The Causes and Potential Injurious Effects of Elevated Serum Leptin Levels in Chronic Kidney Disease Patients

Leptin is an adipokine that regulates appetite and body mass and has many other pleiotropic functions, including regulating kidney function. Increased evidence shows that chronic kidney disease (CKD) is associated with hyperleptinemia, but the reasons for this phenomenon are not fully understood. In this review, we focused on potential causes of hyperleptinemia in patients with CKD and the effects of elevated serum leptin levels on patient kidney function and cardiovascular risk. The available data indicate that the increased concentration of leptin in the blood of CKD patients may result from both decreased leptin elimination from the circulation by the kidneys (due to renal dysfunction) and increased leptin production by the adipose tissue. The overproduction of leptin by the adipose tissue could result from: (a) hyperinsulinemia; (b) chronic inflammation; and (c) significant lipid disturbances in CKD patients. Elevated leptin in CKD patients may further deteriorate kidney function and lead to increased cardiovascular risk.     

Visceral Adipose Tissue Displays Unique Metabolomic Fingerprints in Obesity,Pre-Diabetes and Type 2 Diabetes

Visceral adipose tissue (VAT) metabolic profiling harbors the potential to disentangle molecular changes underlying obesity-related dysglycemia. In this study, the VAT exometabolome of subjects with obesity and different glycemic statuses are analyzed. The subjects (n = 19) are divided into groups according to body mass index and glycemic status: subjects with obesity and euglycemia (Ob+NGT, n = 5), subjects with obesity and pre-diabetes (Ob+Pre-T2D, n = 5), subjects with obesity and type 2 diabetes under metformin treatment (Ob+T2D, n = 5) and subjects without obesity and with euglycemia (Non-Ob, n = 4), used as controls. VATs are incubated in culture media and extracellular metabolite content is determined by proton nuclear magnetic resonance (¹H-NMR). Glucose consumption is not different between the groups. Pyruvate and pyroglutamate consumption are significantly lower in all groups of subjects with obesity compared to Non-Ob, and significantly lower in Ob+Pre-T2D as compared to Ob+NGT. In contrast, isoleucine consumption is significantly higher in all groups of subjects with obesity, particularly in Ob+Pre-T2D, compared to Non-Ob. Acetate production is also significantly lower in Ob+Pre-T2D compared to Non-Ob. In sum, the VAT metabolic fingerprint is associated with pre-diabetes and characterized by higher isoleucine consumption, accompanied by lower acetate production and pyruvate and pyroglutamate consumption. We propose that glucose metabolism follows different fates within the VAT, depending on the individuals’ health status.     

The “Angiogenic Switch” and Functional Resources in Cyclic Sports Athletes

Regular physical activity in cyclic sports can influence the so-called “angiogenic switch”, which is considered as an imbalance between proangiogenic and anti-angiogenic molecules. Disruption of the synthesis of angiogenic molecules can be caused by local changes in tissues under the influence of excessive physical exertion and its consequences, such as chronic oxidative stress and associated hypoxia, metabolic acidosis, sports injuries, etc. A review of publications on signaling pathways that activate and inhibit angiogenesis in skeletal muscles, myocardium, lung, and nervous tissue under the influence of intense physical activity in cyclic sports. Materials: We searched PubMed, SCOPUS, Web of Science, Google Scholar, Clinical keys, and e-LIBRARY databases for full-text articles published from 2000 to 2020, using keywords and their combinations. Results: An important aspect of adaptation to training loads in cyclic sports is an increase in the number of capillaries in muscle fibers, which improves the metabolism of skeletal muscles and myocardium, as well as nervous and lung tissue. Recent studies have shown that myocardial endothelial cells not only respond to hemodynamic forces and paracrine signals from neighboring cells, but also take an active part in heart remodeling processes, stimulating the growth and contractility of cardiomyocytes or the production of extracellular matrix proteins in myofibroblasts. As myocardial vascularization plays a central role in the transition from adaptive heart hypertrophy to heart failure, further study of the signaling mechanisms involved in the regulation of angiogenesis in the myocardium is important in sports practice. The study of the “angiogenic switch” problem in the cerebrovascular and cardiovascular systems allows us to claim that the formation of new vessels is mediated by a complex interaction of all growth factors. Although the lungs are one of the limiting systems of the body in cyclic sports, their response to high-intensity loads and other environmental stresses is often overlooked. Airway epithelial cells are the predominant source of several growth factors throughout lung organogenesis and appear to be critical for normal alveolarization, rapid alveolar proliferation, and normal vascular development. There are many controversial questions about the role of growth factors in the physiology and pathology of the lungs. The presented review has demonstrated that when doing sports, it is necessary to give a careful consideration to the possible positive and negative effects of growth factors on muscles, myocardium, lung tissue, and brain. Primarily, the “angiogenic switch” is important in aerobic sports (long distance running). Conclusions: Angiogenesis is a physiological process of the formation of new blood capillaries, which play an important role in the functioning of skeletal muscles, myocardium, lung, and nervous tissue in athletes. Violation of the “angiogenic switch” as a balance between proangiogenic and anti-angiogenic molecules can lead to a decrease in the functional resources of the nervous, musculoskeletal, cardiovascular, and respiratory systems in athletes and, as a consequence, to a decrease in sports performance.     

25Cr2Ni4MoV钢转子轴颈损伤修复工艺研究

汽轮发电机运行过程中,转子轴颈磨损拉伤的情况较为普遍,采用微弧冷焊技术可以实现对损伤部位的修复。针对25Cr2Ni4MoV材料转子,通过焊接工艺试验和试样性能检测,得到一种可靠的微弧冷焊工艺;并通过对焊缝无损检测标准和焊后尺寸恢复工艺的研究,形成了一套完善的轴颈损伤修复工艺方案。     

地聚合物混凝土配比及力学性能研究

混凝土是巷道支护过程中的重要建筑材料,然而混凝土在巷道施工中常常出现质量问题,为了不影响正常生产,需要对其进行修补。地聚合物混凝土凝结时间快,早期强度高,界面结合能力强,耐高温性和抗冻性强,耐腐蚀性良好,具有用作修补材料的潜力。以粉煤灰和矿粉为原料,Na₂SiO₃溶液和NaOH为碱激发剂制备地聚合物胶砂,研究不同的碱激发剂模数（1.0、1.2、1.4）和掺量（10%、15%、20%）对不同龄期胶砂力学性能的影响。结果表明：当碱激发剂模数为1.2,碱掺量为15%时,胶砂强度达到最大值。设计正交试验,研究了不同水胶比（0.45、0.50、0.55）、粉煤灰掺量（30%、50%、70%）和砂率（30%、35%、40%）对不同龄期地聚合物混凝土的工作性能和力学性能的影响。结果表明：粉煤灰掺量对抗压强度影响最为显著,水胶比次之,而砂率对强度发展几乎没有影响。最优的配合比为水胶比为0.50,粉煤灰掺量为50%,砂率为35%。     

脱硫塔501-EA的焊接修复

脱硫分厂脱硫塔焊缝缺陷威胁生产，修复后有效消除了隐患，延长设备使用寿命，现系统运行良好。     

粘接技术在机械设备修理中的应用

本文着重介绍了粘接技术在机械设备修理中的应用实例,阐述了粘接技术是一项见效快,操作方便,降低成本的适用技术。在修理行业中具有很好的推广应用价值.     

“车家宝”胶在制氧机超低温管路漏气上的应用

本文对“东家宝”胶在制氧机超低温管路漏气上的应用作了简要的介绍。