Association between sensitivity to thyroid hormones and non-highdensity lipoprotein cholesterol levels in patients with type 2 diabetes mellitus

BACKGROUND Dyslipidemia and type 2 diabetes mellitus(T2DM)are chronic conditions with substantial public health implications.Effective management of lipid metabolism in patients with T2DM is critical.However,there has been insufficient attention given to the relationship between thyroid hormone sensitivity and dyslipidemia in the T2DM population,particularly concerning non-high-density lipoprotein cholesterol(non-HDL-C).AIM To clarify the association between thyroid hormone sensitivity and dyslipidemia in patients with T2DM.METHODS In this cross-sectional study,thyroid hormone sensitivity indices,the thyroid feedback quantile-based index(TFQI),the thyroid-stimulating hormone index(TSHI),the thyrotrophic T4 resistance index(TT4RI),and the free triiodothyronine(FT3)/free thyroxine(FT4)ratio were calculated.Logistic regression analysis was performed to determine the associations between those composite indices and non-HDL-C levels.Random forest variable importance and Shapley Additive Explanations(SHAP)summary plots were used to identify the strength and direction of the association between hyper-non-HDL-C and its major predictor.RESULTS Among the 994 participants,389(39.13%)had high non-HDL-C levels.Logistic regression analysis revealed that the risk of hyper-non-HDL-C was positively correlated with the TFQI(OR:1.584;95%CI:1.088-2.304;P=0.016),TSHI(OR:1.238;95%CI:1.034-1.482;P=0.02),and TT4RI(OR:1.075;95%CI:1.006-1.149;P=0.032)but was not significantly correlated with the FT3/FT4 ratio.The relationships between composite indices of the thyroid system and non-HDL-C levels differed according to sex.An increased risk of hyper-non-HDL-C was associated with elevated TSHI levels in men(OR:1.331;95%CI:1.003-1.766;P=0.048)but elevated TFQI levels in women(OR:2.337;95%CI:1.4-3.901;P=0.001).Among the analyzed variables,the average SHAP values were highest for TSHI,followed by TT4RI.CONCLUSION Impaired sensitivity to thyroid hormones was associated with high non-HDL-C levels in patients with T2DM.

Magnolol attenuates sepsis-induced gastrointestinal dysmotility in rats by modulating inflammatory mediators

AIM： To investigate the protective effects of magnolol on sepsis-induced inflammation and intestinal dysmotility. METHODS： Sepsis was induced by a single intraperitoneal injection of lipopolysaccharide （LPS）. Male Wistar rats were randomly assigned to one of three treatment groups： magnolol prior to LPS injection （LPS/Mag group）; vehicle prior to LPS injection （LPS/Veh group）; vehicle prior to injection of saline （Control/Veh）. Intestinal transit and circular muscle mechanical activity were assessed 12 h after LPS injection. Tumor necrosis factor-α （TNF-α）, interleukin-10 （IL-10）, monocyte chemoattractant protein-1 （MCP-1） and inducible nitric oxide synthase （iNOS） mRNA in rat ileum were studied by RT-PCR 2 h after LPS injection. Nuclear factor-κB （NF-κB） activity in the intestine was also investigated at this time using electrophoretic mobility shift assay. In addition, antioxidant activity was determined by measuring malondialdehyde （MDA） concentration and superoxide dismutase （SOD） activity in the intestine 2 h after LPS iniection.RESULTS： Magnolol significantly increased intestinal transit and circular muscle mechanical activity in LPS- treated animals. TNF-α, MCP-1 and iNOS mRNA expression in the small intestine were significantly reduced after magnolol treatment in LPS-induced septic animals, compared with untreated septic animals. Additionally,magnolol significantly increased IL-10 mRNA expression in septic rat ileum. Magnolol also significantly suppressed NF-κB activity in septic rat intestine. In addition, magnolol significantly decreased MDA concentration and increased SOD activity in rat ileum. CONCLUSION： Magnolol prevents sepsis-induced suppression of intestinal motility in rats. The potential mechanism of this benefit of magnolol appears to be modulation of self-amplified inflammatory events and block of oxidative stress in the intestine.

Spatial distribution of Cd and Cu in soils in Shenyang Zhangshi Irrigation Area(SZIA),China

Heavy metal contamination of soils,derived from sewage irrigation,mining and inappropriate utilization of various agrochemicals and pesticides,and so on,has been of wide concern in the last several decades.The Shenyang Zhangshi Irrigation Area(SZIA) in China is a representative area of heavy metal contamination of soils resulting from sewage irrigation for about 30 years.This study investigated the spatial distribution and temporal variation of soil cadmium(Cd) and copper(Cu) contamination in the SZIA.The soil samples were collected from the SZIA in 1990 and 2004;Cd and Cu in soils was analyzed and then the spatial distribution and temporal variation of Cd and Cu in soils were modeled using Kriging methods.The results show that long-term sewage irrigation had caused serious Cd and Cu contamination in soils.The mean and the maximum of soil Cd are markedly higher than the levels in second grade standard soil(LSGSS) in China,and the maximum of soil Cu is close to the LSGSS in China in 2004 and is more than the LSGSS in China in 1990.The contamination magnitude of soil Cd and the soil extent of Cd contamination had evidently increased since sewage irrigation ceased in 1992.The contamination magnitude of soil Cu and the soil extent of Cu contamination had evidently increased in topsoil,but obviously decresed in subsoil.The soil contamination of Cd and Cu was mainly related to Cd and Cu reactivation of contaminated sediments in Shenyang Xi River and the import of Cd and Cu during irrigation.The eluviation of Cd and Cu in contaminated topsoil with rainfall and irrigation water was another factor of temporal-spatial variability of Cd and Cu contamination in soils.

Two-Qubit Geometric Gates Based on Ground-State Blockade of Rydberg Atoms

We achieve the robust nonadiabatic holonomic two-qubit controlled gate in one step based on the groundstate blockade mechanism between two Rydberg atoms. By using the Rydberg-blockade effect and the Raman transition mechanism, we can produce the blockade effect of double occupation of the corresponding ground state,i.e., ground-state blockade, to encode the computational subspace into the ground state, thus effectively avoiding the spontaneous emission of the excited Rydberg state. On the other hand, the feature of geometric quantum computation independent of the evolutionary details makes the scheme robust to control errors. In this way,the controlled quantum gate constructed by our scheme not only greatly reduces the gate infidelity caused by spontaneous emission but is also robust to control errors.

Changes in the peripapillary vasculature and macular thickness after cataract surgery using two phacoemulsification systems with optical coherence tomography angiography

AIM:To assess the changes in the peripapillary vasculature and macular thickness after cataract surgery using two phacoemulsification systems with optical coherence tomography angiography(OCTA).METHODS:Fifty-two eyes of 52 patients with agerelated cataract were randomized into two groups for phacoemulsification:Infiniti group(26 patients)using the Infiniti phacoemulsification system with gravity-fluidics and Centurion group(26 patients)using the Centurion phacoemulsification system with active-fluidics.The peripapillary vessel density(PVD)and macular thickness were examined using OCTA at baseline and at 1d,1 and 3mo after cataract surgery.RESULTS:In the Infiniti group,the PVD was significantly reduced at 1d after the cataract surgery(P<0.001).However,the retinal nerve fiber layer(RNFL)thickness showed no significant change during the follow-up.Change in PVD 1d postoperatively was significantly negatively correlated to the cumulative dissipated energy(CDE),estimated fluid usage(EFU),effective phacoemulsification time(EPT),intraocular pressure(IOP),and total operating time(TOT;P<0.05).The macular thickness was significantly increased in all regions after the cataract surgery(P<0.05).However,no significant changes were found in the macular vessel density(VD)during the follow-up(P>0.05).In the Centurion group,the VD and thickness in the optic papilla and macula did not significantly change in all regions during the follow-up(all P>0.05).The best-corrected visual acuity(BCVA)significantly improved in both groups postoperatively(P<0.001).CONCLUSION:Using the Infiniti phacoemulsification system,OCTA provides a promising analysis of retinal vascular alterations,demonstrating a reduction of the PVD and an increase in the macular thickness.The Centurion phacoemulsification system can provide better retinal vasculature preservation during cataract surgery.