Sulfates

硫酸盐
  • 文章类型: Journal Article
    磺胺甲恶唑(SMX),一种广泛使用的抗生素,在环境中不断检测到,对水生生态和水安全造成严重风险。在这项研究中,通过氩等离子体蚀刻技术开发了具有丰富缺陷的碳纳米管(CNTs),以增强过硫酸盐的活化(PS,包括过氧单硫酸盐(PMS)和过氧二硫酸盐(PDS))用于SMX降解,同时降低环境毒性。显然,ID/IG值从0.980增加到1.333表明Ar等离子体蚀刻成功地将丰富的缺陷引入到CNT中。值得注意的是,Ar-90-CNT,Ar等离子体刻蚀时间为90min,催化性能最佳,PMS激活和PDS激活之间存在显着差异。有趣的是,尽管Ar-90-CNT/PDS系统(kobs=0.0332min-1)在消除SMX方面比Ar-90-CNT/PMS系统(kobs=0.0190min-1)更有效,Ar等离子体蚀刻处理对于PDS活化的MWCNT的催化效率没有明显的增强。然后通过猝灭实验系统地研究了PMS和PDS之间活化机理的差异。电子自旋共振(ESR),化学探针,电化学测量和理论计算,发现揭示了产生的空位缺陷是Ar-90-CNT/PMS系统中产生主要单线态氧(1O2)以降解SMX的主要活性位点,而电子转移途径(ETP),源于固有边缘缺陷的PDS激活,是Ar-90-CNT/PDS系统中SMX去除的中心途径。根据铜绿微囊藻的毒性试验,Ar-90-CNT/PDS系统在减轻SMX降解过程中的环境毒性方面更有效。这些发现不仅提供了对PMS活化和PDS活化之间的差异的见解,通过具有受控缺陷的碳基材料由等离子体蚀刻策略调节,而且还能有效降解磺胺类抗生素并降低其产品的毒性。
    Sulfamethoxazole (SMX), a widely utilized antibiotic, was continually detected in the environment, causing serious risks to aquatic ecology and water security. In this study, carbon nanotubes (CNTs) with abundant defects were developed by argon plasma-etching technology to enhance the activation of persulfate (PS, including peroxymonosulfate (PMS) and peroxydisulfate (PDS)) for SMX degradation while reducing environmental toxicity. Obviously, the increase of ID/IG value from 0.980 to 1.333 indicated that Ar plasma-etching successfully introduced rich defects into CNTs. Of note, Ar-90-CNT, whose Ar plasma-etching time was 90 min with optimum catalytic performance, exhibited a significant discrepancy between PMS activation and PDS activation. Interestingly, though the Ar-90-CNT/PDS system (kobs = 0.0332 min-1) was more efficient in SMX elimination than the Ar-90-CNT/PMS system (kobs = 0.0190 min-1), Ar plasma-etching treatment had no discernible enhancement in the catalytic efficiency of MWCNT for PDS activation. Then the discrepancy on activation mechanism between PMS and PDS was methodically investigated through quenching experiments, electron spin resonance (ESR), chemical probes, electrochemical measurements and theoretical calculations, and the findings unraveled that the created vacancy defects were the ruling active sites for the production of dominated singlet oxygen (1O2) in the Ar-90-CNT/PMS system to degrade SMX, while the electron transfer pathway (ETP), originated from PDS activation by the inherent edge defects, was the central pathway for SMX removal in the Ar-90-CNT/PDS system. Based on the toxicity test of Microcystis aeruginosa, the Ar-90-CNT/PDS system was more effective in alleviating environmental toxicity during SMX degradation. These findings not only provide insights into the discrepancy between PMS activation and PDS activation via carbon-based materials with controlled defects regulated by the plasma-etching strategy, but also efficiently degrade sulfonamide antibiotics and reduce the toxicity of their products.
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  • 文章类型: Journal Article
    目前,高硫酸盐浓度限制了污水处理技术的应用。在目前的工作中,在没有/存在光的情况下,使用上流式厌氧污泥层(UASB)对硫酸盐的去除进行生物处理。首先,从COD降解方面研究了UASB去除硫酸盐的启动,硫酸盐去除,和出水pH值。第二,不同运行参数的影响(即COD/SO42-比值,温度和光照时间)对UASB性能的影响进行了探索。第三,分析了不同时间UASB污泥的性质。结果显示,在启动28天后,光反应器和非光反应器中的COD去除效率可以达到85-90%的范围,而这样的反应器可以实现>90%的硫酸盐被去除。此外,较高的光照时间可以促进光反应器中污染物的去除。总而言之,本研究可为光反应器清洁去除废水中的硫酸盐提供技术支持。
    At present, the application of sewage treatment technologies is restricted by high sulfate concentrations. In the present work, the sulfate removal was biologically treated using an upflow anaerobic sludge blanket (UASB) in the absence/presence of light. First, the start-up of UASB for the sulfate removal was studied in terms of COD degradation, sulfate removal, and effluent pH. Second, the impacts of different operation parameters (i.e., COD/SO42- ratio, temperature and illumination time) on the UASB performance were explored. Third, the properties of sludge derived from the UASB at different time were analyzed. Results show that after 28 days of start-up, the COD removal efficiencies in both the photoreactor and non-photoreactor could reach a range of 85-90% while such reactors could achieve > 90% of sulfate being removed. Besides, higher illumination time could facilitate the removal of pollutants in the photoreactor. To sum up, the present study can provide technical support for the clean removal of sulfate from wastewater using photoreactors.
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  • 文章类型: Journal Article
    天然存在的胆汁酸石胆酸(LCA)已成为文献中记载的许多不含糖的唾液酸转移酶(ST)抑制剂的关键核心结构。为了阐明LCA的末端羧酸取代基对其ST抑制的影响,在本研究中,我们报道了基于(生物)等排置换的LCA磺酸盐和硫酸盐类似物的设计和合成。在这些化合物中,发现硫酸盐类似物SPP-002选择性抑制N-聚糖唾液酸化至少一个数量级,表明与未修饰的母体胆汁酸相比,效力和选择性均有实质性改善。分子对接分析支持合成类似物在酶活性位点的更强结合。SPP-002的治疗也阻碍了迁移,附着力,通过抑制与癌症转移相关的整合素/FAK/桩蛋白途径相关的信号蛋白的表达来实现MDA-MB-231细胞的体外侵袭。总的来说,这些发现不仅提供了一种新型的结构支架,而且为未来开发更有效和选择性的ST抑制剂提供了有价值的见解,这些抑制剂对肿瘤转移具有潜在的治疗作用.
    The naturally occurring bile acid lithocholic acid (LCA) has been a crucial core structure for many non-sugar-containing sialyltranferase (ST) inhibitors documented in literature. With the aim of elucidating the impact of the terminal carboxyl acid substituent of LCA on its ST inhibition, in this present study, we report the (bio)isosteric replacement-based design and synthesis of sulfonate and sulfate analogues of LCA. Among these compounds, the sulfate analogue SPP-002 was found to selectively inhibit N-glycan sialylation by at least an order of magnitude, indicating a substantial improvement in both potency and selectivity when compared to the unmodified parent bile acid. Molecular docking analysis supported the stronger binding of the synthetic analogue in the enzyme active site. Treatment with SPP-002 also hampered the migration, adhesion, and invasion of MDA-MB-231 cells in vitro by suppressing the expression of signaling proteins involved in the cancer metastasis-associated integrin/FAK/paxillin pathway. In totality, these findings offer not only a novel structural scaffold but also valuable insights for the future development of more potent and selective ST inhibitors with potential therapeutic effects against tumor cancer metastasis.
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  • 文章类型: Journal Article
    UV/Fe3和过硫酸盐是两种有前途的高级氧化降解系统,用于原位修复全氟辛酸(PFOA)和全氟辛烷磺酸(PFOS),但缺乏对退化机制的全面了解。第一次,我们使用密度泛函理论(DFT)计算了UV/Fe3和过硫酸盐降解水中PFOA/PFOS的整个反应途径。此外,我们深入探索了由·OH和SO4-·驱动的不同攻击途径,并发现SO4-•决定PFOA/PFOS通过单电子转移获得PFOA/PFOS自由基引发降解反应,而·OH决定了PFOA/PFOS降解反应的速度。在计算条件下,两种降解反应在热力学上都是有利的,并且在动力学上是可行的。根据热力学数据,发现过硫酸盐更有利于全氟化合物(PFC)的高级氧化降解。此外,对于过硫酸盐系统中共存的SO4-·和·OH,pH会影响这两种自由基的存在和浓度,过硫酸盐体系中PFOA/PFOS的降解不需要低pH。这些结果可以大大提高我们对高级氧化过程(AOPs)中PFOA/PFOS降解过程的理解,由·OH和SO4-·驱动。本研究为高级氧化降解其他类型PFCs污染物的机理计算提供了DFT计算流程,希望能阐明PFCs去除的未来发展。进一步的研究应该集中在确定其他类型的PFCs的高级氧化降解途径,以支持PFCs高级氧化降解的计算研究的发展。
    UV/Fe3+ and persulfate are two promising advanced oxidative degradation systems for in situ remediation of perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS), yet a lack of comprehensive understanding of the degradation mechanisms. For the first time, we used density functional theory (DFT) to calculate the entire reaction pathways of the degradation of PFOA/PFOS in water by UV/Fe3+ and persulfate. In addition, we have deeply explored the different attack pathways driven by •OH and SO4-•, and found that SO4-• determines PFOA/PFOS to obtain PFOA/PFOS free radicals through single electron transfer to initiate the degradation reaction, while •OH determines the speed of PFOA/PFOS degradation reaction. Both degradation reactions were thermodynamically advantageous and kinetically feasible under calculated conditions. Based on the thermodynamic data, persulfate was found to be more favorable for the advanced oxidative degradation of Perfluorinated compounds (PFCs). Moreover, for SO4-• and •OH co-existing in the persulfate system, pH will affect the presence and concentration of these two types of free radicals, and low pH is not necessary for the degradation of PFOA/PFOS in the persulfate system. These results can considerably advance our understanding of the PFOA/PFOS degradation process in advanced oxidation processes (AOPs), which is driven by •OH and SO4-•. This study provides a DFT calculation process for the mechanism calculation of advanced oxidation degradation of other types of PFCs pollutants, hoping to elucidate the future development of PFCs removal. Further research should focus on determining the advanced oxidation degradation pathways of other types of PFCs, to support the development of computational studies on the advanced oxidation degradation of PFCs.
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  • 文章类型: Journal Article
    长期暴露于细颗粒物(PM2.5)成分对慢性肾脏疾病(CKD)的影响尚不完全清楚。这项研究旨在研究长期暴露于主要PM2.5成分与CKD之间的关联,并寻找对CKD有实质性贡献的潜在成分。这项研究包括2018年至2019年中国多民族队列基线调查的81,137名成年人。CKD由估计的肾小球滤过率定义。通过卫星遥感评估了7种主要PM2.5成分的暴露浓度数据。采用Logistic回归模型评估PM2.5各成分暴露对CKD的影响。加权分位数和回归用于估计混合暴露于所有成分的影响。PM2.5成分与CKD呈正相关(标准差增加),炭黑的OR(95%CIs)为1.20(1.02-1.41),1.27(1.07-1.51)铵,1.29(1.08-1.55)硝酸盐,有机质1.20(1.01-1.43),硫酸盐为1.25(1.06-1.46),1.30(1.11-1.54)对于土壤颗粒,海盐为1.63(1.39-1.91)。所有成分的混合暴露与CKD呈正相关(1.68,1.32-2.11)。海盐是重量最大的成分(0.36),这表明了它在PM2.5-CKD关联中的重要性,其次是硝酸盐(0.32),有机质(0.18),土壤颗粒(0.10),铵(0.03),BC(0.01)。硫酸盐的重量最小(<0.01)。长期接触PM2.5海盐和硝酸盐可能比其他成分更有助于增加CKD风险,为PM2.5-CKD机制研究和空气污染控制策略提供新的证据和见解。
    The effects of long-term exposure to fine particulate matter (PM2.5) constituents on chronic kidney disease (CKD) are not fully known. This study sought to examine the association between long-term exposure to major PM2.5 constituents and CKD and look for potential constituents contributing substantially to CKD. This study included 81,137 adults from the 2018 to 2019 baseline survey of China Multi-Ethnic Cohort. CKD was defined by the estimated glomerular filtration rate. Exposure concentration data of 7 major PM2.5 constituents were assessed by satellite remote sensing. Logistic regression models were used to estimate the effect of each PM2.5 constituent exposure on CKD. The weighted quantile sum regression was used to estimate the effect of mixed exposure to all constituents. PM2.5 constituents had positive correlations with CKD (per standard deviation increase), with ORs (95% CIs) of 1.20 (1.02-1.41) for black carbon, 1.27 (1.07-1.51) for ammonium, 1.29 (1.08-1.55) for nitrate, 1.20 (1.01-1.43) for organic matter, 1.25 (1.06-1.46) for sulfate, 1.30 (1.11-1.54) for soil particles, and 1.63 (1.39-1.91) for sea salt. Mixed exposure to all constituents was positively associated with CKD (1.68, 1.32-2.11). Sea salt was the constituent with the largest weight (0.36), which suggested its importance in the PM2.5-CKD association, followed by nitrate (0.32), organic matter (0.18), soil particles (0.10), ammonium (0.03), BC (0.01). Sulfate had the least weight (< 0.01). Long-term exposure to PM2.5 sea salt and nitrate may contribute more than other constituents in increasing CKD risk, providing new evidence and insights for PM2.5-CKD mechanism research and air pollution control strategy.
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  • 文章类型: Randomized Controlled Trial
    背景:我们比较了疗效,耐受性,和口服硫酸盐片剂的安全性(OST,其中包含西甲硅油)和2L-聚乙二醇/抗坏血酸盐(2L-PEG/Asc),并在接受定期结肠镜检查的年龄≥70岁的老年个体中采用分给药方案。
    方法:这种前瞻性,随机化,调查员失明,多中心研究于2022年6月至2023年10月进行。年龄≥70岁的参与者以1:1的比例随机分配给OST或2个L-PEG/Asc组。
    结果:总计,使用改良的完整分析集评估了254例患者。波士顿肠道准备量表(BBPS)的OST和2L-PEG/Asc组之间成功的整体肠道准备非常出色,相似(96.5%vs.96.6%)和Harefield清洁量表(HCS)(96.5%与97.4%)。OST组的整体高质量制备率高于2L-PEG/Asc组(BBPS:55.7%vs.28.4%,P<0.001;HCS:66.1%vs.38.8%,P<0.001)。整体腺瘤检出率(54.8%vs.35.3,P=0.003)在OST组优于2L-PEG/Asc组。耐受性评分,包括总体满意度,OST组普遍高于2L-PEG/Asc组。两组之间的主要不良事件发生率相当(55.7%vs.68.1,P=0.051),并且在结肠镜检查当天或7天后,血清实验室谱没有临床显着变化。
    结论:OST是一种有效且安全的小体积结肠镜检查药物,具有比2L-PEG/Asc更好的耐受性,年龄≥70岁的老年人。
    We compared the efficacy, tolerability, and safety of oral sulfate tablets (OST, which contains simethicone) and 2 L-polyethylene glycol/ascorbate (2 L-PEG/Asc) with a split-dosing regimen in older individuals aged ≥ 70 years who underwent scheduled colonoscopy.
    This prospective, randomized, investigator-blinded, multicenter study was conducted between June 2022 and October 2023. Participants aged ≥ 70 years were randomized at a ratio of 1:1 to the OST or 2 L-PEG/Asc groups.
    In total, 254 patients were evaluated using a modified full analysis set. Successful overall bowel preparation was excellent and similar between the OST and 2 L-PEG/Asc groups for the Boston Bowel Preparation Scale (BBPS) (96.5% vs. 96.6%) and Harefield Cleansing Scale (HCS) (96.5% vs. 97.4%). The overall high-quality preparation rate was higher in the OST group than in the 2 L-PEG/Asc group (BBPS: 55.7% vs. 28.4%, P < 0.001; HCS: 66.1% vs. 38.8%, P < 0.001). The overall adenoma detection rate (54.8% vs. 35.3, P = 0.003) was superior in the OST group compared to the 2 L-PEG/Asc group. Tolerability scores, including overall satisfaction, were generally higher in the OST group than in the 2 L-PEG/Asc group. The incidence of major solicited adverse events was comparable between the two groups (55.7% vs. 68.1, P = 0.051), and there were no clinically significant changes in the serum laboratory profiles on the day of or 7 days after colonoscopy.
    OST is an effective and safe low-volume agent for colonoscopy, with better tolerance than 2 L-PEG/Asc, in older individuals aged ≥ 70 years.
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  • 文章类型: Journal Article
    鱼表皮粘液是抗病化合物的重要储库,可作为免疫防御的第一线。尽管它在鱼类的生理和健康中发挥了重要作用,鱼表皮粘液的详细轮廓还有待探索。因此,这项研究调查了一种无标记的胶体表面增强拉曼光谱(SERS)方法,用于分析石斑鱼粘液。首先使用标准柠檬酸盐还原法合成金纳米颗粒,并使用紫外-可见光谱进行表征,透射电子显微镜和动态光散射。pH3酸化硫酸钠(Na2SO4)作为聚集剂对包括罗丹明6G(R6G)染料在内的不同分析物样品的SERS光谱增强的影响,观察到溶菌酶溶液和杂种石斑鱼(Epinephelusfuscoguttatus×Epinepheluslanceolatus)粘液。根据结果,1M的最佳Na2SO4浓度被记录,以实现R6G和石斑鱼粘液的SERS信号的最高增强,而溶菌酶的最佳浓度为0.1M。结果表明,溶菌酶诱导的聚集程度高于R6G和石斑鱼粘液。溶菌酶和石斑鱼粘液的SERS光谱的一些重叠峰使得有可能确认溶菌酶作为潜在生物标志物的存在。
    Fish epidermal mucus is an important reservoir of antipathogenic compounds which serves as the first line of the immune defence. Despite its significant role in the physiology and health of fish, detailed profiling of fish epidermal mucus has yet to be explored. Therefore, this study investigates a label-free colloidal surface-enhanced Raman spectroscopic (SERS) method for profiling grouper mucus. Gold nanoparticles were first synthesised using the standard citrate reduction and characterised using ultraviolet-visible spectroscopy, transmission electron microscopy and dynamic light scattering. The influence of acidified sodium sulphate (Na2SO4) at pH 3 as the aggregating agent on the enhancement of the SERS spectrum of different analyte samples including rhodamine 6G (R6G) dye, lysozyme solution and hybrid grouper (Epinephelus fuscoguttatus × Epinephelus lanceolatus) mucus was observed. Based on the results, an optimal Na2SO4 concentration of 1 M was recorded to achieve the highest enhancement of the SERS signal for R6G and grouper mucus, while the optimal concentration for lysozyme was 0.1 M. The results indicated a higher degree of aggregation induced by lysozyme than R6G and grouper mucus. A few overlapping peaks of the SERS spectra of lysozyme and grouper mucus made it possible to confirm the presence of lysozyme as potential biomarkers.
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  • 文章类型: Randomized Controlled Trial, Veterinary
    我们的目的是评估过氧硫酸钾作为用于足浴的消毒剂,以控制奶牛的数字皮炎(DD)。我们假设单过硫酸钾溶液可以控制DD。在265-Holstein免费摊位设施中进行了180天的随机阴性对照试验。在整个审判过程中,每两周使用一次分裂进行一次足浴(左与右脚)足浴:一个装满1%单过硫酸钾(治疗)的浴缸,另一个用自来水(对照)。在每90天使用改良的M评分系统对未清洗的后跟进行修剪斜槽检查时,对数字皮炎病变进行评分。指性皮炎病变被重新分类为四个变量:1)不活跃;2)活跃;3)任何;4)DD病变不活跃或不存在。表征了三个纵向结果:1)发生DD病变的风险;2)重新激活不活跃的DD病变;3)发展为不活跃或不存在DD病变。使用广义线性模型来比较治疗组和对照组之间的变量和纵向结果。在第0天和第90天之间,活动性DD病变的患病率从12.5%增加到39.9%。这种患病率的显着增加证明了出于伦理原因在第90天停止研究的理由。治疗组和对照组的第一个结果没有统计学差异(RR:1.0;95%CI:0.62,1.7),第二个结局(RR:1.0;95%CI:0.62,-1.7);或第三个结局(RR:0.88;95%CI:0.37,2.1)。在这项研究中,1%的过硫酸钾足浴溶液似乎对控制DD无效。
    Our objective was to assess potassium monopersulfate as a disinfectant used in footbath to control digital dermatitis (DD) in dairy cows. We hypothesized that a potassium monopersulfate solution would control DD. A 180-day randomized negative controlled trial was conducted in a 265-Holstein free-stall facility. Throughout the trial, foot bathing was performed bi-weekly using a split (left vs. right feet) footbath: one tub filled with 1% potassium monopersulfate (treatment), the other with tap water (control). Digital dermatitis lesions were scored during trimming chute examinations of the unwashed hind heels every 90 days using the modified M-scoring system. Digital dermatitis lesions were re-categorized into four variables: 1) inactive; 2) active; 3) any; 4) inactive or absence of DD lesions. Three longitudinal outcomes were characterized: risks of 1) developing a DD lesion; 2) reactivating an inactive DD lesion; 3) development of an inactive or the absence of the DD lesion. A generalized linear model was used to compare the variables and longitudinal outcomes between treated and control groups. Prevalence of active DD lesions increased from 12.5% to 39.9% between days 0 and 90. This significant increase in prevalence justified the discontinuation of the study on day 90 for ethical reasons. There was no statistical difference between treated and control groups for the first outcome (RR: 1.0; 95% CI: 0.62, 1.7), the second outcome (RR: 1.0; 95% CI: 0.62,-1.7); or the third outcome (RR: 0.88; 95% CI: 0.37, 2.1). A 1% potassium monopersulfate footbath solution appears ineffective to control DD in this study.
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  • 文章类型: Journal Article
    背景:针对老年人的蛋白质建议是基于年轻人的氮平衡数据。使用指示剂氨基酸氧化方法的生理研究表明,它们需要比目前的建议多30-50%的蛋白质。我们在此介绍谷胱甘肽(GSH)作为老年人蛋白质充足性的生理估计。
    目的:目的是在60岁以上的健康成年人中使用前体产品方法在重复测量设计中测量GSH动力学,以响应不同的蛋白质摄入量。
    方法:研究了16名健康老年人(n=8名男性和n=8名女性;BMI≤30kg/m2)。每个人按随机顺序(0.66、0.8、0.9、1.1、1.3和1.5g·kg-1·d-1)接受6种蛋白质摄入量中的4种。在每个摄入水平,参与者接受了持续7小时的同位素输注研究,之后3天适应蛋白质的测试水平.第四天,GSH分数(FSR)和绝对合成(ASR)速率通过测量[U-13C2-15N]甘氨酸在同位素稳态下掺入GSH来定量。使用混合效应变化点回归模型来确定FSR和ASR中的断点。次要结果包括氧化应激标志物的血浆浓度,同型半胱氨酸,5-L-氧代脯氨酸(5-OP),和尿硫酸盐。使用联合线性混合效应模型和Tukey的事后检验分析次要结果对GSH动力学的影响。
    结果:蛋白质摄入量为1.08g·kg-1·d-1(95%CI:0.83,1.32,Rm2=0.207,Rc2=0.671;P<0.001)使GSHFSR最大化。蛋白质摄入对红细胞GSH浓度没有影响,血浆同型半胱氨酸,氧化应激标志物或5-OP(P>0.05)。蛋白质摄入对尿硫酸盐排泄有积极影响(P<0.0001)。
    结论:来自高质量蛋白质的1.08g·kg-1·d-1的蛋白质摄入量使≥60岁的成年人的GSH合成最大化。这支持了表明要求高于当前建议的数据。
    背景:临床试验:NCT02971046。
    BACKGROUND: Protein recommendations for older adults are based on nitrogen balance data from young adults. Physiological studies using the indicator amino acid oxidation method suggest they need 30% to 50% more protein than current recommendations. We herein present glutathione (GSH) as a physiological estimate of protein adequacy in older adults.
    OBJECTIVE: The objective was to measure GSH kinetics in response to varying protein intakes in a repeated-measures design in healthy adults aged ≥60 y using the precursor-product method.
    METHODS: Sixteen healthy older adults (n = 8 male and n = 8 female; body mass index ≤30 kg/m2) were studied. Each received 4 of 6 protein intakes in random order (0.66, 0.8, 0.9, 1.1, 1.3 and 1.5 g⋅kg-1⋅d-1). At each intake level, participants underwent isotope infusion studies of 7 h duration following a 3-d adaptation to the test level of protein. On the fourth day, GSH fractional (FSR) and absolute synthesis (ASR) rates were quantified by measuring the incorporation of U-[13C2-15N]glycine into GSH at isotopic steady state. A mixed-effect change-point regression model was used to determine a breakpoint in FSR and ASR. Secondary outcomes included plasma concentrations of oxidative stress markers, homocysteine, 5-L-oxoproline (5-OP), and urinary sulfate. The effect of secondary outcomes on GSH kinetics was analyzed using a joint linear mixed-effect model and Tukey\'s post hoc test.
    RESULTS: A protein intake of 1.08 g⋅kg-1⋅d-1 (95% confidence interval [CI]: 0.83, 1.32; Rm2 = 0.207; Rc2 = 0.671; P < 0.001) maximized GSH FSR. There was no effect of protein intake on concentrations of erythrocyte GSH, plasma homocysteine, oxidative stress markers, or 5-OP (P > 0.05). Protein intake had a positive effect on urinary sulfate excretion (P < 0.0001).
    CONCLUSIONS: A protein intake of 1.08 g⋅kg-1⋅d-1 from a high-quality protein maximized GSH synthesis in adults ≥60 y. This lends support to data suggesting a requirement higher than the current recommendation. This study was registered at clinicaltrials.gov as NCT02971046.
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  • 文章类型: Randomized Controlled Trial
    铁调素在炎症状态下分泌,如在常规血液透析(HD)的患者中。因此,调节铁调素分泌的新型药物可能具有有效逆转HD患者贫血的潜力。牛乳衍生物乳铁蛋白(BLF)是一种糖蛋白,被发现降低血清白细胞介素-6,因此,具有抗炎特性。因此,它可以下调各种炎症状态的铁调素分泌,包括定期HD患者,从而改善这些患者的铁吸收和利用。此外,BLF是铁的来源,因为每个BLF分子螯合两个三价铁离子。我们开始了一项介入研究。70例患有缺铁性贫血的常规HD患者口服b.i.d接受了100mg20%-30%铁饱和的BLF(相当于70-84μg元素铁),持续6个月。我们将这些患者与另外70例患有缺铁性贫血的常规HD患者进行了比较,这些患者口服b.i.d口服576mg硫酸甘氨酸亚铁(相当于100mg元素铁),持续6个月。BLF显着降低血清铁调素水平(从340-350ng/mL到101-112ng/mL),P<0.0001,血红蛋白(Hb)浓度显着增加(从7.5-8.1g/dL到9.3-10g/dL),P<0.0001,转铁蛋白饱和度(TSAT)(从5%-9%到26%-31%),P<0.0001。此外,硫酸亚铁甘氨酸显着降低血清铁调素水平(从335-350ng/mL到330-341ng/mL),P<0.0001,并且Hb显着增加(从7.5-8.1到7.6-8.5g/dL),P<0.0001,TSAT(从5%-9%到7%-12%),P<0.0001。然而,BLF组血清铁调素水平下降幅度和Hb和TSAT升高幅度明显高于硫酸甘氨酸亚铁组,P<0.0001。口服BLF可被认为是治疗常规HD患者缺铁性贫血的有前途的新型药物。
    Hepcidin is secreted in inflammatory states as in patients on regular hemodialysis (HD). Therefore, novel agents modulating hepcidin secretion may have the potential to effectively reverse anemia in HD patients. Bovine milk derivative lactoferrin (BLF) is a glycoprotein that was found to decrease serum interleukin-6, therefore, having anti-inflammatory properties. Thus, it can downregulate hepcidin secretion in various inflammatory states including patients on regular HD, so improving iron absorption and utilization in those patients. In addition, BLF is a source of iron as each BLF molecule chelates two ferric ions. We started an interventional study. Seventy patients on regular HD with iron deficiency anemia received 100 mg of 20%-30% iron-saturated BLF (corresponding to 70-84 μg of elemental iron) orally b.i.d for 6 months. We compared those patients with another 70 patients on regular HD with iron deficiency anemia who were given 576 mg of ferrous glycine sulfate (corresponding to 100 mg of elemental iron) orally b.i.d for 6 months. BLF significantly decreased serum hepcidin level (from 340-350 ng/mL to 101-112 ng/mL), P <0.0001 and significantly increased hemoglobin (Hb) concentration (from 7.5-8.1 g/dL to 9.3-10 g/dL), P <0.0001, and transferrin saturation (TSAT) (from 5%-9% to 26%-31%), P <0.0001. Furthermore, ferrous glycine sulfate significantly decreased serum hepcidin level (from 335-350 ng/mL to 330--341 ng/mL), P <0.0001, and significantly increased Hb (from 7.5-8.1 to 7.6-8.5 g/dL), P <0.0001, and TSAT (from 5%-9% to 7%-12%), P <0.0001. However, the magnitude of decrease in serum hepcidin level and rise in Hb and TSAT in the BLF group was significantly higher than in the ferrous glycine sulfate group, P <0.0001. Oral BLF can be considered a promising novel agent in treatment of iron deficiency anemia in patients on regular HD.
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