Unravelling structure evolution of dissolved organic matter during oxidation by persulfate: Insights from aromaticity and fluorescence analysis.

Persulfate advanced oxidation technology is widely utilized for remediating organic-contaminated groundwater. Post-remediation by persulfate oxidation, the aromaticity of dissolved organic matter (DOM) in groundwater is significantly reduced. Nevertheless, the evolution trends of aromaticity and related structural changes in DOM remained unclear. Here, we selected eight types of DOM to analyze the variation in aromaticity, molecular weight, and fluorescence characteristics during oxidation by persulfate using optical spectroscopy and parallel faction analysis combined with two-dimensional correlation spectroscopy analysis (2D PARAFAC COS). The results showed diverse trends in the changes of aromaticity and maximum fluorescence intensity (Fmax) among different types of DOM as the reaction time increases. Four types of DOM (humic acid 1S104H, fulvic acid, and natural organic matters) exhibited an initially noteworthy increase in aromaticity followed by a decrease, while others demonstrated a continuous decreasing trend (14.3%-69.4%). The overall decreasing magnitude of DOM aromaticity follows the order of natural organic matters ≈ commercial humic acid > fulvic acid > extracted humic acid. The Fmax of humic acid increased, exception of commercial humic acid. The Fmax of fulvic acid initially decreased and then increased, while that of natural organic matters exhibited a decreasing trend (86.4%). The fulvic acid-like substance is the main controlling factor for the aromaticity and molecular weight of DOM during persulfate oxidation process. The oxidation sequence of fluorophores in DOM is as follows: fulvic-like substance, microbial-derived humic-like substance, humic-like substance, and aquatic humic-like substance. The fulvic-like and microbial-derived humic-like substances at longer excitation wavelengths were more sensitive to the response of persulfate oxidation than that of shorter excitation wavelengths. This result reveals the structure evolution of DOM during persulfate oxidation process and provides further support for predicting its environmental behavior.

Can arsenic bioavailability be predicted in soils using in vitro gastro-intestinal simulation?

Many gastrointestinal simulation methods have been used to predict bioavailability, but the suitability of different methods for the same metal(loid)s varies widely, which inevitably affects the accuracy of human health risk assessment. Arsenic is a common and important contaminant in many contaminated land situations. It can be readily absorbed and has teratogenic and mutagenic toxicity. Therefore, in this study, four the most commonly used in vitro simulation methods (the Physiologically Based Extraction Test (PBET), In Vitro Gastrointestinal Method (IVG), Soluble Bioavailability Research Consortium (SBRC), the Unified BARGE Method (UBM)) were tested against an in vivo animal live model, to evaluate their effectiveness for the prediction of soil As bioavailability in 10 industrially contaminated soils. The soil As relative bioavailability (RBA) varied between 15% and 68% in the different soils. As bioaccessibility differed between the 4 gastro-intestinal simulation methods. Gastric phase of UBM (UBMG) predicted As relative bioavailability the best of the 4 assays (R2 = 0.81). This study provides theoretical and technical support to refine human health risk assessment of As in soils from urban industrial legacy contaminated sites.

Effects of freeze-thaw action on in vivo and in vitro bioavailability of arsenic in soils from derelict industrial sites.

Arsenic is a metalloid with carcinogenic properties and has been classified as a Category I carcinogen by the International Agency for Research on Cancer (IARC). Freeze-thaw processes affect the migration and transformation of soil heavy metals, as well as adsorption/desorption and redox reactions. However, there is limited research directly addressing the impact of freeze-thaw processes on the bioavailability of soil heavy metals. In this study, we focused on As and selected As-contaminated soil samples from three types of legacy sites in heavy industrial areas. Under controlled freeze-thaw experimental conditions, we utilized both in vivo and in vitro bioavailability measurement methods to investigate whether and how freeze-thaw processes affect the bioavailability of soil As. The results of this study showed that freeze-thaw processes reduced soil pH (P < 0.05), CEC, SOM, and particle size, with decreases of 0.33, 1.2 cmol/kg, 5.2 g/kg, and 54 µm, respectively. It also increased weight specific surface area (BET) (P < 0.05), with an increase of 300 m2/kg. Freeze-thaw processes increased the proportions of exchangeable (P < 0.05), carbonate-bound, and iron-manganese oxide-bound As (P < 0.05), but reduced the proportions of organic-bound and residual As (P < 0.05). Freeze-thaw processes significantly increased the relative bioavailability and bioaccessibility of As, with increases of 32 ± 9.6% and 13 ± 0.23%, respectively. Soil pH, SOM, BET and electronic conductivity (EC) were identified as factors which could contribute to the increased bioavailability of As due to freeze-thaw processes. These results provide new insights and evidence for refining the assessment of human health risks associated with heavy metal contamination in polluted soils.

Structural and mineralogical variation upon reoxidation of reduced Fe-bearing clay minerals during thermal activation.

The hydroxyl radicals (OH) produced from Fe(II) oxidation upon reoxidation of reduced Fe-bearing clay minerals (RFC) have received increased attention and thermal activation was used to enhance Fe(II) oxidation to improve OH production. However, changes in mineral morphology and structure during thermally-activated RFC reoxidation are not yet clear. Herein, the Fe(II) oxidation extent was measured by chemical analysis during the reoxidation of model RFC (reduced nontronite (rNAu-2) at elevated temperatures. Mineralogical variation of rNAu-2 particles was observed by scanning electron microscopy (SEM), Mössbauer spectra, and X-ray photoelectron spectroscopy (XPS). The structural Fe(II) oxidation in rNAu-2 was accelerated with increasing temperature, accompanied by the transformation of structural entities and the dissolution of Fe and Si, while the overall structure of rNAu-2 minerals was relatively intact. The surface microstructure of particles showed the dissolved holes, net-shape flocs, and even large pore channels after Fe(II) oxidation by thermal activation. Moreover, the rearrangement of structural Fe(II) entities, the regeneration of edge Fe(II), and the electron transport from the interior to the edge were enhanced during rNAu-2 reoxidation by thermal activation. The increasing electron transfer at elevated temperatures could possibly be owing to the increasing number of reactive sites by increasing the internal disorder of rNAu-2. This work provides novel insights into the structural and mineralogical changes in promoting electron transfer upon RFC reoxidation.

Accumulation of Cr in different vegetables and derivation of soil Cr threshold using the species sensitivity distribution method.

Due to its high mobility and bioavailability, hexavalent chromium [Cr(VI)] in agricultural soil can be taken up by crops and pose threat to human being. In this study, two soils (Jiangxi red soil and Shandong fluvo-aquic soil) spiked with Cr(VI) and 8 common vegetable varieties were used to conduct the pot experiment. The bioconcentration factor (BCF) values based on the tetraacetic acid extractable Cr (EDTA-Cr) in soils were used to construct the species sensitivity distribution (SSD) curve. Afterwards, the soil Cr threshold was derived based on the critical BCF value and the permissible limit of Cr for vegetables. The results showed that when spiked with 5.6 mg kg-1 of Cr(Ⅵ), the soil EDTA-Cr concentrations were significantly increased compared with the control except Jiangxi red soil planted with carrot and radish, while the Cr concentrations in the edible parts of vegetables in both soils were below the permissible limit (0.5 mg kg-1 FW). However, there are dramatic differences in the accumulation of Cr by different varieties of vegetables. Apparent discrepancy was observed between the two soils for the bioconcentration of Cr by carrot. Among the leafy vegetables, lettuce and oilseed rape are the most and the least sensitive to Cr pollution, respectively. The safety threshold values of EDTA-Cr were 0.70 mg kg-1 for Shandong fluvo-aquic soil and 0.85 mg kg-1 for Jiangxi red soil, respectively. This study provides information on the safety production of vegetable products in Cr(Ⅵ) polluted soils and is helpful to the revision of soil quality standards of Cr.

Insights into the mechanism of persulfate activation with biochar composite loaded with Fe for 2,4-dinitrotoluene degradation.

Iron in biochar composite loaded with Fe (Fex@biochar) is crucial for persulfate activation. However, the iron dosages-driven mechanism linked to the speciation, electrochemical property, and persulfate activation with Fex@biochar remains ambiguous. We synthesized and characterized a series of Fex@biochar and evaluated its catalytic performance in 2,4-dinitrotoluene removal experiments. With increasing FeCl3 dosage, iron speciation in Fex@biochar changed from γ-Fe2O3 to Fe3O4, and the variation in functional groups was as follows: Fe-O, aliphatic C-O-H, O-H, aliphatic C-H, aromatic CC or CO, and C-N. The electron accepting capacity of Fex@biochar increased as the FeCl3 dosage increased from 10 to 100 mM but decreased at 300 and 500 mM FeCl3. 2,4-dinitrotoluene removal first increased and subsequently decreased, reaching 100% in the persulfate/Fe100@biochar system. The Fe100@biochar also showed good stability and reusability for PS activation, verified by five test cycles. The mechanism analysis indicated that the iron dosage altered the Fe (Ⅲ) content and electron accepting capacity of Fex@biochar during pyrolysis, further controlling persulfate activation and 2,4-dinitrotoluene removal. These results support the preparation of eco-friendly Fex@biochar catalysts.

Insights into the impacts of chloride ions on the oxidation of 2,4-dinitrotoluene using ferrous activated persulfate: Removal efficiency, reaction mechanism, transformation pathway, and toxicity assessment.

Persulfate/Fe2+-based advanced oxidation processes are widely used to treat water contaminated with 2,4-dinitrotoluene (DNT). However, the oxidation of DNT by persulfate/Fe2+ in the presence of the chloride ion (Cl⁻) has not been addressed, and the transformation pathways and toxicities of the intermediate products remain unclear. In this study, the effect of different Cl⁻ concentrations on the oxidation of DNT was investigated by persulfate/Fe2+. After the addition of 1.0 mM Cl⁻ and 6 h of oxidation, the removal efficiency of DNT increased by 68.5%. Scavenging experiments and an electron spin resonance analysis suggested that Cl⁻ caused hydroxyl radicals to increase in content in the persulfate/Fe2+ system, thus promoting the removal of DNT. Eight intermediate products of DNT were accurately detected using high-resolution mass spectrometry, and the transformation pathways of DNT were proposed, including hydroxylation/oxidation, elimination of the nitro group, and chlorination process. The acute and chronic toxicities of the intermediate products decreased during the oxidation process, but chlorinated by-products posed a higher toxicological risk. This result is vital for the practical application and environmental safety evaluation of persulfate/Fe2+-based advanced oxidation.

Does freeze-thaw action affect the extractability and bioavailability of Pb and As in contaminated soils?

As global warming intensifies, there will be increased uncertainty as to the environmental behavior and risks from heavy metals in industrial/legacy contaminated sites in permafrost regions. Bioavailability has been increasingly used for human health risk assessment of heavy metals in contaminated soils. Soil heavy metal bioavailability depends on soil physicochemical properties, and freeze-thaw affects soil physical, chemical and biological processes. However it is not clear whether freeze-thaw has an effect on the bioavailability of soil heavy metals. In this study, soils contaminated with Pb and As were collected from 10 industrial sites in northeast China. Extractability and bioavailability of soil Pb and As were determined by the Tessier sequential extraction method and four in vitro gastron-intestinal simulation methods under control and freeze-thaw treatments. The aims were: to compare the results of extraction and bioavailability from laboratory experiments which artificially simulate freeze-thaw conditions against control soils; to explore the correlation between bioavailability of Pb/As and soil properties. Freeze-thaw significantly decreased soil pH, and increased the soil weight surface area. Freeze-thaw decreased the percentage in the residual fraction, and increased the percentage of Pb and As in the exchangeable fraction, carbonate-bound fraction, Fe-Mn oxides-bound fraction and organic-bound fraction, relative to control soils. Freeze-thaw significantly increased Pb and As bioavailability compared to the controls. Pb and As released in the gastric phase of the four methods was significantly higher than that in the intestinal phase. Further analysis of correlations between Pb and As bioavailability and soil properties indicated that total concentrations of Al, Fe and Mn, particle size, and weight surface area significantly correlated to Pb and As bioavailability. Overall, this study demonstrated that freeze-thaw did influence the bioavailability of soil heavy metals. It suggests the freeze-thaw action should be comprehensively considered in the human risk assessment of soil pollutants in permafrost regions.

Insights into the degradation process of phenol during in-situ thermal desorption: The overlooked oxidation of hydroxyl radicals from oxygenation of reduced Fe-bearing clay minerals.

In-situ thermal desorption (ISTD) has attracted increasing attention owing to the efficient removal of organic contaminants from contaminated sites. However, it is poorly understood that whether and to what extent contamination degradation occurs upon oxygenation of reduced Fe-bearing clay minerals (RFC) in the subsurface during ISTD. In this study, we evaluated the mechanism of contaminant degradation upon oxygenation of reduced clay minerals during the ISTD. Reduced nontronite (rNAu-2) and montmorillonite (rSWy-3) were selected as RFC models. Results showed that thermal treatment during ISTD could significantly enhance phenol degradation, which increased from 25.8 % at 10 °C to 74.4 % at 70 °C in rNAu-2 and from 17.7 % at 10 °C to 49.8 % at 70 °C in rSWy-3. Correspondingly, the cumulative •OH at steady-state ([•OH]ss) increased by 3.7 and 1.5 times, respectively. The acceleration of Fe(II) oxidation with increasing temperature could be mainly responsible for [•OH]ss generation, which degrades phenol. Moreover, thermal treatment improved the fast oxidation of trioctahedral entities Fe(II)Fe(II)Fe(II) (TOF) and the slow oxidation of dioctahedral entities Fe(II)Fe(II) (DTF1), AlFe(II) (DAF1), and Fe(II)Fe(III) (DTF2). Our study suggests that the overlooked degradation progress of phenol by oxygenation of RFC during ISTD, and it could be favorable for contaminant degradation during remediation.

A bibliometric analysis and assessment of priorities for heavy metal bioavailability research and risk management in contaminated land.

Risk assessment has been recognized as an important tool for evaluating heavy metal pollution and providing risk-based information for decision makers. In order to accurately assess the risk of heavy metals in contaminated soil to human health, it is necessary to conduct bioavailability studies on heavy metals in soil. Bioavailability of heavy metals in soils and the implications for risk assessment and land management/remediation has evolved over the decades and now has considerable practical and economic implications internationally. This article aims to explore its evolution by undertaking a bibliometric analysis of the research fields which have addressed heavy metal bioavailability in soils, with a focus on the risk assessment of contaminated land and human exposure to soil-borne metals. Bibliometric analysis techniques are applied to monitor and assess the changing research literature on the bioavailability of heavy metals in contaminated soils. Over 5000 articles were found for the period 1979-2020. The purpose was not to perform an exhaustive literature review, but to draw out trends and patterns in the literature, and to make observations on past and current priorities. Key words were extracted from the analysis and the roles of different countries in driving the research literature identified. Three phases in literature/subject development were identified. Between 1979 and 2000 (initial phase, 213 articles), studies used extraction procedures and solubility studies to investigate the roles of soil properties on metal form/speciation and focused on bioavailability to (crop) plants in agricultural soils. Between 2001 and 2010 (slow development phase, 1105 articles), attention switched to metals introduced in soil amendments and wastes, metal impacts on soil microbial processes, and incorporating bioavailability in risk assessment. More rigorous techniques were being used, such as the diffusive gradients in thin films technique, to better understand kinetic and metal speciation in soils and the quantitative relationship to bioavailability. By 2011-2020 (rapid development phase, 3137 articles), research was being conducted in many countries (site specific, often industrially contaminated and urban sites), with a focus shift to health risk assessment, remediation, and bioavailability to various ecological receptors (e.g., humans and animals), with the development of many methods of bioavailability (e.g., simulated gastrointestinal tract enzymolysis methods). Some priorities for research on soil heavy metal bioavailability are identified.

Systematic study on dynamic pyrolysis behaviors, products, and mechanisms of weathered petroleum-contaminated soil with Fe2O3.

Weathered petroleum-contaminated soil (WPCS) with a high proportion of heavy hydrocarbons is difficult to remediate. Our previous research demonstrated that Fe2O3-assisted pyrolysis was a cost-effective technology for the remediation of WPCS. However, the pyrolysis behaviors, products, and mechanisms of the WPCS with Fe2O3 are still unclear. In this study, a combination of Thermogravimetric-Fourier transform infrared spectroscopy (TG-FTIR) and pyrolysis gas chromatography/mass spectrometry (Py-GC/MS) techniques were used to explore these pyrolysis characteristics. The thermal desorption/degradation of light and heavy hydrocarbons in the WPCS mainly occurred at 200-400 °C and 400-550 °C, respectively. The activation energy of thermal reaction of heavy hydrocarbons was decreased in the presence of Fe2O3 during the WPCS pyrolysis processes. In the process, the released inorganic gaseous products were mainly H2O and CO2, while the released organic gaseous compounds were primarily cycloalkanes, alkanes, acids/esters, alcohols, and aldehydes. Compared with the WPCS pyrolysis without Fe2O3, the yields of gaseous products released during the WPCS pyrolysis with Fe2O3 were reduced significantly, and some gaseous products were even not detected. This phenomenon was contributed by the following two reasons: 1) heavy hydrocarbons in the WPCS were more easily transformed into coke in the presence of Fe2O3 during pyrolysis; 2) some released gaseous products were reacted with Fe2O3 and fixed on the soil particles. Therefore, the WPCS pyrolysis with Fe2O3 can effectively reduce the burden of tail gas treatment. Criado method analysis results suggested that the reaction mechanism of heavy hydrocarbons during the WPCS pyrolysis with Fe2O3 was rendered as the synergic effects of diffusion, order-based, and random nucleation and growth reactions.

Novel Insights into the Influence of Soil Microstructure Characteristics on the Migration and Residue of Light Non-Aqueous Phase Liquid.

Understanding the influence of soil microstructure on light non-aqueous phase liquids (LNAPLs) behavior is critical for predicting the formation of residual LNAPLs under spill condition. However, the roles of soil particle and pore on LNAPLs migration and residue remains unclear. Here, the experiment simulated an LNAPLs (diesel) spill that was performed in fourteen types of soils, and the key factors affecting diesel behavior are revealed. There were significant differences between fourteen types of soils, with regard to the soil particle, soil pore, and diesel migration and residue. After 72 h of leakage, the migration distance of diesel ranged from 3.42 cm to 8.82 cm in the soils. Except for sandy soil, diesel was mainly distributed in the 0−3 cm soil layer, and the residual amounts were 7.85−26.66 g/kg. It was further confirmed from microstructure that the consistency of soil particle and volume of soil macropores (0.05−7.5 µm) are important for diesel residue in the 0−1 cm soil layer and migration distance. The large soil particles corresponding to 90% of volume fraction and volume of soil mesopores (<0.05 µm) are key factors affecting diesel residue in the 1−3 cm soil layer. The result helps to further comprehend the formation mechanism of residual LNAPLs in the soil.

Effect of Soil Properties and Aging Time on Oral and Inhalation Bioaccessibility of Copper Oxide Nanoparticles in Soils.

In this study, soils spiked with copper oxide nanoparticles (CuO NPs) or Cu(NO3)2 and aged as long as 90 days were utilized to investigate effect of soil properties and aging on oral and inhalation bioaccessibility of CuO NPs. Results showed that oral bioaccessibility of CuO NPs in gastric phase (GP) ranged from 70% to 84%, it significantly decreased to 50%-70% in intestinal phase (IP). The inhalation bioaccessibility of CuO NPs in artificial lysosomal fluid (ALF) ranged from 66% to 85%, and much higher than that in Gamble's solution (GS, 3.3%-23%). By comparing CuO NPs to Cu(NO3)2 bioaccessibility, insignificant difference was found. The aging time (D15 and D90) had limited effect on their oral and inhalation bioaccessibility. CEC and free Al were positively and clay content was negatively correlated with CuO NPs inhalation bioaccessibility, while Cu(NO3)2 inhalation bioaccessibility decreased with increasing soil clay content and pH. Our findings provide an essential basis to evaluate the human health risks of CuO NPs.

Remediation of PAH-Contaminated Soil by Combining Surfactant Enhanced Soil Washing and Iron-Activated Persulfate Oxidation Process.

There is increasing concern regarding soils contaminated with polycyclic aromatic hydrocarbons (PAHs). In the present study, the remediation of soil spiked with PAHs was explored by the combination of soil washing with sodium dodecyl sulfate (SDS) and subsequent oxidation through persulfate (PS) activated by Fe2+, nanoscale zero-valent iron (nZVI), and SiO2-coated nZVI (SiO2/nZVI). Results demonstrated that the removal of phenanthrene (PHE), fluoranthene (FLU), and pyrene (PYR) by SDS is an efficient means for soil decontamination. At SDS concentration of 20 g/L, the removal efficiencies of PHE, PYR, and FLU were 37%, 40%, and 44%, respectively. For the degradation of PAHs and SDS in the soil washing effluents, the efficiencies of PS activated with SiO2/nZVI were not significantly different from those of PS activated with nZVI and Fe2+ (p > 0.05). In practice, SiO2/nZVI is more preferable due to the improved antioxidation and dispersibility. At the dosage of 2 g/L (in the amount of iron) of SiO2/nZVI, the removal efficiencies of PHE, FLU, PYR, and SDS within 30 min of treatment were 75%, 85%, 87%, and 34%, respectively. The degradation of SDS was much lower than those of PAHs, which facilitated the recycle of SDS. Our findings suggest that PS activated with SiO2/nZVI is a promising method for the treatment of soil washing effluents containing SDS and PAHs.

Integrating bioavailability and soil aging in the derivation of DDT criteria for agricultural soils using crop species sensitivity distributions.

Although the agricultural use of dichlorodiphenyltrichloroethane (DDT) has been banned for decades in many countries around the world, the detection of DDT and its metabolites in soils is very common due to their persistence. DDTs (sum of DDT and its metabolites) in farmland soils can be absorbed by crops at different levels and accumulate in the edible parts of agricultural products, posing threats to the health of human being. However, no information on the species sensitivity distribution (SSD) of crops with regard to DDTs has been reported due to the lack of enough bioavailability data and models to normalize the bioavailability data from different sources. Based on the bioconcentration factors of 17 crop species in Chinese soils obtained from previous studies, the criteria of DDTs in soils was derived according to the quality standard of agricultural products using the SSD method. Corrections for water content and aging time were conducted to normalize the data from different sources. The risk values of agricultural products at different concentration levels of DDTs in soils were also evaluated. It was found that oil crops are able to take up more DDTs than non-oil crops, so the soil criteria were calculated separately for oil crops and non-oil crops, which were 0.083 mg/kg and 0.29 mg/kg, respectively. With the residual concentrations of DDTs in soils at the range of 0.01-0.5 mg/kg, 0-8% of the agricultural products exceeded the permissible limits for DDTs which were set in the National Food Safety Standard of China. The results also demonstrated the feasibility for applying SSDs to derive the soil criteria of DDTs in order to ensure the safety of agricultural products. This work will provide information for the risk assessment and the establishment of soil environmental quality standards to ensure safe agricultural production.

Clinical experience in the use of marginal donor hearts.

BACKGROUND: Although heart transplantation has become a standard therapy for end-stage heart disease, there are few published studies regarding the use of transplant organs from marginal donors. Here we describe the clinical outcome we have obtained using marginal donor hearts. METHODS: We analyzed 21 cases of orthotopic heart transplantation for end-stage heart disease performed in our department between September 2008 and July 2010. Of these patients, six received hearts from marginal donors and the remainder received standard-donor hearts. The two groups were compared in terms of both mortality and the incidence of perioperative complications such as infection, acute rejection, and right heart insufficiency. RESULTS: The 1-year survival rate of both groups was 100%. Only one death was recorded in standard-donor group during follow-up. Patients who received marginal donor hearts (83%) experienced more early complications than did the standard-donor-heart group (13%), but the mortality of the two groups was the same. The duration of post-ICU stay was greater in the marginal donor group than in the standard-donor group, (35.5 ± 17.4) days and (21.7 ± 2.6) days, respectively (P < 0.05). CONCLUSIONS: The use of marginal donor hearts increases the number of patients who can receive and benefit from transplants. However, it may introduce an increased risk of early complications, thus care should be taken both in the choice of patients who will receive marginal donor hearts and in the perioperative treatment of those for whom the procedure is performed.

Decreased adiponectin and increased inflammation expression in epicardial adipose tissue in coronary artery disease.

BACKGROUND: Disorders of endocrine substances in epicardial adipose tissue are known causes of coronary artery disease (CAD). Adiponectin is associated with cardiovascular disease. However, expression of adiponectin in epicardial adipose tissue and its function in CAD pathogenesis is unclear. This study investigates adiponectin expression in epicardial adipose tissue in CAD patients. METHODS: Vessels or adipose tissue samples collected from CAD patients and non-CAD controls were examined after immunochemical staining. Adiponectin, cytokines of interleukin-6 (IL-6) and necrosis factor-α (TNF-α) and toll-like receptor 4 (TLR4) expression level in adipose tissue were measured using real-time quantitative RT-PCR. Adiponectin concentrations in peripheral and coronary sinus vein plasma were measured with enzyme-linked immunosorbent assay. Peripheral vein plasma biochemistries were performed with routine laboratory techniques. Monocytes were collected from blood using lymphocyte separation medium. Expression level of cytokines and transcription factor NF-κB were measured to learn the effect of adiponectin on stearic acid-stimulated monocytes. Percentage of TLR4 positive monocytes was analyzed using flow cytometry. RESULTS: Histological examination revealed increased macrophage infiltration into epicardial adipose tissue of CAD patients. Decreased adiponectin displayed by real-time quantitative RT-PCR was associated with enhanced cytokines of IL-6 and TNF-α or TLR4 expression level in epicardial adipose tissue, suggesting decreased circulating adiponectin may be useful as a more sensitive predictor for coronary atherosclerosis than routine laboratory examinations. Adiponectin suppressed secretion of IL-6 and TNF-α in stimulated monocytes and TLR4 was expressed on cell surfaces. CONCLUSIONS: Endocrine disorders in epicardial adipose tissue are strongly linked to CAD, and adiponectin has a protective effect by inhibiting macrophage-mediated inflammation.

Roles of human epicardial adipose tissue in coronary artery atherosclerosis.

This study examined the adipocytokine-vascular interactions and link between epicardial adipose tissue and coronary artery atherosclerosis. Thirty-four patients undergoing open heart surgery were chosen randomly, and divided into group I (non-coronary artery disease group) and group II (coronary artery disease group). Blood samples were taken through peripheral vein prior to surgery. Plasma levels of a panel of proteins (adiponectin, IL-10, TNF-α) were detected by using ELISA. Epicardial adipose tissue was taken near the proximal tract of the right coronary artery and subcutaneous adipose was taken from the leg before cardiopulmonary bypassing, adiponectin and CD68 + were detected by using RT-PCR and immunohistochemistry. Our results showed that plasma adiponectin level was significantly lower in the group II as compared with group I (P<0.05). There were no differences in plasma concentration (IL-10, TNF-α, tatal-chol, HDL-chol, LDL-chol) between group I and group II. The number of CD68+ cells in epicardial adipose tissue of group II was significantly higher than that in subcutaneous adipose tissue. Adiponectin mRNA expression was 6 fold higher in subcutaneous adipose tissue than in epicardial adipose tissue of group II (P<0.01). Furthermore, the level of adiponectin mRNA in the epicardial adipose tissue in group II was also significantly lower than in group I (P<0.05). We are led to conclude that inflammation that occurs locally in epicardial adipose tissue of CAD contributes to the pathogenesis of coronary artery disease.

Damus-Kaye-Stansel biventricular repair for transposition of the great arteries with pulmonary hypertension.

An 18-year-old female with transposition of great arteries and severe pulmonary hypertension was successfully treated with Damus-Kaye-Stansel biventricular repair. Results of the 12-year follow-up showed satisfactory hemodynamics with the aortic valve staying closed throughout the cardiac cycle and without the pulmonary valve regurgitation.

Primary cardiac lymphoma complicated with inferior vena cava thrombosis: a case report.

Primary cardiac lymphoma (PCL) is a rare and often fatal malignancy with varying clinical presentations. Diagnosis is usually late and prognosis poor. In this report, we report the case of a 54-year-old man with primary cardiac lymphoma who presented with progressive abdominal distension and oedema of the lower extremities. Magnetic resonance imaging (MRI) revealed a large mass in the right atrium, complicated with thrombus in the inferior vena cava. Emergency surgery because of life-threatening right heart failure was performed soon after admission. The post-operative histological study confirmed the diagnosis of B cell lymphoma. Post-operatively the patient received CHOP chemotherapy. During a 3-year follow-up, the victim remained free from recurrence.