Objective To investigate the effects of caspase recruitment domain-containing protein 9 (CARD9)expression in peritoneal macrophages on severe acute pancreatitis(SAP)in rats and its mechanism.Methods A total of 60 male Sprague Dawley rats were divided into control group(n=6), SAP group(n=18),small interfering RNA(siRNA)control group(n=18)and siRNA CARD9 group (n=18).SAP rat models were established.At three,six and twelve hours after the models were established,ascites was collected,peritoneum was lavaged and peritoneal macrophages were isolated and cultured.The expressions of CARD9,nuclear factor-kappaB(NF-κB),p38 mitogen-activated protein kinase(p38MA PK)at mRNA level in peritoneal macrophages was measured by real-time polymerase chain reaction(RT-PCR).The levels of tumor necrosis factor-α(TNF-α),interleukin(IL)-1β and IL-6 in peripheral blood were detected by enzyme-linked immunosorbent assay(ELISA).LSD or Tamhane′s T2 methods were performed for statistical analysis.Results At three,six and twelve hours after the models were established,CA RD9 mRNA levels of peritoneal macrophages in SAP group were 1.63 ± 0.05,1.68 ± 0.24 and 2.61 ± 0.02,respectively,which were all higher than that of control group(1.01 ± 0.23),and the differences were statistically significant(t=25.97,6.86 and 131.59;all P<0.05);the levels of CA RD9 mRNA of siRNA CARD9 group were 1.45 ± 0.02,1.24 ± 0.03 and 1.63 ± 0.03,respectively,which were lower than that of SAP group at the same time points,and the differences were statistically significant(t=-7.81,-4.46 and -62.13;all P< 0.05).At three,six and twelve hours after the models were established,the mRNA levels of NF-κB and p38MA PK of peritoneal macrophages of rats in SAP group were 1.51 ± 0.08,1.81 ± 0.10,2.30 ± 0.05 and 1.37 ± 0.13,1.69 ± 0.18,2.42 ± 0.23,respectively, which were higher than those of control group(1.00 ± 0.01,1.03 ± 0.08),and the differences were statistically significant(tNF-κB=15.10,19.95 and 60.36;tp38MAPK=5.37,8.34 and 14.11;all P<0.05);the levels of N F-κB mRNA in siRNA CARD9 group were 1.38 ± 0.05,1.57 ± 0.06 and 1.76 ± 0.09, respectively,which were lower than that of SAP group at the same time points,and the differences were statistically significant(t= -3.32,-5.07 and -12.70;all P<0.05).At six and twelve hours after the models were established,the p38MA PK mRNA levels of siRNA CARD9 group were 1.50 ± 0.10 and 2.00 ± 0.09,respectively,which were lower than that of SAP group,and the differences were statistically significantly(t= -2.30 and -4.17,both P< 0.05).At three,six and twelve hours after the models were established,the levels of TNF-α,IL-1β and IL-6 in peripheral blood of SAP group were(53.49 ± 21.64)pg/mL,(108.62 ± 22.76)pg/mL and(139.00 ± 15.35)pg/mL;(43.86 ± 18.30)pg/mL, (87.51 ± 17.10)pg/mL and(117.27 ± 14.57)pg/mL;(78.38 ± 32.70)pg/mL,(156.39 ± 30.56)pg/mL and(209.56 ± 26.09)pg/mL,respectively,which were higher than those of control group((2.79 ± 1.17),(7.13 ± 4.52),(12.73 ± 8.08)pg/mL),and the differences were statistically significant(tTNF-α=5.73,11.37 and 21.69;tIL-1β=4.77,11.13 and 17.68;tIL-6=4.77,11.32 and 17.68;all P<0.05).At six and twelve hours after the models were established,the levels of TNF-α,IL-1β and IL-6 of siRNA CARD9 group were(75.73 ± 16.93)pg/mL,(108.23 ± 14.02)pg/mL;(63.05 ± 11.98)pg/mL, (91.56 ± 14.28)pg/mL and(112.67 ± 21.40)pg/mL,(163.62 ± 25.51)pg/mL,respectively,which were lower than those of SAP group,and the differences were statistically significant(tTNF-α= -2.84,-3.63;tIL-1β= -2.88,-3.09;tIL-6= -2.88,-3.09;all P< 0.05).Conclusions There are CARD9-related NF-κB and p38MAPK pathways in peritoneal macrophages of SAP rats.Intervention of the expression of CARD9 in peritoneal macrophages,especially at early stage of SAP may relieve the inflammation reaction and pancreatic injury,which may provide a new method for SAP treatment.

Objective To understand the status of mental health among left-behind children in rural area and to explore its relationship with social capital.Methods A sample of 1 031 leftbehind children,aged 10-18 years,was randomly selected from six schools of two townships in Macheng city of Hubei province where large number of rural parents were working in the urban area.Data from a cross-sectional survey was collected among the sampled students from primary,middle and high schools,using self-designed questionnaires which targeting the ‘ left-behind’ condition and social capital Mental Health Inventory of Middle-School Students (MMHI-60).Chi-square test was used to compare the differences in mental health among different groups.Spearman correlation and logistical regression analysis were applied to assess the relationship between social capital and mental health.Results The prevalence of mental problems was 54.12％.Results from linear x2 test indicated that the detection rates of mental problems were parallel with the monthly pocket money and the reduction in the frequency of contacting migrant father/mother (P＜0.01).Results from the multiple logistic regression analysis indicated that students who were senior (OR=2.410-2.682,P＜0.001),and who reported not caring about their parents (OR =2.048-2.420,P＜ 0.001) were at increased risks for mental health problems.After controlling the demographic characteristics and conditions of staying relevant factors,family social capital (OR =0.845,95％ CI:0.801-0.891),neighborhood social capital (OR=0.867,95％CI:0.826-0.910) and school social capital (OR=0.893,95％CI:0.863-0.923) were all associated with declined risks of mental health problems,in which the family social capital was the most important one.Conclusion The prevalence of mental health problems was high among the left-behind children in rural area.Much attention should be paid to assist these children in improving their mental health status.One promising approach appeared to be improving social capitals which would include family social capital,neighborhood social capital,and school social capital to assist these children from avoiding mental health problems.