New perspective of small-molecule antiviral drugs development for RNA viruses

High variability and adaptability of RNA viruses allows them to spread between humans and animals, causing large-scale infectious diseases which seriously threat human and animal health and social development. At present, AIDS, viral hepatitis and other viral diseases with high incidence and low cure rate are still spreading around the world. The outbreaks of Ebola, Zika, dengue and in particular of the global pandemic of COVID-19 have presented serious challenges to the global public health system. The development of highly effective and broad-spectrum antiviral drugs is a substantial and urgent research subject to deal with the current RNA virus infection and the possible new viral infections in the future. In recent years, with the rapid development of modern disciplines such as artificial intelligence technology, bioinformatics, molecular biology, and structural biology, some new strategies and targets for antivirals development have emerged. Here we review the main strategies and new targets for developing small-molecule antiviral drugs against RNA viruses through the analysis of the new drug development progress against several highly pathogenic RNA viruses, to provide clues for development of future antivirals.

Histone H1.2 Inhibited EMCV Replication through Enhancing MDA5-Mediated IFN-β Signaling Pathway

Histone H1.2 is a member of the linker histone family, which plays extensive and crucial roles not only in the regulation of chromatin dynamics, cell cycle, and cell apoptosis, but also in viral diseases and innate immunity response. Recently, it was discovered that H1.2 regulates interferon-β and inhibits influenza virus replication, whereas its role in other viral infections is poorly reported. Here, we first found the up-regulation of H1.2 during Encephalomyocarditis virus (EMCV) infection, implying that H1.2 was involved in EMCV infection. Overexpression of H1.2 inhibited EMCV proliferation, whereas knockdown of H1.2 showed a significant promotion of virus infection in HEK293T cells. Moreover, we demonstrated that overexpression of H1.2 remarkably enhanced the production of EMCV-induced type I interferon, which may be the crucial factor for H1.2 proliferation-inhibitory effects. We further found that H1.2 up-regulated the expression of the proteins of the MDA5 signaling pathway and interacted with MDA5 and IRF3 in EMCV infection. Further, we demonstrated that H1.2 facilitated EMCV-induced phosphorylation and nuclear translocation of IRF3. Briefly, our research uncovers the mechanism of H1.2 negatively regulating EMCV replication and provides new insight into antiviral targets for EMCV.

[Risk factors for recurrence and survival analysis in locally advanced T4a papillary thyroid carcinoma after R0 resection]

Objective: To investigate the treatment outcomes and risk factors of postoperative recurrence in T4a papillary thyroid carcinoma (PTC). Methods: A total of 185 patients with locally advanced T4a PTC treated in Beijing Tongren Hospital, Capital Medical University from January 2006 to December 2019 were retrospectively analyzed, including 127 females and 58 males, aged between 18 and 80 years, with 74 patients aged over 55 years. According to AJCC thyroid tumor staging, 111 cases were stage I (T4aN0M0 26 cases, T4aN1aM0 35 cases, and T4aN1bM0 50 cases) and 74 cases were stage Ⅲ (T4aN0M0 29 cases, T4aN1aM0 19 cases, and T4aN1bM0 26 cases). Kaplan-Meier method was used to calculate the overall survival and the recurrence-free rate, and univariate and multivariate logistic regression analyses on the clinical data were performed. Results: Recurrent laryngeal nerve invasion was observed in 150 cases, trachea invasion in 61 cases, esophagus invasion in 30 cases, and laryngeal structure invasion in 10 cases. Postoperative follow-up periods were 24-144 months, with an average of 68.29 months. Of the 185 patients, 18 (9.73%) had recurrences or metastases, including 9 cases (4.86%) died of recurrences or metastases. The 5-year and 10-year overall survival rates were respectively 95.21% and 93.10%. The 5-year and 10-year disease-free survival rates were respectively 89.65% and 86.85%. Univariate analysis showed that age of onset, tumor diameter, preoperative recurrent laryngeal nerve palsy, esophageal invasion and cervical lymph node metastasis were the risk factors for postoperative recurrence of T4a PTC(all P<0.05). Multivariate analysis showed that preoperative recurrent laryngeal nerve palsy (OR=3.27, 95%CI: 1.11-9.61, P=0.032) and lateral cervical lymph node metastasis (OR=4.71, 95%CI: 1.19-18.71, P=0.027) were independent risk factors for T4a PTC recurrence. Survival rate of patients with T4a PTC involving only the recurrent laryngeal nerve or the outer tracheal membrane was significantly better than that of patients with tracheal invasion (P<0.05). Conclusions: T4a PTC patients with R0 resection can still achieve good efficacy. Preoperative recurrent laryngeal nerve palsy and lateral cervical lymph node metastasis are independent risk factor for postoperative recurrence in the patients.

Identification of Tiletamine, Zolazepam and Their Metabolites in Drug Facilitated Sexual Assault by GC-QTOF-MS

Objective To identify tiletamine, zolazepam and their metabolites in samples from drug facilitated sexual assault by gas chromatography-quadrupole time of flight mass spectrometry （GC-QTOF-MS）. Methods Urine samples of victims were collected, and detected by GC-QTOF-MS after liquid-liquid extraction and concentration. The molecular formula of fragments ions was identified by determination of accurate mass numbers, to detect related substances. Results Tiletamine, zolazepam, three metabolites of tiletamine and two metabolites of zolazepam were identified in urine samples from actual cases. Conclusion GC-QTOF-MS provides abundant and accurate information of fragment ions mass numbers, which can be used for qualitative identification of tiletamine, zolazepam and their metabolites in drug facilitated sexual assault.

Breast-Conserving Surgery Is Preferred Though Not Commonly Performed in an Urban Region of China

Introduction: Breast-conserving surgery (BCS) followed by radiation therapy has proven to be as effective as modified radical mastectomy, and has, therefore, been considered as the standard treatment for patients with localized breast cancer in Western societies. However, performance of BCS for the treatment of breast cancer in China is not as common as in Western countries. This study was to evaluate healthy women's attitudes towards BCS in an urban region of China.Method: Between February and March 2009, three hundred and fifty healthy women from three urban suburbs of Taiyuan city in Northern China were invited to complete a self-administered questionnaire. Participants' characteristics, including age, education, occupation, and attitudes towards breast cancer treatment options and involvement of treatment decisions, were collected and analyzed.Results: Three hundred and fifteen women returned the questionnaire. The response rate was 90%. The median age of the participants was 31.2 years old (range: 16 – 69 years old). Among them, 49.2% were married, 27.9% had received high levels of education, and 87.3%, 95.2% and 71.4% would like to know the disease status, to involve making treatment decisions, and to accept BCS, respectively, if they were diagnosed with breast cancer. Women aged above 45 years were more likely to choose BCS compared with those less than 45 years old (73.4% vs 61.5%, P = 0.08). There was no association between choices of surgical approaches and levels of education or occupation. As for breast cancer treatment information sources, 76.8% of the participants mentioned oncologists, followed by the internet (12.1%), friends, and media (10.8%). Almost all responders (93.3%) would like to attend hospitals specialized in cancer treatment if breast lumps were detected.Conclusion: Although only 7.1% of breast cancer patients attending a specialized tumor hospital in Taiyuan city underwent BCS, the current study indicate that most women in Northern China would prefer BCS to mastectomy if they were diagnosed with breast cancer. Therefore, further occupational training is warranted for oncologists in China so that optimal treatments for patients with breast cancer can be carried out.

Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 6077.

The Developing Nature of Menstrual and Reproductive Factors Associated with Breast Cancer Risk among Women in an Urban Region of China

Introduction: The incidence rate of female breast cancer has increased rapidly over the past 20 years in China. It has become the leading cause of newly diagnosed cancer and a major cause of mortality among women in some large Chinese cities with higher socio-economic status. This was partly explained by the change of lifestyle and reproductive risk factors. However, little data exists on the extent to which the menstrual and reproductive factors with breast cancer risk have changed in other less developed Chinese cities.Method: One cross sectional study was conducted in urban region of Taiyuan of China from September 2008 to March 2009. One thousand and five hundreds healthy women were invited to complete a self-administered questionnaire. Participants' characteristics, including age, education, occupation, weight, height, age at menarche, age at first birth, parity, duration of breastfeeding, and age at menopause were collected and analyzed. Study subjects were divided into six groups: younger than or equal to 20, 21 to 30, 31 to 40, 41 to 50, 51 to 60 and older than 60 years old.Results: One thousand four hundreds and twenty eight women returned the questionnaire. The response rate was 95.2%. Median age of women in this study was 39 years old (range: 16 – 86 years old). There was a 4.8cm difference in the mean height between women born in 1990s and 1940s. The average age at menarche dropped from 16 years for women aged above 60 to 14.3 years for those younger than 20 years old. The average birth rate markedly decreased from 4.4 births per woman in the 1960s to 1.1 births per woman in the 1990s. The mean age at first birth increased 5.6 years through the period from the 1940s to 1980s. The breastfeeding time significantly reduced from 20.3 months to 3.6 months over 40 years.Conclusion: This study indicates that there has been significant change in the menstrual and reproductive factors associated with breast cancer risk in the last 40 years. These changes will certainly influence the incidence rate of breast cancer in the local city. Therefore, measures are needed to enhance the awareness of breast cancer and its early-detection methods among the urban region women in China.

Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 6068.

Mammographic density and breast cancer risk factors in Chinese women

Abstract #4082

Background: Past studies have indicated that mammographic density is associated with not only breast cancer risk but also breast cancer risk factors in women living in western nations. However, to data, no such association has been shown among native Chinese women. The aim of this cross-sectional study was to investigate the effects of age, body mass index (BMI), age at menarche, parity, and menopausal status on mammographic patterns in women from a province of Northern China.&#x2028; Methods: Seven hundred and two women's mammograms and information of the breast cancer risk factors were obtained from Shanxi province cancer hospital in Northern China. Mammograms were assessed according to the Wolfe classification.&#x2028; Results: Age, BMI, parity, and menopause were inversely and independently related to high-risk mammographic parenchymal patterns. However, there was no statistically significant association between age at menarche and high mammographic density. Relative to subjects aged less than or equal to 35 years, subjects aged greater than 55 years had reduced 62% (OR = 0.38, 95% CI: 0.14 – 1.00) odds of having a high-risk pattern. In comparison to women whose BMI was less than or equal to 25, there was a 51% and 72% reduction in the odds of having high-risk mammographic patterns for those with BMI 25 to 30 and larger than or equal to 30 respectively (OR = 0.49, 95% CI: 0.32 - 0.74; OR = 0.28, 95% CI: 0.12 - 0.68 respectively). Women with more than three children had decreased 68% risk to have high mammographic density compared to those who were nulliparous (OR = 0.32, 95% CI: 0.1 – 1.0). Premenopausal women were more than four times likely to have a high-risk pattern than postmenopausal women (OR = 4.12, 95% CI: 2.17 – 7.87).&#x2028; Conclusion: Our findings demonstrated that mammographic parenchymal patterns are also associated with some risk factors of breast cancer in native Chinese women. This is consistent with most studies carried out in Western countries. Further studies are needed to determine the relationship between quantitative percentage density and breast cancer risk factors.

Citation Information: Cancer Res 2009;69(2 Suppl):Abstract nr 4082.

Awareness of breast cancer among women in an urban region of China

Abstract #2104

Introduction: Even though breast cancer can be cured if detected early and treated appropriately, it remains the most common cause of cancer mortality for women living in some major cities in China. Moreover, the incidence of this disease has increased steadily in China over the last two decades. The aim of this cross-sectional study was to investigate the knowledge about breast cancer concerning risk factors, signs and symptoms, effective screening methods, treatment choices and prognosis among native Chinese women.&#x2028; Method: Two hundred and seventy healthy women were invited to complete a self-administered questionnaire in Taiyuan city of China. Participants' characteristics, including age, education, occupation, and awareness of breast cancer diagnosis, treatment and prognosis were collected and analyzed.&#x2028; Results: Two hundred and thirty nine women had returned the questionnaire. The response rate was 88.5%. The median age of women in this study was 44 years old (range: 25 – 72). Among them, more than one third had received tertiary education, 6.7% had breast cancer family history, and one quarter ever had benign breast disease. Most of the participants (60.3%) did not know how to perform breast self-examination (BSE), whereas 61.5% never did BSE. Only 2.9% of those who had performed BSE did so regularly. As for effective screening methods, more than half of the participants chose clinical breast examination (CBE), and 21.8% regarded mammography as a reliable mean. Most of women considered breast cancer a curable disease and assumed that therapeutic approaches should include surgery, chemotherapy, endocrine therapy, radiotherapy, and in some cases, traditional Chinese medicine. Only 8.8% of the participants identified two or more of the eight breast cancer risk factors. The factors mostly identified included breast cancer family history (33.5%), late birth (10%), and early age at menarche (9.6%). The breast cancer signs and symptoms mostly indicated were breast lump (54.4%), breast pain (26.4%), and nipple discharge (23.9%). Women who received high level education appeared to be more likely to perform BSE and possessed more knowledge regarding to breast cancer risk factors and treatment.&#x2028; Conclusion: The study indicates that awareness of breast cancer among Chinese women needs to be improved, and that breast cancer early-detection measures needs to be enhanced in China.

Citation Information: Cancer Res 2009;69(2 Suppl):Abstract nr 2104.

[Luminescence dependence upon concentration and temperature in YPO4:Pr3+]

Under selective excitation 3P0 state of Pr3+ ion in YPO4, the emission spectra and fluorescence decay curves are measured at different concentrations and temperatures. The origin of the spectral line located at 613.2 nm has been discussed and assigned to be the 1D2 (gamma 3)-->3H4 (gamma 5) transition. The different concentration dependence of emission intensities of levels 3P0 and 1D2 has been studied. Using static model, the fluorescence decay curve of 1D2 level is fitted, and the result shows that the cross-relaxation caused by the interaction of dipole-quadrupole between adjacent Pr3+ ions results in the concentration quenching.

[A probe into rehabilitating occlusion of majority teeth missing]

It is generally to be found that decrease of occlusal vertical dimension, worn occlusive surface of remaining teeth without opposite teeth and loss of intercusping position (ICP), etc. in the patients with majority teeth missing. In western countries, fixed restorations (including implant dentures) are routinely used for the patients with majority teeth missing in order to rehabilitate occlusion. The authors applied occlusal theory, combining with the clinical facilities and used one-piece casting base and functional impression technique for rehabilitation of occlusion. The purpose of this article was to summarize clinical experiences, to explore the relative problems concerning rehabilitation for patients with majority teeth missing.

Differing regulation of major histocompatibility class II and adhesion molecules on human umbilical vein endothelial cells by serotonin

Major histocompatibility class II molecules (MHC class II), whose biosynthesis and expression by endothelial cells can be induced by gamma-interferon (IFN-gamma), play a major role in antigen recognition and subsequent cell-cell interactions involved in the initiation of immune responses. Adhesion molecules such as E-selectin and intercellular adhesion molecules (ICAM-1), whose biosynthesis and membrane expression by endothelial cells is regulated by proinflammatory cytokines (IL-1 and TNF), are necessary for the attachment and subsequent extravasation of leukocytes into the surrounding tissue. In the present study, the effects of preformed inflammatory mediators (histamine and serotonin) on the induction and expression of MHC class II, E-selectin, and ICAM-1 molecules by human umbilical vein endothelial cells were examined. Serotonin but not histamine was found to significantly inhibit in a dose-response fashion the induction and expression of MHC class II molecules. Inhibition occurred when it was added 24 h before, at the same time (most effective), or 24 h after IFN-gamma stimulation. No enhancement or stimulation of MHC class II biosynthesis could be detected using moderate or low concentration of either histamine or serotonin alone. In contrast to MHC class II molecules, neither serotonin nor histamine blocked the induction and biosynthesis of E-selectin and ICAM-1 molecules as detected by specific H18/7 and RR1/1 monoclonal antibodies, respectively, using flow cytometry. These findings suggest that serotonin but not histamine can assist in regulating the induction and expression of MHC class II molecules. Failure to block biosynthesis of E-selectin and ICAM-1 induced by TNF-alpha and IL-1 beta indicates the inhibitory effect exerted by serotonin was selective in nature.