Arginine on immune function and post-operative obstructions in colorectal cancer patients: a meta-analysis.

BACKGROUND: The aim of this study is to investigate the impact of arginine on immune function and postoperative complications in colorectal cancer (CRC) patients. METHODS: We conducted a comprehensive search to identify eligible RCTs in various databases, such as PubMed, Cochrane Library, EMBASE, Web of Science, MEDLINE, China National Knowledge Infrastructure (CNKI), Wanfang, VIP Medicine Information System (VIP), and Chinese Biomedical Database (CBM). This study aimed to examine IgA, IgG, and IgM levels as well as CD4+ and CD8+ counts as well as the CD4+/CD8+ ratio. Anastomotic leaking, length of stay (LOS), and surgical site infection (SSI) were included as secondary outcomes. Stata (StataCorp, version 14.0) was utilized for data analysis. To ensure the results were reliable, we used meta-regression, sensitivity analysis, and publication bias analysis. RESULTS: A total of 24 publications (including 1883 patients) out of 681 that were retrieved fulfilled the inclusion criteria. The arginine group showed notable improvements in humoral immunity, with gains in IgA (SMD=0.45, 95% CI: 0.30-0.60), IgG (SMD=0.80, 95% CI: 0.64-0.96), and IgM (SMD=0.66, 95% CI: 0.39-0.93). With regards to cellular immunity, the arginine group exhibited a substantial increase in the CD4+ T cell count (SMD = 1.03, 95% CI: 0.67-1.38) compared to the control group. However, the CD4+/CD8+ ratio decreased significantly (SMD=1.37, 95% CI: 0.88-1.86) in the same arginine group, indicating a change in the balance between these two cell types. Additionally, the CD8+ T cell count showed a notable decrease (SMD=-0.70, 95% CI: -1.09 to -0.32) in the arginine group when compared to the control group. Anastomotic leakage was also considerably lower in the arginine group (SMD=-0.05, 95% CI: -0.08 to -0.02), the rate of SSIs was lower (RR = -0.02, 95% CI: -0.05-0), and the length of time patients spent in the hospital was shorter (SMD=-0.15, 95% CI: -0.38 to -0.08). CONCLUSIONS: After radiation treatment for CRC, arginine improves immune function and decreases the risk of infection problems. TRIAL REGISTRATION: Registration with PROSPERO for this meta-analysis is number CRD42024520509.

Micro-nano oxygenated irrigation improves the yield and quality of greenhouse cucumbers under-film drip irrigation.

To study the influence mechanism of micro-nano oxygenated irrigation (MNOI) on greenhouse fruit cucumber in arid and semi-arid cold regions, the yield and quality of greenhouse fruit cucumber were evaluated and verified based on 2 years of observation data. Taking fruit cucumber in Ningxia solar greenhouse as the research object, three dissolved oxygen (DO) levels of MNOI (DO; 6, 7.5, and 9 mg L-1, O1, O2, and O3, respectively) and non-oxygenated irrigation (CK, 4 mg L-1) were set up as the control treatment. Through comparative design, the influence mechanism of different levels of aerobic irrigation on the yield and quality of greenhouse fruit cucumber was studied. The main indicators of fruit cucumber yield and quality increased with dissolved oxygen in irrigation water from 4 to 9 mg L-1. In spring-summer (autumn-winter), compared with CK, the leaf area index (LAI) and net photosynthetic rate (A) increased by 28.83% (28.77%) and 44.90% (35.00%), respectively, and Vitamin C, soluble protein, soluble sugar, soluble solids and total acid content increased by 100.00% (51.88%), 37.78% (61.11%), 34.17% (54.17%), 37.07% (78.72%) and 26.92% (30.67%) respectively, while nitrate content decreased by 44.88% (51.15%), and dry matter accumulation (DMA), soil respiration rate (SRR), microbial carbon (MC), and microbial nitrogen (MN) increased by 49.81% (127.25%), 55.22% (110.34%), 117.50% (90.91%) and 70.37% (74.42%) respectively, and yield, irrigation water use efficiency (IWUE) and soil oxygen content (SO) increased by 22.47% (28.04%), 22.39% (28.05%) and 33.21% (35.33%) respectively. A model of DO in irrigation water and SO was established and the applicability of the model was verified with an average relative error of 2% (less than 5%). MNOI increased SO and soil enzyme activity, enriched soil microorganisms, improved soil microenvironment, promoted water nutrient uptake and growth of root system, increased chlorophyll, photosynthesis and DMA, which improved fruit cucumber yield and quality, and the better DO concentration in irrigation water is 9 mg L-1. The research results provide theoretical support for regulating soil water, fertilizer and air environment, and at the same time, provide feasible ways to improve the quality and efficiency of crops in arid and semi-arid cold regions.