High-efficiency combination washing agents with eco-friendliness simultaneously removing Cd, Cu and Ni from soil of e-waste recycling site: A lab-scale experiment

Soil washing technology plays an important role in the removal of heavy metals, and the efficacy of this process depends on the washing agent used. Due to the difficulty in treating soils contaminated by multiple heavy metals, there is still a need for further exploration of efficient washing agents with low environmental impact. Although single washing agents, such as chelators, can also effectively remove heavy metals from soil, combining efficient washing agents and determining their optimal washing conditions can effectively improve their removal efficiency for multiple heavy metals in soil simultaneously. Based on the previous research, the present study was carried out to combine different types of washing agents to remediate contaminated soils at a commonly e-waste recycling site. The objectives were to investigate their efficient washing conditions and assess the impact of the washing process on the speciation distribution and pollution level associated with heavy metals in soil. The results showed that the combination of HEDP (1-hydroxyethylidene-1,1-diphosphonic acid) and FeCl3 at a ratio of 6:4 exhibited the most effective removal of Cd, Cu and Ni from the contaminated soil at an e-waste recycling site. Under optimal washing conditions, with a soil-to-liquid ratio of 1:20 and a washing time of 48 h, the removal rates of Cd, Cu and Ni were 96.72%, 69.91% and 76.08%, respectively. It needed to be emphasized that the combination washing agents were able to remove most of the acid-soluble, reducible and oxidizable fractions of heavy metals, and even the removal rates of the stable residual fraction (e.g., of Cd) was at a relatively high level. In addition, the washing process significantly reduced the pollution level associated with heavy metals in soil. This study aid in the development of combined efficient washing agents and explores optimal washing strategies for the remediation of Cd, Cu, and Ni-contaminated soil at e-waste recycling sites. The findings may play a role in enhancing the remediation capabilities for soils contaminated with multiple heavy metals, due to its characteristics of and high-efficiency and environmental friendliness.

Effects of combined microplastics and heavy metals pollution on terrestrial plants and rhizosphere environment: A review

Microplastics (MPs) can enter the soil environment through industry, agricultural production and daily life sources. Their interaction with heavy metals (HMs) poses a significant threat to a variety of terrestrial ecosystems, including agricultural ones, thereby affecting crop quality and threatening human health. This review initially addresses the impact of single and combined contamination with MPs and HMs on soil environment, including changes in soil physicochemical properties, microbial community structure and diversity, fertility, enzyme activity and resistance genes, as well as alterations in heavy metal speciation. The article further explores the effects of this pollution on the growth characteristics of terrestrial plants, such as plant biomass, antioxidant systems, metabolites and photosynthesis. In general, the combined contaminants tend to significantly affect soil environment and terrestrial plant growth, i.e., the impact of combined contaminants on plants weight ranged from -87.5% to 4.55%. Similarities and differences in contamination impact levels stem from the variations in contaminant types, sizes and doses of contaminants and the specific plant growth environments. In addition, MPs can not only infiltrate plants directly, but also significantly affect the accumulation of HMs in terrestrial plants. The heavy metals concentration in plants under the treatment of MPs were 70.26%-36.80%. The co-occurrence of these two pollution types can pose a serious threat to crop productivity and safety. Finally, this study proposes suggestions for future research aiming to address current gaps in knowledge, raises awareness about the impact of combined MPs + HMs pollution on plant growth and eco-environmental security.

Benefit and harm of low-dose aspirin in pregnancy: a balancing act

Linked article: This Correspondence comments on Souter et al. Click here to view the article.

Effect of ammonium sulfate combined with aqueous bio-chelator on Cd uptake by Cd-hyperaccumulator Solanum nigrum L

The efficacy of using plants to phytoremediate heavy metal (HM) contaminated soils can be improved using soil amendments. These amendments may both increase plant biomasses and HMs uptake. We aimed to determine the composite effect of ammonium sulfate ((NH4)2SO4) combined with the application of an aqueous stem-extracted bio-chelator (Bidens tripartita L) on the plant biomasses and cadmium (Cd) phytoextraction by Solanum nigrum L. The constant (NH4)2SO4 application mode plus bio-chelator additives collectively enhanced the shoot Cd extraction ability owing to the increased plant biomass and shoot Cd concentration by S. nigrum. The shoot Cd extraction and the soil Cd decreased concentration confirmed the optimal Cd phytoextraction pattern in K8 and K9 treatments (co-application of (NH4)2SO4 and twofold/threefold bio-chelators). Accordingly, Cd contamination risk in the soil (2 mg kg-1) could be completely eradicated (<0.2 mg kg-1) after three rounds of phytoremediation by S.nigrum based on K8 and K9 treatments through calculating soil Cd depletion. The microorganism counts and enzyme activities in rhizosphere soils at treatments with the combined soil additives apparently advanced. In general, co-application mode of (NH4)2SO4 and aqueous bio-chelator was likely to be a perfect substitute for conventional scavenger agents on account of its environmental friendliness and cost saving for field Cd contamination phytoremediation by S. nigrum.

Full sample analysis of cerebral venous sinus thrombosis in ophthalmology inpatients

PURPOSE

We hope that by analyzing the clinical features of cerebral venous sinus thrombosis (CVST), we can help ophthalmologists reduce misdiagnosis or delayed diagnosis.

DESIGN

We evaluated 47 patients with CVST in terms of clinical manifestations.

METHODS

All cases were analyzed in terms of risk factors, clinical symptoms, ophthalmic examination, imaging examination and lumbar puncture.

RESULTS

The body mass indices (BMIs) of 41 patients (87.2%; 95% CI, 77.7-96.8%) were≥24, which is overweight by Chinese standards. There were 22 patients (46.8%; 95% CI, 32.5-61.1%) with BMIs≥28, who were considered obese. Thirteen were hypertensive (27.7%; 95% CI, 14.9-40.5%). The initial symptoms included blurred vision (23, 48.9%; 95% CI, 34.6-63.2%), amaurosis fugax (13, 27.7%; 95% CI, 14.9-40.5%), headache (11 patients, 23.4%; 95% CI, 11.3-35.5%), dizziness (3, 6.4%; 95% CI, -0.6-13.4%), and bilateral diplopia (3, 6.4%; 95% CI, -0.6-13.4%). There were 9 patients (9, 19.2%; 95% CI, 7.9-30.4%) with blindness, 23 patients (48.9%; 95% CI, 34.6-63.2%) with pupillary abnormalities, and 40 patients (85.1%; 95% CI, 74.9-95.2%) with papilledema. Forty-three of the 45 patients who successfully underwent a routine lumbar puncture showed high intracranial pressure (91.7%; 95.6% CI, 89.6-101.6%). Finally, two cases are reported in greater detail for illustrative purposes.

CONCLUSION

The main reasons interfering with the diagnosis of CVST might be its nonspecific ocular symptoms and the physicians' clinical thought process being limited to the scope of common ophthalmological diseases.

The effect of exogenous plant growth regulators on elevated Cd phytoremediation by Solanum nigrum L. in contaminated soil

Maximizing amendment potential is an emphasis in the HM-contaminated field of phytoremediation by hyperaccumulators due to the low bioavailability of HMs in soils and small biomass yields of plants. This study investigated the influence of different types and concentrations of plant growth regulators on Cd phytoremediation by Solanum nigrum in contaminated soil. Our conclusions showed that the shoot Cd extractions (μg plant-1) and the root and shoot biomasses at all the treatments remarkedly increased compared with that of the CK (p < 0.05), while the Cd concentrations at root and aboveground parts by S. nigrum, the extractable Cd concentrations, and pH value of soils did not change significantly compared with the CK (p < 0.05). Furthermore, correlation analysis showed that the shoot Cd phytoaccumulation and the root and aboveground biomasses of S. nigrum were particularly dependent upon the application of CTK and GA3 concentration gradient (p < 0.05). Moreover, some related physicochemical indexes were determined for supervising the growth conditions of plants, and these results pointed out that after exogenous PGRs treatments, the chlorophyll content and antioxidative enzymes POD and SOD activities in vivo of plants clearly advanced, while the H2O2 and MDA contents and CAT apparently declined. These consequence demonstrated that the exogenous PGR addition prominently reinforced the Cd phytoextraction capacity of S. nigrum in contaminated soil by stimulating plant growth and increasing shoot yields.

Photochemical degradation in natural attenuation of characteristics of petroleum hydrocarbons (C10-C40) in crude oil polluted soil by simulated long term solar irradiation

Photodegradation process plays an important role in the natural attenuation of petroleum hydrocarbons (PHs) in oil contaminated soil. The photodegradation characteristics of PHs (C10-C40) in topsoil of crude oil contaminated soil irradiated by simulated sunlight in 280 d without microbial action were investigated. The results showed that photodegradation rate of PHs was increased with increasing the light intensity and decreased with increasing the initial concentration of PHs. Moreover, the photodegradation capacity of tested PHs was relevant to the length of carbon chain. The photodegradation rates of C10-C20 were higher than that of C21-C40 in photoperiod. C21-C40 showed an obvious trend of photodegradation after 56 d, although their photodegradation rates were less than 20% at the early stage. And, the redundancy analysis indicated that lighting time was the primary factor for photodegradation of PHs under abiotic conditions. The photodegradation rate was well interpreted by a two-stage, first-order kinetic law with a faster initial photolysis rate. The EPR spectrums showed that simulated solar irradiation accelerated the generation of superoxide radicals, which could react with PHs in soil. Also, the function groups in PHs polluted soil were changed after light exposure, which might imply the possible photodegradation pathway of PHs.

Toxicity of emerging contaminant antibiotics in soil to Capsicum annuum L. growth and their effects on it accumulating copper

Antibiotics are a kind of emerging contaminant in soil. Tetracycline (TC) and oxytetracycline (OTC) in soil are often detected, even with very high concentration in the soils of facility agriculture due to their good effect, low price and large usage. Copper (Cu) is common heavy metal pollutant in soil. The toxicity roles of TC, OTC and/or Cu in soil on a commonly consumed vegetable Capsicum annuum L. and its Cu accumulation were not clear till now. The results of pot experiment showed that the TC or OTC added in soil alone didn't produce poison effects for C. annuum after 6 weeks and 12 weeks growth reflected by some physiological index like SOD, CAT and APX activities changes, while the biomass changes affirmed them either. Cu contaminated soil significantly inhibited the growth of C. annuum. Furthermore, combined pollution of Cu with TC or OTC was with more serious suppression of C. annuum growth. The suppression role of OTC was heavier than TC in Cu and TC or OTC contaminated soil. Such phenomenon was relevant with the role of TC or OTC increased Cu concentration in C. annuum. The improvement role of TC or OTC on Cu accumulation in C. annuum caused by the increased extractable Cu concentration in soil. The study demonstrated that TC or OTC added in soil alone was without any toxicity to C. annuum. But they may aggravate the hurt of C. annuum caused by Cu through increased its accumulation from soil. Thus, such combine pollution should be avoided in safe agricultural product.

Influencing Factors of Bidens pilosa L. Hyperaccumulating Cadmium Explored by the Real-Time Uptake of Cd2+ Influx around Root Apexes under Different Exogenous Nutrient Ion Levels

Though Bidens pilosa L. has been confirmed to be a potential Cd hyperaccumulator, the accumulation mechanism is not yet clear. The dynamic and real-time uptake of Cd²⁺ influx by B. pilosa root apexes was determined using non-invasive micro-test technology (NMT), which partly explored the influencing factors of the Cd hyperaccumulation mechanism under the conditions of different exogenous nutrient ions. The results indicated that Cd²⁺ influxes at 300 μm around the root tips decreased under Cd treatments with 16 mM Ca²⁺, 8 mM Mg²⁺, 0.5 mM Fe²⁺, 8 mM SO₄^2- or 18 mM K⁺ compared to single Cd treatments. The Cd treatments with a high concentration of nutrient ions showed an antagonistic effect on Cd²⁺ uptake. However, Cd treatments with 1 mM Ca²⁺, 0.5 mM Mg²⁺, 0.5 mM SO₄^2- or 2 mM K⁺ had no effect on the Cd²⁺ influxes as compared with single Cd treatments. It is worth noting that the Cd treatment with 0.05 mM Fe²⁺ markedly increased Cd²⁺ influxes. The addition of 0.05 mM Fe²⁺ exhibited a synergistic effect on Cd uptake, which could be low concentration Fe²⁺ rarely involved in blocking Cd²⁺ influx and often forming an oxide membrane on the root surface to help the Cd uptake by B. pilosa. The results also showed that Cd treatments with high concentration of nutrient ions significantly increased the concentrations of chlorophyll and carotenoid in leaves and the root vigor of B. pilosa relative to single Cd treatments. Our research provides novel perspectives with respect to Cd uptake dynamic characteristics by B. pilosa roots under different exogenous nutrient ion levels, and shows that the addition of 0.05 mM Fe²⁺ could promote the phytoremediation efficiency for B. pilosa.

Cadmium phytoextraction efficiency of hyperaccumulator as affected by harvest stage in three continuous years

Phytoremediation which mainly using hyperaccumulator is a very popular and environmental-friendly clean method. Long term continuous test is very important due to its low remediation efficiency in a growth period. Cd hyperaccumulator Rorippa globosa (Turcz.) Thell. Was used to explore the effect of two remediation modes (harvests at flowering and maturity stages) on the continuous remediation efficiency in a 3-year experiment using pot experiment with real Cd contaminated soil. The results showed that the biomass in maturity-harvest treatments was 1.12 times of that in flowering-harvest treatments due to the short vegetation time. Shoot Cd concentrations in the flowering-harvest treatments were on average 15.4% lower compared to the maturity-harvest treatments either. However, the Cd phytoextraction efficiency (PE) in the flowering-harvest treatments was 13.8% higher compared to the harvests at the maturity stage due to the growth cycle of R. globosa harvested at the flowering was 34.5% of shorter compared to those in the maturity harvest treatments. After three consecutive years of R. globosa phytoextraction, the concentration of extractable Cd decreased on average by 28.7% and corresponding PEs lower either. It was suggested that cultivation modes of R. globosa and low-accumulation crop rotation, or three times flowering harvests of R. globosa per year seemed to be a good choice in practical solution.

The effects of salinity and pH variation on hyperaccumulator Bidens pilosa L. accumulating cadmium with dynamic and real-time uptake of Cd2+ influx around its root apexes

Bidens pilosa L. has been confirmed to be a potential Cd hyperaccumulator by some researchers, but the dynamic and real-time uptake of Cd²⁺ influx by B. pilosa root apexes was a conundrum up to now. The aim of our study was to investigate the effects of salinity and pH variations on the characteristics of Cd²⁺ influx around the root apexes of B. pilosa. The tested seedlings of B. pilosa were obtained by sand culture experiments in a greenhouse after 1 month from germination, and the Cd²⁺ influxes from the root apex of B. pilosa under Cd treatments with different salinity and pH levels were determined with application of non-invasive micro-test technology (NMT). The results showed that Cd²⁺ influxes at 300 μm from the root tips decreased under Cd treatments with 5 mM and 10 mM NaCl, as compared to Cd stress alone. However, Cd treatments with 2.5 mM NaCl had little effect on the net Cd²⁺ influxes, as compared to Cd treatments alone. Importantly, Cd treatments at pH = 4.0 markedly increased Cd²⁺ influxes in roots, and Cd treatment at pH = 7.0 had no significant effect on the net Cd²⁺ influxes compared to Cd treatments at pH = 5.5. Results also showed that Cd treatments with 10 mM NaCl significantly decreased concentrations of chlorophyll (Chl) a and b in leaves and root vigor of B. pilosa relative to Cd treatments alone, while there were no significant differences between Cd treatments with 2.5 mM NaCl and Cd treatments alone. But root vigor was inhibited significantly under Cd treatments with 5 mM and 10 mM NaCl. A significant increase of root vigor was observed in Cd treatments at pH = 4.0, as compared to pH = 5.5. The Cd treatments with high and medium concentrations of NaCl inhibited the uptake of Cd by B. pilosa roots and affected the Chl and root vigor further. But the Cd treatments at pH = 4.0 could promote the Cd uptake and root vigor. Our results revealed the uptake mechanisms of B. pilosa as a potential phytoremediator under different salinity and pH levels combined with Cd contamination and provided a new idea for screening ideal hyperaccumulator and constructing evaluation system.

Ecotoxicological effects and bioaccumulation in Eichhornia crassipes induced by long-term exposure to triclosan

In this study, the ecotoxicological effects and bioaccumulation of triclosan (TCS) in Eichhornia crassipes (E. crassipes) were investigated with 28 d exposure experiments. The results showed that chlorophyll content was increased after 7 d exposure to 0.05-0.1 mg L^-1 TCS, while it was inhibited significantly by 0.5 mg L^-1 TCS after 21 d exposure. The concentrations of soluble protein in the leaves increased during the initial stage (7 d and 14 d), whereas they decreased during 21 d and 28 d. The concentrations of soluble protein in the roots gradually reduced during the exposure time. The antioxidant enzyme activities in roots decreased continually with the exposure time. However, the antioxidant enzyme (SOD and CAT) activities in leaves decreased after exposure longer than 14 d. Moreover, differentially expressed genes (DEGs) were observed in the root of E. crassipes after a 28 d exposure to 0.5 mg L^-1 TCS, with 11023 DEGs down-regulated and 3947 DEGs up-regulated. 5 SOD down-regulated genes and 3 CAT down-regulated genes were identified from transport and catabolism in cellular processes. After 28 d exposure, the TCS content in roots and leaves stressed by 0.5 mg L^-1 TCS were up to 13.04 μg g^-1 and 1.97 μg g^-1, respectively. SOD in leaves was negatively correlated with TCS content in leaves, CAT in roots was negatively correlated with TCS content in roots. These results provide experimental data to assess the ecological risk of TCS with long exposure in aquatic systems.

Mechanism exploration of Solanum nigrum L. hyperaccumulating Cd compared to Zn from the perspective of metabolic pathways based on differentially expressed proteins using iTRAQ

It is challenging to determine the mechanism involved in only Cd hyperaccumulation by Solanum nigrum L. owing to the uniqueness of the process. Isobaric tags for relative and absolute quantitation (iTRAQ) were used to explore the mechanism by which S. nigrum hyperaccumulates Cd by comparing the differentially expressed proteins (DEPs) for Cd and Zn accumulation (non-Zn hyperaccumulator). Based on the comparison between the DEPs associated with Cd and Zn accumulation, the relative metabolic pathways reflected by 17 co-intersecting specific proteins associated with Cd and Zn accumulation included phagosome, aminoacyl-tRNA biosynthesis, and carbon metabolism. Apart from the 17 co-intersecting specific proteins, the conjoint metabolic pathways reported by 21 co-intersecting specific proteins associated with Cd accumulation and 30 co-intersecting specific proteins associated with Zn accumulation, the most differentially expressed metabolic pathways might cause Cd TF (Translocation factor)> 1 and Zn TF< 1, including protein export, ribosome, amino sugar, and nucleotide sugar metabolism. The determined DEPs were verified using qRT-PCR with the four key proteins M1CW30, A0A3Q7H652, A0A0V0IFB9, and A0A0V0IAC4. The plasma membrane H⁺-ATPase protein was identified using western blotting. Some physiological indices for protein-related differences indirectly confirmed the above results. These results are crucial to further explore the mechanisms involved in Cd hyperaccumulation.

Cosmopolitan cadmium hyperaccumulator Solanum nigrum: Exploring cadmium uptake, transport and physiological mechanisms of accumulation in different ecotypes as a way of enhancing its hyperaccumulative capacity

The non-essential element cadmium (Cd) is one of the most problematic priority soil pollutants due to multitude of pollution sources, mobility in the environment and high toxicity to all living organisms. This strongly limits also the number and occurrence of species - Cd hyperaccumulators to be used for soil phytoremediation. However, efficient Cd hyperaccumulator Solanum nigrum L. appeared to commonly occur worldwide as a representative of Solanum nigrum complex of a great taxonomic diversity. This led to the idea that the search among different ecotypes of Solanum nigrum L. may result in the identifying the most efficient Cd hyperaccumulator without applying to soil any additional measures such as chemical ligands. In this first pioneering comparative study, three randomly selected ecotypes of S. nigrum L. ssp. nigrum from Shenyang (SY) and Hanzhong (HZ) in China, and Kyoto (KY) in Japan were used in pot experiments at soil treatments from 0 to 50 mg Cd kg^-1. The Cd accumulation capacity appeared to represent KY > HZ > SY range, KY ecotype accumulating up to 73%, and HZ ecotype up to 67% bigger total Cd load than SY ecotype. At Cd content in soil up to 10 mg kg^-1, no significant effect on the all ecotype biomass, photosynthetic activities, contents of first line defense antioxidant enzymes (CAT, SOD, GPX), and scavenging antioxidants ASA, GSH, was observed. At Cd in soil>10 mg kg^-1all these parameters showed decreasing, and cell damage indicator MDA increasing trend, however total accumulated Cd load further increased up to 30 mg kg Cd in soil in all ecotypes in the same KY > HZ > SY sequence. The study proved the great potential of enhancing Cd accumulation capacity of S. nigrum species by selecting the most efficient ecotypes among commonly occurring representatives of S. nigrum complex worldwide. Moreover, these first comparative experiments convinced that the cosmopolitan character and great variety of species/subspecies belonging to Solanum nigrum complex all over the world opens the new area for successful soil phytoremediation with the use of the most appropriate eco/genotypes of S. nigtum as a tool for the best Cd-contaminated soil management practice.

Impacts of menopause hormone therapy on mood disorders among postmenopausal women

OBJECTIVE

This study aimed to explore the modulatory effects of menopause hormone therapy (MHT) on mood disorders among postmenopausal women.

METHODS

A cross-sectional study was conducted to recruit postmenopausal women, including patients (arranged MHT for over 3 years as the medication group) and non-MHT controls. All participants were asked to respond to the Center for Epidemiological Studies Depression Scale (CES-D) and Generalized Anxiety Disorder Screener (GAD-7) questionnaires to assess their depression and anxiety status.

RESULTS

A total of 230 cases from the two groups were determined based on propensity score matching analysis by matching the menopausal age and menopausal durations. We found that MHT served as a favorable modulator in the depression status of postmenopausal women. Among the four factors of the CES-D questionnaire, our data indicated that the differences between the two groups fell primarily into two aspects: depressive emotion, and somatic symptoms or retarded activities. MHT was mainly involved in improving the depression of overweight women. However, no substantial effects of MHT were observed on the regulation of anxiety.

CONCLUSION

Postmenopausal women, especially the overweight population, who have experienced MHT exhibited an improved depressive status but not their anxiety condition.

Video-assisted superior mediastinal lymphadenectomy for papillary thyroid cancer: a case report

Superior mediastinal lymph node metastases in papillary thyroid cancer are uncommon. The clinical characteristics and surgical strategy of superior mediastinal lymph node metastases remain unclear. Superior mediastinal lymphadenectomy can be accomplished either by a transcervical or transsternal approach. Transsternal approach for superior mediastinal lymphadenectomy can cause great damage; transcervical approach sometimes results in inadequate exposure. Here we report our experience of a papillary thyroid cancer patient with superior mediastinal lymph node metastases who underwent video-assisted superior mediastinal lymphadenectomy. A 49-year-old woman diagnosed with papillary thyroid cancer in left thyroid underwent unilateral lobectomy and ipsilateral central and lateral node dissection in the local hospital 4 years ago. Currently lymph node metastases were found in mediastinum and the right neck, some of which were adjacent to the right innominate vein. Unilateral lobectomy, ipsilateral central and lateral node dissection, and video-assisted superior mediastinal lymphadenectomy were successfully performed by transcervical approach. Subsequently, the patient received thyroxine suppression therapy and adjuvant radioiodine treatment. Video-assisted superior mediastinal lymphadenectomy, providing adequate exposure for a complete superior mediastinal lymphadenectomy, is proved to be safe and feasible.

Cadmium removal potential of hyperaccumulator Solanum nigrum L. under two planting modes in three years continuous phytoremediation

Solanum nigrum L. is a Cd hyperaccumulator, but the potential for continuous remediation, or different planting methods have not been fully characterized. The potential for continuous phytoremediation of Cd-contaminated farmland soil (2.08 mg kg^-1 Cd) by 2 planting methods (flowering harvest twice a year and maturity harvest once a year) was studied in a 3-year pot experiment. The total Cd accumulation (ug plant^-1) of the 3-year flowering stage treatments was 26.3% higher than that of the maturity stage treatments, which was mainly due to that flowering harvest twice a year caused 65.5% increase of shoot biomass. Similarly, the Cd decreased concentration in soil and Cd removal rate in the flowering stage treatments were 29.2% and 27.9% higher than that in the maturity stage treatments, respectively. After 3 years of phytoremediation, the extractable Cd concentration in soil was reduced by 36.4% in the flowering stage treatments and by 27.6% in the maturity stage treatments, which also led to the same decreasing trend of Cd accumulation of S. nigrum. In conclusion, the study results have demonstrated that the planting mode of two harvests a year at the flowering stage seems to be a viable option to apply for continuous phytoremediation of Cd-contaminated farmland soil.

Co-high-efficiency washing agents for simultaneous removal of Cd, Pb and As from smelting soil with risk assessment

Soil washing is considered a highly efficient technology due to its higher removal rate of multiple heavy metals from contaminated soil. However, previous studies on Cd, Pb and As washing agents for soils with complex contaminations did not consider the differences in As and Cd/Pb properties, resulting in the lack of effective washing compounds and washing conditions for soils with complex contaminations. Moreover, most traditional washing agents can cause secondary pollution. In this study, HEDTA and lactic acid (LA) treatments resulted in a higher Cd and Pb removal, while 1-hydroxyethylidene-1,1-diphosphonic acid (HEDP) was more effective in As removal. Most importantly, a new washing strategy was proposed with a new combined high-efficiency washing agents consisting of HEDP + LA + FeCl₃ with a ratio of 6:3:1. Considering washing efficiency and consumption under optimal washing conditions, i.e. the soil/liquid (S/L) ratio of 1:20 and washing time of 48 h, the rates of Cd, Pb and As removal were 79.93%, 69.84% and 61.55%, respectively. In addition, washing process could influence the speciation of heavy metals, especially oxidizable and residual Cd and Pb fractions, as well as reducible As fraction. The washing process using the new washing agent can significantly reduce the pollution level and health risk of Cd, Pb and As contamination. The results of this study can provide an efficient washing agent for the remediation of heavy metal-contaminated soils at smelting sites, which will help protect human health.

CARBONATED BEVERAGES AFFECT LEVELS OF ANDROGEN RECEPTOR AND TESTOSTERONE SECRETION IN MICE

Objectives

This work aimed to study the influences of carbonated beverages (CBs) on the testis growth and the expression levels of androgen receptor (AR) of mice.

Methods

Two experimental groups of 30 mice each PEP-1 and PEP-2 drank 50% and 100% Pepsi-Cola, respectively for 15 days. Other 2 experimental groups of 30 mice each COC-1 and COC-2 drank 50% and 100% Coca-Cola, respectively for 15 days. The control group (CG) of 30 mice drank water. Bilateral testes were harvested aseptically on days 0, 5, 7, 10, 13 and 15. Real-time PCR and Western blot were implemented to detect levels of androgen receptor (AR) mRNA and protein in testis tissues.

Results

Testes masses of PEP-2, COC-1 and COC-2 were greater than those of PEP-1 and CG (P < 0.05). On day 15, testis longitudinal diameter (TLD) of CBs-treated mice was increased as compared to CG. TLD, testes transverse diameters (TTD) and AR proteins levels of PEP-2 and COC-2 were increased in comparison with CG (P<0.05). Serum testosterone concentrations of PEP-2 were higher than that of COC-1 and CG (P < 0.05). Levels of AR mRNAs of four CBs-treated mice were increased by 60.18%, 67.26%, 65.93% and 78.76%.

Conclusions

A high concentration of Coca-Cola and Pepsi-Cola could raise TLD and TDD, enhance testosterone secretion, and increase serum EGF concentrations.

The adaptation to freezing tolerance of hydrated lettuce seeds: effects of regional climate and of seed characteristics

BACKGROUND

With global warming, soil seed banks at high altitudes face dual challenges, excessive water absorption and thinner snow cover that increase underground temperature. A better understanding of freezing tolerance of hydrated seeds provides insights for conservation in natural soil seed banks.

OBJECTIVE

To understand the adaptation mechanisms of seed freezing tolerance under various climates, in relation to cooling rate and seed size.

MATERIALS AND METHODS

Twelve ecotypes of lettuce (Lactuca sativa) seeds were collected from different geographical locations around the world. Seeds were fully hydrated and tested for their freezing tolerance using programmed cooling methods.

RESULTS

The size of seeds from different climate regions varied, and was correlated with the freezing tolerance of the hydrated seeds (P < 0.05). Larger seeds showed poorer freezing tolerance. The local climates of maternal plants were also well correlated to seed freezing tolerance (P < 0.05), especially under slow cooling conditions. The seeds collected in regions with high spring rainfall exhibited greater freezing tolerance.

CONCLUSION

Freezing tolerance of hydrated seeds is affected by the climate of maternal plants and by seed size. Our data revealed the existence of an adaptation mechanism of freezing tolerance among various ecotypes of lettuce seeds. doi.org/10.54680/fr22410110412.

Difference in Cd2+ flux around the root tips of different soybean (Glycine max L.) cultivars and physiological response under mild cadmium stress

The purpose of the study was to compare differences in Cd2+ flux in the vicinity of root tips of 20 soybean cultivars under mild Cd stress conditions using non-invasive micro-test technology (NMT). The results indicated that Cd2+ influx to the root tips under mild Cd treatment was higher compared to controls. Cd2+ influx showed an obvious spatial distribution, with the highest Cd2+ influx measured 300 μm from the root tips, and a gradually decrease above and below this site. The cultivar Liaodou32 had a lower Cd uptake (3.40 pmol cm-2 s-1), while Liaodou23 had a relatively higher Cd uptake (66.37 pmol cm-2 s-1). Cluster analysis showed that the order of the average Cd2+ influx of the cultivars at a distance of 300 μm from the root tips was as follows: high-uptake cultivars (61.80 pmol cm-2 s-1)>medium-high-uptake cultivars (33.92 pmol cm-2 s-1)>medium-low-uptake cultivars (19.78 pmol cm-2 s-1)>low-uptake cultivars (4.84 pmol cm-2 s-1). We also analyzed physiological responses of different soybean cultivars to mild Cd stress. The results indicated that mild Cd stress could inhibit soluble protein production and root vigor among individual soybean cultivars. Moreover, stress increased SOD, CAT and POD activities and MDA content in root tissues. It should be noted that the physio-biochemical indicators of low-uptake cultivars did not change significantly after exposure to mild Cd stress compared to controls. Pearson's correlation analyses showed that all physio-biochemical indicators were significantly positively associated with influx, except of root SP and biomass. PCA analysis demonstrated that root vigor was a dominant factor causing the differences in Cd tolerance among different soybean seedling cultivars. NMT is of great significance for safe utilization of contaminated soil to distinguish the cultivars with different enrichment capacity for heavy metals from different crop cultivars.

Enhanced Cd Phytoextraction by Solanum nigrum L. from Contaminated Soils Combined with the Application of N Fertilizers and Double Harvests

It is very important to increase phytoremediation efficiency in practice in suitable climatic conditions for plant growth through multiple harvests. Solanum nigrum L. is a Cd hyperaccumulator. In the present experiment, after applying different types of N fertilizers (NH4HCO3, NH4Cl, (NH4)2SO4, CH4N2O), root and shoot biomasses and Cd phytoextraction efficiency of S. nigrum effectively improved (p < 0.05). Shoot biomasses of S. nigrum harvested at the first florescence stage plus the amounts at the second florescence stage were higher than those harvested at the maturation stage, which indicates that S. nigrum Cd phytoaccumulation efficiency was higher in the former compared to the latter as there was no clear change in Cd concentration (p < 0.05). The pH value and extractable Cd contents showed no changes, regardless of whether N fertilizer was added or not at different growth stages. In addition, after N fertilizer was applied, H2O2 and malondialdehyde (MDA) contents in S. nigrum in vivo were lower compared to those that had not received N addition (CK); similarly, the concentration of proline was decreased as well (p < 0.05). The activity of the antioxidant enzyme catalase (CAT), harvested at different growth periods after four types of N fertilizer applications, obviously decreased in S. nigrum shoots, while peroxidase (POD) and superoxide dismutase) (SOD) activities increased (p < 0.05). Our study demonstrated that (NH4)2SO4 treatment exerted the most positive effect and CH4N2O the second most positive effect on S. nigrum Cd phytoremediation efficiency in double harvests at florescence stages, and the growth conditions were better than others.

Integrated survey on the heavy metal distribution, sources and risk assessment of soil in a commonly developed industrial area

The Jiangzhe Area was relatively common area that rely on industrial process for rapid development with serious heavy metals contamination. This study investigated the spatial, vertical and speciation distribution, correlation of heavy metals, as well as assessed pollution and health risks in three representative contamination industries at Jingjiang (electroplating site), Taizhou (e-waste recycling site) and Wenzhou (leather production site) in the Jiangzhe Area. The results indicated that the Cr(VI) pollution was serious in all three sites and there was a tendency to gradually decrease with depth. As for other heavy metals, not only the total concentration, but also the addition of acid soluble and reducible speciation generally decreased with soil depth at Jingjiang and Taizhou sites. Significantly positive correlations supported by correlation analysis were detected between the following elements: Cu-Ni (p < 0.01), Cr(VI)-Ni (p < 0.05) and Cr(VI)-Cu (p < 0.05) at Jingjiang site, Cu-Ni (p < 0.01), Cu-Cd (p < 0.01) and Ni-Cd (p < 0.05) at Taizhou site indicating possibly the same sources and pathways of origin, while the significantly negative correlation of Cd-Ni (p < 0.05) at Wenzhou site meaning the different sources. As regards the pollution assessment of topsoil, the mean PI value indicated that Cr(VI) contaminated severe in all three sites. In general, Jingjiang site was severe pollution (4.06), while Taizhou and Wenzhou (2.27 and 2.66) were moderate pollution, as NIPI value shown. In terms of health risk assessment that received much attention, non-carcinogenic risks caused by Pb contamination were significant for children at Jingjiang and Taizhou sites, with the HI values of 3.42E+ 00 and 2.03E+ 00, respectively. Ni caused unacceptable carcinogenic risk for both adults and children at all three sites. The present study can help to better understand the contamination characteristics of heavy metals in the commonly developed industrial area, and thus to control the environmental quality, so as to truly achieve the goal of "Green Deal objectives ".

Effects of Cd-resistant fungi on uptake and translocation of Cd by soybean seedlings

In this study, three cadmium (Cd)-resistant fungal strains, temporarily named as F1, F2 and F3 were isolated from the roots of Cd-tolerant soybean cultivars, rhizosphere and bulk soils, respectively, in contaminated sites. Cd-resistant strains F1, F2 and F3 were characterized for their effect on biomass, Cd uptake and translocation of two soybean cultivars (Liaodou36 and Liaodou33) grown in Cd-contaminated soils. The results showed that Cd concentration decreased significantly in Cd-supplemented culture solutions inoculated with strains F1, F2 and F3 compared to non-inoculated controls, while cell counts significantly increased during the incubation. The increase in shoot biomass of two soybean cultivars inoculated with strains F1, F2 and F3 ranged from 13% to 29%, 16%-27% and 15%-32%, respectively, compared to controls. Strain F2 had a higher potential to reduce the water-soluble Cd content (23% and 40%) and EDTA-extractable Cd content in the rhizosphere soil of Liaodou36 and Liaodou33 seedlings compared to strains F1 and F3. A significant decrease of Cd contents was observed in the root and shoot of Liaodou33 inoculated with strain F2 compared to non-inoculated controls, and inoculation with strain F2 significantly reduced the TF and BCF of Liaodou33 in comparison with controls. Based on ITS rRNA gene sequence analyses, the strains F1, F2 and F3 were identified as Mucor circinelloides (similarity 99.81%), Curvularia lunata (similarity 99.31%) and Clonostachys rosea (similarity 99.17%). The results of our study demonstrated that the strain F2 had a higher Cd biosorption and immobilization potential than strains F1 and F3. The strain F2 promoted the growth and reduced Cd uptake and translocation of Liaodou33 in Cd-polluted soils. It is worth noting that our results might provide an effective technical support for Cd immobilization remediation and safe soybean production by inoculating moderate Cd-accumulating soybean cultivars with strain F2 in Cd-contaminated soils.

The effects of different electrode materials on seed germination of Solanum nigrum L. and its Cd accumulation in soil

The effects of different electrode on Solanum nigrum L. seed germination were determined. The result showed that germination percentage (GP) of seeds in treatment T2 (titanium electrode) was 26.6% higher than in control (CK, without electric field). High potassium and calcium concentrations were beneficial for seed enzymatic activity in treatment T2, which could partly explain the increase in GP. Cd accumulation (μg/pot) in S. nigrum treated with any electric field was significantly higher (p<0.05) than in CK without electric field. Specifically, Cd accumulation under the treatment T3 (stainless steel electrode) was the highest both in roots and shoots; this accumulation in shoots and roots were 74.7 % and 67.4 % higher for stainless steel than in CK. This increase must have been associated with a higher Cd concentration in plants and did not exert a significant effect on the biomass. In particular, Cd concentrations in roots and shoots under stainless steel treatment were both significantly higher than in CK (p<0.05), which had to be related to the higher available Cd concentration in the soil in the middle region. Furthermore, it could be attributed to altered soil pH and other soil properties. Moreover, none of the biomasses were significantly affected (p<0.05) by different electrode materials compared to CK.

Association of prenatal renal ultrasound abnormalities with pathogenic copy number variants in a large Chinese cohort

OBJECTIVES

To assess the clinical utility of prenatal chromosomal microarray analysis (CMA) in fetuses with abnormal renal sonographic findings, and to evaluate the association of pathogenic or likely pathogenic copy number variants (P/LP CNVs) with different types of renal abnormality.

METHODS

This was a retrospective study of fetuses at 14-36 weeks screened routinely for renal and other structural abnormalities at the Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region. We retrieved and analyzed data from fetuses with abnormal renal sonographic findings, examined between January 2013 and November 2019, which underwent CMA analysis using tissue obtained from chorionic villus sampling (CVS), amniocentesis or cordocentesis. We evaluated the CMA findings according to type of renal ultrasound anomaly and according to whether renal anomalies were isolated or non-isolated.

RESULTS

Ten types of renal anomaly were reported on prenatal ultrasound screening, at a mean ± SD gestational age of 24.9 ± 4.8 weeks. The anomalies were diagnosed relatively late in this series, as 64% of cases with an isolated renal anomaly underwent cordocentesis rather than CVS. Fetal pyelectasis was the most common renal ultrasound finding, affecting around one-third (34.32%, 301/877) of fetuses with a renal anomaly, but only 3.65% (n = 11) of these harbored a P/LP CNV (comprising: isolated cases, 2.37% (4/169); non-isolated cases, 5.30% (7/132)). Hyperechogenic kidney was found in 5.47% (n = 48) of fetuses with a renal anomaly, of which 39.58% (n = 19) had a P/LP CNV finding (comprising: isolated cases, 44.44% (16/36); non-isolated cases, 25.00% (3/12)), the highest diagnostic yield among the different types of renal anomaly. Renal agenesis, which accounted for 9.92% (n = 87) of all abnormal renal cases, had a CMA diagnostic yield of 12.64% (n = 11) (comprising: isolated cases, 11.54% (9/78); non-isolated cases, 22.22% (2/9); unilateral cases, 11.39% (9/79); bilateral cases, 25.00% (2/8)), while multicystic dysplastic kidney (n = 110), renal cyst (n = 34), renal dysplasia (n = 27), crossed fused renal ectopia (n = 31), hydronephrosis (n = 98), renal duplication (n = 42) and ectopic kidney (n = 99) had overall diagnostic rates of 11.82%, 11.76%, 7.41%, 6.45%, 6.12%, 4.76% and 3.03%, respectively. Compared with the combined group of CMA-negative fetuses with any other type of renal anomaly, the rate of infant being alive and well at birth was significantly higher in CMA-negative fetuses with isolated fetal pyelectasis or ectopic kidney, whereas the rate was significantly lower in fetuses with isolated renal agenesis, multicystic dysplastic kidney or severe hydronephrosis. The most common pathogenic CNV was 17q12 deletion, which accounted for 30.14% (22/73) of all positive CMA findings, with a rate of 2.51% (22/877) among fetuses with an abnormal renal finding. Fetuses with 17q12 deletion exhibited a wide range of renal phenotypes. Other P/LP CNVs in the recurrent region that were associated with prenatal renal ultrasound abnormalities included 22q11.2, Xp21.1, Xp22.3, 2q13, 16p11.2 and 1q21, which, collectively, accounted for 2.17% (19/877) of the fetuses with prenatal renal anomalies.

CONCLUSIONS

In this retrospective review of CMA findings in a large cohort of fetuses with different types of renal ultrasound abnormality, the P/LP CNV detection rate varied significantly (3.03-39.58%) among the different types of kidney anomaly. Our data may help in the decision regarding whether to perform prenatal genetic testing in fetuses with renal ultrasound findings. Specifically, prenatal CMA testing should be performed in cases of hyperechogenic kidney, regardless of whether or not the anomaly is isolated, while it should be performed postnatally rather than prenatally in cases of fetal pyelectasis. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.

Autonomous robotic laparoscopic surgery for intestinal anastomosis

Autonomous robotic surgery has the potential to provide efficacy, safety, and consistency independent of individual surgeon's skill and experience. Autonomous anastomosis is a challenging soft-tissue surgery task because it requires intricate imaging, tissue tracking, and surgical planning techniques, as well as a precise execution via highly adaptable control strategies often in unstructured and deformable environments. In the laparoscopic setting, such surgeries are even more challenging because of the need for high maneuverability and repeatability under motion and vision constraints. Here we describe an enhanced autonomous strategy for laparoscopic soft tissue surgery and demonstrate robotic laparoscopic small bowel anastomosis in phantom and in vivo intestinal tissues. This enhanced autonomous strategy allows the operator to select among autonomously generated surgical plans and the robot executes a wide range of tasks independently. We then use our enhanced autonomous strategy to perform in vivo autonomous robotic laparoscopic surgery for intestinal anastomosis on porcine models over a 1-week survival period. We compared the anastomosis quality criteria-including needle placement corrections, suture spacing, suture bite size, completion time, lumen patency, and leak pressure-of the developed autonomous system, manual laparoscopic surgery, and robot-assisted surgery (RAS). Data from a phantom model indicate that our system outperforms expert surgeons' manual technique and RAS technique in terms of consistency and accuracy. This was also replicated in the in vivo model. These results demonstrate that surgical robots exhibiting high levels of autonomy have the potential to improve consistency, patient outcomes, and access to a standard surgical technique.

Heavy metals uptake and translocation of typical wetland plants and their ecological effects on the coastal soil of a contaminated bay in Northeast China

Heavy metal pollution in coastal zone is a global environment problem concerning the international society. As an eco-friendly and economical method, phytoremediation is a promising strategy for improving heavy metal pollution in coastal soil. In order to alleviate the ecological risk of heavy metal pollution in Jinzhou Bay, a typical and important heavy industrial area in China, three local wetland plants (Scirpus validus, Typha orientalis and Phragmites australis) were selected and planted in the field. The plants showed strong tolerance of high concentrations of heavy metals. Stressed by the heavy metals, the root weight of S. validus and P. australis increased 114.74% and 49.91%, respectively. The concentrations of heavy metals (Cd, Cr, Cu, Ni, Pb, Zn, As, Hg) accumulated in the plant roots were 4-60 times higher than that in plant shoots. The SEM analysis found that abundant heavy metals were adhered to the root surface closely. Bioconcentration factor of heavy metals on the plant roots were 0.08-0.89 (except Cr, Ni), while the translocation factor from roots to above ground of plants were 0.02-0.27. Furthermore, the wetland plants improved the regional ecological environment quality. The concentrations of heavy metals in the rhizosphere soil decreased significantly. Compared with the bulk soil, the potential ecological risk index in the rhizosphere soil reduced 26.51%-69.14%. Moreover, the microbial diversity in rhizosphere soil increased significantly, and the abundances of Proteobacteria and Bacteroidetes also increased in rhizosphere soil. Pearson correlations indicated that Hg, As, Ni and Cr were negatively correlated with Proteobacteria (p < 0.05), and Cu was significantly negative correlated with Bacteroidetes (p < 0.05). The results support that using suitable local plants is a promising approach for repairing heavy metal contaminated costal soil, not only because it can improve the regional ecological environment quality, but also because it can enhance the landscape value of coastal zone.

Comprehensive exploration of heavy metal contamination and risk assessment at two common smelter sites

This study investigated the horizontal, vertical and fractional distribution of heavy metals in the soil and the pollution and risk assessment of two smelter sites in Daye (a Cu smelter) and Zhuzhou (a Zn oxide smelter). Nine sampling points were reasonably established at each site, and nine soil samples were collected in each soil profile, with a total of 81 samples at each site. The results indicated that only As concentration was exceeded in most of the samples from the Daye site, and several were contaminated with multiple heavy metals, i.e. As, Cd and Pb; the values exceeding the standard were significant. Most of the samples at the Zhuzhou site were contaminated with many heavy metals, i.e. As, Cd, Pb and Ni. With increasing depth, the proportion of the acid-soluble and reducible heavy metal fraction decreased, while the proportion of the oxidized and residual fraction increased. The pollution index (PI) indicated that As at all positions, and Cd and Pb at several positions at the Daye site, as well as Cd and Pb at all points of Zhuzhou should have received more attention. The Nemerow integrated pollution index (NIPI) showed that a few sampling points in Daye were severely polluted, i.e. the points D5 with the value of 77.49 and the point D7 with 62.33, were more than the threshold value with 3 of severe pollution. Almost all sampling points in Zhuzhou were severely polluted, but the pollution degree was slightly lower than at Daye. The hazard index (HI) indicated the potential non-carcinogenic risk at the Daye and Zhuzhou sites. These values were unacceptable for both adults and children. The carcinogenic risk (CR) index indicated that the potential carcinogen risk due to As and Ni contamination were unacceptable at both sites, especially for children with 9.27E-03 and 1.99E-03 of As and Ni at Daye site, while 4.55E-03 and 4.09E-03 at Zhuzhou site. Strict control of industrial waste residues and smelters emissions into the soil is necessary to avoid further aggravation of heavy metal pollution.

Change of zinc mobilization and gene expression of key zinc transport proteins between the yolk sac membrane and liver of duck embryonic developing

Zinc (Zn) deposition in egg yolk is essential for the rapid growth and complete development of the avian embryo. Thus, it is crucial to obtain maximal Zn mobilization at an appropriate time during development in favor of the survival of avian embryos. The aim of this study was to study the developmental change of Zn mobilization and gene expression related to key Zn transport proteins between the yolk sac membrane and embryonic liver from the incubation d 17 (E17) to d 32 (E32) during duck embryonic developing. The weights of duck embryo, embryo without yolk sac, and embryonic liver increased as well as the yolk sac weight decreased linearly (P < 0.0001) when incubation day increased. The Zn concentration in the yolk sac did not change from E17 to E29 and only declined significantly from E29 to E32 of duck embryos, while hepatic Zn level decreased linearly as with the increased incubation time (P < 0.01). When the incubation day increased, the decreased Zn amount in the yolk sac and the increased Zn amount in the embryonic liver were observed (P < 0.0001). The calculated transfer-out rate of Zn in the yolk sac and transfer-in rate of Zn in livers were both increased from E23-26 to E29-32 (P < 0.01). Among E17, E23 and E29, the solute carrier family 39 member (ZIP) of ZIP10, ZIP13, and ZIP14 genes mRNA expressions were increased in yolk sac membrane but were decreased in the embryonic liver, while metallothionein 1 mRNA expression was increased both in the yolk sac membrane and liver (P < 0.05). In conclusion, yolk sac membrane and embryonic liver tissues displayed the similar developmental patterns of Zn mobilization and metallothionein 1 mRNA expression from E17 to E32 during duck embryonic developing. The appropriate time of the maximal rate of Zn mobilization were observed between E29 and E32 of duck embryo, associated with the significant changes of gene expression related to some key Zn transport proteins on E29 in yolk sac membrane and liver tissues.

Trial leadership by women is associated with racial diversity among heart failure clinical trial participants: a systematic bibliometric review 2000–2020

Background

For the results of randomized controlled trials (RCTs) to be generalizable, they should report on and include the broad range of patients who have the disease.

Purpose

We assessed temporal trends and trial factors associated with 1) the reporting of race or ethnicity data and 2) the enrolment of Black, Indigenous, and people of colour (BIPOC) in Heart Failure (HF) RCTs.

Methods

We searched MEDLINE, EMBASE, and CINAHL for RCTs that recruited adults with HF and were published in journals with an impact factor ≥10 between January 1, 2000 and June 17, 2020. We extracted data in duplicate and used the Cochran-Armitage and Jonchkeere-Terpstra tests to examine temporal trends. We used multivariable regression to assess the independent association between trial factors and the outcomes of interest.

Results

A total of 414 RCTs met inclusion criteria, of which a vast majority (90.6%; 95% CI 87.4–93.2%) were coordinated in either Europe or North America. Only 157 of the 414 RCTs (37.9%; 95% CI 33.2–42.8%) reported race/ethnicity data; among the 158,200 participants in these trials, only 29,512 (18.7%; 95% CI 18.5–18.9%) were BIPOC. There was a significant increase in the reporting of race or ethnicity data (from 26.9% in 2000–2001 to 54.2% in 2019–2020, p&lt;0.001) and in enrollment of BIPOC (from 16.5% in 2000–2001 to 23.9% in 2019–2020, p=0.038) between 2000–2020. Trial leadership by a woman was associated with twice the adjusted odds of reporting of race or ethnicity data (OR 2.0; 95% CI 1.1–3.8; p=0.028) and an 8.4% (95% CI 1.9–15.0%; p=0.012) adjusted increase in enrollment of BIPOC. The race/ethnicity of trial leaders was not available for analysis.

Conclusions

Among HF RCTs published between 2000–2020, &lt;38% reported data on race or ethnicity, although this increased over time. Among trials reporting such data, &lt;19% of participants were BIPOC, with modest increases in enrollment over time. Trials led by women had greater adjusted odds of reporting race/ethnicity data and enrollment of BIPOC.

Funding Acknowledgement

Type of funding sources: Public grant(s) – National budget only. Main funding source(s): CIHR

Global representation of heart failure clinical trial leaders and collaborators: a systematic bibliometric review 2000–2020

Aims

Heart Failure (HF) has a disproportionate burden in low- and middle-income countries. The geographic representation of those who lead HF randomized clinical trials (RCTs) may not reflect the geographic burden of disease. We assessed temporal trends and trial characteristics associated with leadership outside Europe and North America, and explored whether there was a geographic association between trial leadership and participant enrolment.

Methods and results

We searched MEDLINE, EMBASE, and CINAHL for HF RCTs published in journals with an impact factor ≥10 between January 1, 2000, and June 17, 2020. We used the Jonckheere-Terpstra test to assess temporal trends and multivariable logistic regression models to determine associations between predictor and outcome variables.

There were 414 eligible RCTs. Only 80 of 828 trial leaders (9.7%; 95% CI: 7.8% to 11.8%), and 453 of 4656 collaborators (9.7%; 95% CI: 8.8% to 10.6%) were from regions outside Europe and North America, with no temporal change in geographic representation. The odds of trial leadership outside Europe and North America were significantly lower with industry versus public funding (OR: 0.33; 95% CI: 0.15 to 0.75; P=0.008). Trial leadership outside Europe and North America was associated with enrolment of patients outside Europe and North America (OR: 10.0; 95% CI 5.6–19.0; P&lt;0.001).

Conclusion

Trial leadership outside Europe and North America is rare, particularly in industry funded trials, and is associated with participant enrolment in regions with disproportionate disease burden. Building research capacity and networks in under-represented regions could increase generalizability of trial results.

Funding Acknowledgement

Type of funding sources: None.

Comparative study on different organic acids for promoting Solanum nigrum L. hyperaccumulation of Cd and Pb from the contaminated soil

Organic acids-assisted phytoremediation is a promising strategy to remove metal pollutants from the soil. However, few reports have focused on the mechanisms of organic acids promoting the uptake of heavy metals by hyperaccumulators. In this study, 5 types of organic acids, namely polybasic carboxylic acids, acidic amino acids, acidic plant growth regulators, phosphoric and gluconic acids, were comprehensively investigated the effects on the solubility of Cd and Pb in the soil along with their uptake by Cd hyperaccumulator Solanum nigrum L. The results indicated that the addition of Hydroxyethylidene-1,1-diphosphonic acid (HEDP) and d-Gluconic acid (D-GA) effectively extracted the most of acid-extractable and some of reducible and oxidizable fractions of Cd and Pb in the soil, with the extraction rates of 64.8% and 34.4% for total Cd and 53.6% and 30.0% for total Pb, respectively. HEDP and D-GA significantly increased the accumulations of Cd (57.1% and 35.0%) and Pb (43.4% and 31.9%) by S. nigrum without the inhibition of its biomass, making the great removal efficiencies of Cd (1.35% and 1.16%) and Pb (0.039% and 0.036%) from the soil. The enhanced phytoremediation efficiency of S. nigrum was due to the increase of the extractable Cd and Pb in the rhizosphere but little changes of soil pH and enzyme activities (catalase and urease). Among all of organic acids, HEDP may be an alternative to EDTA because of its characteristics of environmental friendliness and high efficiency.

The potential of medicinal plant extracts in improving the phytoremediation capacity of Solanum nigrum L. for heavy metal contaminated soil

This study focused on the effects of eight medicinal plant extracts on Solanum nigrum L. potential to accumulate Cd and Pb from soil. These medicinal plants were common and relatively cheap. The eight 10% water extracts were made from the peel of Citrus reticulata Blanco (PCR), fruit of Phyllanthus emblica L. (FPE), root of Pueraria Lobata (Willd.) Ohwi (RPL), rhizome of Polygonatum sibiricum Red (RPS), root of Astragalus propinquus Schischkin (RAP), bud of Hemerocallis citrina Baroni (BHC), seed of Nelumbo nucifera Gaertn (SNN) and fruit of Prunus mume (Sieb.) Sieb.etZuce (FPM). The results showed that among all exposures, the treatment with FPE resulted in the significant increase (p < 0.05) of Cd and Pb concentration in shoots and roots of S. nigrum by 32.5% and 65.2% for Cd, and 38.7% and 39.6% for Pb. The biomasses of S. nigrum in all plant extract treatments were not significantly changed (p < 0.05) compared to the control (CK). The Cd and Pb extraction rates of S. nigrum in FPE treatment were increased respectively by 60.5% and 40.5% compared to CK. Though the treatment with EDTA significantly improved (p < 0.05) the concentration of Cd and Pb of S. nigrum, the Cd and Pb masses (ug plant^-1) of S. nigrum did not show any significant difference compared to the CK due to the significant decrease in the shoot (20.4%) and root (22.0%) biomasses. The chelative role of FPE might be relation with its higher polyphenolic compounds. However, not sure if the contents of polyphenolic compounds was the only differences between FPE and other additives. Thus, some unknown organic matters might also play active role. This study provided valuable information on improving the phytoremediation potential of hyperaccumulator.

Phytoremediation of two ecotypes cadmium hyperaccumulator Bidens pilosa L. sourced from clean soils

Heavy metal concentrations accumulated by different ecotypes of the same hyperaccumulator, collected from contaminated and uncontaminated areas, were found to vary significantly. Very few studies have compared the accumulative properties of two ecotype hyperaccumulators originating from clean soils. Here we compared the Hanzhong ecotype of Bidens pilosa L. (HAE), originating from clean soil in a subtropical monsoon climate zone Hanzhong city, with the Shenyang ecotype (SHE), originating from clean soil in a temperate semi humid continental climate zone Shenyang city, and we universally observed higher Cd concentration and higher biomass in the HAE ecotype. Both HAE and SHE demonstrated similar general Cd hyperaccumulator properties in S1 soil (4.43 mg kg^-1 Cd) and S2 soil (49.79 mg kg^-1 Cd, but HAE exhibited a higher net photosynthetic rate, transpiration rate, SOD activity and greater extractable Cd concentration in its rhizospheric soil. These results might imply that some ecotypes of hyperaccumulator in different climate zone may show higher phytoextraction potential. The differences of Cd accumulation among ecotypes may be more useful for the identification of genes relevant to plant hyperaccumulation.

Triplex qRT-PCR with specific probe for synchronously detecting Bovine parvovirus, bovine coronavirus, bovine parainfluenza virus and its applications

Bovine parvovirus (BPV), bovine coronavirus (BCoV) and bovine parainfluenza virus (BPIV) are common etiologies causing gastrointestinal and respiratory diseases in dairy herds. However, there are few reports on the synchronous detection of BPV, BCoV and BPIV. The present article aimed to develop a quick and accurate RT-PCR assay to synchronously detect BPV, BCoV and BPIV based on their specific probes. One pair universal primers, one pair specific primers and one specific probe was designed and synthesized. After the concentrations of primer and probe and annealing temperature were strictly optimized, the specificity, sensitivity and repeatability of the established triplex probe qRT-PCR were evaluated, respectively. The results showed the recombinant plasmids of pMD18-T-BPV, pMD18-T-BCoV and pMD18-T-BPIV were 554bp, 699bp and 704bp, respectively. The optimal annealing temperature was set at 45.0°C for triplex qRT-PCR. The triplex probe qRT-PCR can only synchronously detect BPV, BCoV and BPIV. Detection sensitivities were 2.0×102, 2.0×102 and 2.0×101 copies/μL for BPV, BCoV and BPIV, being 1000-fold greater than that in the conventional PCR. Detection of clinical samples demonstrated that triplex probe qRT-PCR had a higher sensitivity and specificity. The intra-assay and inter-assay coefficient of variation were lower than 2.0%. Clinical specimens verified that the triplex qRT-PCR had a higher sensitivity and specificity than universal PCR. In conclusion, this triplex probe qRT-PCR could detect only BPV, BCoV and BPIV. Minimum detection limits were 2.0×102 copies/μL for BPV and BCoV, and 2.0×101 copies/μL for BPIV. The sensitivity of this triplex probe qRT-PCR was 1000-fold greater than that in the conventional PCR. The newly qRT-PCR could be used to monitor or differentially diagnose virus infection.

The cadmium accumulation differences of two Bidens pilosa L. ecotypes from clean farmlands and the changes of some physiology and biochemistry indices

Bidens pilosa L. is a widely distributed Cd-hyperaccumulator species in the world with large biomass and fast growth rate. The Cd accumulating differences between different ecotypes of B. pilosa is not clear. This experiment firstly compared the Cd concentrations and relative physio-biochemical indices using two B. pilosa ecotypes collected from clean soils. The results showed that the Cd concentrations of stems and leaves of Hanzhong ecotype of B. pilosa (HZ) and Shenyang ecotype (SY) were all higher than their root Cd concentrations in different Cd concentration gradient experiment (from 2.57 mg kg^-1 to 37.17 mg kg^-1 in soils). Cd concentrations of the roots, stems and leaves of HZ and SY were all higher than in the soils either. However, HZ accumulated higher Cd concentrations than SY, i.e. roots increased by 32.7-45.8%, stems increased by 32.3-46.6% and leaves increased by 33.4-68.4%, respectively. Furthermore, the biomasses of HZ were all higher than the SY either. Compared to SY, higher Cd accumulation of HZ might be relevant with its higher photosynthetic pigment content, stomatal conductance, intercellular CO₂ concentration, some antioxidant enzyme activities, H⁺-ATPase, Ca²⁺-ATPase and 5'-AMPase activities, and lower malondialdehyde (MDA) content. Particularly, the changes of extractable Cd concentrations in rhizospheric soils of HZ and SY were corresponding to their Cd concentrations. Considering the two different ecotypes of HZ and SY were all collected from different clean farmlands, the new foundings that different mechanisms of HZ and SY accumulating Cd from the soil might be very important for screening and constructing ideal hyperaccumulator aimed at improving phytoremediation capacities in the future.

Strong accumulation capacity of hyperaccumulator Solanum nigrum L. for low or insoluble Cd compounds in soil and its implication for phytoremediation

This experiment is to explore whether one hyperaccumulator shows the strongly accumulative capacities for low or insoluble Cd compounds in soil. Soil potting experiment was conducted to analyze the accumulation capacity of Solanum nigrum L. for 10 different Cd compounds under two levels. The results clearly indicated: The Cd concentrations of shoots and roots were very high for different Cd compounds in soils even with low or insoluble Cd compounds compared with easily soluble Cd in the treatments of soil contaminated with Cd at different concentrations. Furthermore, the EFs and TFs were all larger than 1 either. Based on the results, although the bioavailabilities of some Cd compounds in soil were lower, S. nigrum's ability to accumulate them was still very strong. Phytoremediation may be widely used to treat with soil contaminated by different cadmium compounds. In addition, the total Cd content is also very important in evaluating the risk of Cd contamination in soil. Thus, phytoextraction is promising.

Primary Clear Cell Sarcoma of the Breast: A Case Report

Casestudy: Clear cell sarcoma (CCS), also known as malignant melanoma of soft parts, is a primary soft tissue neoplasm exhibiting evidence of melanocytic differentiation. It is an uncommon aggressive tumor that arises in tendons and aponeuroses of the distal extremities. Here, we report the first case of primary CCS of the breast.

The patient was a 43-year-old female who presented with a left breast mass and underwent surgical resection at an outside hospital. No history of melanoma or any other malignancies was reported. Grossly, it was described as a 2 x 1.5 x 1.5 cm, well-demarcated, white nodular mass. Microscopic examination showed a malignant neoplasm composed of short spindle cells with ill-defined, eosinophilic cytoplasm and ovoid nuclei with finely stippled chromatin and exhibiting moderate pleomorphism. The lesional cells were arranged in short interlacing fascicles with abundant collagen, with brisk mitotic activity (&gt;15/10 HPF). The differential diagnosis included spindle cell carcinoma, myoepithelial carcinoma and melanocytic neoplasm. The tumor cells were immunoreactive for S-100 protein, SOX10, Mart-1, HMB45 and MiTF, but negative for multiple cytokeratins (including high and low molecular weight keratins), p63, EMA, CEA, Caldesmon, smooth muscle myosin, calponin, desmin, ERG, and CD31, thus confirming melanocytic origin. EWSR1 gene rearrangement was detected by fluorescence in situ hybridization analysis using break-apart probes. Overall, the histomorphology combined with the immunophenotype and cytogenetic characteristics, was most consistent with a CCS. To our knowledge, no primary CCS of the breast has been previously reported in the English language literature.