To investigate the pathogenic mechanisms of a patient with type 1 diabetes mellitus (T1DM) complicated with fibrocalculous pancreatic diabetes at Tianjin Medical University General Hospital Airport Site in June 2024, clinical and genetic characteristic analyses were performed. Potential pathogenic genes were screened by whole-exome sequencing (WES), and Sanger sequencing validated the identified genetic variants within the family. The proband exhibited elevated blood glucose levels and positivity for tyrosine phosphatase antibodies, suggesting a diagnosis of T1DM. Multiple calcifications in the pancreas were observed in the proband. Genetic testing revealed that the proband carried two variants in the serine peptidase inhibitor Kazal type 1 (SPINK1) gene, namely, c.194+2T>C and c.-215G>A. According to the American College of Medical Genetics and Genomics (ACMG) guidelines, the c.194+2T>C mutation is preliminarily classified as pathogenic, while the c.-215G>A variant is classified as a variant of uncertain significance (VUS). Bioinformatics analysis indicated that the c.194+2T>C variant in the SPINK1 gene results in a truncated protein, affecting the three-dimensional structure and activity of the protein. This mutation is in complete linkage disequilibrium with the c.-215G>A variant, which may have a protective function and influence the clinical phenotype. Given that the patient also has T1DM and FCPD, there should be increased awareness of the co-occurrence of both types of diabetes to prevent misdiagnosis and underdiagnosis.

To investigate the pathogenic mechanisms of a patient with type 1 diabetes mellitus (T1DM) complicated with fibrocalculous pancreatic diabetes at Tianjin Medical University General Hospital Airport Site in June 2024, clinical and genetic characteristic analyses were performed. Potential pathogenic genes were screened by whole-exome sequencing (WES), and Sanger sequencing validated the identified genetic variants within the family. The proband exhibited elevated blood glucose levels and positivity for tyrosine phosphatase antibodies, suggesting a diagnosis of T1DM. Multiple calcifications in the pancreas were observed in the proband. Genetic testing revealed that the proband carried two variants in the serine peptidase inhibitor Kazal type 1 (SPINK1) gene, namely, c.194+2T>C and c.-215G>A. According to the American College of Medical Genetics and Genomics (ACMG) guidelines, the c.194+2T>C mutation is preliminarily classified as pathogenic, while the c.-215G>A variant is classified as a variant of uncertain significance (VUS). Bioinformatics analysis indicated that the c.194+2T>C variant in the SPINK1 gene results in a truncated protein, affecting the three-dimensional structure and activity of the protein. This mutation is in complete linkage disequilibrium with the c.-215G>A variant, which may have a protective function and influence the clinical phenotype. Given that the patient also has T1DM and FCPD, there should be increased awareness of the co-occurrence of both types of diabetes to prevent misdiagnosis and underdiagnosis.

Objective To investigate the relationship between the optimal cutoff point of serum homocyste-ine(Hcy)and premature delivery in pregnant women ,and to analyze the influence of Hcy levels on the outcome of preterm infants. Methods Totally 114 cases of pregnant women were chosen as observation group and 103 cases of normal as control group. Hcy,D-D and hypersensitive C reactive protein were detected;analysis of the ROC curve was conducted by using the SPSS 13 software and the risk factors for preterm delivery were analyzed using logistic multivariate regression analysis. Results (1)The levels of Hcy,HS-CRP and D-D in preterm pregnant women were higher than those in control group and the difference was statistically significant (P < 0.05). (2) Logistic regression analysis showed that the relative risk coefficient(OR)of Hcy was 9.736,and the regression equation of premature birth probability was obtained.(3)ROC curve to evaluate the predictive value of Hcy in risk factors of preterm birth was 0.931;when Hcy was 13.8μmol/L,the Youden index was 0.784.(4)Elevated levels of Hcy in preterm women led to a marked increase in the likelihood of SGA. Conclusion When predicting risk factors for preterm birth,the best predictive cutoff value for Hcy is 13.8μmol/L,which is one of the independent risk factors for preterm birth.

BACKGROUND: To observe the effect of linear alkylbenzenesulfonate (LAS) on oxidative stress and collagen fiber in skin tissue of mice and to explore the correlation between oxidative stress and collagen metabolism.
 METHODS: Forty healthy Kunming mice (male) were randomly divided into 4 groups: a control group, a low-, middle- and high-dose group of LAS (LD, MD and HD groups), treated with LAS at 150, 300 and 600 mg/L respectively (n=10 per group). The skin on the back of mice was smeared with distilled water or different dosage of LAS for 60 days. The measured indexes included general condition of mice, HE and Masson staining of skin, the content of hydroxyproline (Hyp) in skin tissue, the activity of super oxidase dismutase (SOD) and the content of malondialdehyde (MDA) in skin tissue and serum, and the activity of lactate dehydrogenase (LDH) in serum.
 RESULTS: Compared with the control group, the changes of diet, daily activities and mental state of mice with different dose of LAS were not obvious during the experiment, but the body weight of mice in the experimental groups reduced obviously after 4 weeks of experiment (P<0.01), and their skin tissue was thinner, some of epidermis of skin contained areas with cellular necrosis and abscission. Superficial layer of dermis was infiltrated by inflammatory cells. The collagen fibers were looser and dimmer. At the same time, the content of MDA and the activity of LDH increased remarkably (P<0.01), while the activity of SOD and the content of Hyp decreased obviously (P<0.01).
 CONCLUSIONS LAS can induce oxidative stress in the skin tissue of mice, which can destroy the integrity of skin structure and collagen fiber and reduce the content of collagen fiber. The oxidative damage might be the primary cause for disorders of collagen fiber.
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Alkanesulfonic Acids ; pharmacology ; Animals ; Collagen ; metabolism ; Male ; Malondialdehyde ; metabolism ; Mice ; Oxidative Stress ; Skin ; drug effects ; metabolism