Glutathione-S-transferases genes-promising predictors of hepatic dysfunction

diseases pathogenesis are genes that encodes the synthesis of glutathione-Stransferase(GST),known as the second phase enzyme detoxification system that protects against endogenous oxidative stress and exogenous toxins,through catalisation of glutathione sulfuric groups conjugation and decontamination of lipid and deoxyribonucleic acid oxidation products.The group of GST enzymes consists of cytosolic,mitochondrial and microsomal fractions.Recently,eight classes of soluble cytoplasmic isoforms of GST enzymes are widely known:α-,ζ-,θ-,κ-,μ-,π-,σ-,andω-.The GSTs gene family in the Human Gene Nomenclature Committee,online database recorded over 20 functional genes.The level of GSTs expression is considered to be a crucial factor in determining the sensitivity of cells to a broad spectrum of toxins.Nevertheless,human GSTs genes have multiple and frequent polymorphisms that include the complete absence of the GSTM1 or the GSTT1 gene.Current review supports the position that genetic polymorphism of GST genes is involved in the pathogenesis of various liver diseases,particularly non-alcoholic fatty liver disease,hepatitis and liver cirrhosis of different etiology and hepatocellular carcinoma.Certain GST allelic variants were proven to be associated with susceptibility to hepatological pathology,and correlations with the natural course of the diseases were subsequently postulated.

Prognostic Significance of Comparison of Clinical Indicators with Manifestations of Genetic Polymorphism of Glutathione-S-Transferases in Non-Small Cell Lung Cancer

The article presented the results of comparison of polymorphic variants of the genes GSTM1, GSTT1, GSTP1 and clinical manifestations of non-small cell lung carcinoma. The association of the genotype GSTT1 (del) with the risk of developing squamous cell lung cancer has been revealed (OR = 2.54 CI: 1.13 - 5.72, p = 0.035). Analysis of patient survival rate (n = 173) in groups of various histological types of lung cancer showed that in the group of squamous cell lung cancer (n = 91) in patients with genotype GSTT1 (del), the survival rate median was significantly higher—84 months (95% CI 12.4 - 155.7) than in patients with the genotype GSTT1 (+)—36 months (95% CI 25.2 - 46.8, p = 0.045). In contrast, in the adenocarcinoma group (n = 82), the survival rate median in patients with the genotype GSTT1 (del) was 19 months. (95% CI 6.2 - 33.5), and in patients with genotype GSTT1 (+)—67 months (95% CI 50.1 - 84.0), which is the basis for continuing this comparison in an additional group of testees, as the sampling did not achieve the reliability of p = 0.12. Hypothetically, these differences may be due to differences in the gender composition of squamous cell lung cancer and adenocarcinoma and the involvement of GST enzymes in the metabolism of estrogens in adenocarcinoma in women and other hormonal background and reactivity of the male body with squamous cell carcinoma. Further research and subsequent analysis of the results will be aimed at confirming this hypothesis.

Evaluation of Glutathione-S-transferase and ceruloplasmin levels in gingival crevicular fluid and gingival tissue as diagnostic markers for chronic periodontitis

Periodontitis, is an infectious ailment of multifactorial origin, that brings about destruction of bone and surrounding tissues. There are various oral pathogens that may be responsible for the destruction. The host encounters these microbial invasions and their products by the production and release of inflammatory mediators from the cells within the body. Glutathione-S-transferase (GST) are a group of enzymes that utilize glutathione in conditions resulting in oxidative stress. These enzymes play a key role in the detoxifycation of such substance. It aids in preventing damage to important cellular components caused by release of free reactive oxygen species. Ceruloplasmin is a ferroxidase enzyme. It plays a role as an anti-inflammatory agent, by its ability to scavenge free radicals within the body. The present study was targeted at evaluating the levels of Glutathione-S-Transferase (GST) and Ceruloplasmin as diagnostic markers for patients with chronic periodontitis in gingival crevicular fluid (GCF) and the gingival tissues. Thirty patients were divided into two groups. Experimental group comprising of 15 subjects with chronic perio- dontitis and the control group was composed of 15 healthy individuals. Highly significant changes in GST between the diseased and normal patients (P = 0.001) were detected. There was a decrease in GST level in both gingival tissue & GCF in diseased patients when compared to the control patients. The ceruloplasmin levels in GCF and gingival tissues showed no difference between the control and diseased group. Hence,these results indicate a relationship suggesting that GST produced during chronic inflammation could be used as biomarker that indicate periodontal disease .

Immunoprophylactic potential of filarial glutathione-s-transferase in lymphatic filariaisis

Objective:To elucidates the immunoprophylactic potential of glutathion-s-transferase(GST) from cattle filarial parasite Setaria digitata(S.digitata) against lymphatic filariasis.Methods: GST was purified through affinity chromatography(SdGST) and chacterized by SDS-PAGE and Nano-LC MS/MS analysis.Antibody isotypes to SdGST were measured by ELISA.Antibody dependant cellular cytotoxicity(ADCC) was performed in vitro using sera from immunized animals and immune individuals.T-cell proliferation and cytokine response to SdGST in different groups of filariasis were measured.Immunoprophylactic potential of SdGST was evaluate in animal model.Results:SdGST exhibited 30-fold enhancement of enzyme activity over crude parasitic extract.It was found to be 26 kDa by SDS-PAGE.Nano LC-MS/MS analysis followed by blast search showed 100%homology with Dirqfilaria immitis(D.immitis) and only 43%with Homo sapiens(H.sapiens).Immunoblotting analysis showed putatively immune individuals carry significant level of antibodies to SdGST as compared with microfilaraemics.Immunized sera and sera endemic normal could neutralize the enzymatic activity of SdGST and inducing in vitro cytotoxicity of microfilariae.Peripheral blood mononuclear cells(PBMC) from endemic normals upon stimulation with SdGST showed a mixed type of Th1/Th2 response.SdGST immunization clear microfilariae from circulation in S.digitata implanted mastomys.Conclusions:The heterologous GST could be potentially developed as a vaccine candidate against lymphatic filarial parasite.

Modification of the Genetic Polymorphism of Glutathione-S-Transferase (GSTM1 and GSTT1) in Motorcycle Drivers Exposed to BTEX in Cotonou

The glutathione-S-transferase genes mainly the GSTM1 and GSTT1 alleles are responsible for the synthesis of detoxication enzymes that can remove toxic substances. The objective of this study is to seek changes in the genetic polymorphism of glutathione-S-transferase GSTM1 and GSTT1 in motorcycle drivers exposed to BTEX. Our study group consists of 60 motorcycle drivers including 30 professional and 30 non-professional. Blood samples were preleveled from the study population in the EDTA tubes and DNA was extracted by the phenol/chloroform method. The PCR technique was used to determine the presence or absence of genes. Our results showed that the percentage of GSTM1 null genotype has a statistically significant difference (P = 0.02), while the percentage of GSTT1 null genotype was non-significant (P = 0.76) between the two groups. The percentage of deletion of both genes is higher in professional than non-professional motorcycle drivers. Air pollution in Cotonou by BTEX seems to influence the deletion of the GSTM1 and GSTT1 genes at a higher percentage among professional than non-professional motorcycle drivers.

Plasma catalase,glutathione-s-transferase and total antioxidant activity levels of children with attention deficit and hyperactivity disorder

Objective: In this study, we plan to measure plasma Catalase (CAT), Antioxidant Activity (AOA) and Glu- tathione-S-Transferase (GST) levels to understand whether oxidative stress develops or not and whether or not the detoxification mechanism properly functions in children with Attention Deficit and Hyperactivity Disorder (ADHD) with unknown etiology and pathogenesis. Method and Results: Plasma CAT, AOA, and GST activities were spectrophotometrically measured in forty patients (average age 10.27 ± 2.54) and thirty-five (average age, 9.97 ± 2.59) healthy individuals as the control group. While the CAT activity showed no difference in the patient group (P > 0.05) compared to the control group, AOA and GST levels were found significantly meaningful (P = 0.001). Conclusion: In this pilot study ,the study shows that no oxidative stress develops in individuals with ADHD in high AOA and stable CAT activity, and that the de- toxification mechanism functions extremely in high GST activity. These findings need to be supported by other studies.

Induction of Phase II Enzymes Glutathione-S-Transferase and NADPH: Quinone Oxydoreductase 1 with Novel Sulforaphane Derivatives in Human Keratinocytes: Evaluation of the Intracellular GSH Level

Phase II enzymes including NADPH: Quinone Oxydoreductase 1 (NQO1) and Glutathione-S-Transferase (GST) represents a major and natural cellular protection system against deleterious environmental factors which cause skin damages. Sulforaphane is one of the most popular isothiocyanates found in cruciferous vegetables and known for its cytoprotective effects by inducing Phase II enzymes. Five novel sulforaphane derivatives were synthetized and tested for their activity on NQO1 and GST induction as well as for their effect on total GSH intracellular level using colorimetric assays on human keratinocytes cell line (HaCat). As sulforaphane and the synthetized components showed variable toxicity after their evaluation by means of in vitro cytotoxicity (MTT test), cells were treated at a concentration of 5 μM during 48 hours. The results showed that the addition products of sulforaphane decreased cytotoxity but none of those derivatives had a better effect than referenced sulforaphane on Phase II enzymes. It seems that the isothiacyanate function remains important for the sulforaphane activity.

β-catenin accumulation in nuclei of hepatocellular carcinoma cells up-regulates glutathione-s-transferase M3 mRNA

AIM: To identify the differentially over-expressed genes associated with β-catenin accumulation in nuclei of hepatocellular carcinoma (HCC) cells. METHODS: Differentially expressed genes were identified in radiation-induced B6C3 F1 mouse HCC cells by mRNA differential display, Northern blot and RT-PCR, respectively. Total glutathione-s-transferase (GST) activity was measured by GST activity assay and β-catenin localization was detected with immunostaining in radiation-induced mouse HCC cells and in HepG2 cell lines.RESULTS: Two up-regulated genes, glutamine synthetase and glutathione-s-transferase M3 (GSTM3), were identified in radiation-induced mouse HCC cells. Influence of β-catenin accumulation in nuclei of HCC cells on upregulation of GSTM3 mRNA was investigated. The nearby upstream domain of GSTM3 contained the β-catenin/TcfLef consensus binding site sequences [5'-(A/T)(A/T) CAAAG-3'], and the total GST activity ratio was considerably higher in B6C3F1 mouse HCC cells with β-catenin accumulation in nuclei of HCC cells than in those without β-catenin accumulation (0.353 ± 0.117vs 0.071 ± 0.064, P < 0.001). The TWS119 (a distinct GSK-3β inhibitor)-induced total GST activity was significantly higher in HepG2 cells with β-catenin accumulation than in those without β-catenin accumulation in nuclei of HCC cells. Additionally, the GSTM3 mRNA level was significantly higher at 24 h than at 12 h in TWS119-treated HepG2 cells. CONCLUSION: β-catenin accumulation increases GST activity in nuclei of HCC cells, and GSTM3 may be a novel target gene of the β-catenin/Tcf-Lef complex.

2型糖尿病合并肥胖患者血清肌联素水平与胰岛素抵抗的相关性

目的 观察2型糖尿病(T2DM)合并肥胖患者血清肌联素(myonectin)水平的变化,探讨血清myonectin水平的影响因素及其与胰岛素抵抗的相关性。方法 选择2020年11月至2022年6月在河北北方学院附属第一医院内分泌科住院的186例T2DM患者,根据体重指数(BMI)分为糖尿病正常体重组(60例)、糖尿病超重组(65例)和糖尿病肥胖组(61例)。另选取同期于医院体检且BMI正常的健康者作为正常对照组(60例)。测定各组血清myonectin、空腹血糖(FPG)、空腹胰岛素(FINS)、糖化血红蛋白(HbA1c)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平,计算BMI及稳态胰岛素抵抗指数(HOMA-IR)。比较各组血清myonectin水平,并分析血清myonectin水平与胰岛素抵抗的相关性。结果 与正常对照组比较,糖尿病正常体重组、糖尿病超重组和糖尿病肥胖组的血清myonectin水平降低,差异有统计学意义(P<0.05)。与糖尿病正常体重组比较,糖尿病超重组和糖尿病肥胖组的myonectin水平降低,差异有统计学意义(P<0.05)。与糖尿病超重组比较,糖尿病肥胖组的myonectin水平降低,差异有统计学意义(P<0.05)。多元逐步回归分析表明,影响T2DM患者BMI的主要因素为myonectin、HOMA-IR、LDL-C、HDL-C、HbA1c。影响HOMA-IR的主要因素为myonectin、BMI、HbA1c、HDL-C。结论 血清myonectin水平在T2DM合并肥胖患者中显著降低,myonectin与胰岛素抵抗密切相关,与糖脂代谢共同参与了肥胖及糖尿病的发生、发展。

MoS_(2)/ZnO异质结纳米材料降解亚甲基蓝的光催化性能研究

为了提高ZnO的光转换效率,选用带隙较低的MoS_(2)形成异质结提高ZnO的光催化性能。通过水热法制备ZnO纳米棒,并进一步制备MoS_(2)/ZnO异质结构的纳米复合材料。通过扫描电镜(SEM)、X射线粉末衍射仪(XRD)、固体紫外可见漫反射测试仪(UV-Vis)和紫外可见分光光度计(UV-245)等分析方法对样品的形貌、结构及光学性能等进行表征。结果表明,MoS_(2)/ZnO异质结复合材料呈棒状结构,并由于内建电场存在可有效增强光生载流子的分离效率,进而提高了可见光区的吸收,提高了光催化性能。在模拟太阳光(包含紫外波段)下,60 min时MoS_(2)-15/ZnO纳米复合材料对亚甲基蓝的降解率可达99%,比纯ZnO的降解率提高了10%。

司美格鲁肽对2型糖尿病伴慢性心力衰竭合并肾功能不全患者的疗效与安全性观察研究

目的 探索司美格鲁肽对2型糖尿病伴慢性心力衰竭(CHF)合并肾功能不全患者的临床效果及安全性。方法 选取2022年1月-2022年9月于新疆医科大学第一附属医院就诊的71例2型糖尿病合并CHF及肾功能不全的患者作为研究对象,根据治疗方案随机分为对照组(胰岛素治疗,35例)与治疗组(胰岛素联合司美格鲁肽治疗,36例)。比较2组治疗的临床疗效与安全性。结果 治疗3个月后,治疗组HbA1c达标有效率为72.2%,显著高于对照组的有效率(31.4%)(P <0.05)。治疗后治疗组的体质量、FBG、HbA1c和TG均出现明显下降并显著低于对照组(P <0.05)。与对照组比较,联合应用司美格鲁肽治疗后出现LVEF升高、BNP降低、UACR和尿α1MG下降,差异具有显著统计学意义(P <0.05)。但2组的不良反应无明显区别(P> 0.05)。结论 司美格鲁肽对2型糖尿病伴CHF合并肾功能不全患者具有良好的血糖控制效果,可显著改善心功能,减少肾脏病病情进展,临床应用安全性较高。

原位合成TiB_(2)颗粒增强铝基复合材料研究进展

原位合成技术制备的铝基复合材料,权衡了强度和塑性间的矛盾,有望实现铝基复合材料的结构功能一体化。原位合成TiB_(2)颗粒增强铝基复合材料比刚度,比模量高,具有优异的力学性能、耐腐蚀性能、耐磨性能和抗疲劳性能,是近年来金属基复合材料的研究热点之一,在汽车制造、高铁动车、航空航天和国防军事等领域具有广阔的应用前景。归纳了三种原位合成TiB_(2)颗粒增强铝基复合材料反应体系(Al-K_(2)TiF_(6)-KBF_(4)体系、Al-TiO_(2)-B_(2)O_(3)体系和Al-Ti-B体系)的特点和优势,概述了原位合成TiB_(2)颗粒对铝基体晶粒尺寸、界面结合和润湿性产生影响的研究现状,对TiB_(2)颗粒强化铝复合材料力学性能的作用机制展开了讨论,梳理总结现阶段在此领域研究过程中仍未解决的问题,展望TiB_(2)颗粒增强铝基复合材料的潜在发展空间,以期为研究和开发原位合成颗粒增强铝基复合材料提供参考。

Na_(2)O对锂铝硅微晶玻璃析晶及性能的影响

采用熔融法制备了不同Na_(2)O含量的透明锂铝硅微晶玻璃,通过DSC、XRD、FESEM等测试方法研究了不同Na_(2)O含量对玻璃析晶及性能的影响。结果表明:Na_(2)O的引入能显著降低玻璃的转变温度和析晶温度,抑制LiAlSi_(4)O_(10)晶相的析出。但Na_(2)O的引入促使微晶玻璃中析出Li_(2)Si_(2)O_(5)新相,并且随着Na_(2)O引入量的增加,Li_(2)Si_(2)O_(5)转变为主晶相。由于晶体尺寸均为纳米级,主晶相的转变对透过率影响较小,微晶玻璃的可见光透过率均高于85%。主晶相的转变有效增强了微晶玻璃的机械性能,其弯曲强度由300 MPa提升至331 MPa。Na_(2)O的引入有效增强了Na-K交换,Na_(2)O含量为4%(质量分数)的Li 2O-Al_(2)O_(3)-SiO_(2)微晶玻璃在410℃的KNO_(3)熔盐中交换6 h后,维氏硬度由7.108 GPa提升至7.403 GPa,弯曲强度由331 MPa提升至470 MPa。

TLR4/ERK1/2信号通路在不明原因自然流产蜕膜组织中的作用研究

目的:探讨Toll样受体4(TLR4)和细胞外信号调节蛋白激酶1/2(ERK1/2)在不明原因自然流产患者蜕膜组织中的表达情况及二者的相关性。方法:分别采用免疫组织化学和Western blot技术检测32例不明原因自然流产患者(流产组)和32例正常妊娠者(对照组)蜕膜组织TLR4、ERK1/2和p-ERK1/2的表达差异及表达水平;采用Pearson等级相关性分析流产组TLR4与p-ERK1/2之间的相关性。结果:在免疫组织化学实验中,蜕膜细胞的胞质是TLR4、ERK1/2和p-ERK1/2的表达定位点,且3种蛋白表达有所差异,在流产组TLR4和p-ERK1/2的表达均明显高于对照组(P<0.01),ERK1/2的表达在两组中相较差异无统计学意义(P>0.05),流产组TLR4的蛋白水平高于对照组(P<0.05),p-ERK1/2的蛋白水平明显高于对照组(P<0.01),而ERK1/2的蛋白水平与对照组相比差异无统计学意义(P>0.05);在流产组TLR4与p-ERK1/2的表达呈正相关(r=0.890,P<0.01)。结论:TLR4/ERK1/2信号通路的异常激活可能是不明原因自然流产发生机制之一。

达格列净与二甲双胍、甘精胰岛素联合治疗对老年2型糖尿病患者血糖水平、胰岛素指标的影响

目的探讨达格列净与二甲双胍、甘精胰岛素联合治疗老年2型糖尿病的效果。方法将80例老年2型糖尿病患者随机分为两组。两组均采用二甲双胍治疗,在此基础上对照组采用甘精胰岛素治疗,观察组采用达格列净联合甘精胰岛素治疗。比较两组的血糖水平、胰岛素相关指标、不良反应发生率。结果治疗后,观察组血糖水平低于对照组,胰岛素相关指标优于对照组(P<0.05)。观察组不良反应发生率为15.00%,与对照组的12.50%比较无统计学差异(P>0.05)。结论达格列净与二甲双胍、甘精胰岛素联合治疗老年2型糖尿病的效果较好,可强化患者血糖调控,改善胰岛功能,安全可靠,临床价值显著。

BMAL1减轻H_(2)O_(2)诱导的心肌细胞损伤机制研究

目的探讨脑和肌肉组织芳香烃受体核转运蛋白的类似蛋白1(BMAL1)通过核因子E2相关因子2(NRF2)调节活性氧(ROS)/NOD样受体热蛋白结构域相关蛋白3(NLRP3)炎症小体通路对过氧化氢(H_(2)O_(2))诱导的心肌细胞损伤的影响。方法体外培养H9c2细胞和BMAL1稳定过表达的H9c2细胞,建立H_(2)O_(2)诱导的H9c2细胞损伤模型,并将细胞分为对照(Control)组、H_(2)O_(2)组、BMAL1过表达(BMAL1-OE)组、BMAL1过表达+H_(2)O_(2)(BMAL1-OE+H_(2)O_(2))组、BMAL1过表达+NRF2抑制剂(BMAL1-OE+ML385)组、BMAL1过表达+NRF2抑制剂+H_(2)O_(2)(BMAL1-OE+ML385+H_(2)O_(2))组。采用CCK-8法检测细胞活力,荧光探针2’,7’-二氯荧光素二乙酸酯检测ROS生成,Western blot检测BMAL1、NRF2和NLRP3蛋白表达,酶联免疫吸附试验法检测白细胞介素(IL)-1β释放。结果与Control组相比,H_(2)O_(2)组H9c2心肌细胞活力减弱,ROS生成增多,BMAL1和NRF2蛋白表达水平降低,NLRP3蛋白表达水平升高,IL-1β释放增多(P<0.05);与H_(2)O_(2)组相比,BMAL1-OE+H_(2)O_(2)组H9c2心肌细胞活力升高,ROS生成减少,BMAL1和NRF2蛋白表达水平升高,NLRP3蛋白表达水平降低,IL-1β释放减少(P<0.05)。与BMAL1-OE+H_(2)O_(2)组相比,BMAL1-OE+ML385+H_(2)O_(2)组H9c2心肌细胞活力减弱,ROS生成增多,NLRP3蛋白表达水平升高,IL-1β释放增多(P<0.05)。结论BMAL1可减轻H_(2)O_(2)诱导的H9c2心肌细胞损伤,其机制可能与NRF2调节ROS/NLRP3炎症小体通路有关。

Fe^(2+)/Mn^(2+)活化亚硫酸盐降解盐酸土霉素的机理研究

盐酸土霉素常被用于治疗畜禽疾病,但是它不能被畜禽完全代谢,残留的盐酸土霉素进入水体危害水环境的健康。铁锰作为常见的过渡金属,通常以二价态活化亚硫酸盐来降解有机污染物,反应条件温和、操作简单,但是单独的二价铁与二价锰氧化还原电势低,活化亚硫酸盐效果较差。本研究采用Fe^(2+)/Mn^(2+)共活化Na_(2)SO_(3)降解水中的盐酸土霉素,考察药剂用量、pH、溶解氧、氯离子、碳酸根及腐殖酸对Fe^(2+)/Mn^(2+)/Na_(2)SO_(3)体系降解盐酸土霉素的影响;通过焦磷酸盐实验、自由基淬灭实验和EPR实验分析Fe^(2+)/Mn^(2+)/Na_(2)SO_(3)体系中的活性物种;利用紫外可见光谱、傅里叶红外光谱、气相色谱-质谱联用仪识别盐酸土霉素的官能团及其降解中间产物的变化,推断盐酸土霉素的降解途径。结果表明:当Fe^(2+)/Mn^(2+)/Na_(2)SO_(3)浓度比为1∶4∶20(浓度分别为0.1、0.4和2 mmol/L)时,在反应45 min、pH为9.0条件下,盐酸土霉素的去除率和矿化率最高,分别达到94%和49%。随着溶解氧从9 mg/L下降至1.89 mg/L,盐酸土霉素去除率从94%下降至17%;氯离子、腐殖酸和碳酸根均对盐酸土霉素的降解产生抑制作用。Mn(Ⅲ)和SO_(4)·^(-)是降解盐酸土霉素的主要活性氧化剂,盐酸土霉素的降解经过电子转移、开环与酰基化等过程。

基于OCO-2卫星数据的中国CO_(2)浓度时空变化特征

大气CO_(2)浓度增加引起的全球变暖问题是国内外学者关注的热点议题,但对CO_(2)的监测一直存在较多的不确定性。利用2015—2022年OCO-2卫星观测的CO_(2)柱浓度混合比数据(XCO_(2)),基于克里金插值和标准差椭圆等方法,分析了中国CO_(2)浓度时空分布与变化特征,有以下3个结论。1)基于OCO-2卫星数据的XCO_(2)数据集精度较高,与地面监测站(瓦里关站、鹿林站)观测结果的均方根误差仅为1.75 ppm和1.58 ppm,相关系数分别为0.91和0.96。2)年际上,2015—2022年中国年均XCO_(2)由399.52 ppm增至417.64 ppm,年均增速为2.56 ppm/a,高于过去10年全球CO_(2)浓度平均增速(2.06 ppm/a),但在2019年之后XCO_(2)增速呈下降趋势。季节上,XCO_(2)具有明显的季节变化特征,春季XCO_(2)最高,夏季最低。3)空间分布上,XCO_(2)表现出东部高,西部、东北地区低的空间分布特征。XCO_(2)浓度高值区域集中在京津冀和长三角等城市群。中国东北、西南地区XCO_(2)增速较快,高于华东、华南等经济发达地区。

胰高血糖素样肽-1受体激动剂致2型糖尿病患者不良反应文献分析

目的 分析胰高血糖素样肽-1受体激动剂(GLP-1RA)致2型糖尿病患者药品不良反应(ADR)的发生特点和规律,为临床合理用药提供依据。方法 检索Cochrane Library、PubMed、Embase、中国知网(CNKI)、万方数据知识服务平台中GLP-1RA致2型糖尿病患者ADR个案报道并整理分析。结果 收集个案报道102例,GLP-1RA引发ADR未见显著性别差异,ADR多发生于用药3个月内,可引发皮肤、皮下组织系统、胃肠系统、肾脏系统、心血管系统等多系统疾病。结论 临床应用GLP-1RA过程中应加强用药监护,尤其对既往存在相关基础疾病的患者,以防严重ADR发生。

纳米SiO_(2)强化CO_(2)地质封存页岩盖层封堵能力机制试验

页岩为CO_(2)盐水层地质封存常见盖层岩石类型,强化盖层封堵能力有利于提高CO_(2)地质埋存量和安全性。为探究随CO_(2)混注纳米SiO_(2)(SNPs)强化盖层封堵能力的有效性和可行性,对CO_(2)地质封存页岩盖层样品开展原地条件下的超临界CO_(2)酸蚀反应试验,基础组为页岩样品-地层水、对照组为页岩样品-地层水+超临界CO_(2)、优化组为页岩样品-地层水+SNPs+超临界CO_(2),并采用核磁共振测试、场发射扫描电镜可视化观测、X射线衍射测试和岩石力学试验,探究CO_(2)酸蚀反应前后的页岩孔隙结构、表面形貌、矿物成分及力学性质特征。结果表明:优化组的大孔孔隙分量及孔隙度和渗透率增大幅度低于对照组;与对照组相比,优化组黏土矿物与碳酸盐岩矿物相对含量损失少,表明随CO_(2)混注SNPs可使岩样内部酸蚀作用减弱;SNPs在岩石端面吸附聚集或进入岩心孔喉,可使优化组页岩样品力学性能损伤程度降低;随CO_(2)混注SNPs有利于强化CO_(2)盐水层地质封存盖层封堵能力。