ORTHOPOD: Linking ambulatory future trauma injury distribution from fragility proximal femur fracture caseload

INTRODUCTION

The age of those experiencing traumatic injury and requiring surgery increases. The majority of this increase seen in older patients having operations after accidents is in fragility proximal femur fractures (FPFF). This study designed a model to predict the distribution of fractures suitable for ambulatory trauma list provision based on the number of FPFF patients.

METHODS

The study utilized two datasets which both had data from 64 hospitals. One derived from the ORTHOPOD study dataset, and the other from National Hip Fracture Database. The model tested the predictability of 12 common fracture types based on FPFF data from the two datasets, using linear regression and K-fold cross-validation.

RESULTS

The predictive model showed some promise. Evaluation of the model with mean RMSE and Std RMSE demonstrated good predictive performance for some fracture types, although the r-squared values showed that large variation in these fracture types was not always captured by the model. The study highlighted the dominance of FPFFs, and the strong correlation between these and numbers of ankle and distal radius fractures at a given unit.

DISCUSSION

It is possible to model the numbers of ankle and distal radius fractures based off the number of patients admitted with hip fractures. This has great significance given the drive for increased day case utilisation and bed pressures across health services. While the model's current predictability was limited, with methodological improvements and additional data, a more robust predictive model could be developed to aid in the restructuring of trauma networks and improvement of patient care and surgical outcomes.

Changes in CO2 concentration drive a succession of toxic and non-toxic strains of Microcystis blooms

The dynamic changes between toxic and non-toxic strains of Microcystis blooms have always been a hot topic. Previous studies have found that low CO2 favors toxic strains, but how changing dissolved CO2 (CO2 [aq]) in water body influences the succession of toxic and non-toxic strains in Microcystis blooms remains uncertain. Here, we combined laboratory competition experiments, field observations, and a machine learning model to reveal the links between CO2 changes and the succession. Laboratory experiments showed that under low CO2 conditions (100-150 ppm), the toxic strains could make better use of CO2 (aq) and be dominant. The non-toxic strains demonstrated a growth advantage as CO2 concentration increased (400-1000 ppm). Field observations from June to November in Lake Taihu showed that the percentage of toxic strains increased as CO2 (aq) decreased. Machine learning highlighted links between the inorganic carbon concentration and the proportion of advantageous strains. Our findings provide new insights for cyanoHABs prediction and prevention.

Underappreciated microplastic galaxy biases the filter-based quantification

Long-term environmental loading of microplastics (MPs) causes alarming exposure risks for a variety of species worldwide, considered a planetary threat to the well-being of ecosystems. Robust quantitative estimates of MP extents and featured diversity are the basis for comprehending their environmental implications precisely, and of these methods, membrane-based characterizations predominate with respect to MP inspections. However, though crucial to filter-based MP quantification, aggregation statuses of retained MPs on these substrates remain poorly understood, leaving us a "blind box" that exaggerates uncertainty in quantitive strategies of preselected areas without knowing overview loading structure. To clarify this uncertainty and estimate their impacts on MP counting, using MP imaging data assembled from peer-reviewed studies through a systematic review, here we analyze the particle-specific profiles of MPs retained on various substrates according to their centre of mass with a fast-random forests algorithm. We visualize the formation of distinct galaxy-like MP aggregation-similar to the solar system and Milky Way System comprised of countless stars-across the pristine and environmental samples by leveraging two spatial parameters developed in this study. This unique pattern greatly challenges the homogeneously or randomly distributed MP presumption adopted extensively for simplified membrane-based quantification purposes and selective ROI (region of interest) estimates for smaller-sized plastics down to the nano-range, as well as the compatibility theory using pristine MPs as the standard to quantify the presence of environmental MPs. Furthermore, our evaluation with exemplified numeration cases confirms these location-specific and area-dependent biases in many imaging analyses of a selective filter area, ascribed to the minimum possibility of reaching an ideal turnover point for the selective quantitive strategies. Consequently, disproportionate MP schemes on loading substrates yield great uncertainty in their quantification processing, highlighting the prompt need to include pattern-resolved calibration prior to quantification. Our findings substantially advance our understanding of the structure, behavior, and formation of these MP aggregating statuses on filtering substrates, addressing a fundamental question puzzling scientists as to why reproducible MP quantification is barely achievable even for subsamples. This study inspires the following studies to reconsider the impacts of aggregating patterns on the effective counting protocols and target-specific removal of retained MP aggregates through membrane separation techniques.

Changes in nitrogen metabolism of phosphorus-starved bloom-forming cyanobacterium Microcystis aeruginosa: Implications for nutrient management

The surplus of nitrogen plays a key role in the maintenance of cyanobacterial bloom when phosphorus has already been limited. However, the interplay between high nitrogen and low phosphorus conditions is not fully understood. Nitrogen metabolism is critical for the metabolism of cyanobacteria. Transcriptomic analysis in the present study suggested that nitrogen metabolism and ribosome biogenesis were the two most significantly changed pathways in long-term phosphorus-starved bloom-forming cyanobacteria Microcystis aeruginosa FACHB-905. Notably, the primary glutamine synthetase/glutamate synthase cycle, crucial for nitrogen metabolism, was significantly downregulated. Concurrently, nitrogen uptake showed a marked decrease due to reduced expression of nitrogen source transporters. The content of intracellular nitrogen reservoir phycocyanin also showed a drastic decrease upon phosphorus starvation. Our study demonstrated that long-term phosphorus-starved cells also suffered from nitrogen deficiency because of the reduction in nitrogen assimilation, which might be limited by the reduced ribosome biogenesis and the shortage of adenosine triphosphate. External nitrogen supply will not change the transcriptions of nitrogen metabolism-related genes significantly like that under phosphorus-rich conditions, but still help to maintain the survival of phosphorus-starved cells. The study deepens our understanding about the survival strategies of Microcystis cells under phosphorus starvation and the mutual dependence between nitrogen and phosphorus, which would provide valuable information for nutrient management in the eutrophicated water body.

Neuroprotective effect of 1,25‑dihydroxyvitamin D3 against hyperoxia‑induced brain injury in premature rats

Studies have shown that vitamin D plays a crucial role in brain development, brain metabolism and neuroprotection. There is little evidence for the neuroprotective effect of 1, 25‑dihydroxyvitamin D3 (1,25‑(OH)2D3) on various brain injury models. The aim of this study was to investigate the neuroprotection effect of 1,25‑(OH)2D3 against hyperoxia‑induced brain injury in premature rats. Sprague‑Dawley rats were exposed to 95% oxygen or room air for 24 h and treated with 1,25‑(OH)2D3 or normal saline for 14 consecutive days. The histopathological changes of optic chiasma tissue were observed by hematoxylin‑eosin staining. Immunohistochemistry, qRT‑PCR, and western blot were performed to detect the expression of integrin‑β1 and yes‑associated protein (YAP) in the organization of the optic chiasm. Histopathological sections of optic chiasma showed visible optic nerve swelling, expanded nerve fiber space, uneven staining, obvious oligodendrocyte proliferation and disordered cell arrangement accompanied by inflammatory cell infiltration and exudation after 7 days and 14 days of hyperoxia exposure. The hyperoxia group treated with 1,25‑(OH)2D3 were showed improvement of brain injury with reduced inflammatory exudation, uniform nerve fiber staining and less obvious oligodendrocyte proliferation. Immunohistochemical staining, qRT‑PCR and western blot indicated that 1,25‑(OH)2D3 treatment upregulated the expression of integrin‑β1 and YAP in the hyperoxia group on day 7. However, the expression of YAP was significantly increased compared with control group and treatment with 1,25‑(OH)2D3 reduced the expression of YAP in the hyperoxic group on day 14. 1,25‑(OH)2D3 may regulate the expression of integrin‑β1 and YAP to alleviate hyperoxia‑induced brain injury in premature rats.

[Mammary myofibroblastoma: a clinicopathological analysis of fifteen cases]

Objective: To investigate the clinicopathological features, diagnosis and differential diagnosis of breast myofibroblastoma. Methods: The clinicopathological data and prognostic information of 15 patients with breast myofibroblastoma diagnosed at the Department of Pathology of the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China from 2014 to 2022 were collected. Their clinical characteristics, histological subtypes, immunophenotypes and molecular characteristics were analyzed. Results: There were 12 female and 3 male patients, ranging in age from 18 to 78 years, with a median and average age of 52 years. There were 6 cases in the left breast and 9 cases in the right breast, including 12 cases in outer upper quadrant, 2 cases in inner upper quadrant and 1 case in outer lower quadrant. Most of the cases showed a well-defined nodule grossly, including pushing growth under the microscope in 13 cases, being completely separated from the surrounding breast tissue in 1 case, and infiltrating growth in 1 case. Among them, 12 cases were classic subtype and composed of occasional spindle cells with varying intervals of collagen fiber bundles; eight cases had a small amount of fat; one case had focal cartilage differentiation; one case was epithelioid subtype, in which epithelioid tumor cells were scattered in single filing or small clusters; one case was schwannoma-like subtype, and the tumor cells were arranged in a significant palisade shape, resembling schwannoma, and one case was invasive leiomyoma-like subtype, in which the tumor cells had eosinophilic cytoplasm and were arranged in bundles, and infiltrating into the surrounding mammary lobules like leiomyoma. Immunohistochemical studies showed that the tumor cells expressed desmin (14/15) and CD34 (14/15), as well as ER (15/15) and PR (15/15). Three cases with histologic subtypes of epithelioid subtype, schwannoma-like subtype and infiltrating leiomyoma-like subtype showed RB1 negative immunohistochemistry. Then FISH was performed to detect RB1/13q14 gene deletion, and identified RB1 gene deletion in all three cases. Fifteen cases were followed up for 2-100 months, and no recurrence was noted. Conclusions: Myofibroblastoma is a rare benign mesenchymal tumor of the breast. In addition to the classic type, there are many histological variants, among which the epithelioid subtype is easily confused with invasive lobular carcinoma. The schwannoma-like subtype is similar to schwannoma, while the invasive subtype is easily misdiagnosed as fibromatosis-like or spindle cell metaplastic carcinoma. Therefore, it is important to recognize the various histological subtypes and clinicopathological features of the tumor for making correct pathological diagnosis and rational clinical treatment.

Dynamic signatures of microplastic distribution across the water column of Yangtze River Estuary: Complicated implication of tidal effects

Riverine microplastic (MP) discharge into the ocean contributes greatly to global MP contamination, yet our understanding of this process remains primitive. To deepen our interpretation of the dynamic MP variation throughout the estuarine water columns, we sampled at Xuliujing, the saltwater intrusion node of the Yangtze River Estuary, over the course of ebb and flood tides in four seasons (July and October 2017, January and May 2018 respectively). We observed that the collision of downstream and upstream currents contributed to the high MP concentration and that the mean MP abundance fluctuated with the tide. A model of microplastics residual net flux (MPRF-MODEL), taking the seasonal abundance and vertical distribution of MP along with current velocity into consideration, was developed to predict the net flux of MP throughout the full water columns. 2154 ± 359.7 t/year of MP was estimated to flow into the East China Sea via the River in 2017-2018. Our study suggests that riverine MP flux can be overestimated due to reciprocating current carried MP from the estuary. Using the tidal and seasonal variation in MP distribution, we calculated the tide impact factor index (TIFI) for the Yangtze River Estuary to be between 38.11% and 58.05%. In summary, this study provides a baseline of MP flux research in the Yangtze River for similar tidal-controlled rivers and a contextual understanding of how to appropriately sample and accurately estimate in a dynamic estuary system. The redistribution of microplastics may be impacted by complex tide processes. Although not observed in this study, it may merit investigation.

[Attention should be paid to futile recanalization after endovascular treatment in acute ischemic stroke]

With the accumulation of research evidence and clinical experience, an increasing number of patients benefit from vascular recanalization therapies. Although successful recanalization of the occluded artery has been achieved, neurological deficits persist after endovascular treatment, which defined as"futile reperfusion". Compared with the successful recanalization, successful reperfusion predicts final infarct size and clinical outcome more accurately. At present, the known influencing factors of futile reperfusion include older age, female, high baseline National Institute of Health stroke scale (NIHSS) score, hypertension, diabetes, atrial fibrillation, reperfusion treatment strategy, large infarction core volume, and collateral circulation status. The incidence of futile reperfusion in China is significantly higher than that in western population. However, few studies focused on its mechanism and influencing factors. To date, many clinical studies have attempted to reduce the occurrence of futile recanalization regarding antiplatelet therapy, blood pressure management and treatment process improvement. However, only one effective measure has been achieved in blood pressure management: systolic blood pressure control below 120 mmHg (1 mmHg=0.133 kPa) should be avoided after successful recanalization. Therefore, future studies are warranted to promote the establishment and maintenance of collateral circulation, as well as neuroprotective therapy.

Sex-specific thyroid disruption caused by phenanthrene in adult zebrafish (Danio rerio)

Polycyclic aromatic hydrocarbons (PAHs) are well-known contaminants with widespread distribution in environment and food. Phenanthrene is one of the most abundant PAHs in food and aquatic environment and generates reproductive and developmental toxicity in zebrafish. Nonetheless, whether phenanthrene caused sex-specific thyroid disruption in adult zebrafish is unclear. To determine this, adult zebrafish (male and female) were treated with phenanthrene (0, 0.85, 8.5, and 85 μg/L) for 60 days. After the treatment period, we assessed the concentrations of thyroid hormones (THs) and expression levels of genes in the hypothalamic-pituitary-thyroid (HPT) axis. The results showed that phenanthrene exposure can lead to thyroid disruption in both male and female zebrafish. Exposure to phenanthrene dramatically reduced the levels of L-thyroxine (T4) and L-triiodothyronine (T3) in both male and female zebrafish, with a similar trend in both. However, the genes expression profiles of hypothalamic-pituitary-thyroid (HPT) axis were sex-specific. In all, the present study demonstrated that phenanthrene exposure could result in sex-specific thyroid disruption in adult zebrafish.

[Comparison of clinical features of JAK2V617F gene mutation and non-mutation in patients with Budd-Chiari syndrome]

Objective: To investigate the clinical features of JAK2V617F gene mutation and non-mutation in patients with Budd-Chiari syndrome (BCS). Methods: 17 and 127 BCS cases with JAK2V617F gene mutation (mutation group) and non-gene mutation (non-mutation group) who were continuously treated with interventional therapy between January 2016 to December 2020 in the Affiliated Hospital of Xuzhou Medical University were selected as the research object for a comparative study. The hospitalization and follow-up data of the two groups were analyzed retrospectively, and the deadline for follow-up was June 2021. Quantitative data group differences were analyzed using the independent sample t-test and Wilcoxon rank sum test. Qualitative data group differences were analyzed with χ² test or Fisher's exact test. Mann-Whitney U test was used to analyze the differences between groups in rank data. Kaplan-Meier method was used to calculate the patient survival and recurrence rate. Results: Age [(35.41±17.10) years vs. (50.09±14.16) years, t=3.915, P<0.001], time of onset (median duration: 3 months vs. 12 months), and the cumulative survival rate (65.5% vs 95.1%; χ²=5.21, P=0.022) were lower in mutation than non-mutation group. Aaspartate aminotransferase, alanine aminotransferase, prothrombin time, Child-Pugh score, Rotterdam score, Model for End-stage Liver Disease score, hepatic vein thrombosis incidence, and the cumulative recurrence rate after intervention were higher in mutation than non-mutation group. The above all indexes had statistically significant differences (P<0.05) between the groups. Conclusion: Younger age, acute onset, severe liver injury, high incidence of hepatic vein thrombosis, and poor prognosis are the features of patients with BCS with JAK2V617F gene mutation than non-mutation.

Copper and Zinc Treatments Alter the Thyroid Endocrine System in Zebrafish Embryos/Larvae

Copper (Cu²⁺) and zinc (Zn²⁺) are two kinds of heavy metals essential to living organisms. Cu²⁺ and Zn²⁺ at excessive concentrations can cause adverse effects on animals, but little is known about the thyroid-disrupting effects of these metals in fish, especially in the early developmental transition stage from embryos to larvae. Wild-type zebrafish embryos were used to expose to Cu²⁺ (0, 1.5, 15, and 150 μg/L) and Zn²⁺ (0, 20, 200, and 2000 μg/L) for 120 h. Thyroid hormone contents and transcriptional changes of the genes connected with the hypothalamic-pituitary-thyroid (HPT) axis were measured. Results showed that zebrafish embryos/larvae malformation rates were significantly increased in the Cu²⁺ and Zn²⁺ groups. Remarkably elevated thyroxine (T4) concentrations and reduced triiodothyronine (T3) concentrations were observed in Cu²⁺ and Zn²⁺ exposure fish. And the expression patterns of genes connected with the HPT axis were changed after Cu²⁺ and Zn²⁺ treatment. Based on principal component analysis (PCA) results, Zn²⁺ caused significant effects on the thyroid endocrine system at 200 μg/L, while Cu²⁺ resulted in thyroid disruption as low as 1.5 μg/L. In short, our study demonstrated that exposure to Cu²⁺ and Zn²⁺ induced developmental toxicity and thyroid disruption to zebrafish embryos/larvae.

Exponential decrease of airborne microplastics: From megacity to open ocean

Atmospheric transport has been recognized as an important route for microplastics (MPs) entering the ocean since the early 2019s, yet little data of their distribution patterns in marine air are currently available. In this study, we conducted continuous measurements of atmospheric MPs in the marine boundary layer across the western Pacific Ocean. Results suggested that synthetic MPs comprised 25.89 % of all identified particles, with the most being cotton and cellulose (51.68 %). Research revealed that atmospheric synthetic microfibers (22.54 %) are higher than the proportion of the surface oceanic synthetic microfibers (8.20 %) in the recent study. Further, the size of airborne MP fibers over open ocean is probably not the limiting factor during long-range transport. The mean abundance of atmospheric MPs over the western Pacific Ocean during sampling period was 0.841 ± 0.698 items/100 m³. Regression analysis revealed an exponential relationship between average MP abundance and average longitude of sampled stations, and the average abundance of airborne MPs in coastal megacity is three orders of magnitude higher than that in sampled marine air of western Pacific. This study provides a better understanding on the impact of atmospheric transport of MPs within the global plastic cycle.

Application of Doctor-Nurse-Patient Co-Decision-Making Nursing Intervention Based on Evidence-Based Problems in the Rehabilitation of Acute Ankle Lateral Collateral Ligament Injury

Objective

The aim of this study is to study the application effects of doctor-nurse-patient co-decision-making nursing intervention based on evidence-based problems in the rehabilitation of acute ankle lateral collateral ligament injury.

Methods

150 patients with acute ankle lateral collateral ligament injury who were treated in the hospital between December 2020 and December 2021 were selected, and they were divided into the routine group and the evidence-based group by the random number table method, with 75 cases in each group. The patients in the routine group received routine nursing intervention, while the patients in the evidence-based group adopted doctor-nurse-patient co-decision-making nursing intervention based on evidence-based problems, and both groups were intervened for 1 month. The rehabilitation time (swelling subsidence time, fixation removal time, and normal walking time), ankle active range of motion (dorsiflexion and plantar flexion), ankle function (ankle Kofoed score) before and after intervention, and the total incidence rate of complications (tendon injury, ankylosis, and traumatic arthritis) within 1 month of intervention were compared between the two groups of patients.

Results

The swelling subsidence time, fixed removal time, and normal walking time in the evidence-based group were significantly shorter than those in the routine group (P < 0.05). After 1 month of intervention, the ranges of motion of dorsiflexion and plantar flexion and ankle Kofoed scores of the two groups were significantly higher than those before intervention, and the abovementioned indicators in the evidence-based group were significantly higher than those in the routine group (P < 0.05). Within 1 month of intervention, the total incidence rate of tendon injury, ankylosis, and traumatic arthritis was significantly lower in the evidence-based group than that in the routine group (P < 0.05).

Conclusion

Nursing intervention of doctor-nurse-patient co-decision-making based on evidence-based problems in patients with acute ankle lateral collateral ligament injury can promote postoperative rehabilitation and restore the ankle function of patients.

[Interpretation of Chinese expert consensus recommendations for the diagnosis and management of hemophagocytic lymphohistiocytosis associated with lymphoma (2022)]

Chinese expert consensus recommendations for the diagnosis and management of hemophagocytic lymphohistiocytosis (HLH) associated with lymphoma was revised on the basis of evidence-based medical evidence in combination with domestic and international research progress. It added the classification of "according to the difference in the causes of HLH". For the first time, the revised version included the classification of lymphoma-associated HLH induced by immunotherapy. The contents of genetic background defects and central nervous system involvement in lymphoma-associated HLH were also supplemented. This article gives a detailed interpretation of the updated content in the consensus.

Anxiety and depression among epilepsy patients in low-risk areas for COVID-19 in the northern part of Guizhou Province, China, during the COVID-19 pandemic

Background

This study was aimed to investigate whether patients with epilepsy (PWE) have higher depression and anxiety levels than the normal population in low-risk areas for coronavirus disease 2019 (COVID-19) in the northern part of Guizhou Province, China, during the COVID-19 epidemic, to evaluate their knowledge on COVID-19, and to analyze related factors for the psychological distress of PWE at this special time.

Methods

The survey was conducted online from February 28, 2020 to March 7, 2020 via a questionnaire. PWE from the outpatient clinic of epilepsy of the Affiliated Hospital of Zunyi Medical University, and healthy people matched for age and sex, participated in this study. Mental health was assessed via a generalized anxiety self-rating scale (GAD-7) and the self-rating depression scale (PHQ-9). The knowledge of COVID-19 in both groups was investigated.

Results

There were no significant differences in the general demographics between the PWE and healthy control groups. The scores of PHQ-9 (P < 0.01) and GAD-7 (P < 0.001) were higher in the PWE group than in the healthy group. There was a significant difference in the proportions of respondents with different severities of depression and anxiety, between the two groups, which revealed significantly higher degree of depression and anxiety in PWE than in healthy people (P = 0, P = 0). Overwhelming awareness and stressful concerns for the pandemic and female patients with epilepsy were key factors that affect the level of anxiety and depression in PWE. Further, the PWE had less accurate knowledge of COVID-19 than healthy people (P < 0.001). There was no statistically significant difference between the two groups in the knowledge of virus transmission route, incubation period, susceptible population, transmission speed, clinical characteristics, and isolation measures on COVID-19 (P > 0.05). PWE knew less about some of the prevention and control measures of COVID-19 than healthy people.

Conclusions

During the COVID-19 epidemic, excessive attention to the epidemic and the female sex are factors associated with anxiety and depression in PWE, even in low-risk areas.

miR-34a-5p plays an inhibitory role in hepatocellular carcinoma by regulating target gene VEGFA

OBJECTIVE

The objective of this research is to determine the role of miR-34a-5p in the occurrence and development of HCC by targeting VEGFA.

METHODS

The expression of miR-34a-5p in HCC cell lines and tumour tissue was detected by qRT-PCR; the effect of miR-34a-5p on the invasive ability of HCC cells (SMMC7721 and MHCC97H) were detected by Transwell invasion assay; VEGFA is predicted as a potential target gene of miR-34a-5p by TargetScan, and validated with dual-luciferase reporter gene assay, qRT-PCR and western blot. VEGFA expression in HCC cell lines and tumour tissue was detected using qRT-PCR; the regulation and influence of miR-34a-5p and VEGFA on the proliferation, invasion, migration and the S-phase cell of HCC cells with different invasive abilities were detected by CCK8, Transwell assay, wound healing assay, and flow cytometry. The effect of miR-34a-5p on the growth of tumour was detected by constructing a xenograft model of nude mice with HCC.

RESULTS

It was found that the expression of miR-34a-5p in HCC cells and tumour tissue was significantly decreased. Up-regulating miR-34a-5p expression could reduce the invasion ability of HCC cells. MiR-34a-5p could inhibit the mRNA and protein expression level of VEGFA via combining with the 3'-UTR of VEGFA. VEGFA was highly expressed in HCC cells and tumour tissues. The miR-34a-5p inhibited the proliferation, invasion, migration and S-phase arrest of HCC cells, but this inhibition effect could be neutralised by VEGFA; miR-34a-5p exerted the inhibitory effect on HCC cell proliferation and tumour growth in the HCC xenograft model of nude mice.

CONCLUSION

These results suggest that miR-34a-5p could inhibit the occurrence and development of HCC by targeting VEGFA.

[Analysis of risk factors for hemorrhage in patients with acute poisoning treated with hemoperfusion]

Objective: To explore the clinical characterist ics and risk factors of hemorrhage complicated by hemoperfusion therapy in patients with acute poisoning. Methods: In January 2021, the clinical data of 196 patients with acute poisoning who received hemoperfusion therapy in the Second Affiliated Hospital of Air Force Military Medical University from January 2018 to December 2020 were analyzed, and the patients were divided into bleeding group and non-bleeding group according to whether the patients were complicated with bleeding. Multivariate logistic regression was used to analyze the independent risk factors for hemorrhage in patients treated with hemoperfusion. Results: A total of 21 patients in the bleeding group and 175 patients in the non-bleeding group were included. There was no significant difference in general data such as gender, age, and body mass index between the two groups (P>0.05) . Organophosphorus pesticides (χ(2)= 4.56, P=0.030) , HA230 perfusion device (χ(2)=4.12, P=0.042) , platelet count (t=-2.33, P=0.009) and activated partial thromboplastin time (t=14.53, P<0.001) at 2 h of perfusion were the influencing factors of hemorrhage in patients with acute poisoning treated with hemoperfusion. Among them, organophosphorus pesticides, 2 h perfusion activated partial thromboplastin time ≥35 s and other factors were independent risk factors forcomplicated bleeding (P<0.05) . Conclusion: Patients with acute poisoning, especially organophosphorus pesticide poisoning, are at greater risk of bleeding during hemoperfusion therapy. Monitoring of changes in activated partial thromboplastin time should be strengthened and the dose of anticoagulants should be adjusted in time to reduce the risk of bleeding.

Ecological risk assessment of marine microplastics using the analytic hierarchy process: A case study in the Yangtze River Estuary and adjacent marine areas

Microplastic (MP) pollution is ubiquitous in the terrestrial and marine environments, even in the air. However, ecological risk assessment studies of microplastics are scarce. In the present study, an ecological risk assessment model was built to evaluate the risks of microplastics in the Yangtze River Estuary and adjacent marine areas. A basic index database of the impacts of MP pollution on the ecosystem was constructed around three types of indices, namely, the pressure, status, and response indices. While the expert scoring method was used to determine the weights of these indices, in view of the complexity of the ecosystem in the Yangtze River Estuary, the fuzzy comprehensive evaluation method was used to evaluate its ecological risk. According to the model, microplastic pollution in the Yangtze River Estuary and adjacent marine areas was within a lower risk state, indicating that its risks for the marine ecosystem were still within a controllable range.

Enhanced impacts evaluation of Typhoon Sinlaku (2020) on atmospheric microplastics in South China Sea during the East Asian Summer Monsoon

Atmospheric transport is an important pathway through which microplastics (MPs) are widely exchanged between marine and terrestrial environments. However, the impacts of frequent extreme weather events, such as typhoons, on atmospheric MPs is poorly understood. To address this issue, we collected suspended atmospheric MPs (SAMPs) and rainfall samples in the South China Sea during Typhoon Sinlaku (2020). Our results revealed a higher abundance of suspended MPs (1.05 ± 0.55 n/100 m³) during the typhoon than in the pre-typhoon period (0.59 ± 0.48 n/100 m³). Nine polymer types were identified by micro-FTIR, among which the dominant were polyethylene terephthalate (PET, 62.82%) and polypropylene (PP, 19.23%). Moreover, rainfall appeared more inclined to remove larger sizes, more colors and more polymer types of MPs from the atmosphere. The trajectory source-receptor plot indicated that the typhoon significantly changed the pathway of MP transport in the atmosphere, including the direction and distance. To our knowledge, this is the first study to elucidate the impact of typhoons on atmospheric MP transportation. Our results indicate that airborne MPs may pose unexpected ecological risks to marine and coastal ecosystems due to their increased abundance from more distant sources, resulting from typhoon events.

Sentinel lymph node biopsy with carbon nanoparticle suspension after neoadjuvant chemotherapy for breast cancer patients

INTRODUCTION

The aim of the study was to explore the feasibility of performing sentinel lymph node biopsy (SLNB) using a carbon nanoparticle suspension (CNPS) after neoadjuvant chemotherapy in breast cancer patients.

METHODS

Some 152 patients diagnosed with primary breast cancer (cT1-3N0-2M0) were recruited. Patients were divided into two groups according to axillary lymph node (ALN) status after four to six cycles of neoadjuvant chemotherapy. All patients received a CNPS injection, after which SLNB and axillary lymph node dissection (ALND) were performed.

RESULTS

Sentinel lymph nodes (SLN) of 143 patients were identified; with an accuracy rate of 94.4% and a false-negative rate of 9.9%. Group A included 67 patients, and the detection, accuracy and false-negative rates within this group were 95.5%, 96.9% and 6.7%, respectively. The corresponding rates for group B (85 patients) were 92.9%, 92.4% and 11.8%, respectively.

CONCLUSIONS

CNPS is an ideal tracer for improving the detection rate of SLN and can be used to determine SLN status following neoadjuvant chemotherapy.

[Analysis of curative efficacy of transjugular intrahepatic portosystemic shunt using viabahn stent in the treatment of Budd-Chiari syndrome with extensive hepatic vein occlusion]

Objective: To investigate the efficacy of transjugular intrahepatic portosystemic shunt (TIPS) using viabahn stent in patients with Budd-Chiari syndrome (BCS) with extensive hepatic vein occlusion. Methods: Technical success rates, portal pressure gradient (PPG), complications and shunt patency rate of 25 cases with BCS with extensive hepatic vein occlusion treated by TIPS using viabahn stent were retrospectively analyzed. Color Doppler ultrasound was used for postoperative follow-up. Patency rates were evaluated by Kaplan-Meier curve. Results: The technical success rate of TIPS was 100%. Mean PPG decreased from (22.7 ± 6.2) mmHg preoperatively to (9.7 ± 2.6) mmHg postoperatively (t = 9.58, P < 0.05). Hepatic encephalopathy incidence was 8.0% (2/25), and there were no complications such as intra-abdominal hemorrhage. Twenty-five cases were followed up for 1 to 39 ( mean 19.0 ± 11.9) months, and one patient died of liver failure three months after interventional treatment. The primary patency rates at 1, 2, and 3 years after interventional treatment were 91.3%, 91.3%, and 78.2%, respectively, while the repatency rates were 100%, 92.9%, and 92.9%, respectively. Conclusion: TIPS using viabahn stent can bring better short-term and mid-term curative efficacy in treatment of BCS with extensive hepatic vein occlusion.

Changes and significance of serum FGF21 in children with primary nephrotic syndrome and chronic renal failure

OBJECTIVE

The aim of the study was to investigate the changes and significance of serum fibroblast growth factor 21 (FGF21) in children with primary nephrotic syndrome (PNS) and chronic renal failure.

METHODS

Pediatric patients with active PNS and normal renal function (the nephrotic syndrome group), pediatric patients with chronic renal failure (the renal failure group), and children who had healthy physical examinations (the control group) were included. The serum levels of FGF21, total cholesterol (TC), triglyceride (TG), high-density lipoprotein (HDL-C), and low-density lipoprotein (LDL-C) were measured by enzyme-linked immunosorbent assay (ELISA), and the serum albumin and 24 h urine protein were measured in the PNS group.

RESULTS

Compared with the normal control group, the level of serum FGF21 in the PNS group and the renal failure group increased significantly (P < 0.05). The TC, TG, HDL-C, and LDL-C levels increased significantly in the PNS group (P < 0.05). The levels of TG and HDL-C increased significantly in the renal failure group (P < 0.05). The levels of TC, HDL-C, and LDL-C in the renal failure group were lower than those in the PNS group (P < 0.05). There was no significant difference in TG level between the two groups (P > 0.05).

CONCLUSION

The level of serum FGF21 may be correlated with the occurrence and development of nephrosis in children. The higher the level of serum FGF21, the more serious the renal injury.

Quantitative Proteomic and Microcystin Production Response of Microcystis aeruginosa to Phosphorus Depletion

Microcystis blooms are the most widely distributed and frequently occurring cyanobacterial blooms in freshwater. Reducing phosphorus is suggested to be effective in mitigating cyanobacterial blooms, while the underlying molecular mechanisms are yet to be elucidated. In the present study, isobaric tags for relative and absolute quantitation (iTRAQ)-based quantitative proteomics was employed to study the effects of phosphorus depletion on Microcystis aeruginosa FACHB-905. The production of microcystins (MCs), a severe hazard of Microcystis blooms, was also analyzed. In total, 230 proteins were found to be differentially abundant, with 136 downregulated proteins. The results revealed that, upon phosphorus limitation stress, Microcystis aeruginosa FACHB-905 raised the availability of phosphorus primarily by upregulating the expression of orthophosphate transport system proteins, with no alkaline phosphatase producing ability. Phosphorus depletion remarkably inhibited cell growth and the primary metabolic processes of Microcystis, including transcription, translation and photosynthesis, with structures of photosystems remaining intact. Moreover, expression of nitrogen assimilation proteins was downregulated, while proteins involved in carbon catabolism were significantly upregulated, which was considered beneficial for the intracellular balance among carbon, nitrogen and phosphorus. The expression of MC synthetase was not significantly different upon phosphorus depletion, while MC content was significantly suppressed. It is assumed that phosphorus depletion indirectly regulates the production of MC by the inhibition of metabolic processes and energy production. These results contribute to further understanding of the influence mechanisms of phosphorus depletion on both biological processes and MC production in Microcystis cells.

Pelagic microplastics in surface water of the Eastern Indian Ocean during monsoon transition period: Abundance, distribution, and characteristics

Microplastics (MPs) have been documented in almost all marine environments, including coastal regions, the open ocean, and the deep sea. However, relatively little knowledge was available about MP pollution in the open ocean, especially the Indian Ocean. We conducted field observations at 36 stations in the Eastern Indian Ocean (EIO), using a typical manta trawl with a mesh size of 330 μm for surface water sampling. Ours is the first study to obtained comprehensive and comparable baseline data about MPs in the EIO, including abundance, spatial distribution and characteristics. Abundance of MPs in the EIO varied from 0.01 items m^-2 to 4.53 items m^-2, with an average concentration of 0.34 ± 0.80 item m^-2. The mean concentration of MPs in the Bay of Bengal (BoB) was 2.04 ± 2.26 items m^-2 and 0.16 ± 0.17 items m^-2 in the open ocean of the EIO. These results illustrate the high spatial heterogeneity of MPs distribution. Micro-FTIR analysis of polymer composition showed that the vast majority of MPs consisted of polypropylene (PP, 51.11%) and polyethylene (PE, 20.07%). Our data show that MP pollution in the EIO, whether in the epeiric sea or the open ocean, is among the highest of the world's oceans. The BoB is likely to become a MP hotspot due to the vast input of land-based plastics and the presence of multiscale recirculation gyres. These results are absolutely thought provoking: The EIO needs more attention on MPs.

To what extent are we really free from airborne microplastics?

Quality assurance and quality control (QA&QC) procedures are vital for ensuring data reliability, but little is known about the use of such procedures in reducing airborne microplastic (MP) contamination. To address this issue, we tried to determine the efficiency of two common methods (washing and ashing experimental glassware) for removing airborne MPs and identified airborne contamination during MP analytical procedure. The results showed the removal efficiencies of washing and ashing were an average of 88%-98% and 100%, respectively, indicating that both methods could eliminate most of the spiked airborne MPs with no significant difference noted between the two methods. Although rigorous measures were taken to prevent contamination from ambient air, trace amounts of airborne MPs were still detected, which is an issue that has not been adequately investigated in previous studies. All of the procedural contaminants detected in this study were fibrous. Approximately 88% of these fibers were cotton-like (cotton, cellulose, and cellophane) fibers, and 13% of them were plastic. Surprisingly, cotton-like fibers and MPs had a similar size distribution, suggesting that they may have undergone a similar weathering process. In the end, to cope with inevitable airborne contamination, several measures were proposed for further research. Such measures will provide the necessary methodological assistance for accurate quantification of MP pollution in the field.

Research Progress on the Effect of Epilepsy and Antiseizure Medications on PCOS Through HPO Axis

Epilepsy is a common chronic neurological disease that manifests as recurrent seizures. The incidence and prevalence of epilepsy in women are slightly lower than those in men. Polycystic ovary syndrome (PCOS), a reproductive endocrine system disease, is a complication that women with epilepsy are susceptible to, and its total prevalence is 8%-13% in the female population and sometimes as high as 26% in female epilepsy patients. The rate of PCOS increased markedly in female patients who chose valproate (VPA), to 1.95 times higher than that of other drugs. In addition, patients receiving other anti-seizure medications (ASMs), such as lamotrigine (LTG), oxcarbazepine (OXC), and carbamazepine (CBZ), also have reproductive endocrine abnormalities. Some scholars believe that the increase in incidence is related not only to epilepsy itself but also to ASMs. Epileptiform discharges can affect the activity of the pulse generator and then interfere with the reproductive endocrine system by breaking the balance of the hypothalamic-pituitary-ovarian (HPO) axis. ASMs may also cause PCOS-like disorders of the reproductive endocrine system through the HPO axis. Moreover, other factors such as hormone metabolism and related signalling pathways also play a role in it.

Global inventory of atmospheric fibrous microplastics input into the ocean: An implication from the indoor origin

Atmospheric transport could be a significant pathway for inland microplastics (MPs, with size＜5 mm) to the ocean in addition to catchment runoff and coastal discharge. However, atmospheric input of MPs to the ocean is rarely quantified. To address this issue, transport of atmospheric MPs from source to sink was studied in the Asia-Pacific region during nine cruises from October 2018 to September 2019. Both deposited atmospheric MPs (DAMPs) and suspended atmospheric MPs (SAMPs) were collected, ranging from 23.04 n/(m²·d) to 67.54 n/(m²·d), and 0 to 1.37 n/m³, respectively. Size composition revealed that atmospheric deposition of MPs originating in terrestrial regions seems inadequate and insufficient to quantify the atmospheric input to the ocean. In addition, combined with aerodynamic modelling, for the first time, we estimated that 7.64-33.76 t of fibrous atmospheric MPs was globally generated in 2018, which is 3 % and 31 % of riverine input MPs of The Yangtze River and The Pearl River in terms of mid-point mass, respectively. The increasing load of ingestible plastics from sea air could have a far-reaching impact on marine ecosystem.

Terrestrial plants as a potential temporary sink of atmospheric microplastics during transport

Atmospheric transport is an important pathway by which terrestrial microplastics (MPs, with sizes less than 5 mm) can move long distances to remote areas. However, little is known about the environmental behaviors of atmospheric MPs during movement. To address this issue, deposits of MPs on the leaves of plants were studied in two regions, with abundance ranging from 0.07 n/cm² (pieces per area of leaves) to 0.19 n/cm². The attached substances were mainly natural materials, but 28% of the total substances were plastics. There was a similar physical-chemical composition of the attached MPs in the two regions suggesting a similar origin. Leaves, regardless of plant species, can indiscriminately retain atmospheric MPs. About 0.13 trillion pieces of MPs are estimated to be attached to leaf surfaces in the top 11 green countries. Leaves of terrestrial plants could be a temporal sink and a source of MPs pollution to remote areas. This is not fully recognized and merits further study.

Elucidating the vertical transport of microplastics in the water column: A review of sampling methodologies and distributions

There have been numerous studies that have investigated floating microplastics (MPs) in surface water, yet little data are currently available regarding the vertical distribution in the water column. This lack constrains our ability to comprehensively assess the ecological effects of MPs and develop further policy controls. In this study, we reviewed current progress of sampling methodologies, the distribution patterns, and the physiochemical properties of MPs throughout the water column. Three sampling protocols were identified in this study: bulk, net and submersible pump/in-situ sampling. In different regions, the vertical patterns of MPs in the water column varied with depth, which is possibly related to the morphological characteristics, polymeric densities, and biofouling of the MPs. The results of this review revealed that fibrous and fragmented MPs comprised over 90% of the total MPs by quantity, of which fibrous MPs constituted the majority (43%-100%). In addition, polyethylene terephthalate, polyamide, polyethylene, polyvinyl chloride, and polypropylene have been widely identified in previous studies. To minimize the impact caused by various sampling protocols, the use of a volume gradient trail experiment and a unified mesh size of 60-100 μm for the initial concentration are recommended according to the results of this review. Given the limited knowledge regarding the vertical transport of MPs in the water column, harmonized sampling methods should first be developed. The mechanisms of this process can be separately considered for different water bodies, such as freshwater systems, coastal waters, and pelagic zones. The presence of these anthropogenic pollutants in the water column poses a threat to the largest but most vulnerable habitats of life on earth, and hence they merit further investigation.

Profiling the Vertical Transport of Microplastics in the West Pacific Ocean and the East Indian Ocean with a Novel in Situ Filtration Technique

A new technique involving large-volume (10 m³) samples of seawater was used to determine the abundance of microplastics (MPs) in the water column in the West Pacific Ocean and the East Indian Ocean. Compared to the conventional sampling methods based on smaller volumes of water, the new data yielded abundance values for the deep-water column that were at least 1-2 orders of magnitude lower. The data suggested that limited bulk volumes currently used for surface sampling are insufficient to obtain accurate estimates of MP abundance in deep water. Size distribution data indicated that the lateral movement of MPs into the water column contributed to their movement from the surface to the bottom. This study provides a reliable dataset for the water column to enable a better understanding of the transport and fate of plastic contamination in the deep-ocean ecosystem.

CircRNA UBAP2 promotes the progression of ovarian cancer by sponging microRNA-144

OBJECTIVE

This study aims to elucidate the regulatory effect of circular RNA UBAP2 (circUBAP2) on the progression of ovarian cancer (OC).

PATIENTS AND METHODS

Quantitative Real Time-Polymerase Chain Reaction (qRT-PCR) was used to detect the expressions of circUBAP2, microRNA-144 and CHD2 in OC tissues and adjacent normal tissues. The correlation between the expression levels of circUBAP2 and microRNA-144 with pathological parameters of OC patients was analyzed. Subcellular distribution of circUBAP2 was detected by chromatin fractionation assay. After overexpression of circUBAP2 in OC cells, changes in proliferative and migratory abilities were evaluated by Cell Counting Kit-8 (CCK-8) and transwell assay, respectively. In addition, the Dual-Luciferase reporter gene assay was used to verify the binding of circUBAP2 and microRNA-144, and the binding of CHD2 to microRNA-144.

RESULTS

QRT-PCR results showed that circUBAP2 was highly expressed in OC tissues, and its expression was negatively correlated with TMN stage and five-year survival of OC patients. CircUBAP2 was mainly distributed in the cytoplasm. Overexpression of circUBAP2 significantly promoted the proliferative and migratory abilities of OC cells. The Dual-Luciferase reporter gene assay demonstrated that circUBAP2 could bind to microRNA-144. Meanwhile, circUBAP2 negatively regulated microRNA-144 expression in OC cells. Besides, the promotive effects of circUBAP2 on the proliferation and migration of OC cells were reversed by microRNA-144 overexpression. MicroRNA-144 was lowly expressed in OC tissues, which was negatively correlated with TNM stage of OC patients. The Dual-Luciferase reporter gene assay confirmed the binding condition between CHD2 and microRNA-144. CHD2 expression was negatively regulated by microRNA-144 in OC cells. Moreover, CHD2 could bind to microRNA-144 and partially inhibited its activity, thereby promoting the proliferative and migratory abilities of OC cells.

CONCLUSIONS

CircUBAP2 promotes the progression of ovarian cancer by adsorbing microRNA-144.

Thermodynamics of CeSiO4: Implications for Actinide Orthosilicates

Zircon (ZrSiO₄, I4₁/amd) can accommodate actinides, such as thorium, uranium, and plutonium. The zircon structure has been determined for several of the end-member compositions of other actinides, such as plutonium and neptunium. However, the thermodynamic properties of these actinide zircon structure types are largely unknown due to the difficulties in synthesizing these materials and handling transuranium actinides. Thus, we have completed a thermodynamic study of cerium orthosilicate, stetindite (CeSiO₄), a surrogate of PuSiO₄. For the first time, the standard enthalpy of formation of CeSiO₄ was obtained by high temperature oxide melt solution calorimetry to be -1971.9 ± 3.6 kJ/mol. Stetindite is energetically metastable with respect to CeO₂ and SiO₂ by 27.5 ± 3.1 kJ/mol. The metastability explains the rarity of the natural occurrence of stetindite and the difficulty of its synthesis. Applying the obtained enthalpy of formation of CeSiO₄ from this work, along with those previously reported for USiO₄ and ThSiO₄, we developed an empirical energetic relation for actinide orthosilicates. The predicted enthalpies of formation of AnSiO₄ are then determined with a discussion of future strategies for efficiently immobilizing Pu or minor actinides in the zircon structure.

Anti-Hu-related epilepsy diagnosed after surgical management

Autoimmune epilepsy (AE) refers to epilepsy mediated by autoantibodies or immune cells, and a large proportion of drug-resistant epilepsy cases are classified as AE. AE lacks standardized management guidelines. At present, little research has been conducted on the effectiveness of surgical treatment of AE. This paper reports a patient whose surgical treatment was ineffective before AE was diagnosed and who improved after immunotherapy. A literature review was conducted to examine the progress of surgical treatment of epilepsy, the relationship of temporal lobe epilepsy to neuronal antibodies, surgical and prognostic factors, research progress on the anti-Hu antibody, and treatment of autoimmune encephalitis to provide a clinical reference.

The Progress in Diagnosis and Treatment of Exosomes and MicroRNAs on Epileptic Comorbidity Depression

The occurrence of epilepsy can increase the incidence of depression, and the risk of epilepsy in the patients with depression is also high, both of which have an adverse effect on the life and the psychology of the patient, which is not conducive to the prognosis of the patients with epilepsy. With lucubrating the function of exosomes and microRNAs, some scholars found that the exosomes and its microRNAs have development prospect in the diagnosis and treatment of the disease. MicroRNAs are involved in the regulation of seizures and depression, as biomarkers, that can significantly improve the management of epileptic patients and play a preventive role in the occurrence of epilepsy and epilepsy depressive disorder. Moreover, due to its regulation to genes, appropriate application of microRNAs may have therapeutic effect on epilepsy and depression with the characteristics of long distance transmission and stability of exosomes, to a certain extent. This provides a great convenience for the diagnosis and treatment of epileptic comorbidity depression.

[Preliminary application of transjugular intrahepatic portosystemic shunt in individualized treatment of patients with cirrhotic portal hypertension complicated with refractory ascites and variceal hemorrhage]

Objective: To investigate the feasibility, efficacy and safety of transjugular intrahepatic portosystemic shunt (TIPS) in the individualized treatment of patients with refractory ascites and variceal hemorrhage caused by portal hypertension. Methods: Prospective study of clinical data of 47 patients with portal hypertension and refractory ascites and variceal bleeding admitted to the Affiliated Hospital of Xuzhou Medical University from August 2017 to December 2018, 26 males and 21 females, aged 23-75 (52±14) years old. The Viabahn stent was used to control the diameter of the shunt and the preoperative interval of PPG after individualized TIPS was determined according to the preoperative liver function Child-Pugh classification. The PPG of the Child A and B patients was <10 mm Hg (1 mmHg=0.133 kPa), Child-Pugh C grade patients with postoperative PPG interval values of 12 to 15 mmHg. The success rate, hemostasis rate, ascites remission rate, and complication rate were recorded. Results: Forty-seven patients were with a success rate of 100%, and there was no surgically related fatal complications. The portal pressure gradients of patients with Child-Pugh A, B and Child-Pugh C were reduced from preoperative (22.5±5.4), (24.4±2.6) mm Hg to postoperative (8.8±2.5), (13.2±1.1) mm Hg (all P<0.05). All the patients were followed up for 6 to 24 months, with a median follow-up of 13 months. The success rate of hemostasis in patients with upper gastrointestinal bleeding was 93.5% (29/31), the remission rate of patients with refractory ascites was 14/16, the postoperative rebleeding rate was 6.5% (2/31), the incidence of hepatic encephalopathy was 8.5% (4/47), and the shunt disorder was 2.1% (1/47). Conclusion: The use of Viabahn stent for individualized TIPS in the treatment of portal hypertension with refractory ascites and variceal hemorrhage is feasible, and the clinical efficacy is affirmative, which can reduce the incidence of postoperative hepatic encephalopathy and shunt dysfunction.

Long non-coding RNA ZEB1-AS1 promotes glioma cell proliferation, migration and invasion through regulating miR-577

OBJECTIVE

Long non-coding RNA ZEB1-AS1 (ZEB1-AS1) was reported to be implicated and aberrantly expressed in multiple cancers. However, the potential mechanism and clinical significance of ZEB1-AS1 in the carcinogenesis of glioma remain unclear.

PATIENTS AND METHODS

RT-PCR was performed to determine the expression of ZEB1-AS1 in glioma tissues and cell lines. The association between ZEB1-AS1 expression and clinical features and prognosis were statistically analyzed. MTT and transwell assays were used to test the proliferation, invasion, and migration of glioma cells. Luciferase report assay was used to detect the correlation between ZEB1-AS1 and miR-577 in glioma.

RESULTS

Compared with normal brain tissues and cells, ZEB1-AS1 in glioma tissues and cell lines was shown to be expressed at high levels. Clinical association analysis indicated that ZEB1-AS1 expression was closely associated with tumor size (p = 0.014), KPS (p = 0.004) and WHO grade (p = 0.001). In addition, it was observed that high expression level of ZEB1-AS1 was remarkably associated with overall survival and could be an independent prognostic indicator of glioma using univariate and multivariate analysis. Functional experiments demonstrated that down-regulation of ZEB1-AS1 suppressed the proliferation, invasion, and migration of glioma cell in vitro. In the mechanism, we found that ZEB1-AS1 acted as a competing endogenous RNA to sponge miR-577. Moreover, miR-577 could reverse the tumor-promotive role of ZEB1-AS1 on glioma cells.

CONCLUSIONS

Our findings demonstrated that ZEB1-AS1 might play an oncogenic role in glioma and was a poor prognostic factor. The ZEB1-AS1/miR-577 axis might be a potential target for the development of effective glioma therapy.

Accurate quantification and transport estimation of suspended atmospheric microplastics in megacities: Implications for human health

Although atmospheric microplastics have been found to be ubiquitous even on untraversed mountains and have potential impacts on human health, little information concerning their sampling methodology and transport is currently available. Until a realistic quantification of suspended atmospheric microplastics (SAMPs) is obtained, however, any potential health risk assessment for this pollutant will be open to criticism for using an ambiguous dataset. To address this knowledge gap, in May 2019 a trial experiment was performed to explore the potential relationship between sampling volume and SAMP abundance. A significant logarithmic regression between SAMP abundance and the sampling volume of filtrated air was found and the sufficient volume of filtrated air for accurate SAMP quantification was recommended. Investigation results indicated that fibrous and fragment-shaped SAMPs comprised 91% of all of the identified synthetic particles. Interestingly, for the first time, plastic microbeads were also observed in the collected air, constituting 9% of the all of the SAMPs by quantity. Spectral analysis revealed that these SAMPs consisted of polyethylene terephthalate (PET), epoxy resin (EP), polyethylene (PE), alkyd resin (ALK), rayon (RY), polypropylene (PP), polyamide (PA), and polystyrene (PS). PET, EP, PE, and ALK constituted the majority (90%) of all of the polymer types, with quantitative percentages of 51%, 19%, 12%, and 8%, respectively. Based on our numerical modeling simulation, the approximate transport flux of SAMPs during June in Shanghai was estimated, ranging from 9.94 × 10⁴ n/(m·d) to 6.52 × 10⁵ n/(m·d), with a mean of 3.00 ± 1.58 × 10⁵ n/(m·d). The goal of our study was to provide an essential methodological aid for the accurate determination of SAMPs in the environment and a better understanding of terrestrial microplastic transport in megacities.

Consistent Transport of Terrestrial Microplastics to the Ocean through Atmosphere

Although atmospheric transport and deposition could be an important pathway of terrestrial pollutants to the ocean, little information concerning the presence and distribution of these suspended atmospheric microplastics in marine air is available. We investigated, for the first time, the occurrence and distribution of suspended atmospheric microplastics (SAMPs) in the west Pacific Ocean. In this study, the spatial distribution, morphological appearance, and chemical composition of suspended atmospheric microplastics were studied through continuous sampling during a cruise. SAMPs abundance ranged from 0 to 1.37 n/m³, the median of 0.01 n/m³. Fiber, fragment, and granule SAMPs quantitively constituted 60%, 31%, and 8% of all MPs, respectively. Interestingly, plastic microbeads with numerical proportion of 5% were also observed. A high suspended atmospheric microplastics abundance was found in the coastal area (0.13 ± 0.24 n/m³), while there was less amount detected in the pelagic area (0.01 ± 0.01 n/m³). The amount of suspended atmospheric microplastics collected during the daytime (0.45 ± 0.46 n/m³) was twice the amount collected at night (0.22 ± 0.19 n/m³), on average. Our observations provide field-based evidence that suspended atmospheric microplastics are an important source of microplastics pollution in the ocean, especially the pollution caused by textile microfibers.

Consistent Transport of Terrestrial Microplastics to the Ocean through Atmosphere

Although atmospheric transport and deposition could be an important pathway of terrestrial pollutants to the ocean, little information concerning the presence and distribution of these suspended atmospheric microplastics in marine air is available. We investigated, for the first time, the occurrence and distribution of suspended atmospheric microplastics (SAMPs) in the west Pacific Ocean. In this study, the spatial distribution, morphological appearance, and chemical composition of suspended atmospheric microplastics were studied through continuous sampling during a cruise. SAMPs abundance ranged from 0 to 1.37 n/m³, the median of 0.01 n/m³. Fiber, fragment, and granule SAMPs quantitively constituted 60%, 31%, and 8% of all MPs, respectively. Interestingly, plastic microbeads with numerical proportion of 5% were also observed. A high suspended atmospheric microplastics abundance was found in the coastal area (0.13 ± 0.24 n/m³), while there was less amount detected in the pelagic area (0.01 ± 0.01 n/m³). The amount of suspended atmospheric microplastics collected during the daytime (0.45 ± 0.46 n/m³) was twice the amount collected at night (0.22 ± 0.19 n/m³), on average. Our observations provide field-based evidence that suspended atmospheric microplastics are an important source of microplastics pollution in the ocean, especially the pollution caused by textile microfibers.

Effect of RhoC silencing on multiple myeloma xenografts and angiogenesis in nude mice

In this study, we investigated the expression of RhoC in the multiple myeloma (MM) cell line RPMI- 8226, as well as the effects of silencing RhoC on the growth of tumor xenografts and tumor-induced angiogenesis in nude mice with MM. For this purpose, we transduced RPMI-8226 cells with lentiviral particles overexpressing short hairpin RNAs (shRNA) targeting RhoC. Tumor xenografts were generated by subcutaneously injecting nude mice with RPMI-8226 cells overexpressing control shRNA [negative control (NC) group] or the RhoC shRNA [the experimental (S) group], respectively. RhoC protein and mRNA levels in the tumor xenografts were measured. Nude mice were also subcutaneously inoculated with Matrigel mixed with vascular endothelial growth factor, and CD31 and KI67 levels in the tumor xenografts were measured by immunohistochemistry. Similarly, we assessed tumor xenograft growth and angiogenesis in Matrigel implants in the mice of both groups. We found that RhoC levels, microvessel density, and CD31 labeling index were more reduced in the S group than in the NC group. However, there was no significant difference in the size of tumor xenografts between the 2 groups. The number of new vessels and the neovascular length in the Matrigel implants were significantly lower in the S group than in the NC group. Therefore, we concluded that RhoC expression in myeloma xenografts has important effects on the induction of angiogenesis.

A novel method enabling the accurate quantification of microplastics in the water column of deep ocean

Little information concerning microplastic (MP) pollution in the deep ocean is currently available, and a huge gap exists between sampling methodology and obtaining an authentic dataset. Verified sampling methodology is a fundamental step in the accurate determination of MP pollution in the pelagic environment, of which sample volume is a crucial factor. To address this methodological challenge, in situ filtration technology, a novel sampling method for microplastics in the water column, was proposed and investigated. On 27 April 2019, we took the East China Sea as a typical example in order to determine the relationship between sample volume and MP abundance. Analysis indicated that the filtrated volume has an impact on MP quantification and significant exponential regression between the sample volume and MPs was observed. This investigation indicated that a small volume sample could easily lead to MP overestimation, with at least 8 m³ water required to obtain reliable data.

[The ratio of tuberculosis-specific antigen to phytohemagglutinin in T-SPOT assay in the diagnosis of active tuberculosis]

Objective: The aim of this study was to determine the performance of the ratio of tuberculosis-specific antigen (TBAg) to phytohemagglutinin (PHA) (TBAg/PHA ratio) in T-SPOT assay in the diagnosis of active tuberculosis (ATB). Methods: Between January 2014 and January 2017, 378 Mycobacterium tuberculosis (MTB) culture positive patients (268 cases of pulmonary tuberculosis, 110 extra-pulmonary tuberculosis) and 824 healthy individuals were recruited from Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology. T-SPOT assay was performed and TBAg/PHA ratio was calculated in all the participants. To validate the study, another group of 223 MTB culture positive TB patients with positive T-SPOT results were recruited from Guangzhou Chest Hospital between January 2017 and December 2017. This was a retrospective case-control study and differences between groups were analyzed using the Mann-Whitney U-test. Results: Of the 378 culture positive ATB patients, 344 patients had positive T-SPOT results. Of the 824 healthy individuals, 204 individuals had positive T-SPOT results. Using healthy individuals as the control group, the sensitivity and specificity of T-SPOT assay in the diagnosis of ATB were 91.0% (344/378) and 75.2% (620/824). Directly using T-SPOT results had a limited accuracy in distinguishing ATB from latent tuberculosis infection (LTBI). The area under the receiver operating characteristic (ROC) curve was between 0.7 and 0.8. However, a further calculation of the TBAg/PHA ratio showed a better performance than TBAg in distinguishing these two conditions, and the area under the ROC curve was 0.881 (95% CI: 0.853-0.909). If using the threshold value of 0.234, the sensitivity and specificity of the TBAg/PHA ratio in distinguishing ATB from LTBI were 69.5% (239/344) and 94.12% (192/204). The validation data showed that the performance of the TBAg/PHA ratio in distinguishing ATB from LTBI was also satisfactory, and the area under the ROC curve was 0.901 (95% CI: 0.872-0.931). Furthermore, the TBAg/PHA ratio had an important role in the diagnosis of extra-pulmonary tuberculosis. If using the threshold value of 0.234, the sensitivity and specificity of the TBAg/PHA ratio in the diagnosis of extra-pulmonary tuberculosis were 79.2% (76/96) and 94.1% (192/204). The area under the ROC curve was 0.932 (95% CI: 0.897-0.967). Conclusions: The TBAg/PHA ratio in T-SPOT assay was better than directly using T-SPOT results in distinguishing ATB from LTBI. This ratio also showed a potential use in the diagnosis of extra-pulmonary tuberculosis.

Knockdown of PLK1 inhibits invasion and promotes apoptosis in glioma cells through regulating autophagy

OBJECTIVE

Polo like kinase 1 (PLK1), an oncogene, is a ubiquitously expressed serine/threonine protein kinase. We aimed at investigating the role of PLK1 in glioma.

PATIENTS AND METHODS

Clinical glioma specimens were obtained from Zhejiang Hospital (Hangzhou, Zhejiang, China). The mRNA and protein levels of PLK1 in glioma tissues and different glioma cells were analyzed by Real-time PCR and Western blot, respectively. The expression of PLK1 protein in glioma tissues was also determined by immunohistochemistry staining. Then, the effect of PLK1 on cell proliferation and apoptosis of U251 and U87 cells was analyzed by using CCK-8 assay and Annexin V/PI staining, respectively. Furthermore, the migration and invasion of glioma cells were examined by transwell assay. Finally, the protein levels of autophagy indicators LC3-II, ATG5 and p-p70 S6 in U251 and U87 cells were detected by Western blot, and the expression of E-cadherin, vimentin and MMP9 and apoptosis associated indicators Bax, cleaved caspase-3 and Bcl-2 in U251 cells were also determined using Western blot.

RESULTS

PLK1 was upregulated in glioma tissues and cells. Knockdown of PLK1 significantly inhibited cell proliferation, migration, invasion, and induced apoptosis of U87 and U251 glioma cells. Furthermore, the data demonstrated that knockdown of PLK1 significantly elevated expression of cleaved caspase-3, BIM, BAX, and E-cadherin, and reduced expression of MMP9, ATG5 and LC3-II in U251 and U87 cells. Additionally, we found that knockdown of PLK1 can inhibit autophagy in glioma cells.

CONCLUSIONS

Knockdown of PLK1 can inhibit the glioma development by suppressing the autophagy and enhancing the apoptosis of glioma cells. PLK1 may be a potential therapeutic target in gliomas.

Cockroach is a major cross-reactive allergen source in shrimp-sensitized rural children in southern China

BACKGROUND

Little is known about the prevalence of food allergy (FA) in China. The aim of this study was to investigate the disparity of FA between urban and rural areas in southern China.

METHODS

EuroPrevall questionnaire responses were obtained from 5542 school-age children in urban Guangzhou and 5319 in rural Shaoguan. A case-control study enrolled 190 children with adverse reactions (ARs) after food intake as cases and 212 controls in Guangzhou, whereas 116 cases and 233 controls in Shaoguan. These subjects underwent skin prick test (SPT) and serum IgE measurements to food and inhalant allergens. Allergen extracts from shrimp, house dust mite (HDM), and cockroach were prepared for IgE cross-reactivity testing in 23 Guangzhou and 20 Shaoguan shrimp-sensitized subjects.

RESULTS

The prevalence of ARs to shrimp was higher in Guangzhou than in Shaoguan children (3.5% vs 1.4%, P < .001). However, sensitization rate to shrimp (SPT: 3.7% vs 11.2%, P = .015; IgE: 12.6% vs 36.2%, P < .001) and cockroach (SPT: 5.3% vs 33.5%; IgE: 2.6% vs 27.6%, P < .001) was lower in Guangzhou. A significant correlation between shrimp and HDM/cockroach IgE was found in Shaoguan children. The proportions of positive IgE to tropomyosin (Pen a 1, Der p 10) were lower than 7.4% in both areas. Cockroach allergen has a significantly higher inhibition rate of binding to IgE to house dust mite allergens in Shaoguan sera.

CONCLUSION

Shrimp is a common allergic food in southern China. Higher proportion of shrimp sensitization in rural subjects could be explained by cross-reactivity to cockroach. Tropomyosin was not a major allergen responding to the cross-reactivity.

4-Phenylpyrimidine monolayer protection of a copper surface from salt corrosion

4-Phenylpyrimidine (4-PPM) containing N heteroatoms can easily form compact and uniform layers on metallic surfaces. In this work, the protection of a copper surface from corrosion in 3 wt% NaCl by a 4-PPM layer was investigated by electrochemical impedance spectroscopy (EIS) and polarization methods. Under optimum conditions, the inhibition efficiency of a 4-PPM layer for copper corrosion reached 83.2%. Raman analysis in conjunction with calculations using density functional theory (DFT) based on the B3LYP/LANL2DZ basis set suggested that the 4-PPM molecule anchored on the copper surface via the N₁ atom to construct a uniform layer.

The efficiency of a 4-phenylpyrimidine monolayer optimally self-assembled on a copper surface against corrosion by a 3 wt% NaCl solution could reach 83.2%.

Immunomodulatory effects of T helper 17 cells and regulatory T cells on cerebral ischemia

The aim of the present study was to analyze the relationship between cerebral ischemia and immune effects. A total of 70 Kunming mice were randomly divided into two groups: a model group (60 mice) and a sham group (10 mice). The model group was divided into six subgroups (10 mice per group) which were categorized according to the following time periods of treatment: 6 h, 12 h, 24 h, 48 h, 72 h and 5 days. The temporary middle cerebral artery occlusion (tMCAO) mouse model was established using intracavitary suture. The degree of brain injury was evaluated by detecting the neurological deficit score (NDS). Following cerebral ischemia reperfusion, the edema of the brain tissue was aggravated, and the infarction area was increased. At 48 h, the volume of the cerebral infarction reached a peak (44.4±3.2%) and then it decreased. The NDS score gradually decreased, and the nerve function was gradually restored. At 6 h, the NDS score was 4.6±0.55, whereas at the 5 d time point, it was significantly decreased (P less than 0.05) to 2.2±0.45. Flow cytometry analysis indicated that the percentage of Th17 cells increased gradually following ischemia. At 24 h, the percentage of Th17 cells reached its maximum value (0.70±0.10%) compared with the sham and the 5 d groups (P less than 0.05). At 24 h, the percentage of Th17 cells reached the lowest value (0.9±0.29%), whereas at the 5 d time point it increased significantly (3.2±0.49%) compared with the normal level (P less than 0.05). The secretion of Th17 and Treg-associated cytokines was consistent with the number of Th17 and Treg cells following ischemia. However, the levels of IL-17A in the brain tissues and the serum indicated a tendency to increase following the prolongation of ischemia. This marker reached the maximum levels on day 5. The IL-17 brain level was 77.9±5.11pg/ml, whereas the serum level was 29.44±3.06pg/ml. The changes in the secretion of the Th17 and Treg-related inflammatory cytokines were consistent with the changes in the cell ratio of Th17 and Treg cells. A significant correlation was noted between the two groups and the degree of ischemic brain injury. The results suggested that the functional status of Th17/Treg cells was imbalanced following cerebral ischemia.