1.Effect of iodine on chemokine IP-10 expression in experimental autoimmunity thyroiditis rat
Silu CUI ; Fangang MENG ; Jun YU
Chinese Journal of Endemiology 2015;34(8):573-577
Objective To establish experimental autoimmune thyroiditis (EAT) rat model induced by bovine thyroglobulin (bTg) and to observe the effect of iodine on IP-10 in rat serum and IP-10 mRNA expression in rat thyroid tissue.Methods One hundred and thirty-five four-week old female Lewis rats were divided into normal control (NC,20 rats) group;TG group,25 rats;H Ⅰ group,20 rats;H Ⅰ + TG group,25 rats;H Ⅱ group,20 rats and H Ⅱ + TG group,25 rats according to a random number table.The water iodine concentration was 25.7 μg/L given to rats of HⅠ and H I + TG groups,and 423.3 μg/L of H Ⅱ and H Ⅱ + TG groups.Rats of NC and TG groups drank distilled water.Rats of TG,H Ⅰ + TG,H Ⅱ + TG groups were immunized with 0.1 ml bTg (8 g/L) in IFA.All rats were killed at the end of 15 weeks.Urinary iodine was determined by As3+-Ce4+ catalytic spectrophotometry (WS/T 107-2006).Pathological changes in thyroid tissue were observed by light microscope.Serum IP-10 was determined by enzyme-linked immunosorbent assay (ELISA),and IP-10 mRNA expression in thyroid was detected by real-time PCR.Results The differences of urinary iodine between groups were statistically significant (x2 =106.4,P < 0.05).Compared with NC group (456.45 μg/L) urinary iodine in other groups increased significantly (TG,H Ⅰ,H Ⅰ + TG,HⅡ,HⅡ + TG:800.08,18 633.20,13 869.08,87 889.97,61 661.51 μg/L,all P < 0.05).The pathological changes of rats in each group aggravated following increased iodine intake,NC group had normal thyroid structure;thyroid of TG group had a small amount of lymphocytes;thyroid of H Ⅰ group showed irregular follicular,part of the follicular was destroyed;a large number of lymphocytes infiltrated between follicular of H Ⅱ group;in H Ⅱ + TG group,the follicular was destroyed severely,diffuse inflammatory cell infiltration.The difference of serum IP-10 between groups no were statistically significant (F =1.462,P > 0.05).The expression of IP-10 mRNA of H Ⅰ + TG (2.80 ± 1.73) rats thyroid was higher than that in NC (1.65 ± 1.62) and H Ⅰ (1.07 ± 1.00) groups,H Ⅱ (0.64 ± 0.64),H Ⅱ + TG (0.80 ± 0.49) were lower than H Ⅰ + TG group (all P < 0.05).Conclusions Excessive iodine intake could have increased inflammatory cells in EAT rat and rats have showed more serious pathologic changes.These phenomena may be ralated with changed expression of IP-10 mRNA in EAT rat thyroid.
2.Neural cell induction with human placenta derived adherent cells
Yuesi WANG ; Fangang MENG ; Yanwei WANG ; Jianyuan LI
Basic & Clinical Medicine 2009;29(12):1258-1262
Objective The expression of hematopoietic stem cell and neural markers on placenta adherent cells and their association were investigated, the potential of neural differentiation of placenta adherent cells may demonstrate the relationship between placenta adherent cells and hematogenesis and neurogenesis. Methods Isolated adherent cells in human placenta tissue were stained immunocytochemically with Nestin, MAP_2, MBP, CD133, CD34 antibody to detect protein production and induced neural differentiation with β-mercaptoethanol and retinoic acid. Results Isolated placenta adherent cells confirmed to be heterogenous expressed CD133, Nestin, MAP_2 weakly and CD34 none. While induced cells showed neural like morphology, strong positive for Nestin, MAP_2 and weak positive for MBP and GFAP in immunocytochemical staining. Conclusion Human placenta adherent ceils can be induced into neural like cells in vitro with histological characteristics of mesenchymal stem cell(MSC) ,it provides a new source for clinical application of hMSCs.
3.Neural cell induction with human placenta derived adherent cells
Yuesi WANG ; Fangang MENG ; Yanwei WANG ; Jianyuan LI
Basic & Clinical Medicine 2006;0(12):-
Objective The expression of hematopoietic stem cell and neural markers on placenta adherent cells and their association were investigated,the potential of neural differentiation of placenta adherent cells may demonstrate the relationship between placenta adherent cells and hematogenesis and neurogenesis.Methods Isolated adherent cells in human placenta tissue were stained immunocytochemically with Nestin,MAP2,MBP,CD133,CD34 antibody to detect protein production and induced neural differentiation with ?-mercaptoethanol and retinoic acid.ResultsIsolated placenta adherent cells confirmed to be heterogenous expressed CD133,Nestin,MAP2 weakly and CD34 none.While induced cells showed neural like morphology,strong positive for Nestin、MAP2 and weak positive for MBP and GFAP in immunocytochemical staining.Conclusion Human placenta adherent cells can be induced into neural like cells in vitro with histological characteristics of mesenchymal stem cell(MSC),it provides a new source for clinical application of hMSCs.
5.Effects of high iodine on mRNA expression of thyroid hormone receptor and protein kinase A and sodium iodide symporter in peripheral blood of patients with thyroid diseases during lacatation
Liang XUE ; Lixiang LIU ; Da WEN ; Hongmei SHEN ; Fangang MENG ; Xiaoye ZHANG
Chinese Journal of Endemiology 2015;34(9):641-645
Objective To observe the effect of high iodine on mRNA expression of thyroid hormone receptor (TSHR),protein kinase A (PKA) and sodium iodide symporter (NIS) in peripheral blood of patients with thyroid diseases during lacatation.Methods A total of 99 breast-feeding women were selected as observation objects in Shanxi Province's sufficient iodine and high iodine areas,and they were divided into case group and control group according to whether suffer from thyroid disease.In high iodine areas,there were 21 patients and 19 healthy controls.In sufficient iodine areas,there were 30 patients and 29 healthy controls.Peripheral blood of all the observation objects was collected,and mRNA expression of TSHR,PKA and NIS was detected by real-time quantitative PCR.Results The case group [median (M):0.099,0.994] and the control group (M:0.240,0.738) in the high iodine areas were respectively compared with the case group (M:3.087,1.127) and the control group (M:1.823,0.842) in the sufficient iodine areas.The TSHR mRNA expression was significantly decreased (Z =-5.034,-4.010,all P < 0.01);the PKA mRNA expression had a downward trend,and the difference was not statistically significant (Z =2.895,-0.343,all P> 0.05).The NIS mRNA expression of the case group in high iodine areas (M:0.485) was obviously lower than that of the the case group in sufficient iodine regions (M:2.680,Z=-3.311,P < 0.01).The control group in high iodine areas (M:0.470) was compared with the control group in sufficient iodine areas (M:0.835),and the difference was not statistically significant (Z =-1.882,P > 0.05).The NIS and the TSHR mRNA were positively correlated [correlation coefficient (r) =0.741,P < 0.01];the NIS and the PKA mRNA was also positively correlated (r =0.293,P < 0.01);but the TSHR mRNA was not significantly correlated with the PKA mRNA (r =-0.081,P > 0.05).Conclusion Lactating women may have protected themselves and their babies through TSH-TSHR-cAMP-PKA signaling pathway that regulating iodine levels.
6.Analysis of national surveillance results on iodized salt in non-high iodine areas in 2015
Lijun FAN ; Shoujun LIU ; Hongmei SHEN ; Fangang MENG ; Lixiang LIU ; Ming LI ; Xiaohui SU
Chinese Journal of Endemiology 2017;36(3):201-204
Objective To study the current prevention and control status of iodine deficiency disorders (IDD) and learn the current situation of iodized salt consumption at household level in non-high iodine areas in 2015,this surveillance was conducted.Methods In 2015,according to National Surveillance Program on Iodine Deficiency Disorders,the surveillance was conducted at county level in 31 provinces,municipalities,autonomous regions (provinces) and Xinjiang Production and Construction corps (Xinjiang Corps).In each county city,district,banner (county),5 townships were randomly selected according to their sub-area positions of east,west,south,north and center;4 villages were randomly sampled in each chosen township;15 households were randomly selected in each chosen village.Edible salt sample was collected from each household.The iodine level in salt was determined by direct titration;the salt samples from Sichuan and other enhanced salt samples were detected by arbitration.Results There were totally 2 840 counties that reported the surveillance data.In total,849 193 salt samples were examined,including 845 906 salts determined by direct titration and 3 287 samples determined only by semi-quantitative detection.Weighted by population,the national coverage rate of iodized salt was 98.37%.At provincial level,the coverage rate of iodized salt was higher than 95% except Tianjin,Shanghai and Shandong.At county level,2 669 counties had a coverage rate of iodized salt higher than or equal to 95%,171 counties were lower than 95%,and 31 counties were less than 80%.The national consumption rate of qualified iodized salt was 94.57% (except 11 counties in Tibet).At provincial level,the consumption rate of qualified iodized salt was higher than 90% except Shanghai (66.84%),Tianjin (79.14%),Tibet (82.09%) and Qinghai (89.22%).At county level,totally 2 633 counties had a rate of qualified iodized salt higher than 90%,and 196 counties were lower than 90%.The mean of iodine content in iodized salt was (25.37 ± 4.57) mg/kg.At provincial level,the means of iodine content in iodized salt were in the range of 23.51-28.95 mg/kg and the variable coefficient (CV) was in the range of 12.17%-27.37%,the CV was higher than 15% in 24 provinces and Xinjiang Corps.Conclusions The coverage rate of iodized salt and the qualified iodized salt at national level are in a good condition.However,the problem of non-iodized salt is still serious in some provinces.
7.National iodine deficiency disorders: an analysis of surveillance data in 2011
Peng LIU ; Xiaohui SU ; Hongmei SHEN ; Fangang MENG ; Lijun FAN ; Shoujun LIU ; Dianjun SUN
Chinese Journal of Endemiology 2015;34(3):181-185
Objectives To understand current situation in national prevention and control of iodine deficiency disorders (IDD),and to evaluate the progress in eliminating IDD in 31 provinces and Xinjiang Production and Construction Corps (Corps) in China.Methods In 2011,30 units were sampled in each of 31 provinces and Corps in China based on the sampling method of Probability Proportional to Size.After excluding townships of water iodine level higher than 150 μg/L,1 primary school was chosen in each unit,by the randomized sampling method,40 students in cach school were sampled for examining their thyroid volume,among them,12 students were tested for their urinary iodine level and for their household salt iodine level and per capital daily salt intake.Near the location of these primary schools,3 townships were chosen,5 pregnant women and 5 lactating women in each township were sampled to test their urinary iodine level.Besides,1 water sample was sampled according to the location in each village (east,west,south,north,and middle) in non-central water supplying villages,and 2 tap water samples in central water supplying villages.The ultrasound was used to detect goiter size according to the diagnostic criteria for endemic goiter; As3+-Ce4+ catalytic spectrophotometry using ammonium per sulfate digestion (WS/T 107-2006) was used to test the urinary iodine level; the testing method recommended by the National Iodine Deficiency Disorders Reference Lab was applied to test the water iodine level,the direct titration method among the generic methods of iodide testing for salt production industry (GB/T 13025.7-1999) was used to determine the salt iodine level; and the arbitration method was adopted for quantitative determination in case of well salt or special salts and the salt intake was estimated based on three-day weighed food record.Evaluation standards are as follows:urinary iodine level of children:deficient is the median of urinary iodine (MUI) less than 100 μg/L,adequate is MUI at 100-199 μg/L,more than adequate is MUI at 200-299 μg/L,and excessive is MUI equal to or greater than 300 μg/L;salt iodine:definition of qualified iodized salt is (35-± 15) mg/kg; non-iodized salt (GB 5461-2000) is iodine less than 5 mg/kg; definition of unqualified iodized salt is iodine between 5-< 20 mg/kg or higher than 50 mg/kg.The total population of the sixth national census was used for statistical data correction.Results Among 31 provinces and Corps,children's goiter rate was 2.4%,which was obviously lower than the IDD elimination standard at the national level (< 5%); the national iodized salt coverage rate was 98.0% and the consumption rate of qualified iodized salt was 95.3%,both figures had achieved the national standard (the iodized salt coverage should be greater than 95% and the consumption rate of qualified iodized salt greater than 90%).The median of salt iodine was at 30.2 mg/kg; the MUI of children,pregnant women and lactating women was 238.6,184.4 and 174.4 μg/L,respectively.Urinary iodine of children was higher than adequate level,of both pregnant women and lactating women were at adequate level.The surveillance results of water iodine in 25 provinces revealed that the median was at 5.6 μg/L; the salt intake surveillance results among students' households in 24 provinces and the Corps revealed that the daily intake was 10.1 g per person a day.Conclusions National IDD prevention and control strategy integrated with universal salt iodization as a key measure has achieved remarkable impacts.IDD has been eliminated at the national level.
8.Recent advance in application of imaging techniques in treatment of Parkinson's disease with deep brain stimulation
Chinese Journal of Neuromedicine 2019;18(11):1173-1176
Deep brain stimulation (DBS) is the main treatment methods of Parkinson's disease (PD), and subthalamic nucleus (STN) is a commonly used surgical target. Accurate localization of electrodes in STN using imaging technology is an important factor for successful surgery. This paper summarizes the advantages and disadvantages of different MR imaging sequences in STN development as follows.
9.Iodized salt consumption and iodine deficiency status in China: a cross-sectional study
Lijun FAN ; Xiaohui SU ; Hongmei SHEN ; Peng LIU ; Fangang MENG ; Jun YAN ; Zhenglong LEI ; Shubin ZHANG ; Yunyou GU ; Shoujun LIU ; Dianjun SUN
Global Health Journal 2017;1(2):23-37
Objective:To monitor iodized salt consumption and evaluate iodine deficiency status in 2014 in China.Materials and Methods:In 2014,a nationwide cross-sectional survey was conducted in 31 provinces (in this study,provinces,autonomous regions and municipalities in Mainland China were named as provinces).Probability proportional to size sampling method was adopted to recruit children ages 8-10 and pregnant women.47,467 children's and 18,994 pregnant women's urine samples were collected and 47,706 children's thyroid volumes were examined.Iodine content in salt was determined with 46,900 edible salt samples from children's households;urinary iodine concentration (UIC) was tested from children and pregnant women's urine samples;thyroid volume of children was assessed by ultrasound.Results:The national coverage rate of iodized salt and consumption rate of qualified iodized salt were 96.3% and 91.5%,respectively.Median iodine content in iodized salt was 25.2 mg/kg.In 22 of 31 provinces,the provincial coverage rates of iodized salt were over 95%.And consumption rates of qualified iodized salt were more than 90% in 21 provinces.In this study,the national median urinary iodine concentration (MUIC) of children in China was 197.9 μg/L.At the provincial level,MUIC of children in 19 provinces was 100-199 μg/L,which in 12 provinces was 200-299 μg/L.The national MUIC of pregnant women in 2014 was 154.6 μg/L,slightly higher than the lower limit of the WHO criteria for adequate (150-249 μg/L).At the provincial level,MUIC of pregnant women in 18 provinces was 100-149 μg/L,which in 13 provinces was 150-249 μg/L.The national prevalence of goiter among children in 2014 was 2.6%,of which only Shandong province (5.6%) exceeded the national standard (5%).Conclusions:In China,iodine deficiency disorders (IDD) has been eliminated since 2005.And in 2014,the IDD-free status still remained.
10.Influence factors and correction methods of ultrasonic testing of thyroid volume in children
Lanchun LIU ; Fangang MENG ; Peng LIU
Chinese Journal of Endemiology 2020;39(5):379-385
The controversy over the ultrasonic testing of thyroid volume (TVOL) in children exists in some aspects, mainly focusing on the measurement errors caused by different testing personnel, instruments and techniques. Moreover, with the development of children growth higher than before, the influence of physiological factors on TVOL and relevant correction methods should be paid attention. This paper reviews domestic and foreign literatures. Firstly, through describing the TVOL reference values of international recommended, foreign country and China, we clarify the differences between them, and analyze the current situation and characteristics of each. Secondly, by studying the ultrasonic testing methods and physiological factors which affect TVOL, this paper analyzes the importance of various factors, discusses the availability of several measurement methods and compares several TVOL correction methods. Some suggestions are put forward for further improving the reference value of TVOL of children in China.