Effects of warming on soil organic carbon pools mediated by mycorrhizae and hyphae on the Eastern Tibetan Plateau, China

Mycorrhizae and their hyphae play critical roles in soil organic carbon (SOC) accumulation. However, their individual contributions to SOC components and stability under climate warming conditions remain unclear. This study investigated the effects of warming on the SOC pools of Picea asperata (an ectomycorrhizal plant) and Fargesia nitida (an arbuscular mycorrhizal plant) mycorrhizae/hyphae on the eastern Tibetan Plateau. The results indicated that mycorrhizae made greater contributions to SOC accumulation than hyphae did by increasing labile organic carbon (LOC) components, such as particle organic carbon (POC), easily oxidizable organic carbon, and microbial biomass carbon, especially under warming conditions. Plant species also had different effects on SOC composition, resulting in higher mineral-associated organic carbon (MAOC) contents in F. nitida plots than in P. asperata plots; consequently, the former favored SOC stability more than the latter, with a lower POC/MAOC. Partial least-squares path modelling further indicated that mycorrhizae/hyphae indirectly affected LOC pools, mainly by changing soil pH and enzyme activities. Warming had no significant effect on SOC content but did change SOC composition by reducing LOC through affecting soil pH and iron oxides and ultimately increasing SOC stability in the presence of mycorrhizae for both plants. Therefore, the mycorrhizae of both plants are major contributors to the variation of SOC components and stability under warming conditions.

Enhanced removal of phosphate from aqueous solutions by oxygen vacancy-rich MgO microspheres: Performance and mechanism

The efficient removal of phosphate from water environments was extremely significant to control eutrophication of water bodies and prevent further deterioration of water quality. In this study, oxygen vacancy-rich magnesium oxide (OV-MgO) microspheres were synthesized by a simple solvothermal method coupling high-temperature calcination. The effects of adsorbent dosage, contact time, initial pH and coexisting components on phosphate adsorption performance were examined. The physicochemical properties of OV-MgO microspheres and the phosphate removal mechanisms were analyzed by various characterization techniques. The maximum adsorption capacity predicted by the Sips isotherm model was 379.7 mg P/g for OV-MgO microspheres. The phosphate adsorption in this study had a fast adsorption kinetics and a high selectivity. OV-MgO microspheres had a good acid resistance for phosphate adsorption, but their adsorption capacity decreased under alkaline conditions. The electrostatic attraction, ligand exchange, surface precipitation, inner-sphere surface complexation and oxygen vacancy capture were mainly responsible for efficient removal of phosphate from aqueous solutions. This study probably promoted the development of oxygen vacancy-rich metal (hydr)oxides with potential application prospects.

Image-based vegetation analysis of desertified area by using a combination of ImageJ and Photoshop software

Fractional vegetation cover (FVC) is a crucial indicator to estimate degradation and desertification for grasslands. However, traditional small-scale FVC analysis methods, such as visual estimation and point-sampling, are cumbersome and imprecise. Innovative methods like image-based FVC analysis methods, while accurate, face challenges such as complex analytical procedures and the necessary training for operations. Therefore, in this study, a combined application of ImageJ and Photoshop was employed to achieve a more effective analysis of FVC values in desertification areas. Our results showed that the FVC results obtained by combination of Photoshop and ImageJ were dependable and precise (R2 > 0.98), demonstrating equivalency to results obtained through either visual estimation or Photoshop-based methods. Furthermore, even in the face of background interference and varied shooting angles, the combination of ImageJ and Photoshop software was still able to maintain a low error rate when analyzing FVC values (average error rate =  - 2.6%). In conclusion, the imaged-based combined FVC analysis method employed in our research was an effective, precise, and efficient technique for analyzing small-scale FVC, promising substantial improvement over conventional methods.

Simplification of the pretreatment method for phosphate oxygen isotope measurement in phosphogypsum leachate

The stacking of phosphogypsum has caused considerable phosphorus pollution in water bodies near phosphogypsum yards through surface runoff and underground infiltration. The phosphate oxygen isotope (δ18Op) tracing method has served as a valuable tool for tracing phosphorus pollution in water. However, the existing δ18Op enrichment and purification methods are complex, costly, and inefficient for phosphate recovery, particularly for phosphogypsum leachate with complex compositions. Herein, a simplified and optimized pretreatment method for δ18Op measurement in phosphogypsum leachate was developed. Zirconium/polyvinyl alcohol (Zr/PVA) gel beads showed good selectivity for phosphate enrichment from water at different initial phosphate concentrations with appropriate Zr/PVA dosage. The optimal enrichment pH value was <7, and the concentrated phosphate on the Zr/PVA gel beads could be effectively eluted in an alkaline environment. Compared with the traditional Fe or Mg coprecipitation enrichment methods, impurities in the solution showed no obvious adverse effects on the phosphate enrichment process. Further, the phosphate solution eluted from the Zr/PVA gel beads was purified by a simple adjustment of the pH instead of cation exchange in the traditional purification process. Magnesium ions in the solution could be completely removed when the pH ranged from 3.17 to 6.15, and the phosphate recovery rate could reach 98.66% when the eluent pH was 5.02. Fourier-transform infrared spectroscopy, X-ray diffraction, and energy-dispersive X-ray spectroscopy revealed that similar to traditional pretreatment method, the proposed method can obtain high-purity Ag3PO4 solids for δ18OP measurement and no isotope fractionation of δ18OP was observed. Therefore, this study provides a promising and reliable pretreatment method for δ18OP measurement, especially in complex phosphogypsum leachate.

Insights from distribution and fractionation of the rare earth elements into As enrichment in the Singe Tsangpo River Basin

The geogenic As enrichment occurs extensively in the major river basin from the Tibetan Plateau, while the knowledge involved with the underlying mechanisms is far from completion. The present study utilized the geochemical behaviors of rare earth elements (REE) to study the hydrogeochemical evolution and As enrichment in the Singe Tsnagpo River basin, a typical As-rich river basin in the Tibetan Plateau. The river water was characterized by significant positive Eu anomalies and slight negative Ce anomalies, indicating the hydrogeochemical control of oxidative weathering of sourcing rocks and the contribution of felsic rocks. The PHREEQC modeling results suggested that the carbonate weathering contributed to the complexation of REE in the river water, where REE(CO3)+ and REE(CO3)2- were the predominant complex species. Besides, the reversing scenarios of HREE/LREE enrichment in the river water/sediments suggested a critical control of iron (hydr)oxides on the REE fractionation due to the preferential adsorption of LREE compared with HREE. Interestingly, the variations in Y/Ni and Cr/V ratios from the river sediments suggested a different contribution of sourcing rock weathering along the river flow path, where ultramafic rock showed a substantial contribution to the river sediments in the lower reaches and granite source is predominant in the upper reaches. It was also notable that the concurrent enrichment of REE and As in the river waters showed a response to the substantial enhancement of chemical weathering in the upper reaches of the STR basin, which was evidenced by the corresponding increases in the electrical conductivity and the δ18O values in the river waters. The present study thus provides new insights into utilizing REE as environmental tracers for studying hydrogeochemical evolution and As enrichment in the STR basin, which could also apply to similar alpine arid and cold river basins.

Role of Cisplatin in Inducing Acute Kidney Injury and Pyroptosis in Mice via the Exosome miR-122/ELAVL1 Regulatory Axis

Although cisplatin is an effective chemotherapy drug for the treatment of various cancers, its clinical use is limited due to its side effects, especially nephrotoxicity. Unfortunately, acute kidney injury (AKI) caused by cisplatin remains one of the main challenges in effective cancer treatment. Evidence increasingly suggests that renal inflammation and pyroptotic inflammatory cell death of renal tubular epithelial cells (RTECs) mainly determine the progression and outcome of cisplatin-induced AKI. However, it is not clear how cisplatin regulates the pyroptosis of RTECs cells in AKI. The current study aimed to determine the regulation mechanism of AKI induced by cisplatin. We used cisplatin to induce AKI in vivo. We performed H&E staining of mouse kidney tissue sections and evaluated serological indicators of kidney injury (including blood urea nitrogen (BUN), serum creatinine, and tumor necrosis factor-alpha (TNF-alpha)). We used immunohistochemistry and western blot to detect the important substrate protein gasdermin D (GSDMD) and key target caspase-1 of pyroptosis, respectively. Cisplatin induced mouse AKI and RTECs pyroptosis. HK2 cell-derived exosomes treated with cisplatin influenced pyroptosis of the surrounding HK2 cells. Cisplatin-treated HK2 cells exosome-derived miR-122 regulated pyroptosis in the surrounding cells. Exosome-derived miR-122 affected cisplatin-induced AKI and HK2 cells pyroptosis by regulating the expression of embryonic lethal abnormal vision (ELAVL1). These results suggest that exosome miR-122 inhibited pyroptosis and AKI by targeting ELAVL1 under cisplatin treatment, and this offers a potential target for the treatment of AKI.

Application of Cu isotopes to identify Cu sources in soils impacted by multiple anthropogenic activities

Copper (Cu) is an important micronutrient for animals and plants, but it is toxic at high concentrations in soil. Soils adjacent to industrial areas would be subjected to severe Cu pollution. Identifying Cu sources in the surface environment is crucial for understanding their pollution level and fate. This study investigated Cu content, isotope composition of topsoils, and two soil profiles with varying levels of Cu contamination and related potential Cu sources in southwest China. The difference in Cu isotope compositions of tailing (1.29 ± 0.08 ‰), smelting fly ash (0.04 ± 0.03 ‰), coal (2.44 ± 0.09 ‰), coal-burning fly ash (0.34 ± 0.03 ‰), and geogenic soil (0.10 ± 0.03 ‰) enabled us to distinguish anthropogenic Cu from geogenic Cu. The plot of δ65Cu and 1/Cu demonstrates that Cu of the polluted soils was from three end-members: the smelting fly ash, the vehicle exhaust, and the background soils. Based on the mass balance model, we calculated that the fly ash from smelting was the major anthropogenic source, contributing approximately 29 % of Cu contamination in soils, and the diesel exhaust was another important source, with a contribution rate of approximately 25 %. Additionally, soil profile results suggest that anthropogenic Cu could transport through soil profiles and influence Cu content and isotope signatures of subsurface soils, at least to a depth of ∼60 cm. Finally, our research indicates that Cu isotopes could be a promising tool for tracing industrial pollution, as significant Cu isotope fractionation would occur during the smelting process. Our research highlights the contribution of smelting and diesel exhaust to Cu contamination in the soils in a representative mining area. These findings serve as a scientific foundation for the development of policy for pollution control in industrial-affected regions.

Decoupling the response of vegetation dynamics to asymmetric warming over the Qinghai-Tibet plateau from 2001 to 2020

Global land surface air temperature data show that in the past 50 years, the rate of nighttime warming has been much faster than that of daytime, with the minimum daily temperature (Tmin) increasing about 40% faster than the maximum daily temperature (Tmax), resulting in a decreased diurnal temperature difference. The Qinghai-Tibet Plateau (QTP) is known as the "roof of the world", where temperatures have risen twice as fast as the global average warming rate in the last few decades. The factors affecting vegetation growth on the QTP are complex and still not fully understood to some extent. Previous studies paid less attention to the explanations of the complicated interactions and pathways between elements that influence vegetation growth, such as climate (especially asymmetric warming) and topography. In this study, we characterized the spatial and temporal trends of vegetation coverage and investigated the response of vegetation dynamics to asymmetric warming and topography in the QTP during 2001-2020 using trend analysis, partial correlation analysis, and partial least squares structural equation model (PLS-SEM) analysis. We found that from 2001 to 2020, the entire QTP demonstrated a greening trend in the growing season (April to October) at a rate of 0.0006/a (p < 0.05). The spatial distribution pattern of partial correlation between NDVI and Tmax differed from that of NDVI and Tmin. PLS-SEM results indicated that asymmetric warming (both Tmax and Tmin) had a consistent effect on vegetation development by directly promoting greening in the QTP, with NDVI values being more sensitive to Tmin, while topographic factors, especially elevation, mainly played an indirect role in influencing vegetation growth by affecting climate change. This study offers new insights into how vegetation responds to asymmetric warming and references for local ecological preservation.

Effects of several polymeric materials on the improvement of the sandy soil under rainfall simulation

Poor cementation between soil particles is a fundamental cause of soil erosion and desertification. In recent decades, many polymers have been used to cement soil particles and improve the physical and chemical properties of soils. The contributions of polymers with different structures and functional groups to soil improvement vary considerably. In this study, a mixture comprising polyacrylamide (PAM), sodium polyacrylate (PAAS), hydroxypropyl methylcellulose (HPMC), and polyvinyl alcohol (PVA) was investigated to meet the requirements of soil water retention, erosion resistance, and plant growth. The results showed that the time required for the modified soil to reach drought conditions was extended by 4-7 days. The PAM/HPMC, PAM/PVA and PAM/PAAS experimental groups reduced the erosion rate by 99.57%, 98.3% and 96.38%, respectively, compared to that of the control group. The belowground plant biomass was significantly increased by PAM/HPMC, PAM/PAAS, and PAM/PVA, with increases of 115.92%, 145.23%, and 205.67%, respectively. HPMC contributed more to the soil erosion resistance and water-holding capacity, PAAS improved the soil porosity substantially, and PVA significantly increased the plant biomass. The rigid structures of the polymer chains enhanced the structural stability of the soil, and the hydrophilic functional groups increased the hydrophilicity of the amended soil. This study indicates different polymers that may be used to improve soil properties.

A critical review of adsorption isotherm models for aqueous contaminants: Curve characteristics, site energy distribution and common controversies

The quantitative description of the equilibrium data by the isotherm models is an indispensable link in adsorption studies. The previous review papers focus on the underlying assumptions, fitting methods, error functions and practical applications of the isotherm models, usually ignoring their curve characteristics, selection criteria and common controversies. The main contents of this review include: (i) effect of the model parameters on the isotherm curves; (ii) determination of the site energy distribution; (iii) selection criteria of the isotherm models; and (iv) elimination of some common controversies. It is of great significance to reveal the curve characteristics for selecting a proper isotherm model. The site energy distribution is conducive to understanding the physicochemical properties of the adsorbent surface. The complete isotherm is recommended to be correlated with the experimental data. The model parameter q_max should be cautiously adopted for comparison of the adsorbent performance. The residual plot can be used to diagnose the fitting quality of the isotherm models further. This review also addresses some common mistakes and controversies and thereby avoids their propagation in future publications.

Shear behavior of bedding fault material on the basal layer of DGB landslide

Daguangbao (DGB) Landslide (12 × 10⁸ m³) is the largest landslide triggered by the 2008 Ms8.0 Wenchuan Earthquake, in which basal shear failure develops on an interlayer fault at 400 m deep under the ground. After the landslide, a 1.8 km long (in the sliding direction) oblique shear face is exposed. Different kinds of materials in the interlayer fault of DGB landslide are taken for direct shear test, medium scale shear test, in-situ shear test and ring shear test. The test results show that fault material cohesion ranges from 20 to 320 kPa and internal friction angle from 15° to 41°. Shearing strength of interlayer fault materials is related to fragmentation degree of structure. The lower fragmentation degree the more obvious strain softening characteristics of materials, the higher fragmentation degree the poorer shearing resistance of materials. Compared with argillaceous materials in the same fault, the mylonitic materials are of higher shear strength and internal friction angle. Both mylonitic materials and breccia materials are strong in liquefying. In saturated undrained cases, shear strength of fault materials could drop to 9.7°, with S3 down to 0. In saturated undrained dynamic shear conditions, fault internal friction angle could be reduced to 23.1° and 4.2°. It is concluded that low friction feature of fault materials caused by the influence of groundwater is the main reason for destabilization of DGB landslide.

Substituted benzoate-anchored decanuclear titanium-oxo clusters featuring unprecedented defective double-cubane geometry

Based on DMF solvent, four titanium-oxo clusters (TOCs) [Ti10(μ3-O)12(L)6 (OiPr)10 (DMF)2] (Ti-L) (L=4-methylbenzoate(MB), 3,5-Di-tert-butylbenzoate (DTBB), 4-Methoxybenzoate (MOB) and 4-Methyl-3,5-dinitrobenzoate(MDNB) with the same coordination environments have been solvothermally synthesized with high...

APOBEC mutagenesis, kataegis, chromothripsis in EGFR-mutant osimertinib-resistant lung adenocarcinomas

BACKGROUND

Studies of targeted therapy resistance in lung cancer have primarily focused on single-gene alterations. Based on prior work implicating apolipoprotein b mRNA-editing enzyme, catalytic polypeptide-like (APOBEC) mutagenesis in histological transformation of epidermal growth factor receptor (EGFR)-mutant lung cancers, we hypothesized that mutational signature analysis may help elucidate acquired resistance to targeted therapies.

PATIENTS AND METHODS

APOBEC mutational signatures derived from an Food and Drug Administration-cleared multigene panel [Memorial Sloan Kettering Cancer Center Integrated Mutation Profiling of Actionable Cancer Targets (MSK-IMPACT)] using the Signature Multivariate Analysis (SigMA) algorithm were validated against the gold standard of mutational signatures derived from whole-exome sequencing. Mutational signatures were decomposed in 3276 unique lung adenocarcinomas (LUADs), including 93 paired osimertinib-naïve and -resistant EGFR-mutant tumors. Associations between APOBEC and mechanisms of resistance to osimertinib were investigated. Whole-genome sequencing was carried out on available EGFR-mutant lung cancer samples (10 paired, 17 unpaired) to investigate large-scale genomic alterations potentially contributing to osimertinib resistance.

RESULTS

APOBEC mutational signatures were more frequent in receptor tyrosine kinase (RTK)-driven lung cancers (EGFR, ALK, RET, and ROS1; 25%) compared to LUADs at large (20%, P < 0.001); across all subtypes, APOBEC mutational signatures were enriched in subclonal mutations (P < 0.001). In EGFR-mutant lung cancers, osimertinib-resistant samples more frequently displayed an APOBEC-dominant mutational signature compared to osimertinib-naïve samples (28% versus 14%, P = 0.03). Specifically, mutations detected in osimertinib-resistant tumors but not in pre-treatment samples significantly more frequently displayed an APOBEC-dominant mutational signature (44% versus 23%, P < 0.001). EGFR-mutant samples with APOBEC-dominant signatures had enrichment of large-scale genomic rearrangements (P = 0.01) and kataegis (P = 0.03) in areas of APOBEC mutagenesis.

CONCLUSIONS

APOBEC mutational signatures are frequent in RTK-driven LUADs and increase under the selective pressure of osimertinib in EGFR-mutant lung cancer. APOBEC mutational signature enrichment in subclonal mutations, private mutations acquired after osimertinib treatment, and areas of large-scale genomic rearrangements highlights a potentially fundamental role for APOBEC mutagenesis in the development of resistance to targeted therapies, which may be potentially exploited to overcome such resistance.

127I and 129I species in the English Channel and its adjacent areas: Uncovering impact on the isotopes marine pathways

Radioactive iodine-129 has been released from the La Hague nuclear fuel reprocessing facility (NRF) into the English Channel, but the distribution and transformation of the isotope species, and environmental consequences have not been fully characterized in the Channel. Here we present data on iodine isotopes (¹²⁹I and ¹²⁷I) species in surface water of the English Channel and the southern Celtic Sea. Compared to ¹²⁷I species, the concentrations of ¹²⁹I^- and ¹²⁹IO₃^- show more variations, but iodate is the major species for both ¹²⁹I and ¹²⁷I. Our data provide new information regarding iodide-iodate inter-conversion showing that water dilution and mixing are the main factors affecting the ¹²⁷I and ¹²⁹I species distribution in the Channel. Some reduction of iodate occurs within the English Channel and mainly in the west part because of biotic processes. The ¹²⁹I species transformation is overall insignificant, especially in the eastern Channel, where a constant value of ¹²⁹IO₃^-/¹²⁹I is observed, which might characterize the La Hague wastewater signal. In the Celtic Sea, oxidation of iodide can be traced by ¹²⁷I and ¹²⁹I species. On a larger scale, ¹²⁹I generally experienced an oxidation process in the Atlantic Ocean, while in the coast of shallow shelf seas, new produced ¹²⁹I^- can be identified, especially in the German Bight and the Baltic Sea. The data of ¹²⁹I species in the English Channel can provide estimate of redox rates in a much broader marine areas if the transit time of ¹²⁹I from La Hague is well-defined. Furthermore, estimate of inventories for ¹²⁹I and its species in the Channel, and fluxes of ¹²⁹I species from the English Channel to the North Sea add important information to the geochemical cycle of ¹²⁹I.

Effect of Polymer Mixtures on Physical-Chemical Properties of Sandy Soil and Plant Growth

Serious desertification problems were found in alpine grassland of the Qinghai-Tibet Plateau, China. The rehabilitation progress of degraded grassland is slow under natural conditions that have low rainfall and large evaporation. Organic agent-solidified soil is one of the most important measurements that limit desertification and grassland conservation-restoration. However, the characteristics of vegetation growth and development in solidified soil need to be studied in depth. This research is based on the modified carboxymethyl cellulose (MCMC) of independent development. Based on the sand soil taken from moving sandy land of Zoige, potted plants were tested in the environmental chamber at the laboratory. The physical, chemical, and biological characteristics of root soil were monitored for more than 7 months. As a result, the plant biomass in the experimental group increased, lodging rate decreased, drought tolerance and survival rate increased, and the number of plant roots and root surface area index, root cross-sectional area ratio, and root volume ratio increased compared with the matched group. It is shown that MCMC can effectively promote plant root development and improve plant drought tolerance and lodging resistance. We also found that, compared with the matched group, the values of the rhizosphere soil mass, root soil mass, and soil crust layer thickness of the experimental group were much higher, meaning that MCMC has strengthened the root soil-fixation ability and soil-crusting ability of plants. The soil nutrient indexes and bioactivity of the experimental group were higher than the matched group, indicating that MCMC has a positive influence on soil maturation. The quantitative description model of soil aging enhancement of MCMC material during root growth and development was established to explore the soil-fixation mechanism of MCMC plant root succession and provided an important scientific basis and technical support for the conservation and restoration of alpine grassland desertification grassland.

A data-driven estimate of litterfall and forest carbon turnover and the drivers of their inter-annual variabilities in forest ecosystems across China

Strong influences of climate and land-cover changes on terrestrial ecosystems urgently need to re-estimate forest carbon turnover time (τ_forest), i.e., the residence time of carbon (C) in the living forest carbon reservoir in China, to reduce uncertainties in ecosystem carbon sinks under ongoing climate change. However, in absence of accurate carbon loss (e.g., forest litterfall), τ_forest estimate based on the non-steady-state assumption (NSSA) in forest ecosystems across China is still unclear. In this study, thus, we first compiled a litterfall dataset with 1025 field observations, and applied a Random Forest (RF) algorithm with the linkage of gridded environmental variables to predict litterfall from 2000 to 2019 with a fine spatial resolution of 1 km and a temporal resolution of one year. Finally, τ_forest was also estimated with the data-driven litterfall product. Results showed that RF algorithm could well predict the spatial and temporal patterns of forest litterfall with a model efficiency of 0.58 and root mean square error of 78.7 g C m^-2 year^-1. Mean litterfall was 205.4 ± 1.1 Tg C year^-1 (mean ± standard error) with a significant increasing trend of 0.65 ± 0.14 Tg C year^-2 from 2000 to 2019 (p < 0.01), indicating an increasing carbon loss from litterfall. Mean τ_forest was 26.2 ± 0.1 years with a significant decreasing trend of -0.11 ± 0.02 years (p < 0.01) from 2000 to 2019. Climate change dominated the inter-annual variability of τ_forest in high latitude areas, and land-cover change dominated the regions with intensive human activities. These findings suggested that carbon loss from vegetation to the atmosphere becomes more quickly in recent decades, with significant implication for vegetation carbon cycling-climate feedbacks. Meanwhile, the developed litterfall and τ_forest datasets can serve as a benchmark for biogeochemical models to accurately estimate global carbon cycling.

Hydrogeochemical controls on As and B enrichment in the aqueous environment from the Western Tibetan Plateau: A case study from the Singe Tsangpo River Basin

Although enrichment of As and B has been extensively observed in major rivers within the Tibetan Plateau, the mechanisms regulating natural enrichment of As and B in the river basins remain poorly understood. To evaluate the hydrogeochemical controls on the As and B enrichment in the aqueous environment in the western Tibetan Plateau, samples of river waters, river sediments, and groundwater were collected within the Singe Tsangpo River basin. The results revealed significant enrichment of As and B in river water (up to 104 μg L^-1 for As and 3.2 mg/L for B), river sediment (up to 141 mg/kg for As and 79.4 mg/kg for B), and groundwater (up to 73 μg /L for As and 2.5 mg/L for B). Moreover, the decreases in the molar ratios from the Ca²⁺ /(Na⁺+K⁺) in river water and the chemical index of alteration (CIA) in the sediments accompanied with the enrichment of heavier δ¹⁸O values along the river flow path suggested that, carbonate and silicate weathering were more substantial at the upper reaches, and the dissolution of evaporites was enhanced at the lower reaches. The As and B enrichment in the river waters primarily resulted from the discharge of geothermal springs, while the carbonate weathering has facilitated the B enrichment through providing HCO₃^- for the competitive adsorption with H₃BO₃ or B(OH)₄^- . In addition, the recharge of surface water into groundwater resulted in elevated As and B concentrations in the alluvial aquifers at the lower reaches of the Singe Tsangpo River. The present study highlighted that variations in the weathering processes within the river basin could significantly contribute to the enrichment of As and B, which can improve our understanding of hydrogeochemical controls on the transport and enrichment of trace elements at the catchment scale worldwide.

An efficient manganese-oxidizing fungus Cladosporium halotolerans strain XM01: Mn(II) oxidization and Cd adsorption behavior

The applications of biogenic Mn oxides (BMOs) formed by Mn-oxidizing fungus in decontaminating heavy metals have attracted increasing attention. In this study, an efficient Mn-oxidizing fungus was isolated from soil and identified as Cladosporium halotolerans strain XM01. The Mn(II) adsorption and oxidation activities of this strain were investigated, showing significantly high removal and oxidation rates of soluble Mn(II) of 99.9% and 88.2%, respectively. Dynamic analysis of the Mn(II) removal process demonstrated the oxidation process of Mn(II) to Mn(III) was the rate-limiting step in the Mn(II) metabolic process. The XRD and SAED characterization showed that more layers were orderly accumulated along the c-axis with the formation of fungal BMOs, which might lead to the decrease in its specific surface area. The adsorption of Cd(II) by the formed BMOs was investigated and compared with two typical abiotic Mn oxides, indicating that the adsorption capacity decreased with the following order: immature BMO, mature BMO, δ-MnO₂, acid birnessite, while the fixation capacity decreased in the order of acid birnessite, mature BMO, δ-MnO₂, immature BMO. The inverse correlation between the capacity of Cd(II) adsorption and fixation of immature and mature BMOs was probably attributed to the increase in the layer stacking of BMOs. This result indicates an interesting phenomenon of high reservation of Cd(II) resulting from sequential transformation from strong adsorption to strong fixation with the formation of BMOs. This study offers considerable insights into fungal Mn oxidation mechanisms and provides theoretical guidance for fungal BMOs in heavy metals bioremediation.

Gestational bisphenol A exposure impairs hepatic lipid metabolism by altering mTOR/CRTC2/SREBP1 in male rat offspring

Lipid metabolism is an important biochemical process in the body. Recent studies have found that environmental endocrine disruptors play an important role in the regulation of lipid metabolism. Bisphenol A (BPA), a common environmental endocrine disruptor, has adverse effects on lipid metabolism, but the mechanism is still unclear. This study aimed to investigate the effects of gestational BPA exposure on hepatic lipid metabolism and its possible mechanism in male offspring. The pregnant Sprague-Dawley rats were exposed to BPA (0, 0.05, 0.5, 5 mg/kg/day) from day 5 to day 19 of gestation to investigate the levels of triglyceride (TG) and total cholesterol (TC), and the expression of liver lipid metabolism-related genes in male offspring rats. The results showed that compared with the control group, the TG and TC levels in serum and liver in BPA-exposed groups was increased. And the expressions of liver fatty acid oxidation related genes, such as peroxisome proliferators-activated receptor α (PPARα) and carnitine palmitoyl transferase 1α (CPT1α), were down-regulated. However, the expressions of fatty acid synthesis related genes, such as sterol regulatory element binding proteins 1 (SREBP-1), acetyl-CoA carboxylase 1 (ACC1), fatty acid synthase (FAS) and stearoyl-CoA desaturase 1 (SCD-1), were up-regulated. The increased protein levels of mTOR and p-CRTC2 suggested that CREB-regulated transcription coactivator 2 (CRTC2) might be an important mediator in the mTOR/SREBP-1 pathway. In conclusion, these results demonstrated that mTOR/CRTC2/SREBP-1 could be affected by gestational BPA exposure, which may involve in the lipid metabolic disorders in later life.

Enhanced photodegradation of doxycycline (DOX) in the sustainable NiFe2O4/MWCNTs/BiOI system under UV light irradiation

In this study, a magnetic NiFe₂O₄/MWCNTs/BiOI composite were fabricated and applied for enhanced and sustainable photocatalytic degradation of doxycycline (DOX) under UV light irradiation. The as-synthesized material was characterized by a series of techniques and its photocatalytic property was assessed via a couple of batch tests. With the pH at 3.0 and NiFe₂O₄/MWCNTs/BiOI loading of 1.5 g L^-1, the DOX degradation (at 45 mg L^-1) efficiency could achieve 92.18% with the reaction rate constant k of 0.0072 min^-1. The high mineralization of DOX suggests the strong oxidation of both the parent pollutant and the intermediary products in the ternary catalyst system. DRS spectra indicated that compared with BiOI, the introduction of NiFe₂O₄ and MWCNTs reduces the band gap energy of the NiFe₂O₄/MWCNTs/BiOI. The quenching test illustrates that h⁺, OH and O₂^- all functioned in the developed photocatalytic system, where O₂^- and h⁺ play the dominant roles in DOX degradation. The more efficient electron-h⁺ separation and more oxidizing species induced by UV light resulted in the significant improvement of DOX abatement in the developed coupling system compared with that on either BiOI or NiFe₂O₄/MWCNTs. The magnetic property of NiFe₂O₄/MWCNTs/BiOI enables its easy separation of the solid catalyst from the reaction solution and the sustainable application in the photocatalysis. Based on the intermediates of DOX decomposition identified by UPLC-MS, the possible degradation routes were proposed accordingly.

Responses of fungal communities along a chronosequence succession in soils of a tailing dam with reclamation by Heteropogon contortus

Phytoremediation can obviously change the fungal communities in the soils, which will significantly impact carbon (C) and nitrogen (N) cycling in ecological system. So far, the relationship between soil fungal communities and environmental factors is still poorly understood along a long chronosequence. In this study, fungal communities in the surface and rhizosphere soils of a tailing dam with Heteropogon contortus phytoremediation were investigated to explore the evolution of fungal community in a span of 50 years. The results showed that microbial community diversity increases along with time series of Heteropogon contortus phytoremediation. The dominant Dothideomycetes (20.86%), Agaricomycetes (18.09%), and Arthoniomycetes (1.69%) in rhizosphere soils were relatively higher than those in topsoil (13.9%, 2.65%, and 0.20%) at class level. Spearman correction analysis by phylum level was conducted to detect whether microflora was related to soil Physico-chemical properties, which affecting the composition of fungal communities along with the Heteropogon contortus phytoremediation. The nitrogen cycle indicators represented good linear correlations as chronosequence goes on, the indexes in the rhizosphere soil were much higher than those in the surface soils and the highest level has occurred in the 47-year-old Heteropogon contortus phytoremediation. The relative abundance of plant pathogen, wood saprotroph, dung saprotroph, and Arbuscular Mycorrhizal showed an upward tendency in rhizosphere soils along with the Heteropogon contortus phytoremediation. The highest soil fungal communities abundance and diversity were possibly attributed to the high-quality Heteropogon contortus litter returning to the ground and artificial disturbance treatments. Such changes in soil fungal communities might demonstrate a significant step forward and provided theoretical support for the biological governance of Heteropogon contortus phytoremediation in 50 years. Our study provides an insight on microbial communities connecting with soil C, N, P and S cycles and community functions in a complex plant-fungal-soil system along a long chronosequence in mine micro-ecology.

Study on detoxification and removal mechanisms of hexavalent chromium by microorganisms

Extensive industrial activities have led to an increase of the content of chromium in the environment, which causes serious pollution to the surrounding water, soil and atmosphere. The enrichment of chromium in the environment through the food chain ultimately affects human health. Therefore, the remediation of chromium pollution is crucial to development of human society. A lot of scholars have paid attention to bioremediation technology owing to its environmentally friendly and low-cost. Previous reviews mostly involved pure culture of microorganisms and rarely discussed the optimization of bioreduction conditions. To make up for these shortcomings, we not only introduced in detail the conditions that affect microbial reduction but also innovatively introduced consortium which may be the cornerstone for future treatment of complex field environments. The aim of this study is to summary chromium toxicity, factors affecting microbial remediation, and methods for enhancing bioremediation. However, the actual application of bioremediation technology is still facing a major challenge. This study also put forward the current research problems and proposed future research directions, providing theoretical guidance and scientific basis for the application of bioremediation technology.

The combined effects of Cu and Pb on the sex-specific growth and physiology of the dioecious Populus yunnanensis

In recent years, pollution by heavy metals (HM) has become an increasingly serious problem in forest ecosystems, making their remediation a primary research focus in China. Poplars are ideal candidates for phytoremediation because of their great commercial value, ability to produce large biomass, and high capacity for HM uptake. The individual and combined effects of copper (Cu) and lead (Pb) on Populus yunnanensis growth and physiology were tested for both male and female potted plants in four treatment groups: control, Pb only (1,000 mg kg^-1 PbAc dry soil), Cu only (400 mg kg^-1 CuSO₄·5H₂O dry soil), and combined Pb and Cu. Each treatment group contained 25 male and 25 female individuals. The experimental duration was 3 months. Compared with the control plants, the Cu and Pb treatment groups experienced reduced leaf, stem, root, and total biomass for both sexes, but the impact on growth rate was more severe in females than in males. The cellular ultrastructure of leaves was extensively damaged in both male and female trees but was more severely damaged in females. Male trees demonstrated a stronger Cu absorption ability with a bioconcentration factor 2.30 times that of females. Significant changes in pigment content, membrane lipid peroxidation, and protein oxidation (carbonyl) also indicated that females were more sensitive than males to Cu- and Pb-induced stress. The higher Cu and Pb tolerance in males correlated with better H₂O₂ scavenging ability and proline accumulation. Nevertheless, the combined stress from both Cu and Pb yielded greater negative effect on the growth and physiology of P. yunnanensis for both sexes.

Laboratory experiments on HMC coupling mechanisms in innovative clean foundation treatments for Zn-contaminated dredger fills

Large-scale contaminated dredger fills have comprehensively resulted from human activities and geological deposition processes, and their disposal is a worldwide challenge. Innovative soil remediation coupling foundation treatment methods, namely, clean foundation treatment methods (CFTMs), were proposed and verified using a hydraulic-mechanical-chemical coupling triaxial testing system. The CFTM exploration triaxial tests on undisturbed clayey, silty, and sandy dredger fills showed that the critical injection significantly dilated soil volume even after the soil was vacuum pumped. Critical injection-vacuum soil flushing (CIVF), critical injection soil flushing (CIF), and vacuum soil flushing (VF) were proposed to perform clean foundation treatment for clayey silt, sandy silt, and silty sand of 1900-2300 ppm Zn. EDDS, HCl + CaCl₂, and HCl were selected as the three chelating agents. Orthogonal tests on three factors (CFTM, soil type, and eluent) showed that CIF with 5:1 EDDS aq. of pH 3.8 was the best CFTM scheme for the three soil types at a depth of 2.5-10 m. CIF with HCl aq. of pH 3.8 also reached a high comprehensive clean foundation treatment efficiency for silty sand at a depth of 2.5 m. The deep depth and heterogeneous texture resulted in low Zn contamination extraction efficiency.

Determination of the isotopic composition of tungsten using MC-ICP-MS

The processes of planetary accretion or formation of the Earth and other celestial objects can be studied by using the ¹⁸²Hf-¹⁸²W chronometer which requires precise measurements of tungsten isotope ratios. Many comparative measurements for the isotopic composition of tungsten have been performed using either thermal ionization mass spectrometry (TIMS) or multi-collector inductively coupled plasma mass spectrometry (MC-ICP-MS). Yet, calibrated measurements of tungsten isotope ratios, and, in turn, isotopic abundances and atomic weight, are still lacking. In this study, we report the first independent measurements of all tungsten isotope ratios in five commercial tungsten reagents, including the new NRC candidate isotopic reference material WOLF-1 by MC-ICP-MS with use of the-state-of-the-art optimized regression mass bias correction model and NIST SRM 989 isotopic rhenium as calibrator.

Distribution and origination of zinc contamination in newly reclaimed heterogeneous dredger fills: Field investigation and numerical simulation

Heavy metal elements, including Zn, Cd, As, Ni, Cu, Pb and Cr, were detected in soils (no deeper than 75 m) from newly reclaimed zones of Shanghai, China. The Zn concentration exceeded soil quality limits. The Zn contamination was tested in both dredger fills and sedimentary layers (①_3-3, ②₃, ④ and ⑤_1-1). However, it was not detected in layer ⑤_1-2-⑨. PCA and HCA analysis show that exogenous Zn probably was the contaminant source of dredger fills before the fills were dredged from the neighboring waters. Stochastic heterogeneity of the dredger fills affects the Zn-depollution remarkably. Numerical simulations show both acid precipitation and widespread drainage channels in the zones contributed to Zn-decrease in the dredger fills no deeper than 1.2 m. Acid rainstorms work better than acid constant precipitation in Zn-remediation for layers below 0.4 m. To remove Zn contamination in deep dredger fills, un-consolidation of the fills should be utilized.

Thiosulfate as the electron acceptor in Sulfur Bioconversion-Associated Process (SBAP) for sewage treatment

The sulfur bioconversion-associated processes (SBAP) for sewage treatment have been extensively reported so far. In this study, biological thiosulfate reduction (BTR)-driven biotechnology for high rate sulfidogenesis and organic removal was explored to further close the gap of our knowledge on the sulfur cycle-based sewage treatment bioprocess. With thiosulfate as the electron acceptor, the sulfidogenic rate in the UASB rector is 105.6 mg S/L/h with the sludge yield of only 0.044 g MLVSS/g COD_substrate. Thus providing sufficient electron donors or chemical sources (i.e. HS^-) for the downstream autotrophic denitrification or for the cost-effective heavy metal precipitation. Thiosulfate disproportionation was not observed in BTR reactor. High-throughput pyrosequencing analysis reveals that Desulfobulbus and Desulfomicrobium are the predominant thiosulfate-reducing genera and the thiosulfate disproportionation-bacteria were at much lower genus level. The specific thiosulfate-reducer i.e. Dethiosulfatibacter which could utilize thiosulfate but not sulfate as the electron acceptor was also identified. Batch testing results indicate that the sulfidogenic activity on thiosulfate was 1.5 times that on sulfate. The optimal pH for BTR activity was between 7.0 and 8.0, a typical pH range of the municipal sewage. Thiosulfate can be efficiently recovered in the sulfide-driven denitritation reactor enriched with abundant sulfide-oxidizing genera (mainly including Thiobacillus and Sulfurimonas). Finally, a conceptual model of the sulfur cycle based on the biotransformation between thiosulfate and sulfide was established, offering new insights into the sustainable SBAP with sludge minimization.

Adsorption of fluoride from aqueous solution by fly ash cenospheres modified with paper mill lime mud: Experimental and modeling

Fluoride removal from aqueous solution by adsorption using fly ash cenospheres (FAC) modified with paper mill lime mud (LM) as composite adsorbent had been investigated. The characterization of FAC and composite adsorbent were analyzed by Scanning electron spectroscope (SEM), Energy dispersive spectrometer (EDS), Brunauer emmett teller (BET) and Fourier transform infrared (FTIR), which demonstrated that the porous structure of composite adsorbent was obtained after surface modification. Adsorption of fluoride on modified fly ash cenospheres was fitted with pseudo-second-order model and Langmuir model. Response surface methodology (RSM) was employed to investigate the effects of F^- concentration, pH, adsorbent dosage and temperature on the removal efficiency. Analysis of variance (ANOVA) was used to test the adequacy of the mathematical models. The Nonelectrostatic model of modified fly ash cenospheres adsorbing fluoride was built through the Generalized composite method, indicating that two inner-spherical complexes, ≡SF and ≡SOHF^-, were formed in the adsorption process by means of the ligand exchange and surface complexation. Optimization of the adsorption conditions enabled the realization of the practical needs for fluoride contaminated water.

Body mass index cut-off points for predicting chronic non-communicable disease should differ by gender and age group

OBJECTIVES

The objective of this study to determine whether body mass index (BMI) in different genders and age groups need different thresholds when predicting chronic non-communicable diseases (CNCDs).

STUDY DESIGN

This is a cross-sectional study.

METHODS

Data were obtained from the China Health and Nutrition Survey conducted in 2009. Sequential sample cluster analysis was used to group age according to BMI. Propensity score matching was used to eliminate the influence of age. Receiver operating characteristic curve based on gender and age group was used to evaluate the cut-off values and efficiency of BMI in each group.

RESULTS

A total of 8469 individuals were enrolled in this study. Results of sequential sample cluster analyses showed age was divided into three groups: 18-39, 40-59 and 60-99 years. There were significant differences in the distribution of BMI among the three groups for both males and females (P < 0.001). Statistical differences were observed in the distribution of BMI between genders in the 18-39- and 60-99-year-old age groups (P < 0.001). For men, the cut-off values of BMI were ≥25 kg/m², ≥24 kg/m² and ≥23 kg/m² in the 18-39, 40-59 and 60-99 years old groups, respectively; for women, the corresponding cut-off points were ≥25 kg/m², ≥23 kg/m² and ≥25 kg/m² in groups.

CONCLUSIONS

The thresholds for BMI might be different between gender and age group. In addition, it might not be suitable to determine cut-off values of BMI to predict CNCDs for people aged ≥60 years.

Roles of sulfite and internal recirculation on organic compound removal and the microbial community structure of a sulfur cycle-driven biological wastewater treatment process

A sulfur cycle-driven bioprocess was developed for co-treatment wet flue gas desulfurization wastes with municipal sewage, as a result of sludge minimization. In this process, organics removal (one of the main objectives in sewage treatment) is closely associated with biological sulfate/sulfite reduction (BSR). In the previous studies, both the pros and corns of sulfite (SO₃^2-) in microbial activities were demonstrated. In this study, we are motivated to unveil the detailed role of SO₃^2- in organic compound removal in the sulfur conversion-associated process. In addition, the effect of internal recirculation (IR) of UASB reactor was also explored. The results demonstrated that sulfite does inhibit the organic removal rate via depressing the acetate oxidation to inorganic carbon. And the inhibition is reversible when influent sulfite concentration decreased from 400 to 132 mg S/L, corresponding to the relative sulfate/sulfite-reducing genera increased from 18.66 to 38.62%. And the fermenting-related bacteria significantly decreased when an internal recirculation was employed for the UASB reactor. The results of this study could shed light on the understanding of the roles of sulfite and IR in organic compound removal performance and microbial community structures in BSR, which could be in turn beneficial to optimize the organic removal capacity of the sulfur bionconversion-concerning sewage treatment technology.

Bioactivities and formation/utilization of soluble microbial products (SMP) in the biological sulfate reduction under different conditions

The biological sulfate reduction (BSR) plays a critical role in the organic compound removal in the sulfur bioconversion-associated sewage treatment process. The soluble microbial products (SMP) are the major components of residual organic compounds in the secondary treatment effluent and its presence directly affects treatment capacity. In addition, the SMP could be one of the available organic substrates and be utilized as an electron donor in the bioreactions. However, the SMP formation and utilization in the BSR are poorly understood. Herein, the BSR activities and SMP generation/utilization were simultaneously investigated under different conditions, i.e. pH, temperature and ratio of organic carbon (C) to sulfur (S). The role of SMP as the electron donor for BSR was also identified. The higher BSR activities and rapid SMP synthesis were found under neutral and alkaline conditions, but the SMP utilization as the electron donor is not favorable at pH 7.0. The BSR activity became higher and more SMP was synthesized by raising the temperature. The ratio of C to S rarely affected the sulfidogenic activity but has an effect on the net SMP generation (total SMP generation - SMP consumption by SBR as the electron donor). The lower ratio of C/S could result in the low residual SMP level in the reactor. And the SMP-induced BSR activity was higher under the acid and alkaline conditions compared with the neutral condition.

Low frequency, weak MCP-1 secretion and exhausted immune status of peripheral monocytes were associated with progression of severe enterovirus A71-infected hand, foot and mouth disease

A minority of hand, foot and mouth disease (HFMD) caused by enterovirus A71 (EV-A71) results in severe neural complications. However, whether monocyte-mediated immunity is involved in the disease progression of HFMD remains unknown. One hundred and twenty mild and 103 severe HFMD patients were recruited and enzyme-linked immunosorbent assay (ELISA), flow cytometry and Transwell culture were performed in the study. Peripheral monocyte counts were lower in both absolute counts and frequencies in severe cases compared to mild cases. After screening 10 monocyte-related cytokines by ELISA, only monocyte chemoattractant protein-1 (MCP-1) was found at higher levels in sera of mild cases compared to those with severe symptoms. Monocytes purified from mild cases produced more MCP-1 than the cells from severe patients when stimulated in vitro. We observed that immune exhaustion markers programmed death 1 (PD-1) and programmed death ligand 1 (PD-L1) were highly regulated on the surface of monocytes from severe cases compared to mild cases. PD-L1 blockade induced a higher production of MCP-1 in the supernatant of a Transwell system. The production of MCP-1 also increased following PD-L1 blockade of purified monocytes activated by granulocyte-macrophage colony-stimulating factor (GM-CSF) combined with R848 or EV-A71 virus. Our results indicate that absolute count, frequency and levels of MCP-1 secretion of peripheral monocytes, together with their immune status, probably contribute to differential disease prognosis in EV-A71-associated HFMD.

Abstract P4-04-01: The landscape of somatic genetic alterations in breast cancers from CHEK2 germline mutation carriers

Introduction: Checkpoint kinase 2 (CHEK2) is a tumor suppressor gene, which regulates cell cycle in response to DNA damage response. Selected CHEK2 germline mutations have been shown to confer an increased risk of breast cancer development. Multiple founder mutations in CHEK2 have been identified, and meta analyses have shown that CHEK2 truncating variants confer a higher breast cancer risk than missense variants. Here, we assessed the phenotype and repertoire of genetic alterations of breast cancers from 33 patients with CHEK2 pathogenic germline variants.

Materials and methods: We performed targeted capture massively parallel sequencing (≥410 genes) of tumor and normal samples from 13 patients with CHEK2 pathogenic germline variants, and retrieved whole exome sequencing (WES) data (BAM files) of tumor and normal samples from 20 patients with CHEK2 germline pathogenic variants included in the TCGA breast cancer study. In addition, we retrieved WES data of BRCA1, BRCA2 and ATM associated breast cancers from TCGA and Weigelt et al. (JNCI 2018). Somatic mutations, copy number alterations, mutational signatures and large-scale transitions (LSTs) were defined using state-of-the-art bioinformatics algorithms.

Results: Of the 33 CHEK2-associated breast cancers included in this study, 21 had missense and 12 had loss-of-function (LoF) germline mutations, and 81% were ER-positive and 12% HER2-positive. CHEK2-associated breast cancers statistically significantly less frequently displayed an ER-negative/HER2-negative phenotype (0%) than BRCA1- (80%) or BRCA2-associated (33%) breast cancers (BRCA1, p&lt;0.0001 for both comparisons), but were similar to ATM-associated breast cancers. Biallelic inactivation of CHEK2 through loss of heterozygosity (LOH) of the wild-type allele was present in 17 of 33 samples (52%). LOH of the CHEK2 wild-type allele was significantly more frequent in tumors with LOF mutations than in those with missense mutations (78% vs 36%, respectively; p=0.0394). PIK3CA (36%) and GATA3 (33%) were the two most recurrently mutated genes in these samples. TP53 somatic mutations were detected in five cases, four of which harbored missense CHEK2 germline mutations. Unlike BRCA1- and BRCA2-associated breast cancers, but akin to ATM-associated breast cancers, CHEK2-associated breast cancers lacked the mutational signature associated with homologous recombination (HR) DNA repair defects (i.e. signature 3) and only five cases displayed high LST scores.

Conclusion:CHEK2-associated breast cancers are phenotypically and genetically distinct from BRCA1- and BRCA2-associated breast cancers, but similar to ATM-associated breast cancers. Akin to ATM-associated breast cancers, CHEK2-associated breast cancers are preferentially ER-positive, lack genomics features consistent with defective HR, and have a repertoire of somatic genetic alterations similar to those of non-BRCA1/2 ER-positive breast cancers. Our results suggest that either CHEK2 germline mutations contribute to an increased risk of breast cancer independently of the HR DNA repair defects or that the mutational signatures caused by CHEK2 pathogenic germline mutations differ from those caused by pathogenic germline mutations affecting bona fide HR-related genes (e.g. BRCA1, BRCA2 and PALB2).

Citation Format: Kumar R, Pei X, Selenica P, Wen HY, Powell S, Robson M, Riaz N, Reis-Filho JS, Weigelt B, Mandelker D. The landscape of somatic genetic alterations in breast cancers from CHEK2 germline mutation carriers [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 P4-04-01.