing a serious threat to human health. Understanding the effects of environmental factors on Culex tritaeniorhynchus can provide important insights into its population structure or isolation patterns, which is currently unclear. Results In total, 138 COI haplotypes were detected in the 552 amplified sequences, and the haplotype diversity (Hd) value increased from temperate (0.534) to tropical (0.979) regions. The haplotype phylogeny analysis revealed that the haplotypes were divided into two high-support evolutionary branches. Temperate populations were predominantly distributed in evolutionary branch II, showing some genetic isolation from tropical/subtropical populations and less gene flow between groups. The neutral test results of HNQH (Qionghai) and HNHK(Haikou) populations were negative (P < 0.05), indicating many low-frequency mutations in the populations and that the populations might be in the process of expansion. Moreover, Wolbachia infection was detected only in SDJN (Jining) (2.24%), and all Wolbachia genotypes belonged to supergroup B. To understand the influence of environmental factors on mosquito-borne viruses, we examined the prevalence of Culex tritaeniorhynchus infection in three ecological environments in Shandong Province. We discovered that the incidence of JEV infection was notably greater in Culex tritaeniorhynchus from lotus ponds compared to those from irrigation canal regions. In this study, the overall JEV infection rate was 15.27 per 1000, suggesting the current risk of Japanese encephalitis outbreaks in Shandong Province. Conclusions Tropical and subtropical populations of Culex tritaeniorhynchus showed higher genetic diversity and those climatic conditions provide great advantages for the establishment and expansion of Culex tritaeniorhynchus. There are differences in JEV infection rates in wild populations of Culex tritaeniorhynchus under different ecological conditions. Our results suggest a complex interplay of genetic differentiation, population structure, and environmental factors in shaping the dynamics of Culex tritaeniorhynchus. The low prevalence of Wolbachia in wild populations may reflect the recent presence of Wolbachia invasion in Culex tritaeniorhynchus

Supplemental data for "Impaired Cognitive Function in Patients with Autonomous Cortisol Secretion in Adrenal Incidentalomas"

Supplemental data to the article "Impaired Cognitive Function in Patients with Autonomous Cortisol Secretion in Adrenal Incidentalomas"</p

METTL14 Regulates Intestine Cellular Senescence through m6A Modification of Lamin B Receptor

N-6-Methyladenosine (m6A) modification is involved in multiple biological processes including aging. However, the regulation of m6A methyltransferase-like 14 (METTL14) in aging remains unclear. Here, we revealed that the level of m6A modification and the expression of METTL14 were particularly decreased in the intestine of aged mice as compared to young mice. Similar results were confirmed in Drosophila melanogaster. Knockdown of Mettl14 in Drosophila resulted in a short lifespan, associated disrupted intestinal integrity, and reduced climbing ability. In human CCD-18Co cells, knockdown of METTL14 accelerated cellular senescence, and the overexpression of METTL14 rescued senescent phenotypes. We also identified the lamin B receptor (LBR) as a target gene for METTL14-mediated m6A modification. Knockdown of METTL14 decreased m6A level of LBR, resulted in LBR mRNA instability, and thus induced cellular senescence. Our findings suggest that METTL14 plays an essential role in the m6A modification-dependent aging process via the regulation of LBR and provides a potential target for cellular senescence

A novel in‐frame deletion in KIF5C gene causes infantile onset epilepsy and psychomotor retardation

Abstract Motor proteins, encoded by Kinesin superfamily (KIF) genes, are critical for brain development and plasticity. Increasing studies reported KIF’s roles in neurodevelopmental disorders. Here, a 6 years and 3 months‐old Chinese boy with markedly symptomatic epilepsy, intellectual disability, brain atrophy, and psychomotor retardation was investigated. His parents and younger sister were phenotypically normal and had no disease‐related family history. Whole exome sequencing identified a novel heterozygous in‐frame deletion (c.265_267delTCA) in exon 3 of the KIF5C in the proband, resulting in the removal of evolutionarily highly conserved p.Ser90, located in its ATP‐binding domain. Sanger sequencing excluded the proband's parents and family members from harboring this variant. The activity of ATP hydrolysis in vitro was significantly reduced as predicted. Immunofluorescence studies showed wild‐type KIF5C was widely distributed throughout the cytoplasm, while mutant KIF5C was colocalized with microtubules. The live‐cell imaging of the cargo‐trafficking assay revealed that mutant KIF5C lost the peroxisome‐transporting ability. Drosophila models also confirmed p.Ser90del's essential role in nervous system development. This study emphasized the importance of the KIF5C gene in intracellular cargo‐transport as well as germline variants that lead to neurodevelopmental disorders and might enable clinicians for timely and accurate diagnosis and disease management in the future