•Fever and cough are the most common symptoms in patients with COVID-19.•The most prevalent comorbidities are hypertension and diabetes which are associated with the severity of COVID-19.•ARDS and ...ACI may be the main obstacles to treatment recovery for patients.•The case severe rate and mortality is lower than that of SARS and MERS.
Since being first reported in Wuhan, China, in December 8, 2019, the outbreak of the novel coronavirus, now known as COVID-19, has spread globally. Some case studies regarding the characteristics and outcome of patients with COVID-19 have been published recently. We conducted a meta-analysis to evaluate the risk factors of COVID-19.
Medline, SinoMed, EMBASE, and Cochrane Library were searched for clinical and epidemiological studies on confirmed cases of COVID-19.
The incidence of fever, cough, fatigue, and dyspnea symptoms were 85.6 % (95CI 81.3–89.9 %), 65.7 % (95CI 60.1–71.4 %), 42.4 % (95CI 32.2–52.6 %) and 21.4 % (95CI 15.3–27.5 %). The prevalence of diabetes was 7.7 % (95CI 6.1–9.3 %), hypertension was 15.6 % (95CI 12.6–18.6 %), cardiovascular disease was 4.7 % (95CI 3.1–6.2 %), and malignancy was 1.2 % (95CI 0.5–1.8 %). The complications, including ARDS risk, ranged from 5.6–13.2 %, with the pooled estimate of ARDS risk at 9.4 %, ACI at 5.8 % (95CI 0.7–10.8 %), AKI at 2.1 % (95CI 0.6–3.7 %), and shock at 4.7 % (95CI 0.9–8.6 %). The risks of severity and mortality ranged from 12.6 to 23.5% and from 2.0 to 4.4 %, with pooled estimates at 18.0 and 3.2 %, respectively. The percentage of critical cases in diabetes and hypertension was 44.5 % (95CI 27.0–61.9 %) and 41.7 % (95CI 26.4–56.9 %), respectively.
Fever is the most common symptom in patients with COVID-19. The most prevalent comorbidities are hypertension and diabetes which are associated with the severity of COVID-19. ARDS and ACI may be the main obstacles for patients to treatment recovery. The case severe rate and mortality is lower than that of SARS and MERS.
In this review, the photoluminescence (PL) performance and mechanism of nano-sized semiconductor materials, such as TiO
2 and ZnO, are introduced, together with their attributes and affecting ...factors. Moreover, the applications of PL spectra in environmental photocatalysis are discussed in detail, viz. the inherent relationships between the PL intensity and photocatalytic activity are revealed on the basis of PL attributes, demonstrating that the PL spectra can reflect some important information such as surface defects and oxygen vacancies, surface states, photo-induced charge carrier separation and recombination processes in nano-sized semiconductor materials. Thus, the PL spectrum can provide a firm foundation in theory for designing and synthesizing new semiconductor photocatalysts with high activity, as well as quickly evaluating the photocatalytic activity of semiconductor samples.
Proliferation of human retinal endothelial cells (HRECs) is an important event in the development of diabetic retinopathy. Glucose fluctuations are strong predictor of diabetic vascular ...complications. In this study we have investigated the effect of intermittent high glucose on proliferation and expression of vascular endothelial growth factor (VEGF) in HRECs. The possible involvement of mitochondrial reactive oxygen species (ROS) was assessed. HRECs were incubated for 72 h in media containing different glucose concentrations: 5, 25, 5 mmol/l alternating with 25 mmol/l glucose, with or without Mn(III)tetrakis(4-benzoic acid) porphyrin chloride (MnTBAP) and thenoyltri-fluoroacetone (TTFA). The cell proliferation, VEGF expression, mitochondrial ROS, nitrotyrosine and 8-hydroxydeoxyguanosine (8-OHdG) were measured. In cultured HRECs, treatment with constant or intermittent high glucose significantly increased ³Hthymidine incorporation in a time-dependent manner. Treatment with constant high glucose for 48 h resulted in significant increases in ³Hthymidine incorporation, mRNA and protein levels of VEGF compared with HRECs treated with the normal glucose, which were markedly enhanced in cells exposed to intermittent high glucose. The levels of mitochondrial ROS, nitrotyrosine and 8-OhdG were significantly elevated under both intermittent and constant high glucose conditions, the effect being greater under intermittent high glucose. In addition, the antioxidants MnTBAP or TTFA can effectively prevent cell proliferation and overexpression of VEGF, as well as overproduction of mitochondrial ROS, nitrotyrosine and 8-OhdG in HRECs induced by constant or intermittent high glucose. Intermittent high glucose enhances cell proliferation and overexpression of VEGF through reactive oxygen species (ROS) overproduction at the mitochondrial transport chain level in HRECs, indicating that glycemic variability have important pathological effects on the development of diabetic retinopathy dependent of mitochondrial ROS.
An
ab initio
study of the complexes formed by hypohalous acids (HOX, X = F, Cl and Br) with formaldehyde has been carried out at the MP2/aug-cc-pVTZ computational level. Two minima complexes are ...found, one with an H O contact and the other one with an X O contact. The former is more stable than the latter, and the strength difference between them decreases as the size of the X atom increases. The associated HO and XO bonds undergo a bond lengthening and red shift, whereas a blue shift was observed in the bond of the hypohalous acid not involved in the interaction. The interaction strength and properties in both complexes are analyzed with atoms in molecules (AIM) and natural bond orbital (NBO) theories. The energy decomposition analyses indicate that the contribution from the electrostatic interaction energy is larger in the hydrogen-bonded complexes than that in the halogen-bonded complexes.
Competition of halogen bond and hydrogen bond in complexes of formaldehyde with hypohalous acids.
Genetic variants of
FTO
and
MC4R
have been linked with obesity and
T2DM
in populations of Europeans. In this study, we have investigated the association of
FTO
rs9939609 and
MC4R
rs17782313 with ...obesity and
T2DM
in the Chinese population and analyzed the relationship between rs9939609 and rs17782313. 2351 individuals were recruited. We tested the rs9939609 and rs17782313 by sequences retrieval method. Clinical and biochemical characteristics were measured. The rs9939609 per-A allele and rs17782313 per-C allele increases of OR for obesity was 1.42 (95% CI 1.39–3.74) and 1.39 (95% CI 1.21–3.53).The genotypic OR for obesity was 1.92 (95% CI 1.81–4.67) for AA genotype, 1.71 (95% CI 1.47–4.54) for AT genotype, 1.87 (95% CI 1.72–4.00) for CC genotype, and 1.44 (95% CI 1.20–3.18) for CT genotype. BMI of participants carrying neither
FTO
nor
MC4R
risk allele was 25.9 ± 4.9, one risk allele was 26.4 ± 5.1, two risk alleles was 28.1 ± 5.5, and there or four risk alleles was 33.2 ± 6.3. We found no association between FTO and MC4R and the Chinese population with
T2DM
(
P
> 0.05). Our data support that the rs9939609 and rs17782313 are strongly associated with obesity and BMI. Their combined effects were significant in Chinese population. No association between FTO and MC4R and Chinese population with T2DM was found.
Hyperglycemia induces vascular smooth muscle cells (VSMCs) proliferation and may thus contribute to the formation of atherosclerotic lesions. Glucose fluctuations are strong predictor of diabetic ...vascular complications. We investigate the effects of exposure to constant and intermittent high glucose concentrations on the proliferation and matrix metalloproteinase (MMP)-2 activity of rat aortic VSMCs in culture, as well as the expression of osteopontin (OPN).
Rat aortic VSMCs were grown to confluence and then exposed to 5
mmol/L glucose, 25
mmol/L glucose, or 5
mmol/L alternating with 25
mmol/L glucose in the absence or presence of neutralizing antibodies to OPN, β3 integrin receptor and β5 integrin receptor. The cell proliferation, MMP-2 activity and the expression of OPN were assessed.
In cultured VSMCs, treatment with constant or intermittent high glucose significantly increased
3Hthymidine incorporation in a time-dependent manner. A modest increase was observed at 12
h, and further deteriorated afterwards, and reached the maximum expression at 48
h. However,
3Hthymidine incorporation was more pronounced in intermittent high glucose than in constant high glucose. Treatment with constant high glucose for 48
h significantly increase cell number, MMP-2 activation, OPN protein and mRNA expression compared with VSMCs treated with the cells normal glucose, and these effects were further enhanced when VSMCs were treated with intermittent high glucose. In addition, neutralizing antibodies to either OPN or its receptor β3 integrin but not neutralizing antibodies to β5 integrin significantly suppressed increase in
3Hthymidine incorporation and MMP-2 activity induced by constant or intermittent high glucose.
In cultured VSMCs, constant high glucose concentrations enhanced MMP-2 activity, cell proliferation and OPN expression. These effects are enhanced following intermittent exposure to high glucose, indicating that short lived excursions in glycaemic control have important pathological effects on the development of diabetic atherosclerosis, which is mediated by the stimulation of OPN expression and synthesis.
Tricho-rhino-phalangeal syndrome (TRPS) is a rare autosomal dominant malformation caused by mutations involving the
TRPS
1 gene. Patients with TRPS exhibit distinctive craniofacial and skeletal ...abnormalities. This report presents three intra-familial cases with
TRPS
1 gene mutations that showed the characteristic features of TRPS. A 13-year-old boy was admitted to Department of Endocrinology for the evaluation of short stature. Physical examination revealed that the boy had thin sparse hair, pear-shaped nose, protruding ears, small jaw and brachydactyly. A survey of his family history indicated that the boy's sister and mother shared the same clinical features. Radiological techniques demonstrated a different degree of skeletal abnormalities in these siblings. Next-generation sequencing and quantitative PCR were performed and showed a novel deletion mutation in exons 3–5 in the three familial cases, confirming the diagnosis of TRPS I. The healthy father did not carry the deletion mutation. Currently, there was no specific therapy for TRPS I; however, genetic consultation may be useful for family planning
In this paper, ZnO nanoparticles were modified by depositing different amount of noble metal Ag or Pd on their surfaces with a photoreduction method. The as-prepared ZnO samples were principally ...characterized by X-ray photoelectron spectroscopy (XPS) and surface photovoltage spectroscopy (SPS), and their activity was evaluated by a photocatalytic degradation reaction of phenol solution. The effects of noble metal modification on surface composition, photoinduced charge transfer behavior and photocatalytic activity of ZnO samples were mainly investigated. The results show that, after an appropriate amount of Ag or Pd is deposited on the ZnO surfaces, the O 1s XPS spectrum shifts to higher binding energy, indicating that the content of surface hydroxyl oxygen (O
H) increases. And the SPS intensity greatly decreases, indicating that the photoinduced electrons are easily captured by adsorbed oxygen via noble metal clusters so that the recombination of photoinduced electron and hole pairs is effectively inhibited. These are responsible for the enhancement in the photocatalytic activity. Moreover, the effects of Pd modification on photocatalytic activity is greater than that of Ag, which can be explained by means of surface hydroxyl content as well as charge separation situation.
The effects of noble metal modification on surface composition, photoinduced charge transfer and photocatalytic activity of ZnO nanoparticles are mainly investigated, and the comparative study of Ag and Pd modification was emphasized. The results showed that the increase in the content of surface hydroxyl oxygen and the separation rate of photoinduced charges resulted into the increase in the photocatalytic activity.
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Elevated circulating concentrations of interleukin-18 (IL-18), monocyte chemoattractant protein-1 (MCP-1), and plasminogen activator inhibitor-1 (PAI-1) and decrease of adiponectin are associated ...with obesity-related diseases. The mechanism that mediates the aberrant production of the adipokines remains poorly understood. The aim of this study was to investigate the effect of intermittent high glucose on the expression of IL-18, MCP-1, and PAI-1 and adiponectin in 3T3-L1 adipocytes. 3T3-L1 adipocytes were incubated for 24 h in media containing different glucose concentrations: 5 mmol/l, 20 mmol/l and a daily alternating 5 or 20 mmol/l glucose, with or without the addition of 1.0 mmol/l N-acetylcysteine (NAC). The expression and secretion of IL-18, MCP-1, PAI-1, and adiponectin were determined by real-time RT-PCR and ELISA, respectively. The production of reactive oxygen species (ROS) and 8-hydroxydeoxyguanosine (8-OHdG) were measured. Stable high glucose significantly increased expression and secretion of IL-18, MCP-1, and PAI-1, and reduced adiponectin expression and secretion compared to normal glucose conditions. These effects were significantly greater under intermittent high glucose conditions compared to stable high glucose. The level of ROS and 8-OHdG were significantly elevated under both intermittent and stable high glucose conditions, the effect being greater under intermittent high glucose. The intermittent glucose was more effective in triggering the generation of ROS than stable high glucose. The adding of the NAC, a specific pharmacological inhibitor of ROS, normalized the expression of these adipokines and the levels of ROS and 8-OHdG under both stable and intermittent glucose conditions. Intermittent high glucose induces a greater aberrant production of key adipokines than stable high glucose, and this effect seems to be related to over-production of ROS.