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1.
Environ Monit Assess ; 190(5): 294, 2018 Apr 18.
Article in English | MEDLINE | ID: mdl-29671073

ABSTRACT

Biochar is widely considered as a soil amendment. This study aims to investigate the leaching of macronutrients (K, Mg and Ca) and organics from biochars produced from mallee biomass (wood, leaf, bark) in a fluidised-bed pyrolyser at 500 °C. Biochars were soaked in solutions of varying pH values and shaken for a pre-set period of time ranging from 1 h to 4 weeks. The initial pH values of the leaching solutions used (3.4, 5.5, 7 and 8.5) covered the pH range of the soils in the Wheatbelt region of Western Australia (WA). For these bark, leaf and wood biochars, we can conclude that the biochars have a liming capacity for the acid soils of the WA Wheatbelt, depending on the feedstock. The maximum leachabilities and leaching kinetics of the macronutrients K, Mg and Ca depend on the pH of the solution in which biochar was soaked. Apparently, Ca, K and Mg in biomass are converted into different species upon pyrolysis, and the biomass species are critical for the extent of the leachability of macronutrients. Further, the chemical form of each nutrient retained in the biochars will dictate the kinetics as a function of soil pH. This study's GC/MS analysis of solvent extraction of the biochars showed potential toxicity due to the leaching of light organic compounds when biochars are added to soils. Furthermore, this study also showed the influence of pH on the leaching of large aromatic organics from the biochars. Apart from the pH of leaching solution, the influence of the biomass feedstock on the leaching kinetics of large aromatic organics from biochars was demonstrated. These leached aromatic organics were characterised by UV-fluorescence spectroscopy.


Subject(s)
Charcoal/chemistry , Environmental Monitoring/methods , Organic Chemicals/analysis , Plant Leaves/chemistry , Soil/chemistry , Wood/chemistry , Biomass , Gas Chromatography-Mass Spectrometry , Hydrogen-Ion Concentration , Temperature , Western Australia
2.
Chem Commun (Camb) ; 53(20): 2938-2941, 2017 Mar 07.
Article in English | MEDLINE | ID: mdl-28225129

ABSTRACT

Direct conversion of biomass-derived xylose and furfural into levulinic acid, a platform molecule, via acid-catalysis has been accomplished for the first time in dimethoxymethane/methanol. Dimethoxymethane acted as an electrophile to transform furfural into 5-hydroxymethylfurfural (HMF). Methanol suppressed both the polymerisation of the sugars/furans and the Aldol condensation of levulinic acid/ester.

3.
Acta Pharmacol Sin ; 38(5): 660-671, 2017 May.
Article in English | MEDLINE | ID: mdl-28112179

ABSTRACT

Dicer1 is an enzyme essential for microRNA (miRNA) maturation. The loss of miRNAs resulted from Dicer1 deficiency greatly contributes to the progression of many diseases, including lipid dysregulation, but its role in hepatic accumulation of free cholesterol (FC) that is critical in the development of non-alcoholic steatohepatitis (NASH) remains elusive. In this study, we used the liver-specific Dicer1-knockout mice to identify the miRNAs involved in hepatic FC accumulation. In a widely used dietary NASH model, mice were fed a methionine-choline-deficient (MCD) diet for 3 weeks, which resulted in significant increase in hepatic FC levels as well as decrease of Dicer1 mRNA levels in livers. The liver-specific Dicer1-knockout induced hepatic FC accumulation at 5-6 weeks, accompanied by increased mRNA and protein levels of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMGCR), a rate-limiting enzyme of cholesterol synthesis in livers. Eleven predicted miRNAs were screened, revealing that miR-29a/b/c significantly suppressed HMGCR expression by targeting the HMGCR mRNA 3'-UTR. Overexpression of miR-29a in SMMC-7721 cells, a steatosis hepatic cell model, significantly decreased HMGCR expression and the FC level. Furthermore, the expression levels of miR-29a were inversely correlated with HMGCR expression levels in the MCD diet mouse model in vivo and in 2 steatosis hepatic cell models (SMMC-7721 and HL-7702 cells) in vitro. Our results show that Dicer1/miR-29/HMGCR axis contributes to hepatic free cholesterol accumulation in mouse NASH, and miR-29 may serve as an important regulator of hepatic cholesterol homeostasis. Thus, miR-29a could be utilized as a potential therapeutic target for the treatment of non-alcoholic fatty liver disease as well as for other liver diseases associated with FC accumulation.


Subject(s)
Cholesterol/metabolism , DEAD-box RNA Helicases/deficiency , Hydroxymethylglutaryl CoA Reductases/metabolism , MicroRNAs/metabolism , Non-alcoholic Fatty Liver Disease/pathology , Ribonuclease III/deficiency , Animals , DEAD-box RNA Helicases/metabolism , Diet/adverse effects , Gene Knockout Techniques , Male , Methionine/deficiency , Mice , Non-alcoholic Fatty Liver Disease/metabolism , RNA, Messenger/metabolism , Ribonuclease III/metabolism
4.
Acta Pharmacol Sin ; 38(1): 110-119, 2017 Jan.
Article in English | MEDLINE | ID: mdl-27641735

ABSTRACT

Previous studies have shown that microRNA-1304 (miR-1304) is dysregulated in certain types of cancers, including non-small cell lung cancer (NSCLC), and might be involved in tumor survival and/or growth. In this study we investigated the direct target of miR-1304 and its function in NSCLC in vitro. Human lung adenocarcinoma cell lines (A549 and NCI-H1975) were studied. The cell proliferation and survival were investigated via cell counting, MTT and colony-formation assays. Cell apoptosis and cell cycle were examined using annexin V-PE/7-AAD and PI staining assays, respectively. The dual-luciferase reporter assay was used to verify post-transcriptional regulation of heme oxygenase-1 (HO-1) by miR-1304. CRISPR/Cas9 was used to deplete endogenous miR-1304. Overexpression of MiR-1304 significantly decreased the number and viability of NSCLC cells and colony formation, and induced cell apoptosis and G0/G1 phase cell cycle arrest. HO-1 was demonstrated to be a direct target of miR-1304 in NSCLC cells. Restoration of HO-1 expression by hemin (20 µmol/L) abolished the inhibition of miR-1304 on cell growth and rescued miR-1304-induced apoptosis in A549 cells. Suppression of endogenous miR-1304 with anti-1304 significantly increased HO-1 expression and promoted cell growth and survival in A549 cells. In 17 human NSCLC tissue samples, miR-1304 expression was significantly decreased, while HO-1 expression was significantly increased as compared to normal lung tissues. MicroRNA-1304 is a tumor suppressor and HO-1 is its direct target in NSCLC. The results suggest the potential for miR-1304 as a therapeutic target for NSCLC.


Subject(s)
Cell Proliferation/drug effects , Gene Expression Regulation, Neoplastic/drug effects , Heme Oxygenase-1/antagonists & inhibitors , MicroRNAs/pharmacology , Apoptosis/drug effects , Cell Cycle Checkpoints/drug effects , Cell Line, Tumor , Cell Survival/drug effects , Down-Regulation , Heme Oxygenase-1/metabolism , Hemin/pharmacology , Humans , MicroRNAs/antagonists & inhibitors , RNA, Small Interfering/pharmacology , Tumor Stem Cell Assay , Up-Regulation
5.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-657631

ABSTRACT

Objective To investigate and analyze the clinical efficacy of psychological intervention combined with three amino alcohol in the treatment of postpartum hemorrhage in pregnancy and its influence on the quality of life. Methods In our hospital 64 cases of high-risk pregnancy postpartum hemorrhage patients as the research object, the control group of carboprost ammonia butyl alcohol three treatment, the experimental group on the basis of psychological intervention, communicate actively with the patient, do psychological counseling work, the right to assess the psychological status of patients, increase confidence in treatment and treatment patient compliance. Results The quality of life score of the control group was (60.30 ± 9.20), significantly lower than that of the experimental group, and the score was (76.88 ± 10.90) points, with statistical difference (P<0.05). The amount of postpartum 2H bleeding and the volume of postpartum 24h in the experimental group were (117.56 ± 40.23) mL and (269.08 ±96.57) mL, significantly less than that in the control group, and there was a statistical difference (P<0.05). In the experimental group, the postpartum hemorrhage was 9 cases (28.13%), and the rate of postpartum hemorrhage in the control group was 15.63%, which was statistically significant (P<0.05). Conclusion The clinical efficacy of psychological intervention combined with three amino alcohol in the treatment of postpartum hemorrhage of pregnancy is ideal, can significantly reduce the amount of bleeding and improve the quality of life of patients.

6.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-659910

ABSTRACT

Objective To investigate and analyze the clinical efficacy of psychological intervention combined with three amino alcohol in the treatment of postpartum hemorrhage in pregnancy and its influence on the quality of life. Methods In our hospital 64 cases of high-risk pregnancy postpartum hemorrhage patients as the research object, the control group of carboprost ammonia butyl alcohol three treatment, the experimental group on the basis of psychological intervention, communicate actively with the patient, do psychological counseling work, the right to assess the psychological status of patients, increase confidence in treatment and treatment patient compliance. Results The quality of life score of the control group was (60.30 ± 9.20), significantly lower than that of the experimental group, and the score was (76.88 ± 10.90) points, with statistical difference (P<0.05). The amount of postpartum 2H bleeding and the volume of postpartum 24h in the experimental group were (117.56 ± 40.23) mL and (269.08 ±96.57) mL, significantly less than that in the control group, and there was a statistical difference (P<0.05). In the experimental group, the postpartum hemorrhage was 9 cases (28.13%), and the rate of postpartum hemorrhage in the control group was 15.63%, which was statistically significant (P<0.05). Conclusion The clinical efficacy of psychological intervention combined with three amino alcohol in the treatment of postpartum hemorrhage of pregnancy is ideal, can significantly reduce the amount of bleeding and improve the quality of life of patients.

7.
Acta Pharmacol Sin ; 35(2): 292-300, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24362331

ABSTRACT

AIM: Monocrotaline (MCT) in plants of the genus Crotalaria induces significant toxicity in multiple organs including the liver, lung and kidney. Metabolic activation of MCT is required for MCT-induced toxicity. In this study, we attempted to determine whether the toxicity of MCT in kidney was a consequence of the metabolic activation of MCT in the liver. METHODS: Liver-specific cytochrome P450 reductase-null (Null) mice, wild-type (WT) mice and CYP3A inhibitor ketoconazole-pretreated WT (KET-WT) mice were examined. The mice were injected with MCT (300, 400, or 500 mg/kg, ip), and hepatotoxicity and nephrotoxicity were examined 24 h after MCT treatment. The levels of MCT and its metabolites in the blood, liver, lung, kidney and bile were determined using LC-MS analysis. RESULTS: Treatment of WT mice with MCT increased the serum levels of alanine aminotransferase, hyaluronic acid, urea nitrogen and creatinine in a dose-dependent manner. Histological examination revealed that MCT (500 mg/kg) caused severe liver injury and moderate kidney injury. In contrast, these pathological abnormalities were absent in Null and KET-WT mice. After injection of MCT (400 and 500 mg/kg), the plasma, liver, kidney and lung of WT mice had significantly lower MCT levels and much higher N-oxide metabolites contents in compared with those of Null and KET-WT mice. Furthermore, WT mice had considerably higher levels of tissue-bound pyrroles and bile GSH-conjugated MCT metabolites compared with Null and KET-WT mice. CONCLUSION: Cytochrome P450s in mouse liver play a major role in the metabolic activation of MCT and thus contribute to MCT-induced renal toxicity.


Subject(s)
Cytochrome P-450 Enzyme System/metabolism , Kidney/drug effects , Liver/enzymology , Liver/metabolism , Monocrotaline/pharmacology , NADPH-Ferrihemoprotein Reductase/metabolism , Animals , Kidney/metabolism , Male , Mice , Mice, Inbred C57BL , Mice, Knockout
8.
Bioresour Technol ; 133: 469-74, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23454803

ABSTRACT

Hydrolysis/pyrolysis of lignocellulosic biomass always produces a mixture of sugars with distinct structures as intermediates or products. This study tried to elucidate the effects of molecular structure of sugars on their acid-catalyzed conversions in ethanol/water. Location of carbonyl group in sugars (fructose versus glucose) and steric configuration of hydroxyl groups (glucose versus galactose) significantly affected yields of levulinic acid/ester (fructose>glucose>galactose). The dehydration of fructose to 5-(hydroxymethyl)furfural produces much less soluble polymer than that from glucose and galactose, which results in high yields of levulinic acid/ester from fructose. Anhydrate sugar such as levoglucosan tends to undergo the undesirable decomposition to form less levulinic acid/ester. Catalytic behaviors of the poly-sugars (sucrose, maltose, raffinose, ß-cyclodextrins) were determined much by their basic units. However, their big molecular sizes create the steric hindrance that significantly affects their followed conversion over solid acid catalyst.


Subject(s)
Acids/pharmacology , Carbohydrate Metabolism/drug effects , Carbohydrates/chemistry , Biopolymers , Catalysis/drug effects , Levulinic Acids/metabolism , Polysaccharides/chemistry , Solubility
9.
Bioresour Technol ; 123: 249-55, 2012 Nov.
Article in English | MEDLINE | ID: mdl-22940326

ABSTRACT

Bio-oil from pyrolysis of mallee (Eucalyptus loxophleba ssp. gratiae) leaves differs from that obtained with wood by its content of cyclic ethers, terpenoids and N-containing organic compounds. Upgrading of the leaf bio-oil in methanol with a solid acid catalyst was investigated and it was found that the N-containing organics in the bio-oil lead to deactivation of the catalyst in the initial stage of exposure and have to be removed via employing high catalyst loading to allow the occurrence of other acid-catalysed reactions. Eucalyptol, the main cyclic ether in the bio-oil, could be converted into the aromatic hydrocarbon, p-cymene, through a series of intermediates including α-terpineol, terpinolene, and α-terpinene. Various steps such as ring-opening, dehydration, isomerisation, and aromatization were involved in the conversion of eucalyptol. The terpenoids in bio-oil could also be converted into aromatic hydrocarbons that can serve as starting materials for the synthesis of fine chemicals, via the similar processes.


Subject(s)
Acids/chemistry , Ethers, Cyclic/metabolism , Eucalyptus/chemistry , Plant Leaves/chemistry , Plant Oils/chemistry , Terpenes/metabolism , Acetic Acid/analysis , Catalysis , Cyclohexanols/analysis , Esterification , Ethers, Cyclic/chemistry , Eucalyptol , Mass Spectrometry , Methanol/chemistry , Monoterpenes/analysis , Nitrogen/analysis , Styrenes/chemistry , Terpenes/chemistry , Time Factors
10.
ChemSusChem ; 5(8): 1427-34, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22730169

ABSTRACT

Acid treatments of xylose have been performed in a methanol/water mixture to investigate the reaction pathways of xylose during bio-oil esterification. Xylose was mainly converted into methyl xylosides with negligible humins formed below 130 °C. However, humins formation became significant with the dehydration of xylose to furfural and 2-(dimethoxymethyl)furan (DOF) at elevated temperatures. The conversion of xylose to methyl xylosides protected the C1 hydroxyl group of xylose, which stabilized xylose and suppressed the formation of sugar oligomers and polymerization reactions. In comparison, the conversion of furfural to DOF protected the carbonyl group of furfural. However, the protection did not remarkably suppress the polymerization of furfural at high temperatures because of the shift of the reaction equilibrium from DOF to furfural with a prolonged residence time. In addition, the acid treatment of furfural produced methyl levulinate in methanol and levulinic acid in water, which was catalyzed by formic acid.


Subject(s)
Biofuels , Methanol/chemistry , Xylose/chemistry , Acids/chemistry , Catalysis , Furaldehyde/chemistry , Humic Substances , Temperature , Water/chemistry
11.
Bioresour Technol ; 102(21): 10104-13, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21906934

ABSTRACT

The formation of humin-type polymers and other products during exposure of glucose to methanol/water mixtures with methanol/water mass ratios from 10 to 0.22 in the presence of the acid catalyst Amberlyst 70 was investigated. In water-rich medium (methanol/water mass ratio: 0.22), dehydration of glucose produced 5-(hydroxymethyl)furfural (HMF), furfural, and substantial amounts of polymer. In methanol-rich medium (methanol/water mass ratio: 10), the hydroxyl and carbonyl groups of glucose, HMF or furfural were protected via etherification and acetalisation. These protections stabilized these reactive compounds and significantly lowered the polymer formation (1.43% of the glucose loaded). The polymerization of glucose and HMF was also favored at high temperatures and long residence times. Conversely, high catalyst dosage mainly accelerated the conversion of glucose to methyl levulinate. Thus, the polymerization of glucose and HMF can be suppressed in methanol/water mixtures with high methanol ratios, at low temperatures and short residence times.


Subject(s)
Glucose/metabolism , Humic Substances/analysis , Polymers/chemical synthesis , Catalysis , Elements , Esterification , Furaldehyde/analogs & derivatives , Furaldehyde/chemistry , Furaldehyde/metabolism , Glucose/chemistry , Hydroquinones/chemical synthesis , Hydroquinones/chemistry , Kinetics , Methanol/chemistry , Models, Chemical , Polymers/chemistry , Spectroscopy, Fourier Transform Infrared , Temperature , Time Factors , Water/chemistry
12.
Bioresour Technol ; 101(24): 9688-99, 2010 Dec.
Article in English | MEDLINE | ID: mdl-20708928

ABSTRACT

This paper describes a new scheme to convert anhydrosugars found in pyrolysis oils into ethanol and lipids. Pyrolytic sugars were separated from phenols by solvent extraction and were hydrolyzed into glucose using sulfuric acid as a catalyst. Toxicological studies showed that phenols and acids were the main species inhibiting growth of the yeast Saccharomyces cerevisiae. The sulfuric acids, and carboxylic acids from the bio-oils, were neutralized with Ba(OH)(2). The phase rich in sugar was further detoxified with activated carbon. The resulting aqueous phase rich in glucose was fermented with three different yeasts: S. cerevisiae to produce ethanol, and Cryptococcus curvatus and Rhodotorula glutinis to produce lipids. Yields as high as 0.473 g ethanol/g glucose and 0.167 g lipids/g sugar (0.266 g ethanol equivalent/g sugar), were obtained. These results confirm that pyrolytic sugar fermentation to produce ethanol is more efficient than for lipid production.


Subject(s)
Carbohydrates/analysis , Ethanol/metabolism , Fermentation/physiology , Lipids/biosynthesis , Temperature , Biofuels/analysis , Biomass , Chromatography, Ion Exchange , Fatty Acids/biosynthesis , Gas Chromatography-Mass Spectrometry , Glucose/metabolism , Hydrolysis , Saccharomyces cerevisiae/growth & development , Saccharomyces cerevisiae/metabolism , Solvents/chemistry , Time Factors
13.
Bioresour Technol ; 101(20): 7935-43, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20547451

ABSTRACT

The structural features and combustion reactivity of chars prepared from the fast pyrolysis of mallee wood were investigated using Raman spectroscopy and thermogravimetric analysis. The Raman spectra were curve-fitted by using 10 Gaussian bands, representing different structural features of chars. The total Raman peak areas between 800 and 1800 cm⁻¹ and combustion reactivity of chars were seen to decrease with increasing pyrolysis temperature. The curve-fitting Raman spectra represented that the formation of amorphous carbon structure with smaller polyaromatic rings are dominant in chars from bigger particles of biomass and at lower temperature. The condensed and larger aromatic ring systems are preferentially formed in chars from smaller particles and at higher temperature. The former structure is higher reactive than the latter one, which is reflected in the char reactivity. The retention of inherent catalytic species (AAEM) also plays an important role in char reactivity. However, our results suggested that the structure of char played a more dominant role than the catalytic effects of AAEM species in the char intrinsic combustion reactivity.


Subject(s)
Biomass , Gases/chemistry , Spectrum Analysis, Raman , Thermogravimetry
14.
Environ Sci Technol ; 44(10): 3719-23, 2010 May 15.
Article in English | MEDLINE | ID: mdl-20415414

ABSTRACT

Understanding the conversion of coal-N during gasification is an important part of the development of gasification-based power generation technologies to reduce NO(x) emissions from coal utilization. This study investigated the conversion of coal-N in the presence of NO during the gasification of three rank-ordered coals and their chars in steam and low-concentration O(2). Our results show that NO can be incorporated into the char structure during gasification. The inherent char-N and the N incorporated into the char from NO-char reactions behave very similarly during gasification. During the gasification in steam, significant amounts of HCN and NH(3) can be formed from the incorporated N structure in char, especially for the relatively "aged" chars, mainly due to the availability of abundant H radicals on the char surface during the gasification in steam. During the gasification in 2000 ppm O(2), the formation of HCN or NH(3) from the N structures in char, including those incorporated into the char from the NO-char reactions, was not a favored route of reaction mainly due to the lack of H on char surface in the presence of O(2).


Subject(s)
Ammonia/chemical synthesis , Coal , Gases/chemistry , Hydrogen Cyanide/chemical synthesis , Nitric Oxide/chemistry , Chromatography, High Pressure Liquid
15.
Environ Sci Technol ; 41(15): 5505-9, 2007 Aug 01.
Article in English | MEDLINE | ID: mdl-17822124

ABSTRACT

This study was conducted to investigate the formation and destruction of NH3 during the gasification of coal in atmospheres containing O2 and steam. A Victorian brown coal was gasified in a novel bench-scale fluidized-bed/ fixed-bed reactor at 800 degrees C in atmospheres containing 2000 ppm O2, 15% H2O, or 2000 ppm O2 + 15% H2O. A NH3 standard gas was also used to study the destruction of NH3 in the gas phase and through gas-solid interactions. Sand, char, and coal ash were all found to enhance the destruction of NH3. An atmosphere containing O2 alone does not favor the conversion of char-N into NH3 but favors the destruction of NH3 through various mechanisms. The introduction of H2O into the gasification system greatly favors the conversion of char-N into NH3 and inhibits the destruction of NH3. The formation and destruction of NH3 in an atmosphere containing 15% H20 was similar to that in an atmosphere containing 15% H20 and 2000 ppm 02, indicating the dominant effects of steam in the formation and destruction of NH3 in a gasifier.


Subject(s)
Ammonia/chemistry , Coal , Oxygen/chemistry , Steam , Carbon/chemistry , Charcoal/chemistry , Coal Ash , Nitric Oxide/analysis , Particulate Matter/chemistry , Temperature , Time Factors
16.
Bioresour Technol ; 96(14): 1570-7, 2005 Sep.
Article in English | MEDLINE | ID: mdl-15978989

ABSTRACT

Sugar cane bagasse and cane trash were pyrolysed in a novel quartz fluidised-bed/fixed-bed reactor. Quantification of the Na, K, Mg and Ca in chars revealed that pyrolysis temperature, heating rate, valence and biomass type were important factors influencing the volatilisation of these alkali and alkaline earth metallic (AAEM) species. Pyrolysis at a slow heating rate (approximately 10 K min(-1)) led to minimal (often <20%) volatilisation of AAEM species from these biomass samples. Fast heating rates (>1000 K s(-1)), encouraging volatile-char interactions with the current reactor configuration, resulted in the volatilisation of around 80% of Na, K, Mg and Ca from bagasse during pyrolysis at 900 degrees C. Similar behaviour was observed for monovalent Na and K with cane trash, but the volatilisation of Mg and Ca from cane trash was always restricted. The difference in Cl content between bagasse and cane trash was not sufficient to fully explain the difference in the volatilisation of Mg and Ca.


Subject(s)
Bioelectric Energy Sources , Biomass , Cellulose/chemistry , Hot Temperature , Metals, Alkali/chemistry , Metals, Alkaline Earth/chemistry , Saccharum/chemistry , Refuse Disposal/methods , Volatilization
17.
Chinese Journal of Pediatrics ; (12): 908-910, 2005.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-355512

ABSTRACT

<p><b>OBJECTIVE</b>Infants less than 35 weeks of gestational age are susceptible to peri-/intraventricular hemorrhage (PIVH). This may be due in part to low concentrations of vitamin K-dependent coagulation factors. This study was conducted to determine the umbilical cord blood activities of vitamin K-dependent coagulation factors II, VII, IX and X in premature infants to understand whether preterm infants have absence status of these factors the changes of theses factors' activities in premature infants' umbilical blood after vitamin K(1) was given to mothers antenatally and the preventing effectiveness of PIVH after maternal antenatal supplement of vitamin K(1).</p><p><b>METHODS</b>Pregnant women in preterm labor at less than 35 weeks of gestational age were randomly selected to receive antenatal vitamin K(1) intramuscular or intravenous injections 10 mg per day for 2 to 7 days (vitamin K(1) group), or no vitamin K(1) treatment (control group). Dexamethone was antenatally given to both groups of pregnant women routinely. Vitamin K(1) group had 44 infants and the control group had 133 infants. During the same period, thirty full-term neonates' cord blood samples were obtained to determine theses factors to compare with those from the premature infants. The cranial ultrasound was performed by a same physician to understand whether the neonates were complicated with PIVH and its severity.</p><p><b>RESULTS</b>The levels of vitamin K-dependent coagulation factors in umbilical blood in control group were significantly lower than those in full-term infants' cord blood (P < 0.05). However, in vitamin K(1) group, supplement of vitamin K(1) antenatally could significantly increase activities of factors II, VII and X in preterm infants' cord blood (P < 0.05). The total occurrence rates of PIVH in vitamin K(1) group and control group were 31.8% and 52.6%, respectively, (P = 0.017), and the frequency of severe PIVH in vitamin K(1) group and control group was 2.3% and 12.0%, respectively (P = 0.057).</p><p><b>CONCLUSION</b>Preterm infants have absence status of vitamin K-dependent coagulation factors. Administration of vitamin K(1) to pregnant women at less than 35 weeks of gestational age resulted in significantly improved activities of vitamin K-dependent coagulation factors II, VII, and X, and a significantly decreased frequency of PIVH and less severe hemorrhage in preterm infants.</p>


Subject(s)
Female , Humans , Infant, Newborn , Pregnancy , Blood Coagulation Factors , Cerebral Hemorrhage , Blood , Fetal Blood , Chemistry , Infant, Premature , Blood , Infant, Premature, Diseases , Blood , Vitamin K 1 , Therapeutic Uses
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