Multimodel habitats constructed by perfusion and/or diffusion MRI predict isocitrate dehydrogenase mutation status and prognosis in high-grade gliomas

AIM

To determine whether tumour vascular and cellular heterogeneity of high-grade glioma (HGG) is predictive of isocitrate dehydrogenase (IDH) mutation status and overall survival (OS) by using tumour habitat-based analysis constructed by perfusion and/or diffusion magnetic resonance imaging (MRI).

MATERIALS AND METHODS

Seventy-eight HGG patients that met the 2021 World Health Organization WHO Classification of Tumors of the Central Nervous System, 5th edition (WHO CNS5), were enrolled to predict IDH mutation status, of which 32 grade 4 patients with unmethylated O6-methylguanine-DNA methyltransferase (MGMT) promoter were enrolled for prognostic analysis. The deep-learning-based model nnU-Net and K-means clustering algorithm were applied to construct the Traditional Habitat, Vascular Habitat (VH), Cellular Density Habitat (DH), and their Combined Habitat (CH). Quantitative parameters were extracted and compared between IDH-mutant and IDH-wild-type patients, respectively, and the prediction potential was evaluated by receiver operating characteristic (ROC) curve analysis. OS was analysed using Kaplan-Meier survival analysis and the log-rank test.

RESULTS

Compared with IDH-mutants, median relative cerebral blood volume (rCBVmedian) values in the whole enhancing tumour (WET), VH1, VH3, CH1-4 habitats were significantly increased in IDH-wild-type HGGs (all p<0.05). Additionally, the accuracy of rCBVmedian values in CH1 outperformed other habitats in identifying IDH mutation status (p<0.001) at a cut-off value of 4.83 with AUC of 0.815. Kaplan-Meier survival analysis highlighted significant differences in OS between the populations dichotomised by the median of rCBVmedian in WET, VH1, CH1-3 habitats (all p<0.05).

CONCLUSIONS

The habitat imaging technique may improve the accuracy of predicting IDH mutation status and prognosis, and even provide a new direction for subsequent personalised precision treatment.

Systematic analysis of copy-number variations associated with early pregnancy loss

OBJECTIVES

Embryonic numerical and structural chromosomal abnormalities are the most common cause of early pregnancy loss. However, the role of submicroscopic copy-number variations (CNVs) in early pregnancy loss is unclear, and little is known about the critical regions and candidate genes for miscarriage, because of the large size of structural chromosomal abnormalities. The aim of this study was to identify potential miscarriage-associated submicroscopic CNVs and critical regions of large CNVs as well as candidate genes for miscarriage.

METHODS

Over a 5-year period, 5180 fresh miscarriage specimens were investigated using quantitative fluorescent polymerase chain reaction/CNV sequencing or chromosomal microarray analysis. Statistically significant submicroscopic CNVs were identified by comparing the frequency of recurrent submicroscopic CNVs between cases and a published control cohort. Furthermore, genes within critical regions of miscarriage-associated CNVs were prioritized by integrating the Residual Variation Intolerance Score and the human gene expression dataset for identification of potential miscarriage candidate genes.

RESULTS

Results without significant maternal-cell contamination were obtained in 5003 of the 5180 (96.6%) cases. Clinically significant chromosomal abnormalities were identified in 59.1% (2955/5003) of these cases. Three recurrent submicroscopic CNVs (microdeletions in 22q11.21, 2q37.3 and 9p24.3p24.2) were significantly more frequent in miscarriage cases, and were considered to be associated with miscarriage. Moreover, 44 critical regions of large CNVs were observed, including 14 deletions and 30 duplications. There were 309 genes identified as potential miscarriage candidate genes through gene-prioritization analysis.

CONCLUSIONS

We identified potential miscarriage candidate CNVs and genes. These data demonstrate the importance of CNVs in the etiology of miscarriage and highlight the importance of ongoing analysis of CNVs in the study of miscarriage. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.

Environmental behavior of 12 UV filters and photocatalytic profile of ethyl-4-aminobenzoate

Ethyl-4-aminobenzoate (Et-PABA) is currently used as a substitute for 4-aminobenzoate (PABA) in sunscreens and anesthetic ointments. Despite its widespread use and hydrophilicity, Et-PABA has never been found in environmental waters. This study, probed the occurrence of Et-PABA in both seawater and drinking water sources in Hong Kong, and evaluated its transformation products (TPs) and environmental fate via cumulative potency and photocatalytic profile analyses. Another 11 UV filters used in skin-care products were also studied. Et-PABA was not detected in any water sample. Four other UV filters were dominant at ng/L level in both seawater and drinking water sources. UHPLC-QTOF-MS was used to elucidate the structure of TPs. With high resolution accurate mass data and fragment rationalization, 11 Et-PABA TPs were characterized, including seven intermediates firstly proposed as TPs; two compounds were reported for the first time. It is proposed that photocatalysis induces transformation pathways of (de)hydroxylation, demethylation and molecular rearrangement. Luminescent bacteria tests showed decreasing toxicity with increasing irradiation of Et-PABA, suggesting that irradiation TPs are less toxic than the parent compound. Transformation of Et-PABA appears to explain why Et-PABA has not been detected in the natural environment.

Environmental occurrence and ecological risk assessment of organic UV filters in marine organisms from Hong Kong coastal waters

Organic UV filters, now considered to be emerging contaminants in aquatic ecosystems, are being intensively tracked in environmental waters worldwide. However, their environmental fate and impact of these contaminants on marine organisms remains largely unknown, especially in Asia. This work elucidates the occurrence and the ecological risks of seven UV filters detected in farmed fish, wild mussels and some other wild organisms collected from local mariculture farms in Hong Kong. For all of the organisms, ethylhexyl methoxycinnamate (EHMC) and octyl dimethyl p-aminobenzoic acid (OD-PABA) were the predominant contaminants with the highest concentrations up to 51.3 and 24.1ng/g (dw), respectively; lower levels were found for benzophenone-8 (BP-8), octocrylene (OC) and benzophenone-3 (BP-3) from <LOQ to <14.4ng/g (dw); 4-methylbenzylidene camphor (4-MBC) and 3-benzylidene camphor (3-BC) were rarely detected. Additionally, the detection frequencies and measured concentrations of all targets were clearly higher in mussels than in fish. Spatial distribution of studied UV filters indicated a positive correlation between their measured concentrations and the anthropogenic activities responsible for their direct emission. The ecological risk assessment specific to the marine aquatic environment was carried out. The risk quotient (RQ) values of EHMC and BP-3 were calculated as 3.29 and 2.60, respectively, indicating these two UV filters may pose significant risks to the marine aquatic environment.

Evaluating the environmental impact of artificial sweeteners: a study of their distributions, photodegradation and toxicities

While having a long tradition as safe food additives, artificial sweeteners are a newly recognized class of environmental contaminants due to their extreme persistence and ubiquitous occurrence in various aquatic ecosystems. Resistant to wastewater treatment processes, they are continuously introduced into the water environments. To date however, their environmental behavior, fate as well as long term ecotoxicological contributions in our water resources still remain largely unknown. As a first step in the comprehensive study of artificial sweeteners, this work elucidates the geographical/seasonal/hydrological interactions of acesulfame, cyclamate, saccharin and sucralose in an open coast system at an estuarine/marine junction. Higher occurrence of acesulfame (seasonal average: 0.22 μg L(-1)) and sucralose (0.05 μg L(-1)) was found in summer while saccharin (0.11  μg L(-1)) and cyclamate (0.10 μg L(-1)) were predominantly detected in winter. Seasonal observations of the four sweeteners suggest strong connections with the variable chemical resistance among different sweeteners. Our photodegradation investigation further projected the potential impact of persistent acesulfame and sucralose compounds under prolonged exposure to intensive solar irradiation. Real-time observation by UPLC-ESI/MS of the degradation profile in both sweeteners illustrated that formation of new photo by-products under prolonged UV irradiation is highly viable. Interestingly, two groups of kinetically behaved photodegradates were identified for acesulfame, one of which was at least six times more persistent than the parent compound. For the first time, acute toxicity for the degradates of both sweeteners were arbitrarily measured, revealing photo-enhancement factors of 575 and 17.1 for acesulfame and sucralose, respectively. Direct comparison of photodegradation results suggests that the phototoxicity of acesulfame degradation products may impact aquatic ecosystems. In an attempt to neutralize this prolonged environmental threat, the feasibility of UV/TiO2 as an effective mineralization process in wastewater treatment was evaluated for both sweeteners. Under an environmental and technical relevant condition, a >84% removal rate recorded within 30 min and complete photomineralization was achieved within 2 h and delivering the best cost efficiency comparing to existing removal methods. A compilation of distribution, degradation, toxicity and attenuation results presented in this paper will go through critical discussions to explore some current issues and to pinpoint solutions for a better control in the emergent contamination of artificial sweeteners.