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AimThe association between gamma-glutamyl transferase (GGT) and type 2 diabetes mellitus (T2DM) is controversial. In this study, we investigated the association between GGT and the risk of T2DM using real-world data, Mendelian randomization (MR) analysis, and literature mining.MethodsA cross-sectional study enrolled 3,048 participants (>40 years) from a community in Northeastern China was conducted. A generalized additive model was used to examine the relation between GGT and T2DM. A two-sample MR was performed to investigate the causal effect of GGT (61,089 individuals, mostly of European ancestry) on T2DM (29,193 cases and 182,573 controls of European ancestry).ResultsGGT was related to glucose metabolism indicators, such as fasting plasma glucose and glycosylated hemoglobin (P < 0.05). The odds ratios (ORs) [95% confidence interval (95% CI), P] for T2DM across the GGT categories (14–16, 17–20, 21–25, 26–35, ≥36) were 1.14 [(0.88-1.47), P = 0.330], 1.55 [(1.22-1.98), P < 0.001], 1.87 [(1.47-2.28), P < 0.001], 1.97 [(1.55-2.52), P < 0.001], and 2.29 [(1.78-2.94), P < 0.001] versus GGT ≤ 13 category after adjusting for potential confounding factors. A generalized additive model identified a non-linear correlation between GGT and T2DM and indicated that the risk of T2DM almost levelled out when GGT exceeded 34 IU/L. The MR analysis showed that the odds of having T2DM for a one-time increase in genetically determined GGT was 0.998 [(0.995-1.002), P = 0.34].ConclusionsOur analysis of observational study suggested that GGT, its increment, within a certain range, is indicative of the development of T2DM. However, MR analysis provided no evidence that GGT is a linear causal factor of T2DM. Further investigation is required to determine if GGT exerts a non-linear causal effect on T2DM.

Graphene oxide (GO) nanosheets were used as adsorbent material for the removal of clofibric acid (CA) which was difficult to be removed from wastewater by traditional wastewater treatment technique. Adsorption kinetics, adsorption equilibrium, and effect of pH, ionic strength, and humic acid (HA) of the adsorption of CA onto the GO nanosheets in aqueous solution were investigated in detail. Adsorption isotherm studies indicated that the Langmuir isotherm equation fitted the sorption isotherm data better than Freundlich model and the maximum adsorption capacity of GO nanosheets for CA was 994 mg g−1. In addition, adsorption kinetics data showed that the sorption of CA on GO nanosheets reached equilibration within a few minutes and were well fitted by pseudo second-order model. The results of the effects of environment factors indicated that CA sorption on GO nanosheets was weakly affected by ionic strength and strongly depended on pH and HA because of the structure of CA and the large number of oxygen-containing function groups presented on the surface of GO nanosheets. Besides, the removal efficiency of GO nanosheets for CA was reduced at pH >4 and enhanced at pH