No abstract

To evaluate the feasibility of incorporating genetic screening for neonatal intrahepatic cholestasis, caused by citrin deficiency (NICCD), into the current newborn screening (NBS) program. We designed a high-throughput iPLEX genotyping assay to detect 28 SLC25A13 mutations in the Chinese population.From March 2018 to June 2018, 237 630 newborns were screened by tandem mass spectrometry at six hospitals. Newborns with citrulline levels between 1/2 cutoff and cutoff values of the upper limit were recruited for genetic screening using the newly developed assay. The sensitivity and specificity of the iPLEX genotyping assay both reached 100% in clinical practice. Overall, 29 364 (12.4%) newborns received further genetic screening. Five patients with conclusive genotypes were successfully identified. The most common SLC25A13 mutation was c.851_854del, with an allele frequency of 60%. In total, 658 individuals with one mutant allele were identified as carriers. Eighteen different mutations were observed, yielding a carrier rate of 1/45. Notably, Quanzhou in southern China had a carrier rate of up to 1/28, whereas Jining in northern China had a carrier rate higher than that of other southern and border cities. The high throughput iPLEX genotyping assay is an effective and reliable approach for NICCD genotyping. The combined genetic screening could identify an additional subgroup of patients with NICCD, undetectable by conventional NBS. Therefore, this study demonstrates the viability of incorporating genetic screening for NICCD into the current NBS program.Abbreviations: ASLD, argininosuccinate lyase deficiency; CD, citrin deficiency; CTLN1, citrullinemia type 1; CTLN2, citrullinemia type II; DBS, dried blood spot; DHPLC, denaturing high performance liquid chromatography; FTTDCD, failure to thrive and dyslipidemia caused by citrin deficiency; HRM, high-resolution melting; MALDI-TOF, matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry; MCT, medium chain triglyceride; MS/MS, tandem mass spectrometry; NBS, newborn screening; NICCD, neonatal intrahepatic cholestasis caused by citrin deficiency; PCR-RFLP, polymerase chain reaction-restriction fragment length polymorphism; SAP, shrimp alkaline phosphatase; SBE, single-base extension; SNP, single-nucleotide polymorphisms.Yiming Lin and Yaru Liu contributed equally to this study.Agena iPLEX assay, MassARRAY genotyping, neonatal intrahepatic cholestasis caused by citrin deficiency, newborn screening, SLC25A13

No abstract

Epidemiological evidence suggests that fine particulate matter (PM 2.5 ) in air pollution promotes the formation of deep venous thrombosis. However, no evidence is available on the effects of PM 2.5 lead to disseminated intravascular coagulation (DIC). For the first time, this study explored the effects of PM 2.5 on DIC via coagulation disorders in vivo . SD rats received intratracheal instillation of PM 2.5 once every three days for one month. Doppler ultrasound showed that the pulmonary valve (PV) and aortic valve (AV) peak flow were decreased after exposure to PM 2.5 . Fibrin deposition and bleeding were observed in lung tissue and vascular endothelial injury was found after exposure to PM 2.5 . Expression of thrombomodulin (TM) in vessel was downregulated after PM 2.5 -treated, whereas the levels of proinflammatory factors and adhesion molecules (IL-6, IL-1β, CRP, ICAM-1 and VCAM-1) were markedly elevated after exposure to PM 2.5 . Tissue factor (TF) and the coagulation factor of FXa were increased, while vWF was significantly lowered induced by PM 2.5 . Thrombin-antithrombin complex (TAT) and fibrinolytic factor (t-PA) were elevated, while there was no significantly change in the expression of anticoagulant factors (TFPI and AT-III). To clarify the relationship between PM 2.5 and DIC, we examined the general diagnostic indices of DIC: PM 2.5 prolonged PT and increased the expression of D-dimer but decreased platelet count and fibrinogen. In addition, the gene levels of JAK1 and STAT3 showed an upward trend, whereas there was little effect on JAK2 expression. And inflammatory factors (IL-6, IL-1β and TNF) in blood vessels of were up-reglated in PM 2.5 -treated rats. In summary, our results found that PM 2.5 could induce inflammatory response, vascular endothelial injury and prothrombotic state, eventually resulted in DIC. It will provide new evidence for a link between PM 2.5 and cardiovascular disease.

Long non-coding RNAs have been proved to be closely associated with different cancers. This study was designed to elucidate the function and mechanisms of colon cancer-associated transcript-1 in the progression of human laryngeal squamous cell cancer. Expressions of colon cancer-associated transcript-1, microRNA-218, and zinc finger protein, X-linked messenger RNA were measured using quantitative real-time polymerase chain reaction, and the expression level of zinc finger protein, X-linked protein was detected using western blot. Proliferation and invasion of laryngeal squamous cell cancer cell lines were detected by Cell Counting Kit-8 assay and Transwell invasion assay, respectively. Luciferase assay was used to confirm whether microRNA-218 is a target of colon cancer-associated transcript-1 and whether microRNA-218 directly binds to 3'-untranslated region of zinc finger protein, X-linked messenger RNA. Effect of colon cancer-associated transcript-1 on tumor growth was observed through xenograft mice models in vivo. The results showed that expressions of colon cancer-associated transcript-1 and zinc finger protein, X-linked were significantly higher while microRNA-218 expression was significantly lower in the laryngeal squamous cell cancer tissues than those in the adjacent normal tissues. MicroRNA-218 overexpression or zinc finger protein, X-linked silencing significantly suppressed proliferation and invasion of laryngeal squamous cell cancer cells. Moreover, knockdown of colon cancer-associated transcript-1 significantly inhibited proliferation and invasion of laryngeal squamous cell cancer cells, which were reversed by microRNA-218 downregulation or zinc finger protein, X-linked upregulation. Finally, colon cancer-associated transcript-1 silencing inhibited xenograft tumor growth of laryngeal squamous cell cancer in vivo. In conclusion, colon cancer-associated transcript-1 knockdown inhibits proliferation and invasion of laryngeal squamous cell cancer cells through enhancing zinc finger protein, X-linked by sponging microRNA-218, elucidating a novel colon cancer-associated transcript-1-microRNA-218-zinc finger protein, X-linked regulatory axis in laryngeal squamous cell cancer and providing a promising therapeutic target for laryngeal squamous cell cancer patients.