Mental disorders seriously affect people’s health and social stability.This Mendelian randomization(MR)study was designed to investigate the causal relationship between circulating vitamin C(VC)or 25-hydroxyvitamin D...Mental disorders seriously affect people’s health and social stability.This Mendelian randomization(MR)study was designed to investigate the causal relationship between circulating vitamin C(VC)or 25-hydroxyvitamin D(25(OH)D)levels and mental disorders.The data used for the MR analysis were derived from the summary genome-wide association studies(GWAS)database for VC and 25(OH)D and from the Finn Gen consortium for fourteen mental disorders.Based on the inverse variance weighted(IVW)method,we found a potential causal association between circulating VC and anxiety disorders(IVW:OR=1.139,95%CI:1.023-1.269,P=0.018).However,no causal association was found between VC or 25(OH)D and other mental disorders(P>0.05).In the reverse MR analysis,individuals with Alzheimer’s disease was causally associated with higher concentrations of circulating VC(P=0.012),while individuals with anxiety disorders had a negative association between the concentrations of 25(OH)D(P=0.012).However,the current evidence does not support a causal relationship between VC or 25(OH)D and other mental disorders.In addition,there was no causal association between circulating VC and 25(OH)D(P>0.05).Future studies are needed to confirm these findings and to elucidate the mechanisms of potential causality.展开更多
BACKGROUND High-dose vitamin C treatment(HVCT)can reduce the adverse effect of chemotherapy and enhance the effect of antitumor therapy,which has been considered one of the safest alternative treatments.However,the se...BACKGROUND High-dose vitamin C treatment(HVCT)can reduce the adverse effect of chemotherapy and enhance the effect of antitumor therapy,which has been considered one of the safest alternative treatments.However,the severity of its adverse effects may have been underestimated.The most serious adverse effect is hemolysis,which may result in acute kidney injury or death.Although glucose-6-phosphate dehydrogenase(G6PD)deficiency is considered to be the main cause,the probability and pathological mechanism are not completely understood,leading to a lack of effective and standardized treatment methods.CASE SUMMARY Two patients with colorectal cancer developed hemolytic anemia after using 1 g/kg HVCT.In contrast to previous cases,the lowest hemoglobin level in the two cases was<50 g/L,which was lower than previously reported.This may be because Case 1 had chronic hepatitis B for many years,which caused abnormal liver reserve function,and Case 2 had grade II bone marrow suppression.Both patients improved and were discharged after blood replacement therapy.Our cases had the most severe degree of hemolysis but the best prognosis,suggesting that our treatment may be helpful for rescue of drug-induced hemolysis.This is the first review of the literature on hemolysis caused by HVCT,and we found that all patients with G6PD deficiency developed hemolysis after HVCT.CONCLUSION G6PD deficiency should be considered as a contraindication to HVCT,and it is not recommended for patients with bone marrow suppression,moderate-tosevere anemia,hematopoietic abnormalities,or abnormal liver and kidney function.Early blood purification and steroid therapy may avoid acute kidney injury or death caused by HVCT-related hemolytic anemia.展开更多
Effects of VC/Cr3C2 on the microstructure and mechanical properties of Ti（C,N）-based cermets were studied. The microstructure was investigated by means of optical microscopy, X-ray diffractometry as well as scanning...Effects of VC/Cr3C2 on the microstructure and mechanical properties of Ti（C,N）-based cermets were studied. The microstructure was investigated by means of optical microscopy, X-ray diffractometry as well as scanning electron microscopy in combination with energy dispersive spectrometry. Mechanical properties, such as transverse rupture strength, hardness and fracture toughness, were measured. The results show that there are black core-grey rim structure and white core-grey rim structure in the microstructure. The grains become fine due to the VC/Cr3C2, and the grains of cermet added with 0.75VC/0.25Cr3C2 are refined most remarkably. The black core becomes finer with the increase of VC addition and rim phase becomes thicker with the decrease of Cr3C2 addition. The porosity increases with the increase of VC addition in VC/Cr3C2. Compared with the cermet free of VC/Cr3C2, the transverse rupture strength and hardness of cermets with VC/Cr3C2 are both improved, and the maximum values are both found for the cermet with 0.25VC/0.75Cr3C2. The fracture toughness can be effectively promoted by adding VC/Cr3C2 with an appropriate ratio of VC to Cr3C2, and the maximum value is found for the cermet with 0.5VC/0.5Cr3C2.展开更多
基金funded by the Nactional Natural Science Foundation of China(81872618)。
文摘Mental disorders seriously affect people’s health and social stability.This Mendelian randomization(MR)study was designed to investigate the causal relationship between circulating vitamin C(VC)or 25-hydroxyvitamin D(25(OH)D)levels and mental disorders.The data used for the MR analysis were derived from the summary genome-wide association studies(GWAS)database for VC and 25(OH)D and from the Finn Gen consortium for fourteen mental disorders.Based on the inverse variance weighted(IVW)method,we found a potential causal association between circulating VC and anxiety disorders(IVW:OR=1.139,95%CI:1.023-1.269,P=0.018).However,no causal association was found between VC or 25(OH)D and other mental disorders(P>0.05).In the reverse MR analysis,individuals with Alzheimer’s disease was causally associated with higher concentrations of circulating VC(P=0.012),while individuals with anxiety disorders had a negative association between the concentrations of 25(OH)D(P=0.012).However,the current evidence does not support a causal relationship between VC or 25(OH)D and other mental disorders.In addition,there was no causal association between circulating VC and 25(OH)D(P>0.05).Future studies are needed to confirm these findings and to elucidate the mechanisms of potential causality.
基金Supported by The National Natural Science Foundation of China,No.82074061The National Key Research and Development Program of China,No.2022YFC2009600.
文摘BACKGROUND High-dose vitamin C treatment(HVCT)can reduce the adverse effect of chemotherapy and enhance the effect of antitumor therapy,which has been considered one of the safest alternative treatments.However,the severity of its adverse effects may have been underestimated.The most serious adverse effect is hemolysis,which may result in acute kidney injury or death.Although glucose-6-phosphate dehydrogenase(G6PD)deficiency is considered to be the main cause,the probability and pathological mechanism are not completely understood,leading to a lack of effective and standardized treatment methods.CASE SUMMARY Two patients with colorectal cancer developed hemolytic anemia after using 1 g/kg HVCT.In contrast to previous cases,the lowest hemoglobin level in the two cases was<50 g/L,which was lower than previously reported.This may be because Case 1 had chronic hepatitis B for many years,which caused abnormal liver reserve function,and Case 2 had grade II bone marrow suppression.Both patients improved and were discharged after blood replacement therapy.Our cases had the most severe degree of hemolysis but the best prognosis,suggesting that our treatment may be helpful for rescue of drug-induced hemolysis.This is the first review of the literature on hemolysis caused by HVCT,and we found that all patients with G6PD deficiency developed hemolysis after HVCT.CONCLUSION G6PD deficiency should be considered as a contraindication to HVCT,and it is not recommended for patients with bone marrow suppression,moderate-tosevere anemia,hematopoietic abnormalities,or abnormal liver and kidney function.Early blood purification and steroid therapy may avoid acute kidney injury or death caused by HVCT-related hemolytic anemia.
基金Project (090414185) supported by the Natural Science Foundation of Anhui Province, China
文摘Effects of VC/Cr3C2 on the microstructure and mechanical properties of Ti（C,N）-based cermets were studied. The microstructure was investigated by means of optical microscopy, X-ray diffractometry as well as scanning electron microscopy in combination with energy dispersive spectrometry. Mechanical properties, such as transverse rupture strength, hardness and fracture toughness, were measured. The results show that there are black core-grey rim structure and white core-grey rim structure in the microstructure. The grains become fine due to the VC/Cr3C2, and the grains of cermet added with 0.75VC/0.25Cr3C2 are refined most remarkably. The black core becomes finer with the increase of VC addition and rim phase becomes thicker with the decrease of Cr3C2 addition. The porosity increases with the increase of VC addition in VC/Cr3C2. Compared with the cermet free of VC/Cr3C2, the transverse rupture strength and hardness of cermets with VC/Cr3C2 are both improved, and the maximum values are both found for the cermet with 0.25VC/0.75Cr3C2. The fracture toughness can be effectively promoted by adding VC/Cr3C2 with an appropriate ratio of VC to Cr3C2, and the maximum value is found for the cermet with 0.5VC/0.5Cr3C2.
