Universal Murray's law for optimised fluid transport in synthetic structures

Materials following Murray's law are of significant interest due to their unique porous structure and optimal mass transfer ability. However, it is challenging to construct such biomimetic hierarchical channels with perfectly cylindrical pores in synthetic systems following the existing theory. Achieving superior mass transport capacity revealed by Murray's law in nanostructured materials has thus far remained out of reach. We propose a Universal Murray's law applicable to a wide range of hierarchical structures, shapes and generalised transfer processes. We experimentally demonstrate optimal flow of various fluids in hierarchically planar and tubular graphene aerogel structures to validate the proposed law. By adjusting the macroscopic pores in such aerogel-based gas sensors, we also show a significantly improved sensor response dynamics. In this work, we provide a solid framework for designing synthetic Murray materials with arbitrarily shaped channels for superior mass transfer capabilities, with future implications in catalysis, sensing and energy applications.

Adalimumab Dose Reduction and Withdrawal in Stable Non-Infectious Pediatric Uveitis: An Open-Label, Prospective, Pilot Study

PURPOSES

This study investigated the feasibility of adalimumab (ADA) dose reduction and withdrawal strategy in children with stable pediatric non-infectious uveitis (PNIU).

METHODS

This open-label prospective pilot trial recruited 18 stable PNIU patients (33 eyes) between two and eighteen years old who were treated with standard doses of ADA (20/40 mg every 2 weeks) plus oral methotrexate. The interval of ADA injection was extended to 4 weeks and followed up for 24 weeks. If the uveitis remained stable, ADA was discontinued and followed up for another 24 weeks. ADA was considered successfully stopped if no relapse occurred during this period. The relapse-free survival rate, best corrected visual acuity (BVCA), anterior chamber cell (ACC), vitritis, macular thickness (MT), and serum ADA levels were evaluated. Approval Number: 2021KYPJ201. ClinicalTrials.gov identifier: NCT05155592.

RESULTS

The relapse-free survival rate was 22.2% (4/18) at 48 weeks. 33.3% (6/18) of patients relapsed when ADA was given every 4 weeks, while 44.5% of patients (8/18) relapsed after ADA was stopped. The four patients successfully withdrawn from ADA were all diagnosed with BD. No statistically significant differences (p > 0.05) were observed in BCVA and MT between baseline and final follow-up. The proportion of ACC and vitritis exhibited an upward trend (p < 0.05) during follow-up. Serum ADA gradually decreased to zero during follow-up in both non-recurrence and recurrence groups.

CONCLUSIONS

In PNIU children who reached remission for 6 months, ADA dose reduction and withdrawal were associated with a high risk of inflammation recurrence. Timely adjustment of ADA to the last effective dosage frequency can regain control of the inflammation. Detection of ADA serum levels in patients with recurrence may help find the appropriate interval of ADA use.

Water quality's responses to water energy variability of the Yangtze River

River energy serves as an indicator of pollutant-carrying capacity (PCC), influencing regional water quality dynamics. In this study, MIKE21 hydrodynamics-water quality models were developed for two scenarios, and grid-by-grid numerical integration of energy was conducted for the Yangtze River's mainstream. Comparison of predicted and measured values at monitoring points revealed a close fit, with average relative errors ranging from 5.17 to 8.37%. The concept of PCC was introduced to assess water flow's ability to transport pollutants during its course, elucidating the relationship between river energy and water quality. A relationship model between Unit Area Energy (UAE) and PCC was fitted (R2 = 0.8184). Temporally, reservoir construction enhanced the smoothness of UAE distribution by 74.47%, attributable to peak shaving and flow regulation. While this flood-drought season energy transfer reduced PCC differences, it concurrently amplified pollutant retention by 40.95%. Spatially, energy distribution fine-tuned PCC values, showcasing binary variation with energy changes and a critical threshold. Peak PCC values for TP, NH3-N, and COD were 2.46, 2.26, and 54.09 t/(km·a), respectively. These insights support local utility regulators and decision-makers in navigating low-carrying capacity, sensitive areas, enhancing targeted water protection measures for increased effectiveness and specificity.

Shape- and polymer-considered simulation to unravel the estuarine microplastics fate

Environmental microplastics (MPs) constitute various sizes, polymers, and shape components. In estuaries, such differences are related to the reliability of assessing the seaward fate of MPs, aggregation hotspots, and ecological risks. This study sets the MP particle mass gradient using the shape factor and size probability density function to categorically estimate the MP load in the surface layer of the Yangtze River Estuary (YRE), which is the largest contributor of plastics to the sea. During the high plastic input period in July, the optimized estimated MP load through the surface layer of the YRE was 9766 kg/month, which was overestimated by 821 kg/month based on the empirical average particle mass. While tracking MP transport classified by shape and polymer type, the resuspension of MPs that accumulate in the intertidal zone cannot be neglected. The average relative error of the simulation was as low as 19.6% after including the abovementioned factors. Finally, the simulation results of the sensitive regions were extracted to assess the new MP risk index, which considers shape, abundance, and polymer type. By introducing these essential tools, this study helps to understand the fate of riverine MPs entering estuaries, where valuable opportunities for removing MPs exist before they spread to the oceans.

How microplastic loads relate to natural conditions and anthropogenic activities in the Yangtze river basin

As the third largest river in the world, microplastic pollution in the Yangtze River basin is currently attracting worldwide attention. However, fragmented research information is insufficient to reveal the occurrence and driving mechanisms of microplastics throughout the Yangtze River basin. Building on a systematic review of 20 existing publications, this study constructed a dataset including microplastic data from 366 samples in the Yangtze River basin through a data filtering process, and data on natural conditions and anthropogenic activities from 101 basin municipalities. Further, multivariate statistical analysis was utilized to enhance the understanding of the abundance, composition and drivers of microplastics within the basin. Differences in microplastic abundance among the sampling sites were up to 5 orders of magnitude, with the highest abundance value found in the upstream city of Chengdu. The comprehensive diversity index used to describe the composition characteristics of microplastics ranged from 0.31 to 0.68, slightly higher than the national average. Based on a statistical analysis framework, natural conditions and anthropogenic activities were shown to jointly drive the distribution of microplastics, and the dominant driver shifted between the two with spatial variation. In the upstream, anthropogenic activities dominated by GDP (r = 0.85, P < 0.01) were the main positive factor. In the middle and downstream, natural conditions and anthropogenic activities had comparable driving forces as the stability of natural resistance increased, and both were positively correlated with microplastics. Combining the constructed normalized stepwise linear regression model with GIS spatial analysis, the basin-wide application demonstrated that microplastic pollution in the upstream and delta deserved more attention. After coupling the distance factors, microplastic pollution was concentrated in the middle and downstream of the Yangtze River basin, covering important drinking water sources. This study provided important data support for subsequent targeted microplastic reduction and treatment.

Dual-Wave Acoustofluidic Centrifuge for Ultrafast Concentration of Nanoparticles and Extracellular Vesicles

Extracellular vesicles (EVs) are secreted nanostructures that play various roles in critical cancer processes. They operate as an intercellular communication system, transferring complex sets of biomolecules from cell to cell. The concentration of EVs is difficult to decipher, and there is an unmet technological need for improved (faster, simpler, and gentler) approaches to isolate EVs from complex matrices. Herein, an acoustofluidic concentration of extracellular vesicles (ACEV) is presented, based on a thin-film printed circuit board with interdigital electrodes mounted on a piezoelectric substrate. An angle of 120° is identified between the electrodes and the reference flat of the piezoelectric substrate for simultaneous generation of Rayleigh and shear horizontal waves. The dual waves create a complex acoustic field in a droplet, resulting in effective concentration of nanoparticles and EVs. The ACEV is able to concentrate 20 nm nanospheres within 105 s and four EV dilutions derived from the human prostate cancer (Du145) cell line in approximately 30 s. Cryo-electron microscopy confirmed the preservation of EV integrity. The ACEV device holds great potential to revolutionize investigations of EVs. Its faster, simpler, and gentler approach to EV isolation and concentration can save time and effort in phenotypic and functional studies of EVs.

Association between serum asprosin and diabetic peripheral neuropathy in patients with type 2 diabetes mellitus in the community

OBJECTIVE

This study aimed to investigate the relationship between serum asprosin level and diabetic peripheral neuropathy (DPN) in community patients with type 2 diabetes mellitus (T2DM).

PATIENTS AND METHODS

A total of 498 patients with T2DM were recruited from Zhuoma Community Health Service Station and Chengbei West Street Community Health Service Center in Changzhi City of Shanxi Province between November 2019 and July 2021. Their height, weight, and body mass index (BMI), as well as fasting plasma glucose (FPG), glycosylated hemoglobin (HbA1c), triglyceride (TG), and serum asprosin levels, were analyzed. Patients were divided into the DPN group (n = 329) and the non-DPN group (n = 169) according to the presence or absence of DPN. The t-test, Mann-Whitney U test, and χ² test were used to compare the indicators between the two groups. Pearson or Spearman correlation analysis was used to evaluate the correlation between serum asprosin and other clinical data. Multivariate logistic regression analysis was used to analyze the influencing factors of DPN.

RESULTS

Compared with the non-DPN group, the DPN group had higher serum asprosin (p < 0.05). The prevalence of DPN gradually increased according to the tertiles of asprosin (56%, 67%, and 75%; p < 0.05). Multivariate logistic regression analysis showed that after adjustment for covariates, patients with asprosin concentrations between 295.4-367.0 pg/ml and concentrations > 367.0 pg/ml had a higher risk of diabetic neuropathy compared than those with asprosin levels < 295.4 pg/ml (p < 0.05).

CONCLUSIONS

Serum asprosin was found to be positively correlated with DPN, and it resulted as an influencing factor for DPN in patients with T2DM in the community. With the increase of asprosin, the risk of DPN also increased.

Three gorges dam shifts estuarine heavy metal risk through suspended sediment gradation

Damming alters downstream sediment supply relationships and erosion in the estuarine delta. Given that sediment grainsize serves as a key parameter for the ability to adsorb heavy metals from water, the assessment of estuarine heavy metal risk needs to get connected initially. Hence, fine suspended sediment (<63 μm) in the Yangtze River estuary (YRE) was divided into four grainsize fractions to simulate the surface suspended sediment concentration (SSC) and grainsize composition before and after the completion of the Three Gorges Dam (TGD). Representative months were selected for flood peak reduction (October) and runoff compensation in the dry season (March) to maximize the scheduling impact of the TGD on runoff and riverine sediment input to the YRE. An improved Water Quality Index (WQI) approach was proposed to assess the combined risk alteration of five heavy metals in six estuarine sensitive targets due to TGD-induced sediment characteristics. The results demonstrated that TGD significantly but tardily reduced the SSC and the proportion of fine sediment in the YRE, decreasing the risk of heavy metals resuspension. Seasonally, the total SSC became higher in the flood season than in the dry season during post-TGD period. However, the fine SSC in the flood season was averaged only 59.7% of that in the dry season due to the pronounced grainsize coarsening effect. As the significant reduction in fine SSC overcomes the increase in heavy metal content per unit of SS, the integrated resuspension risk declined significantly, particularly for Pb and Cr. Spatially, the risk reduction for sensitive targets near the turbidity maximum zone (TMZ) is 8.4 times greater than for inner river channel. However, undiminished anthropogenic metal inputs to the YRE signified greater pressures on the depositional environment.

Predicting Drug Treatment Outcomes in Childrens with Tuberous Sclerosis Complex-Related Epilepsy: A Clinical Radiomics Study

BACKGROUND AND PURPOSE

Highly predictive markers of drug treatment outcomes of tuberous sclerosis complex-related epilepsy are a key unmet clinical need. The objective of this study was to identify meaningful clinical and radiomic predictors of outcomes of epilepsy drug treatment in patients with tuberous sclerosis complex.

MATERIALS AND METHODS

A total of 105 children with tuberous sclerosis complex-related epilepsy were enrolled in this retrospective study. The pretreatment baseline predictors that were used to predict drug treatment outcomes included patient demographic and clinical information, gene data, electroencephalogram data, and radiomic features that were extracted from pretreatment MR imaging scans. The Spearman correlation coefficient and least absolute shrinkage and selection operator were calculated to select the most relevant features for the drug treatment outcome to build a comprehensive model with radiomic and clinical features for clinical application.

RESULTS

Four MR imaging-based radiomic features and 5 key clinical features were selected to predict the drug treatment outcome. Good discriminative performances were achieved in testing cohorts (area under the curve = 0.85, accuracy = 80.0%, sensitivity = 0.75, and specificity = 0.83) for the epilepsy drug treatment outcome. The model of radiomic and clinical features resulted in favorable calibration curves in all cohorts.

CONCLUSIONS

Our results suggested that the radiomic and clinical features model may predict the epilepsy drug treatment outcome. Age of onset, infantile spasms, antiseizure medication numbers, epileptiform discharge in left parieto-occipital area of electroencephalography, and gene mutation type are the key clinical factors to predict the epilepsy drug treatment outcome. The texture and first-order statistic features are the most valuable radiomic features for predicting drug treatment outcomes.

Applying water environment capacity to assess the non-point source pollution risks in watersheds

Comprehension of the spatial and temporal characteristics of non-point source (NPS) pollution risk in watersheds is essential for NPS pollution research and scientific management. Although the concept of water functional zones (WFZ) has been considered in the NPS pollution risk assessment process. However, no comprehensive study of the NPS pollution risk has been conducted to effectively protect water quality in watersheds with different water environment capacity. Therefore, this study proposes a new NPS pollution risk assessment method that integrates water functional zoning, receiving water body environmental capacity, and space-time distribution of pollution load for quantifying the impact of pollution discharge from sub-catchment on nearby water body quality. Based on the NPS nutrient loss process modeled by the Soil and Water Assessment Tool (SWAT), this method was used to assess the NPS pollution risk in the Le 'an River Watershed at annual and monthly scales. The results showed that the NPS pollution risk is characterized by seasonal and spatial variability and is influenced clearly by the water environment capacity. High NPS pollution loads are not necessarily high pollution risks. Conversely, a low NPS nutrient pollution load does not represent a low regional risk sensitivity. In addition, NPS risk assessment based on the water environment capacity could also distinguish the differences in risk levels that were masked by similar NPS pollutant loss and the same water function zoning to achieve accurate control of NPS pollution management in watersheds.

Spatiotemporal variation of vegetation cover in mining areas of Dexing City, China

Dexing City is an important mining city in China, abounding in copper ore, lead ore, zinc ore, and other metal resources, and there are two large open-pit mines in its territory, Dexing Copper Mine and Yinshan Mine. The two open-pit mines have been expanding their mining production scale since 2005, with frequent mining activities; and the expansion of the pits and the discharge of solid waste will undoubtedly increase the land use and cause the destruction of vegetation. Therefore, we plan to visualize the change in vegetation cover in Dexing City from 2005 to 2020 and the expansion of the two open-pit mines by calculating changes of the Fractional Vegetation Cover (FVC) in the mining area using remote sensing technology. In this study, we calculated the FVC of Dexing City in 2005, 2010, 2015 and 2020 using data from NASA Landsat Database via ENVI image analysis software, plotted the FVC reclassified maps via ArcGIS, and conducted field investigations in the mining areas of Dexing City. In this way, we can visualize the spatial and temporal changes of vegetation cover in Dexing City from 2005 to 2020, and appreciate the situation of mining expansion and its solid waste discharge in Dexing City. The results of this study showed that the vegetation cover of Dexing City remained stable from 2005 to 2020, as the expansion of mining scale and mine pits was accompanied by active environmental management and land reclamation, setting a positive example for other mining cities.

Mine land reclamation, mine land reuse, and vegetation cover change: An intriguing case study in Dartford, the United Kingdom

Dartford, a town in England, heavily relied on industrial production, particularly mining, which caused significant environmental pollution and geological damage. However, in recent years, several companies have collaborated under the guidance of the local authorities to reclaim the abandoned mine land in Dartford and develop it into homes, known as the Ebbsfleet Garden City project. This project is highly innovative as it not only focuses on environmental management but also provides potential economic benefits, employment opportunities, builds a sustainable and interconnected community, fosters urban development and brings people closer together. This paper presents a fascinating case that employs satellite imagery, statistical data, and Fractional Vegetation Cover (FVC) calculations to analyse the re-vegetation progress of Dartford and the development of the Ebbsfleet Garden City project. The findings indicate that Dartford has successfully reclaimed and re-vegetated the mine land, maintaining a high vegetation cover level while the Ebbsfleet Garden City project has advanced. This suggests that Dartford is committed to environmental management and sustainable development while pursuing construction projects.

An enhanced tilted-angle acoustic tweezer for mechanical phenotyping of cancer cells

Acoustofluidic devices becomes one of the emerging and versatile tools for many biomedical applications. Most of the previous acoustofluidic devices are used for cells manipulation, and the few devices for cell phenotyping with a limitation in throughput. In this study, an enhanced tilted-angle (ETA) acoustofluidic device is developed and applied for mechanophenotyping of live cells. The ETA Device consists of an interdigital transducer which is positioned along a microfluidic channel. An inclination angle of 5° is introduced between the interdigital transducer and the liquid flow direction. The pressure nodes formed inside the acoustofluidic field in the channel deflect the biological cells from their original course in accordance with their mechanical properties, including volume, compressibility, and density. The threshold power for fully converging the cells to the pressure node is used to calculate the acoustic contrast factor. To demonstrate the ETA device in cell mechanophenotyping, and distinguishing between different cell types, further experimentation is carried out by using A549 (lung cancer cells), MDB-MA-231 (breast cancer cells), and leukocytes. The resulting acoustic contrast factors for the lung and breast cancer cells are different from that of the leukocytes by 27.9% and 21.5%, respectively. These results suggest this methodology can successfully distinguish and phenotype different cell types based on the acoustic contrast factor.

Typhoon triggers estuarine heavy metal risk by regulating the multifractal grainsize of resuspended sediment

The turbulent boundary layer generated by wind in the estuarine surface water serves as a main factor affecting the distribution of suspended particulate matter (SPM) and suspended sediment concentration (SSC). In this study, representative typhoon-induced variation of surface fine SPM (<63 μm) was simulated in the Yangtze River Estuary (YRE) under two time scenarios. Each scenario contained four grainsize SPM fractions named Fraction 1 (<8 μm), Fraction 2 (8-16 μm), Fraction 3 (16-32 μm), Fraction 4 (32-63 μm). The typhoon-induced resuspended multifractal SSC quantification (TRMSQ) based on the relationship between SPM grainsize and heavy metal adsorption capacity was proposed to assess the variation in the resuspended threat of heavy metal to 6 key estuarine protected objects (three reservoirs & three national reserves) between Scenarios 1 and 2. The results presented that Fraction 3 exhibited the maximum increment in SSC resuspension mass and longest regression time from typhoon. Combined with TRMSQ, chromium (Cr) was calculated to be the riskiest typhoon-induced factor. The integrated resuspended risk of heavy metals for each protected object tends to increase from the northwest of Chongming Island (1.2) towards the maximum turbidity zone (>9) downstream, with an estuary-wide mean of 3.3.

The fate of microplastics in estuary: A quantitative simulation approach

Microplastics pollution is an emerging environmental concern. However, there are almost no MPs numerical simulation studies in the Yangtze Estuary which is considered as the largest plastic export in the world and quantitative simulation is not carried out in the existing models. Therefore, completing quantitative simulation and exploring different patterns of MPs transport are the main objectives of this study. In addition, the concentration distribution and risk of MPs are also analyzed. Mass-Number method is proposed to quantitatively simulate microplastics concentration in Feb. and May with errors of less than 18%. Compared with sediment flocculation and settling transport, independent floating transport is more susceptible to surface currents resulting in increased beaching and more inhomogeneous concentration distribution. Meanwhile, under the influence of current, local topography and salt wedge, the MPs perform linear motion and clockwise spiral motion inside and outside the estuary and rapidly form a "hot spot" on the southeastern part of Chongming Island and 57% to 90% of MPs are beached or settled inside the estuary, especially on the north shore. Therefore, MPs risk in some sensitive targets should be concerned according to risk assessment results. Our results break the space-time limit and explore the fate of MPs in the Yangtze Estuary and provide new idea and concern of MPs numerical simulation.

Experimental study of sediment wash-off process over urban road and its dependence on particle size distribution

Sediment originating from the urban road runoff is a main contributor to water pollution in urban areas. The size of the road sediment varies significantly, but its influence on sediment wash-off process has not been well investigated. In this study, sediments with different particle size distributions have been used in rainfall-runoff experiments over idealized urban road surface. The results show that, under the same experimental conditions, the capacity factor C_F increases with the decrease of the median particle diameter D₅₀, which is the dominant influencing factor on C_F. The wash-off coefficient k is affected by both D₅₀ and the grading of sediment. During the wash-off process, D₅₀ of the sediment collected at the outlet increases with time. Such a grain coarsening phenomenon is particularly apparent when the road is originally covered with very fine sediments. Furthermore, the presence of coarse grains slows down the transport of fine sediment whose size is smaller than 14 μm. This shielding effect significantly affects the sediment wash-off process in the early stage of a rainfall event, while later on the interaction between particles of different sizes becomes unimportant. This study advances the understanding of sediment wash-off mechanism on urban road surface.

How the Yangtze River transports microplastic to the east China sea

Land transportation in the Yangtze River basin is an important source of microplastics in the East China Sea, so it is significant to clarify the source, fate and river-sea transition of microplastics. Taking the Yangtze River as the study area, the interpolation method was used to analyze the monthly changes of the microplastic load in the estuary, the input-output model was used to estimate the flux of microplastics into the sea, and the inflow process of microplastics was studied through correlation analysis. The results showed that: (1) The load of microplastics in the Yangtze River estuary varied with season, reaching the maximum in October, with a monthly load of 3.91 Gg; (2) The total amount of microplastics entering the sea in the Yangtze River basin was higher than the medium level, which was 7.02 Gg. Among them, tributary input was the most important source, accounting for 62.9%. Non-point and point sources were further subdivided into 11 categories, with the largest proportion of microplastics generated during vehicle trip. Spatially speaking, the microplastics transported in the midstream accounted for the largest proportion, accounting for 55.56%; (3) microplastics had a strong correlation with COD and TP, indicating that the inflow process of microplastics was similar to that of traditional pollutants, which were river retention, wastewater treatment plant removal, water consumption removal and inflow to the East China Sea. Although the proportion of the last one was only 8.05%, the ecological risk was still not negligible due to the huge amount.

Associations between DAPT score and long-term mortality post PCI

Introduction

The dual antiplatelet therapy (DAPT) score was developed to identify patients more likely to derive benefit (score ≥2) or harm (score &lt;2) from DAPT beyond 1-year post PCI. There is no study which looked at the DAPT score and long term outcomes post PCI in Australia.

Purpose

We sought to examine long-term mortality after PCI by the DAPT score in patients treated with DAPT per local guidelines.

Methods

We examined data from the MIG PCI database from 2005 to 2018 in whom the DAPT score could be derived and grouped them as score ≥2 or &lt;2. Long-term mortality was assessed from National Death Index linkage. The primary endpoint was long-term mortality examined using survival analysis. Secondary endpoints included 30-day ischaemic outcomes and in-hospital major bleeding.

Results

Out of 27,740 patients in the study, 9,401 (33.9%) had DAPT score ≥2. They were younger and included more females and higher prevalence of renal impairment. DAPT score ≥2 patients had higher in-hospital major bleeding, 30-day mortality, MI and target vessel revascularisation. DAPT score ≥2 patients had lower long-term survival to 12 years (p&lt;0.001 for all).

Conclusion

A third of all-comer PCI patients had DAPT score ≥2 with greater short-term risk of ischaemic and bleeding outcomes, as well as long-term mortality. Theoretically, those with DAPT score ≥2 would benefit from longer duration of DAPT as ischaemic risk outweighs bleeding risk. However, given our finding of increased short-term bleeding risk and long-term mortality, dynamic bleeding risk assessment should be undertaken to guide pharmacotherapy strategies.

Funding Acknowledgement

Type of funding sources: None.

Effect of TAVR generation on conduction abnormalities – is newer always better?

Objective

Transcatheter aortic valve replacement has become an established approach to treat severe symptomatic aortic stenosis in patients of all risk levels. Development of conduction abnormality and the need for a permanent pacemaker are known complications of TAVR. The introduction of third generation valves with cuffs has resulted in a significant decrease in post-deployment perivalvular regurgitation. However, there is concern for an increase in development of a new onset left bundle branch (LBBB) and the need for permanent pacemaker (PPM) implantation. This study aimed to identify whether newer valve generations along with the move away from transesophageal echocardiography (TEE) guidance for valve deployment is associated with changes in frequency of conduction block.

Methods

601 consecutive patients who underwent transfemoral TAVR implantation with a balloon expandable valve in a native aortic valve at a single institution from July 2009 to March 2019 were included in the study. 40 patients with LBBB and 91 patients with pacemakers prior to TAVR were excluded from the LBBB analysis. Multivariate logistic regression was used to test for significance.

Results

New LBBB occurred significantly more frequently with the newer generation valves, 1st Gen 2/104 (1.9%), 2nd Gen 9/88 (10.2%), 3rd Gen 33/278 (11.9%) (p&lt;0.01). There was no statistically significant increase in pacemakers across valve generations, 1st Gen 7/113 (6.2%), 2nd Gen 7/92 (7.6%), 3rd Gen 30/305 (9.8%). Use of TEE guidance had no effect on either LBBB or pacemaker. There was a strong trend (p=0.057) toward need for pacemaker as larger valves where used, with OR of pacemaker relative to 29 mm valve for 23 mm valve of 0.26 and for 26 mm valve of 0.63.

Conclusion

Newer TAVR valves, although beneficial in reducing perivalvular regurgitation, increases the risk of LBBB, without increasing risk need for pacemaker, suggesting possibly different mechanisms for the two complications. Understanding the mechanism for avoiding these complications may be important to avoiding them, as we move to a lower risk population where complication free results are even more important.

Funding Acknowledgement

Type of funding sources: None.

How climate change and land-use evolution relates to the non-point source pollution in a typical watershed of China

The water quality of Le 'an River Watershed (LRW) is crucial to the water environmental safety of Poyang Lake, especially the concentration of nitrogen and phosphorus. The effect of climate and land use change on watershed water quality has always been under the attention of local managers. More importantly, the lack of detailed studies on climate and land use impact on river water quality has prevented sustainable water security management in the LRW. Therefore, this study aimed to quantify the weight of climate and land use on nutrient loss in the LRW, respectively. We divided the historical period (1990-2020) into six scenarios and a baseline scenario. TN and TP losses in the watershed were simulated using Soil and Water Assessment Tool (SWAT), and the weight of climate and land use were quantified in overall, by period, and by region. The results showed that the weight of climate was greatly higher than land use with values around 90%. However, the weight of land use had a positive cumulative effect in a certain period, and its influence could not be neglected. The climate in all scenarios led to a reduction in nutrient loss, while land use was found to slightly increase the nutrient loss yield. In addition to, unique regional topographic features, urbanization rates, and climatic conditions could cause spatial heterogeneity in the climatic and land use weights.

[Clinicopathological features of congenital hemangioma: a study of 40 cases]

Objective: To investigate the clinical and pathologic features, diagnosis and differential diagnosis of congenital hemangioma (CH). Methods: Forty cases of CH were diagnosed from January 2017 to December 2020 in Henan Provincial People's Hospital. The clinical and pathological and immunohistochemical data were analyzed, with review of literature. Results: There were 24 male and 16 female patients. The lesions were located in the head, neck (11 cases), limbs (14 cases), and trunk (15 cases). The clinical manifestations were congenital painless plaques or masses, the larger ones protruded on the skin surface, mostly dusky purple or bright red, with surrounding white halos. Under low magnification, the tumor was lobular and well demarcated, composed of neo-microvascular lumen of different sizes. The vascular endothelial cells were cuboidal or hobnail in appearance, forming stellar drainage vessels within the lobules. Extra-medullary hematopoiesis was seen in one case of rapidly involuting CH; there were different number of tortuous and dilated vascular lumen between the lobular structures, and some non-involuting CH cases were vascular malformations, which were devoid of lobulated structures. Immunohistochemistry showed that endothelial cells were strongly positive for CD31, CD34 and ERG, while D2-40 and GLUT-1 were negative. Conclusions: CH is a benign congenital vascular tumor with characteristic lobulated growth and abnormal blood vessels in the stroma. Pathological diagnosis often needs to be differentiated from infantile hemangioma, pyogenic granuloma, kaposiform hemangioendothelioma and vascular malformation.

Three Gorges Dam alters the footprint of particulate heavy metals in the Yangtze Estuary

Two scenarios were selected to simulate the situation before the closure of the Three Gorges Dam (TGD) in 1996 (Scenario 1) and after the completion of the Three Gorges Project in 2010 (Scenario 2). A modified polar co-ordinated segmented quantification method was proposed to quantify the heavy metal footprint excursion in Scenarios 1 and 2 and further evaluate their influence on the six sensitive targets in the Yangtze Estuary. Scenario 3 was utilised to analyse the negative effects of the footprint range on the spatio-temporal overlap of the Chinese sturgeon juveniles arriving in the estuarine reserve, set in the TGD-altered biological rhythm. Each scenario comprises four simulation sites from March to September, including three major urban sewage outlets, named Bailonggang (BLG), Zhuyuan (ZY), Shidongkou (SDK), and the upstream pollution source, represented by Xuliujing (XLJ). The results showed that the increased discharge in the dry season moved the post-TGD footprint further away from Chongming Island. Additionally, the outward side footprint was formed during the flood season, when the average discharge was lower than that during the pre-TGD period, being 'pushed' to the northwest by the monsoon and Taiwan warm current, resulting in a narrowing of the overall extent. The TGD positively impacted the XLJ and BLG simulation sites, given their shrinking footprint range and the decreasing trajectories of intruding sensitive targets in Scenario 2, in contrast to SDK and ZY.

How does Three Gorges Dam regulate heavy metal footprints in the largest freshwater lake of China

Herein, a two-dimensional (2-D) vertically-averaged hydrodynamic model was applied to study the heavy metal particle footprints pre- and post-Three Gorges Dam (TGD) in Poyang Lake. Two defined indexes-Reserve Impact Index (σ_RII) and Species Impact Index (η_SII) were applied to assess the potential impact of the copper footprint on nature reserves and sensitive species quantitatively. The results demonstrated that the movement speed, distribution, and trajectory of copper particle footprints differed enormously pre- and post-TGD. By contrast, the post-TGD footprints were more complex because of the dam-induced variations in hydrology and meteorology. TGD had both pros and cons for the copper footprint on the reserves based on the results of σ_RII. It had changed the way for the transport of heavy metals and altered the patterns of exposure risk in the reserves. Sustainable management of Poyang Lake could be achieved by optimizing daily monitoring works. The η_SII for Finless Porpoises do not differ significantly between scenarios, but the η_SII for Siberian White Cranes increased by 0.92 and 0.83 for the two periods pre- and post-TGD, respectively. Heavy metals in food sources and the excreta of Siberian White Cranes could be of great concern in future studies. This study provides a theoretical basis for the in-depth study of the TGD-induced impact on Poyang Lake and provides a reference for the long-term treatment of Poyang Lake and the protection of key species.

[Clinicopathological features of verrucous hemangioma]

Objective: To investigate the clinicopathological features, and differential diagnosis of verrucous hemangioma (VH). Methods: Twenty-eight VH cases diagnosed from 2005 to 2020 in Henan Provincial People's Hospital, Zhengzhou, China were analyzed retrospectively. Immunohistochemical studies were used to detect diagnostic markers. The mutation status of PIK3CA (exons 9 and 20) was detected using fluorescence PCR. Results: There were 13 males and 15 females in 28 cases, with the male to female ratio of 1.0∶1.2. There were 25 patients under the age of 18 years. The age range was from 10 months to 56 years (mean, 9.7 years; median, 4.5 years). There were 17 cases occurred in the lower extremities, 7 in the upper extremities and 4 in the trunk. All 28 cases were irregular red patches on the skin, which grew slowly. Some of them were thickened with uneven surface, which was light pink or red-white. Skin lesions of the 7 cases ranged from dark red and reddish brown, with a rough and hard surface. Satellite foci were present. Microscopically, 28 cases had a wide range of pathological features. Dilated, malformed vessels were observed from dermal papilla to deep soft tissue. Among them, the dermal papillary layer was mainly composed of many proliferating and expanding thin-walled capillaries and cavernous blood vessels. Thin-walled small vessels were found in the dermal reticular layer and subcutaneous fascia layer, with no obvious endothelial cell proliferation, occasional papillary hyperplasia, and lobular distribution of the malformed vessels in the fascia layer mixed with the fibroadipose tissue. There was epidermal papillary hyperplasia with hyperkeratosis and parakeratosis, lengthening and mutual fusion of epithelial horns. Immunohistochemistry showed that CD31, CD34, ERG and WT-1 were diffusely and strongly positive. The expression of GLUT-1 was present in superficial dermal vascular endothelial cells, but undetectable in the deep layer. The PIK3CA tests of 13 cases showed that no somatic mutations were found in exons 9 and 20. Twenty-five patients were followed up for 5 months to 10 years. Seven patients underwent multiple surgical resections and plastic surgeries due to the large size, and 8 patients had recurrence. Conclusions: VH is a rare congenital vascular malformation and more commonly occurs in infants and children. It tends to appear in limbs, especially lower limbs and distal limbs. Its morphology and immunophenotype are characteristic and should be distinguished from other vascular malformations and the resolution phase of infant hemangiomas. In about one third of the cases, postoperative recurrence may occur and long-term follow-up is often required.

Robust bulk micro-nano hierarchical copper structures possessing exceptional bactericidal efficacy

Conventional copper (Cu) metal surfaces are well recognized for their bactericidal properties. However, their slow bacteria-killing potency has historically excluded them as a rapid bactericidal material. We report the development of a robust bulk superhydrophilic micro-nano hierarchical Cu structure that possesses exceptional bactericidal efficacy. It resulted in a 4.41 log₁₀ reduction (>99.99%) of the deadly Staphylococcus aureus (S. aureus) bacteria within 2 min vs. a 1.49 log₁₀ reduction (96.75%) after 240 min on common Cu surfaces. The adhered cells exhibited extensive blebbing, loss of structural integrity and leakage of vital intracellular material, demonstrating the rapid efficacy of the micro-nano Cu structure in destructing bacteria membrane integrity. The mechanism was attributed to the synergistic degradation of the cell envelope through enhanced release and therefore uptake of the cytotoxic Cu ions and the adhesion-driven mechanical strain due to its rapid ultimate superhydrophilicity (contact angle drops to 0° in 0.18 s). The scalable fabrication of this micro-nano Cu structure was enabled by integrating bespoke precursor alloy design with microstructure preconditioning for dealloying and demonstrated on 2000 mm² Cu surfaces. This development paves the way to the practical exploitation of Cu as a low-cost antibiotic-free fast bactericidal material.

Influences of microparticle radius and microchannel height on SSAW-based acoustophoretic aggregation

The use of acoustic waves for microfluidic aggregation has become widespread in chemistry, biology and medicine. Although numerous experimental and analytical studies have been undertaken to study the acoustophoretic aggregation mechanisms, few studies have been conducted to optimise the device design. This paper presents a numerical investigation of the acoustophoresis of microparticles suspended in compressible liquid. The wall of the rectangular microchannel is made of Polydimethylsiloxane (PDMS), and Standing Surface Acoustic Waves (SSAW) are introduced into the channel from the bottom wall. First, the relative amplitude of the acoustic radiation force and the viscous drag force is evaluated for particles of different radii ranging from 0.1μm to 15μm. Only when the particle size is larger than a critical value can the particles accumulate at acoustic pressure nodes (PNs). The efficiency of the particle accumulation depends on the microchannel height, so an extensive parametric study is then undertaken to identify the optimum microchannel height. The optimum height, when normalised by the acoustic wavelength, is found to be between 0.57 and 0.82. These findings provide insights into the design of acoustophoretic devices.

[Oxymatrine improves renal fibrosis and inflammation in diabetic rats by modulating CHK1/2 phosphorylation]

OBJECTIVE

To explore the role of cell cycle checkpoint kinase 1/2 (CHK1/2) in mediating the inhibitory effect of oxymatrine (OMT) against renal inflammation and fibrosis in diabetic rats.

METHODS

SD rats were randomly divided into normal control group, diabetes model group (DM) and OMT treatment group (n=6). HE and Masson staining were used to observe histopathological changes of the renal tissue, and the expressions of CHK1, CHK2, p-CHK1 and p-CHK2 were localized by immunohistochemical staining. The contents of interleukin-6 (IL-6) and IL-1β in the renal tissue were detected using ELISA, and the expression levels of CHK1, CHK2, p-CHK1, p-CHK2, type Ⅲ collagen (Col-Ⅲ), type Ⅳ collagen (Col-Ⅳ), and fibronectin (FN) were determined using Western blotting. The changes in the expressions of CHK1, CHK2, p-CHK1, p-CHK2, Col-Ⅲ, Col-Ⅳ and FN proteins were also examined with Western blotting in NRK-52E cells in response to high glucose exposure, OMT treatment and siRNA-mediated CHK1/2 knockdown.

RESULTS

In diabetic rats, OMT treatment significantly decreased the levels of blood glucose, serum creatinine and 24 h urinary protein (P < 0.05) and obviously improved inflammatory cell infiltration and fibrosis phenotype in the renal tissue (P < 0.05). CHK1 and CHK2 were mainly expressed in the cytoplasm and nuclei of renal tubule cells, and their phosphorylation levels were significantly higher in DM group than in the control group and OMT group. OMT treatment significantly decreased the protein expression levels of p-CHK1, p-CHK2, Col-Ⅲ, Col-Ⅳ and FN in the renal tissue of diabetic rats and in NRK-52E cells exposed to high glucose (P < 0.05). In NRK-52E cells, CHK1/2 knockdown resulted in significant reduction of the protein expressions of p-CHK1/2, Col-Ⅲ, Col-Ⅳ and FN (P < 0.05).

CONCLUSION

The inhibitory effects of OMT against renal inflammation and fibrosis in diabetic rats are mediated probably by lowered phosphorylation levels of CHK1 and CHK2, which result in reduced release of the downstream inflammatory mediators and decreased secretion and deposition of extracellular matrix.

[MiR-671-5p negatively regulates SMAD3 to inhibit migration and invasion of osteosarcoma cells]

OBJECTIVE

To explore the role of miR-671-5p in regulating the migration and invasion of osteosarcoma and the underlying mechanisms.

METHODS

The differentially expressed microRNAs (miRNAs) in osteosarcoma were screened in the NCBI online database, and the target proteins of these miRNAs were predicted and their functions were analyzed. Osteosarcoma cells were transfected with a plasmid overexpressing miR-671-5p, and the transfection efficiency was assessed using quantitative real-time PCR (qRT-PCR). The changes in the migration and invasion of the transfected cells were examined with Transwell assay, and the expressions of proteins related with epithelial-mesenchymal transition (EMT) were detected using Western blotting. Dual-luciferase reporter assay was performed to determine whether the 3'UTR of SMAD3 contained a targeted binding site of miR-671-5p.

RESULTS

MiR-671-5p was significantly down-regulated in both osteosarcoma tissues and osteosarcoma cells (P < 0.05). The osteosarcoma cells overexpressing miR-671-5p showed significantly reduced migration and invasion abilities (P < 0.05) with obviously lowered expressions of EMT-related proteins (P < 0.05). SMAD3 was highly expressed in osteosarcoma cells (P < 0.05), and dual-luciferase reporter assay confirmed the presence of a targeted binding site between miR-671-5p and the 3'UTR of SMAD3 (P < 0.05). In osteosarcoma cells transfected with a SMAD3-overexpressing plasmid (P < 0.05), the high expression of SMAD3 significantly inhibited by miR-671-5p overexpression (P < 0.05). Transwell assay demonstrated that SMAD3 overexpression significantly promoted the migration and invasion of osteosarcoma cells (P < 0.05), and while miR-671-5p overexpression obviously reversed this effect (P < 0.05).

CONCLUSION

MiR-671-5p can inhibit the invasion and migration of osteosarcoma cells by negatively regulating SMAD3.

Melatonin protects against excessive autophagy-induced mitochondrial and ovarian reserve function deficiency though ERK signaling pathway in Chinese hamster ovary (CHO) cells

Excessive autophagy-induced follicular atresia of ovarian granulosa cells might be one of the pathogenesis of Premature Ovarian Insufficiency (POI), and melatonin (MT) exerted many beneficial effects on mitochondria. However, there was little report regarding the beneficial effects of MT on excessive autophagy-induced mitochondrial and ovarian reserve function deficiency, and the mechanisms have not been clearly identified. Autophagy played a protective role in cells survival, however, high level of autophagy could lead to cell death. In this report, firstly, Chinese hamster ovary cell damage model stably expressing EGFP-LC3 was established. Next, we systematically investigated the protective effects of MT on mitochondrial and ovarian reserve function and molecular mechanisms using this cell damage model. Our results revealed that 10^-9 M MT not only protected against the decline of anti-mullerian hormone (AMH) expression induced by excessive autophagy, but also rescued excessive autophagy-induced impairment of mitochondrial expression and mitochondrial membrane potential. Furthermore, MT protected against excessive autophagy-induced decrease of nucleus-encoded proteins including SDHA and mitofilin, and mitochondrial dynamic-related proteins including OPA1, MFN2, and DRP1. MT also decreased mitochondrial oxidative stress, increased antioxidant enzyme superoxide dismutase 2 (SOD2) expression and ameliorated the G2/M cell cycle arrest induced by excessive autophagy. Finally, MT inhibited excessive autophagy-induced activation of extracellular signal regulated kinase (ERK) signaling pathway. In conclusion, our study showed that MT rescued impairment of mitochondrial and ovarian reserve function, and production of mitochondrial ROS and cell cycle arrest induced by excessive autophagy through down-regulated ERK pathway, implying the potential therapeutic drug target for POI.

Micromagnetic simulation of microstructure effect for binary-main-phase Nd-Ce-Fe-B magnets

We investigate the magnetic properties of a chemically heterogeneous binary-main-phase (BMP) Nd-Ce-Fe-B magnet with a core-shell structure via micromagnetic simulation. It is found that the coercivity strongly depends on the shell thickness. The BMP magnet's coercivity initially increases and then decreases with increasing Nd-rich shell thickness, and so there is the optimal shell thickness which shows the maximum coercivity for any given Ce concentration. The simulation shows the significant difference in coercivity and maximum energy product between the BMP and single-main-phase magnets. Notably, the magnetization reversal mechanism of the BMP magnet is revealed in the simulation. Local reversals in the BMP magnet first occur in the Ce-rich shells, followed by the Nd-rich cores. Then, the magnetization in Ce-rich core/Nd-rich shell typed grains is switched after reversed magnetization of all the Nd-rich core/Ce-rich shell typed grains. The BMP magnet represents a further increased coercivity for a larger GB thickness, which can be well explained by a maximum stray field.

[Design, screening and antibacterial activity evaluation of the novel antibacterial peptide KR-1]

OBJECTIVE

To design novel antimicrobial peptides with high activity and low toxicity and evaluate their effect against Streptococcus mutans and other oral bacteria for prevention and treatment of dental caries.

OBJECTIVE

We synthesized two antimicrobial peptides (KR-1 and KR-2) using Dhvar4 (a histatins5 mimic) as the template. The antimicrobial peptides with high activity and low toxicity were screened using minimal inhibitory concentration (MIC) test, hemolysis test, and CCK-8 assay. Streptococcus mutans biofilms cultured in 96-well plates were divided into experimental group (KR-1) and positive control group (CHX) and treated with concentration gradients (0.6×, 0.8×, 1× and 2× MICs) of KR-1 and CHX, respectively. Crystal violet staining was used for quantitative analysis of the changes of the biofilms after the treatments. The structural changes of the biofilms were observed with laser confocal microscopy after KR-1 treatment at 10 × MIC. The antimicrobial activity of KR-1 against oral Streptococcus was analyzed based on the time required for sterilization after KR-1 treatment.

OBJECTIVE

The MIC of KR-1 and KR-2 for S. mutans was 3.2 μmol/L and 12.8 μmol/L, respectively. Under the effective concentration, KR-1 and KR-2 resulted in hemolysis rates of 0.35% and 48.8% in rabbit red blood cells and lowered the survival rates of gingival fibroblasts to 88.7% and 21.94%, respectively. KR-1 treatment significantly reduced biofilm formation with a minimum biofilm inhibition concentration (MBIC₅₀) lower than 1.92 μmol/L, and showed an even stronger antimicrobial than CHX at the concentration of 2.56 μmol/L (P=0.001). Confocal laser scanning microscopy revealed that the biofilm structure became loosened after KR-1 treatment, which was capable of killing about 90% of the bacteria within 5 min.

OBJECTIVE

The antimicrobial peptide KR-1 has a stronger antibacterial activity and a low toxicity with a good inhibitory effect against S. mutans biofilm.

Numerical study of acoustophoretic manipulation of particles in microfluidic channels

The microfluidic technology based on surface acoustic waves (SAW) has been developing rapidly, as it can precisely manipulate fluid flow and particle motion at microscales. We hereby present a numerical study of the transient motion of suspended particles in a microchannel. In conventional studies, only the microchannel's bottom surface generates SAW and only the final positions of the particles are analyzed. In our study, the microchannel is sandwiched by two identical SAW transducers at both the bottom and top surfaces while the channel's sidewalls are made of poly-dimethylsiloxane (PDMS). Based on the perturbation theory, the suspended particles are subject to two types of forces, namely the Acoustic Radiation Force (ARF) and the Stokes Drag Force (SDF), which correspond to the first-order acoustic field and the second-order streaming field, respectively. We use the Finite Element Method (FEM) to compute the fluid responses and particle trajectories. Our numerical model is shown to be accurate by verifying against previous experimental and numerical results. We have determined the threshold particle size that divides the SDF-dominated regime and the ARF-dominated regime. By examining the time scale of the particle movement, we provide guidelines on the device design and operation.

InterCarb: A Community Effort to Improve Interlaboratory Standardization of the Carbonate Clumped Isotope Thermometer Using Carbonate Standards

Increased use and improved methodology of carbonate clumped isotope thermometry has greatly enhanced our ability to interrogate a suite of Earth-system processes. However, interlaboratory discrepancies in quantifying carbonate clumped isotope (Δ47) measurements persist, and their specific sources remain unclear. To address interlaboratory differences, we first provide consensus values from the clumped isotope community for four carbonate standards relative to heated and equilibrated gases with 1,819 individual analyses from 10 laboratories. Then we analyzed the four carbonate standards along with three additional standards, spanning a broad range of δ47 and Δ47 values, for a total of 5,329 analyses on 25 individual mass spectrometers from 22 different laboratories. Treating three of the materials as known standards and the other four as unknowns, we find that the use of carbonate reference materials is a robust method for standardization that yields interlaboratory discrepancies entirely consistent with intralaboratory analytical uncertainties. Carbonate reference materials, along with measurement and data processing practices described herein, provide the carbonate clumped isotope community with a robust approach to achieve interlaboratory agreement as we continue to use and improve this powerful geochemical tool. We propose that carbonate clumped isotope data normalized to the carbonate reference materials described in this publication should be reported as Δ47 (I-CDES) values for Intercarb-Carbon Dioxide Equilibrium Scale.

[Analysis for the breast cancer screening among urban population in Hebei province, 2018-2019]

From 2018 to 2019, 3 453 cases of high-risk population were screened by the Cancer Screening Program in Urban China (CanSPUC) in Hebei Province, with the age of (53.94±8.00). 147 and 686 cases of breast cancer positive and suspicious positive patients were found, with the positive rate and suspicious positive rate of 4.26% and 19.87% respectively. The suspicious positive rate of 45-49 years old age group was the highest (28.32%), and the positive rate of over 70 years old age group was the highest (7.32%). The positive detection rate of mammography combined with ultrasound was 5.16%, which was higher than that of ultrasound alone (2.46%) (χ²=30.28,P<0.001) or mammography alone (3.06%) (χ²=14.56,P<0.001).

Risk prediction of microcystins based on water quality surrogates: A case study in a eutrophicated urban river network

Microcystins (MCs), the toxic by-products from harmful algal bloom (HAB), have caused world-wide concern due to their acute toxicity in freshwater ecosystems. Most studies on HAB have been conducted for shallow freshwater lakes, such as Taihu Lake in China. However, algal blooms in urban rivers located downstream of eutrophicated lakes are also a serious problem for local administrators. It is important for them to know the current and potential risk level of MCs. This environmental issue is rarely reported or discussed. Within this context, we monitored MC concentrations in the Binhu River Network (BRN) in the algal bloom season (Aug, Sep, and Oct) in 2019. To note if the MC concentrations were dangerous, we used 1.0 μg/L suggested by the World Health Organization as the standard value. The proportions of MC samples violating the standard value were 31.78% (Aug), 21.14% (Sep) and 30.77% (Oct). We also designed two statistical models to predict MC concentrations and the possibility to exceed the standard level based on 10 water quality surrogates: Artificial Neural Network (ANN) and Logistic Regression (LR) models. These two models were trained and validated by the monitoring dataset (n = 224). Both models had good performances during training and testing. Although the water quality varied diversely both in spatial and temporal scale, Cluster Analysis (CA) could detect similarities among the samples and separated them into 3 classes, with each class denoting different types of rivers based on the 10 water quality surrogates. Then the ANN and LR were applied as a function of chl-a in each class; by gradually increasing chl-a concentration, we detected chl-a thresholds in class 1, 2, 3 were 25.5, 224, and 109.5 μg/L, respectively, when MCs have a 50% possibility to exceed standard level. The threshold values provided important implications for MC management in the BRN.

[Clinical characteristics and outcomes of preoperactive short-acting octreotide treatment in patients with thyrotropin-secreting pituitary adenomas]

Objective: To explore the clinical characteristics of patients with pituitary thyrotropin-secreting adenoma and evaluate the effect of preoperative short-acting octreotide treatment on hyperthyroidism. Methods: A retrospective analysis was performed in 40 patients with pituitary thyrotropin adenoma diagnosed in Beijing Tiantan Hospital from January 2008 to January 2018. The general data, laboratory examinations and imaging findings were reviewed and analyzed. The clinical effect of preoperative octreotide on hyperthyroidism was evaluated. Results: The age of onset year of the 40 patients (male: female = 24∶16) was (30.5±5.1) years. Among them, 35 patients (87.5%) were with macroadenoma. The most common symptoms were thyroid hypermetabolism syndrome, followed by headache, dizziness, visual field damage and hypogonadism. The thyroid function of 30 patients (75%) recovered to normal within 3-5 days after the octreotide treatment. The total effective rate of the octreotide was 90.0%. The level of free thyroxine (FT₄) before treatment in patients with more than 10 times of effective cumulative dose was significantly higher than that in patients with less than 10 doses. Conclusions: Thyroid hypermetabolism syndrome and pituitary occupying effect are the most common clinical manifestations of thyrotropin-secreting adenoma. Preoperative octreotide treatment can effectively control hyperthyroidism. The level of FT₄ is a crucial factor affecting the efficacy of octreotide.

[MiR-300 inhibits invasion and metastasis of osteosarcoma cell MG63 by negatively regulating PTTG1]

OBJECTIVE

To investigate the effects of miR-300 and PTTG1 on osteosarcoma invasion and metastasis and explore the molecular mechanism of osteosarcoma invasion and metastasis.

OBJECTIVE

Western blot was used to detect the expression of PTTG1 in human osteoblasts hFOB1.19 and osteosarcoma cell MG63 and to detect the transfection efficiency of cells transfected with PTTG1-knockdown plasmid; Transwell invasion assay and CCK8 assay detected the effects of knockdown of PTTG1 and overexpression of miR-300 on the invasion and proliferation of osteosarcoma cell MG63. On-line prediction and screening of microRNAs (miRNAs) with complementary PTTG1 binding was conducted. qRT-PCR was performed to examine the expression of miR-300 in hFOB1.19 and MG63 cells, and Western blotting was used to detect the expression of PTTG1 in MG63 cells after transfection with a miR- 300 plasmid. Double luciferase assay was used to detect the targeted binding of miR-300 and PTTG, Transwell invasion assay and CCK8 assay were used to detect the effects of overexpression of miR-300 and overexpression of PTTG1 plasmid on invasion and proliferation of osteosarcoma cell line MG63.

OBJECTIVE

PTTG1 was highly expressed in MG63 cells (P=0.0002). PTTG1 knockdown significantly inhibited the invasion (P=0.0002) and proliferation (P=0.0039) of MG63 cells. Based on the results of online prediction of complementary miRNAs to PTTG1 and analysis of the data from NCBI database, miR-300 was determined as the target miRNA in this study. qRT-PCR results showed a significantly decreased expression of miR-300 in MG63 cells (P=0.0004). Overexpression of MiR-300 in MG63 cells significantly decreased the expression of PTTG1 (P=0.0007), and the expressions of miR-300 and PTTG1 were negatively correlated. Dual luciferase assay showed that miR-300 could specifically bind to PTTG1 (P=0.001). Overexpression of PTTG1 could significantly reverse the effect of miR-300 overexpression on invasion (P=0.0003) and proliferation (P=0.0077) of MG63 cells.

OBJECTIVE

Overexpression of miR-300 can inhibit the invasion and metastasis of osteosarcoma cell MG63 by targeting PTTG1.

Thin film Gallium nitride (GaN) based acoustofluidic Tweezer: Modelling and microparticle manipulation

Gallium nitride (GaN) is a compound semiconductor which shows advantages in new functionalities and applications due to its piezoelectric, optoelectronic, and piezo-resistive properties. This study develops a thin film GaN-based acoustic tweezer (GaNAT) using surface acoustic waves (SAWs) and demonstrates its acoustofluidic ability to pattern and manipulate microparticles. Although the piezoelectric performance of the GaNAT is compromised compared with conventional lithium niobate-based SAW devices, the inherited properties of GaN allow higher input powers and superior thermal stability. This study shows for the first time that thin film GaN is suitable for the fabrication of the acoustofluidic devices to manipulate microparticles with excellent performance. Numerical modelling of the acoustic pressure fields and the trajectories of mixtures of microparticles driven by the GaNAT was performed and the results were verified from the experimental studies using samples of polystyrene microspheres. The work has proved the robustness of thin film GaN as a candidate material to develop high-power acoustic tweezers, with the potential of monolithical integration with electronics to offer diverse microsystem applications.