Long noncoding RNA POU6F2-AS1 regulates lung cancer aggressiveness through sponging miR-34c-5p to modulate KCNJ4 expression.

It has been extensively reported that long noncoding RNAs (lncRNAs) were closely associated with multiple malignancies. The aim of our study was to investigate the effects and mechanism of lncRNA POU6F2-AS1 in lung adenocarcinoma (LADC).The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) datasets provided us the information of LADC clinical samples. High-regulation of POU6F2-AS1 was presented in LADC tissues compared with adjacent normal tissues, which was correlated with poor outcome of LADC patients. Functional experiments in Calu-3 and NCI-H460 cells showed that POU6F2-AS1 significantly promoted LADC cell proliferation, colony formation, invasion and migration. Moreover, through online prediction, luciferase reporter assay and Pearson's correlation analysis, we found that POU6F2-AS1 may act as a competing endogenous RNA (ceRNA) of miR-34c-5p and facilitated the expression of potassium voltage-gated channel subfamily J member 4 (KCNJ4). The promoting effect of cell aggressiveness induced by POU6F2-AS1 was enhanced by KCNJ4, whilst was abrogated due to the overexpression of miR-34c-5p. Collectively, POU6F2-AS1 might function as a ceRNA through sponging miR-34c-5p to high-regulate KCNJ4 in LADC, which indicates that POU6F2-AS1 might be a promising therapeutic target with significant prognostic value for LADC treatment.

Potential influence of temperature and precipitation on preterm birth rate in Puerto Rico.

The preterm birth (PTB) rate for singletons born in the tropical Caribbean island Puerto Rico increased from 11.3% in 1994, which was comparable to rates in the U.S., to as high as 18.3% in 2006 before decreasing to 15.5% in 2012. A few studies have reported that weather extremes are associated with higher risk of preterm birth, however, the effects of ambient temperature and precipitation has not been well examined in Puerto Rico. We compiled child birth data from the National Center for Health Statistics and weather data from the National Oceanic and Atmospheric Administration from 1994 to 2012. We explored the association between the weather factors and PTB rates with a distributed lag non-linear model (DLNM). We did not find direct association of lagged effect of temperature on birth outcome over monthly timescales. Both high intensity and frequency of precipitation and high frequency of storm and flood events are associated with increased risk of PTB rates. While the weather factors do not explain the marked increase and decrease in PTB rate, we emphasize the negative effects on PTB from weather extremes particularly precipitation in Puerto Rico.

Improved regional groundwater flow modeling using drainage features: a case study of the central northern karst aquifer system of Puerto Rico (USA).

In northern Puerto Rico (USA), subsurface conduit networks with unknown characteristics, and surface features such as springs, rivers, lagoons and wetlands, drain the coastal karst aquifers. In this study, drain lines connecting sinkholes and springs are used to improve the developed regional model by simulating the drainage effects of conduit networks. Implemented in an equivalent porous media (EPM) approach, the model with drains is able to roughly reproduce the spring discharge hydrographs in response to rainfall. Hydraulic conductivities are found to be scale dependent and significantly increase with higher test radius, indicating scale dependency of the EPM approach. Similar to other karst regions in the world, hydraulic gradients are steeper where the transmissivity is lower approaching the coastline. This study enhances current understanding of the complex flow patterns in karst aquifers and suggests that using a drainage feature improves modeling results where available data on conduit characteristics are minimal.

Sociodemographic patterns of household water-use costs in Puerto Rico.

Variability of household water-use costs across different sociodemographic groups in Puerto Rico is evaluated using census microdata from the Integrated Public Use Microdata Series (IPUMS). Multivariate analyses such as multiple linear regression (MLR) and factor analysis (FA) are used to classify, extract and interpret the household water-use costs. The FA results suggest two principal varifactors in explaining the variability of household water-use costs (64% in 2000 and 50% in 2010), which are grouped into a soft coefficient (social, economic and demographic characteristics of household residents, i.e., age, size, income, education) and a hard coefficient (dwelling conditions, i.e., number of rooms, units in the building, building age). The demographic profile of a high water-use household in Puerto Rico tends to be that of renters, people who live in larger or older buildings, people living in metro areas, or those with higher education level and higher income. The findings and discussions from this study will help decision makers to plan holistic and integrated water management to achieve water sustainability.

Spatiotemporal changes of CVOC concentrations in karst aquifers: analysis of three decades of data from Puerto Rico.

We studied the spatial and temporal distribution patterns of Chlorinated Volatile Organic Compounds (CVOCs) in the karst aquifers in northern Puerto Rico (1982-2013). Seventeen CVOCs were widely detected across the study area, with the most detected and persistent contaminated CVOCs including trichloroethylene (TCE), tetrachloroethylene (PCE), carbon tetrachloride (CT), chloroform (TCM), and methylene chloride (DCM). Historically, 471 (76%) and 319 (52%) of the 615 sampling sites have CVOC concentrations above the detection limit and maximum contamination level (MCL), respectively. The spatiotemporal patterns of the CVOC concentrations showed two clusters of contaminated areas, one near the Superfund site "Upjohn" and another near "Vega Alta Public Supply Wells." Despite a decreasing trend in concentrations, there is a general northward movement and spreading of contaminants even beyond the extent of known sources of the Superfund and landfill sites. Our analyses suggest that, besides the source conditions, karst characteristics (high heterogeneity, complex hydraulic and biochemical environment) are linked to the long-term spatiotemporal patterns of CVOCs in groundwater.

Simulation of Regional Karst Aquifer System and Assessment of Groundwater Resources in Manatí-Vega Baja, Puerto Rico.

The North Coast karst aquifer system of Puerto Rico, the most productive aquifer of the island, is a vital water source for drinking water and local ecosystems. High freshwater demands alter the coastal groundwater system that impacts both human populations and coastal ecosystems of the island. To predict how this system might respond to rainfall events and high pumping demands, we used the equivalent porous medium (EPM) technique to develop a three-dimensional ground-water flow model to estimate hydrogeological parameters and assess groundwater resources in the Manatí-Vega Baja karst aquifer. The approach is based on the hypothesis that the simplified EPM approach will reproduce groundwater hydrodynamics in this complex karst environment. The steady-state model was calibrated with trial and error and parameter estimation methods using an observed groundwater table of 1995 (r = 0.86, p < 0.0001, n = 39). The large-scale simulation suggested that groundwater flow roughly follows the elevation slope [i.e. south to north). Calibrated hydraulic conductivities range from 0.5 to 86 m/d, whereas the hydro-geologic data strongly suggest higher permeability in the middle karst section of the study area. The transient model adequately estimates the observed groundwater fluctuations in response to rainfall events from 1980 until 2014. The transient results indicate that the conceptual model accuracy is more acceptable with a mean error (ME) of -0.132 m, mean absolute error (MAE) of 0.542 m and root mean square (RMSE) error of 0.365 m. The results of water budget simulation show that the total recharge satisfies the total groundwater withdrawal rate in the past, but continuous closure of more contaminated wells causes groundwater levels to increase in the future. The results indicate that the assumption of applicability of EPM approach is sustained and supported by measured data in the study area. Taking future water demands into account, this model could be applied further to predict the changes of groundwater levels and mass balance under different exploitation scenarios.

YMDD motif mutations in chronic hepatitis B antiviral treatment naïve patients: a multi-center study.

OBJECTIVE: This study aimed to determine the natural prevalence of variants of tyrosine-methionine-aspartic acid-aspartic acid (YMDD) motif in patients with chronic hepatitis B (CHB), and to explore its relation with demographic and clinical features, hepatitis B virus (HBV) genotypes, and HBV DNA levels. METHODS: A total of 1,042 antiviral treatment naïve CHB patients (including with lamivudine [LAM]) in the past year were recruited from outpatient and inpatient departments of six centers from December 2008 to June 2010. YMDD variants were analyzed using the HBV drug resistance line probe assay (Inno-Lipa HBV-DR). HBV genotypes were detected with polymerase chain reaction (PCR) microcosmic nucleic acid cross-ELISA, and HBV deoxyribonucleic acid (DNA) was quantitated with real-time PCR. All serum samples underwent tests for HBV, HCV, and HDV with ELISA. RESULTS: YMDD variants were detected in 23.3% (243/1042) of CHB patients. YMDD mutation was accompanied by L180M mutation in 154 (76.9%) patients. Both wild-type HBV and YMDD variant HBV were present in 231 of 243 patients. Interestingly, 12 patients had only YIDD and/or YVDD variants without wild YMDD motif. In addition, 27.2% (98/359) of HbeAg-positive patients had YMDD mutations, which was higher than that in HbeAg-negative patients (21.2%, 145/683). The incidence of YMDD varied among patients with different HBV genotypes, but the difference was not significant. Moreover, the incidence of YMDD in patients with high HBV DNA level was significantly higher than that in those with low HBV DNA level. CONCLUSION: Mutation of YMDD motif was detectable at a high rate in CHB patients in this study. The incidence of YMDD may be correlated with HBeAg and HBV DNA level.

YMDD motif mutations in chronic hepatitis B antiviral treatment naïve patients: a multi-center study

OBJECTIVE: This study aimed to determine the natural prevalence of variants of tyrosine-methionine-aspartic acid-aspartic acid (YMDD) motif in patients with chronic hepatitis B (CHB), and to explore its relation with demographic and clinical features, hepatitis B virus (HBV) genotypes, and HBV DNA levels. METHODS: A total of 1,042 antiviral treatment naïve CHB patients (including with lamivudine [LAM]) in the past year were recruited from outpatient and inpatient departments of six centers from December 2008 to June 2010. YMDD variants were analyzed using the HBV drug resistance line probe assay (Inno-Lipa HBV-DR). HBV genotypes were detected with polymerase chain reaction (PCR) microcosmic nucleic acid cross-ELISA, and HBV deoxyribonucleic acid (DNA) was quantitated with real-time PCR. All serum samples underwent tests for HBV, HCV, and HDV with ELISA. RESULTS: YMDD variants were detected in 23.3% (243/1042) of CHB patients. YMDD mutation was accompanied by L180M mutation in 154 (76.9%) patients. Both wild-type HBV and YMDD variant HBV were present in 231 of 243 patients. Interestingly, 12 patients had only YIDD and/or YVDD variants without wild YMDD motif. In addition, 27.2% (98/359) of HbeAg-positive patients had YMDD mutations, which was higher than that in HbeAg-negative patients (21.2%, 145/683). The incidence of YMDD varied among patients with different HBV genotypes, but the difference was not significant. Moreover, the incidence of YMDD in patients with high HBV DNA level was significantly higher than that in those with low HBV DNA level. CONCLUSION: Mutation of YMDD motif was detectable at a high rate in CHB patients in this study. The incidence of YMDD may be correlated with HBeAg and HBV DNA level.

High altitude renal syndrome (HARS).

More than 140 million people live permanently at high altitude (>2400 m) under hypoxic conditions that challenge basic physiology. Here we present a short historical review of the populating of these regions and of evidence for genetic adaptations and environmental factors (such as exposure to cobalt) that may influence the phenotypic responses. We also review some of the common renal physiologic responses focusing on clinical manifestations. The frequent presentation of systemic hypertension and microalbuminuria with relatively preserved GFR coupled with the presence of polycythemia and hyperuricemia suggests a new clinical syndrome we term high altitude renal syndrome (HARS). ACE inhibitors appear effective at reducing proteinuria and lowering hemoglobin levels in these patients.