1.Correlation analysis between hair fluorine level and hypertension of permanent residents in high altitude areas of Tibet Autonomous Region
Xingmin LIU ; Lijun LIU ; Zhiying ZHANG ; Jing WANG ; Siwei FENG ; Haoshuang ZHAN ; Lifeng MA ; Longli KANG
Chinese Journal of Endemiology 2025;44(1):1-5
Objective:To study the correlation between hair fluorine level and hypertension of permanent residents in high altitude areas of Tibet Autonomous Region (Tibet).Methods:A random cluster sampling method was used to select 5 villages in the high altitude areas of Tibet from June to August 2021 and June to August 2022, respectively, and questionnaire survey, physical examination, and biochemical indicator testing were conducted on permanent Tibetan residents in the above mentioned villages. At the same time, hair samples were collected, the hair fluorine level was determined by ion selective electrode method, and the correlation between various indicators and hair fluorine level and hypertension was analyzed.Results:A total of 227 individuals were included, with hair fluorine level of (15.06 ± 0.16) mg/kg. Correlation analysis showed that there was no correlation between the study subjects' systolic blood pressure, diastolic blood pressure, body mass index, pulse, neck circumference, chest circumference, uric acid level and hair fluorine level ( P > 0.05). Abdominal circumference, hip circumference, and hemoglobin level were positively correlated with hair fluorine level ( r = 0.23, 0.14, 0.29, P < 0.05), while blood glucose level and finger pulse oxygen were negatively correlated with hair fluorine level ( r = - 0.23, - 0.24, P < 0.001). Binary logistic regression analysis showed that age ( OR = 1.04, 95% CI: 1.01 - 1.06), chest circumference ( OR = 1.10, 95% CI: 1.01 - 1.20), and hair fluorine level ( OR = 1.22, 95% CI: 1.02 - 1.46) had an impact on hypertension ( P < 0.05). Conclusion:There is a certain correlation between hair fluoride level and hypertension in the population of high altitude areas in Tibet.
2.Relationship between individual arsenic exposure and hypertension of Tibetan residents in Nyingchi City, Tibet Autonomous Region
Xingmin LIU ; Lijun LIU ; Zhiying ZHANG ; Zichong JIN ; Yaqi MAO ; Longli KANG
Chinese Journal of Endemiology 2025;44(8):616-621
Objective:To investigate the relationship between individual arsenic exposure and hypertension of Tibetan residents in Nyingchi City, Tibet Autonomous Region (referred to as Tibet).Methods:From June to August 2023, Tibetan residents aged 18 to 78 years who had resided in Bomi County and Chayu County of Nyingchi City, Tibet for at least 10 years were selected as the study subjects by cluster sampling. Questionnaire survey, physical examination, and biochemical index testing were conducted on the study subjects. Meanwhile, hair samples were collected to determine the arsenic content. Binary logistic regression was used to analyze the influencing factors of hypertension.Results:A total of 447 Tibetan residents were included, with a hair arsenic content of (1.24 ± 0.02) mg/kg, including 155 hypertensive patients (34.68%). There were statistically significant differences in age, blood oxygen saturation, neck circumference, waist hip ratio, hemoglobin, hair arsenic, blood glucose, uric acid, and smoking status between the hypertension and normal blood pressure groups ( P < 0.05). The results of binary logistic regression analysis showed that age ( OR = 1.05, 95% CI: 1.03 - 1.07), uric acid ( OR = 1.00, 95% CI: 1.00 - 1.01), hair arsenic ( OR = 1.75, 95% CI: 1.07 - 2.84), and smoking ( OR = 2.22, 95% CI: 1.05 - 4.69) were risk factors for hypertension. Conclusion:The hair arsenic content is a risk factor for hypertension of Tibetan residents in Nyingchi City, Tibet.
3.Research progress on the pathogenesis and treatment of high altitude heart disease
Chinese Journal of Comparative Medicine 2025;35(6):129-138
The oxygen partial pressure in high-altitude areas is low.Long-term exposure to high-altitude areas leads to a state of low-pressure hypoxia.The combination of low pressure and oxygen levels triggers a variety of mechanisms that disrupt normal bodily functions.One key response to hypoxia is hypoxic pulmonary vasoconstriction,which,when aggravated,can induce the development of high altitude heart disease(HAHD).HAHD is a clinical type of chronic mountain sickness mainly characterized by vasoconstriction and hyperproliferative remodeling of the pulmonary artery.As the pressure in the pulmonary artery continues to rise,it increases the posterior load on the right heart,causing right ventricular hypertrophy.Over time,this can lead to right heart failure or even complete heart failure.Despite extensive on HAHD in recent years,its prevalence remains high.While researchers are committed to finding an ideal treatment,this remains a huge challenge,particularly as awareness of the HAHD subtype is still limited.Here,we review the recent research on the pathogenesis and treatment of HAHD,with the aim of providing new clues for its prevention and treatment.
4.Correlation analysis between hair fluorine level and hypertension of permanent residents in high altitude areas of Tibet Autonomous Region
Xingmin LIU ; Lijun LIU ; Zhiying ZHANG ; Jing WANG ; Siwei FENG ; Haoshuang ZHAN ; Lifeng MA ; Longli KANG
Chinese Journal of Endemiology 2025;44(1):1-5
Objective:To study the correlation between hair fluorine level and hypertension of permanent residents in high altitude areas of Tibet Autonomous Region (Tibet).Methods:A random cluster sampling method was used to select 5 villages in the high altitude areas of Tibet from June to August 2021 and June to August 2022, respectively, and questionnaire survey, physical examination, and biochemical indicator testing were conducted on permanent Tibetan residents in the above mentioned villages. At the same time, hair samples were collected, the hair fluorine level was determined by ion selective electrode method, and the correlation between various indicators and hair fluorine level and hypertension was analyzed.Results:A total of 227 individuals were included, with hair fluorine level of (15.06 ± 0.16) mg/kg. Correlation analysis showed that there was no correlation between the study subjects' systolic blood pressure, diastolic blood pressure, body mass index, pulse, neck circumference, chest circumference, uric acid level and hair fluorine level ( P > 0.05). Abdominal circumference, hip circumference, and hemoglobin level were positively correlated with hair fluorine level ( r = 0.23, 0.14, 0.29, P < 0.05), while blood glucose level and finger pulse oxygen were negatively correlated with hair fluorine level ( r = - 0.23, - 0.24, P < 0.001). Binary logistic regression analysis showed that age ( OR = 1.04, 95% CI: 1.01 - 1.06), chest circumference ( OR = 1.10, 95% CI: 1.01 - 1.20), and hair fluorine level ( OR = 1.22, 95% CI: 1.02 - 1.46) had an impact on hypertension ( P < 0.05). Conclusion:There is a certain correlation between hair fluoride level and hypertension in the population of high altitude areas in Tibet.
5.Relationship between individual arsenic exposure and hypertension of Tibetan residents in Nyingchi City, Tibet Autonomous Region
Xingmin LIU ; Lijun LIU ; Zhiying ZHANG ; Zichong JIN ; Yaqi MAO ; Longli KANG
Chinese Journal of Endemiology 2025;44(8):616-621
Objective:To investigate the relationship between individual arsenic exposure and hypertension of Tibetan residents in Nyingchi City, Tibet Autonomous Region (referred to as Tibet).Methods:From June to August 2023, Tibetan residents aged 18 to 78 years who had resided in Bomi County and Chayu County of Nyingchi City, Tibet for at least 10 years were selected as the study subjects by cluster sampling. Questionnaire survey, physical examination, and biochemical index testing were conducted on the study subjects. Meanwhile, hair samples were collected to determine the arsenic content. Binary logistic regression was used to analyze the influencing factors of hypertension.Results:A total of 447 Tibetan residents were included, with a hair arsenic content of (1.24 ± 0.02) mg/kg, including 155 hypertensive patients (34.68%). There were statistically significant differences in age, blood oxygen saturation, neck circumference, waist hip ratio, hemoglobin, hair arsenic, blood glucose, uric acid, and smoking status between the hypertension and normal blood pressure groups ( P < 0.05). The results of binary logistic regression analysis showed that age ( OR = 1.05, 95% CI: 1.03 - 1.07), uric acid ( OR = 1.00, 95% CI: 1.00 - 1.01), hair arsenic ( OR = 1.75, 95% CI: 1.07 - 2.84), and smoking ( OR = 2.22, 95% CI: 1.05 - 4.69) were risk factors for hypertension. Conclusion:The hair arsenic content is a risk factor for hypertension of Tibetan residents in Nyingchi City, Tibet.
6.Research progress on the pathogenesis and treatment of high altitude heart disease
Chinese Journal of Comparative Medicine 2025;35(6):129-138
The oxygen partial pressure in high-altitude areas is low.Long-term exposure to high-altitude areas leads to a state of low-pressure hypoxia.The combination of low pressure and oxygen levels triggers a variety of mechanisms that disrupt normal bodily functions.One key response to hypoxia is hypoxic pulmonary vasoconstriction,which,when aggravated,can induce the development of high altitude heart disease(HAHD).HAHD is a clinical type of chronic mountain sickness mainly characterized by vasoconstriction and hyperproliferative remodeling of the pulmonary artery.As the pressure in the pulmonary artery continues to rise,it increases the posterior load on the right heart,causing right ventricular hypertrophy.Over time,this can lead to right heart failure or even complete heart failure.Despite extensive on HAHD in recent years,its prevalence remains high.While researchers are committed to finding an ideal treatment,this remains a huge challenge,particularly as awareness of the HAHD subtype is still limited.Here,we review the recent research on the pathogenesis and treatment of HAHD,with the aim of providing new clues for its prevention and treatment.
7.Research progress on hypoxic cell models
Jing LI ; Dongyang XU ; Changqing LI ; Mengyao SU ; Zhijuan WANG ; Mingjun ZHAO ; Jialong ZHAO ; Junyi YANG ; Qiaodie YANG ; Longli KANG
Chinese Journal of Comparative Medicine 2024;34(11):132-144
Hypoxia is associated with the occurrence and development of many diseases in clinical settings.Cell hypoxia not only serves as a vital marker for disease advancement,but also plays a pivotal role in exacerbating the disease process,and improving tissue hypoxia may thus provide new strategies for the treatment of related diseases.Further investigation of these diseases at the cellular and molecular levels requires the establishment of a cellular hypoxia model.Current extensively employed hypoxic cell models can be categorized primarily into three types:chemical hypoxia,physical hypoxia,and glucose deprivation hypoxia models.This article reviews the various types of hypoxic cell models and scrutinizes their applications and limitations in disease research.
8.Advances in Treatment of Pulmonary Arterial Hypertension
Journal of Sun Yat-sen University(Medical Sciences) 2024;45(4):493-502
Pulmonary Arterial Hypertension(PAH)is a chronic progressive cardiopulmonary disease.The main pathological changes are vasoconstriction and pulmonary artery proliferative remodeling and right ventricular hypertrophy.Further exploration of the pathogenesis of PAH can reveal that its related pathways include vascular proliferation,vascular wall remodeling,oxidative stress,inflammatory response and gene regulation.Although great progress has been made in the treatment of PAH in recent years,the mortality rate is still high,current clinical treatments have not effectively improved the prognosis,and the disease has great impact on the physical,social,work and emotional aspects of patients.This article will review the latest research on the treatment of PAH,aiming to provide new clues for the clinical treatment of PAH.
9.Research progress on hypoxic cell models
Jing LI ; Dongyang XU ; Changqing LI ; Mengyao SU ; Zhijuan WANG ; Mingjun ZHAO ; Jialong ZHAO ; Junyi YANG ; Qiaodie YANG ; Longli KANG
Chinese Journal of Comparative Medicine 2024;34(11):132-144
Hypoxia is associated with the occurrence and development of many diseases in clinical settings.Cell hypoxia not only serves as a vital marker for disease advancement,but also plays a pivotal role in exacerbating the disease process,and improving tissue hypoxia may thus provide new strategies for the treatment of related diseases.Further investigation of these diseases at the cellular and molecular levels requires the establishment of a cellular hypoxia model.Current extensively employed hypoxic cell models can be categorized primarily into three types:chemical hypoxia,physical hypoxia,and glucose deprivation hypoxia models.This article reviews the various types of hypoxic cell models and scrutinizes their applications and limitations in disease research.
10.Tri-primer-florescence PCR-Sanger sequencing method for screening of full and pre-mutations of FMR1 gene.
Sha SHA ; Xue HE ; Dongya YUAN ; Jianfang ZHANG ; Longli KANG
Chinese Journal of Medical Genetics 2016;33(6):844-848
OBJECTIVETo screen for CGG repeats in the FMR1 gene among patients with fragile X syndrome and carriers of pre-mutations.
METHODSPotential full and pre-mutations of the FMR1 gene were detected with a Tri-primer-florescence PCR-Sanger sequencing method. The results were validated with positive and negative controls.
RESULTSAll positive and negative controls were confirmed. A male patient was found to have > 200 CGG repeats (full mutation). For a pregnant women who was heterozygous for 35/115 CGG repeats, > 200 CGG repeats were also found with amniotic fluid sample from her fetus who was a male. The result was confirmed by following selective abortion with informed consent.
CONCLUSIONTri-primer-florescence PCR-Sanger sequencing is a simple, effective and reliable method for routine screening of patients/carriers with full/pre-mutations of the FMR1 gene in the population.
DNA Primers ; genetics ; Female ; Fluorescence ; Fragile X Mental Retardation Protein ; genetics ; Fragile X Syndrome ; genetics ; Humans ; Male ; Mutation ; genetics ; Polymerase Chain Reaction ; methods

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