Associated long-term effects of decabromodiphenyl ethane on the gut microbial profiles and metabolic homeostasis in Sprague-Dawley rat offspring.

Decabromodiphenyl ethane (DBDPE) as a widely used brominated flame retardant is harmful to human health due to its toxicity, including cardiovascular toxicity, reproductive toxicity, and hepatotoxicity. However, the knowledge of the long-term effects and structural and metabolic function influence on gut microbiota from DBDPE exposure remains limited. This study was mainly aimed at the gut microbiome and fecal metabolome of female rats and their offspring exposed to DBDPE in early life. 16S rRNA gene sequencing demonstrated that maternal DBDPE exposure could increase the α-diversity of gut microbiota in immature offspring while decreasing the abundance of Bifidobacterium, Clostridium, Muribaculum, Escherichia, and Lactobacillus in adult offspring. The nonmetric multidimensional scaling showed a consistency in the alternation of ß-diversity between pregnant rats and their adult offspring. Furthermore, the short-chain fatty acids produced by gut microbiota dramatically increased in adult offspring after maternal DBDPE exposure, revealing that DBDPE treatment disrupted the gut microbial compositions and altered the gut community's metabolic functions. Untargeted metabolomics identified 41 differential metabolites and seven metabolic pathways between adult offspring from various groups. Targeted metabolomic showed that maternal high dose DBDPE exposure obviously decreased the level of glutathione, taurine, and l-carnitine in their adult offspring, which verified the correlation between weight loss and amino acid metabolites. An interesting link between some gut bacteria (especially the Firmicutes) and fecal metabolites demonstrated the shifts in gut microbiota may drive the metabolic process of fecal metabolites. The current findings provide new insight into long-term effects on human health.

Temporal trends and health risks of organophosphorus flame retardants in fishes in Taihu Lake from 2013 to 2018.

Organophosphorus flame retardants (OPFRs) are synthetic, physical additive flame retardants widely detected in the environment. To investigate the temporal trends of OPFRs in Taihu regions and the associated health risks from fish consumption, 150 fish samples of five species were collected from Taihu Lake in China from 2013 to 2018. Eight OPFRs were measured, having 2-ethylhexyl diphenyl phosphate (90.7%) and tris (1,3-dichloro-2 propyl) phosphate (21.5%) as the most and least frequently detected OPFRs, respectively. Among the eight OPFRs, tris (chloropropyl) phosphate concentration (446 pg/g, wet weight) was higher than others. The maximum cumulative concentration of the OPFRs (∑8OPFRs) was observed in large icefish (1.69 × 103 pg/g), while silver carp (841 pg/g) had the lowest. For the temporal trends, higher levels of ∑8OPFRs (1.91 × 103 pg/g) were detected in 2013 than in other years, although no significant change in the trend occurred over time. The estimated daily intake of OPFRs from large icefish consumption was 1.20 × 103 pg/kg-bw/day, higher than that of other fish species. The Monte Carlo simulations showed that ≤0.3% of adults and children would suffer non-cancer health risks from OPFRs via fish consumption. This study provides the first data on temporal trends of OPFRs in Taihu Lake.

[Surgical treatment of atypical unstable Hangman fracture in elderly osteoporotic patients].

OBJECTIVE: To explore the clinical effect of operative reduction and internal fixation in treating atypical unstable Hangman fracture in elderly osteoporotic patients. METHODS: The clinical data of 9 elderly osteoporotic patients with atypical unstable Hangman fracture treated from December 2012 to December 2017 were retrospectively analyzed. There were 5 males and 4 females with an average age of 72.7 years (range 65 to 79) old. The fracture line was located on bilateral inferior articular surface or lamina with anterior dislocation of axis in 3 cases (similar to Levine-Edwards type II); one side of the fracture line was located on the lower articular surface and opposite side involved on the upper articular surface and the body of axis with atlantoaxial lateral mass dislocation in 4 cases; the fracture line was located at the pedicle of the axis, transverse foramen and posterior inferior wall of the vertebral body, accompanying by anterior and posterior longitudinal ligaments and C2-C3 intervertebral disc injury resulted in C2-C3 intervertebral instability in 2 cases. According to ASIA grade of spinal cord injury, 2 cases were grade D and 7 cases were grade E. Preoperative JOA scores were 9 to 11 points with an average of 9.8 points. All patients underwent routinely skull traction for reduction. Three patients with anterior dislocation of axis were treated with stage I anterior-posterior internal fixation and 6 patients with simple posterior pedicle screw fixation. Postoperative JOA score, ASIA system and the imaging data were used to evaluate clinical effects. RESULTS: All patients were followed up from 12 to 20 months with an average of 18 months. The neck pain disappeared after operation and cervical spine movement was well in all patients. The improvement rate of JOA at 3 months after operation was 75% to 87.5%. Two cases of ASIA grade D fully recovered to grade E. All fractures healed at 6 to 12 months after operation. Except one case occurred superior laryngeal nerve injury and had a complete recovery after 3 months, the other patients had no complications like spinal cord and vertebral artery injury, plate screw loosening and wound infection. CONCLUSIONS: According to the type of atypical unstable Hangman fracture in elderly osteoporotic patients, choosing a reasonable and personalized surgical plan can achieve immediate cervical stability and well reduction, which is beneficial for early ambulation and quick rehabilitation.