To explore the intrauterine phenotypic spectrum of short stature homeobox-containing (SHOX) gene-associated skeletal dysplasia and provide genetic counseling at-risk pregnancies.
Method
We analyzed the fetuses with SHOX-microdeletions identified by single nucleotide polymorphism (SNP)-array. The intrauterine phenotypes and outcomes were further elaborated.
Results
Nine fetuses carrying a single SHOX-microdeletion were reported, with deletion sizes ranging from 0.134 to 1.35 Mb. Shortened long bones were observed in all fetuses, varying from −2.0 standard deviation (SD) to −5.3 SD. Moreover, all cases had a femur length/foot ratio less than 0.87 and a femur/abdominal circumference ratio greater than 0.16, suggesting that non-lethal skeletal dysplasia may be involved. Two fetuses showed intrauterine growth restriction, and two had nasal bone hypoplasia. Prenatal ultrasonography did not reveal other obvious anomalies, including the Madelung deformity. Five microdeletions were inherited and one was de novo. Five terminations and four newborns were recorded. Two newborns had normal stature, and two were short-statured (height <3rd percentile), with one having inflexible wrists.
Conclusions
SHOX haploinsufficiency may manifest with shortened fetal long bones. The combination of history taking, prenatal ultrasonography, and SNP-array can prompt early prenatal diagnosis and timely postnatal treatment of SHOX-associated skeletal dysplasia. 相似文献
The coronavirus (COVID-19) pandemic is disrupting the world from many aspects. In this study, the impact of emission variations on PM2.5-bound elemental species and health risks associated to inhalation exposure has been analyzed based on real-time measurements at a remote coastal site in Shanghai during the pandemic. Most trace elemental species decreased significantly and displayed almost no diel peaks during the lockdown. After the lockdown, they rebounded rapidly, of which V and Ni even exceeded the levels before the lockdown, suggesting the recovery of both inland and shipping activities. Five sources were identified based on receptor modeling. Coal combustion accounted for more than 70% of the measured elemental concentrations before and during the lockdown. Shipping emissions, fugitive/mineral dust, and waste incineration all showed elevated contributions after the lockdown. The total non-carcinogenic risk (HQ) for the target elements exceeded the risk threshold for both children and adults with chloride as the predominant species contributing to HQ. Whereas, the total carcinogenic risk (TR) for adults was above the acceptable level and much higher than that for children. Waste incineration was the largest contributor to HQ, while manufacture processing and coal combustion were the main sources of TR. Lockdown control measures were beneficial for lowering the carcinogenic risk while unexpectedly increased the non-carcinogenic risk. From the perspective of health effects, priorities of control measures should be given to waste incineration, manufacture processing, and coal combustion. A balanced way should be reached between both lowering the levels of air pollutants and their health risks. 相似文献
The potential impact on the environment of alternative vehicle/fuel systems needs to be evaluated, especially with respect to human health effects resulting from air pollution. We used the Greenhouse gases, Regulated Emissions, and Energy use in Transportation (GREET) model to examine the well-to-wheels (WTW) emissions of five criteria pollutants (VOCs, NOx, PM10, PM2.5, and CO) for nine vehicle/fuel systems: (1) conventional gasoline vehicles; (2) conventional diesel vehicles; (3) ethanol (E85) flexible-fuel vehicles (FFVs) fueled with corn-based ethanol; (4) E85 FFVs fueled with switchgrass-based ethanol; (5) gasoline hybrid vehicles (HEVs); (6) diesel HEVs; (7) electric vehicles (EVs) charged using the average U.S. generation mix; (8) EVs charged using the California generation mix; and (9) hydrogen fuel cell vehicles (FCVs). Pollutant emissions were separated into total and urban emissions to differentiate the locations of emissions, and emissions were presented by sources. The results show that WTW emissions of the vehicle/fuel systems differ significantly, in terms of not only the amounts but also with respect to locations and sources, both of which are important in evaluating alternative vehicle/fuel systems. E85 FFVs increase total emissions but reduce urban emissions by up to 30% because the majority of emissions are released from farming equipment, fertilizer manufacture, and ethanol plants, all of which are located in rural areas. HEVs reduce both total and urban emissions because of the improved fuel economy and lower emissions. While EVs significantly reduce total emissions of VOCs and CO by more than 90%, they increase total emissions of PM10 and PM2.5 by 35–325%. However, EVs can reduce urban PM emissions by more than 40%. FCVs reduce VOCs, CO, and NOx emissions, but they increase both total and urban PM emissions because of the high process emissions that occur during hydrogen production. This study emphasizes the importance of specifying a thorough life-cycle emissions inventory that can account for both the locations and sources of the emissions to assist in achieving a fair comparison of alternative vehicle/fuel options in terms of their environmental impacts. 相似文献