Sildenafil might impair maternal-fetal immunotolerance by suppressing myeloid-derived suppressor cells in mice

Myeloid-derived suppressor cells (MDSCs) as an important population of immune cells were found to restrain T cell function, polarize T-helper cells (Th) 1/Th2 toward Th2 response and induce regulatory T cells (Tregs), therefore enhancing the immunotolerance during pregnancy. Sildenafil has been applied for poor endometrial quality in implantation failure patients. Nevertheless, investigations have shown that sildenafil could reduce MDSCs-dependent immunosuppression. Whether sildenafil affects embryo implantation by suppressing MDSCs? To address this question, using the mice model, we investigated the amounts of immune cells in peripheral blood and endometrial cells from control group (CG), sildenafil low-dose group (LDG) and high-dose group (HDG). We found that both treatment groups displayed a marked deficiency in polymorphonuclear (PMN)-MDSCs and Th2 from mice blood and endometrium as compared to these from CG. The frequency of Tregs in endometrium from HDG was lower than those from CG. Th1/Th2 ratio in both periphery and uterus from study groups showed a significant increase as compared to those from CG. By relevance analysis, we found that the level of Tregs positively correlated with the level of PMN-MDSCs, whereas the Th1/Th2 ratio negatively correlated with the frequency of PMN-MDSCs in uterus. Moreover, there was a positive relationship between the amount of blood PMN-MDSCs and endometrial PMN-MDSCs. These results suggest that we should carefully weigh the pros and cons of using sildenafil when applied to patients with poor endometrial receptivity.

Causes of ozone pollution in summer in Wuhan, Central China

In August 2016, continuous measurements of volatile organic compounds (VOCs) and trace gases were conducted at an urban site in Wuhan. Four high-ozone (O₃) days and twenty-seven non-high-O₃ days were identified according to the China's National Standard Level II (∼100 ppbv). The occurrence of high-O₃ days was accompanied by tropical cyclones. Much higher concentrations of VOCs and carbon monoxide (CO) were observed on the high-O₃ days (p < 0.01). Model simulations revealed that vehicle exhausts were the dominant sources of VOCs, contributing 45.4 ± 5.2% and 37.3 ± 2.9% during high-O₃ and non-high-O₃ days, respectively. Both vehicle exhausts and stationary combustion made significantly larger contributions to O₃ production on high-O₃ days (p < 0.01). Analysis using a chemical transport model found that local photochemical formation accounted for 74.7 ± 5.8% of the daytime O₃, around twice the regional transport (32.2 ± 5.4%), while the nighttime O₃ was mainly attributable to regional transport (59.1 ± 9.9%). The local O₃ formation was generally limited by VOCs in urban Wuhan. To effectively control O₃ pollution, the reduction ratio of VOCs to NO_x concentrations should not be lower than 0.73, and the most efficient O₃ abatement could be achieved by reducing VOCs from vehicle exhausts. This study contributes to the worldwide database of O₃-VOC-NO_x sensitivity research. Its findings will be helpful in formulating and implementing emission control strategies for dealing with O₃ pollution in Wuhan.

New particle formation and growth at a suburban site and a background site in Hong Kong

Atmospheric nanoparticles have great impacts on human health and global climate change. The number concentrations and size distributions of nanoparticles in the size range of 5.5-350.4 nm were detected at a background site and a suburban site in Hong Kong from summer to winter in 2011 and in autumn of 2013, respectively. Significantly higher particle number concentrations in all modes were observed at the suburban site (p < 0.05) during the sampling periods, possibly due to stronger primary emissions/regional transport and more intensive new particle formation (NPF). Particle number concentrations were much enhanced under northerly winds at both sites, resulting from regional transport of Aitken and accumulation mode particles, enhanced local NPF and occasionally low condensation sink. NPF was mainly limited by the precursors of condensable vapors and oxidative capacity of the atmosphere at the background site and the suburban site, respectively. In most cases, the formation rate of 5.5 nm particles was a function of sulfuric acid vapor to the power of 1.32 ± 0.34 at the background site and 0.81 ± 0.31 at the suburban site, abiding by the cluster activation theory. However, ozonolysis of monoterpenes (particularly α-pinene) might also drive NPF, particularly in the afternoon. These reactions also contributed to the growth of nucleation mode particles, which was largely explained by sulfuric acid vapor (73.6 ± 10% at the background site and 60.4 ± 9.8% at the suburban site). In contrast, the oxidations of isoprene, β-pinene and aromatics (particularly xylenes and trimethylbenzenes) were found to participate in the growth of Aitken mode particles.

Observation of SOA tracers at a mountainous site in Hong Kong: Chemical characteristics, origins and implication on particle growth

Secondary organic aerosol (SOA) is an important constituent of airborne fine particles. PM_2.5 (particles with aerodynamic diameters≤2.5μm) samples were collected at a mountainous site in Hong Kong in autumn of 2010, and analyzed for SOA tracers. Results indicated that the concentrations of isoprene SOA tracers (54.7±22.7ng/m³) and aromatics SOA tracers (2.1±1.6ng/m³) were on relatively high levels in Hong Kong. Secondary organic carbon (SOC) derived from isoprene, monoterpenes, sesquiterpenes and aromatics was estimated with the SOA tracer based approach, which constituted 0.35±0.15μg/m³ (40.6±5.7%), 0.20±0.03μg/m³ (30.4±5.5%), 0.05±0.02μg/m³ (5.6±1.7%) and 0.26±0.20μg/m³ (21.3±8.2%) of the total estimated SOC. Biogenic SOC (0.60±0.18μg/m³) dominated over anthropogenic SOC (0.26±0.20μg/m³) at this site. In addition to the total estimated SOC (17.8±4.6% of organic carbon (OC) in PM_2.5), primary organic carbon (POC) emitted from biomass burning also accounted for a considerable proportion of OC (11.6±3.2%). Insight into the OC origins found that regional transport significantly (p<0.05) elevated SOC from 0.37±0.17 to 1.04±0.39μg/m³. Besides, SOC load could also increase significantly if there was influence from local ship emission. Biomass burning related POC in regional air masses (0.81±0.24μg/m³) was also higher (p<0.05) than that in samples affected by local air (0.29±0.35μg/m³). Evidences indicated that SOA formation was closely related to new particle formation and the growth of nucleation mode particles, while biomass burning was responsible for some particle burst events in Hong Kong. This is the first SOA study in afforested areas of Hong Kong.

Tropospheric volatile organic compounds in China

Photochemical smog, characterized by high concentrations of ozone (O₃) and fine particles (PM_2.5) in the atmosphere, has become one of the top environmental concerns in China. Volatile organic compounds (VOCs), one of the key precursors of O₃ and secondary organic aerosol (SOA) (an important component of PM_2.5), have a critical influence on atmospheric chemistry and subsequently affect regional and global climate. Thus, VOCs have been extensively studied in many cities and regions in China, especially in the North China Plain, the Yangtze River Delta and the Pearl River Delta regions where photochemical smog pollution has become increasingly worse over recent decades. This paper reviews the main studies conducted in China on the characteristics and sources of VOCs, their relationship with O₃ and SOA, and their removal technology. This paper also provides an integrated literature review on the formulation and implementation of effective control strategies of VOCs and photochemical smog, as well as suggestions for future directions of VOCs study in China.

Expression and effect of serum interleukin-24 level on bone marrow mononuclear cells in children with acute leukemia

To investigate the expression of interleukin-24 (IL-24) in the children with acute leukemia (AL) and its effect on the apoptosis of bone marrow mononuclear cells (BMMNCs) in vitro. Four groups were assessed: acute lymphocytic leukemia (ALL), acute myeloid leukemia (AML), non-leukemia, and healthy groups, 20 children in each group. ELISA was used to measure IL-24 serum level. The bone marrow was taken from patients and controls. BMMNCs were isolated and the DNA was analyzed by glucose electrophoresis. Flow cytometry was used to determine BMMNC apoptosis. The serum level of IL-24 in the ALL and AML groups were significantly higher than in the other two groups. There was no statistical difference between ALL and AML groups, either between non-leukemia and healthy groups. BMMNCs were exposed to IL-24 for 48 h, and the apoptotic rate of the group treated with 50 ng/ml IL-24 was obviously higher than that of control group (0 ng/mL). The serum IL-24 level of AL children decreased comparing to non-leukemia and healthy children, indicating that IL-24 can induce BMMNCs apoptosis of AL children in vitro.

Effects of docetaxel plus three-dimensional conformal radiation therapy on microvessel density and apoptosis expression in local advanced squamous non-small-cell lung cancer

We examined the effects of weekly single-agent docetaxel plus three-dimensional conformal radiation therapy (3D-CRT) on apoptotic index (AI) and microvessel density (MVD) in local advanced non-small-cell lung squamous cancer patients and analyzed the correlation of MVD, AI, and 50% tumor shrinkage time (T0.5) The molecular mechanism of docetaxel radiosensitization was investigated. Sixty untreated patients with stage IIIA or IIIB lung squamous cancer were enrolled and randomly divided into two groups: observation (N = 30; 3D-CRT + docetaxel + adjuvant chemotherapy) and control (N = 30; 3D-CRT + adjuvant chemotherapy). From day 1 radiotherapy, the observation group received intravenous docetaxel (36 mg/m(2)) once weekly for 6 weeks. Post-radiotherapy, chemotherapy of docetaxel combined with cisplatin lasted 4-6 cycles in both groups. Before radiotherapy and within 24 h after radiotherapy (20 Gy), bronchoscopic biopsy was performed twice at the same site. To analyze the MVD of tumor specimens with immunohistochemical staining . The AI of lung cancer cells was assessed with TUNEL assay, T0.5 values were calculated. The observation group had significantly lower MVD than the control group (P < 0.05). AI significantly increased before and after treatment in the observation group compared with the control group (P < 0.05). The decreased MVD values negatively correlated with T0.5 values (r = -0.624, P < 0.05), whereas the increased AI values did not correlate with the T0.5 values. Docetaxel radiosensitization may occur by decrease in MVD and increase in AI values. Weekly single-agent docetaxel plus 3D-CRT can improve prognosis and quality of life in local advanced non-small-cell lung squamous cancer patients.

First Report of Myrothecium roridum Causing Leaf Spot of Anubias barteri var. nana in Mainland China

Anubias barteri var. nana (belonging to family Araceae) is one of the most popular ornamental plants for aquaria. It has slow growth and small attractive ornamental leaves. It originated from West Africa, was first described in 1860 by Heinrich Wilhelm Schott (1), and is now commercially planted widely in southern China. A new disease of A. barteri var. nana was observed on leaves. Approximately 30% of the plants in an ornamental nursery in Baiyun district, Gaungzhou, China (113°22'45.15″ E, 23°23'41.15″ N) in July 2013 were found to be infected. The pathogen caused necrotic spots that progressed to form holes on leaves of the infected plants, negatively affecting their ornamental market value. Eventually the diseased plant died. White fungal fruiting bodies and black sporodochia were observed on the surfaces of the symptomatic leaves. A single-spore isolate (myr5) was obtained from the concentric lesions and cultured on potato dextrose agar (PDA). The floccose fungal colonies were white to buff, and black conidiomata were often visible on the surface after 25 days of incubation. The conidia had rounded ends and the average size of conidia was 5.98 ± 0.15 × 2.24 ± 0.08 μm. The rDNA internal transcribed spacer (ITS) region of isolate myr5 was amplified by PCR using ITS1 and ITS4 primer pairs. The amplified product was sequenced and deposited in GenBank (Accession No. KJ572115) and showed 99% identity to Myrothecium roridum isolates BBA 71015 (AJ302001) and BBA 67679 (AJ301995) (unpublished), and 100% identity to the isolate myr2-2 from Dieffenbachia picta 'Camilla' in Taiwan (2). On the basis of morphological and molecular characterization, the fungus causing leaf spot on A. barteri var. nana plants was identified as M. roridum Tode ex Fr (2,3). To confirm the etiology of the disease, Koch's postulates was performed in a greenhouse (28 ± 2°C) using 3-day-old cultures of isolate myr5 and fungal spore suspensions of 1 × 10⁵ conidia ml^-1 containing 0.05% of Tween 20. Sixteen healthy leaves, two each from eight plants, were infiltrated on two different parts close to the midribs with 100 μl of the fungal spore using needleless syringes. Water infiltration was used as the control treatment. Water-soaked brown lesions appeared on leaves 7 days after inoculation, followed by the development of dark concentric rings within the necrotic areas on the surface of the inoculated leaves after 15 days of incubation. These symptoms were similar to those in the naturally infected aquarium plants. No symptoms were observed on any of the water micro-infiltrated plants. The fungus was re-isolated from the inoculated plants, but not from control plants. To our knowledge, this is the first report of Myrothecium leaf spot caused by M. roridum on A. barteri var. nana in mainland China. References: (1) W. Crusio. Primitiae Africanae XII 79 (14):1-48, 1979. (2) C. F. Hong et al. Plant Dis. 97:1253, 2013. (3) M. Tulloch. Mycol. Pap. 130:1-42, 1972.

Establishing a conceptual model for photochemical ozone pollution in subtropical Hong Kong

Photochemical ozone (O₃) formation is related to its precursors and meteorological conditions. A conceptual model of O₃ air pollution is developed based on the analysis of data obtained at Tung Chung (TC) in Hong Kong. By comparing meteorological parameters between O₃ and non-O₃ episode days, it was found that high temperatures, strong solar radiation, low wind speeds and relative humidity, northeasterly and/or northwesterly prevailing winds were favorable for the O₃ formation, while tropical cyclones were most conducive to the occurrence of O₃ episodes. Backward trajectories simulation and graphical illustration of O₃ pollution suggested that super-regional (i.e. central and eastern China) and regional (i.e. Pearl River Delta, southern China) transport was another factor that contributed to high O₃ levels in Hong Kong. The photochemical O₃ formation, generally VOC-limited in Hong Kong, was controlled by a small number of volatile organic compounds (VOCs). Furthermore, the positive matrix factorization (PMF) simulation suggested that solvent usage and vehicular emissions are the major contributors to ambient VOCs in Hong Kong. Finally, this paper presents recommendations for further O₃ research and implementation of O₃ control strategies.

Photochemical trajectory modeling of ozone concentrations in Hong Kong

In this study, tropical cyclones over the East and South China Seas were found to be the most predominant weather conditions associated with the occurrence of high ozone (O3) episodes in Hong Kong in 2005-2009. A photochemical trajectory model coupled with Master Chemical Mechanism (MCM) was adapted to simulate the O3 concentrations during two O3 pollution episodes. The results agreed well with the observed data. A representative backward air mass trajectory was used to determine the contribution of each volatile organic compound (VOC) to the O3 levels. After taking into account both reactivity and mass emission of each VOC, 10 species were found to be the key O3 precursors in Hong Kong. Further analysis identified solvent related products accounting for 70% of the modeled O3 concentration in Hong Kong. The results highlight the importance of considering together reactivity and source sector emissions in developing targeted VOC reduction for O3 abatement strategies.

Sources of ambient volatile organic compounds and their contributions to photochemical ozone formation at a site in the Pearl River Delta, southern China

The Positive Matrix Factorization (PMF) receptor model and the Observation Based Model (OBM) were combined to analyze volatile organic compound (VOC) data collected at a suburban site (WQS) in the PRD region. The purposes are to estimate the VOC source apportionment and investigate the contributions of these sources and species of these sources to the O(3) formation in PRD. Ten VOC sources were identified. We further applied the PMF-extracted concentrations of these 10 sources into the OBM and found "solvent usage 1", "diesel vehicular emissions" and "biomass/biofuel burning" contributed most to the O(3) formation at WQS. Among these three sources, higher Relative Incremental Reactivity (RIR)-weighted values of ethene, toluene and m/p-xylene indicated that they were mainly responsible for local O(3) formation in the region. Sensitivity analysis revealed that the sources of "diesel vehicular emissions", "biomass/biofuel burning" and "solvent usage 1" had low uncertainties whereas "gasoline evaporation" showed the highest uncertainty.

Which emission sources are responsible for the volatile organic compounds in the atmosphere of Pearl River Delta?

A field measurement study of volatile organic compounds (VOCs) was simultaneously carried out in October-December 2007 at an inland Pearl River Delta (PRD) site and a Hong Kong urban site. A receptor model i.e. positive matrix factorization (PMF) was applied to the data for the apportionment of pollution sources in the region. Five and six sources were identified in Hong Kong and the inland PRD region, respectively. The major sources identified in the region were vehicular emissions, solvent use and biomass burning, whereas extra sources found in inland PRD included liquefied petroleum gas and gasoline evaporation. In Hong Kong, the vehicular emissions made the most significant contribution to ambient VOCs (48 ± 4%), followed by solvent use (43 ± 2%) and biomass burning (9 ± 2%). In inland PRD, the largest contributor to ambient VOCs was solvent use (46 ± 1%), and vehicular emissions contributed 26 ± 1% to ambient VOCs. The percentage contribution of vehicular emission in Hong Kong in 2007 is close to that obtained in 2001-2003, whereas in inland PRD the contribution of solvent use to ambient VOCs in 2007 was at the upper range of the results obtained in previous studies and twice the 2006 PRD emission inventory. The findings advance our knowledge of ozone precursors in the PRD region.

Formaldehyde and volatile organic compounds in Hong Kong homes: concentrations and impact factors

This paper presents formaldehyde and volatile organic compounds (VOC) concentrations, potential sources and impact factors in 100 homes. The 24-h average formaldehyde concentration in 37 homes exceeded the good class of the Hong Kong Indoor Air Quality Objectives (HKIAQO), whereas the total VOCs concentration in all homes was lower than the HKIAQO. Compared to other East Asian cities, indoor formaldehyde and styrene in Hong Kong was the highest, reflecting that the homes in Hong Kong were more affected by household products and materials. The formaldehyde concentration in newly built apartments was significantly higher than that in old buildings, whereas no relationship between the concentration and the building age was found for VOCs. There was no difference for formaldehyde and toluene between smoking and non-smoking homes, suggesting that cigarette smoking was not the major source of these two species. Homes of a couple with a child had higher formaldehyde and acetic acid concentrations, while homes with more than three people had higher concentrations of 1-butanol, heptane and d-limonene. When shoes were inside the homes, heptane, acetic acid, nonane and styrene concentrations were statistically higher than that when shoes were out of the homes. Furthermore, higher levels of 1,2,4-trimethylbenzene, styrene, nonane and heptane were found in gas-use families rather than in electricity-use homes.

PRACTICAL IMPLICATIONS

Long-term exposure to formaldehyde and volatile organic compounds (VOC) in indoor environments may cause a number of adverse health effects such as asthma, dizziness, respiratory and lung diseases, and even cancers. Therefore, it is critical to minimize indoor air pollution caused by formaldehyde and VOCs. The findings obtained in this study would significantly enhance our understanding on the levels, emission sources and factors which affect indoor concentrations of formaldehyde and VOCs. The results can help housing designers, builders, home residents, and housing department of the government to improve indoor air quality (IAQ) by means of appropriate building materials, clean household products and proper life styles. It can also help policy makers reconcile the IAQ objectives and guidelines.

[Maternal concerns and social support during postpartum period]

The purpose of this study was to explore the dimension of maternal concerns during postpartum, and the effects of parity, time and social support on maternal concerns. Ninety-four women were recruited at one to five days after giving birth, and followed up at one month postpartum. Three instruments were used for data collection: the demographic questionnaire, the Maternal Concerns Questionnaire and the Interpersonal Support Evaluation List. There were four dimensions of postpartum maternal concerns: "concerns of life and social contact", "concerns of maternal role", "physiological concerns" and "psychological concerns". The results shown that the most intensive concerns of postpartum women were about maternal role. Primiparas had more concerns about maternal role than multiparas. Physiological concerns at one-month postpartum were decreased markedly compared with the early postpartum period. Psychological concerns were increased from the early postpartum period to one-month postpartum, and in primiparas they were increased more significantly. There were no significant correlations between social support and maternal concerns. It is suggested that postpartum health education should provide more information and technical practice focusing on maternal role. Obstetric nurses and community health nurses should enhance postnatal follow-up.

Antithrombotic effects of low-molecular-weight heparin calcium (LMWH-Ca) in experimental models

The antithrombotic activity of low-molecular-weight heparin calcium (LMWH-Ca) was studied in venous and arterial thrombosis models, arterial thrombosis model in rats, arterio-venous shunt model and venous thrombosis model in rabbits. The data showed that LMWH-Ca reduced thrombus formation in a dose-dependent manner. It suggests that LMWH-Ca is a potent antithrombotic agent for venous thrombosis, and also may be a beneficial therapeutic agent in arterial thrombosis.

Effect of group teaching projects on women's stress during postpartum hospitalization

In view of the trend toward early hospital discharge and an acute nursing shortage in Taiwan, the effectiveness of postpartum teaching in meeting a mother's immediate need for task performance should be evaluated. The purpose of this study was to identify and document the effectiveness of group teaching programs conducted as a collaborative effort by nursing teachers and student nurses during the practicum period. A quasi-experimental study was conducted with data collected from 230 women (control group was 119 women; experimental group was 111 women, including three subgroups: subgroup 1 received "maternal care" classes; subgroup 2 received "infant feeding" classes; and subgroup 3 received "newborn care" classes) at one medical center in southern Taiwan. The Postpartum Stress Inventory and a Social Support Scale were used to obtain postpartum stress and social support ratings for both groups. The t-test was used to compare the differences between groups of mean scores for postpartum stress and social support. Findings show that the mother-related stress of the experimental subgroup 1 was significantly less than in the control group, and the friend support in experimental subgroup 3 was significantly greater than in the control. Therefore, group teaching related to maternal care was found to be effective in lowering stress and classes related to newborn care resulted in increased friend support for the mother. More evidence concerning the effectiveness of such teaching in economic terms and in terms of human welfare is urgently needed.