Temporal dynamics of genetic architecture governing leaf development in Populus

Leaf development is a multifaceted and dynamic process orchestrated by a myriad of genes to shape the proper size and morphology. The dynamic genetic network underlying leaf development remains largely unknown. Utilizing a synergistic genetic approach encompassing dynamic genome-wide association study (GWAS), time-ordered gene co-expression network (TO-GCN) analyses and gene manipulation, we explored the temporal genetic architecture and regulatory network governing leaf development in Populus. We identified 42 time-specific and 18 consecutive genes that displayed different patterns of expression at various time points. We then constructed eight TO-GCNs that covered the cell proliferation, transition, and cell expansion stages of leaf development. Integrating GWAS and TO-GCN, we postulated the functions of 27 causative genes for GWAS and identified PtoGRF9 as a key player in leaf development. Genetic manipulation via overexpression and suppression of PtoGRF9 revealed its primary influence on leaf development by modulating cell proliferation. Furthermore, we elucidated that PtoGRF9 governs leaf development by activating PtoHB21 during the cell proliferation stage and attenuating PtoLD during the transition stage. Our study provides insights into the dynamic genetic underpinnings of leaf development and understanding the regulatory mechanism of PtoGRF9 in this dynamic process.

Allelic variations of WAK106-E2Fa-DPb1-UGT74E2 module regulate fibre properties in Populus tomentosa

Wood formation, intricately linked to the carbohydrate metabolism pathway, underpins the capacity of trees to produce renewable resources and offer vital ecosystem services. Despite their importance, the genetic regulatory mechanisms governing wood fibre properties in woody plants remain enigmatic. In this study, we identified a pivotal module comprising 158 high-priority core genes implicated in wood formation, drawing upon tissue-specific gene expression profiles from 22 Populus samples. Initially, we conducted a module-based association study in a natural population of 435 Populus tomentosa, pinpointing PtoDPb1 as the key gene contributing to wood formation through the carbohydrate metabolic pathway. Overexpressing PtoDPb1 led to a 52.91% surge in cellulose content, a reduction of 14.34% in fibre length, and an increment of 38.21% in fibre width in transgenic poplar. Moreover, by integrating co-expression patterns, RNA-sequencing analysis, and expression quantitative trait nucleotide (eQTN) mapping, we identified a PtoDPb1-mediated genetic module of PtoWAK106-PtoDPb1-PtoE2Fa-PtoUGT74E2 responsible for fibre properties in Populus. Additionally, we discovered the two PtoDPb1 haplotypes that influenced protein interaction efficiency between PtoE2Fa-PtoDPb1 and PtoDPb1-PtoWAK106, respectively. The transcriptional activation activity of the PtoE2Fa-PtoDPb1 haplotype-1 complex on the promoter of PtoUGT74E2 surpassed that of the PtoE2Fa-PtoDPb1 haplotype-2 complex. Taken together, our findings provide novel insights into the regulatory mechanisms of fibre properties in Populus, orchestrated by PtoDPb1, and offer a practical module for expediting genetic breeding in woody plants via molecular design.

[The application of full-length urethral preservation without anastomosis in single-port laparoscopic radical prostate cancer]

Objective: To preliminarily examine the feasibility and outcome of single-port laparoscopic radical prostatectomy with full-length urethral preservation (FLUP-SPRP). Method: This study was a prospective case series study. A total of 25 patients with prostate cancer who met the enrollment criteria and agreed to this surgical procedure from March 2022 to December 2022 were collected at the Department of Urology, the Second Affiliated Hospital of Nanjing Medical University. The age of the patients was (67.2±7.6) years (range: 61 to 76 years). This novel procedure was performed by an experienced surgeon who performed single hole radical prostatectomy skillfully. Patient urinary control, tumor control, and related surgical complications after surgery were regularly monitored. Postoperative urinary control was evaluated using the daily amount of urine pad, 0 to 1 piece of urine pad was to restore urinary control, and 0 to 1 piece of pad within 24 hours after catheter removal was immediate urinary control. Result: All prodecures were successfully completed without transit to open surgery. The surgical time was (128.4±22.4) minutes (range: 100 to 145 minutes), the intraoperative blood loss was (68.2±13.7) ml (range: 50 to 120 ml). The urethral injury occurred in 4 cases during surgery and was repaired by sutures. The urinary control recovery rates within 24 hours, 1 week, 4 weeks, and 7 weeks after surgery were 80.0%, 84.0%, 92.0% and 100%, respectively. Postoperative large section pathology revealed 1 case with a positive basal margin of the prostate and negative margins of all prostate glands around the urethra. Postoperative complications included urinary tract infection in 3 cases, urodynia in 2 cases, and acute urinary retention in 1 case. MRI follow-up 3 months after surgery showed normal anatomy of the bladder and urethra. The follow-up values of prostate specific antigen at 3 and 6 months after surgery were less than 0.1 μg/L. Conclusions: The preliminary results of this study indicate that the FLUP-SPRP procedure is safe and feasible. The early results of postoperative urinary control and oncology are as expected.

[The Textual Relationship between Zhongguo Yixue Dacidian and YiJi ZhiJin]

Zhongguo Yixue Dacidian(The Dictionary of Chinese Medicine,«») is the first comprehensive dictionary of traditional Chinese medicine in China. The dictionary, edited by Xie Guan()and compiled for several years by the teachers and students of Shanghai Special School of Traditional Chinese Medicine, was first published by The Commercial Press in 1921. In 1919, Lu Simian() joined The Commercial Press to assist Xie Guan who is his old friend in compiling the contents on medical books for the dictionary . In the same year, Lu Simian wrote a book called YiJi ZhiJin(«»). Recently, some scholars believe that Xie Guan disassembled YiJi ZhiJin and compiled it into Zhongguo Yixue Dacidian. Through a comparative study of these two, it can be seen that YiJi ZhiJin and Zhongguo Yixue Dacidian do use homologous materials in the interpretation of some medical books, but YiJi ZhiJin as a whole is not compiled into Zhongguo Yixue Dacidian, and the idea of there is a plagiarism relationship between them is incorrect.

The derivation of soil generic assessment criteria for polychlorinated biphenyls under the agricultural land scenario in Pearl and Yangtze River Delta regions, China

The agricultural soils in China are suffered from serious polychlorinated biphenyls (PCBs) contamination, however, the valid management standards for farmland are absent to efficiently control the health risks of PCBs exposure. This study analyzed the contamination characteristics and main composition of PCBs in agricultural soils of the southeastern China from the published literature over the past 20 years, and derived the regional generic assessment criteria (GAC) using an exposure modelling approach for individual and total PCBs (∑PCBs) via multiple exposure pathways such as ingestion of soil and dust, consumption of vegetables, dermal contact with soil and dust, ingestion of soil attached to vegetables, and inhalation of soil vapour and soil-derived dust outdoors under the agricultural land scenario. It is identified that the averaged ∑PCBs concentration of 80.03 ng g^-1 under the 95 % lower confidence limit with an unacceptable health risk of 4.8 × 10^-6 has significantly exceeded the integrated generic assessment criteria (expressed as GAC_int) of 16.5 ng g^-1. Accordingly, the exposure pathways from the consumption of agricultural produces and indirect ingestion of soil attached to vegetables contributed up to 62 %-88 % of the total exposure, followed by 11 %-33 % of the soil ingestion and 2 %-6 % of dermal contact. The derived GAC_int for ∑PCBs is extremely valuable to effectively assess and manage the PCBs contamination in agricultural soils of China.

Prevalence and Risk Factors for Obstructive Sleep Apnea Syndrome Among Children and Adolescents with Cleft lip and Palate: A Survey Study in Hong Kong

OBJECTIVE

To investigate the prevalence of obstructive sleep apnea syndrome (OSAS) risk and related risk factors among children and adolescents of Hong Kong with cleft lip and/or palate (CL/P).

DESIGN

Retrospective survey study adopting three questionnaires, obstructive sleep apnea-18 (OSA-18), pediatric sleep questionnaire-22 (PSQ-22), and modified Epworth Sleepiness Scale (ESS).

SETTINGS

Multicenter study in two public hospitals.

PATIENTS

A total of 351 Chinese children and adolescents with non-syndromic CL/P (6-18-year-old, 57% males) visited between September 2017 and November 2019, with primary palatal repair surgery done before 3-year-old.

MAIN OUTCOME MEASURE

Positive OSAS risk was determined based on cut-off ≥60 for OSA-18, ≥8 for PSQ-22, and >8 for ESS. Age, sex, overweight presence, cleft type, embryonic secondary palate involvement, palatal repair surgery, palatal revision surgery, and orthodontic treatment were analyzed as possible risk factors.

RESULTS

A total of 9.5% of patients had positive OSAS risk based on OSA-18, 13.6% based on PSQ-22, and 13.2% according to ESS. A higher prevalence of patients with positive OSAS risk was of younger age (OSA-18, p = .034), had cleft involving embryonic secondary palate (PSQ-22, p = .009), and history of fixed orthodontic treatment (ESS, p = .002). The regression model identified only involvement of embryonic secondary palate as a risk factor (PSQ-22, odds ratio = 3.7, p = .015).

CONCLUSIONS

OSAS risk among children and adolescents of Hong Kong with CL/P was 9.5% to 13.6%. Patients at higher risk were those with cleft involving embryonic secondary palate. OSAS risk assessment may be influenced by different aspects of the disease spectrum, and a multimodal approach should be considered for such assessment.

PGRMC1 promotes triple-negative breast cancer cell growth via suppressing ferroptosis

OBJECTIVE

Triple-negative breast cancer (TNBC) is the most malignant form of breast cancer with increasing incidence and mortality worldwide. The progesterone receptor membrane component-1 (PGRMC1) is a well-identified hormone receptor with unknown functions in TNBC. The current study aims to explore the involvement of PGRMC1 in regulation of glutathione metabolism and ferroptosis during development of TNBC, providing new therapy options for TNBC patients.

METHODS

Bioinformatic analysis, cell proliferation assay, western blot assay and other biochemistry methods were performed in TNBC cells.

RESULTS

Our results revealed that the expression of PGRMC1 is higher in TNBC than the other subtypes of breast cancer. Interestingly, as an iron binding protein, increased PGRMC1 expression in TNBC cells leads to resistance to ferroptosis inducer. On the contrary, silenced PGRMC1 expression enhanced sensitivity of MDA-MB231 cells to Erastin. Mechanistically, overexpression of PGRMC1 decreased the intracellular free iron concentration, which was reduced by AG205 treatment.

CONCLUSIONS

PGRMC1 increases the possibility of TNBC development through binding to intracellular iron and suppressing ferroptosis, providing the molecular basis of combined treatment for TNBC.

Significant roles of surface functional groups and Fe/Co redox reactions on peroxymonosulfate activation by hydrochar-supported cobalt ferrite for simultaneous degradation of monochlorobenzene and p-chloroaniline

CoFe₂O₄/hydrochar composites (FeCo@HC) were synthesized via a facile one-step hydrothermal method and utilized to activate peroxymonosulfate (PMS) for simultaneous degradation of monochlorobenzene (MCB) and p-chloroaniline (PCA). Additionally, the effects of humic acid, Cl^-, HCO₃^-, H₂PO₄^-, HPO₄^2- and water matrices were investigated and degradation pathways of MCB and PCA were proposed. The removal efficiencies of MCB and PCA were higher in FeCo@HC140-10/PMS system obtained under hydrothermal temperature of 140 °C than FeCo@HC180-10/PMS and FeCo@HC220-10/PMS systems obtained under higher temperatures. Radical species (i.e., SO₄^•-, •OH) and nonradical pathways (i.e., ¹O₂, Fe (IV)/Co (IV) and electron transfer through surface FeCo@HC140-10/PMS* complex) co-occurred in the FeCo@HC140-10/PMS system, while radical and nonradical pathways were dominant in degrading MCB and PCA respectively. The surface functional groups (i.e., C-OH and CO) and Fe/Co redox cycles played crucial roles in the PMS activation. MCB degradation was significantly inhibited in the mixed MCB/PCA solution over that in the single MCB solution, whereas PCA degradation was slightly promoted in the mixed MCB/PCA solution. These findings are significant for the provision of a low-cost and environmentally-benign synthesis of bimetal-hydrochar composites and more detailed understanding of the related mechanisms on PMS activation for simultaneous removal of the mixed contaminants in groundwater.

Overexpression of miR-181a regulates the Warburg effect in triple-negative breast cancer

OBJECTIVE

Triple-negative breast cancer (TNBC) is highly aggressive and leads to a poor prognosis. microRNA-181a (miR-181a) exhibits strong antineoplastic effects in many types of cancer. In this study, we examine the responses of human miR-181a-transfected TNBC cells and explore the mechanisms underlying the observed effects.

METHODS

A series of cellular assays were conducted using cells from the MDA-MB-231 TNBC line to assess the impact of miR-181a overexpression. The extracellular acidification rate, lactate production and glucose uptake were evaluated as a measure of aerobic glycolysis (i.e. the Warburg effect). The expressions of glycolysis-related gene were analyzed.

RESULTS

Viability, migration and survival of miR-181a-transfected MDA-MB-231 cells were all significantly reduced. miR-181a inhibited glycolysis in TNBC cells by reducing the rates of glucose uptake and lactate production and a substantial downregulation of factors known to contribute to the Warburg effect, including the serine/threonine kinase, AKT3, hypoxia-inducible factor-1α (HIF-1α) and progesterone receptor membrane component 1 (PGRMC1).

CONCLUSION

Our results demonstrate that miR-181a may regulate glycolysis in MDA-MB-231 TNBC cells, potentially via interference with components of the AKT3-HIF-1α and PGRMC1 pathways. These results suggest that miR-181a might be developed as a therapeutic agent for use in antineoplastic regimens directed at TNBC and PGRMC1-overexpressing breast cancers.

[The skin diagnosis methods constructed by Liao Ping]

Liao Ping, a famous scholar for Confucian classics in modern times has made great contributions to the field of Confucian classics. In particular, he interpreted Chinese medicine with the thinking of Confucian Classics. He delved into Inner Canon of Huangdi (Huang Di Nei Jing) and focused on recovering the methods of ancient diagnosis in this publication. He believed that the diagnostic measurement in Inner Canon of Huangdi were taken "to diagnose through cubit skin" and he then created such a diagnose method as his own. He put forward the theory of "Pi Luo Tong Zhen" which means "to diagnose diseases through cubit skin and what was shown on the skin holistically" and the theoretical framework of "Wu Zhen Fa" which means "to diagnose diseases by examining the skin, flesh, tendons, bones and veins comprehensively". While some contradictions and mistakes existed in terms of constructing the theories about the 'diagnosis through skin', Liao Ping interpreted the significance of cubit skin examination in Inner Canon of Huangdi and provided methodological enlightenment for later scholars to trace back to the origin of medical classics, and further explore the diagnosis and treatment system in Inner Canon of Huangdi.

Hong Kong Adolescents' Participation in Political Activities: Correlates of Violent Political Participation

The present study aimed to examine Hong Kong junior secondary school students' participation in different types of political activities, to identify profiles of adolescents based on their political participation, and to examine potential protective and risk factors associated with adolescents' violent political participation during the social unrest in Hong Kong from a positive youth development perspective. A total of 2,016 students (age = 13.92 ± 1.10 years) recruited from 24 secondary schools in Hong Kong participated in an online survey six months after the social unrest subsided. The findings provide a comprehensive descriptive profile of Hong Kong adolescents' political participation. Four clusters of adolescents with homogeneous patterns of political participation were identified: (1) "Politically Inactive" (42.6%); (2) "Legal Participant" (27.5%); (3) "Radical/Violent Activist" (13.0%); and (4) "Peaceful Activist" (17.0%). Logistic regression analysis showed that being female, born in Hong Kong, having a weak local identity and a strong national identity, a high level of bonding, prosocial involvement and prosocial norms, a low level of parental psychological control and family conflict, and a good parent-child relationship were associated with a low risk of adolescents' violent political participation. The findings point to the needs to further promote social cohesion in Hong Kong society, to help adolescents avoid the potentially essentialized dichotomy in their identity construction, and to develop programs targeting the identified risk and protective factors to prevent adolescents from engaging in political violence and to promote their civic participation.

Prognostic Value of Four Preimplantation Malnutrition Estimation Tools in Predicting Heart Failure Hospitalization of the Older Diabetic Patients with Right Ventricular Pacing

OBJECTIVES

The prognostic value of preimplantation nutritional status is not yet known for older diabetic patients that received right ventricular pacing (RVP). The study aimed to investigate the clinical value of the four malnutrition screening tools for the prediction of heart failure hospitalization (HFH) in older diabetic patients that received RVP.

DESIGN

Retrospective observational cohort study.

SETTING AND PARTICIPANTS

This study was conducted between January 2017 and January 2018 at the Fuwai Hospital, Beijing, China, and included older (age ≥ 65 years) diabetic patients that received RVP for the first time Measurements: The Prognostic Nutritional Index (PNI), Geriatric Nutritional Risk Index (GNRI), Naples Prognostic Score (NPS), and the Controlling Nutritional Status (CONUT) score were used to estimate the preimplantation nutritional status of the patients. Univariate and multivariate Cox proportional hazard regression analyses were performed to investigate the association between preimplantation malnutrition and HFH.

RESULTS

Overall, 231 older diabetic patients receiving RVP were included. The median follow-up period after RVP was 53 months. HFH was reported for 19.9% of the included patients. Our results showed preimplantation malnutrition for 18.2%, 15.2%, 86.6% and 66.2% of the included patients based on the PNI, GNRI, NPS, and CONUT score, respectively. The cumulative rate of HFH during follow-up period was significantly higher for patients in the preimplantation malnutrition group based on the PNI (log-rank = 13.0, P = 0.001), GNRI (log-rank = 8.5, P = 0.01), and NPS (log-rank = 15.7, P < 0.001) compared to the normal nutrition group, but was not statistically significant for those in the preimplantation malnutrition group based on the CONUT score (log-rank = 2.7, P = 0.3). As continuous variables, all the nutritional indices showed significant correlation with HFH (all P < 0.05). However, multivariate analysis showed that only GNRI was independently associated with HFH (HR = 0.97, 95% CI: 0.937-0.997, P = 0.032). As categorical variables, PNI, GNRI, and NPS showed significant correlation with HFH. After adjustment of confounding factors, moderate-to-severe degree of malnutrition was an independent predictor of HFH based on the PNI (HR = 4.66, 95% CI: 1.03-21.00, P = 0.045) and GNRI (HR = 3.02, 95% CI: 1.02-9.00, P = 0.047).

CONCLUSION

Preimplantation malnutrition was highly prevalent in older diabetic patients that received RVP. The malnutrition prediction tools, PNI and GNRI, showed significant prognostic value in accurately predicting HFH in older diabetic patients with RVP.

[The relationship between early Dao Yin, Qi and meridian theory]

This paper introduced and summarized the ways and skills of promoting the circulation of air in the human body (Dao Yin Xing Qi) in Dao Yin Tu and Yin Shu and compared them with the way of breathing in Qu Gu Shi Qi. It was found that early Dao Yin drew on breathing thinking (Qi theory) and was meaningful for human health and helpful in examining how Qi theory was shaped and developed. It was also found that Dao Yin treated diseases based on meridian theories because Dao Yin for disease treatment in Dao Yin Tu and Yin Shu was related with the eleven meridians and their main symptoms in Mai Shu. The methods of practicing Dao Yin were likely to take references from the transmission routes of human meridians. The relationship between Dao Yin, Qi and meridians indicated that Qi and meridians were taken as the focus for people to understand the human body. Qi and meridians theories, widely accepted in ancient times, were taken as theoretical guidelines by stone needle, moxibustion and Dao Yin to maintain health and disease treatment.

Effective and simultaneous removal of heavy metals and neutralization of acid mine drainage using an attapulgite-soda residue based adsorbent

Implementing an economical and effective measure for treating acid mine drainage (AMD) from abandoned mines using low-cost restoration reagents present a significant challenge. In this study, natural attapulgite (AT) and soda residue (SR) composite particles (AT-SR) were firstly prepared and utilized in AMD treatment. The efficiencies and mechanisms of AT-SR composites for regulating acidity and removing metals in AMD, the critical factors influencing the treatment efficiencies, and the regeneration performance and environmental risk were investigated. It is illustrated that AT and SR quality ratio of 5:5, dosage of 0.5 g L^-1, particle size < 1.5 mm, concentrations of 150 mg L^-1 for Fe, 75 mg L^-1 for Mn and 100 mg L^-1 for Cu, Zn, Cd and Pb, and adsorption time of 120 min were the optimized conditions. The maximum adsorption capacities of Fe, Mn, Cu, Zn, Cd and Pb under single metal scenarios were 51.61, 22.30, 37.05, 40.21, 37.39 and 49.53 mg g^-1, respectively. Under the mixed metal scenarios, competitive adsorption was predominated with the rate constants in the reducing order of 3.169 for Fe > 0.841 for Cu > 0.657 for Pb > 0.083 for Zn > 0.024 for Cd > 0.006 for Mn. The experimental data was fitted well with the pseudo-second-order and the Freundlich isotherm models. AT-SR is an outstanding neutralizer for AMD due to its richness in calcium and magnesium oxides and the spent AT-SR composites could be easily regenerated while maintaining high metal removal efficiencies under the subsequent usages. It is determined under the aqua regia digestion and Toxicity Characteristic Leaching Procedure (TCLP) tests that AT-SR can be used safely without posing environmental risks, thus promoting the resource recovery and utilization of soda residue and providing a green and effective method for treating AMD.

The evolution of stable nanohybrids to complex heteroaggregates between nZVI and soil nanoparticles: The influence of ionic strength and soil components

The heteroaggregation mechanism of nZVI with four types of natural soil nanoparticles (SNPs) extracted from representative soils in northern and southern China was investigated. Heteroaggregation rates between nZVI and SNPs were quantified by dynamic light scattering and evaluated as a function of ionic strength at pH 7. The nZVI-SNPs heteroaggregates were stable with hydrodynamic diameters (D_h) ranging from 400 to 600 nm in 0.1 mM solution. Based on the extended Derjaguin-Landau-Verwey-Overbeek (DLVO) theory, nZVI underwent heteroaggregation with SNPs to form stable nZVI-SNPs nanohybrid due to the attachment of nZVI on the SNPs. However, with enhanced ionic strength, SNPs accelerated the aggregation of nZVI and formed large heteroaggregates with D_h in the range from 1200 to 2000 nm, owing to insignificant electrostatic repulsions and oppositely charged patches. In addition, the differences in the heteroaggregation rates of nZVI with four SNPs were negligible, caused by the negligible impacts of SNPs components such as soil organic matter and Fe/Al oxyhydroxides on the heteroaggregation of nZVI in the 10 mM NaCl solution. These findings are helpful for understanding the interaction between nZVI and SNPs and of significance to groundwater remediation using nZVI.

Hydrothermally assisted synthesis of nano zero-valent iron encapsulated in biomass-derived carbon for peroxymonosulfate activation: The performance and mechanisms for efficient degradation of monochlorobenzene

A facile, green and easily-scalable method of synthesizing stable and effective nano zero-valent iron (nZVI)‑carbon composites for peroxymonosulfate (PMS) activation was highly desirable for in-situ groundwater remediation. This study developed a two-step hydrothermally assisted carbothermal reduction method to prepare nZVI-encapsulated carbon composite (Fe@C) using rice straw and ferric nitrate as precursors. The hydrothermal reactions were conducive to iron loading, and carbothermal temperature was crucial for the aromatization and graphitization of hydrothermal carbonaceous products, the reductive transformation of iron oxides into nZVI and the development of porous structure in composites. At carbothermal temperature of 800 °C following hydrothermal reactions, the stable Fe@C800 with nZVI encapsulated in the spherical carbon shell was obtained and exhibited the best catalytic performance for PMS activation and the degradation of monochlorobenzene (MCB) in a wide range of pH values (3-11) with removal efficiency after 120 min reaction and first-order kinetic rate constant (k₁) of 98.7% and 0.087 min^-1 respectively under the optimum conditions of 10 mM PMS and 0.2 g·L^-1 Fe@C800. The inhibiting effects of common co-existed anions (i.e., Cl^-, HCO₃^- and H₂PO₄^-) and humic acid in groundwater on the removal of MCB in Fe@C800/PMS system was also investigated. Both OH-dominated radical processes and nonradical pathways involving ¹O₂ and surface electron transfers were accounted for PMS activation and MCB removal. The inner nZVI was protected by the carbon shell, endowing Fe@C800 with high reactivity and good reusability. Additionally, 81.2% and 73.5% of MCB removal rates were achieved in tap water and actual contaminated groundwater respectively. This study not only provided a novel strategy to synthesize highly effective and stable nZVI‑carbon composites using the agricultural biomass waste for PMS induced oxidation of organic contaminants in groundwater, but also enhanced the understanding on the activation mechanism of iron‑carbon based catalysts towards PMS.

[Timing of starting veno-venous extracorporeal membrane oxygenation]

Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is mainly used for reversible acute respiratory failure that is difficult to correct with mechanical ventilation and other conventional measures or preparation of lung transplantation. Acute respiratory distress syndrome (ARDS) is a typical clinical syndrome of acute respiratory failure. The timing of starting VV-ECMO in severe ARDS still face many controversies and challenges. This paper we discuss the current feasible assessment methods of when to start VV-ECMO in ARDS, such as, optimization of mechanical ventilation parameters, monitoring of respiratory dynamics and hemodynamics, assessment of lung recruitability and electrical impedance tomography (EIT) real-time monitoring, etc.

Biopsy-tract haemocoagulase injection reduces major complications after CT-guided percutaneous transthoracic lung biopsy

AIM

To determine whether the injection of haemocoagulase into the biopsy tract can reduce pneumothorax and pulmonary haemorrhage after computed tomography (CT)-guided percutaneous transthoracic lung biopsy (PTLB).

MATERIALS AND METHODS

A retrospective study was performed involving patients with undiagnosed pulmonary lesions scheduled for PTLB between January 2020 and March 2021. Patients were assigned to the haemocoagulase group or the non-haemocoagulase group. After CT-guided biopsies were performed with a 17 G coaxial system, patients in the haemocoagulase group received a haemocoagulase injection (0.2-0.5 units) in the biopsy tract as the sheath was withdrawn. Postoperative image studies were performed to evaluate complications, including pneumothorax and pulmonary haemorrhage. Factors, including the patient's position, lesion location, and pathological results, were evaluated to determine their associations with the complications.

RESULTS

A total of 100 patients were included, with 44 men and a mean age of 53 years old. The overall incidences of pneumothorax and pulmonary haemorrhage were 15% and 13%, respectively. The incidences of pneumothorax and pulmonary haemorrhage were statistically significantly lower in the haemocoagulase group (8% and 6%, respectively) than in the non-haemocoagulase group (22% and 20%, respectively; p=0.04 and 0.03, respectively). There was no statistically significant difference in haemoptysis between the haemocoagulase (6%) and non-haemocoagulase (2%) groups (p=0.23). There were also no statistically significant associations of pneumothorax or pulmonary haemorrhage with the patients' positions, lesion location, or pathological results.

CONCLUSION

Biopsy tract haemocoagulase injection reduced the incidences of postoperative pneumothorax and pulmonary haemorrhage after PTLB.

First live birth in China after cryopreserved ovarian tissue transplantation to prevent premature ovarian insufficiency

OBJECTIVE

This article reports the first live birth after cryopreserved ovarian tissue transplantation to prevent premature ovarian insufficiency in China.

METHODS

A patient with myelodysplastic syndrome received ovarian tissue cryopreservation before hematopoietic stem cell transplantation, and six ovarian cortex strips were thawed and transplanted into her peritoneal pocket 2 years later.

RESULTS

Pregnancy occurred spontaneously 27 months after grafting, and a healthy girl was born at 38 weeks gestation. Until now, the child has developed normally without any major diseases.

CONCLUSIONS

We report the first live birth resulting from ovarian tissue cryopreservation and transplantation in China.

Odontogenesis by Endocytosis of Peptide Embedding Bioactive Glass Composite

Limited therapeutic options are available for treating deep caries. Those materials with potential of a dual effect to remineralize hard tissue and regenerate defective dentin tissues could be used as a new strategy for deep caries treatment. However, the application of the single component remains a challenge mainly because they lack calcium and phosphorus, are easily degraded, and are difficult to retain in the intricate body fluid environment. Considering the abundant source of calcium and phosphorus as well as the delivery performance of mesoporous bioactive glass (MBG), an amelogenin-derived peptide (QP5), which has a significant role in hard tissue remineralization, was loaded to fabricate a novel composite. After the synthesis of highly ordered MBG using a sol-gel method, the QP5 peptide was loaded increasingly by its extensive porous structure and enhanced electrostatic absorption. When used in an acidic environment, the MBG/QP5 composite presented pH-responsiveness, releasing therapeutic ions and functional peptides in a sequential cascade, and eventually adjusted the pH to a neutral state. The composite was internalized by dental pulp cells through a clathrin-mediated pathway and influenced by cell membrane lipid raft regulation. It could be also transported through the macro-pinocytotic pathway. Compared to the single treatment of peptide QP5 in 48 h, the composite facilitated a higher level of retention of the intracellular peptides. The composite further promoted migration and odontogenesis of dental pulp cells, including the improved activity of alkaline phosphatase, increased formation of mineralized nodules, and upregulated expression of mineralization-related genes compared to using MBG or QP5 alone. The composite further induced the dentin-like layer in a rat pulp capping model. The results suggested that this intelligent material with pH-responsiveness provides a promising alternative treatment method for biomimetic restoration of deep caries.

Degradation of 1,4-dioxane by biochar activating peroxymonosulfate under continuous flow conditions

1,4-Dioxane degradation under both batch-scale and column experiments has been investigated within the biochar activated peroxymonosulfate (PMS) system for in-situ remediation of 1,4-dioxane contaminated groundwater. In case of the batch experiments, the 1,4-dioxane degradation efficiencies were significantly increased with the increased biochar pyrolysis temperatures. The optimized 1,4-dioxane degradation efficiency at 89.2% was achieved with 1.0 g L^-1 of biochar (E800) and 8.0 mM PMS. In the absence of PMS, the breakthrough rates of 1,4-dioxane in biochar packed column experiments under the dynamic flow conditions were relatively slow compared with those in sand packed columns. Simultaneously, based on the integrated areas (IA) from the 1,4-dioxane breakthrough curves, the degradation efficiency at 70.2% was estimated in biochar packed column (W_E800:W_Sand = 1:9) under continuous injections of 16.0 mM PMS. Electron paramagnetic resonance (EPR) indicated that hydroxyl, sulfate and superoxide radicals were generated within the biochar/PMS systems and alcohol quenching experiments suggested that the dominated hydroxyl and sulfate radicals were responsible for 1,4-dioxane degradation. The findings of this study suggested that the biochar activated PMS system is a promising and cost-effective strategy for the remediation of 1,4-dioxane contaminated groundwater.

E2 + norethisterone promotes the PI3K-AKT pathway via PGRMC1 to induce breast cancer cell proliferation

OBJECTIVE

This study aimed to find evidence that progesterone receptor membrane component 1 (PGRMC1) promotes estradiol (E2) + norethisterone (NET)-induced breast cancer proliferation through activation of the phosphatidylinositol-3-kinase (PI3K)-AKT pathway.

METHODS

PGRMC1-mediated breast cancer cellular proliferation and phosphorylation of PGRMC1 were studied using wild-type (hemagglutinin [HA]-tagged) MCF-7 cells, which were stably transfected with expression vector containing HA (MCF-7-HA cells), PGRMC1 (MCF-7-PGRMC1 cells) and Ser181 point mutated PGRMC1 (MCF-7-PGRMC1-S181A cells). Bioinformatics, cell proliferation, western blot, isobaric tags for relative and absolute quantitation (iTRAQ)-based RNA sequencing, real-time quantitative polymerase chain reaction (RT-qPCR) and cell cycle in vitro assays were performed to indicate the function of PGRMC1 and its possible mechanisms in breast cancer.

RESULTS

NET + E2 elicited a significant proliferation in MCF-7-Vec at 10^-6 M and 10^-10 M, respectively. MCF-7-PGRMC1 did increase the phosphorylation of AKT or ERK, which can be blocked by treatment with casein kinase 2 (CK2) inhibitor quinalizarin or in MCF-7-PGRMC1-S181A cells. Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis revealed that the PI3K-AKT pathway is upregulated in MCF-7-PGRMC1 cells. Importantly, upregulation of the PI3K-AKT pathway mainly through promotion of cell cycle regulation strongly promoted cell proliferation in MCF-7-PGRMC1 cells.

CONCLUSIONS

CK2 is involved in phosphorylation of PGRMC1 at S181. The mechanism for the action of PGRMC1 for mediating proliferative progestogen effects obviously starts with promotion cell cycle regulation, and then activation of the PI3K-AKT pathway.

[The sources of the attached drawings to Tanksuqnameh]

Tanksuqnameh (Yi Li Han) as the earliest Persian transcription of traditional Chinese medicine for the west, has great value in the history of Sino-Iranian medical cultural exchanges. The eleven drawings attached to Tanksuqnameh concerning meridians and pulse diagnosis were compared to relative paintings attached to some ancient Chinese medical books. It was found that eight of the drawings attached to Tanksuqnameh came from the paintings attached to The Zhuan Tu Ju Jie of the Yellow Emperor Eighty-One Nan Jing by Li Jiong. The sources of the three paintings have not been identified. However, based on the comparison between the three paintings attached to Tanksuqnameh and the paintings in the medical books in the Ming Dynasty in terms of outlines, names and the content, they might come from the same medical book as a reference.

Carbon stability and mobility of ball milled lignin- and cellulose-rich biochar colloids

Numerous studies have explored the transport mechanism of biochar colloids in porous medium. However, the effect of feedstock biopolymer compositions and pyrolytic temperature on carbon stability and mobility of biochar colloids is limited. This study prepared four ball milled biochar colloids pyrolyzed from lignin-rich pinewoods and cellulose-rich corn stalks under 300 °C and 500 °C (termed as PW300, PW500, CS300, CS500) and analyzed their differences in the chemical stability and transport behaviors. The results indicated that high contents of lignin in biomass and pyrolytic temperature could enhance the compact aromatic structures of biochar colloids characterized by the elemental composition, FTIR, ¹³C NMR and XRD analyses. Therefore, PW500 with the strongest chemical stabilities (least C loss of 13%), electronegativity (-44.9 mV vs. -41.6-28.3 mV) and smallest hydrodynamic diameter (608.7 nm vs. 622-997.2 nm) was obtained under ball milling. Moreover, both the critical coagulation concentrations (CCC) and the maximum relative effluent concentration (C/C₀) with the NaCl ionic strength of 1 mM were demonstrated to be in the increase order of CS300 (76.1 mM, 70%) < PW300 (183.1 mM, 78%) < CS500 (363.9 mM, 89%) < PW500 (563.1 mM, 95%), which suggested stronger colloidal stability and mobility of PW biochar colloids than those of CS biochar colloids. In addition, the C/C₀ for CS300, PW300 and CS500 were about 7.3%-36% lower than that for PW500 with the NaCl ionic strength increasing to 50 mM indicated the notable superiority in the mobility of PW500. These findings can provide new insights toward understanding the transformation and migration, and evaluating the environmental risk of biochar colloids.

Trichloroethylene dechlorination rates, pathways, and efficiencies of ZVMg/C in aqueous solution

The removal mechanism from the reductive dechlorination of trichloroethylene (TCE) by zero valent magnesium (ZVMg) in aqueous solution is systematically studied. Following the preparation and characterization of ball-milled micro ZVMg with graphite (ZVMg/C) particles, this paper evaluated the TCE reaction rates, pathways, utilization rates and aging effects of ZVMg/C particles in aqueous solution under uncontrolled pH conditions. Overall, 38 μM of TCE was transformed by 10 g/L of ZVMg/C to methane (62.51%) and n-hexane (11.86%) and ethane (7.40%) and other alkene and alkyne products through the catalytic hydrogenation pathway. The measured surface area normalized pseudo-first order rate constants (K_SA) were up to 9.31 × 10^-2 L/m²/h and the utilization rate of Mg⁰ accounted for around 60%. The K_SA were decreased to 1.90 × 10^-2 L/m²/h in case of ZVMg/C being exposed in the atmosphere for 6 days due to 7.3% reduction in the utilization rate of Mg⁰ from the initial 85.2%, and 5.11 × 10^-2 L/m² h in case of ZVMg/C aged in water for one day. The removal efficiencies of approximately 56%, 58% and 87% by 10 g/L of ZVMg/C were achieved in the contaminated groundwater comprising 38 μM of TCE, 43 μM of 1,2-dichlorobenzene and 8.12 μM of trichlormethane. Therefore, it is concluded that ZVMg/C is viewed as a potential and effective remediation reagent for the groundwater remediation.

Effects of multiple injections on the transport of CMC-nZVI in saturated sand columns

The multiple injections of nanoscale zero valent iron (nZVI) slurry, an efficient method to remediate contaminated groundwater, requires an accurate assessment of the transport and risks of these particles in saturated porous medium. However, the influencing mechanism of nZVI transport under multiple injection conditions is not fully understood. In this experimental study, one-dimensional sand columns were used to evaluate the effects of injection concentrations, particle sizes and surface chemical corrosion on the transport of carboxymethyl cellulose modified nZVI (CMC-nZVI) under triple injection conditions, where the different volumes of NaCl solution were flushed through the columns between the injections. Based on the breakthrough curves and retention profiles under flushing 4 pore volumes of NaCl solution between the injections, the transport of CMC-nZVI particles was gradually enhanced attributable to the exclusion among these particles at injection concentration of 200 mg/L, but the opposite was observed due to large aggregation caused by strong magnetic force among particles at 500 mg/L. However, the magnitudes of enhancement or reduction on maximum C/C₀ under the above injection concentrations were related to the smallest particle size of D_h = 3.926 μm because of high particle number concentrations leading to intense competition on depositional sites at 200 mg/L and significant aggregation at 500 mg/L. Conversely, the transport of CMC-nZVI was reduced under flushing 76 pore volumes of NaCl solution between the injections because of pronounced corrosion of CMC-nZVI in water as evidenced by the XPS and XRD analyses of particles. This corrosion could cause the decrease in repulsion among particles due to the increase in surface negative zeta potential and the CMC desorption from nZVI. Accordingly, this study revealed that relative high injection concentrations and chemical corrosion in groundwater could restrain the mobility of nZVI under multiple injection conditions and the potential risks posed by CMC-nZVI are controllable.

First pregnancy in China after ovarian tissue transplantation to prevent premature ovarian insufficiency

OBJECTIVE

This article reports the first case of pregnancy after frozen-thawed ovarian tissue transplantation to prevent iatrogenic premature ovarian insufficiency in China.

METHODS

Ovarian tissue cryopreservation was performed in a patient with myelodysplastic syndrome (MDS) before multi-agent chemotherapy and hematopoietic stem cell transplantation. Two years later, she showed complete remission from MDS, and six frozen-thawed ovarian tissue strips were transplanted into the peritoneal pocket.

RESULTS

The patient's ovarian activity was restored 3 months after transplantation, and pregnancy occurred spontaneously 27 months after grafting. Until now, the pregnancy has progressed for 30 weeks, and the repeated ultrasound showed normal fetal development.

CONCLUSION

This is the first pregnancy resulting from ovarian tissue cryopreservation and transplantation in China.

[Consistency of peripheral whole blood and venous serum procalcitonin in children: a multicenter parallel controlled study]

Objective: To explore the consistency of peripheral whole blood and venous serum procalcitonin (PCT) levels, and the value of peripheral whole blood PCT in evaluating pediatric bacterial infection. Methods: This multicenter cross-sectional parallel control study was conducted in 11 children's hospital. All the 1 898 patients older than 28 days admitted to these hospitals from March 2018 to February 2019 had their peripheral whole blood and venous serum PCT detected simultaneously with unified equipment, reagent and method. According to the venous serum PCT level, the patients were stratified to subgroups. Analysis of variance and chi-square test were used to compare the demographic characteristics among groups. And the correlation between the peripheral blood and venous serum PCT level was investigated by quantitative Pearson correlation analysis.The PCT resultes were also converted into ranked data to further test the consistency between the two sampling methods by Spearman's rank correlation test. Furthermore, the ranked data were converted into binary data to evaluate the consistency and investigate the best cut-off of peripheral blood PCT level in predicting bacterial infection. Results: A total of 1 898 valid samples were included (1 098 males, 800 females),age 27.4(12.2,56.7) months. There was a good correlation between PCT values of peripheral whole blood and venous serum (r=0.97, P<0.01). The linear regression equation was PCT_{venous serum}=0.135+0.929×PCT_{peripheral whole blood}. However, when stratified to 5 levels, PCT results showed diverse and unsatisfied consistency between the two sampling methods (r=0.51-0.92, all P<0.01). But after PCT was converted to ordinal categorical variables, the stratified analysis showed that the coincidence rate of the measured values by the two sampling methods in each boundary area was 84.9%-97.1%. The dichotomous variables also showed a good consistency (coincidence rate 96.8%-99.3%, Youden index 0.82-0.89). According to the severity of disease, the serum PCT value was classified into 4 intervals（<0.5、0.5-<2.0、2.0-<10.0、≥10.0 μg/L）, and the peripheral blood PCT value also showed a good predictive value (AUC value was 0.991 2-0.997 9). The optimal cut points of peripheral whole blood PCT value 0.5、1.0、2.0、10.0 μg/L corresponding to venous serum PCT values were 0.395, 0.595, 1.175 and 3.545 μg/L, respectively. Conclusions: There is a good correlation between peripheral whole blood PCT value and the venous serum PCT value, which means that the peripheral whole blood PCT could facilitate the identification of infection and clinical severity. Besides, the sampling of peripheral whole blood is simple and easy to repeat.

Mechanistic insights into fast adsorption of perfluoroalkyl substances on carbonate-layered double hydroxides

Layered double hydroxide (LDH) with the metal composition of Cu(II)Mg(II)Fe(III) was prepared as an adsorbent for fast adsorption of perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA). 84% of PFOS and 48% of PFOA in relation to the equilibrium state were adsorbed in the first minutes of contact with 0.1 g/L of suspended µm-sized LDH particles. The adsorption mechanisms of PFOS and PFOA on the CuMgFe-LDH were interpreted. Hydrophobic interactions were primarily responsible for the adsorption of these compounds in accordance with the different adsorption affinities of long-chain (C8, K_d = 10⁵ L/kg) and short-chain (C4, K_d = 10² L/kg) perfluorinated carboxylic acids. PFOA adsorption on CuMgFe-LDH was strongly suppressed under alkaline conditions while PFOS uptake was only slightly affected in the pH range from 4.3 to 10.7, indicating a significant role of electrostatic interactions for PFOA adsorption. The adsorption of PFOS and PFOA was rather insensitive to competition by monovalent anions. The previously reported 'memory effect' of calcined CuMgFe-LDH for sorption of organic anions was not confirmed in the present study. Spent CuMgFe-LDH could be easily regenerated by extraction with 50 vol% methanol in water within 1 h and maintained a high PFOS removal in subsequent usage cycles.

Genitourinary syndrome of menopause in Chinese perimenopausal and postmenopausal women

OBJECTIVE

The aim of this study was to investigate genitourinary syndrome of menopause (GSM) in a large cohort, analyzing the dependency on age and menopausal status and possible differences between non-hysterectomized and hysterectomized women.

METHODS

Data were assessed by validated questionnaires, collected over 2 years for all eligible women attending our 'Menopause Clinic' from 31 Chinese provinces. Simple and unconditional logistic regression analysis was used with adjustments by all analyzed factors.

RESULTS

A total of 4063 women (mean age 50.53 ± 6.57 years), 2107 perimenopausal and 1956 postmenopausal, were included. Almost all GSM symptoms were more frequent and severe in postmenopausal women. GSM was more frequent in hysterectomized women compared to non-hysterectomized women. Independent of menopausal status, low sexual interest (92.78%), urinary incontinence (91.65%) and vaginal dryness (91.60%) were the top three GSM symptoms. Most severe were low sexual interest (21.01%), vaginal pain (20.10%) and decreased sexual pleasure (17.13%). Prevalence and severity of GSM were not related to age, but were related to menopausal status and increased with time since menopause.

CONCLUSIONS

Within 2 years, more than 4000 women with GSM traveled from all over China to our specialized clinic, indicating the great importance of GSM. Hysterectomy can increase the risk of GSM, and GSM symptoms increase from perimenopause to postmenopause and with an increase of time since menopause, pointing to the dependency on the loss of ovarian function.

Nanoscale zero-valent iron supported by attapulgite produced at different acid modification: Synthesis mechanism and the role of silicon on Cr(VI) removal

The attapulgite of different morphologies and mineral compositions were successfully obtained following the treatment by HCl and HF with different concentrations. Variations of morphologies, elemental and mineral components of the pristine and modified attapulgite were investigated and assessed in detail by a series of characterization methods. The SEM-EDS results indicated significant variations on the contents and morphologies of silicon after acid modification. The Cr(VI) removal efficiencies under pristine and modified attapulgite-supported nZVI composites were evaluated with the removal rate in case of 0.5HAT-nZVI being 69.2% more superior than that of 6FAT-nZVI. The reaction kinetic is well fitted with pseudo second order kinetics model. The correlation analysis indicated that Cr(VI) removal efficiency was positively correlated with the content of active silicon in the attapulgite-nZVI composites (R² = 0.979∗∗). Additionally, the reduction of Cr(VI) is more likely to occur in silicon-rich composites based on the analysis of XPS spectra and Cr concentration changes, which were mainly attributed to the enhanced Si-O-Fe coupling mediated by silicon. Attapulgite with more exposure sites of silicon enhanced the Cr(VI) reduction process and promoted crystallization of the reaction products. Simultaneously, the nZVI consumption caused by oxidation and aggregation were improved by silicon in attapulgite. It is concluded that silicon played a significant role on Cr(VI) removal through the reductive precipitation by Si-O-Fe coupling.

Nonequilibrium pattern formation in circularly confined two-dimensional systems with competing interactions

We numerically investigate the nonequilibrium behaviors of classic particles with competing interactions confined in a two-dimensional logarithmic trap. We reveal a quench-induced surprising dynamics exhibiting rich dynamic patterns depending upon confinement strength and trap size, which is attributed to the time-dependent competition between interparticle repulsions and attractions under a circular confinement. Moreover, in the collectively diffusive motions of the particles, we find that the emergence of dynamic structure transformation coincides with a diffusive mode transition from superdiffusion to subdiffusion. These findings are likely useful in understanding the pattern selection and evolution in various chemical and biological systems in addition to modulated systems, and add a new route to tailoring the morphology of pattern-forming systems.

Nanoscale optical writing through upconversion resonance energy transfer

Nanoscale optical writing using far-field super-resolution methods provides an unprecedented approach for high-capacity data storage. However, current nanoscale optical writing methods typically rely on photoinitiation and photoinhibition with high beam intensity, high energy consumption, and short device life span. We demonstrate a simple and broadly applicable method based on resonance energy transfer from lanthanide-doped upconversion nanoparticles to graphene oxide for nanoscale optical writing. The transfer of high-energy quanta from upconversion nanoparticles induces a localized chemical reduction in graphene oxide flakes for optical writing, with a lateral feature size of ~50 nm (1/20th of the wavelength) under an inhibition intensity of 11.25 MW cm-2 Upconversion resonance energy transfer may enable next-generation optical data storage with high capacity and low energy consumption, while offering a powerful tool for energy-efficient nanofabrication of flexible electronic devices.

Regulator of cullins-1 (ROC1) negatively regulates the Gli2 regulator SUFU to activate the hedgehog pathway in bladder cancer

BACKGROUND

The regulator of cullins-1 (ROC1) is an essential subunit in the cullin-RING ligase (CRL) protein complex and has been shown to be critical in bladder cancer cell survival and progression. This study aimed to explore the molecular mechanism of ROC1 action in the malignant progression of bladder cancer.

METHODS

This study utilized ex vivo, in vitro, and in vivo nude mouse experiments to assess the underlying mechanisms of ROC1 in bladder cancer cells. The expression of the components of the sonic hedgehog (SHH) pathway was determined by western blot analysis. ROC1 expression in human tumors was evaluated by immunohistochemistry.

RESULTS

ROC1 overexpression promoted the growth of bladder cancer cells, whereas knockdown of ROC1 expression had the opposite effect in bladder cancer cells. Mechanistically, ROC1 was able to target suppressor of fused homolog (SUFU) for ubiquitin-dependent degradation, allowing Gli2 release from the SUFU complex to activate the SHH pathway. Furthermore, knockdown of SUFU expression partially rescued the ROC1 knockdown-suppressed SHH activity as well as cancer cell growth inhibition. In ex vivo experiments, tissue microarray analysis of human bladder cancer specimens revealed a positive association of ROC1 expression with the SHH pathway activity.

CONCLUSION

This study demonstrated that dysregulation of the ROC1-SUFU-GLI2 axis plays an important role in bladder cancer progression and that targeting ROC1 expression is warranted in further investigations as a novel strategy for the future control of bladder cancer.

An optical neural chip for implementing complex-valued neural network

Complex-valued neural networks have many advantages over their real-valued counterparts. Conventional digital electronic computing platforms are incapable of executing truly complex-valued representations and operations. In contrast, optical computing platforms that encode information in both phase and magnitude can execute complex arithmetic by optical interference, offering significantly enhanced computational speed and energy efficiency. However, to date, most demonstrations of optical neural networks still only utilize conventional real-valued frameworks that are designed for digital computers, forfeiting many of the advantages of optical computing such as efficient complex-valued operations. In this article, we highlight an optical neural chip (ONC) that implements truly complex-valued neural networks. We benchmark the performance of our complex-valued ONC in four settings: simple Boolean tasks, species classification of an Iris dataset, classifying nonlinear datasets (Circle and Spiral), and handwriting recognition. Strong learning capabilities (i.e., high accuracy, fast convergence and the capability to construct nonlinear decision boundaries) are achieved by our complex-valued ONC compared to its real-valued counterpart.

Effects of feedstock biopolymer compositions on the physiochemical characteristics of dissolved black carbon from lignocellulose-based biochar

Dissolved black carbon (DBC) is becoming increasingly concerned by researchers due to its unique environmental behavior. However, understanding of the influence mechanism of biopolymer compositions of cellulose (CEL), hemicellulose (HEM) and lignin (LIG) on the formation and physiochemical characteristics of DBC from lignocellulose-based biochar is limited. This study therefore examined the formation of DBCs derived from the biopolymer compositions, corn straw (CS), corncob (CC), bamboo sawdust (BS) and pinewood sawdust (PS) under the heat treatment temperatures (HTTs) of 300-500 °C. Zeta potential and hydrodynamic diameters (D_h) of DBCs produced under 300 °C were further investigated. DBC formation may be closely associated with the HTT-dependent heterogeneities of biopolymer compositions, in which significant effects of CEL and HEM charring on physiochemical properties of DBCs were identified under the HTT of 300 and 400 °C, while the formation of DBCs was closely related to LIG and its proportions in biomass under high HTT (>500 °C). On the rise of the HTT, the carbonaceous structures of biopolymer compositions were reorganized and converted to graphitic structures in biochar accompanied by the large decomposition or carbonization of CEL and HEM, leading to the reduced carbon content, surface functional groups, aromaticity and molecular weight of DBCs, as well as the decrease of protein-like and relative increase of fulvic-like fluorescent substances in most DBCs. LIG in biomass may facilitate the migration of DBCs due to abundant surface negative charges and the formation of low D_h. This study offered new insights into our understanding of influencing mechanisms of biopolymer compositions on the characteristic of DBCs under different HTTs.

Comparison of electrical characteristics between atrial and ventricular side His-bundle pacing in bradycardia patients

Background

His-bundle pacing (HBP) is recognized as the most physiological way of pacing but with less study focused on electrical characteristics in different site.

Purpose

We aimed to evaluate the differences of pacing and echocardiographic parameters between atrial and ventricular side His-bundle pacing.

Methods

Patients who successfully underwent HBP implantation from September 2018 to August 2019 were retrospectively analyzed. All patients were assigned to atrial-side HBP (aHBP) group or ventricular-side HBP (vHBP) group according to the location of the His-bundle pacing lead, which was confirmed by two methods including postoperative echocardiography and visualization of tricuspid valve annulus (TVA). The pacing and echocardiographic parameters were compared between two groups during the procedure and at 3-month follow-up.

Results

A total of 71 bradycardia patients who successfully underwent HBP implantation and confirmed lead position were included. Among them, twenty-seven were assigned to aHBP group and the other 44 were assigned to vHBP group with no significant differences in baseline clinical characteristics between two groups. During the procedure, the proportion of selective HBP was significantly higher (77.8% vs. 11.4%; P&lt;0.01) and the intra-procedural HV intervals was significantly longer (50.85±6.53 ms vs. 42.95±6.02 ms, P&lt;0.01) in aHBP group than in vHBP group. The capture threshold in vHBP group was significantly lower than in aHBP group at implantation (0.92±0.22 V/1.0ms vs. 1.05±0.26 V/1.0ms, P=0.03) and remain significantly difference after 3-month follow-up (0.98±0.23 V/1.0ms vs. 1.15±0.44 V/1.0ms, P=0.03). The R-wave amplitude was significantly higher in vHBP group than in aHBP group at implantation (5.82±2.52 mV vs. 3.74±1.81 mV, P&lt;0.01), and these differences still persisted during follow-up (5.88±2.51 mV vs. 3.67±1.61 mV, P&lt;0.01). During 3-month follow-up, an increase in the capture threshold &gt;1 V/1.0ms was seen in 2 cases in aHBP group while all patients remained stable in vHBP group. One patient developed a pocket hematoma in aHBP group compared to none in vHBP group. None of deterioration of tricuspid regurgitation and other procedure-related complications were observed during 3-month follow-up.

Conclusions

Ventricular side His-bundle pacing can achieve favourable pacing parameters including a lower pacing threshold and a higher R-wave amplitude than atrial side His-bundle pacing, which may be an ideal pacing strategy for patients in need of ventricular pacing.

Funding Acknowledgement

Type of funding source: None

A prognostic nomogram for event-free survival in patients with atrial fibrillation before cardiac resynchronization therapy

Background

Atrial fibrillation (AF), one of the most common comorbidities with heart failure (HF), is associated with worse prognosis in HF patients receiving cardiac resynchronization therapy (CRT). However, there is still no convenient tool to evaluate and identify patients with high risk of mortality and hospitalization due to heart failure in CRT candidates with AF.

Methods

We included 152 consecutive patients with AF for CRT in our hospital from January 2009 to July 2019. Multivariate Cox regression was applied to derive a nomogram, using multiple imputation for missing values and backward stepwise regression for variable selection.

Results

Five predictors were incorporated in the nomogram, including N-terminal pro brain natriuretic protein (NTproBNP) &gt;1745pg/mL, history of syncope, previous pulmonary hypertension (PHP), moderate or severe tricuspid regurgitation (TR), thyroid stimulating hormone (TSH) &gt;4mIU/L. Concordance index (0.70, 95% CI 0.62–0.77), corrected concordance index (0.67, 95% CI 0.59–0.74) and calibration curve showed optimal discrimination and calibration of the established nomogram. Significant difference of overall event-free survival was recognized by the nomogram-derived scores in patients with high risk (&gt;50 points), intermediate risk (21–50 points) and low risk (0–20 points) before CRT.

Conclusion

Our nomogram may be an applicable tool for early risk stratification among CRT candidates with AF.

Nomogram and risk stratification

Funding Acknowledgement

Type of funding source: None

[The study on relationship of Shennong and Jingchu culture from unearthed literature]

Shennong is the founder of cultivation, inventor of medicine. There are various recordation and legends about Shennong regional culture around the whole Chinese nation. The author studied the source of Shennong and Jingchu culture by comprehensively sorting relative literature recordation, citing unearthed materials in recent years as evidence, and found that the legends of Shennong is wide-spread in both western and southern China which corresponding to the origin of farming. What is more, a lot of delicate cultural relics and bambooslip and silk manuscripts have been found in Hubei and Hunan in recent years, which proved that Chu was not a land of barbarians in traditional view but an area with developed culture, and Shennong had a deep historic relation with Jingchu culture.

MicroRNA-625-3p promotes cell migration of oral squamous cell carcinoma by regulating SCAI expression

OBJECTIVE

The aim of this study was to investigate the role of microRNA-625-3p in the occurrence and progression of oral squamous cell carcinoma (OSCC) and its underlying mechanism.

PATIENTS AND METHODS

Expression levels of microRNA-625-3p, SCAI and E-cadherin in OSCC tissues and paracancerous tissues were detected by quantitative real time-polymerase chain reaction (qRT-PCR). MicroRNA-625-3p expression in OSCC tissues with different tumor stages and lymph node metastasis stages was analyzed. Survival analyses were conducted to access the diagnostic values of microRNA-625-3p and SCAI in OSCC. The effect of microRNA-625-3p on regulating cell migration of OSCC was detected by transwell assay. Luciferase reporter gene assay was conducted to verify the binding condition between microRNA-625-3p and SCAI. Rescue experiments were performed by co-transfection of microRNA-625-3p inhibitor and si-SCAI, followed by cell proliferation detection.

RESULTS

MicroRNA-625-3p was highly expressed in OSCC tissues than that of paracancerous tissues. OSCC patients with T3+T4 presented higher expression of microRNA-625-3p than those with T1+T2. Similarly, OSCC patients with N1+N2 presented higher expression of microRNA-625-3p than those with N0. Luciferase reporter gene assay identified that SCAI is the target gene of microRNA-625-3p. Furthermore, we found that SCAI and E-cadherin are lowly expressed in OSCC tissues than that of paracancerous tissues. ROC curve showed that microRNA-625-3p and SCAI exert certain values in diagnosing OSCC. MicroRNA-625-3p promoted migration of OSCC cells, which was reversed by SCAI knockdown.

CONCLUSIONS

MicroRNA-625-3p is highly expressed in OSCC, which promotes cell migration of OSCC by regulating SCAI expression.

Enhanced removal of 1,2,4-trichlorobenzene by modified biochar supported nanoscale zero-valent iron and palladium

Biochar pyrolysed at 300 °C, 500 °C, 700 °C was modified by hydrochloric acid (HCl), hydrofluoric acid (HF), sodium hydroxide (NaOH), hydrogen peroxide (H₂O₂), nitric acid (HNO₃) and potassium permanganate (KMnO₄), and subsequently evaluated for removal efficiency of 1,2,4-trichlorobenzene (1,2,4-TCB) by biochar supported nanoscale zero-valent iron (nZVI) and palladium (Pd) composites. Under the initial 1,2,4-TCB concentration of 10 mg L^-1 and the solid-liquid ratio of 0.16 g L^-1, the synthesized composites of nZVI-Pd with BC700 modified by HF (FBC700-nZVI-Pd) and nZVI-Pd with BC300 modified by NaOH (SBC300-nZVI-Pd) demonstrated significantly enhanced removal efficiencies for 1,2,4-TCB achieving 98.8% and 94.7% after 48 h, respectively. The physicochemical properties of biochar including specific surface area, aromaticity and hydrophobicity after the modification by HF and NaOH were improved. Increased the supporting sites for Fe/Pd nanoparticles and the contact between composites and 1,2,4-TCB were mainly responsible for enhanced removal efficiency for 1,2,4-TCB. Both the adsorption by biochar and reduction by Fe/Pd nanoparticles effectively contributed to the removal of 1,2,4-TCB. It is estimated that the proportion of reduction was about twice that of adsorption in the first 12 h, which produced 1,2-DCB, benzene and other degradation products. Therefore, biochar treated with HF and NaOH and supported Fe/Pd nanoparticles could be effective functional materials for remediation of groundwater contaminated by 1,2,4-TCB.

Sequencing of lipoprotein lipase gene in the Mediterranean river buffalo identified novel variants affecting gene expression

Lipoprotein lipase (LPL) is a key enzyme for lipid metabolism, playing a fundamental role in the composition of fat in adipose tissue and milk. The LPL gene has been seldom investigated in dairy ruminants and barely studied in river buffalo (Bubalus bubalis). The aim of this work was to explore the genetic diversity of LPL and its promoter and to identify functional mutations, using a combined approach based on sequencing, dual-color electrophoretic mobility shift assay, and quantitative PCR. Thirteen consensus sequences for transcription factors were found in the promoter. Eleven SNP were detected, and the attention was focused on the SNP with potential functional effects: g.-446A>G, because the presence of G created a consensus motif for the transcription factor Sp1, and g.107A>G, which was the only exonic SNP. We developed PCR-RFLP methods for genotyping the 2 SNP and calculated the allele frequencies. A strong linkage disequilibrium (D' = 1; r² = 0.903) was found between the 2 SNP. The dual-color electrophoretic mobility shift assay demonstrated that only genotype g.-446GG allowed the binding of the Sp1 transcription factor, resulting in overexpression of the gene (~2.5 fold), as confirmed by the quantitative PCR results. Haploinsufficiency is proposed as a regulation mechanism. This study adds further knowledge on the structure of the LPL gene and its expression in river buffalo, with potential effects on milk qualitative and quantitative production.

CCL3/CCR1 mediates CD14+CD16- circulating monocyte recruitment in knee osteoarthritis progression

OBJECTIVES

Monocyte-derived macrophages, as the predominant immune cell type that is increased in inflamed synovium, play a vital role during knee osteoarthritis (KOA) progression. However, the mechanisms underlying the recruitment of circulating monocytes to osteoarthritic knees remain uncertain. Based on previous data obtained from plasma, we investigated the contributions of CCL2, CCL3, CCL4 and their cognate receptors in circulating monocyte chemotaxis and KOA development.

METHODS

Using flow cytometry staining, we characterized the expression patterns of the chemokine receptors in CD14⁺CD16^- circulating monocytes from KOA patients and healthy volunteers. The expression of chemokines in synovial fluids, synovium and cartilage was investigated in KOA patients and in patients without KOA. The role of chemokines and their cognate receptors in the chemotaxis of CD14⁺CD16^- circulating monocytes was assessed using chemokine neutralizing antibodies (NA) and receptor antagonists in vitro and in vivo.

RESULTS

The majority of CD14⁺CD16^- circulating monocytes were CCR1-and CCR2-positive. CCL2, CCL3 and CCL4 were elevated in synovial fluid of KOA patients compared with that of controls. The most likely source of these chemokines is inflamed synovium and cartilage in the osteoarthritic knee. The CCL3/CCR1 and CCL2/CCR2 axes showed substantial ability to recruit CD14⁺CD16^- monocytes in transwell assays. Similar results were confirmed in a mouse model of collagenase-induced KOA (CIA) in which blocking either the CCL3/CCR1 axis or the CCL2/CCR2 axis reduced synovial hyperplasia and F4/80⁺ macrophage infiltration.

CONCLUSIONS

Our findings suggested that, analogous to the CCL2/CCR2 axis, CCL3 produced in osteoarthritic knees can chemoattract circulating monocytes to the inflamed synovium through CCR1.

[Interpretation of the connotation of the colored drawing of Neijing Tu in the Museum of Chinese Medical History]

Neijing Tu(, Chart of Inner Landscape), collected by the Museum of Chinese Medical History, is a colored drawing which is used to guide Taoist internal alchemy training pattern. It belongs to the inheritance of the immortals in the Tao Yin(physical and breathing exercise) of traditional Chinese medicine in folk. It is the essence for nurturing vitality of the traditional Chinese medicine. Its core tenet is that one practices with both Shen(spirit) and Qi(pneuma) and makes both to fuse in perfect harmony way. The specific practice process includes four phases: refining Jing and converting it into Qi, refining Qi and converting it into Shen, extracting and then restoring Xu(void)from Shen, purifying Xu to fit Dao. This process contains the contents of the Secret Alchemy such as sub-Meridian Circle Vessel, overcoming the roadblock and entering Primary Meridian Circle Vessel, getting Yangshen (highest level spirit) and harmonizing the body and spirit. Its important value lies in being able to treat the disease which has not yet completely developed and the disease developed already.

Effects of different doses of propofol on the growth and expression of PCNA, CD34 and pAKT proteins in xenografted tumor of BALB/C mice with liver cancer

OBJECTIVE

To observe the effects of different doses of propofol on the growth of transplanted liver tumor in BALB/C mice and check the expression of PCNA, CD34 and pAKT proteins to clarify the mechanism on molecule level.

METHOD

Human primary liver cancer cells SMMC-7721 were subcutaneously cultured in BALB/C mice, and the transplanted tumor model of BALB/C mice was constructed. Forty mice successfully modeled were randomly divided into 5 groups (n = 8): the blank control group (group C), low-fat milk group (group I), low-dose (50 mg/kg) propofol group (P1), middle-dose (100 mg/kg) propofol group (P2) and high dose (150 mg/kg) propofol group (P3). Tumor volume changes were observed at 3, 6, 9, 12, 15 and 18 days (T1, T2, T3, T4, T5, T6 and T7) before and after administration of the drug, and tumor growth curves were plotted. After 19 days of administration, all mice were killed for tumor collection, tumor weight was measured, and the tumor inhibition rate of propofol was calculated. The protein expression of cluster of differentiation 34 (CD34) in transplanted tumor was detected by immunohistochemistry, and the protein expression of proliferating cell nuclear antigen (PCNA) and phospho-Akt (pAKT) was detected by immunofluorescence.

RESULTS

Compared with group C, there was no significant difference in tumor volume in group I. At T2 ~ 7, the tumor volume of group P1, P2 and P3 decreased successively (P < 0.05). There was no significant difference in the inhibitory rate of tumor in group I, and the inhibitory rate of tumor in group P1, P2 and P3 increased successively (P < 0.05). There was no significant difference in PCNA, CD34, and pAKT protein expression in group I, while PCNA, CD34, and pAKT protein content in P1, P2, P3 groups were successively decreased (P < 0.05).

CONCLUSION

Propofol had a dose-dependent effect on the growth of liver cancer xenografts in mice, inhibiting the expression of PCNA, CD34 and pAKT proteins, and the effect was most obvious in the 150 mg/kg propofol group.