Magnaporthe oryzae effector MoSPAB1 directly activates rice Bsr-d1 expression to facilitate pathogenesis

Fungal pathogens typically use secreted effector proteins to suppress host immune activators to facilitate invasion. However, there is rarely evidence supporting the idea that fungal secretory proteins contribute to pathogenesis by transactivating host genes that suppress defense. We previously found that pathogen Magnaporthe oryzae induces rice Bsr-d1 to facilitate infection and hypothesized that a fungal effector mediates this induction. Here, we report that MoSPAB1 secreted by M. oryzae directly binds to the Bsr-d1 promoter to induce its expression, facilitating pathogenesis. Amino acids 103-123 of MoSPAB1 are required for its binding to the Bsr-d1 promoter. Both MoSPAB1 and rice MYBS1 compete for binding to the Bsr-d1 promoter to regulate Bsr-d1 expression. Furthermore, MoSPAB1 homologues are highly conserved among fungi. In particular, Colletotrichum fructicola CfSPAB1 and Colletotrichum sublineola CsSPAB1 activate kiwifruit AcBsr-d1 and sorghum SbBsr-d1 respectively, to facilitate pathogenesis. Taken together, our findings reveal a conserved module that may be widely utilized by fungi to enhance pathogenesis.

Pruned litter decomposition primes fluorine bioavailability in soils planted with different tea varieties

Tea (Camellia sinensis L.) plant is fluoride (F) hyperaccumulator. The decomposition of pruned litter in tea plantations releases a large amount of F back into the soil. However, the effect of pruned litter return on soil F bioavailability has remained unclear. We investigated the decomposition dynamics of pruned litter from four tea varieties (Chuannong Huangyazao, Chuancha No. 3, Chuanmu No. 217 and C. sinensis 'Fuding Dabaicha') and its effect on soil F bioavailability. The decomposition of pruned litter occurred in two distinct periods, with an early period of rapid decomposition during the first 120 days, releasing 26-33 % of F, followed by a late period of slow decomposition during 120-360 days, releasing 2-9 % of F. The decomposition of pruned litter enhanced soil F bioavailability by increasing the concentrations of soil water-soluble F (WS-F), exchangeable F (EX-F), and organic matter-bound F (OR-F). The increase in WS-F, EX-F, and OR-F concentrations was higher than the amount of F released from pruned litter, suggesting that the increases in soil F availability did not solely originate from the release of F from pruned litter. The findings reveal the pathway of pruned litter decomposition priming soil F bioavailability through both the direct release of F and transformation from other fractions. Furthermore, the traits (C, N, lignin, and cellulose) of pruned litter from different tea varieties were the dominant factors controlling F release and soil F bioavailability. Compared with other tea varieties, the pruned litter of Chuanmu No. 217 with low lignin and cellulose content promoted higher mass loss and F release, resulting in the highest soil F bioavailability. These findings provide new insights into the mechanisms underlying the accumulation of bioavailable F in soil. These insights offer valuable support for devising effective management strategies for the incorporation of pruned litter into soil.

Root radial apoplastic transport contributes to shoot cadmium accumulation in a high cadmium-accumulating rice line

Radial transport of cadmium (Cd) in roots governs the amount of Cd loaded into xylem vessels, where Cd ions are translocated upward into shoots, while the mechanism of differential Cd radial transport between the high Cd-accumulating rice line Lu527-8 and the normal rice line Lu527-4 remains ambiguous. A higher Cd distribution in cross sections and root apoplast and higher bypass flow of Cd were found in Lu527-8, explaining a greater Cd translocation through the apoplastic pathway. The lower relative area of the epidermis and the constant relative area of the cortex in Lu527-8 opened-up root radial transport for Cd. Deposition of apoplastic barriers (Casparian strips and suberin lamellae) was stimulated by Cd, which effectively prevented Cd from entering the stele through the apoplastic pathway. In Lu527-8, apoplastic barriers were further from the root apex with lower expression of genes responsible for biosynthesis of Casparian strips and suberin lamellae, enhancing radial transport of Cd. Our data revealed that the higher radial apoplastic transport of Cd played an integral role in Cd translocation, contributed to a better understanding of the mechanism involved in high Cd accumulation in Lu527-8 and helped achieve the practical application of phytoextraction.

Neratinib + fulvestrant + trastuzumab for HR-positive, HER2-negative, HER2-mutant metastatic breast cancer: outcomes and biomarker analysis from the SUMMIT trial

BACKGROUND

HER2 mutations are targetable alterations in patients with hormone receptor-positive (HR+) metastatic breast cancer (MBC). In the SUMMIT basket study, patients with HER2-mutant MBC received neratinib monotherapy, neratinib + fulvestrant, or neratinib + fulvestrant + trastuzumab (N + F + T). We report results from 71 patients with HR+, HER2-mutant MBC, including 21 (seven in each arm) from a randomized substudy of fulvestrant versus fulvestrant + trastuzumab (F + T) versus N + F + T.

PATIENTS AND METHODS

Patients with HR+ HER2-negative MBC with activating HER2 mutation(s) and prior cyclin-dependent kinase 4/6 inhibitor (CDK4/6i) therapy received N + F + T (oral neratinib 240 mg/day with loperamide prophylaxis, intramuscular fulvestrant 500 mg on days 1, 15, and 29 of cycle 1 then q4w, intravenous trastuzumab 8 mg/kg then 6 mg/kg q3w) or F + T or fulvestrant alone. Those whose disease progressed on F + T or fulvestrant could cross-over to N + F + T. Efficacy endpoints included investigator-assessed objective response rate (ORR), clinical benefit rate (RECIST v1.1), duration of response, and progression-free survival (PFS). Plasma and/or formalin-fixed paraffin-embedded tissue samples were collected at baseline; plasma was collected during and at end of treatment. Extracted DNA was analyzed by next-generation sequencing.

RESULTS

ORR for 57 N + F + T-treated patients was 39% [95% confidence interval (CI) 26% to 52%); median PFS was 8.3 months (95% CI 6.0-15.1 months). No responses occurred in fulvestrant- or F + T-treated patients; responses in patients crossing over to N + F + T supported the requirement for neratinib in the triplet. Responses were observed in patients with ductal and lobular histology, 1 or ≥1 HER2 mutations, and co-occurring HER3 mutations. Longitudinal circulating tumor DNA sequencing revealed acquisition of additional HER2 alterations, and mutations in genes including PIK3CA, enabling further precision targeting and possible re-response.

CONCLUSIONS

The benefit of N + F + T for HR+ HER2-mutant MBC after progression on CDK4/6is is clinically meaningful and, based on this study, N + F + T has been included in the National Comprehensive Cancer Network treatment guidelines. SUMMIT has improved our understanding of the translational implications of targeting HER2 mutations with neratinib-based therapy.

Hydrogen peroxide mediates cadmium accumulation in the root of a high cadmium-accumulating rice (Oryza sativa L.) line

Hydrogen peroxide (H₂O₂) is a vital signaling molecule in response to cadmium (Cd) stress in plants. However, the role of H₂O₂ on Cd accumulation in root of different Cd-accumulating rice lines remains unclear. Exogenous H₂O₂ and 4-hydroxy-TEMPO (H₂O₂ scavenger) were applied to investigate the physiological and molecular mechanisms of H₂O₂ on Cd accumulation in the root of a high Cd-accumulating rice line Lu527-8 through hydroponic experiments. Interestingly, it was found Cd concentration in the root of Lu527-8 increased significantly when exposed to exogenous H₂O₂, while reduced significantly when exposed to 4-hydroxy-TEMPO under Cd stress, proving the role of H₂O₂ in regulating Cd accumulation in Lu527-8. Lu527-8 showed more Cd and H₂O₂ accumulation in the roots, along with more Cd accumulation in cell wall and soluble fraction, than the normal rice line Lu527-4. In particular, more pectin accumulation, especially low demethylated pectin, was observed in the root of Lu527-8 when exposed to exogenous H₂O₂ under Cd stress, resulting in more negative functional groups with greater capacity to binding Cd in the root cell wall of Lu527-8. It indicated that H₂O₂-induced cell wall modification and vacuolar compartmentalization contributes greatly to more Cd accumulation in the root of the high Cd-accumulating rice line.

Causal relationship between Type 1 diabetes and osteoporosis and fracture occurrence: a two-sample Mendelian randomization analysis

We used two-sample Mendelian Randomization to reveal causal estimates of type 1 diabetes and bone. Type 1 diabetes was found to be a risk factor for bone metabolic health, although there was no clear evidence to support a genetic association between type 1 diabetes and osteoporosis and fracture risk.

INTRODUCTION

Based on the random assignment of gametes at conception, Mendelian randomization (MR) analysis simulates randomized controlled trials in an observational setting. Therefore, we used MR to assess the association causality of type 1 diabetes (T1D) with fractures and osteoporosis.

METHODS

From a genome-wide association meta-analysis, independent single nucleotide polymorphisms closely associated with T1D were selected as instrumental variables. Data on fracture and osteoporosis were obtained from the FinnGen Consortium. We performed a two-sample MR analysis, using inverse-variance weighted (IVW) as the primary analysis method, to assess possible causal associations between T1D and bone risk. The results were verified by MR-Egger regression and median weighted method (WME). MR-PRESSO and MR-Egger intercepts were used to evaluate the horizontal pleiotropy of instrumental variables, and the Q-test and "leave-one-out" methods were used to test the heterogeneity of MR results.

RESULTS

IVW (OR=1.040, 95% CI=0.974-1.109, P=0.238), MR-Egger regression (OR=1.077, 95% CI=0.921-1.260, P=0.372) and WME (OR=1.021, 95% CI=0.935-1.114, P=0.643) all showed that there was no causal relationship between T1D and osteoporosis, but the direction was consistent. The indicative significance of IVW results in T1D and forearm fractures (OR=1.062, 95% CI=1.010-1.117, P=0.020), but the results are not robust enough. There was no causal effect in femur, lumbar and pelvis, or shoulder and upper arm fractures.

CONCLUSIONS

After MR analysis, although T1D may be a risk factor for bone health, we do not have sufficient evidence to support a causal effect of T1D on osteoporosis and fractures at a genetically predicted level. More cases need to be included for analysis.

Characterizing the rill erosion process from eroded morphology and sediment connectivity on purple soil slope with upslope earthen dike terraces

Rills are critical venues for the transport of eroded sediments along hillslopes. The sediment transport efficiency and connectivity within hillslopes are affected by the spatiotemporal evolution of rill erosion and morphology. However, the effect of upslope sediment-laden inflow on rill erosion and connectivity remains unclear. This study investigated the variation in rill erosion from the eroded morphology and sediment connectivity using flume scouring experiments. Upslope sediment-laden inflow was simulated considering the upslope terrace areas of 0.15, 0.30, and 0.45 m² and an upslope inflow of 6 L min^-1. The quantity and cross-sectional depth of rills gradually decreased with increasing upslope terrace area. The cross-sectional morphology of rills changed from being V-shaped to U-shaped in the rill erosion process. All of the mean values of the morphological parameters gradually decreased with increasing upslope terrace area, in contrast to the width-depth ratio (R_w/d) and rill density (ρ), which both initially increased and then decreased. The average length, width, and depth of rills were smaller under an upslope terrace area of 0.45 m² than those under an upslope terrace area of 0.15 m²; they decreased by 2.78 %, 20.67 %, and 33.68 %, respectively. Soil and water loss induced by rill erosion decreased with increasing upslope terrace area. Rills, as major venues for sediment transport on hillslopes, exhibited a higher sediment connectivity (IC) than that observed in interrill areas under the different upslope terrace areas. Rill development resulted in higher erosion between the upslope and downslope parts within rill channels. The variations in R_w/d and ρ were significantly correlated with runoff and eroded sediment yield, which could be used to estimate the rill erosion process under different upslope terrace areas.

Aggregate-associated carbon compositions explain the variation of carbon sequestration in soils after long-term planting of different tea varieties

Strategies to increase carbon (C) sequestration in tea plantation soils are pertinent to mitigating global climate change, but little is known about the variation in C sequestration in soils planted with different tea varieties. In the current study, we collected 0-20 and 20-40 cm layer soil samples from a tea plantation planted with four tea varieties (Chuancha No.3 (CC3), Chuanmu No. 217 (CM217), Chuannong Huangyazao (CN), and C. sinensis 'Fuding Dabaicha' (FD)). Soil organic carbon (SOC) stock and composition in the bulk soil and aggregate fractions, as well as the SOC stability index (SI), were investigated. Both SOC stock and composition in the bulk soil or aggregate fractions were variable among the soils after planting different tea varieties. Overall, the highest SOC stock (0-40 cm) was observed in FD soil, followed by CN, CC3, and CM217 soil. This difference was dominated by the SOC stock associated with macroaggregates, and the highest macroaggregate-associated SOC stock was detected in FD soil in both soil layers. Moreover, FD soil showed the highest proportion of macroaggregates in both soil layers, accumulated the greatest recalcitrant organic carbon (ROC) and further contributed to the highest SI values of SOC associated with most aggregate fractions. In contrast, CN topsoil (0-20 cm) accumulated the greatest labile organic carbon (LOC) in most aggregate fractions, which had a positive correlation with the amount of C return by pruning litter. Ultimately, long-term planting of FD promoted macroaggregate formation, and ROC accumulation in aggregates greatly contributed to maintaining high C sequestration in the tea plantation soils and showed a high potential for future C budgets; in contrast, the tea plantation soil planted with CN could be a potential C source because of high C return.

Indigenous rhizosphere microbial community characteristics of the phytostabilizer Athyrium wardii (Hook.) grown in a Pb/Zn mine tailing

Plant rhizosphere microbiome usually changes dramatically in adaptation to the mine environment to endure high heavy metal concentration, which in turn improves the process of revegetation and phytostabilization of mine tailing and deserves deep investigation. A field study was conducted to investigate the indigenous microbial community of a mining ecotype (ME) of the phytostabilizer Athyrium wardii (Hook.) grown in a Pb/Zn mine tailing and a corresponding non-mining ecotype (NME) grown in an uncontaminated adjacent site. Our study found a slight difference in microbial α-diversity between the ME and NME, and no significant difference between the rhizosphere and bulk soil. Both bacterial and fungal community compositions differed between the ME and NME, for which the differences were mainly driven by pH and metal contaminants. The ME harbored a unique microbial community in the rhizosphere soils different from the bulk soil and NME counterparts. The dominant phyla in the ME rhizosphere were Proteobacteria, Chloroflexi, Actinobacteria, Nitrospirae, and Ascomycota. Several genera from Proteobacteria, Acidobacteria, and Ascomycota were more abundant in the ME rhizosphere than in the NME rhizosphere. Network analysis revealed that keystone taxa were different in the two sites. Some keystone taxa from Gemmatimonadaceae, and Burkholderiaceae and Ascomycota played a critical role in microbial interactions within the mine tailing network. The unique microbial community with high tolerance in the rhizosphere soils of ME may show great benefit for plant growth and metal tolerance of the ME and thereby contributing to the process of revegetation and phytostabilization of mine tailings.

Evaluation for phosphorus accumulation and removal capability of nine species in the Polygonaceae to excavate amphibious superstars used for phosphorus-phytoextraction

Reducing excessive phosphorus (P) from both soils and eutrophic waters is attractive to achieve environmental P balance, and P-phytoextraction by amphibious plants with great biomass and P uptake is an amazing method, as already reported for P-accumulating plant, Polygonum hydropiper. However, it is still unknown how widespread high P tolerance and great P accumulation is among species in the Polygonaceae, and if there are new amphibious superstars used for P-phytoextraction. We used six Polygonum species and three non-Polygonum species to compare P accumulation and removal capability in hydroponics and soils with different P treatments. In high P hydroponics, all species showed superiority in growth and P accumulation without P toxicity, except for F. multiflora. In high P soils, all species showed much better growth performance with green leaves at 8 weeks, with shoot biomass being 3.60-29.49 g plant^-1. At 8 weeks, Polygonum species displayed obviously higher shoot P accumulation (31.32-152.37 mg plant^-1), P extraction ratio (3.16%-15.36%), maximum potential P removal (13.89-67.59 kg ha^-1), and much lower plant effective number (7-32) than non-Polygonum species under high P soils. Besides, P. lapathifolium, P. divaricatum and P. orientale ranked the top three in growth with P concentration more than 10 mg g^-1 dry weight in hydroponics and showed dominant advantage in P accumulation and P removal from high P soils. Through the cluster analysis, P. lapathifolium was always separated into a class, and P. divaricatum and P. orientale more likely clustered together. It is therefore that P. lapathifolium, P. divaricatum and P. orientale are tolerant to high P and attractive in P accumulation and P removal from high P waters and soils, and thus can be used as new amphibious superstars for P-phytoextraction, particularly P. lapathifolium.

Hydrogen peroxide contributes to cadmium binding on root cell wall pectin of cadmium-safe rice line (Oryza sativa L.)

Cell wall pectin is essential for cadmium (Cd) accumulation in rice roots and hydrogen peroxide (H₂O₂) plays an important role as a signaling molecule in cell wall modification. The role of H₂O₂ in Cd binding in cell wall pectin is unclear. D62B, a Cd-safe rice line, was found to show a greater Cd binding capacity in the root cell wall than a high Cd-accumulating rice line of Wujin4B. In this study, we further investigated the mechanism of the role of H₂O₂ in Cd binding in root cell wall pectin of D62B compared with Wujin4B. Cd treatment significantly increased the H₂O₂ concentration and pectin methyl esterase (PME) activity in the roots of D62B and Wujin4B by 22.45-42.44% and 12.15-15.07%, respectively. The H₂O₂ concentration and PME activity significantly decreased in the roots of both rice lines when H₂O₂ was scavenged by 4-hydroxy-Tempo. The PME activity of D62B was higher than that of Wujin4B. The concentrations of high and low methyl-esterified pectin in the roots of D62B significantly increased when exposed to Cd alone but significantly decreased when exposed to Cd and exogenous 4-hydroxy-Tempo. No significant difference was detected in Wujin4B. Exogenous 4-hydroxy-Tempo significantly decreased the Cd concentration in the cell wall pectin in both rice lines. The modification of H₂O₂ in Cd binding was further explored by adding H₂O₂. The maximum Cd adsorption amounts on the root cell walls of both rice lines were improved by exogenous H₂O₂·H₂O₂ treatment significantly influenced the relative peak area of the main functional groups (hydroxyl, carboxyl), and the groups intensely shifted after Cd adsorption in the root cell wall of D62B, while there was no significant difference in Wujin4B. In conclusion, Cd stress stimulated the production of H₂O₂, thus promoting pectin biosynthesis and demethylation and releasing relative functional groups involved in Cd binding on cell wall pectin, which is beneficial for Cd retention in the roots of Cd-safe rice line.

Nitric oxide amplifies cadmium binding in root cell wall of a high cadmium-accumulating rice (Oryza sativa L.) line by promoting hemicellulose synthesis and pectin demethylesterification

Nitric oxide (NO) is tightly associated with plant response against cadmium (Cd) stress in rice since NO impacts Cd accumulation via modulating cell wall components. In the present study, we investigated that whether and how NO regulates Cd accumulation in root in two rice lines with different Cd accumulation ability. The variation of polysaccharides in root cell wall (RCW) of a high Cd-accumulating rice line Lu527-8 and a normal rice line Lu527-4 in response to Cd stress when exogenous NO supplied by sodium nitroprusside (SNP, a NO donor) was studied. Appreciable amounts of Cd distributed in RCW, in which most Cd ions were bound to pectin for the two rice lines when exposed to Cd. Exogenous NO upregulated the expression of OsPME11 and OsPME12 that were involved in pectin demethylesterification, resulting in more low methyl-esterified pectin and therefore stronger pectin-Cd binding. Exogenous NO also enhanced the concentration of hemicellulose and the amount of Cd ions in it. These results demonstrate that NO-induced more Cd binding in RCW in the two rice lines through promoting pectin demethylesterification and increasing hemicellulose accumulation. Higher OsPMEs expression and more hemicellulose synthesis contributed to more Cd immobilization in RCW of the high Cd-accumulating rice line Lu527-8. The main findings of this study reveal the regulation of NO on cell wall polysaccharides modification under Cd stress and help to elucidate the physiological and molecular mechanism of NO participating in Cd responses of rice.

[Cell heterogeneity of laryngeal carcinoma and evolution trajectory of epithelial cells]

Objective: To analyze the classification and functions of cell subsets in laryngeal carcinoma and metastatic lymph nodes, and to explore the evolution trajectory of epithelial cells to tumor cells. Methods: Single-cell RNA sequencing was performed on 5 cases of laryngeal cancer, matched metastatic lymph nodes and 3 normal tissues. Patients were admitted to Ningbo Medical Center Lihuili Hospital from October 22, 2019 to December 16, all patients were male, aged 53-70 years old. Cell subsets of the above-mentioned tissues were analyzed by the Seurat, and the biological functions of cell subpopulation were investigated by functional enrichment analysis. Malignant epithelial cells were identified using copy number variation (CNV). The evolutionary trajectory of epithelial cells to cancer cells was analyzed by cell trajectory analysis, and cancerous transitional cells were identified. The highly expressed genes in transitional cells were analyzed by the FindAllMarker of the Seurat and verified by immunohistochemistry. Results: A total of 66 969 high-quality cells were obtained in 9 major clusters: epithelial cells, T cells, B cells, fibroblasts, endothelial cells, myeloid cells, mast cells, plasmacytoid dendritic cells and nerve cells. The first 5 cell clusters were divided into 8, 6, 4, 3 and 2 subgroups, respectively. Four epithelial cell subsets (C0, C1, C2 and C5) were derived from tumor tissues and metastatic lymph nodes, and had high levels of CNV and tumor cell content. Cell trajectory analysis showed that the evolution trajectory of epithelial cells was from normal epithelial subpopulation C4 to early cancerous cell population C0, which differentiated into three major malignant cell subsets C1, C3, and C5. Epithelial cell C0 may represent the transitional cell population of carcinogenesis, and were enriched in biological processes such as epithelial-mesenchymal transformation and angiogenesis. C0 highly expressed sulforaphane (SFN) which may be related to the occurrence and development of cancer. Immunohistochemistry confirmed that SFN was highly expressed in tumor tissues and metastatic lymph nodes compared with paracancerous tissues. Conclusion: Single-cell sequencing may be used to elucidate the diversity of cells and functions in laryngeal carcinoma tissues and metastatic lymph nodes, and cell population C0 plays a key role in the evolution of cells.

A composite amendment benefits rice (Oryza sativa L.) safety and production in cadmium-contaminated soils by unique characteristics after oxidation modification

In-situ immobilization is an effective strategy for Cd remediation and food safety, while some modifications are necessary to improve immobilization efficiency. In this study, a composite amendment (RFW) derived from rice straw biochar (RSB), fly ash (FA), and white marble (WM) was modified by oxidization (RFW-O) and pyrolysis (RFW-P). The RFW-O showed stronger Cd²⁺ sorption ability than RFW and RFW-P due to larger BET surface area and more oxygen containing-functional groups. Complexation and iron exchange were the two main processes of Cd²⁺ sorption on RFW-O. As a result, the application of RFW-O significantly reduced Cd availability in soils by 10.11-26.24% along with increased soil pH. It was found to be optimal to apply the RFW-O at a dosage of 2.5 wt% for 15 days before transplantation. After RFW-O application, Cd concentrations in brown rice decreased by 40.49% and 41.59% for pot and field experiment, respectively, and were less than 0.2 mg kg^-1. The catalase, dehydrogenase, acid phosphatase and alkaline phosphatase activities in soils increased significantly. Moreover, RFW-O showed no significant effect on rice yield and quality. The RFW-O is thereby considered to be an ideal amendment for in-situ immobilization of Cd-contaminated soils for rice safety and production in practice.

The changes of rhizosphere characteristics contributed to enhanced Pb accumulation in Athyrium wardii (Hook.) Makino after nitrilotriacetic acid application

Chelant-assisted phytoremediation may modify plant rhizosphere, which is closely related to heavy metal (HM) accumulation in plants. This work focused on the effects of nitrilotriacetic acid (NTA) on rhizosphere characteristics to investigate the mechanisms of lead (Pb) accumulation in Athyrium wardii (Hook.) Makino with exposure to 800 mg kg^-1 Pb. After NTA application, Pb accumulation in the underground part of A. wardii increased by 14.3%, accompanying with some changes for the rhizosphere soils. Soil pH decreased by 0.37 units, and the dissolved organic carbon (DOC) content in the rhizosphere soils significantly increased by 7.6%. The urease, acid phosphatase, and catalase activities in the rhizosphere soils significantly increased by 104.8%, 19.7%, and 27.1%, respectively. However, a slight inhibition on microbial activities was observed in the rhizosphere of A. wardii after NTA application. Soil respiration decreased by 8.9%, and microbial biomass carbon decreased by 8.9% in the rhizosphere soils, indicating that NTA addition might recruit some microorganisms to maintain rhizosphere functions in Pb-contaminated soils while inhibiting others with low tolerance to Pb. Results suggest that lower pH, more DOC exudation, and higher soil enzyme activities after NTA application contributed to the increase of Pb accumulation in A. wardii. This study gave some preliminary evidence for NTA-assisted Pb remediation by A. wardii by modifying rhizosphere characteristics.

Characterization of cadmium accumulation in the cell walls of leaves in a low-cadmium rice line and strengthening by foliar silicon application

Cadmium (Cd) remobilization in leaves is affected by whether Cd is stored in nonlabile subcellular compartments, which might be regulated by silicon (Si) application. However, the underlying mechanism is still far from being completely understood. In this research, the Cd distribution pattern in leaves and a Cd-binding characterization in the cell wall of the low-Cd rice line YaHui2816 were investigated through one hydroponic experiment with 10 μM Cd in solutions. Foliar Si application was further adopted to explore its influence on the Cd accumulation in the cell walls of leaves in YaHui2816. Most of the Cd (69.4%) was distributed in the cell walls of YaHui2816 leaves, whereas the isolated cell walls of leaves from YaHui2816 exhibited a lower capacity for Cd chemisorption than the contrasting line C268A, which was resulted from its fewer relative peak areas of functional groups in the cell wall, such as carboxyl CO and OH stretching. Foliar Si application significantly increased the Cd concentration in leaves and various cell wall fractions (pectin, hemicellulose 1 and residue) by 191% and 137-160%, respectively. RNA-seq analysis revealed that foliar Si application depressed the expression of the metal transporters OsZIP7 and OsZIP8, up-regulated the expression of genes participating in the glutathione metabolism and the cellulose synthesis. Overall, the influence of foliar Si application on Cd-accumulation in the cell wall of leaves in a low-Cd rice line was demonstrated in this research, which inspires further avenues to ensure the food safety of rice grains.

The role of polysaccharides functional groups in cadmium binding in root cell wall of a cadmium-safe rice line

Exploring the mechanism of cadmium (Cd) accumulation in Cd-safe rice lines is beneficial for ensuring rice safety. D62B, a Cd-safe rice line, accumulates less than 0.2 mg Cd kg^-1 in the brown rice due to strong capacity of Cd retention in the roots, and the root cell wall (RCW) polysaccharides play important roles. However, specific underlying mechanism of Cd binding on the polysaccharides is little known. In this study, the role of polysaccharides, especially pectin and hemicellulose 1 (HC1), in RCW of D62B was investigated by adsorption experiments and Fourier Transform Infrared Spectroscopy (FTIR) analysis compared with a common rice line (Luhui17). Cadmium was adsorbed on RCW of two rice lines by a multilayer and inhomogeneous chemisorption way with the force of ion transfer or exchange. Cadmium was adsorbed on RCW rapidly at first stage with the limit of internal and external diffusion, and gradually reached saturation. With the removal of pectin, the Cd adsorption rate, maximum Cd adsorption amount and the shift degree of carboxyl groups in the RCW of D62B sharply decreased, which showed advantages compared with Luhui17. Sequential removal of HC1 further decreased the maximum Cd adsorption amount and the shift degree of hydroxyl groups. The results showed that more available functional groups, especially carboxyl groups in pectin and hydroxyl groups in HC1, contributed to Cd immobilization within the RCW of Cd-safe rice line, thus limiting Cd translocation to the shoot and reducing Cd accumulation in the brown rice.

Pan-Asian adapted ESMO Clinical Practice Guidelines for the diagnosis, treatment and follow-up of patients with renal cell carcinoma

The most recent version of the European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for the diagnosis, treatment and follow-up of renal cell carcinoma was published in 2019 with an update planned for 2021. It was therefore decided by both the ESMO and the Singapore Society of Oncology (SSO) to convene a special, virtual guidelines meeting in May 2021 to adapt the ESMO 2019 guidelines to take into account the ethnic differences associated with the treatment of renal cell carcinomas in Asian patients. These guidelines represent the consensus opinions reached by experts in the treatment of patients with renal cell carcinoma representing the oncological societies of China (CSCO), India (ISMPO), Japan (JSMO), Korea (KSMO), Malaysia (MOS), Singapore (SSO) and Taiwan (TOS). The voting was based on scientific evidence and was independent of the current treatment practices and drug access restrictions in the different Asian countries. The latter were discussed when appropriate.

[A new classification of intrahepatic cholangiocarcinoma based on actual anatomy:a series of 135 cases]

Objective: To explore the feasibility and clinical value of a new classification for resectable intrahepatic cholangiocarcinoma (IHCC) according to the actual anatomy. Methods: The data of 135 patients with IHCC who were admitted to the Department of Hepatopancreatobiliary Surgery,Second Affiliated Hospital of Zhejiang University School of Medicine from November 2011 to November 2020 after discussion by a multidisciplinary team and planned to undergo radical resection were analyzed retrospectively. There were 77 males and 58 females,with a median age of 61 years (range:26 to 86 years),of which 38 cases had vascular invasion. This new classification was carried out independently by two hepatobiliary surgeons. First,a preliminary classification was made based on the location of the tumor,and then the final classification was based on vascular invasion. All patients were followed up by telephone,and the follow-up was as of November 2020. Survival time is defined as the time after surgery to follow-up or death. Log-rank test was used to compare patients' median recurrence-free survival and overall survival time. The Cox proportional hazard model was used to analyze the prognosis factors of the overall survival time of patients with IHCC. Results: Among the 135 patients,129 underwent R0 resection and 6 underwent R1 resection. According to the actual anatomy,28 cases (20.7%) belonged to segmental type, 43 cases (31.9%) belonged to branch type, 64 cases (47.4%). The median survival time of all patients was 35.2 months(95%CI:21.3 to 70.5 months),the 1-year cumulative survival rate was 75.1%,the 3-year cumulative survival rate was 45.8%,and the 5-year cumulative survival rate was 39.0%. After grouping according to the classification,the median survival time of segmental patients was 36.9 months (more than 50% of patients reached the median survival time),and the median survival time of branched patients was 33.8 months (95%CI:16.8 to 38.5);The median survival time of lobe patients was 25.0 months (95%CI:13.6 to 58.7). The result of Log-rank test between groups indicated that the median survival time of patients with segmental type was better than that of patients with branch and lobe type(HR=2.03,95%CI:1.24 to 3.64,P=0.006);There was no significant difference in survival time between patients with branch type and lobe type (P=0.685). The results of the multivariate analysis of the Cox risk ratio model suggested that the actual anatomical location classification (HR=2.32,95%CI:1.10 to 4.92,P=0.028) and the postoperative lymph node metastasis rate (HR=2.06,95%CI:1.24 to 3.45,P=0.005) were independent factors related to survival after radical resection of IHCC patients. Conclusion: It is simple and convenient to classify resectable IHCC by actual anatomy,which can be used to preliminarily judge the prognosis of patients and provide a feasible classification scheme for the clinic.

A transcriptomic view of cadmium retention in roots of cadmium-safe rice line (Oryza sativa L.)

A better understanding of the mechanisms controlling cadmium (Cd) accumulation in rice will benefit the development of strategies to minimize Cd accumulation in grains. A Cd-safe rice line designated D62B accumulated less than 0.2 mg Cd kg^-1 in brown rice due to its strong capacity for Cd retention in roots. Here transcriptomic was used to clarify the underlying mechanisms of Cd response in roots of D62B compared with a high Cd-accumulating line (Wujin4B). There were 777, 1058 differentially expressed genes (DEGs) in D62B and Wujin4B, respectively, when exposed to Cd. The functions of DEGs were clearly line-specific. Cell wall biosynthesis responded more intensively to Cd stress in D62B, facilitating Cd restriction. Meanwhile, more glutathione (GSH) and phytochelatins synthesized in D62B with the upregulation of sulphur and GSH metabolism. Besides, membrane proteins played critical roles in Cd response in D62B, whereas 18 terms involved in regulation were enriched in Wujin4B. Exogenous GSH further induced the expression of genes related to GSH metabolism and cell wall biosynthesis, leading to the retention of more Cd. Great responsiveness of cell wall biosynthesis and GSH metabolism could be considered the most important specific mechanisms for Cd retention in the roots of Cd-safe rice line.

Sufficient nitrogen promoted high phosphorus tolerance and phosphorus-accumulating capability of Polygonum hydropiper in relation to changes of phytohormones and phenols

Nitrogen (N) application is efficient to enhance phosphorus (P)-phytoextraction efficiency of P-accumulating plants. However, there is little available information on growth, P uptake and physiological changes of P-accumulating plants in high P media with different N application, and that whether the improved growth or P uptake is related with changes of phytohormones and phenols. This study investigated growth, P-accumulating capability, phytohormones and phenols of a mining ecotype (ME) and a non-mining ecotype (NME) of Polygonum hydropiper in high P media (400 mg L^-1) with sufficient N (SN, 50 mg L^-1) and low N (LN, 12.5 mg L^-1) supply. SN supply greatly increased tissue biomass, P-accumulating capability of P. hydropiper in high P media, and the ME showed higher P bioaccumulation coefficient, and tissue P accumulation than the NME. The greatest tissue biomass and P accumulation was found at 5 weeks. At 5 weeks, SN supply greatly decreased concentrations of indole-3-acetic acid (IAA), zeatin, abscisic acid (ABA), total phenolic and flavonoid in tissues of P. hydropiper, compared with LN supply. The ME produced lower concentrations of IAA, zeatin, ABA, total phenolic and flavonoid than the NME in leaf and stem in high P media with N supply. Significantly negative correlations were found between IAA, zeatin, ABA, flavonoid concentrations and biomass as well as P accumulation in leaf. Thus, SN supply promoted high P tolerance and P-accumulating capability of the ME in relation to modulating phytohormones and phenols to suitable concentrations, ultimately improving P-phytoextraction ability.

P–389 The relationship between serum hormone profiles and missed abortion in humans

Study question

Are circulating profiles of metabolic-related hormones also associated with the missed abortion (MA) in humans?

Summary answer

Serum levels of fatty acid-binding protein–4 (FABP4) and fibroblast growth factor 21 (FGF21) are positively associated with MA.

What is known already

A cluster of endocrine hormones, including FABP4, FGF21, adiponectin, lipocalin–2 (LCN2), exhibit pleiotropic effects on regulating systematic metabolism. Serum levels of them are associated with gestational obesity and diabetes and affect pregnancy outcomes, however, the relationship between their circulating profiles and MA is under-investigated.

Study design, size, duration

78 patients with MA and 86 healthy pregnant subjects matching on maternal age and body mass index (BMI) were nested from a prospective cohort in the Chinese population.

Participants/materials, setting, methods

Fasting serum samples from all participants were collected to test their serum levels of FGF21, FABP4, adiponectin, and LCN2 by enzyme-linked immunosorbent assay method (ELISA).

Main results and the role of chance

There were no significant differences in circulating profiles of adiponectin and LCN2 between MA patients and healthy pregnant subjects. By contrast, circulating levels of FGF21 and FABP4 were significantly and independently elevated in patients with MA relative to control cases even after adjusting confounding factors (for FGF21: MA: 28.96 ± 2.17 ng/ml; HP: 19.18 ± 1.12 ng/ml, P < 0.001, for FABP4: MA: 152.50 ± 9.31 pg/ml; HP: 90.86 ± 4.14 pg/ml, P < 0.001). Linear regression analysis showed, FGF21 raised every 10 pg/ml contributed to a 24% (95% CI: 15% - 34%) increase in the risk of MA, whereas the OR of FABP4 for the risk of MA was 1.052 (95% CI: 1.022 –1.088). Furthermore, using serum FGF21 level or FABP4 levels discriminated MA from healthy controls with an area under the operating characteristic’s curve (AUROC) of 0.81 (95% CI 0.76–0.92) and 0.70 (95% CI 0.62 - 0.78), respectively.

Limitations, reasons for caution

The study is limited by the sample size. In addition, our results were based-on Chinese population, whether it could be observed in other ethics group remain to be investigated. Meanwhile, the cause-effect relationship between increased serum FGF21 level and MA remains to be explored.

Wider implications of the findings: Our data would suggest that serum levels of FGF21 and FABP4 are associated with MA. Moreover, circulating FGF21 levels may serve as a potential diagnostic biomarker for the recognition of M.

Trial registration number

IRB Ref. No.: KY201913

Uncertainty quantification patterns for multiscale models

Uncertainty quantification (UQ) is a key component when using computational models that involve uncertainties, e.g. in decision-making scenarios. In this work, we present uncertainty quantification patterns (UQPs) that are designed to support the analysis of uncertainty in coupled multi-scale and multi-domain applications. UQPs provide the basic building blocks to create tailored UQ for multiscale models. The UQPs are implemented as generic templates, which can then be customized and aggregated to create a dedicated UQ procedure for multiscale applications. We present the implementation of the UQPs with multiscale coupling toolkit Multiscale Coupling Library and Environment 3. Potential speed-up for UQPs has been derived as well. As a proof of concept, two examples of multiscale applications using UQPs are presented. This article is part of the theme issue 'Reliability and reproducibility in computational science: implementing verification, validation and uncertainty quantification in silico'.

The critical role of the shoot base in inhibiting cadmium transport from root to shoot in a cadmium-safe rice line (Oryza sativa L.)

Cadmium (Cd) is harmful to rice and human, thus screening and understanding the mechanism of Cd-safe rice lines, which accumulate little Cd in brown rice, is necessary. D62B was screened as a Cd-safe rice line with low Cd translocation from roots to shoots, and there must be a switch restricting Cd transport from roots to shoots. Here we found that shoot base played the role as switch. Cd concentration in the shoot base of D62B was 1.57 times higher compared with a high Cd-accumulating rice line (Wujin4B) and lower Cd translocation under Cd stress. Glutathione (GSH) and phytochelatins (PCs) were important in this process. GSH and PCs concentrations in the shoot bases of D62B were 1.01- 1.83 times higher than Wujin4B as well as the glutathione S-transferase (GST) and phytochelatin synthase (PCS) concentrations, keeping in consistent with up-regulation of the genes OsGST and OsPCS1. PCs synthesis was further promoted by exogenous GSH. Our results prove the role of shoot bases as switch for restricting Cd transport in D62B due to its great potential for GSH and PCs biosynthesis, and thereby Cd chelation. This could be considered a key mechanism for low Cd accumulation in brown rice of the Cd-safe rice line.

Accumulation of phosphorus and calcium in different cells protects the phosphorus-hyperaccumulator Ptilotus exaltatus from phosphorus toxicity in high-phosphorus soils

Ptilotus exaltatus accumulates phosphorus (P) to > 40 mg g^-1 without toxicity symptoms, while Kennedia prostrata is intolerant of increased P supply. What physiological mechanisms underlie this difference and protect P. exaltatus from P toxicity? Ptilotus exaltatus and K. prostrata were grown in a sandy soil with low-P, high-P and P-pulse treatments. Both species hyperaccumulated P (>20 mg g^-1) under high-P and P-pulse treatments; shoot dry weight was unchanged for P. exaltatus, but decreased by >50% for K. prostrata. Under high-P, in young fully-expanded leaves, both species accumulated P predominantly as inorganic P. However, P. exaltatus preferentially allocated P to mesophyll cells and stored calcium (Ca) as occasional crystals in specific lower mesophyll cells, separate from P, while K. prostrata preferentially allocated P to epidermal and spongy mesophyll cells, but co-located P and Ca in palisade mesophyll cells where granules with high [P] and [Ca] were evident. Mesophyll cellular [P] correlated positively with [potassium] for both species, and negatively with [sulfur] for P. exaltatus. Thus, P. exaltatus tolerated a very high leaf [inorganic P] (17 mg g^-1), associated with P and Ca allocation to different cell types and formation of Ca crystals, thereby avoiding deleterious precipitation of Ca₃(PO₄)₂. It also showed enhanced [potassium] and decreased [sulfur] to balance high cellular [P]. Phosphorus toxicity in K. prostrata arose from co-location of Ca and P in palisade mesophyll cells. This study advances understanding of leaf physiological mechanisms for high P tolerance in a P-hyperaccumulator and indicates P. exaltatus as a promising candidate for P-phytoextraction.

Crucial roles of cadmium retention in nodeⅡ for restraining cadmium transport from straw to ear at reproductive period in a grain low-cadmium rice line (Oryza sativa L.)

Using an ideal parental line to breed hybrid rice with low cadmium (Cd) accumulation in grain is an environmental-friendly approach to reduce the risk of Cd contamination in field. A grain low-Cd rice line YaHui2816 has stably low Cd in grain but strong Cd accumulation in straw, revealing specific pattern of its straw-grain Cd remobilization is beneficial to effectively breed hybrid rice for safe production as well as phytoremediation. In this study, a pot experiment was conducted to investigate Cd partitioning of YaHui2816 at different stages by comparison with a common rice C268A. The Cd from lower nodes and leaves was restricted in nodeⅡ, this Cd retention led to weak Cd transport from straw to ear in YaHui2816. Cd concentration in nodeⅡ of YaHui2816 was 1.56-fold and 7.36-fold higher than C268A at filling and mature stages. Thus, glutathione (GSH) and phytochelatin (PC) concentration, PC synthase (OsPCS1), GSH S-Transferase (OsGST) and Cd-remobilization associated genes were measured at filling stage. OsHMA2 and OsCCX2 were up-regulated in nodeⅡ of YaHui2816, relative expression of them were significantly higher than C268A. PCs participated in Cd remobilization process, remarkable PC increase in nodeⅡ of YaHui2816 was found in response to Cd treatment under regulation of OsPCS1 and OsGST of which PC₂ was dominant form. Taken as a whole, the Cd retention in nodeⅡ of YaHui2816 acts as a 'firewall' to restrain Cd transport to grain. This work provides more insight to understand possible function of alleles for reducing Cd concentration in grain as well as strengthening Cd accumulation in straw of YaHui2816.

[Recommendations for public health protection against flood disaster]

Flood disaster is one of the most serious natural disasters in the world, and it could pose an inestimable impact on the affected people. Based on existing laws, regulations, and emergency manuals in China, extensive literature review, epidemiological and related protection evidence, and expert consultation, this study analyzed different health risk factors of flood disaster and proposed a multi-stage, multi-population, and multi-phase comprehensive protection measures for the public in the perspective of pre-event prevention, in-event intervention and post-event rescue strategy, which could provide a scientific basis for improving the level of public health protection against the flood disaster and corresponding health outcomes.

Camera-aided autocollimation approach for increasing the effective measurement range of a photoelectric collimator

A camera aided autocollimation (CAAC) system is proposed to enhance the working range of a photoelectric collimator (PEC). This system consists of a camera surrounded by point light sources (LSs), a PEC, a rotary table, and a translation stage. As the tilt angle of the target varies, the intensity of the light from the LSs that is reflected by the target and received by the camera exhibits two symmetric peaks. The camera guides the target into the scope of the PEC by scanning these two peaks. This CAAC approach can automatically collimate a prism with an edge length of 10 mm and an initial tilt angle of 5° at a working range of 1.5 m. The error of the coarse collimation at 99.7% confidence is 602″.

The impact of SLE on health-related quality of life assessed with SF-36: a systemic review and meta-analysis

OBJECTIVE

To evaluate the impact of systemic lupus erythematosus (SLE) on health-related quality of life (HRQoL) assessed with SF-36 and explore factors associated with HRQoL in SLE patients.

METHODS

A random-effect meta-analysis was performed to calculate extracted data. Sensitivity and subgroup analyses were performed to distinguish sources of heterogeneity.

RESULTS

A total of 36 articles were finally included in this meta-analysis, including 6510 patients. The pooled mean scores of SF-36 physical component summary and mental component summary were 46.10 (95% confidence interval (CI): 43.09-49.10) and 50.37 (95% CI: 47.78-52.87), respectively. Spearman's correlation analysis found that mean age, proportion of female participants, and publication decades were negatively associated with some of the SF-36 domains. Sample size and SLEDAI were positively associated with some of the SF-36 domains. Patients with SLE have lower HRQoL in comparison to the general population.

CONCLUSIONS

SLE has a significant impact on HRQoL, which proves that the necessity of improving HRQoL in SLE patients cannot be ignored. Measuring HRQoL should be considered as an indispensable part of the overall evaluation of health conditions of SLE patients.

Abstract PD3-05: Co-occurring gain-of-function mutations in HER2 and HER3 cooperate to enhance HER2/HER3 binding, HER-dependent signaling, and breast cancer growth

ERBB2, the gene encoding HER2, is mutated in 2-4% of breast cancers. The HER2 tyrosine kinase inhibitor neratinib has shown clinical activity against breast cancers harboring HER2 activating mutations, suggesting these tumors depend on HER2 signaling. Co-occurring HER2 and HER3 (ERBB3) mutations have been reported in patients who respond to neratinib (Hanker et al., Cancer Discov. 2017) suggesting the possibility of cooperativity of both oncogenes. Co-expression of the mutant intracellular domains of HER2 and HER3 in HEK293 cells enhanced phosphorylation of HER3 and ERK compared to expression of either mutant alone, which was blocked by 100 nM neratinib. Interrogation of TCGA, METABRIC, Project GENIE, and Foundation Medicine datasets revealed that gain-of-function mutations in ERBB2 and ERBB3 co-occur with a statistically significant frequency. For example, in GENIE, ERBB2 mutations co-occur with mutations in ERBB3 (8.3% of ERBB2-mutant vs 2.3% of ERBB2 WT; q=1.37x10-10).

We hypothesized that co-occurring mutations in HER2 and HER3 cooperate to enhance HER2 signaling and dependence and breast cancer progression.

Thirty-four unique breast cancers were found to harbor co-occurring mutations in HER2 and HER3, the most common of which were ERBB2L755S/ERBB3E928G (n=10), ERBB2V777L/ERBB3E928G(n=6), and ERBB2L869R/Q/ERBB3E928G (n=4). Using co-immunoprecipitation assays with HER2 and HER3 antibodies in transfected HEK293 cells, we found that co-expression of HER3E928G with wild type (WT) HER2, or co-expression of HER2L755S or HER2L869R with HER3WT, slightly increased HER2-HER3 dimerization. However, binding was strongest between double mutants. This was accompanied by the highest levels of Y1289 p-HER3 in cells expressing both HER3E928G and each HER2L755S, HER2V777L, or HER2L869R compared to cells expressing each HER2 or HER3 mutant with a respective WT heterodimer partner. Structural modeling of the HER2L869R/HER3E928G double-mutant predicted that the HER3 mutation, located at the dimer interface, may enhance heterodimerization of the kinase domains through decreased bulk and electrostatic repulsion. We also noted that the HER2L755S mutation is predicted to be in close proximity to HER3E928G (<4 Å) and may impact binding affinity. Investigation of the structural basis for the enhanced binding of other double mutants is in progress.

MCF7 “knock-in” cells incorporating HER2L755S, HER2V777L, or HER2L869R (or HER2WT) were stably transduced with HER3E928G or HER3WT. Co-expression of double mutants strongly enhanced estrogen-independent growth in 3D Matrigel over cells expressing either mutant alone. We are currently testing inhibitors of HER2/HER3 signaling, including neratinib ± trastuzumab, trastuzumab + pertuzumab, and the ERBB1-3 antibody mixture Sym013, to determine therapeutic strategies to block the cooperative growth induced by co-occurring HER2 and HER2 mutations.

Conclusions: Co-expression of mutant HER2 and mutant HER3 promotes HER2/HER binding, HER3 phosphorylation, and breast tumor cell proliferation. We aim to identify therapeutic vulnerabilities for patients with co-occurring HER2 and HER3 mutations.

Citation Format: Hanker AB, Koch JP, Ye D, Sliwoski G, Sheehan J, Kinch LN, Red Brewer M, He J, Miller VA, Lalani AS, Cutler, Jr. RE, Croessmann S, Zabransky DJ, Meiler J, Arteaga CL. Co-occurring gain-of-function mutations in HER2 and HER3 cooperate to enhance HER2/HER3 binding, HER-dependent signaling, and breast cancer growth [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr PD3-05.