BackgroundNephronophthisis-related ciliopathies (NPHP-RC) account for the majority of cases of monogenetically caused end-stage renal disease (ESRD) in children. Exploring the correlation between the phenotype and genotype of NPHP-RC is helpful for early diagnosis and management. We investigated the phenotype and genotype spectra of NPHP-RC in a Chinese multicentre cohort.MethodsCrosss-ectional and longitudinal data of 60 patients from 57 families with pathogenic NPHP-RC gene mutations distributed in 22 regions of China were collected into a unified, anonymous database. The mean observation time of this cohort was 3.5±3.1 years.ResultsMutations in NPHP1 and NPHP3 were the most common genetic defects. Overall, 45% of patients presented with isolated nephronophthisis (NPH), and 55% exhibited the extrarenal phenotype, which frequently involved the liver (41.7%, n=25), central nervous system (26.7%, n=16), eyes (26.7%, n=16) and skeletal system (11.7%, n=7). Accidental detection of elevated serum creatinine and non-specific symptoms caused by chronic kidney disease occurred in 65% of patients. Patients carrying NPHP1 mutations mainly presented with isolated NPH (90%, 18/20) and progressed to ESRD at a mean age of 12.9±0.5 years. The mean age of ESRD onset in the non-NPHP1 group was lower than that in the NPHP1 group (6.2±1.4 years, p<0.001), especially for patients carrying NPHP3 mutations (3.1±1.2 years), showing a heterogeneous phenotype characterised by Bardet-Biedl syndrome (12.5%, n=5), Joubert syndrome (7.5%, n=3), COACH syndrome (2.5%, n=1), Mainzer-Saldino syndrome (2.5%, n=1), short-rib thoracic dysplasia (2.5%, n=1) and unclassified symptoms (32.5%, n=13).ConclusionsThe Chinese Children Genetic Kidney Disease Database registry characterised the spectrum of the phenotype and genotype of NPHP-RC in the Chinese population. NPHP1 and NPHP3 were the most common pathogenic genes. Rapid progression to ESRD and liver involvement were noted in patients with NPHP3 mutations.

BackgroundTo explore the changes of inflammatory and oxidative stress responses in Henoch-Schönlein purpura (HSP) children, and further analyzed the therapeutic effects and mechanisms of hemoperfusion (HP) on HSP with severe gastrointestinal (GI) involvement.MethodsThere were 200 children with HSP were divided into three groups according to their clinical manifestations: 60 in HSP without GI and renal involvement group, 60 in HSP with GI involvement group, and 80 in HSPN group. The HSP with GI involvement group was subdivided into conventional treatment (n = 30) and HP (n = 30) groups. Thirty children who visited the department of children healthcare for healthy physical examinations from January to December 2017 were set as healthy control group. The IL-6 and TNF-α levels were detected by chemoluminescence method. The MDA, SOD and T-AOC levels were determined by thiobarbituric acid colorimetric method, hydroxylamine method and chemical colorimetry.ResultsCompared with healthy group, IL-6, TNF-α and MDA levels in HSP were increased in each group, while SOD and T-AOC were decreased (P = 0.000). IL-6, TNF-α and MDA levels in the HSPN group were the highest, SOD and T-AOC levels were the lowest (P = 0.000). Compared with those before treatment, IL-6, TNF-α and MDA levels in the conventional and HP groups were decreased and SOD and T-AOC levels were increased (P = 0.000). The changes in HP group were more significant than those in conventional group (P < 0.047). Compared with conventional group, glucocorticoid dosage and the occurrence rate of hematuria and/or proteinuria within 3 months were lower in HP group. (P = 0.000, 0.004).ConclusionsInflammatory and oxidative stress may be involved in the acute phase of HSP children. The intensity of inflammatory and oxidative stress responses were related to the degree of renal involvement. HP can reduce glucocorticoid dosage and the rate of renal involvement in children with severe HSP with GI involvement. The mechanism may be related to the fact that HP can effectively remove IL-6, TNF-α, MDA in HSP children.

Assessing acid rain and climate effects on the temporal variation of dissolved organic matter in the unsaturated zone of a karstic Abstract: Acid rain has the potential to significantly impact the quantity and quality of dissolved organic matter (DOM) leached from soil to groundwater. Yet, to date, the effects of acid rain have not been investigated in karstic systems, which are expected to strongly buffer the pH of atmospheric rainfall. This study presents a nine-year DOM fluorescence dataset from a karst unsaturated zone collected from two drip sites (HS4, HS6) in Heshang Cave, southern China between 2005 and 2014. Cross-correlograms show that fluorescence intensity of 2 both dripwaters lagged behind rainfall by ~1 year (~11 months lag for HS4, and ~13 months for HS6), whereas drip rates responded quite quickly to rainfall (0 months lag for HS4, and ~3 months for HS6), based on optimal correlation coefficients. The rapid response of drip rates to rainfall is related to the change of reservoir head pressure in summer, associated with higher rainfall. In winter, low rainfall has a limited effect on head pressure, and drip rates gradually slow to a constant value associated with base flow from the overlying reservoir-this effect being most evident on inter-annual timescales (R 2 = 0.80 for HS4 and R 2 = 0.86 for HS6, n = 9, p < 0.01). We ascribed the ~1 year lag of fluorescence intensity to the effect of the soil moisture deficit and the karst process on delaying water and solute transport. After eliminating the one year lag, the congruent seasonal pacing and amplitude between fluorescence intensity and rainfall observed suggests that the seasonality of fluorescence intensity was mainly controlled by the monsoonal rains which can govern the output of DOM from the soil, as well as the residence time of water in the unsaturated zone. On inter-annual timescales, a robust linear relationship between fluorescence intensity and annual (effective) precipitation amount (R 2 = 0.86 for HS4 and R 2 = 0.77 for HS6, n = 9, p < 0.01) was identified, implying that annual (effective) precipitation is the main determinant of DOM concentration in the aquifer. Conversely, the insensitivity of fluorescence intensity and fluorescence wavelength maxima to variations in the pH of local rainfall suggests that acid rain over the study period (~pH 5.6 to ~4.5) had no discernable effect on the quantity and quality of DOM in karst soil and soil solution, likely being strongly buffered by soil carbonates. Therefore, despite large increases in anthropogenic acid rain in recent Chinese history, hydrologic forcing is the predominant factor driving variations in DOM in karst aquifers.

Infrared selective emitter (ISE) captures growing attention of researchers due to its specific functionality of tuning infrared radiance to camouflage object into the background, which provides an efficient access to...

Isogarcinol is a new natural immunosuppressant that was extracted from Garcinia mangostana L. in our laboratory. Knowledge of its effects on treatable diseases and its mechanism of action is still very limited. In this study, we explored the therapeutic effect of isogarcinol in experimental autoimmune encephalomyelitis (EAE), a murine model of multiple sclerosis (MS). Treatment with oral 100 mg/kg isogarcinol markedly ameliorated clinical scores, alleviated inflammation and demyelination of the spinal cord, and reduced intracranial lesions in EAE mice. The percentages of Th cells and macrophages were also strongly reduced. Isogarcinol appeared to act by inhibiting T helper (Th) 1 and Th17 cell differentiation via the janus kinase/signal transducers and activators of transcription pathway and by impairing macrophage function. Our data suggest that isogarcinol has the potential to be an effective therapeutic agent of low toxicity for treating MS and other autoimmune diseases.