Associations between serum uric acid and hepatobiliary-pancreatic cancer: A cohort study

BACKGROUND

Uric acid is the end product of purine metabolism. Previous studies have found that serum uric acid (SUA) levels are associated with the total cancer risk. However, due to the dual effect of uric acid on cancer, the relationship between the SUA levels and most specific-site cancer remains unclear.

AIM

To investigate the associations between the SUA levels and incidence of hepatobiliary-pancreatic cancer.

METHODS

In this prospective cohort study, 444462 participants free of cancer from the UK Biobank were included. The SUA levels were measured at baseline, and the incidence of hepatobiliary-pancreatic cancer was determined by contacting the cancer registry. The hazard ratios (HRs) and 95% confidence intervals (CIs) between the SUA levels and hepatobiliary-pancreatic cancer were investigated using multiple adjusted Cox regression models adjusted for potential confounders.

RESULTS

In total, 920 participants developed liver, gallbladder, biliary tract or pancreatic cancer during a median of 6.6 yrs of follow-up. We found that the HR of pancreatic cancer in the highest SUA group was 1.77 (95%CI: 1.29-2.42) compared with that in the lowest group. After stratifying by gender, we further found that SUA was associated with an increased risk of pancreatic cancer only among the females (highest quartile vs lowest quartile HR 2.04, 95%CI: 1.35-3.08). Among the males, the SUA levels were positively associated with the gallbladder cancer risk (highest quartile vs lowest quartile HR 3.09, 95%CI: 1.28-7.46), but a U-shaped association with the liver cancer risk was observed (P-nonlinear = 0.03).

CONCLUSION

SUA is likely to have gender-specific effects on hepatobiliary-pancreatic cancer. High SUA levels are a risk factor for pancreatic cancer in females and gallbladder cancer in males. A U-shaped association with the liver cancer risk was identified.

Simultaneous energy harvest and nitrogen removal using a supercapacitor microbial fuel cell

The insufficient removal of pollutants and bioelectricity production have become a bottleneck for high-concentration saline wastewater treatment through microbial fuel cell (MFC) technology. Herein, a novel supercapacitor MFC (SC-MFC) was constructed with carbon nanofibers composite electrodes to investigate pollutant removal ability, power generation, and electrochemical properties using real landfill leachate. The possible extracellular electron transfer and nitrogen element conversion pathways in the bioanode were also analyzed. Results showed that the SC-MFC had higher pollutant removal rates (COD: 59.4 ± 1.2%; NH₄⁺-N: 78.2 ± 1.6%; and TN: 77.8 ± 1.2%), smaller internal impedance R_t (∼6 Ω), higher exchange current density i₀ (2.1 × 10^-4 A cm^-2), and a larger catalytic current j₀ (704 μA cm^-2) with 60% leachate than those with 10% and 20% leachate, resulting in a power output of 298 ± 22 mW m^-2. Ammonium could be incorporated by chemoautotrophic bacteria to produce organic compounds that could be further utilized by heterotrophs to generate power when biodegradable organic matters are depleted. Three conversion pathways of nitrogen might be involved, including NH₄⁺ diffusion from anode to cathode chamber, nitrification, and the denitrification process. Additionally, cyclic voltammetry tests showed that both the direct electron transfer (DET) and the mediator electron transfer in bioanode were involved and dominated by DET. The microbial analysis revealed that the bioanode was dominated by salt-tolerant denitrifying bacteria (38.5%), which was deduced to be the key functional microorganism. The electrochemically active bacteria decreased significantly from 61.7% to 4% over three stages of leachate treatment. Overall, the SC-MFC has demonstrated the potential for wastewater treatment along with energy harvesting and provides a new avenue toward sustainable leachate management.

Determination of secretory granule maturation times in pancreatic islet β-cells by serial block-face electron microscopy

It is shown how serial block-face electron microscopy (SBEM) of insulin-secreting β-cells in wild-type mouse pancreatic islets of Langerhans can be used to determine maturation times of secretory granules. Although SBEM captures the β-cell structure at a snapshot in time, the observed ultrastructure can be considered representative of a dynamic equilibrium state of the cells since the pancreatic islets are maintained in culture in approximate homeostasis. It was found that 7.2 ± 1.2% (±st. dev.) of the β-cell volume is composed of secretory granule dense-cores exhibiting angular shapes surrounded by wide (typically ≳100 nm) electron-lucent halos. These organelles are identified as mature granules that store insulin for regulated release through the plasma membrane, with a release time of 96 ± 12 h, as previously obtained from pulsed ³⁵S-radiolabeling of cysteine and methionine. Analysis of β-cell 3D volumes reveals a subpopulation of secretory organelles without electron-lucent halos, identified as immature secretory granules. Another subpopulation of secretory granules is found with thin (typically ≲30 nm) electron-lucent halos, which are attributed to immature granules that are transforming from proinsulin to insulin by action of prohormone convertases. From the volume ratio of proinsulin in the immature granules to insulin in the mature granules, we estimate that the newly formed immature granules remain in morphologically-defined immature states for an average time of 135 ± 14 min, and the immature transforming granules for an average time of 130 ± 17 min.

Application of advanced anodes in microbial fuel cells for power generation: A review

Microbial fuel cells (MFCs) the most extensively described bioelectrochemical systems (BES), have been made remarkable progress in the past few decades. Although the energy and environment benefits of MFCs have been recognized in bioconversion process, there are still several challenges for practical applications on large-scale, particularly for relatively low power output by high ohmic resistance and long period of start-up time. Anodes serving as an attachment carrier of microorganisms plays a vital role on bioelectricity production and extracellular electron transfer (EET) between the electroactive bacteria (EAB) and solid electrode surface in MFCs. Therefore, there has been a surge of interest in developing advanced anodes to enhance electrode electrical properties of MFCs. In this review, different properties of advanced materials for decorating anode have been comprehensively elucidated regarding to the principle of well-designed electrode, power output and electrochemical properties. In particular, the mechanism of these materials to enhance bioelectricity generation and the synergistic action between the EAB and solid electrode were clarified in detail. Furthermore, development of next generation anode materials and the potential modification methods were also prospected.

Anaerobic bioconversion of petrochemical wastewater to biomethane in a semi-continuous bioreactor: Biodegradability, mineralization behaviors and methane productivity

Petrochemical wastewaters treatment represents a serious challenge due to the high toxicity and complex chemical components. In this study, the biodegradability, mineralization behaviors and methane productivity of eight different types of petrochemical wastewaters were evaluated in series of semi-continuous bioreactors. Methane production strongly depended on the characteristics of wastewaters and chemical constituents. The highest methane yield of 305.9 ± 2.7 mL/g-COD was achieved by purified terephthalic acid wastewater, followed by ethylene glycol, polyester, etc. Comparatively, one-step-SCN^- wastewater produced the lowest methane yield (4.7 ± 0.7 mL/g-COD) owing to high toxicity and low biodegradability. Modified Gompertz model confirmed that purified terephthalic acid, ethylene glycol and polyester wastewaters had a short lag-phase of 1.2, 1.7 and 0.2 days, respectively. Nonetheless, the formation of by-products such as proteins, polysaccharides and ammonia nitrogen throughout anaerobic digestion reflected the high activity of anaerobic microorganisms, confirming the technical feasibility of anaerobic biotechnology in treating petrochemical wastewaters.

High-Statistics Measurement of Neutrino Quasielasticlike Scattering at 6 GeV on a Hydrocarbon Target

We measure neutrino charged-current quasielasticlike scattering on hydrocarbon at high statistics using the wideband Neutrinos at the Main Injector beam with neutrino energy peaked at 6 GeV. The double-differential cross section is reported in terms of muon longitudinal (p_{∥}) and transverse (p_{⊥}) momentum. Cross section contours versus lepton momentum components are approximately described by a conventional generator-based simulation, however, discrepancies are observed for transverse momenta above 0.5  GeV/c for longitudinal momentum ranges 3-5 and 9-20  GeV/c. The single differential cross section versus momentum transfer squared (dσ/dQ_{QE}^{2}) is measured over a four-decade range of Q^{2} that extends to 10  GeV^{2}. The cross section turnover and falloff in the Q^{2} range 0.3-10  GeV^{2} is not fully reproduced by generator predictions that rely on dipole form factors. Our measurement probes the axial-vector content of the hadronic current and complements the electromagnetic form factor data obtained using electron-nucleon elastic scattering. These results help oscillation experiments because they probe the importance of various correlations and final-state interaction effects within the nucleus, which have different effects on the visible energy in detectors.

[Develop the active surveillance system for vaccine safety in China]

Post-marketing surveillance of vaccine safety is an important measure to detect adverse events following immunization and therefore reduce the harms to public health. The conventional method for safety surveillance is a passive way through spontaneous reporting, which suffer from under-reporting and incomplete. While active surveillance, a newly proposed surveillance method in developed countries, is capable to make up the deficiencies of passive surveillance. The surveillance system of vaccine safety in China is currently using passive surveillance, and facing many problems and challenges. This arouses a need to promote development of an active surveillance system for vaccine safety in China, learning from the experience world-wide. This commentary aims to throw out suggestions for establishing the active surveillance system, according to the specific situation in China and based on a scoping review of literature.

Herbacetin treatment remitted LPS induced inhibition of osteoblast differentiation through blocking AKT/NF-κB signaling pathway

Inflammation, a common situation during the process of bone healing, is reported to play a negative role in bone regeneration. Up to date, therapeutic strategies for inflammation triggered inhibition of osteoblast differentiation are still limited. The aim of this study was to explore the potential roles and molecular mechanisms of Herbacetin in the process of osteoblast differentiation under LPS-mediated inflammatory environment. By using MC3T3-E1, C2C12 and primary mouse calvarial osteoblast (PMCO) cells as experimental models, we observed that LPS stimulation suppressed osteoblast differentiation via inhibiting alkaline phosphatase (ALP) activity and the expression of several osteoblastic genes (osterix, runx2 and osteocalcin). However, the negative role of LPS during osteoblast differentiation could be restored by Herbacetin treatment. Mechanistical studies revealed that Herbacetin treatment suppressed AKT activation and in turn blocked NF-κB signaling pathway. Furthermore, reactivating AKT by a selective PTEN inhibitor SF1670 suppressed the effect of Herbacetin. These data suggested that Herbacetin might play a protective role in osteoblast differentiation in MC3T3-E1/C2C12/PMCO cells under LPS stimulation.

Circulating serum level of retinoic acid and hip fractures among postmenopausal women

PURPOSE

The aim of this study was to evaluate the serum levels of retinoic acid (RA), an active form of vitamin A, in postmenopausal women with hip fractures from Zhengzhou, China.

METHODS

This was a case-control study from the Affiliated Hospital of Zhengzhou University. Serum samples were drawn from 375 postmenopausal women who were diagnosed as having hip fracture and 750 matched controls without fracture. Serum RA levels were evaluated as both a continuous variable and a categorical variable in quintiles.

RESULTS

The results showed that the serum levels of RA were significantly (P = .039) higher in patients with hip fracture compared with controls. In univariate and multivariate logistic regression analysis, for each 1 ng/mL increase of serum level of RA, the unadjusted and adjusted risk of hip fracture would be increased by 5% (odds ratio [OR] = 1.05; 95% confidence interval [CI] = 1.00-1.10; P = .035) and 2% (OR = 1.02; 95% CI = 0.95-1.11; P = .096), respectively. In multivariate models comparing the fifth with the third quintiles of RA, the RA was associated with hip fracture, and adjusted risk of hip fracture would be increased by 52% (OR = 1.52; 95% CI = 1.13-1.42; P = .011).

CONCLUSIONS

The results of our study suggest that subclinical higher levels of RA may increase the risk of hip fracture in postmenopausal women, particularly among the top quintile of serum RA. J Am Geriatr Soc 67:336-341, 2019.

Publisher's Note: Identification of Nuclear Effects in Neutrino-Carbon Interactions at Low Three-Momentum Transfer [Phys. Rev. Lett. 116, 071802 (2016)]

This corrects the article DOI: 10.1103/PhysRevLett.116.071802.

Increased detection of carbapenemase-producing Enterobacteriaceae on post-clean sampling of a burns unit's wet surfaces

Wet surface biofilms are a potential reservoir for multidrug-resistant Gram-negative organisms, including carbapenemase-producing Enterobacteriaceae (CPE). Recognition of environmental sources is important in reducing secondary patient transmission. We report the increased detection of blaIMP-4⁺ CPE in environmental samples from floor drains in burns unit shower rooms, when collected following cleaning as compared to pre-cleaning. We propose that disruption of biofilms during cleaning may account for the increased detection of multi-resistant organisms. The results highlight the role of the wet environment as an under-recognized potential source of CPE transmission. Environmental screening focusing on pre-cleaning samples alone will likely underestimate environmental contamination.

Predictors of oncological outcomes in T1G3 patients treated with BCG who undergo radical cystectomy

PURPOSE

To evaluate the oncological impact of postponing radical cystectomy (RC) to allow further conservative therapies prior to progression in a large multicentre retrospective cohort of T1-HG/G3 patients initially treated with BCG.

METHODS

According to the time of RC, the population was divided into 3 groups: patients who did not progress to muscle-invasive disease, patients who progressed before radical cystectomy and patients who experienced progression at the time of radical cystectomy. Clinical and pathological outcomes were compared across the three groups.

RESULTS

Of 2451 patients, 509 (20.8%) underwent RC. Patients with tumors > 3 cm or with CIS had earlier cystectomies (HR = 1.79, p = 0.001 and HR = 1.53, p = 0.02, respectively). Patients with tumors > 3 cm, multiple tumors or CIS had earlier T3/T4 or N + cystectomies. In patients who progressed, the timing of cystectomy did not affect the risk of T3/T4 or N + disease at RC. Patients with T3/T4 or N + disease at RC had a shorter disease-specific survival (HR = 4.38, p < 0.001), as did patients with CIS at cystectomy (HR = 2.39, p < 0.001). Patients who progressed prior to cystectomy had a shorter disease-specific survival than patients for whom progression was only detected at cystectomy (HR = 0.58, p = 0.024) CONCLUSIONS: Patients treated with RC before experiencing progression to muscle-invasive disease harbor better oncological and survival outcomes compared to those who progressed before RC and to those upstaged at surgery. Tumor size and concomitant CIS at diagnosis are the main predictors of surgical treatment while tumor size, CIS and tumor multiplicity are associated with extravesical disease at surgery.