Radiomic biomarkers of locoregional recurrence: prognostic insights from oral cavity squamous cell carcinoma preoperative CT scans

Introduction

This study aimed to identify CT-based imaging biomarkers for locoregional recurrence (LR) in Oral Cavity Squamous Cell Carcinoma (OSCC) patients.

Methods

Computed tomography scans were collected from 78 patients with OSCC who underwent surgical treatment at a single medical center. We extracted 1,092 radiomic features from gross tumor volume in each patient's pre-treatment CT. Clinical characteristics were also obtained, including race, sex, age, tobacco and alcohol use, tumor staging, and treatment modality. A feature selection algorithm was used to eliminate the most redundant features, followed by a selection of the best subset of the Logistic regression model (LRM). The best LRM model was determined based on the best prediction accuracy in terms of the area under Receiver operating characteristic curve. Finally, significant radiomic features in the final LRM model were identified as imaging biomarkers.

Results and discussion

Two radiomics biomarkers, Large Dependence Emphasis (LDE) of the Gray Level Dependence Matrix (GLDM) and Long Run Emphasis (LRE) of the Gray Level Run Length Matrix (GLRLM) of the 3D Laplacian of Gaussian (LoG σ=3), have demonstrated the capability to preoperatively distinguish patients with and without LR, exhibiting exceptional testing specificity (1.00) and sensitivity (0.82). The group with LRE > 2.99 showed a 3-year recurrence-free survival rate of 0.81, in contrast to 0.49 for the group with LRE ≤ 2.99. Similarly, the group with LDE > 120 showed a rate of 0.82, compared to 0.49 for the group with LDE ≤ 120. These biomarkers broaden our understanding of using radiomics to predict OSCC progression, enabling personalized treatment plans to enhance patient survival.

Radiomic Biomarkers of Locoregional Recurrence: Prognostic Insights from Oral Cavity Squamous Cell Carcinoma preoperative CT scans

This study aimed to identify CT-based imaging biomarkers for locoregional recurrence (LR) in Oral Cavity Squamous Cell Carcinoma (OSCC) patients. Our study involved a retrospective review of 78 patients with OSCC who underwent surgical treatment at a single medical center. An approach involving feature selection and statistical model diagnostics was utilized to identify biomarkers. Two radiomics biomarkers, Large Dependence Emphasis (LDE) of the Gray Level Dependence Matrix (GLDM) and Long Run Emphasis (LRE) of the Gray Level Run Length Matrix (GLRLM) of the 3D Laplacian of Gaussian (LoG σ = 3), have demonstrated the capability to preoperatively distinguish patients with and without LR, exhibiting exceptional testing specificity (1.00) and sensitivity (0.82). The group with LRE > 2.99 showed a 3-year recurrence-free survival rate of 0.81, in contrast to 0.49 for the group with LRE ≤ 2.99. Similarly, the group with LDE > 120 showed a rate of 0.82, compared to 0.49 for the group with LDE ≤ 120. These biomarkers broaden our understanding of using radiomics to predict OSCC progression, enabling personalized treatment plans to enhance patient survival.

High concentrations of nirmatrelvir/ritonavir in critically ill patients receiving continuous renal replacement therapy

OBJECTIVES

Nirmatrelvir/ritonavir is a highly efficacious agent against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Although dose adjustment is recommended in patients with renal impairment according to the package insert for Paxlovid (Pfizer), there is no dose recommendation for patients with severe renal impairment who require continuous renal replacement therapy (CRRT).

METHODS

To characterise the features of nirmatrelvir/ritonavir in critically ill Chinese patients undergoing CRRT, therapeutic drug monitoring of nirmatrelvir/ritonavir was performed by high-performance liquid chromatography tandem mass spectrometry assay in eight patients.

RESULTS

Nirmatrelvir trough concentrations ranged from 3325.34 ng/mL to 15 625.46 ng/mL. Concentrations were up to 7-fold higher compared with patients with normal renal function and 2-fold higher compared with patients with end-stage renal disease undergoing haemodialysis.

CONCLUSIONS

These results suggest that a dose reduction should be implemented in the treatment of patients with CRRT.

Acute kidney injury associated with colistin sulfate vs. polymyxin B sulfate therapy: A real-world, retrospective cohort study

OBJECTIVE

To compare the incidence of acute kidney injury (AKI) in patients treated with colistin sulfate (CS) and polymyxin B sulfate (PMB).

METHODS

Sociodemographic and laboratory measures of adult patients who received intravenous CS or PMB for at least 72 h for the first time at the study hospital from October 2021 to November 2022 were collected retrospectively. The primary outcome was the incidence of AKI, defined by the Kidney Diseases Improving Global Outcomes criteria. The secondary outcome was 30-day mortality.

RESULTS

In total, 109 patients were included in the CS cohort and 176 patients were included in the PMB cohort. The incidence of AKI was significantly higher in the PMB cohort compared with the CS cohort (50.6% vs. 18.3%; P<0.001). On multi-variate analysis, CS therapy [hazard ratio (HR) 0.275; P<0.001] was an independent protective factor for AKI, along with higher estimated glomerular filtration rate. Nevertheless, 30-day mortality was similar in the PMB and CS cohorts (21.6% vs. 13.8%; P=0.099). Multi-variate analyses revealed that CS therapy was not associated with 30-day mortality (HR 0.968; P=0.926), while intensive care unit admission, combination with meropenem, Charlson score and stage 3 AKI were independent risk factors for 30-day mortality. After balancing the baseline characteristics of patients using propensity score matching, the main results were unchanged.

CONCLUSION

The incidence of AKI was significantly lower in the CS cohort compared with the PMB cohort. However, 30-day mortality was similar in the two cohorts.

Identification of CT-based non-invasive radiomic biomarkers for overall survival prediction in oral cavity squamous cell carcinoma

This study addresses the limited non-invasive tools for Oral Cavity Squamous Cell Carcinoma (OSCC) survival prediction by identifying Computed Tomography (CT)-based biomarkers to improve prognosis prediction. A retrospective analysis was conducted on data from 149 OSCC patients, including CT radiomics and clinical information. An ensemble approach involving correlation analysis, score screening, and the Sparse-L1 algorithm was used to select functional features, which were then used to build Cox Proportional Hazards models (CPH). Our CPH achieved a 0.70 concordance index in testing. The model identified two CT-based radiomics features, Gradient-Neighboring-Gray-Tone-Difference-Matrix-Strength (GNS) and normalized-Wavelet-LLL-Gray-Level-Dependence-Matrix-Large-Dependence-High-Gray-Level-Emphasis (HLE), as well as stage and alcohol usage, as survival biomarkers. The GNS group with values above 14 showed a hazard ratio of 0.12 and a 3-year survival rate of about 90%. Conversely, the GNS group with values less than or equal to 14 had a 49% survival rate. For normalized HLE, the high-end group (HLE > - 0.415) had a hazard ratio of 2.41, resulting in a 3-year survival rate of 70%, while the low-end group (HLE ≤ - 0.415) had a 36% survival rate. These findings contribute to our knowledge of how radiomics can be used to predict the outcome so that treatment plans can be tailored for patients people with OSCC to improve their survival.

A Pilot Study of an Interactive Virtual Tour Tool for Patient Education Prior to Undergoing High-Dose Rate Brachytherapy for Prostate Cancer

PURPOSE/OBJECTIVE(S)

High-dose rate (HDR) brachytherapy for treatment of prostate cancer is an invasive procedure that can be associated with patient anxiety. Patient education regarding the procedure can allow for better informed decision-making while also decreasing anxiety. We sought to develop and assess the utility of an interactive virtual tour tool that portrays a 360-degree view of the HDR brachytherapy patient experience, with the goals of providing patient education, decreasing patient anxiety, and assisting in wayfinding on the procedure day.

MATERIALS/METHODS

Using a 360-degree camera, we captured multiple photographs that depicted the various hospital locations that a patient would navigate through on the day of their HDR brachytherapy procedure, including the medical center lobby, pre-operative/post-operative units, and the brachytherapy suite. We then compiled these 360-degree photographs using virtual tour software, to allow users to navigate throughout the locations. We added informational text, spoken audio, and videos associated with key staff, objects, and the brachytherapy procedure that allow the users to interact with and learn about these various components within the virtual tour. This tool was accessible via a website link on a computer, tablet, or smartphone and was provided at the time of consult to patients who were planning to undergo HDR brachytherapy for prostate cancer. A questionnaire assessing the tool's ease of use, educational value, wayfinding utility, and ability to improve anxiety and treatment decision-making was conducted prior to and after their procedure.

RESULTS

Preliminary feedback from healthy volunteers is highly positive, with users finding that the tool is easily accessible, user-friendly, improves understanding of HDR brachytherapy, simulates the treatment experience accurately, helps with wayfinding, and has the potential to decrease patient anxiety and increase comfort with the treatment decision. Data from the patient questionnaires are being collected and will be analyzed.

CONCLUSION

A 360-degree virtual tour tool allows for an easily accessible, immersive, and interactive method of patient education on an invasive, anxiety-associated procedure. This has the potential to decrease patient anxiety and improve comfort regarding treatment decision-making. This tool may be applied toward other relatively involved radiotherapy modalities, including gynecologic HDR brachytherapy, respiratory-gated treatments, and CyberKnife stereotactic radiosurgery.

Identification of CT-based non-invasive Radiographic Biomarkers for Overall Survival Stratification in Oral Cavity Squamous Cell Carcinoma

This study addresses the limited non-invasive tools for Oral Cavity Squamous Cell Carcinoma OSCC survival prediction by identifying Computed Tomography (CT)-based biomarkers for improved prognosis. A retrospective analysis was conducted on data from 149 OSCC patients, including radiomics and clinical. An ensemble approach involving correlation analysis, score screening, and the Sparse-L1 algorithm was used to select functional features, which were then used to build Cox Proportional Hazards models (CPH). Our CPH achieved a 0.70 concordance index in testing. The model identified two CT-based radiomics features, Gradient-Neighboring-Gray-Tone-Difference-Matrix-Strength (GNS) and normalized-Wavelet-LLL-Gray-Level-Dependence-Matrix-Large-Dependence-High-Gray-Level-Emphasis (HLE), as well as smoking and alcohol usage, as survival biomarkers. The GNS group with values above 14 showed a hazard ratio of 0.12 and a 3-year survival rate of about 90%. Conversely, the GNS group with values less than or equal to 14 had a 49% survival rate. For normalized HLE, the high-end group (HLE > -0.415) had a hazard ratio of 2.41, resulting in a 3-year survival rate of 70%, while the low-end group (HLE <= -0.415) had a 36% survival rate. These findings contribute to our knowledge of how radiomics can be used to anticipate the outcome and tailor treatment plans from people with OSCC.

Electrocoalescence Behavior of Droplets Dispersed with Na2CO3 in Oil under the Electromagnetic Synergy Field

Electromagnetic synergy is a more effective physical method than a single AC electric field (ACEF) to enhance oil-water separation. However, the electrocoalescence behavior of droplets dispersed with salt ions in oil under the synergistic electromagnetic field (EMSF) still lacks research. Herein, the evolution coefficient of liquid bridge diameter (C₁) characterizes the growth rate of the liquid bridge diameter, a series of Na₂CO₃-dispersed droplets with different ionic strengths were prepared, and C₁ values of droplets under ACEF and EMSF were compared. Micro high-speed experiments revealed that C₁ under ACEF is larger than C₁ under EMSF. In particular, when σ = 100 μS·cm^-1and E = 629.73 kV·m^-1, C₁ under the ACEF is 15% larger than C₁ under EMSF. Additionally, the theory of ion enrichment is put forward, which explains the influence of salt ions on ζ potential and total surface potential in EMSF. This study provides guidance for designing high-performance devices by introducing electromagnetic synergy in water-in-oil emulsion treatment.

Effects of cross-linking of rice protein with ferulic acid on digestion and absorption of ferulic acid

Though rice proteins have been applied to improve the stability of phenolic compounds, it is unclear how rice proteins affect phenolic acid's digestion and bioavailability. This study investigated the consequences of protein-ferulic acid interactions in the gastrointestinal environment. Ferulic acid and rice proteins formed complexes at room temperature, both with and without laccase. Rice protein was reported to be able to prevent ferulic acid from degrading in simulated oral fluid and remain stable in gastrointestinal fluids. With the hydrolysis of pepsin and pancreatin, rice protein-ferulic acid complexes degraded and released ferulic acid. While digested ferulic acid's DPPH scavenging activity was dramatically reduced, it was retained for the rice protein-ferulic acid complex. Moreover, the permeability coefficient of ferulic acid was not affected. Thus, rice protein is a promising food matrix to protect ferulic acid in the digestive tract and maintain the antioxidant functions of ferulic acid.

Determining the orientation of acetabular prosthesis in total hip arthroplasty by refering to the anatomical landmarker of acetabular notches

The aim of this study was to explore a novel method to determine the orientation of acetabular prosthesis in total hip arthroplasty (THA) by refering to the anatomical landmarker of acetabular notches. Forty-one normal developmental hips were included in the present study. The acetabulums were reamed according to standard surgical procedures of THA on life-size 3D printing pelvis models. The inferior edge of acetabular cup were placed (1-5) mm proximal and distal to the proximal line of the anterior and posterior acetabular notches (PLAPAN) respectively to determine cup inclination. The inferior edge of acetabular cup were placed (1-5) mm pronating and supinating around the proximal point of acetabular posterior notch (PPAPN) respectively to determine cup anteversion. The pelvis plain radiographs were took and the inclination and anteversion of the acetabular cup at 22 positions were calculated. In the normal developmental hip, the mean inclination of acetabular prothesis were (35.10 ± 3.22)° and (45.90 ± 2.68)° when the inferior edge of the acetabular cup was 3 mm proximal and 1 mm distal to the PLAPAN. The optimal cup inclination could be obtained when the inferior edge of the acetabular cup was 1 mm proximal to the PLAPAN (the mean inclination was (40.71 ± 2.80)°). The mean anteversion of acetabular prothesis were (10.67 ± 4.55)° and (20.86 ± 4.44)° when the inferior edge of the acetabular cup was 1 mm pronating and 1 mm supinating around the PPAPN. The optimal cup anteversion could be obtained when the inferior edge of the acetabular cup was parallel to the PLAPAN (the mean anteversion was (18.00 ± 1.64)°). The inclination and anteversion of acetabular prosthesis could be determined by refering the anatomical landmarks of acetabular notches, which could help orthopedists to install the acetabular prosthesis quickly and safely in THA.

Comparison of UV and UV-LED activated sodium percarbonate for the degradation of O-desmethylvenlafaxine

As an active metabolite of venlafaxine and emerging antidepressant, O-desmethylvenlafaxine (ODVEN) was widely detected in different water bodies, which caused potential harm to human health and environmental safety. In this study, the comparative work on the ODVEN degradation by UV (254 nm) and UV-LED (275 nm) activated sodium percarbonate (SPC) systems was systematically performed. The higher removal rate of ODVEN can be achieved under UV-LED direct photolysis (14.99%) than UV direct photolysis (4.57%) due to the higher values of photolysis coefficient at the wavelength 275 nm. Significant synergistic effects were observed in the UV/SPC (80.38%) and UV-LED/SPC (53.57%) systems and the former exhibited better performance for the elimination of ODVEN. The degradation of ODVEN all followed the pseudo-first-order kinetics well in these processes, and the pseudo-first-order rate constant (k_obs) increased with increasing SPC concentration. Radicals quenching experiments demonstrated that both ·OH and CO₃·^- were involved in the degradation of ODVEN and the second-order rate constant of ODVEN with CO₃·^- (1.58 × 10⁸ (mol/L)^-1 sec^-1) was reported for the first time based on competitive kinetic method. The introduction of HA, Cl^-, NO₃^- and HCO₃^- inhibited the ODVEN degradation to varying degrees in the both processes. According to quantum chemical calculation, radical addition at the ortho-position of the phenolic hydroxyl group was confirmed to be the main reaction pathways for the oxidation of ODVEN by ·OH. In addition, the oxidation of ODVEN may involve the demethylation, H-abstraction, OH-addition and C-N bond cleavage. Eventually, the UV-LED/SPC process was considered to be more cost-effective compared to the UV/SPC process, although the UV/SPC process possessed a higher removal rate of ODVEN.

Correction: Surface lanthanide activator doping for constructing highly efficient energy transfer-based nanoprobes for the on-site monitoring of atmospheric sulfur dioxide

Correction for 'Surface lanthanide activator doping for constructing highly efficient energy transfer-based nanoprobes for the on-site monitoring of atmospheric sulfur dioxide' by Cuilan Zhang et al., Analyst, 2020, 145, 537-543, https://doi.org/10.1039/C9AN01725A.

Anti-Inflammatory Activity of Panax notoginseng Flower Saponins Quantified Using LC/MS/MS

Panax notoginseng (Burk) F. H. Chen is a traditional Chinese medicinal and edible plant. However, Panax notoginseng flower (PNF) is rarely used. Therefore, the purpose of this study was to explore the main saponins and the anti-inflammatory bioactivity of PNF saponins (PNFS). We explored the regulation of cyclooxygenase 2 (COX-2), a key mediator of inflammatory pathways, in human keratinocyte cells treated with PNFS. A cell model of UVB-irradiation-induced inflammation was established to determine the influence of PNFS on inflammatory factors and their relationship with LL-37 expression. An enzyme-linked immunosorbent assay and Western blotting analysis were used to detect the production of inflammatory factors and LL37. Finally, liquid chromatography-tandem mass spectrometry was employed to quantify the main active components (ginsenosides Rb1, Rb2, Rb3, Rc, Rd, Re, Rg1, and notoginsenoside R1) in PNF. The results show that PNFS substantially inhibited COX-2 activity and downregulated the production of inflammatory factors, indicating that they can be used to reduce skin inflammation. PNFS also increased the expression of LL-37. The contents of ginsenosides Rb1, Rb2, Rb3, Rc, and Rd in PNF were much higher than those of Rg1, and notoginsenoside R1. This paper provides data in support of the application of PNF in cosmetics.

The Impact of Financial Literacy on Household Health Investment: Empirical Evidence from China

Based on the 2019 China Household Finance Survey (CHFS) data, this paper used factor analysis to measure the level of financial literacy of surveyed householders and used the Probit model and the negative binomial model to test the impact of financial literacy (FL) on household health investment (HHI). The results show that: (1) FL is an essential influencing factor in increasing participation in HHI, and householders with a higher level of FL are also more willing to pay for diversified investments. (2) We split the FL level from the two dimensions of knowledge and ability. We found that the primary FL (including financial knowledge, computing ability, and correct recognition of investment product risk) plays a more critical role in the investment decision process. (3) When information sources, health knowledge, and family income are used as mediating variables, FL can influence the decisions of HHI in three ways: expanding information sources, enriching health knowledge, and alleviating income constraints. (4) By analyzing the heterogeneity of household heads in different regions and with different personal characteristics, we found that the medical level of the household location and the life and work experience of the householders played a moderating role.

Microencapsulation protects the biological activity of sea buckthorn seed oil

Introduction

Sea buckthorn (Hippophae rhamnoides) seed oil is rich in unsaturated fatty acids, and is thus susceptible to oxidation and rancidity. Microencapsulation technology allows the effective protection of active substances, thereby prolonging the deterioration time and shelf life.

Methods

In this study, H. rhamnoides microcapsules were prepared using a spray-drying method, and the microencapsulation parameters were optimized. The morphological characteristics, structural parameters, and stability of the microcapsules were determined using scanning electron microscopy, Fourier transform infrared spectroscopy, thermogravimetric analysis, differential scanning calorimetry, and oil oxidation stability testing.

Results

Based on encapsulation efficiency (EE, %) and the particle size (D50) of the microcapsules, the optimal preparation conditions were characterized as a wall material consisting of soy protein isolate and soybean polysaccharide (2:3), a wall concentration of 15%, a core-to-wall ratio of 1:3, and an inlet temperature of 160°C. Under these optimal conditions, the encapsulation efficiency was 95.30 ± 2.67%, with a yield of 57.03 ± 3.71% and a particle size of 7.96 ± 1.04 μm.

Discussion

Furthermore, the effectiveness of microencapsulation in protecting the biological activity of H. rhamnoides seed oil was confirmed by an antioxidation test. Thus, the results of this study showcase the successful microencapsulation of H. rhamnoides seed oil, thereby significantly improving its stability.

Comparison of Differences in Chemical Composition and Related Antioxidant Activity of Snow Lotus from Different Origins

The snow lotus is an endangered traditional Chinese medicinal herb. Saussurea involucrata, Saussurea laniceps, and Saussurea medusa, the three main snow lotus species (five herbs and two S. involucrata cell cultures), were selected for this study. Snow lotus (XLs) was extracted using 75 % (v/v) ethanol. Two reversed phase-high performance liquid chromatography-diode array detector methods were developed and validated for the determination of 10 representative components in XLs. The antioxidant efficacy of XLs and their components was investigated using DPPH, ABTS free radical scavenging, and ROS inhibition experiments. The results showed that the IC₅₀ for DPPH scavenging ranged from 0.06-0.29 mg/mL for XLs and from 0.13-0.63 mg/mL for ABTS, and could downregulate ROS to varying degrees. The results of the antioxidant activity showed that rutin, quercetin, and isochlorogenic acid A contributed to the antioxidant capacity of XLs. The high content and activity of the cell cultures indicate that they can serve as an effective alternative to snow lotus, thus providing a theoretical basis for the selection of herbs and cell cultures to fulfil various needs.

How Big Data Affect Urban Low-Carbon Transformation-A Quasi-Natural Experiment from China

As a new factor of production, data play a key role in driving low-carbon and sustainable development relying on the digital economy. However, previous studies have ignored this point. Based on the panel data of 283 cities in China from 2007 to 2019, we investigated the construction of national big data comprehensive pilot zones (NBDCPZs) in China as a quasi-natural experiment, using the difference-in-differences (DID) model to empirically test the impact of NBDCPZ policies on urban low-carbon transformation. The following conclusions can be drawn: NBDCPZ construction significantly promotes urban low-carbon transformation, and a series of robustness analysis supports this conclusion. NBDCPZ constructions mainly promotes urban low-carbon transformation by stimulating urban green innovation and optimizing the allocation of urban resource elements. Compared with eastern cities, small and medium-sized cities, and resource-based cities, the construction of NBDCPZs can promote the low-carbon transformation of cities in central and western China, large cities, and non-resource-based cities. Further analysis shows that the construction of NBDCPZs can only improve the low-carbon transformation of local cities, with negative spatial spillover effects on the low-carbon transformation of surrounding cities. Therefore, in the future, it is vital to consider the promotion effect of the construction of NBDCPZs on the low-carbon transformation of local cities and prevent its negative impact on the low-carbon transformation of surrounding cities.

Vemurafenib inhibits immune escape biomarker BCL2A1 by targeting PI3K/AKT signaling pathway to suppress breast cancer

Objectives

To investigate the role of immune escape encoding genes on the prognosis of BC, and to predict the novel targeting agents.

Methods

Human immune genes and immune escape encoding genes were obtained from the IMMPORT database and the previous study. Sample information and clinical data on BC were obtained from the TCGA and GTEX databases. Obtaining differentially expressed protein data from cBioportal database. To construct a risk score model by lasso analysis, and nomogram was used to predict score core. GSCA, TIMER and CELLMINER databases were used for immune and drug susceptibility correlation analyses. Cell experiments were verified by MTT, Western blotting, and RT-qPCR.

Results

We found prognostic models consisting of eleven immune escape related protein-coding genes with ROC curves that performed well in the ontology data (AUC for TCGA is 0.672) and the external data (AUC for GSE20685 is 0.663 and for GES42568 is 0.706). Five core prognostic models are related to survival (EIF4EBP1, BCL2A1, NDRG1, ERRFI1 and BRD4) were summarized, and a nomogram was constructed to validate a C-index of 0.695, which was superior to other prognostic models. Relevant drugs targeting core genes were identified based on drug sensitivity analysis, and found that Vemurafenib downregulates the PI3K-AKT pathway and BCL2A1 protein in BC, as confirmed by external data and cellular assays.

Conclusions

Briefly, our work establishes and validates an 11-immune escape risk model, and five core prognostic factors that are mined deeply from this model, and elucidates in detail that Vemurafenib suppresses breast cancer by targeting the PI3K/AKT signaling pathway to inhibit the immune escape biomarker BCL2A1, confirms the validity of the prognostic model, and provides corresponding targeted agents to guide individualized treatment of BC patients.

Diagnostic and prognostic value of coagulation-related factors in endometriosis

OBJECTIVE

To investigate the diagnostic and prognostic values of coagulation-related factors in endometriosis and explore the risk factors for the recurrence after treatment.

METHODS

Forty-eight patients with endometriosis admitted to the Second Hospital of Shandong University from June 2018 to March 2020 were enrolled in this retrospective analysis, along with 45 of subjects who underwent physical examination as healthy controls. Endometriosis patients were seen as research group (RG) and healthy subjects were considered as control group (CG). Patients in RG were treated with mifepristone. The coagulation-related factors, including activated partial thromboplastin time (APTT), prothrombin time (PT), thrombin time (TT) and fibrinogen (FIB), were measured, and their diagnostic value in endometriosis as well as their correlation with the mean cyst diameter and the clinical outcomes of patients were analyzed.

RESULTS

APTT, PT, and TT were shortened whereas FIB was increased in the RG as compared with CG (all P<0.05). ROC analysis revealed that coagulation-related factors had an excellent diagnostic value in endometriosis (P<0.05). Subsequently, we found that patients in the RG had higher APTT, PT, and TT and lower FIB after treatment (P<0.05). Moreover, APTT, PT, and TT were prolonged while FIB was decreased in patients with good prognosis as compare with those with poor prognosis (all P<0.05). Correlation analysis denoted that APTT, PT, and TT were negatively correlated with mean cyst diameter, whereas FIB was positively correlated with it (P<0.05). The abortion times and post-treatment TT were independent risk factors for recurrence within 2 years.

CONCLUSION

Coagulation-related factors are associated with endometriosis. They can effectively assess the treatment efficacy of mifepristone, which has great prospects for future clinical application.

A comparison of oxidation and re-flocculation behaviors of Fe2+/PAA and Fe2+/H2O2 treatments for enhancing sludge dewatering: A mechanism study

In this study, Fe²⁺ activated-PAA was developed as a novel technology to enhance sludge dewatering. The result showed that the filterability (CST₀/CST) enhanced by 4.20 ± 0.14 times more than the control, and the SRF and bound water content decreased from 4.58 ± 0.07 × 10¹³ m/kg and 2.11 ± 0.28 g/g dry sludge to 9.47 ± 0.05 × 10¹² m/kg and 1.27 ± 0.18 g/g dry sludge, respectively after the sludge was conditioned by 1.20 mM/g VSS Fe²⁺ and 1.20 mM/g VSS PAA. The dewatering performance, physicochemical properties, aggregation behaviors, and EPS fractions of sludge were compared before and after Fe²⁺/PAA and Fe²⁺/H₂O₂ conditionings. The results showed that Fe²⁺/PAA treatment was more competitive in enhancing dewaterability under neutral and alkaline conditions than Fe²⁺/H₂O₂ treatment but slightly weaker under acid conditions. Besides, it was found that the oxidation and re-flocculation behaviors were different in those two enhanced dewatering technologies due to the difference in the generated ROS. R-O was the primary radical in the Fe²⁺/PAA system, while OH was the major one in the Fe²⁺/H₂O₂ system. The mechanism analysis found that the Fe²⁺/PAA process caused harsher disintegration of sludge flocs, meaning more generation of fine particles. However, it exhibited less effect on reducing the energy barrier between sludge particles. Therefore, the Fe²⁺/PAA treated sludge presented weaker aggregation behaviors. The weaker aggregation was unfavorable for sludge dewatering because the weaker aggregated flocs were more easily fragmented, which hampered the consolidation of sludge cakes and removal of bound water. Moreover, loosely-bound extracellular polymeric substances, particularly tightly-bound extracellular polymeric substances, governed the sludge dewaterability.

Unraveling spongy Co3O4 mediated activation of peroxymonosulfate: Overlooked involvement of instantaneously produced high-valent-cobalt-oxo

Peroxymonosulfate (PMS) activation induced by tricobalt tetroxide spinel (Co₃O₄) has been confirmed as a typical Haber-Weiss reaction, while free radicals were once considered as the dominated reactive species in the previous studies. However, the catalytic mechanism of the spongy Co₃O₄ driven PMS activation was surprisingly found as a radical/nonradical mixed process rather than a pure radical process in the present work. The important role of sulfate radical (SO₄^-) was confirmed through the quenching experiments. Despite the inhibition of furfuryl alcohol (FFA) and 1,4-benzoquinone (BQ) on degradation was generally accepted as the evidence to support the existence of ¹O₂ and O₂^-, additional experiments using methyl phenyl sulfoxide (PMSO) as the indicator indeed verified high-valent-cobalt-oxo rather than ¹O₂ and O₂^- dominated the very early reaction stage. Notably, instead of homogeneous Co³⁺, heterogeneous Co(IV) = O on catalyst surface was believed to be responsible for the oxidation of organics. Spongy Co₃O₄ not only possessed stronger catalytic ability than commercial Co₃O₄ (k_{[spongy Co3O4]} = 0.74 min^-1, k_[Co3O4] = 0.08 min^-1), but also owned preferable stability. The performance of catalytic system was barely affected by the solution pH under the near neutral condition. Besides, little suppression of the widely existing anions on the degradation indicated the potential application of spongy Co₃O₄/PMS system. This study provides a reliable oxidation technology for the removal of organic pollutants, and sheds new light on the cobalt oxide triggered PMS activation process.

A novel pre-magnetized ZVI/PS pretreatment for improving sludge dewaterability: The role of EPS fractions

The dewaterability of waste-activated sludge (WAS) has been extensively examined using zero-valent iron (ZVI)-based advanced oxidation processes (AOPs). However, the high dosage and low utilization efficiencies of ZVI cast doubt on the dependability and viability of ZVI-based AOPs. In this study, we successfully demonstrated pre-magnetization as an efficient, chemical-free, and ecological method for improving the efficiency of sludge dewatering by ZVI/persulfate (PS) process, in which the reduction ratios of capillary suction time (CST) and specific resistance to filtration (SRF) increased by 8.67% and 11.06% under optimal conditions, respectively. The highly active Fe²⁺ released during ZVI corrosion may be more essential than ZVI itself during PS activation, which could be strengthened by pre-magnetization. Both homogeneous and heterogeneous Fe²⁺ could react with PS to produce aqueous hydroxyl radicals (∙OH) and sulfate radicals (SO₄^-∙) as well as surface-bound ∙OH and SO₄^-∙, further decomposing bound-extracellular polymeric substances fractions, broking hydrophilic functional groups and compounds, altering protein secondary structure to expose more hydrophobic sites, and releasing abundant EPS-bound water. Due to the protection of tightly-bound extracellular polymeric substances (TB-EPS) and the competitive oxidation of organics released during the early disintegration stage, radical oxidation primarily occurs at extracellular levels, releasing a bit of intracellular water. Besides, polysaccharides in TB-EPS may function a more significant role in flocculation than proteins, and a porous structure favorable to drainage will be formed after the pre-magnetized ZVI/PS treatment. The cost-benefit analysis further reveals that the Pre-ZVI/PS process presents high reusability and utilization, making it potential for particle application in sludge dewatering.

Insight into UV-LED/PS/Fe(Ⅲ) and UV-LED/PMS/Fe(Ⅲ) for p-arsanilic acid degradation and simultaneous arsenate immobilization

As a feed additive, p-arsanilic acid (p-ASA) is hardly metabolized in animal bodies and is excreted chemically unchanged via feces and urine, which can be transformed into more toxic inorganic arsenic species and other organic by-products upon degradation in the aquatic environment. In this study, UV-LED/persulfate (PS)/Fe(Ⅲ) and UV-LED/peroxymonosulfate (PMS)/Fe(Ⅲ) processes were developed to remove p-ASA and immobilize the formed inorganic arsenic via tuning solution pH. UV-LED/PMS/Fe(Ⅲ) (90.8%) presented the best performance for p-ASA degradation at pH 3.0, and the p-ASA degradation in these processes both followed the pseudo-first-order kinetics. The ∙OH played the major role in UV-LED/PS/Fe(Ⅲ) and UV-LED/PMS/Fe(Ⅲ) systems. Solution pH greatly affected the p-ASA degradation and the maximum removal can be achieved at pH 3.0 due to the presence of more Fe(OH)(H₂O)₅²⁺. The dosages of Fe(III) and PMS (PS), SO₄^2- and HCO₃^- significantly influenced the performance of p-ASA oxidation, while HA, Cl^- and NO₃^- slightly affected the p-ASA degradation. According to quantum chemical calculation, radical addition on the C atom in the C-As bond of p-ASA was corroborated to be the dominant reaction pathway by SO₄∙^- and ∙OH. Additionally, the reactive sites and reasonable degradation pathways of p-ASA were proposed based on DFT calculation and HPLC/MS analysis. The release of inorganic arsenic in both processes can be effectively immobilized and the toxicity of the reaction solution dramatically reduced by adjusting solution pH to 6.0. UV-LED/PMS/Fe(Ⅲ) process was found to be more cost-effective than UV-LED/PS/Fe(Ⅲ) process at the low oxidant dosages.

The Interaction Between Cholesterol-Modified Amino-Pullulan Nanoparticles and Human Serum Albumin: Importance of Nanoparticle Positive Surface Charge

To study the interaction of nanoparticles (NPs) and human serum albumin (HSA), we designed three different aminosubstituted hydrophobically cholesterol-modified pullulan NPs (CHPN NPs). Dynamic light scattering (DLS) revealed sizes of 145, 156, and 254 nm and zeta potentials of 0.835, 7.22, and 11.7 mV for CHPN1, CHPN2, and CHPN3 NPs, respectively. Isothermal titration calorimetry (ITC) revealed that the binding constants were (1.59±0.45)×105 M−1, (2.08±0.26)×104 M−1, and (2.71±0.92)×104 M−1, respectively, and HSA coverage was (1.52±0.12), (0.518±0.316), and (0.092±0.015). Fluorescence spectroscopy of HSA revealed that the fluorescence intensity was quenched by CHPN NPs, which was maintained with a long final complexation period. Circular dichroism (CD) revealed a quick decrease in the α-helix content of HSA to 39.1% after the final complexation. NPs with a more positive charge led to a greater decrease in α-helix content than occurred in other NPs, so the NP surface charge played a role in the HSA–NP interaction. After HSA binding, the surface charge was −3.66±0.12 for CHPN1, −2.65±0.06 for CHPN2 and −1.12±0.28 mV for CHPN3 NPs. The NP surface property changed because of HSA binding, which is important for NP applications.

Degradation of bisphenol A by UV/persulfate process in the presence of bromide: Role of reactive bromine

Bromide (Br^-), a ubiquitous species in natural water, is capable of reacting with sulfate radical (SO₄∙^-) and hydroxyl radical (∙OH) to form secondary reactive bromine species (RBS). The reaction routes can influence the degradation mechanisms and performance of these radicals for removal of target pollutants and may also form harmful bromine-containing disinfection by-products (Br-DBPs) during subsequent chlorination. In the present research, the UV-activated persulfate (PS) degradation of bisphenol A (BPA) was systematically examined in the presence of Br^-. Results indicated that the presence of Br^-enhanced the BPA degradation and both UV/PS and UV/PS/Br^- processes followed the pseudo-first-order kinetics. At 0-0.8 mM Br^-, 0.2 mM Br^- exerted the best enhanced effect on BPA degradation, while RBS functioned as the major contributor in the presence of 0.05-0.5 mM Br^-. Solution pH (6.0-8.0) barely affected the BPA degradation in the UV/PS system, but the introduction of Br^- augmented the pH dependence. In the UV/PS/Br^-system, the reaction rate constant of BPA increased/decreased with increasing PS/HA dosage, and was affected slightly in the presence of bicarbonate and chloride. According to the quantum chemical calculation, the second-order rate constants of BPA with ∙OH, SO₄∙^-, Br∙ and Br₂∙^- were calculated as 7.65 × 10¹⁰, 1.67 × 10⁹, 1.77 × 10⁸ and 2.83 × 10² M^-1 s^-1, respectively. Additionally, three degradation pathways of BPA were proposed based on DFT calculation and HPLC/MS analysis, and the formed bromine-containing products exhibited higher toxicity than BPA. Br-DBPs, particularly tribromomethane and tribromoacetic acid, generated from UV/PS/Br^-pre-oxidation during BPA chlorination significantly increased the toxicity of total DBPs.

IFN-γ-Primed hUCMSCs Significantly Reduced Inflammation via the Foxp3/ROR-γt/STAT3 Signaling Pathway in an Animal Model of Multiple Sclerosis

Our previous study showed that interferon gamma (IFN-γ) might enhance the immunosuppressive properties of mesenchymal stem cells (MSCs) by upregulating the expression of indoleamine 2,3-dioxygenease. Therefore, we treated experimental autoimmune encephalomyelitis (EAE) mice, an animal model of multiple sclerosis (MS), with IFN-γ-primed human umbilical cord MSCs (IFN-γ-hUCMSCs). This study aimed to investigate the potential therapeutic effects of IFN-γ-hUCMSCs transplantation and to identify the biological pathways involved in EAE mice. Firstly, the body weights and clinical scores of EAE mice were recorded before and after treatment. Then, the inflammatory cytokine levels in splenic cell supernatants were quantified by enzyme-linked immunosorbent assay. Finally, the mRNA expression levels of signal transducer and activator of transduction 3 (STAT3), retinoic acid-related orphan receptor gamma t (ROR-γt), and forkhead box P3 (Foxp3) were detected by quantitative reverse transcription polymerase chain reaction. We observed that IFN-γ-hUCMSCs transplantation significantly alleviated body weight loss and decreased the clinical scores of mice. Additionally, IFN-γ-hUCMSCs transplantation could regulate the production of inflammatory cytokines, interleukin (IL)-10 and IL-17, thereby showing more potent treatment efficacy than human umbilical cord MSCs (hUCMSCs) transplantation (p < 0.05). Compared with the EAE group, the expressions of STAT3 and ROR-γt in the transplantation groups were significantly decreased, but the expression of Foxp3 was significantly upregulated in the IFN-γ-hUCMSCs transplantation group compared to that in the hUCMSCs transplantation group. We assumed that IFN-γ-hUCMSCs may affect the balance of T helper 17 (Th17) cells/regulatory T cells (Tregs) through the Foxp3/ROR-γt/STAT3 signaling pathway to reduce the inflammatory response, thereby improving the clinical symptoms of EAE mice. Our study demonstrated that transplantation of IFN-γ-hUCMSCs could reduce inflammation in EAE mice via the Foxp3/ROR-γt/STAT3 signaling pathway, highlighting the therapeutic effects of IFN-γ-hUCMSCs in patients with MS.

Total bone mineral density is inversely associated with stroke: a family osteoporosis cohort study in rural China

BACKGROUND

The relationship of osteoporosis and stroke is still not fully clarified. Apart from the well-known risk factors for stroke, bone mineral density (BMD) has gained more interest in recent years.

AIM

To further elucidate the relationship between BMD and stroke risk, a prospective cohort study in the Chinese rural population was conducted.

DESIGN

Retrospective analysis of a family osteoporosis cohort.

METHODS

Our subjects were selected from an osteoporosis cohort conducted in Anqing, China. All participants underwent a questionnaire assessment, clinical examinations and laboratory assessments. During the follow-up period, the number of people who had a stroke was recorded. Generalized estimating equation regression analysis was performed to determine the significance of the association between BMD and stroke.

RESULTS

A total of 17868 people were included. A two-way interaction test of sex and BMD on stroke was significant (P = 0.002). There was a significant difference in BMD and stroke morbidity in the male group (P = 0.003). When BMD was assessed as quartiles and the lowest quartile was used as reference, a significantly lower risk for stroke was observed in Q2-4. Notably, no significant difference was observed in female participants with adjusted odds ratio (P > 0.05). The P-value for interaction was calculated. The body mass index (P = 0.014) and waist-to-hip ratio (P = 0.027) were found to be significantly associated with BMD and stroke risk in female participants.

CONCLUSIONS

In Chinese rural areas, total BMD may negatively correlated with stroke, especially in men.

Observation of Potential-Induced Hydration on the Surface of Ceramic Proton Conductors Using In Situ Near-Ambient Pressure X-ray Photoelectron Spectroscopy

Interactions of ceramic proton conductors with the environment under operating conditions play an essential role on material properties and device performance. It remains unclear how the chemical environment of material, as modulated by the operating condition, affects the proton conductivity. Combining near-ambient pressure X-ray photoelectron spectroscopy and impedance spectroscopy, we investigate the chemical environment changes of oxygen and the conductivity of BaZr_0.9Y_0.1O_3-δ under operating condition. Changes in O 1s core level spectra indicate that adding water vapor pressure increases both hydroxyl groups and active proton sites at undercoordinated oxygen. Applying external potential further promotes this hydration effect, in particular, by increasing the amount of undercoordinated oxygen. The enhanced hydration is accompanied by improved proton conductivity. This work highlights the effects of undercoordinated oxygen for improving the proton conductivity in ceramics.

Multifunctional capacity of CoMnFe-LDH/LDO activated peroxymonosulfate for p-arsanilic acid removal and inorganic arsenic immobilization: Performance and surface-bound radical mechanism

Organoarsenic contaminants existing in water body threat human health and ecological environment due to insufficient bifunctional treatment technologies for organoarsenic degradation and inorganic arsenic immobilization. In order to safely and efficiently treat organoarsenic contaminants discharged into the aquatic environment, Co-Mn-Fe layered double hydroxide (CoMnFe-LDH) and Co-Mn-Fe layered double oxide (CoMnFe-LDO) were fabricated and employed as peroxymonosulfate (PMS) activator for organoarsenic degradation and inorganic arsenic immobilization, and p-arsanilic acid (p-ASA) was selected as target pollutant. Results demonstrated that the satisfactory removal of p-ASA (100.0%) in both CoMnFe-LDH/PMS and CoMnFe-LDO/PMS systems was obtained within 30 min, and substantial inorganic arsenic adsorption could be achieved (below 0.5 mg/L) in two systems with converting major inorganic arsenic species to arsenate. As XPS, ESR and quenching experiment revealed, the existence and generation of surface-bound radicals in two systems were identified. Based on density functional theory calculation and XPS analysis, the catalytic mechanism of CoMnFe-LDO/PMS system that PMS could be activated via direct electron transfer from adsorbed p-ASA was clarified, which differed from PMS activation via coupling with surface hydroxyl groups in CoMnFe-LDH/PMS system. Catalytic performance assessment under various critical operation parameters indicated that CoMnFe-LDH presented more stable ability of p-ASA removal in a wide pH range and complex aquatic environment. The recycle experiment demonstrated the excellent stability and reusability of CoMnFe-LDH(LDO). Besides, seven degradation products of p-ASA in CoMnFe-LDH/PMS system including phenolic compounds, azophenylarsonic acid, nitrobenzene and benzoquinne were identified by UV-Vis spectra and LC-TOF-MS analysis, and the corresponding degradation pathway was proposed. In summary, compared to CoMnFe-LDO/PMS, CoMnFe-LDH/PMS holds great promise for the development of an oxidation-adsorption process for efficient control of organoarsenic pollutant.

Highly efficient removal of DEET by UV-LED irradiation in the presence of iron-containing coagulant

N,N-Diethyl-3-methyl benzoyl amide (DEET) has been detected as an emerging pollutant in various water bodies because of its widespread use as an insect repellent. In this study, the combination of UV-LED₂₇₅ and iron-containing coagulant (FeCl₃) was used for the elimination of DEET in water. It was found that UV-LED₂₇₅/FeCl₃ (98 %) system presented a favorable removal of DEET compared with UV₂₅₄/FeCl₃ (59 %) and UV-LED₂₇₅/Fe₂(SO₄)₃ (81 %) processes at initial pH 3.5. DEET degradation by both UV-LED₂₇₅/FeCl₃ and UV-LED₂₇₅/Fe₂(SO₄)₃ processes followed pseudo-first-order kinetics with the calculated pseudo-first-order rate constants (k_obs) of 0.0105 and 0.0046 cm² mJ^-1, respectively. The results of ESR analysis and radicals quenching experiments indicated that hydroxyl radicals (OH) and superoxide radicals (O₂^-) were responsible for DEET degradation in UV-LED₂₇₅/FeCl₃ process, and the former played the major role. An increase in FeCl₃ dosage was beneficial to the degradation. In the UV-LED₂₇₅/FeCl₃ process, DEET degradation increased with a decrease in pH from 3.5 to 3.0, whereas it was almost completely suppressed with an increase in pH from 4.3 to 6.3. DEET degradation was almost unchanged after the introduction of NO₃^-, and it impeded after the addition of humic acid (HA), HCO₃^-, and SO₄^2-. The plausible degradation pathway mainly involved hydroxylation, cleavage of the C-N bond, acetylation, and dealkylation. Among the disinfection by-products (DBPs) evaluated, UV-LED₂₇₅/FeCl₃ pretreatment generally increased the generation of trichloromethane, chloral hydrate, dichloroacetic acid, and trichloroacetic acid, which implied that further assessment of environmental risk was needed during its practical applications.

Safety and efficacy of dendritic cell-based immunotherapy (DCVAC/LuCa) combined with carboplatin/pemetrexed for patients with advanced non-squamous non-small-cell lung cancer without oncogenic drivers

Background

Our prospective, open-label, single-arm phase II study investigated the safety and efficacy of DCVAC/LuCa (dendritic cell vaccines for lung cancer) combined with standard carboplatin/pemetrexed in advanced non-squamous (nsq) non-small-cell lung cancer (NSCLC).

Patients and methods

Eligible patients had stage IV nsq NSCLC without oncogenic drivers and had not received prior systemic cancer therapy. Treatment consisted of carboplatin/pemetrexed for up to 6 cycles followed by 21 cycles of pemetrexed maintenance or until progression or intolerance. Non-progression patients after two cycles of chemotherapy started to receive DCVAC/LuCa subcutaneously (s.c.) on day 15 of cycle 3, and thereafter q3w (day 15 of chemotherapy cycles) for up to 15 doses. Dosing of DCVAC/LuCa s.c. varied among patients depending on the baseline number of leucocytes but remained constant for each single patient. Safety was assessed by adverse events (AEs), treatment-related adverse events (TRAEs), serious adverse events (SAEs), and adverse events of special interest (AESIs). Efficacy was measured by overall survival (OS), progression-free survival (PFS), time to progression (TTP), and objective response rate (ORR).

Results

Sixty-one patients were enrolled. In the safety population (n = 60), eight patients (13.33%) had grade 3 or greater TRAEs, and six patients (10.0%) showed SAEs which were not related to leukapheresis or DC vaccination. Six grade 1 AEs were considered to be related to leukapheresis. No AESIs or DCVAC/LuCa-induced AEs were observed. The 2-year survival rate in the modified intention-to-treat population (n = 44) was 52.57%. Median OS was not reached. Median PFS was 8.0 months, median TTP was 10.2 months, and the ORR was 31.82%.

Conclusion

In treatment-naïve stage IV nsq NSCLC patients without oncogenic drivers, the combination of carboplatin/pemetrexed and DCVAC/LuCa was well tolerated and showed promising efficacy. Therefore, a study to prove our immunotherapeutic concept in a randomized phase III trial is planned.

•

We investigated the safety and efficacy of DCVAC/LuCa combined with standard carboplatin/pemetrexed in nsq NSCLC.

•

The combination therapy showed a favorable tolerability profile in a selected Chinese population.

•

The 2-year survival rate in the modified intention-to-treat population (n = 44) was 52.57%.

Fe(II)-activated sodium percarbonate for improving sludge dewaterability: Experimental and theoretical investigation combined with the evaluation of subsequent utilization

Fe(II)-activated sodium percarbonate (SPC) was an emerging technology for enhancing the dewaterability of waste activated sludge, and its operational parameters were systematically explored. The results showed that after the treatment by 1.20 mmol/g VSS SPC and 1.44 mmol/g VSS Fe(II) at initial pH 3.0, the water content and specific resistance to filtration remained at 76.05 ± 0.36% and 2.57 ± 0.08 × 10¹² m·kg^-1, respectively. The acid condition was instrumental in sludge dewatering, whereas overdosing Fe(II) or SPC imposed adverse effect. The conversion of EPS fractions was examined to elucidate the underlying mechanism, which indicated that a coexisting oxidation/flocculation process accounted for the improvement of sludge dewaterability. The stronger oxidative ·OH degraded the hydrophilic compounds (proteins and carbohydrates) of tightly-bound extracellular polymeric substance and the dissolved multivalence iron promoted solid-liquid separation. Additionally, the theoretical analysis (DFT calculation) demonstrated that the oxygen- and nitrogen-containing groups of EPS resulted in high-water holding capacity of sludge. The difficulty of destroying hydrophilic functional groups followed C=O > C-N > C-O during oxidation process. Moreover, Fe(II)/SPC treatment performed well in coliforms inactivation and phytotoxicity reduction compared with different ·OH-based advanced oxidation processes for sludge conditioning.

Hsa-miR-199a-5p Protect Cell Injury in Hypoxia Induces Myocardial Cells Via Targeting HIF1α

Myocardial infarction (MI) is one of the most common global diseases. Recently, microRNA 199a-5p (miR-199a-5p) has been recognized as a vital regulator in several human diseases. Nevertheless, the function of miR-199a-5p and the associated downstream molecular mechanisms in myocardial injury remain undescribed. Here, we assessed the relative expression of miR-199a-5p in an oxidative stress injury model of human myocardial cells. The effects of miR-199a-5p on myocardial cell viability were determined by cell counting kit-8 (CCK-8), terminal deoxynucleotidyl transferase UTP nick end labeling (TUNEL), flow cytometry, and western blot assays. Online bioinformatic analysis was used to predict the aim of miR-199a-5p in cardiomyocyte injury, which was confirmed by dual-luciferase reporter assays. miR-199a-5p increased the growth rate of cardiomyocytes after treatment with a hypoxic environment. miR-199a-5p acted as an inhibitor directly targeted hypoxia-inducible factor-1 (HIF1α) expression, which was higher in the cardiomyocyte injury model than that in healthy myocardial cells. Upregulated HIF1α expression abolished miR-199a-5p-induced cell proliferation in the cardiomyocyte hypoxia model. Our results suggest that miR-199a-5p is a potential prognostic biomarker in myocardial damage.

Did you see it? A Python tool for psychophysical assessment of the human blind spot

The blind spot is a region in the temporal monocular visual field in humans, which corresponds to a physiological scotoma within the nasal hemi-retina. This region has no photoreceptors, so is insensitive to visual stimulation. There is no corresponding perceptual scotoma because the visual stimulation is “filled-in” by the visual system. Investigations of visual perception in and around the blind spot allow us to investigate this filling-in process. However, because the location and size of the blind spot are individually variable, experimenters must first map the blind spot in every observer. We present an open-source tool, which runs in Psychopy software, to estimate the location and size of the blind spot psychophysically. The tool will ideally be used with an Eyelink eye-tracker (SR Research), but it can also run in standalone mode. Here, we explain the rationale for the tool and demonstrate its validity in normally-sighted observers. We develop a detailed map of the blind spot in one observer. Then, in a group of 12 observers, we propose a more efficient, pragmatic method to define a “safe zone” within the blind spot, for which the experimenter can be fully confident that visual stimuli will not be seen. Links are provided to this open-source tool and a user manual.

A Study of Hydrophobically Modified Pullulan Nanoparticles with Different Hydrophobic Densities on the Effect of Anti-Colon Cancer Cell Efficiency

To discuss the effect of hydrophobic groups of a polymer on the structural properties and function of polymer nanoparticles (NPs), we grafted chenodeoxycholic acid (CDCA) with pullulan (PU) to form hydrophobically modified PU (PUC). Three PUC polymers, namely, PUC-1, PUC-2, and PUC-3, with different degrees of substitution were designed by changing the feed ratio of CDCA and PU. ¹H-NMR spectra showed that the PUC polymer was successfully synthesized, and the degrees of hydrophobic substitution for PUC-1, PUC-2, and PUC-3 were calculated to be 10.66%, 13.92%, and 16.94%, respectively. The PUC NPs were prepared by the dialysis method and were shown to be uniformly spherical by transmission electron microscopy (TEM). The average sizes were about (220±10) nm, (203±7) nm, and (163±6) nm under dynamic light scattering (DLS) for PUC-1 NPs, PUC-2 NPs, and PUC-3 NPs, respectively. Drug release experiments showed that the three PUC/DOX NPs exhibited good sustained release. At 48 h, the IC₅₀ of doxorubicin in inhibiting colon cancer HCT116 cells was 0.0904 μg/mL. A cell study showed that PUC-3/DOX NPs had the highest uptake efficiency by HCT116 cells with the most cytotoxicity and inhibited the migration of HCT116 cells with the highest efficiency. The structural properties and function of polymer NPs were closely related to the hydrophobic groups in the polymer, and NPs with higher hydrophobicity showed a smaller size, higher drug capacity, and greater cell efficiency.

Non-Coding RNAs: Emerging Therapeutic Targets in Spinal Cord Ischemia-Reperfusion Injury

Paralysis or paraplegia caused by transient or permanent spinal cord ischemia–reperfusion injury (SCIRI) remains one of the most devastating post-operative complications after thoracoabdominal aortic surgery, even though perioperative strategies and surgical techniques continue to improve. Uncovering the molecular and cellular pathophysiological processes in SCIRI has become a top priority. Recently, the expression, function, and mechanism of non-coding RNAs (ncRNAs) in various diseases have drawn wide attention. Non-coding RNAs contain a variety of biological functions but do not code for proteins. Previous studies have shown that ncRNAs play a critical role in SCIRI. However, the character of ncRNAs in attenuating SCIRI has not been systematically summarized. This review article will be the first time to assemble the knowledge of ncRNAs regulating apoptosis, inflammation, autophagy, and oxidative stress to attenuate SCIRI. A better understanding of the functional significance of ncRNAs following SCIRI could help us to identify novel therapeutic targets and develop potential therapeutic strategies. All the current research about the function of nRNAs in SCIRI will be summarized one by one in this review.

Ascorbic acid enhanced ciprofloxacin degradation with nanoscale zero-valent copper activated molecular oxygen

The remediation of water polluted by fluroquinolones antibiotics remains an important issue. Although zero-valent copper (ZVC) coupled with molecular oxygen can destruct refractory organic pollutants, the activation efficiency still needs to be further improved. In this study, the introduction of ascorbic acid (AA) in ZVC/air process maintained a high-concentration of Cu(Ⅰ), which can efficiently activate molecular oxygen to generate reactive oxygen species (ROSs). Superoxide radicals and hydroxyl radicals coexisted in nZVC/AA/air system. The former contributed to the yield of H₂O₂ and also acted as a mediator for Cu(Ⅱ)/Cu(Ⅰ) redox cycles, the latter was the pivotal ROSs for ciprofloxacin (CIP) destruction. The CIP degradation decelerated through the addition of excessive nZVC and AA, and the optimum dosages of nZVC and AA were determined to be 0.2 g/L and 1 mM, respectively. The developed nZVC/AA/air process could efficiently operate in a relative broad pH range of 3.0-7.0, which was due to the fact that AA prevented the precipitation of copper ions in solution via forming stable chelates. The coexistence of Cl^- severely retarded the CIP removal. According to the results of UPLC-MS/MS analysis and density functional theory calculations, the plausible degradation pathways including the decarboxylation, defluorination, hydroxylation and cleavage of C-C bond in piperazine ring were proposed.

A Novel Rat Model of Cardiac Donation After Circulatory Death Combined With Normothermic ex situ Heart Perfusion

Background: In heart transplantation, the adoption of hearts from donation after circulatory death (DCD) is considered to be a promising approach to expanding the donor pool. Normothermic ex situ heart perfusion (ESHP) is emerging as a novel preservation strategy for DCD hearts. Therefore, pre-clinical animal models of ESHP are essential to address some key issues before efficient clinical translation. We aim to develop a novel, reproducible, and economical rat model of DCD protocol combined with normothermic ESHP.

Methods: Circulatory death of the anesthetized rats in the DCD group was declared when systolic blood pressure below 30 mmHg or asystole was observed after asphyxiation. Additional 15 min of standoff period was allowed to elapse. After perfusion of cold cardioplegia, the DCD hearts were excised and perfused with allogenic blood-based perfusate at constant flow for 90 min in the normothermic ESHP system. Functional assessment and blood gas analysis were performed every 30 min during ESHP. The alteration of DCD hearts submitted to different durations of ESHP (30, 60, and 90 min) in oxidative stress, apoptosis, tissue energy state, inflammatory response, histopathology, cell swelling, and myocardial infarction during ESHP was evaluated. Rats in the non-DCD group were treated similarly but not exposed to warm ischemia and preserved by the normothermic ESHP system for 90 min.

Results: The DCD hearts showed compromised function at the beginning of ESHP and recovered over time, while non-DCD hearts presented better cardiac function during ESHP. The alteration of DCD hearts in oxidative stress, apoptosis, tissue energy state, histopathological changes, cell swelling, and inflammatory response didn't differ among different durations of ESHP. At the end of 90-min ESHP, DCD, and non-DCD hearts presented similarly in apoptosis, oxidative stress, inflammatory response, myocardial infarction, and histopathological changes. Moreover, the DCD hearts had lower energy storage and more evident cell swelling compared to the non-DCD hearts.

Conclusion: We established a reproducible, clinically relevant, and economical rat model of DCD protocol combined with normothermic ESHP, where the DCD hearts can maintain a stable state during 90-min ESHP.

Scalable Solution-Processed Fabrication Approach for High-Performance Silver Nanowire/MXene Hybrid Transparent Conductive Films

The transparent conductive films (TCFs) based on silver nanowires are expected to be a next-generation electrode for flexible electronics. However, their defects such as easy oxidation and high junction resistance limit its wide application in practical situations. Herein, a method of coating Ti3C2Tx with different sizes was proposed to prepare silver nanowire/MXene composite films. The solution-processed silver nanowire (AgNW) networks were patched and welded by capillary force effect through the double-coatings of small and large MXene nanosheets. The sheet resistance of the optimized AgNW/MXene TCFs was 15.1 Ω/sq, the optical transmittance at 550 nm was 89.3%, and the figure of merit value was 214.4. Moreover, the AgNW/MXene TCF showed higher stability at 1600 mechanical bending, annealing at 100 °C for 50 h, and exposure to ambient air for 40 days. These results indicate that the novel AgNW/MXene TCFs have a great potential for high-performance flexible optoelectronic devices.

Profiling of miR-205/P4HA3 Following Angiotensin II-Induced Atrial Fibrosis: Implications for Atrial Fibrillation

Objective: Atrial fibroblasts are the main component of atrial fibrosis. Data in previous studies proved the implication of miRNAs in AF progression and the association of miR-205 with cancer associated-fibroblasts, while no evidence supported the implication of miR-205 in atrial fibrosis. Therefore, this study aims to explore the effect and mechanism of miR-205/P4HA3 axis on atrial fibrosis.

Methods: Angiotensin II (Ang II) was used to induce atrial fibrosis model in rats, which was verified by H&E staining and Masson staining. qRT-PCR and Western blot were applied to measure the expressions of miR-205, P4HA3, collagen I, and α-SMA. The rat atrial fibroblasts were isolated and then subjected to Ang II treatment or cell transfection for determination of cell biological functions using CCK-8, BrdU assay, TUNEL staining, and cell scratch assay. qRT-PCR and Western blot was applied to analyze the expressions of miR-205, P4HA3, collagen I, α-SMA, JNK, and p-JNK in atrial fibroblasts. Dual-luciferase reporter gene assay and RNA immune-precipitation experiment was employed to verify the binding relationship between miR-205 and P4HA3.

Results: Ang II induced rats had disordered arrangement of atrial muscles with uneven nuclear sizes and necrotic atrial myocytes, and increased collagen deposition, in which elevated expressions of P4HA3, collagen I, and α-SMA as well as suppressed expression level of miR-205 were found. In vitro, Ang II treatment in atrial fibroblasts with overexpression of P4HA3 facilitated cellular migration and proliferation, with the induction of JNK signaling pathway. However, these trends were reversed after transfection with miR-205 mimic. P4HA3 is a target gene of miR-205.

Conclusion: The miR-205/P4HA3 axis is implicated in atrial fibrosis by inhibition of rat fibroblast proliferation and migration and the inactivation of JNK signaling pathway.

Machine learning may predict individual hand motor activation from resting-state fMRI in patients with brain tumors in perirolandic cortex

OBJECTIVE

The study aimed to evaluate the predictive validity of the neural network (NN) method for presurgical mapping of motor areas using resting-state functional MRI (rs-fMRI) data of patients with brain tumor located in the perirolandic cortex (PRC).

METHODS

A total of 109 patients with brain tumors occupying PRC underwent rs-fMRI and hand movement task-based fMRI (tb-fMRI) scans. Using a NN model trained on fMRI data of 47 healthy controls, individual task activation maps were predicted from their rs-fMRI data. NN-predicted maps were compared with task activation and independent component analysis (ICA)-derived maps. Spatial Pearson's correlation coefficients (CC) matrices and Dice coefficients (DC) between task activation and predicted activation using NN (DC_{NN_Act}) and ICA (DC_{ICA_Act}) were calculated and compared using non-parametric tests. The effects of tumor types and head motion on predicted maps were demonstrated.

RESULTS

The CC matrix of NN-predicted maps showed higher diagonal values compared with ICA-derived maps (p < 0.001). DC_{NN_Act} were higher than DC_{ICA_Act} (p < 0.001) for patients with or without motor deficits. Lower DCs were found in subjects with head motion greater than one voxel. DCs were higher on the nontumor side than on the tumor side (p < 0.001), especially in the glioma group compared with meningioma and metastatic groups.

CONCLUSIONS

This study indicated that the NN approach could predict individual motor activation using rs-fMRI data and could have promising clinical applications in brain tumor patients with anatomical and functional reorganizations.

KEY POINTS

• The neural network machine learning approach successfully predicted hand motor activation in patients with a tumor in the perirolandic cortex, despite space-occupying effects and possible functional reorganization. • Compared to the conventional independent component analysis, the neural network approach utilizing resting-state fMRI data yielded a higher correlation to the active task hand activation data. • The Dice coefficient of machine learning-predicted activation vs. task fMRI activation was different between tumor and nontumor side, also between tumor types, which might indicate different effects of possible neurovascular uncoupling on resting-state and task fMRI.