Our study investigated the epidemiology of respiratory viruses in adult patients with
upper respiratory tract infection (URTI) between August 2009 and September 2010 in
Jinan, northern China. Nasal and throat swabs (n = 596) were collected from adult patients with URTIs. Nine respiratory-related viruses, including IFV, PIV, HRV,
HMPV, HBoV, HCoV, ADV, RSV, and EV, were detected in all samples by
conventional and reverse transcription polymerase chain reactions. Positive detection
rate for respiratory virus was 38.76% and codetection rate was 4.70% in adults with
acute respiratory tract infections. IFV (20.81%) was the dominant agent detected and
IFVB had a higher incidence (12.58%) than IFVA (7.72%). Detection rates of 8.22%,
5.03%, 3.69%, and 2.52% were observed for HBoV, HRV, EV, and RSV, respectively.
HCoV had the lowest detection rate of 0.50%. HBoV, HRV, EV, and ADV infection
rates were higher in the 14–25-year-old group than in the 26–65-year-old group.
Codetection rates were higher (7.52%) in the 14–25-year-old group than in the older
age group (2.64%). The spectrum of respiratory virus infection in adult patients with
URTIs was different in Jinan compared with other cities in China.
Hypoxia-induced pulmonary arterial hypertension (HPAH) is a refractory disease characterized by increased proliferation of pulmonary vascular smooth cells and progressive pulmonary vascular remodeling. The level of nitric oxide (NO), a potential therapeutic vasodilator, is low in PAH patients. L-arginine can be converted to either beneficial NO by nitric oxide synthases or to harmful urea by arginase. In the present study, we aimed to investigate whether an arginase inhibitor, S-(2-boronoethyl)-L-cysteine ameliorates HPAH in vivo and vitro. In a HPAH mouse model, we assessed right ventricle systolic pressure (RVSP) by an invasive method, and found that RSVP was elevated under hypoxia, but was attenuated upon arginase inhibition. Human pulmonary artery smooth muscle cells (HPASMCs) were cultured under hypoxic conditions, and their proliferative capacity was determined by cell counting and flow cytometry. The levels of cyclin D1, p27, p-Akt, and p-ERK were detected by RT-PCR or Western blot analysis. Compared to hypoxia group, arginase inhibitor inhibited HPASMCs proliferation and reduced the levels of cyclin D1, p-Akt, p-ERK, while increasing p27 level. Moreover, in mouse models, compared to control group, hypoxia increased cyclin D1 expression but reduced p27 expression, while arginase inhibitor reversed the effects of hypoxia. Taken together, these results suggest that arginase plays an important role in increased proliferation of HPASMCs induced by hypoxia and it is a potential therapeutic target for the treatment of pulmonary hypertensive disorders.
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