Correlations of peripheral blood neutrophil-lymphocyte ratio and lymphocyte-monocyte ratio with renal function and prognosis in patients with lupus nephritis.

OBJECTIVE: To explore the correlations of neutrophil-lymphocyte ratio (NLR) and lymphocyte-monocyte ratio (LMR) with renal function and prognosis in patients with lupus nephritis (LN). METHODS: A total of 115 patients with LN (research group) admitted to the Second Affiliated Hospital of Shandong First Medical University during January 2018 and January 2021 and 60 healthy controls (control group) who concurrently underwent physical examination were included in this study. Peripheral blood NLR and LMR were recorded in both arms. According to the estimated glomerular filtration rate (eGFR) at admission, patients with LN were assigned to a normal renal function group and a renal insufficiency group to compare their NLR and LMR values. Further, the cases were divided into good and poor prognosis groups based on the follow-up results, and the NLR and LMR were observed. Pearson test was used to analyze the relationship between NLR, LMR, and eGFR. Independent risk factors for poor prognosis of renal function were analyzed by multivariate logistic analysis. RESULTS: The cases showed higher NLR and lower LMR than the controls (P<0.001). The NLR was lower in patients with normal renal function than in those with renal insufficiency (P<0.001). Patients with poor prognosis presented with significantly higher NLR and lower LMR than those with good prognosis (P<0.001). In cases, eGFR decreased with the increase of NLR, presenting an inverse association (r=-0.572, P<0.001). eGFR increased as the LMR increased, showing a positive correlation (r=0.582, P<0.001). Multivariate logistic analysis identified that infection, hypoproteinemia, moderate or above lupus disease activity, high NLR, and low LMR were independent risk factors for poor prognosis in LN. CONCLUSIONS: Peripheral blood NLR and LMR are plausible biologic indicators to predict renal function and prognosis in patients with LN.

High-temperature biofilm system based on heterotrophic nitrification and aerobic denitrification treating high-strength ammonia wastewater: Nitrogen removal performances and temperature-regulated metabolic pathways.

Conventional autotrophic nitrification process is difficult to treat high-temperature wastewater with high-strength ammonia. In this study, a high-temperature (50 °C) biofilm system based on heterotrophic nitrification and aerobic denitrification (HNAD) was established. The results showed that the HNAD process was high temperature resistant, and the nitrogen removal performance, pathway and microbial mechanism varied remarkably at different temperatures. The high-temperature system showed excellent nitrogen and COD removal capacities at 50 °C. Ammonia oxidation was mainly undertaken by heterotrophic nitrification, while anoxic and aerobic pathways worked in concert for denitrification. High-throughput sequencing indicated that heterotrophic nitrifying bacteria (8.58%) and denitrifying bacteria (52.88%) were dominant at 50 °C. Metagenomic analysis further suggested that the carbon metabolism was up-regulated in response to the increasing temperature, so more energy was generated, thereby promoting the HNAD-related nitrogen removal pathways. The study revealed the microbial mechanism of HNAD at high temperature and provided new insights into high-temperature biological nitrogen removal.

Effects of COD/TN ratio on nitrogen removal efficiency, microbial community for high saline wastewater treatment based on heterotrophic nitrification-aerobic denitrification process.

High salinity and high organic concentration impose negative impacts on autotrophic nitrification, which hinders efficient nitrogen removal. To achieve efficient nitrogen removal, high saline wastewater nitrogen removal systems with different COD/TN ratios based on heterotrophic nitrification-aerobic denitrification (HN-AD) process were established in this study. Results demonstrated that the COD/TN ratio had significant effects on nitrogen removal efficiency, microbial community structures and metabolic pathways. The optimal COD/TN ratio was 25 for nitrogen removal, with NH4+-N and TN removal rates of 11.86 mg·L-1·h-1 and 11.50 mg·L-1·h-1, respectively (3.65 and 3.31 times higher than those COD/TN ratio of 10). 16S rRNA high-throughput sequencing revealed that HN-AD functional bacteria (Pseudomonas, Bacillus, Paracoccus) with highest abundance (7.61%) played a key role in high saline wastewater treatment. And Halomonas, Nitrincola and Oceanimonas participated in the denitrification process. Moreover, the abundance of genes related to nitrogen removal was the highest (1.90%) revealed by functional genes prediction.

Liraglutide promotes autophagy by regulating the AMPK/mTOR pathway in a rat remnant kidney model of chronic renal failure.

BACKGROUND: We aimed to determine whether the glucagon-like peptide-1 receptor (GLP-1R) agonist liraglutide (LRG) could ameliorate renal function through promoting autophagy via regulating the AMPK/mTOR pathway in a rat remnant kidney model of chronic renal failure. METHODS: Rats were divided into four groups (n = 10 per group) as follows: (1) sham, (2) nephrectomy (NPX), (3) LRG control (LRG control), and (4) LRG treatment (LRG). Except for rats in the sham group, all rats underwent 5/6 nephrectomy surgery to establish a remnant kidney model of chronic renal failure. In addition, rats in LRG group received LRG as a subcutaneous injection at a dose of 10 mg/kg (once daily) for 4 consecutive weeks, whereas rats in the LRG control group received treatment similar to that of rats in the LRG group, except saline was used instead of LRG. After 4 weeks of treatment, serum creatinine (Scr), blood urea nitrogen (BUN), and urinary albumin excretion were determined. Immunofluorescence assay, immunoprecipitation assay, and Western blot analysis were performed to evaluate the AMPK/mTOR pathway expression of proteins. RESULTS: Nephrectomized rats (including rats in the NPX, LRG control, and LRG groups) showed higher levels of the Scr, BUN, and urinary albumin excretion, as well as down-regulation of GLP-1R, LC3-II, and AMPK phosphorylation, and up-regulation of mTOR phosphorylation when compared with rats in the sham group. However, those changes were blocked by liraglutide. CONCLUSION: Liraglutide may promote autophagy through regulating the AMPK/mTOR pathway to exert renoprotective effects in a rat remnant kidney model of chronic renal failure.