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Dai EH, Guo XR, Wang JT, Hu QG, Li JH, Tang QY, Zu HM, Huan H, Wang Y, Gao YF, Hu GQ, Li W, Liu ZJ, Ma QP, Song YL, Yang JH, Zhu Y, Huang SD, Meng ZJ, Bai B, Chen YP, Gao C, Huang MX, Jin SQ, Lu MZ, Xu Z, Zhang QH, Zheng S, Zeng QL, Qi XL. [Investigate of the etiology and prevention status of liver cirrhosis]. Zhonghua Yi Xue Za Zhi 2023; 103:913-919. [PMID: 36973219 DOI: 10.3760/cma.j.cn112137-20221017-02164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
Abstract
Objective: To investigate the etiology, prevention and treatment status, and their corresponding regional differences of the patients with liver cirrhosis in China, in order to provide scientific basis for the development of diagnosis and control strategies in China. Methods: Clinical data of patients diagnosed with liver cirrhosis for the first time through January 1, 2018 to December 31, 2020 from 50 hospitals in seven different regions of China were collected and analyzed retrospectively, and the difference of etiology, treatment, and their differences in various regions were analyzed. Results: A total of 11 861 cases with liver cirrhosis were included in the study. Thereinto, 5 093 cases (42.94%) were diagnosed as compensated cirrhosis, and 6 768 cases (57.06%) had decompensated cirrhosis. Notably, 8 439 cases (71.15%) were determined as chronic hepatitis B-caused cirrhosis, 1 337 cases (11.27%) were alcoholic liver disease, 963 cases (8.12%) were chronic hepatitis C, 698 cases (5.88%) were autoimmune liver disease, 367 cases (3.09%) were schistosomiasis, 177 cases (1.49%) were nonalcoholic fatty liver, and 743 cases (6.26%) of other types of liver disease. There were significant differences in the incidence of chronic hepatitis B, chronic hepatitis C, alcoholic liver disease, fatty liver, schistosomiasis liver disease, and autoimmune liver disease among the seven regions (P<0.001). Only 1 139 cases (9.60%) underwent endoscopic therapy, thereinto, 718 cases (6.05%) underwent surgical therapy, and 456 cases (3.84%) underwent interventional therapy treatment. In patients with compensated liver cirrhosis, 60 cases (0.51%) underwent non-selective β receptor blockers(NSBB), including 59 cases (0.50%) underwent propranolol and 1 case (0.01%) underwent carvedilol treatment. In patients with decompensated liver cirrhosis, 310 cases (2.61%) underwent NSBB treatment, including 303 cases (2.55%) underwent propranolol treatment and 7 cases (0.06%) underwent carvedilol treatment. Interestingly, there were significant differences in receiving endoscopic therapy, interventional therapy, NSBB therapy, splenectomy and other surgical treatments among the seven regions (P<0.001). Conclusion: Currently, chronic hepatitis B is the main cause (71.15%) of liver cirrhosis in several regions of China, and alcoholic liver disease has become the second cause (11.27%) of liver cirrhosis in China. The three-level prevention and control of cirrhosis in China should be further strengthened.
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Affiliation(s)
- E H Dai
- Division of Liver Disease, the Fifth Hospital of Shijiazhuang, North China University of Science and Technology, Shijiazhuang 050021, China
| | - X R Guo
- School of Public Health, North China University of Science and Technology, Tangshan 063210, China
| | - J T Wang
- CHESS Center, Xingtai People's Hospital, Xingtai 054001, China
| | - Q G Hu
- Department of Infectious Diseases, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
| | - J H Li
- Department of Infectious Diseases, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - Q Y Tang
- Second Department of Hepatology, Shenzhen Third People's Hospital, Shenzhen 518112, China
| | - H M Zu
- Department of Gastroenterology, Fourth People's Hospital of Qinghai Province, Xining 810007, China
| | - H Huan
- Department of Gastroenterology, Hospital of Chengdu Office of Tibet Autonomous Region People's Government, Chengdu 610041, China
| | - Y Wang
- Working Group of CHESS Frontier Center, Shenyang Sixth People's Hospital, Shenyang 110006, China
| | - Y F Gao
- Department of Infectious Diseases, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
| | - G Q Hu
- Department of Infectious Diseases, People's Hospital of Jieshou, Jieshou 236502, China
| | - W Li
- the Third Department of Infection, the Second People's Hospital of Fuyang City, Fuyang 236029, China
| | - Z J Liu
- Department of Infectious Diseases, Anqing Municipal Hospital, Anqing 246004, China
| | - Q P Ma
- Department of Infectious Diseases, People's Hospital of Linquan County, Anhui Province, Linquan 236499, China
| | - Y L Song
- Department of Infectious Diseases, Tongling People's Hospital, Tongling 244099, China
| | - J H Yang
- Department of Infectious Diseases, Yijishan Hospital, the First Affiliated to Wannan Medical College, Wuhu 241006, China
| | - Y Zhu
- Department of Infectious Diseases, Chizhou People's Hospital, Chizhou 247099, China
| | - S D Huang
- Department of Infectious Diseases, the Second People's Hospital of Jingzhou City, Jingzhou 434002, China
| | - Z J Meng
- Department of Infectious Diseases, Taihe Hospital, Shiyan 442099, China
| | - B Bai
- Department of Infectious Diseases, Union Shenzhen Hospital, Huazhong University of Science and Technology, Shenzhen 518052, China
| | - Y P Chen
- Department of Infectious Diseases, the Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen 518107, China
| | - C Gao
- Department of Infectious Diseases, the Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen 518107, China
| | - M X Huang
- Department of Infectious Diseases, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China
| | - S Q Jin
- Department of Gastroenterology, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China
| | - M Z Lu
- Department of Infectious Diseases, Shenzhen Longgang Central Hospital, Shenzhen 518116, China
| | - Z Xu
- Department of Gastroenterology, Dongguan People's Hospital, Dongguan 523058, China
| | - Q H Zhang
- Department of Hepatology, Second People's Hospital of Zhongshan City, Zhongshan 528447, China
| | - S Zheng
- Department of Endoscopy, Shenyang Sixth People's Hospital, Shenyang 110006, China
| | - Q L Zeng
- Department of Infectious Diseases and Hepatology, the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052, China
| | - X L Qi
- CHESS Center, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, China
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Zhang W, Liu FQ, Zhang LP, Ding HG, Zhuge YZ, Wang JT, Li L, Wang GC, Wu H, Li H, Cao GH, Lu XF, Kong DR, Sun L, Wu W, Sun JH, Liu JT, Zhu H, Li DL, Guo WH, Xue H, Wang Y, Gengzang CJC, Zhao T, Yuan M, Liu SR, Huan H, Niu M, Li X, Ma J, Zhu QL, Guo WW, Zhang KP, Zhu XL, Huang BR, Li JN, Wang WD, Yi HF, Zhang Q, Gao L, Zhang G, Zhao ZW, Xiong K, Wang ZX, Shan H, Li MS, Zhang XQ, Shi HB, Hu XG, Zhu KS, Zhang ZG, Jiang H, Zhao JB, Huang MS, Shen WY, Zhang L, Xie F, Li ZW, Hou CL, Hu SJ, Lu JW, Cui XD, Lu T, Yang SS, Liu W, Shi JP, Lei YM, Bao JL, Wang T, Ren WX, Zhu XL, Wang Y, Yu L, Yu Q, Xiang HL, Luo WW, Qi XL. [Status of HVPG clinical application in China in 2021]. Zhonghua Gan Zang Bing Za Zhi 2022; 30:637-643. [PMID: 36038326 DOI: 10.3760/cma.j.cn501113-20220302-00093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: The investigation and research on the application status of Hepatic Venous Pressure Gradient (HVPG) is very important to understand the real situation and future development of this technology in China. Methods: This study comprehensively investigated the basic situation of HVPG technology in China, including hospital distribution, hospital level, annual number of cases, catheters used, average cost, indications and existing problems. Results: According to the survey, there were 70 hospitals in China carrying out HVPG technology in 2021, distributed in 28 provinces (autonomous regions and municipalities directly under the central Government). A total of 4 398 cases of HVPG were performed in all the surveyed hospitals in 2021, of which 2 291 cases (52.1%) were tested by HVPG alone. The average cost of HVPG detection was (5 617.2±2 079.4) yuan. 96.3% of the teams completed HVPG detection with balloon method, and most of the teams used thrombectomy balloon catheter (80.3%). Conclusion: Through this investigation, the status of domestic clinical application of HVPG has been clarified, and it has been confirmed that many domestic medical institutions have mastered this technology, but it still needs to continue to promote and popularize HVPG technology in the future.
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Affiliation(s)
- W Zhang
- Department of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China
| | - F Q Liu
- Department of Interventional Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
| | - L P Zhang
- Department of Radiology,Third Hospital of Taiyuan, Taiyuan 030012, China
| | - H G Ding
- Liver Disease Digestive Center,Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
| | - Y Z Zhuge
- Digestive Department,Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing 210008, China
| | - J T Wang
- Department of Hepatobiliary Surgery, Xingtai People's Hospital, Xingtai 054001, China
| | - L Li
- Department of Interventional Radiology, the First Hospital of Lanzhou University, Lanzhou 730013, China
| | - G C Wang
- Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
| | - H Wu
- Digestive Department, West China Hospital, Sichuan University, Chengdu 610044, China
| | - H Li
- Institute of Hepatology and Department of Infectious Disease, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - G H Cao
- Department of Radiology, Shulan Hospital, Hangzhou 310022, China
| | - X F Lu
- Digestive Department, West China Hospital, Sichuan University, Chengdu 610044, China
| | - D R Kong
- Digestive Department, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
| | - L Sun
- Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325001, China
| | - W Wu
- Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325001, China
| | - J H Sun
- Hepatobiliary and Pancreatic Intervention Center , the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
| | - J T Liu
- Digestive Department,Hainan Hospital of Chinese PLA General Hospital, Sanya 572013, China
| | - H Zhu
- The 1 st Department of Interventional Radiology, the Sixth People's Hospital of Shenyang, Shenyang 110006, China
| | - D L Li
- No. 900 Hospital of the Joint Logistic Support Force, Fuzhou 350025, China
| | - W H Guo
- Department of Interventional Radiology, Meng Chao Hepatobiliary Hospital of Fujian Medical University, Fuzhou 350025, China
| | - H Xue
- Digestive Department, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
| | - Y Wang
- Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
| | - C J C Gengzang
- Department of Interventional Radiology, the Fourth People's Hospital of Qinghai Province, Xining 810007, China
| | - T Zhao
- Department of Radiology,Sir Run Shaw Hospital, Zhejiang University, Hangzhou 310016, China
| | - M Yuan
- Department of Interventional Radiology Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China
| | - S R Liu
- Department of Infectious Disease,Qufu People's Hospital, Qufu 273199, China
| | - H Huan
- Digestive Department, Chengdu Office Hospital of Tibet Autonomous Region People's Government, Chengdu 610041, China
| | - M Niu
- Department of Interventional Radiology, the First Affiliated Hospital of China Medical University, Shenyang 110001, China
| | - X Li
- Department of Radiology,Tianjin Second People's Hospital, Tianjin 300192, China
| | - J Ma
- Department of Interventional Vascular Surgerg, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan 750002, China
| | - Q L Zhu
- Digestive Department,the Affiliated Hospital of Southwest Medical University, Luzhou 646099, China
| | - W W Guo
- Department of Interventional Radiology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
| | - K P Zhang
- Department of Hepatobiliary Surgery, Xingtai People's Hospital, Xingtai 054001, China
| | - X L Zhu
- Department of Surgery, the First Hospital of Lanzhou University, Lanzhou 730013, China
| | - B R Huang
- Department of Interventional Vascular Surgery,Jingzhou First People's Hospital, Jingzhou, China
| | - J N Li
- Liver Diseases Department,Jiamusi Infectious Disease Hospital, Jiamusi 154015, China
| | - W D Wang
- Hepatobiliary, Pancreatic and Spleen Surgery Department,Shunde Hospital, Southern Medical University, Foshan 528427, China
| | - H F Yi
- Digestive Department,Wuhan First Hospital, Wuhan 430030, China
| | - Q Zhang
- Interventional Vascular Surgery Department, Affiliated Zhongda Hospital of Southeast University, Nanjing 210009, China
| | - L Gao
- Oncology and Vascular Interventional Department, First Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - G Zhang
- Digestive Department, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530016, China
| | - Z W Zhao
- Department of Interventional Radiology, Lishui Municipal Central Hospital, Zhejiang University School of Medicine, Lishui 323030, China
| | - K Xiong
- Digestive Department, the Second Affiliated Hospital of Nanchang University, Nanchang 330008, China
| | - Z X Wang
- Inner Mongolia Medical University Affiliated Hospital, Hohhot 010050, China
| | - H Shan
- Interventional Medicine Center, the Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai 519000, China
| | - M S Li
- Department of Endovascular Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - X Q Zhang
- Digestive Department, the Second Hospital of Hebei Medical University, Shijiazhuang 050004, China
| | - H B Shi
- Department of Interventional Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
| | - X G Hu
- Interventional Radiology Department,Jinhua Municipal Central Hospital, Jinhua 321099, China
| | - K S Zhu
- Interventional Radiology Department, the Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510260, China
| | - Z G Zhang
- Department of Liver Surgery,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
| | - H Jiang
- Infectious Disease Department,Second Affiliated Hospital, Military Medical University of the Air Force, Xi'an 710038, China
| | - J B Zhao
- Department of Vascular and Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - M S Huang
- Interventional Radiology Department, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510000, China
| | - W Y Shen
- Digestive Department,Fuling Hospital Affiliated to Chongqing University, Chongqing 400030, China
| | - L Zhang
- Hepatobiliary Pancreatic Center,Tsinghua Changgung Hospital, Beijing 102200, China
| | - F Xie
- Function Department,Lanzhou Second People's Hospital, Lanzhou 730030, China
| | - Z W Li
- Hepatobiliary Surgery Department,Shenzhen Third People's Hospital, Shenzhen518112, China
| | - C L Hou
- Department of Interventional Radiology, the First Affiliated Hospital of USTC, Hefei 230001, China
| | - S J Hu
- Digestive Department,People's Hospital of Ningxia Hui Autonomous Region, Yinchuan 750002, China
| | - J W Lu
- Department of Interventional Radiology, Qufu People's Hospital, Qufu 273199, China
| | - X D Cui
- Department of Interventional Radiology, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530016, China
| | - T Lu
- Department of Gastroenterology, Yangquan Third People's Hospital, Yangquan 045099,China
| | - S S Yang
- Department of Gastroenterology, General Hospital of Ningxia Medical University , Yinchuan 750003, China
| | - W Liu
- Department of Interventional Radiology, Lishui People's Hospital, Zhejiang Province, Lishui 323050, China
| | - J P Shi
- Department of Liver Diseases, Affiliated Hospital of Hangzhou Normal University, Hangzhou 310015, China
| | - Y M Lei
- Interventional Radiology Department, People's Hospital of Tibet Autonomous Region, Lhasa 850001, China
| | - J L Bao
- Department of Gastroenterology, Shannan people's Hospital,Shannan 856004, China
| | - T Wang
- Department of Interventional Radiology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai 264099,China
| | - W X Ren
- Interventional Treatment Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011,China
| | - X L Zhu
- Interventional Radiology Department, the First Affiliated Hospital of Suzhou University, Suzhou 215006, China
| | - Y Wang
- Department of Interventional Vascular Surgery, the Second Affiliated Hospital of Hainan Medical College, Haikou 570216, China
| | - L Yu
- Department of Interventional Radiology, Sanming First Hospital Affiliated to Fujian Medical University,Sanming 365001,China
| | - Q Yu
- Interventional Radiology Department, Fifth Medical Center of PLA General Hospital, Beijing 100039, China
| | - H L Xiang
- Department of Gastroenterology, Tianjin Third Central Hospital, Tianjin 300170, China
| | - W W Luo
- Deparment of Infectious Diseases, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - X L Qi
- Center of Portal Hypertension Department of Radiology, Zhongda Hospital of Southeast University, Nanjing 210009, China
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Huan H, Liu C, Yang Z, Bao JL, Liu C, Wang JT, Zhang L, Wang CH, Ci RSP, Tu QL, Ren T, Xu D, Zhang HJ, Li XG, Kang N, Li XP, Wu YH, Pu X, Tan YJ, Cao JJ, Luo SWQ, Luo SQP, Zhuo M, Qi XL. [Current situation of screening, prevention and treatment of bleeding esophageal varices in cirrhotic portal hypertension in Tibet region: a multicenter study]. Zhonghua Gan Zang Bing Za Zhi 2020; 28:737-741. [PMID: 33053972 DOI: 10.3760/cma.j.cn501113-20200615-00318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Objective: To investigate and analyze the current situation, screening, clinical characteristics, prevention and treatment of bleeding esophageal varices in cirrhotic patients with portal hypertension in Tibet region. Methods: Clinical data of cirrhotic patients with portal hypertension through March 2017 to February 2020 from Tibet region were collected and analyzed retrospectively. Results: 511 cases with liver cirrhosis were included in the study, of which 185 cases (36.20%) had compensated cirrhosis and 326 cases (63.80%) had decompensated cirrhosis. Further analysis of the etiological data of liver cirrhosis showed that 306 cases (59.88%) were of chronic hepatitis B, 113 cases (22.11%) of alcoholic liver disease, and 68 cases (13.31%) of chronic hepatitis B combined with alcoholic liver disease. Among patients with compensated liver cirrhosis, 48 cases (25.95%) underwent endoscopic examination of which 33 diagnosed as high-risk variceal bleeding. However, none of these 33 cases had received non-selective β-blocker therapy, and only four patients had received endoscopic variceal banding therapy. Among patients with decompensated liver cirrhosis, 83 cases (25.46%) had a history of upper gastrointestinal bleeding, 297 cases (91.10%) had ascites, 23 cases (7.05%) had hepatic encephalopathy, and 3 cases (0.92%) had hepatorenal syndrome. Among the patients with a history of upper gastrointestinal bleeding, 42 cases (50.60%) had received secondary preventive treatment for bleeding esophageal varices, including 39 cases of endoscopic treatment, 1 case of endoscopic combined drug treatment, 3 cases of interventional treatment, and 2 cases of surgical treatment. Conclusion: Chronic hepatitis B and alcoholic liver diseases are the main causes of liver cirrhosis in Tibet region. Moreover, this region lacks screening, prevention and treatment for bleeding esophageal varices in cirrhotic patients with portal hypertension. Therefore, it is necessary to increase the screening of high-risk groups to prevent and improve the first-time bleeding, and promote multidisciplinary team to prevent and treat re-bleeding.
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Affiliation(s)
- H Huan
- Department of Gastroenterology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China
| | - C Liu
- Department of Gastroenterology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China
| | - Z Yang
- Department of Hepatology, The Third People's Hospital of Tibet Autonomous Region, Lasa 850000, China
| | - J L Bao
- Department of Gastroenterology,Shannan People's Hospital, Shannan 856000, China
| | - C Liu
- CHESS Center, Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou 730000, China
| | - J T Wang
- CHESS Center, Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou 730000, China
| | - L Zhang
- Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China
| | - C H Wang
- Department of Gastroenterology, The Second People's Hospital of Tibet Autonomous Region, Lasa 850000, China
| | - R S P Ci
- Department of Internal Medicine, Naqu Tibetan Hospital, Naqu 852000, China
| | - Q L Tu
- Department of Gastroenterology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China
| | - T Ren
- Department of Gastroenterology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China
| | - D Xu
- CHESS Center, Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou 730000, China
| | - H J Zhang
- CHESS Center, Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou 730000, China
| | - X G Li
- CHESS Center, Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou 730000, China
| | - N Kang
- CHESS Center, Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou 730000, China
| | - X P Li
- Department of Gastroenterology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China
| | - Y H Wu
- Department of Gastroenterology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China
| | - X Pu
- Department of Gastroenterology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China
| | - Y J Tan
- Department of Gastroenterology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China
| | - J J Cao
- Medical Administration, Ali District Health and Safety Commission, Ali 859000, China
| | - S W Q Luo
- Department of Internal Medicine, Naqu Tibetan Hospital, Naqu 852000, China
| | - S Q P Luo
- Department of Pediatrics, Ali District People's Hospital, Ali 859000, China
| | - M Zhuo
- Department of Gastroenterology, Lasa People's Hospital, Lasa 850000, China
| | - X L Qi
- CHESS Center, Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou 730000, China
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Huan H, Jiang L, Tang L, Wang Y, Guo S. Isolation and characterization of Streptococcus suis strains from swine in Jiangsu province, China. J Appl Microbiol 2020; 128:1606-1612. [PMID: 31981255 DOI: 10.1111/jam.14591] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 12/25/2019] [Accepted: 01/17/2020] [Indexed: 11/29/2022]
Abstract
AIMS The aim of this study is to investigate Streptococcus suis strains present in Jiangsu province, China. METHODS AND RESULTS In all, 1650 nasal and anal swab samples and 100 tonsils were collected from clinically healthy swine. Culture characteristics, colony morphology and PCR-based analysis of the glutamate dehydrogenase (gdh) gene were performed for S. suis identification, and eight isolates were confirmed to be S. suis. The isolates serogroups were identified by agglutinating test, including 4, 7, 3, 5 and 8. Gene profiling by PCR showed that the manN, purD, orf2, gdh genes were conserved among the isolates and that 50% of the isolates carried dltA, pgdA, srtA and sspA. Antimicrobial susceptibility test showed the isolates displayed resistance to clindamycin, erythromycin, tetracycline, penicillin G, vancomycin and linezolid; while none was resistant to chloramphenicol, multi-drug resistance was seen in most of the isolates. Finally, the LD50 (assessed by zebrafish) of isolates RD105 was 2·6431 × 105 and HA24 was 7·1198 × 106 , which showed RD105 more virulent and was consistent with the results of virulence factor identification. CONCLUSIONS There is a very low proportion of S. suis in the healthy pigs. The virulence factors were related to pathogenicity. Bacteria in Nantong possess greater virulence potential than those in Huaian. SIGNIFICANCE AND IMPACT OF THE STUDY Systematic investigation of S. suis provided the most basic theoretical support for the prevention and control of swine streptococcosis.
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Affiliation(s)
- H Huan
- Huaiyin Normal University, College of Life Sciences, Huaian, Jiangsu, China
| | - L Jiang
- Yangzhou University, College of Veterinary Medicine, Yangzhou, Jiangsu, China
| | - L Tang
- Huaiyin Normal University, College of Life Sciences, Huaian, Jiangsu, China
| | - Y Wang
- Yangzhou University, College of Veterinary Medicine, Yangzhou, Jiangsu, China
| | - S Guo
- Huaiyin Normal University, College of Life Sciences, Huaian, Jiangsu, China
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Aliu E, Arlen T, Aune T, Beilicke M, Benbow W, Bouvier A, Bradbury SM, Buckley JH, Bugaev V, Byrum K, Cannon A, Cesarini A, Christiansen JL, Ciupik L, Collins-Hughes E, Connolly MP, Cui W, Dickherber R, Duke C, Errando M, Falcone A, Finley JP, Finnegan G, Fortson L, Furniss A, Galante N, Gall D, Gibbs K, Gillanders GH, Godambe S, Griffin S, Grube J, Guenette R, Gyuk G, Hanna D, Holder J, Huan H, Hughes G, Hui CM, Humensky TB, Imran A, Kaaret P, Karlsson N, Kertzman M, Kieda D, Krawczynski H, Krennrich F, Lang MJ, Lyutikov M, Madhavan AS, Maier G, Majumdar P, McArthur S, McCann A, McCutcheon M, Moriarty P, Mukherjee R, Nuñez P, Ong RA, Orr M, Otte AN, Park N, Perkins JS, Pizlo F, Pohl M, Prokoph H, Quinn J, Ragan K, Reyes LC, Reynolds PT, Roache E, Rose HJ, Ruppel J, Saxon DB, Schroedter M, Sembroski GH, Şentürk GD, Smith AW, Staszak D, Tešić G, Theiling M, Thibadeau S, Tsurusaki K, Tyler J, Varlotta A, Vassiliev VV, Vincent S, Vivier M, Wakely SP, Ward JE, Weekes TC, Weinstein A, Weisgarber T, Williams DA, Zitzer B. Detection of Pulsed Gamma Rays Above 100 GeV from the Crab Pulsar. Science 2011; 334:69-72. [DOI: 10.1126/science.1208192] [Citation(s) in RCA: 142] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
| | - E. Aliu
- Department of Physics and Astronomy, Barnard College, Columbia University, NY 10027, USA
| | - T. Arlen
- Department of Physics and Astronomy, University of California, Los Angeles, CA 90095, USA
| | - T. Aune
- Santa Cruz Institute for Particle Physics and Department of Physics, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - M. Beilicke
- Department of Physics, Washington University, St. Louis, MO 63130, USA
| | - W. Benbow
- Fred Lawrence Whipple Observatory, Harvard-Smithsonian Center for Astrophysics, Amado, AZ 85645, USA
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- Santa Cruz Institute for Particle Physics and Department of Physics, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
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- School of Physics and Astronomy, University of Leeds, Leeds LS2 9JT, UK
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- Department of Physics, Washington University, St. Louis, MO 63130, USA
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- Department of Physics, Washington University, St. Louis, MO 63130, USA
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- Argonne National Laboratory, 9700 South Cass Avenue, Argonne, IL 60439, USA
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- School of Physics, University College Dublin, Belfield, Dublin 4, Ireland
| | - A. Cesarini
- School of Physics, National University of Ireland Galway, University Road, Galway, Ireland
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- Physics Department, California Polytechnic State University, San Luis Obispo, CA 94307, USA
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- Astronomy Department, Adler Planetarium and Astronomy Museum, Chicago, IL 60605, USA
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- School of Physics, University College Dublin, Belfield, Dublin 4, Ireland
| | - M. P. Connolly
- School of Physics, National University of Ireland Galway, University Road, Galway, Ireland
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- Department of Physics, Purdue University, West Lafayette, IN 47907, USA
| | - R. Dickherber
- Department of Physics, Washington University, St. Louis, MO 63130, USA
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- Department of Physics, Grinnell College, Grinnell, IA 50112–1690, USA
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- Department of Physics and Astronomy, Barnard College, Columbia University, NY 10027, USA
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- Department of Astronomy and Astrophysics, 525 Davey Lab, Pennsylvania State University, University Park, PA 16802, USA
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- Department of Physics, Purdue University, West Lafayette, IN 47907, USA
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- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112, USA
| | - L. Fortson
- School of Physics and Astronomy, University of Minnesota, Minneapolis, MN 55455, USA
| | - A. Furniss
- Santa Cruz Institute for Particle Physics and Department of Physics, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - N. Galante
- Fred Lawrence Whipple Observatory, Harvard-Smithsonian Center for Astrophysics, Amado, AZ 85645, USA
| | - D. Gall
- Department of Physics and Astronomy, University of Iowa, Van Allen Hall, Iowa City, IA 52242, USA
| | - K. Gibbs
- Fred Lawrence Whipple Observatory, Harvard-Smithsonian Center for Astrophysics, Amado, AZ 85645, USA
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- School of Physics, National University of Ireland Galway, University Road, Galway, Ireland
| | - S. Godambe
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112, USA
| | - S. Griffin
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - J. Grube
- Astronomy Department, Adler Planetarium and Astronomy Museum, Chicago, IL 60605, USA
| | - R. Guenette
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - G. Gyuk
- Astronomy Department, Adler Planetarium and Astronomy Museum, Chicago, IL 60605, USA
| | - D. Hanna
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - J. Holder
- Department of Physics and Astronomy and the Bartol Research Institute, University of Delaware, Newark, DE 19716, USA
| | - H. Huan
- Enrico Fermi Institute, University of Chicago, Chicago, IL 60637, USA
| | - G. Hughes
- Deutsches Elektronen Synchrotron, Platanenallee 6, 15738 Zeuthen, Germany
| | - C. M. Hui
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112, USA
| | - T. B. Humensky
- Enrico Fermi Institute, University of Chicago, Chicago, IL 60637, USA
| | - A. Imran
- Department of Physics and Astronomy, Iowa State University, Ames, IA 50011, USA
| | - P. Kaaret
- Department of Physics and Astronomy, University of Iowa, Van Allen Hall, Iowa City, IA 52242, USA
| | - N. Karlsson
- School of Physics and Astronomy, University of Minnesota, Minneapolis, MN 55455, USA
| | - M. Kertzman
- Department of Physics and Astronomy, DePauw University, Greencastle, IN 46135–0037, USA
| | - D. Kieda
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112, USA
| | - H. Krawczynski
- Department of Physics, Washington University, St. Louis, MO 63130, USA
| | - F. Krennrich
- Department of Physics and Astronomy, Iowa State University, Ames, IA 50011, USA
| | - M. J. Lang
- School of Physics, National University of Ireland Galway, University Road, Galway, Ireland
| | - M. Lyutikov
- Department of Physics, Purdue University, West Lafayette, IN 47907, USA
| | - A. S Madhavan
- Department of Physics and Astronomy, Iowa State University, Ames, IA 50011, USA
| | - G. Maier
- Deutsches Elektronen Synchrotron, Platanenallee 6, 15738 Zeuthen, Germany
| | - P. Majumdar
- Department of Physics and Astronomy, University of California, Los Angeles, CA 90095, USA
| | - S. McArthur
- Department of Physics, Washington University, St. Louis, MO 63130, USA
| | - A. McCann
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - M. McCutcheon
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - P. Moriarty
- Department of Life and Physical Sciences, Galway-Mayo Institute of Technology, Dublin Road, Galway, Ireland
| | - R. Mukherjee
- Department of Physics and Astronomy, Barnard College, Columbia University, NY 10027, USA
| | - P. Nuñez
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112, USA
| | - R. A. Ong
- Department of Physics and Astronomy, University of California, Los Angeles, CA 90095, USA
| | - M. Orr
- Department of Physics and Astronomy, Iowa State University, Ames, IA 50011, USA
| | - A. N. Otte
- Santa Cruz Institute for Particle Physics and Department of Physics, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - N. Park
- Enrico Fermi Institute, University of Chicago, Chicago, IL 60637, USA
| | - J. S. Perkins
- Fred Lawrence Whipple Observatory, Harvard-Smithsonian Center for Astrophysics, Amado, AZ 85645, USA
| | - F. Pizlo
- Department of Physics, Purdue University, West Lafayette, IN 47907, USA
| | - M. Pohl
- Deutsches Elektronen Synchrotron, Platanenallee 6, 15738 Zeuthen, Germany
- Institut für Physik und Astronomie, Universität Potsdam, 14476 Potsdam-Golm, Germany
| | - H. Prokoph
- Deutsches Elektronen Synchrotron, Platanenallee 6, 15738 Zeuthen, Germany
| | - J. Quinn
- School of Physics, University College Dublin, Belfield, Dublin 4, Ireland
| | - K. Ragan
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - L. C. Reyes
- Enrico Fermi Institute, University of Chicago, Chicago, IL 60637, USA
| | - P. T. Reynolds
- Department of Applied Physics and Instrumentation, Cork Institute of Technology, Bishopstown, Cork, Ireland
| | - E. Roache
- Fred Lawrence Whipple Observatory, Harvard-Smithsonian Center for Astrophysics, Amado, AZ 85645, USA
| | - H. J. Rose
- School of Physics and Astronomy, University of Leeds, Leeds LS2 9JT, UK
| | - J. Ruppel
- Institut für Physik und Astronomie, Universität Potsdam, 14476 Potsdam-Golm, Germany
| | - D. B. Saxon
- Department of Physics and Astronomy and the Bartol Research Institute, University of Delaware, Newark, DE 19716, USA
| | - M. Schroedter
- Fred Lawrence Whipple Observatory, Harvard-Smithsonian Center for Astrophysics, Amado, AZ 85645, USA
| | - G. H. Sembroski
- Department of Physics, Purdue University, West Lafayette, IN 47907, USA
| | - G. D. Şentürk
- Department of Physics, Columbia University, New York, NY 10027
| | - A. W. Smith
- Argonne National Laboratory, 9700 South Cass Avenue, Argonne, IL 60439, USA
| | - D. Staszak
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - G. Tešić
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - M. Theiling
- Department of Physics, Purdue University, West Lafayette, IN 47907, USA
| | - S. Thibadeau
- Department of Physics, Washington University, St. Louis, MO 63130, USA
| | - K. Tsurusaki
- Department of Physics and Astronomy, University of Iowa, Van Allen Hall, Iowa City, IA 52242, USA
| | - J. Tyler
- Physics Department, McGill University, Montreal, Quebec H3A 2T8, Canada
| | - A. Varlotta
- Department of Physics, Purdue University, West Lafayette, IN 47907, USA
| | - V. V. Vassiliev
- Department of Physics and Astronomy, University of California, Los Angeles, CA 90095, USA
| | - S. Vincent
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112, USA
| | - M. Vivier
- Department of Physics and Astronomy and the Bartol Research Institute, University of Delaware, Newark, DE 19716, USA
| | - S. P. Wakely
- Enrico Fermi Institute, University of Chicago, Chicago, IL 60637, USA
| | - J. E. Ward
- School of Physics, University College Dublin, Belfield, Dublin 4, Ireland
| | - T. C. Weekes
- Fred Lawrence Whipple Observatory, Harvard-Smithsonian Center for Astrophysics, Amado, AZ 85645, USA
| | - A. Weinstein
- Department of Physics and Astronomy, Iowa State University, Ames, IA 50011, USA
| | - T. Weisgarber
- Enrico Fermi Institute, University of Chicago, Chicago, IL 60637, USA
| | - D. A. Williams
- Santa Cruz Institute for Particle Physics and Department of Physics, University of California, Santa Cruz, Santa Cruz, CA 95064, USA
| | - B. Zitzer
- Argonne National Laboratory, 9700 South Cass Avenue, Argonne, IL 60439, USA
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Liu Z, Huan H, Wang J. [Costimulatory B7 molecules in drug induced interstitial nephritis and IgA nephropathy with tubulointerstitial injury]. Zhonghua Yi Xue Za Zhi 1998; 78:517-9. [PMID: 10923462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
OBJECTIVE To evaluate the role of costimulatory B7 molecules in the pathogenesis of drug induced interstitial nephritis(D-TIN) and IgA nephropathy with severe tubulointerstitial injury(IgAN). METHODS Renal biopsy materials from D-TIN(n = 15) and IgAN(n = 15) were used. Cadaveric donors for kidney transplantation(n = 10) served as normal controls. The lymphocyte subsets and the expression of B7-1, B7-2 and HLA-DR in the renal tissue were analyzed by immunohistochemistry staining. RESULTS CD4+ and CD8+ cells in the interstitium markedly increased in patients with D-TIN. Parallelly, B7-1 and B7-2 expressing cells in the interstitium also augmented in this group of patients. The expression of B7-1 and HLA-DR on the renal tubular cells increased in patients with D-TIN. Although CD4+ and CD8+ cells increased in the interstitium of IgAN, the B7-1 and B7-2 expressing cells in the interstitium were not different from those of the normal controls. Although the renal tubular expression of B7-1 was upregulated in IgAN, the expression of HLA-DR kept in the normal range. CONCLUSION These results indicate that the costimulatory molecules mediated T cell activation plays an important role in the pathogenesis of D-TIN. The interstitial infiltrating and tubular cells both act as an antigen presenting cells in the initiation of immune injury in D-TIN. However, such evidence has not been found in patients with IgAN.
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Affiliation(s)
- Z Liu
- Institute of Nephrology, Jinling Hospital, Nanjin University School of Medicine
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Huan H, Wittner M, Tanowitz H, Bilezikian JP, Morris SA. Release of guanosine triphosphate binding protein subunits from mouse myocardial membranes: Basic properties and their alterations in acute murine Chagas disease. Cardiovasc Res 1995. [DOI: 10.1016/s0008-6363(96)88592-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Huang H, Wittner M, Tanowitz H, Bilezikian JP, Morris SA, Huan H. Release of guanosine triphosphate binding protein alpha subunits from mouse myocardial membranes: basic properties and their alterations in acute murine Chagas disease. Cardiovasc Res 1995; 29:350-8. [PMID: 7677848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
OBJECTIVE The aim was to investigate the arrangement of heterotrimeric alpha beta gamma G proteins in myocardial membranes using GTP gamma S dependent release characteristics of their alpha subunits in acute murine Chagas disease. METHODS The properties of GTP gamma S dependent alpha subunit release were monitored immunochemically as well as by cholera toxin and pertussis toxin catalysed [32P]ADP ribosylation. RESULTS GTP gamma S, as opposed to other nucleotides, caused optimal and virtually instantaneous release of soluble 40 kDa [32P]ADP ribosylated protein in pertussis toxin treated membranes. When determined immunochemically, infection decreased both the sensitivity to GTP gamma S dependent release of alpha i subunits and appeared to facilitate the appearance of GTP gamma S dependent release of alpha i3. GTP gamma S also caused the release of soluble 45 and 40 kDa proteins as detected by cholera toxin-[32P]ADP ribosylated membranes and immunochemical analysis. With regard to cholera toxin-[32P]ADP ribosylated Gs substrates sensitive to GTP gamma S dependent release, infection (1) decreased the amount of 45 kDa alpha s protein, (2) increased the amount of 40 kDa protein, and (3) enhanced sensitivity to GTP gamma S. In contrast, there was no effect of infection on the magnitude or sensitivity to GTP gamma S dependent release of immunochemical alpha s. CONCLUSIONS The diverse characteristics of GTP gamma S dependent release of the very similar alpha subunits from myocardial membranes and their unique sensitivity to infection with T cruzi suggest that these very similar proteins are arranged within the plasma membrane in such a manner as to modify their biochemical behaviour.
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Affiliation(s)
- H Huang
- Department of Pathology, Albert Einstein College of Medicine, New York, USA
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Huan H. Release of guanosine triphosphate binding protein α subunits from mouse myocardial membranes: Basic properties and their alterations in acute murine Chagas disease. Cardiovasc Res 1995. [DOI: 10.1016/0008-6363(96)88592-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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