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Plasma transthyretin is a nutritional biomarker in human morbidities

《医学前沿（英文）》 2022年第16卷第4期页码 540-550 doi: 10.1007/s11684-022-0940-3

摘要： Transthyretin (TTR) is a small liver-secreted plasma protein that shows close correlations with changes in lean body mass (LBM) during the entire human lifespan and agglomerates the bulk of nitrogen (N)-containing substrates, hence constituting the cornerstone of body building. Amino acids (AAs) dietary restriction causes inhibition of TTR production and impairs the accretion of LBM reserves. Inflammatory disorders result in cytokine-induced abrogation of TTR synthesis and urinary leakage of nitrogenous catabolites. Taken together, the data indicate that malnutrition and inflammation may similarly suppress the production of TTR through distinct and unrelated pathophysiological mechanisms while operating in concert to downsize LBM stores. The hepatic synthesis of TTR integrates both machineries, acting as a marker of reduced LBM resources still available for defense and repair processes. TTR operates as a universal surrogate analyte that allows for the grading of residual LBM capacity to reflect disease burden. Measurement of TTR is a simple, rapid, and inexpensive micro-method that may be reproduced on a daily basis, hence ideally suited for the follow-up of the most intricated clinical situations and as a reliable predictor of any morbidity outcome.

关键词： lean body mass nutritional status transthyretin malnutrition inflammation amyloidosis

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Sustainable intensification of agriculture is key to feeding Africa in the 21st century

Shenggen FAN

《农业科学与工程前沿（英文）》 2020年第7卷第4期页码 366-370 doi: 10.15302/J-FASE-2020342

摘要：

Africa in facing numerous challenges in the 21st century in feeding its rapidly increasing population. Land resources have become limited due to urbanization and industrialization. The existing agricultural land has been degraded and soil fertility has declined due to unsustainable farming practices. Despite of progress made in the past several decades, hunger and malnutrition in Africa still hinder health, human development and economic growth, which will become even worse in the future if proper measures are not taken. Sustainable intensification is the only solution to tackling both environmental sustainability including climate change and malnutrition, i.e., to produce more foods in terms of nutrients human body needs with less natural resources and carbon emissions. To achieve this vision, innovations in technologies, policies and institutions are essential. The Chinese experience in Agricultural Green Development (AGD) can be shared with Africans when the region is pursuing its sustainable intensification strategy.

关键词： Africa sustainable intensification Agricultural Green Development climate change malnutrition