[Analysis of the therapeutic efficacy and factors influencing sequential combination of nucleos(t)ide analogues with pegylated interferon alpha for 48~96 weeks in the treatment of patients with chronic hepatitis B]

Objective: To explore the therapeutic efficacy and factors influencing the sequential combination of nucleos(t)ide analogues (NAs) with pegylated interferon alpha (Peg-IFN-α) in the treatment of patients with chronic hepatitis B (CHB). Methods: 144 CHB cases with NAs treatment for more than 1 year, HBV DNA < 20 IU/ml, hepatitis B surface antigen (HBsAg) quantification < 3 000 IU/ml, treated with a sequential combination of Peg-IFN-α treatment for 48 to 96 weeks, and followed up were selected from the Fifth Medical Center of the PLA General Hospital between May 2018 and May 2020. Intention-to-treat analysis was used to measure the HBsAg clearance rate at 96 weeks. The Kaplan-Meier method was used to compute the cumulative HBsAg clearance rate at 96 weeks. Univariate and multivariate logistic regression were used to analyze the factors influencing HBsAg clearance at 48 weeks of sequential combination therapy. Univariate and multifactorial COX proportional hazard models were used to analyze the factors influencing HBsAg clearance following 96 weeks of prolonged PEG-IFN-α treatment. The receiver operating characteristic curve was used to assess the predictive value of factors influencing HBsAg clearance. A Mann-Whitney U test was used to compare the measurement data between groups. The count data was compared using the χ(2) test between groups. Results: 41 (28.47%) cases achieved HBsAg clearance at 48 weeks of sequential combination therapy. The HBsAg clearance rate at 96 weeks was 40.28% (58/144) by intention-to-treat analysis. The Kaplan-Meier method computed that the cumulative HBsAg clearance rate at 96 weeks was 68.90%. Multivariate logistic regression analysis showed that HBsAg quantification at baseline (OR = 0.090, 95%CI: 0.034-0.240, P < 0.001) and a 24-week drop in HBsAg level (OR = 7.788, 95%CI: 3.408-17.798, P < 0.001) were independent predictors of HBsAg clearance in CHB patients treated sequentially in combination with NAs and Peg-IFN-α for 48 weeks. Receiver operating characteristic curve analysis showed that the baseline HBsAg quantification [area under the receiver operating characteristic curve (AUC), 0.911, 95% CI: 0.852-0.952)] and 24-week drop in HBsAg level (AUC = 0.881, 95%CI: 0.814-0.930) had equally good predictive value for 48-week HBsAg clearance, but there was no statistically significant difference between the two (Z = 0.638, P = 0.523). The value of the combination of baseline HBsAg quantification and 24-week drop in HBsAg level (AUC = 0.981, 95%CI: 0.941-0.997) was superior to that of single baseline HBsAg quantification (Z = 3.017, P = 0.003) and 24-week drop in HBsAg level (Z = 3.214, P = 0.001) in predicting HBsAg clearance rate at 48 weeks. Multivariate COX proportional hazards model analysis showed that HBsAg quantification at 48 weeks (HR = 0.364, 95%CI: 0.176-0.752, P = 0.006) was an independent predictor of HBsAg clearance with a prolonged course to 96 weeks of Peg-IFN-α treatment. Conclusion: The HBsAg clearance rate can be accurately predicted with baseline HBsAg quantification combined with a 24-week drop in HBsAg level in patients with CHB who are treated with a sequential combination of NAs and Peg-IFN-α therapy for 48 weeks. Prolonging the course of Peg-IFN-α treatment can enhance the HBsAg clearance rate's capability. An independent predictor of HBsAg clearance is HBsAg quantification at 48 weeks of sequential combination therapy with a prolonged course of 96 weeks of Peg-IFN-α treatment.

Exposure Order to Photoaging and Humic Acids Significantly Modifies the Aggregation and Transformation of Nanoplastics in Aqueous Solutions

The colloidal stability of nanoplastics in aqueous solutions is greatly regulated by photoaging and dissolved organic matter (DOM). However, how the exposure order to sunlight and DOM modifies the environmental behavior of nanoplastics is seldomly determined. Here, with two different exposure orders, we investigated the impact of molecular-weight (MW)-fractionated humic acids (HAs) derived from biochar and the Suwannee River, respectively, on the aggregation of poly(ethylene terephthalate) nanoplastics (PET-NPs) in mono- and divalent electrolyte solutions. For exposure pattern (i) (photoaging followed by HA coating), photoaged PET-NPs had more oxidized surfaces and exhibited 22-320% higher binding affinity to HAs (especially the higher MW fractions) than the pristine counterparts, which greatly improved the dispersion of PET-NPs. For exposure pattern (ii) (HA coating followed by photoaging), HA-PET assemblies were formed, the dispersion of which increased with increasing irradiation time and was significantly higher than that of the samples in the exposure pattern (i) at the end of the experiment. This high dispersion of photoaged HA-PET assemblies was ascribed to the extra oxidation of PET by reactive oxygen species generated in the PET-HA interfaces during photoaging. These findings highlight the "active nature" of HA-PET assemblies, which provide new insight into the reaction of HA with nanoplastics beyond adsorption in the natural environment.

Unraveling the critical role of iron-enriched sludge hydrochar in mediating the Fenton-like oxidation of triclosan

The traditional Fenton system is subject to the low efficiency of the Fe(III)/Fe(II) conversion cycle, with significant attempts made to improve the oxidation efficiency by overcoming this hurdle. In support of this goal, iron-enriched sludge-derived hydrochar was prepared as a high-efficiency catalyst by one-step hydrothermal carbonization and its performance and mechanisms in mediating the oxidation of triclosan were explored in the present study. The hydrochar prepared at 240 °C for 4 h (HC_240-4) had the highest removal of triclosan (97.0%). The removal of triclosan in the HC_240-4/H₂O₂ system was greater than 90% in both acidic and near-neutral environments and remained as high as 83.5% after three cycles, indicating the broad pH applicability and great recycling stability of sludge-derived hydrochar in Fenton-like systems. H₂O₂ was activated by both persistent free radicals (PFRs; 19.7%) and iron (80.3%). The binding of Fe(III) to carboxyl decreased the electron transfer energy from H₂O₂ to Fe(III), making its degradation efficiency 2.6 times greater than that of the conventional Fenton reaction. The study provides a way for iron-enriched sludge utilization and reveals a role for hydrochar in promoting iron cycling and electron transfer in the Fenton reaction.

Particle size of biochar significantly regulates the chemical speciation, transformation, and ecotoxicity of cadmium in biochar

The pyrolysis of biomass containing excessive heavy metals is likely to produce heavy metal contaminated biochar (BC). Although multiple lines of evidence indicate that higher charring temperature leads to enhanced immobilization of heavy metals in BC, we find that particle size could also play a critical role in the content of heavy metals in BC and BC ecotoxicity. Here, BC derived from cadmium (Cd) enriched rice straw was prepared at different temperatures (300-600 °C) and divided into macro-, colloidal-, and nano-sized fractions, respectively. The content and chemical forms of Cd in BC fractions as well as related algal toxicity were examined. The results show that for the same temperature BC the content of Cd followed an order of colloidal-BC > macro-BC > nano-BC; and the residual fractions of Cd significantly decreased (3.47-16.08%) while that of acid soluble and reducible fractions significantly increased (4.13-16.51% and 0.24-1.71%, respectively) with decreasing particle size of BC. Consistently, colloidal-BC exhibited the highest ecotoxicity for Scenedesmus obliquus. The acid soluble fractions of Cd in macro- and colloidal-BC played a dominating role in their algal toxicity (p < 0.05). However, the ecotoxicity of nano-BC was more dependent on the total content of Cd than specific fractions probably due to the phagocytosis by algal cells. These results indicate that the chemical forms and ecotoxicity of Cd in BC could be remarkably modified by its particle size, which has profound implications for understanding the behavior and potential risk of heavy metal contaminated BC in the environment.

Nanoscale Iron trioxide catalyzes the synthesis of auxins analogs in artificial humic acids to enhance rice growth

Humic acids (HAs), kinds of valuable active carbon, are critical for improving soil fertility. However, the majority of soils are poor in HAs, arousing the development of artificial HAs. In this study, two iron-based catalysts (nanoscale iron trioxide (nFe₂O₃) and FeCl₃) were used to catalyze the hydrothermal humification of waste corn straw. With the help of ultra-performance liquid chromatography-mass spectrometry, we proposed the specific humification process with the action of catalysis for the first time, which is of great significance for the design, synthesis and application of artificial HAs in the future. Moreover, the growth-promoting effect and mechanisms of the artificial HAs were determined by rice planting in a greenhouse. Results showed that compared to no catalyst treatment, the FeCl₃ and nFe₂O₃ catalysts increased the decomposition rate of macromolecular biomass by 39 and 14 %, respectively, increasing the yield of artificial HAs. During the humification process, nFe₂O₃ catalysts benefit the formation of many aromatic structure monomers including furfural and hydroxycaproic acids. These monomers were condensed into growth hormone analogs such as vanillin and methionine sulfoxide and were further built in the artificial HAs. Therefore, the artificial HAs from nFe₂O₃ catalytic treatment promoted the rice growth the best, showing that the resultant germination rate, root activity, and photosynthetic rate of rice increased by 50, 167, and 72 %, respectively; moreover, the uptake and accumulation of water and nutrient by roots as well as the contents of soluble protein and sugar of rice are also significantly increased. This could be ascribed to the upregulated expression of functional genes including OsRHL1, OsZPT5-07, OsSHR2 and OsDCL. Considering both the economic and environmental benefits, we suggested that the artificial HAs, especially that produced with the action of nFe₂O₃ catalysis, are promising in alleviating environmental stress from waste biomass and sustainably improving agricultural production.

Novel Insights into the Impact of Nano-Biochar on Composition and Structural Transformation of Mineral/Nano-Biochar Heteroaggregates in the Presence of Root Exudates

Multiple lines of existing evidence indicate that natural organic matter (NOM) could protect poorly crystalline Fe(III) (oxyhydr)oxides from Fe(II)-catalyzed mineral transformation. Conversely, we find that nano-sized biochar (nano-BC), a pyrogenic form of NOM, promotes the phase transformation of ferrihydrite (Fh) in nano-BC/Fh heteroaggregates in the presence of aqueous Fe(II) and rice root exudates. The nano-BC/Fh heteroaggregates are composed of a core-shell like structure where the inner-layered nano-BC is more compacted and plays the dominant role in accelerating the phase transformation of Fh relative to that in the outer sphere. The extent of phase transformation is more regulated by the reversible redox reactions between quinone and hydroquinone in nano-BC than the electron transfer via its condensed aromatic structures. Furthermore, the reductive organic acids in root exudates contribute to the mineral transformation of nano-BC/Fh associations by donating electrons to Fe(III) through nano-BC. Our results suggest that heteroaggregates between nano-BC and Fe minerals are subjected to partial dissociation during their co-transport, and the stably attached nano-BC is favorable to the phase transformation of poorly crystalline Fe minerals (e.g., Fh), which might have profound implications on biogeochemical cycles of carbon and Fe in the prevailing redox environments.

Effect of root exudates on the release, surface property, colloidal stability, and phytotoxicity of dissolved black carbon

In this study, the release of dissolved black carbon (DBC) from bulk-BC, its surface properties, colloidal stability, and oxidative stress to rice seedlings in the presence and absence of rice root exudates were compared. The bulk-BCs were prepared at 550 °C and derived from wood chips and pig manure, respectively. The release of DBC from bulk-BC was significantly enhanced (20.19-23.63%) by the introduction of root exudates, where low molecular weight organic acids played a dominating role in the dissociation of DBC from carbon skeleton. The surface properties of DBC were greatly modified by root exudates including decreases in the surface area (18.13%) and mineral contents (43.90-69.57%). The O-containing groups and graphitization were also enhanced by 11.46% and 18.65%, respectively. Meanwhile, the presence of root exudates not only reduced the colloidal stability of DBC but also lowered the intensity of free radicals (19.44-22.22%) in DBC. Consequently, the oxidative stress of DBC to rice seedlings was significantly (p < 0.05) alleviated, evidenced by reduced antioxidative enzyme activities (5.67-29.25%) and soluble protein content (15.75-46.79%) in rice plants. These results indicate that the interaction between DBC and root exudates could remarkably modify the surface properties and reactivity of DBC, which has profound implications for understanding the behavior and functions of DBC in the environment.

Potential toxicity of nanoplastics to fish and aquatic invertebrates: Current understanding, mechanistic interpretation, and meta-analysis

Nanoplastics (NPs) are widely detected in aquatic ecosystems and attracting considerable attention. Although ecotoxicological impacts of NPs on aquatic biota are increasingly identified, the extent and magnitude of these detrimental effects on fish and aquatic invertebrates still lack systematic quantification and mechanistic interpretation. Here, the toxicity, influencing factors, and related mechanisms of NPs to fish and aquatic invertebrates are critically reviewed and summarized based on a total of 634 biological endpoints through a meta-analysis, where five vital response categories including growth, consumption, reproduction, survival, and behavior were emphasized to elucidate the negative impacts of NPs to fish and aquatic invertebrates from physiological to molecular levels. Our results revealed that NPs significantly decreased the survival, behavior, and reproduction of fish and/or aquatic invertebrates by 56.1%, 24.2%, and 36.0%, respectively. NPs exposure increased the oxidative stress and oxidative damage by 72.0% and 9.6%, respectively; while significantly decreased antioxidant prevention system and neurotransmission by 24.4% and 15.9%, respectively. Also, the effects of particle size, functional group, and concentration range of NPs on the physiological and biochemical reactions in the living organisms were discussed. This information is helpful to more accurately understanding the underlying toxic mechanisms of NPs to aquatic biota and guiding future studies.

Systematic Research on the Transport of Ball-Milled Biochar in Saturated Porous Media: Effect of Humic Acid, Ionic Strength, and Cation Types

Ball-milled biochar (BMBC) is a typical engineering material that has promising application prospects in remediating contaminated soil and water. It is fundamental to rate the transport behaviors of BMBC in the underground environment before extensive use. In this study, the effects of the ubiquitous cations (Na⁺, Mg²⁺, and Al³⁺) and model organic matter (humic acid) on the transport of BMBC were investigated using laboratory column experiments. The results demonstrated the facilitated effect of HA on the transport of BMBC due to the negatively charged surface and steric effect under neutral conditions. HA and ionic strength manifested an antagonistic effect on the transport of BMBC, where the presence of one could weaken the effect from the other. We also found the charge reversal of the BMBC surface in the presence of Mg²⁺, thus enhancing the deposition of BMBC onto the medium surface. On the other hand, the charge reversal from Al³⁺-coupled acid conditions led to the restabilization and transport of BMBC in porous media. Therefore, the rational usage of BMBC is indispensable and more attention should be paid to the composition and change in underground water that might facilitate the transport of BMBC and thus lead to negative environmental implications.

PAI-1 induction during kidney injury promotes fibrotic epithelial dysfunction via deregulation of klotho, p53, and TGF-β1-receptor signaling

Renal fibrosis leads to chronic kidney disease, which affects over 15% of the U.S. population. PAI-1 is highly upregulated in the tubulointerstitial compartment in several common nephropathies and PAI-1 global ablation affords protection from fibrogenesis in mice. The precise contribution of renal tubular PAI-1 induction to disease progression, however, is unknown and surprisingly, appears to be independent of uPA inhibition. Human renal epithelial (HK-2) cells engineered to stably overexpress PAI-1 underwent dedifferentiation (E-cadherin loss, gain of vimentin), G2/M growth arrest (increased p-Histone3, p21), and robust induction of fibronectin, collagen-1, and CCN2. These cells are also susceptible to apoptosis (elevated cleaved caspase-3, annexin-V positivity) compared to vector controls, demonstrating a previously unknown role for PAI-1 in tubular dysfunction. Persistent PAI-1 expression results in a loss of klotho expression, p53 upregulation, and increases in TGF-βRI/II levels and SMAD3 phosphorylation. Ectopic restoration of klotho in PAI-1-transductants attenuated fibrogenesis and reversed the proliferative defects, implicating PAI-1 in klotho loss in renal disease. Genetic suppression of p53 reversed the PA1-1-driven maladaptive repair, moreover, confirming a pathogenic role for p53 upregulation in this context and uncovering a novel role for PAI-1 in promoting renal p53 signaling. TGF-βRI inhibition also attenuated PAI-1-initiated epithelial dysfunction, independent of TGF-β1 ligand synthesis. Thus, PAI-1 promotes tubular dysfunction via klotho reduction, p53 upregulation, and activation of the TGF-βRI-SMAD3 axis. Since klotho is an upstream regulator of both PAI-1-mediated p53 induction and SMAD3 signaling, targeting tubular PAI-1 expression may provide a novel, multi-level approach to the therapy of CKD.

Silicon combined with foliar melatonin for reducing the absorption and translocation of Cd and As by Oryza sativa L. in two contaminated soils

Potentially toxic elements (PTE) toxicity has serious effects for human health. Si has been tested to investigate their ability to mitigate Cd and As contamination of rice. In this study, the combined effect of Si and melatonin (MT) on Cd and As uptake and transport in rice plants is tested in two contaminated soils via controlled pot experiments. Results showed that a combined Si and MT treatment (Si + MT) was more effective at reducing Cd and As uptake and transport than Si alone. The treatment had the strongest effect on Cd concentrations in rice grains from high-polluted soil (HP) when treated at the flowering stage (81.8% reduction) and from low-polluted soil (LP) at the tillering stage (TS, 64.9%). The greatest reduction of grain As was found when treated at TS in both soils, by 58.2% and 39.2% in HP and LP soil, respectively. The significant upregulation of CAT, SOD, and POD activities, and downregulation of MDA by Si + MT was more effective than that of Si alone; Si + MT significantly decreased expressions of Nramp1, HMA2, and IRT2 in roots in both soils, and also Nramp5, HMA3, and IRT1 in LP soil, which might result in Si+MT effect on Cd and As accumulation. However, Si + MT had little effect on the amino acid content of grains compared to Si alone. Overall, the combination of Si and MT was substantially more effective at reducing Cd and As uptake and transport than Si alone, especially in HP soil. This effect might result from the regulation of antioxidant potential and gene expression relating Cd uptake and transport.

Photochemical Transformation and Catalytic Activity of Dissolved Black Nitrogen Released from Environmental Black Carbon

Biomass combustion results in the formation and wide distribution of black carbon (BC) in soils, wherein the dissolved fractions are among the most active components. Although the presence of dissolved black nitrogen (DBN) in BC has been identified, its environmental behavior and implication are not understood. This study investigated the photochemical transformation and catalytic activity of DBN under simulated solar irradiation. DBN is more easily transformed than dissolved BC due to its photoactive heteroaromatic N structure, and the half-life of DBN produced at 500 °C (8.6 h) is two times shorter than that of the dissolved BC counterpart (23 h). Meanwhile, solar irradiation is favorable for the homoaggregation of DBN. During irradiation, DBN generates not only reactive oxygen species (e.g., ¹O₂, O₂^-, and ^•OH) but also reactive nitrogen species (mainly ^•ON), which account for its higher photocatalytic degradation of bisphenol A than dissolved BC. These findings shed new light on the impact of heteroatoms on the phototransformation and activity of BC as well as cycling of N in terrestrial systems.

Indirect Electrosynthesis with Halogen Ions as Mediators

Organic electrosynthesis has gained increasing research interest as it harvests electric current as redox regents, thereby providing a sustainable alternative to conventional approaches. Compared with direct electrosynthesis, indirect electrosynthesis employs mediator(s) to lower the overpotentials for substrate activation, and enhance the reaction efficiency and functional group compatibility by shifting the heterogenous electron transfer process to be homogenous. As one of the most versatile and cost-efficient mediators, halogen mediators are always combined with an irreversible halogenation reaction. Thus, the electrochemical reaction between halogen mediators and substrates doesn't directly controlled by the two standard potentials difference. In this account, our recent developments in the area of halogen-mediated indirect electrosynthesis are summarized. The anodically generated halogen species from halogenide salts have the abilities to undergo electron-transfer (ET) or hydrogen-atom- transfer (HAT) processes. The reaction features, scopes, limitations, and mechanistic rationalisations are discussed in this account. We hope our studies will contribute to the future developments to broaden the scope of halogen-mediated electrosynthesis.

CuO nanoparticles doping recovered the photocatalytic antialgal activity of graphitic carbon nitride

In this work, graphitic carbon nitride (g-C₃N₄) and CuO nanoparticles doped g-C₃N₄ (Cu-g-C₃N₄) was synthesized, and the mechanisms of humic acid (HA) impact on the photocatalytic antialgal activities of g-C₃N₄ and Cu-g-C₃N₄ to harmful algae were investigated. The 72 h median effective concentrations of g-C₃N₄ and Cu-g-C₃N₄ to two algae (Microcystis aeruginosa, Chlorella vulgaris) were (56.4, 89.6 mg/L) and (12.5, 20.6 mg/L), respectively. Cu-g-C₃N₄ exhibited higher photocatalytic antialgal activity than g-C₃N₄ because that: I) Cu-g-C₃N₄ was easier to aggregate with algal cells due to its lower surface potential and higher hydrophobicity than g-C₃N₄; II) Cu-g-C₃N₄ generated more O₂^-, OH*, and h⁺ due to its higher full-wavelength light utilization efficiency and higher electron-hole pairs separation efficiency than g-C₃N₄. HA (10 mg/L) inhibited the photocatalytic antialgal activity of g-C₃N₄, however, HA had no effect on that of Cu-g-C₃N₄. The mechanisms were that: I) doped CuO nanoparticles occupied the adsorption sites of HA on g-C₃N₄, which alleviated the inhibition of HA on the g-C₃N₄-algae heteroaggregation; II) HA adsorbed on CuO nanoparticles enhanced the oxygen reduction rate of Cu-g-C₃N₄. This work provides new insight into the inhibition mechanisms of NOM on g-C₃N₄ photocatalytic antialgal activity and addresses the optimization of g-C₃N₄ for environmental application.

VOCs adsorption on activated carbon with initial water vapor contents: Adsorption mechanism and modified characteristic curves

In practice, regeneration of adsorbent is always achieved by heating with hot steam, leaving some water in the adsorbent bed, which may negatively affect the VOCs adsorption. In this research, adsorption isotherms of 12 VOCs (ketones, alkanes, alcohols, halohydrocarbons, and aromatic hydrocarbons) on granular activated carbon (GAC) with different initial water contents (IWC) were conducted. Adsorption interactions between VOCs and GAC at different IWC were investigated using the combination of Linear Solvation Energy Relationship (LSER) and Dubinin-Radushkevich (DR) equation. The results showed that initial water vapor could reduce adsorption capacities and partition coefficient of 12 VOCs, especially at low VOCs concentration. According to LSER, electron acceptor ability (∑β₂^H) and dispersive force (log₁₀L¹⁶) of VOCs played major roles during adsorption. For VOCs with approximate ∑β₂^H value in the same series, the negative influence of IWC was less obvious for VOCs with higher log₁₀L¹⁶, while for VOCs with similar log₁₀L¹⁶ value in different series, the negative influence of IWC was more significant for VOCs with higher ∑β₂^H. Furthermore, characteristic curves of 12 VOCs onto dry GAC, i.e., the plots of adsorbed volume (q_v) vs adsorption potential density (ε/V_m), fell essentially onto a single curve with a high correlation coefficient, while on GAC with IWC, characteristic curves of 12 VOCs had obvious discrepancy. Considering the effect of IWC, the contribution percentage of dispersive force (W_d) to VOCs adsorption was introduced to modify adsorbed volume (q_v) in DR equation and W_d·q_v was used instead of q_v. Then, the integrative characteristic adsorption curves of 12 VOCs on GAC with initial water could be modified well and they showed better superposition with higher fitting coefficient of DR equation. The results are meaningful to estimate adsorption capacities for other VOCs adsorption onto GAC within the range of IWC in this study.

Size Matters: Nano-Biochar Triggers Decomposition and Transformation Inhibition of Antibiotic Resistance Genes in Aqueous Environments

Antibiotic resistance genes (ARGs) are considered to be a type of emerging contaminant; their interaction with biochar (BC) could affect their dissemination and fate in the environment. Although adsorption of ARGs onto bulk-BC has been reported, the interaction with nanosized BC (nano-BC) is largely unknown. In this study, the interactions of a model extracellular DNA (eDNA, calf thymus DNA) and two typical ARGs (ampC and ermB) extracted from a natural river with bulk- and nano-BCs from two pyrolysis temperatures (400 and 700 °C) were investigated. Only adsorption was observed on bulk-BCs, while not only adsorption but also fragmentation of these eDNA molecules was found to occur on nano-BCs. Also, their replication was greatly inhibited by nano-BCs. The electron paramagnetic resonance results indicated that hydroxyl radicals produced from persistent free radicals (PFRs) on nano-BCs played a major role in the damage of eDNA. Moreover, the direct contact with nonradical reacting sites and PFRs on nano-BCs also contributed to the decay of eDNA. Comparatively, PFRs in bulk-BCs were difficult to be reached by eDNA because of steric hindrance and played a negligible role in destroying eDNA. These findings highlight the importance of the size effect in evaluating the reactivity and related environmental risks of PFRs on BC and improve our understanding on the interaction between ARGs and BC.

AB1311-HPR RHEUMATIC AND MUSCULOSKELETAL DISEASES MANAGEMENT TOOL HELPS TO IMPROVE TREAT-TO-TARGET THERAPY AND PATIENTS’ ADHERENCE TO TREATMENT

Background:

Many of the rheumatic and musculoskeletal diseases (RMD) are long term, painful, and function affecting, which takes both the doctors and patients a lot of time and effort. The number of Rheumatologists are not sufficient for the huge population of RMD patients in China. The doctor patient ratio is as low as 1:1000. Relatively inadequate medical resources, traffic inconvenience in rural area, and patients’ insufficient understandings of the RMD may cause delayed medical intervention and poor prognosis. Effective RMD patient management tools which provide disease monitoring and enough doctor-patient communication is essential to improve the patients’ adherence to treatment. We designed an RMD management app according to the social, cultural and economic situation of Chinese patients, which helps to facilitate shared decision making and relieve the pressure of insufficient medical resources.

Objectives:

We aim to investigate the effect of RMD patient management app on treat-to-target therapy and patients’ adherence and satisfaction to treatment.

Methods:

An observational survey was administrated using a RMD patient management app. The app was designed and improved by Rheumatologist, orthopedics, nurses, patients, and app technical experts. Patients were offered with a questionnaire in regard to satisfaction with the app and their attitudes about the disease. General therapeutic principles, rehabilitation exercise videos and follow-up information were distributed through the app. Warning signals were sent whenever there was a flag sign of exacerbation. The demographic and clinical data, social and economic status, and drug retention rates of the patients were documented. The survey was designed by clinical experts from relevant departments and developed by both doctors and patients.

Results:

All patients were supervised by the rheumatologist and orthopedist when using the app. In all the patients included, there were cases of rheumatoid arthritis (35.3%), osteoarthritis (32.4%), ankylosing spondylitis (26.5%), and other chronic arthritis (5.8%). The mean age 38.5±15.8 years old, with 52.9% male and 47.1% female. Most of the patients (85.3%) believed that the app was helpful. Young patients were more likely to respond to the survey than older patients. Some patients (79.4%) had increased compliance because the app offered more chances to communicate with the doctors, which increase their understanding and confidence about the disease. Three patients received flag signs of exacerbation much earlier than they could get to the hospital. From the feedback of the patients, we realized that the patient would like to have more information to keep them from stepping on the trap of false advertisement for therapy (which is very commonly seen in China).

Conclusion:

RMD patient need to manage disease activity, daily function and mental state. Insufficient medical resources and patients’ knowledge about the disease may lead to poor adherence and prognosis. RMD patient management tool on app was a feasible and cost-effective approach for data collection and patient education. The app increased treat-to-target therapy and patients’ adherence to treatment.

References:

None.

Disclosure of Interests:

None declared

Effects of Fe-Mn-Ce oxide-modified biochar on As accumulation, morphology, and quality of rice (Oryza sativa L.)

The fluidity of arsenic (As) in soil used for rice cultivation under flooding conditions is the main reason for its high accumulation in rice, which poses a serious threat to human's health. Biochar can immobilize heavy metal (for example lead) of soil because of the strong binding of heavy metals to the inner biochar particles. We conducted a pot experiment to evaluate the effects of biochar (BC) and Fe-Mn-Ce oxide-modified biochar composites (FMCBCs) on the morphology, As accumulation, and grain quality of rice grown in As-contaminated soils. The biochar and FMCBC treatments significantly increased the dry weight of roots, stems, leaves, and rice grains grown in As-contaminated soil (P < 0.05). The As concentration in different parts of rice was significantly lower with treatment FMCBC_3-2 (BC, Fe, Mn, and Ce weight ratio of 24:2:3:10) than with the BC and control (no BC) treatments. The application of FMCBC_3-2 maximized the yield and quality of rice grains: rice grain yields were 61.45-68.41% higher over control and the proportion of essential amino acids in the rice grains was 31.01-44.62%. The application of FMCBCs also increased the concentration of Fe-Mn plaques, which prevent the uptake of As by rice, thereby mitigating the toxic effects of As-contaminated soil on rice. In summary, Fe-Mn-Ce oxide-modified BC composites fixed As, reducing its fluidity and the As concentration in rice. Our results show that FMCBC₃ could play an important role in reducing As accumulation and increasing the grain yield and quality of rice, thus ensuring food safety in regions contaminated with As.

In situ synthesis of stretchable and highly stable multi-color carbon-dots/polyurethane composite films for light-emitting devices

Multi-color-emissive fluorescent polymer nanocomposite films have potential applications in optoelectronic devices. Herein, stretchable, mechanically stable multi-color carbon-dots-based films are in situ fabricated by condensation and aging of carboxylated polyurethane in the presence of various carbon sources. As-prepared CDs/PU films emit different colors covering from blue (414 nm) to red (620 nm) by tuning reaction conditions. Moreover, CDs are fixed and have good dispersion in the PU matrix due to the interactions of amine groups from the carbon sources with the carboxylate group of PU. Thus, phase separation of composite films can be avoided. And, more than 90% of their emission intensity is preserved after soaking in water for 30 days, aging for up to 6 h at 100 °C, and subjecting to several cycles of stretching and natural recovery. These advantages are encouraging for the use of CDs/PU composite films in solid-state lighting applications. Remote multi-color LEDs have been fabricated by placing a down-conversion layer of CDs/PU films separated through coating them on the same chips (emission at 365 nm), with Commission Internationale de l'Eclairage color coordinates of (0.22, 0.23), (0.43, 0.53), (0.49, 0.46), and (0.41, 0.28), respectively.

Stretchable, mechanically stable multi-color carbon-dots-based polymer films are in situ fabricated, and showed potential for application in optoelectronic devices.

The role of biochars in sustainable crop production and soil resiliency

Biochar is a promising soil additive for use in support of sustainable crop production. However, the high level of heterogeneity in biochar properties and the variations in soil composition present significant challenges to the successful uptake of biochar technologies in diverse agricultural soils. An improved understanding of the mechanisms that contribute to biochar-soil interactions is required to address issues related to climate change and cultivation practices. This review summarizes biochar modification approaches (physical, chemical, and biochar-based organic composites) and discusses the potential role of biochar in sustainable crop production and soil resiliency, including the degradation of soil organic matter, the improvement of soil quality, and reductions in greenhouse gas emissions. Biochar design is crucial to successful soil remediation, particularly with regard to issues arising from soil structure and composition related to crop production. Given the wide variety of feedstocks for biochar production and the resultant high surface heterogeneity, greater efforts are required to optimize biochar surface functionality and porosity through appropriate modifications. The design and establishment of these approaches and methods are essential for the future utilization of biochar as an effective soil additive to promote sustainable crop production.

Variety-dependent responses of rice plants with differential cadmium accumulating capacity to cadmium telluride quantum dots (CdTe QDs): Cadmium uptake, antioxidative enzyme activity, and gene expression

The excess release of engineered nanomaterials into farmland poses a serious threat to food security. Although rice varieties exhibit substantial variation in cadmium accumulation, their responses to Cd-based nanoparticles are largely unknown. In this work, we investigated the accumulation of cadmium telluride quantum dots (CdTe QDs at 0.5, 1.0, 2.5, 5.0mg-Cd/L) in two rice varieties with different Cd accumulation capacity. It was found that 5.0mg-Cd/L of CdTe QDs had minor growth inhibition to the high-Cd-accumulating variety (T705) relative to the low-Cd-accumulating variety (X24) after 7-day exposure. The two rice varieties had comparable Cd content in roots; however, T705 exhibited higher Cd content in shoots than X24. Transmission electron and confocal laser scanning microscopic observations demonstrated that more CdTe QDs can be transported and accumulated from roots to shoots in T705. The activities and gene expression of antioxidative enzymes in leaves of T705 increased more significantly than those of X24. Our findings for the first time validated that Cd accumulation divergence exists in different rice varieties when they are exposed to Cd-based QDs, the genetic basis for which needs to be further examined.

The effect of biochar amendment on N-cycling genes in soils: A meta-analysis

Nitrogen (N) cycling by soil microbes can be estimated by quantifying the abundance of microbial functional genes (MFG) involved in N-transformation processes. In agro-ecosystems, biochars are regularly applied for increasing soil fertility and stability. In turn, it has been shown that biochar amendment can alter soil N cycling by altering MFG abundance and richness. However, the general patterns and mechanisms of how biochar amendment modifies N-cycling gene abundance have not been synthesized to date. Here, we addressed this knowledge gap by performing a meta-analysis of existing literatures up to 2019. We included five main marker genes involved in N cycling: nifH, amoA, nirK, nirS and nosZ. We found that biochar addition significantly increased the abundance of ammonia-oxidizing archaea (AOA), nirK, nirS and nosZ by an average of 25.3%, 32.0%, 14.6% and 17.0%, respectively. Particularly, biochar amendment increased the abundances of most N-cycling genes when soil pH changed from very acidic (pH < 5) to acidic (pH: 5.5-6.5). Experimental conditions, cover plants, biochar pyrolysis temperature and fertilizer application were also important factors regulating the response of most N-cycling genes to biochar amendment. Moreover, soil pH significantly correlated with ammonia-oxidizing bacteria (AOB) abundance, while we found that most genes involved in nitrification and denitrification were not significantly correlated with each other across studies. Our results contribute to developing quantitative models of microbially-mediated N-transforming processes in response to biochar addition, and stimulate research on how to use biochar amendment for reducing reactive N gas emissions and enhancing N bioavailability to crop plants in agro-ecosystems.

Application of polymeric ferric sulfate combined with cross-frequency magnetic field in the printing and dyeing wastewater treatment

Polymeric ferric sulfate (PFS) was pretreated with a self-made alternating frequency magnetic field for coagulation printing and dyeing (PD) wastewater treatment. The effects of PFS dosage, magnetization intensity, frequency, and time on the removal of chemical oxygen demand (COD), color and turbidity of PD wastewater were investigated. The results indicated that the magnetized PFS significantly improved the removal efficiency in wastewater treatment. When the initial COD, color and turbidity of printing and dyeing wastewater was 464 mg/L, 180 degrees, and 54.8 NTU respectively, the maximum removal rate of COD, color and turbidity was 87.9%, 80.1%, and 95.2% respectively, under the condition of cross frequency magnetic field magnetization PFS. Moreover, the PFS treatment combined with cross-frequency magnetic field could greatly reduce the pollution of iron ions released from iron-based coagulant during wastewater treatment. Characterization of magnetized PFS flocculant by fourier transform infrared spectroscopy, ultraviolet and visible spectrophotometry, and scanning electron microscopy suggested that magnetic crystal with larger size can be formed on the surface of PFS particles.

Rac-GTPase promotes fibrotic TGF-β1 signaling and chronic kidney disease via EGFR, p53, and Hippo/YAP/TAZ pathways

Rac-GTPases are major regulators of cytoskeletal remodeling and their deregulation contributes to numerous pathologies. Whether or how Rac promotes tubulointerstitial fibrosis and chronic kidney disease (CKD) is currently unknown. We showed that the major profibrotic cytokine, TGF-β1 promoted rapid Rac1-GTP loading in human kidney 2 (HK-2) human renal epithelial cells. A Rac-specific chemical inhibitor, EHT 1864, blocked TGF-β1-induced fibrotic reprogramming in kidney epithelial cells and fibroblasts. Stable Rac1 depletion in HK-2 cells, moreover, eliminated TGF-β1-mediated non-SMAD pathway activation [e.g., Src, epidermal growth factor receptor (EGFR), p53] and subsequent plasminogen activator inhibitor-1 (PAI-1), connective tissue growth factor, fibronectin, and p21 induction. Rac1 and p22phox knockdown abrogated free radical generation by TGF-β1 in HK-2 cells, consistent with the role of Rac1 in NAPD(H). TGF-β1-induced renal epithelial cytostasis was also completely bypassed by Rac1, p22phox, p47phox, and PAI-1 silencing. Rac1b isoform expression was robustly induced in the fibrotic kidneys of mice and humans. Intraperitoneal administration of EHT 1864 in mice dramatically attenuated ureteral unilateral obstruction-driven EGFR, p53, Rac1b, yes-associated protein/transcriptional coactivator with PDZ-binding motif activation/expression, dedifferentiation, cell cycle arrest, and renal fibrogenesis evident in vehicle-treated obstructed kidneys. Thus, the Rac1-directed redox response is critical for TGF-β1-driven epithelial dysfunction orchestrated, in part, via PAI-1 up-regulation. Rac pathway inhibition suppressed renal oxidative stress and maladaptive repair, identifying Rac as a novel therapeutic target against progressive CKD.-Patel, S., Tang, J., Overstreet, J. M., Anorga, S., Lian, F., Arnouk, A., Goldschmeding, R., Higgins, P. J., Samarakoon, R. Rac-GTPase promotes fibrotic TGF-β1 signaling and chronic kidney disease via EGFR, p53, and Hippo/YAP/TAZ pathways.

[Efficacy and peripheral immunity analysis of allogeneic natural killer cells therapy in patients with hepatocellular carcinoma]

OBJECTIVE

To evaluate the safety and efficacy of allogeneic natural killer (NK) cells in the treatment of primary hepatocellular carcinoma (HCC), and to elucidate the mechanism of NK cells therapy.

METHODS

Twenty-one patients with primary HCC treated with allogeneic NK cells at the Fifth Medical Center of the PLA General Hospital were followed up for 1 year. Peripheral blood mononuclear cells (PBMCs) were isolated from patient-related donors and cultured in vitro for 15 days and infused to the patients in two consecutive days. Clinical data and laboratory data were collected and analyzed, including survival, clinical features, imaging changes, hematology, immunology, and biochemical indicators to evaluate the safety and efficacy of allogeneic NK cell therapy. The changes of peripheral blood lymphocyte subsets after treatment were also analyzed to explore the possible anti-tumor mechanisms.

RESULTS

(1) Of the 21 patients with primary HCC, 11 patients were treated once, 5 patients were treated twice, and 5 patients were treated 3 times. After allogeneic NK cells infusion, 10 patients had fever, 1 patient had slight hepatalgia and 1 patient had slight headache, no other adverse events occurred including acute and chronic graft-versus-host disease (GVHD). They resolved spontaneously within 8 hours without other treatment. (2) The total disease control rate was 76.2% during one-year follow-up. Among them, the patients with Barcelona clinic liver cancer (BCLC) stage A had a disease control rate of 100%, stable disease (SD) in 10 cases; BCLC stage B patients had a disease control rate of 60%, partial response (PR) in 1 case, and SD 2 in cases; BCLC stage C patients had a disease control rate of 50%, complete response (CR) in 1 case, and 2 cases of PR. (3) The frequencies of NK cells and CD8+ T cells in peripheral blood were significantly lower than that before at 24 hours after treatment, and the frequencies of CD4+ T cells and CD4/CD8 were significantly higher than the baseline.

CONCLUSION

Allogeneic NK cells have good safety and efficacy in the treatment of primary HCC. The anti-tumor effect of the allogeneic NK cells may play an important role in the activation of the patient's natural immune system and delay disease progression, suggesting that allogeneic NK cells combined with sorafenib may be a very effective treatment for advanced HCC, and further large-sample multicenter randomized controlled clinical trials are needed to validate this result.

Discovery and mechanisms of host defense to oncogenesis: targeting the β-defensin-1 peptide as a natural tumor inhibitor

Human beta-defensin-1 (hBD-1) is one of a number of small cationic host-defense peptides. Besides its well-known broad-spectrum antimicrobial function, hBD-1 has recently been identified as a chromosome 8p tumor-suppressor gene. The role of hBD-1 in modulating the host immune response to oncogenesis, associated with cell signaling and potential therapeutic applications, has become increasingly appreciated over time. In this study, multiple approaches were used to illustrate hBD-1 anti-tumor activities. Results demonstrate that hBD-1 peptide alters human epidermal growth factor receptor 2 (HER2) signal transduction and represses retroviral-mediated transgene expression in cancer cells. Loss of orthologous murine defense-1 (mBD1) in mice enhances nickel sulfate-induced leiomyosarcoma and causes mouse kidney cells to exhibit increased susceptibility to HPV-16 E6/7-induced neoplastic transformation. Furthermore, for the first time, a novel function of the urine-derived hBD-1 peptide was discovered to suppress bladder cancer growth and this may lead to future applications in the treatment of malignancy.

The effect of biochar nanoparticles on rice plant growth and the uptake of heavy metals: Implications for agronomic benefits and potential risk

The interaction between biochar nanoparticles (nano-BC) and plant roots in the rhizosphere is largely unknown, although it is crucial for understanding the role of BC in plant growth and bioavailability of pollutants. The effect of nano-BC produced at a series of temperatures (300-600 °C) on alleviating the phytotoxicity of Cd²⁺ to rice plants was investigated from the aspects of biochemical changes and Cd uptake in this study. The kinetics of Cd²⁺ fluxes in different root zones in the presence of nano-BC were also measured using a scanning ion-selective electrode technique. We found that the high-temperature nano-BC could more significantly alleviate the phytotoxicity of Cd²⁺ than the low-temperature and bulk BCs as reflected by the higher increased biomass, root vitality, chlorophyll content, and decreased MDA content as well as relative electrical conductivity of rice plants, which is due to the high adsorption affinity of nano-BC for Cd²⁺. Also, for the first time we demonstrated that nano-BC could differentially affect the net flux of Cd²⁺ in different zones of the root tips. However, nano-BC (especially that produced at higher temperatures) more significantly increased the contents of antioxidative enzyme activities (e. g., SOD, POD, and CAT) and soluble protein than the treatment only with Cd²⁺ (5.0 mg/L), indicating that nano-BC could induce oxidative stress in the rice plants. These results indicate that nano-BC could greatly reduce the uptake and phytotoxicity of Cd²⁺, but its potential risk should not be overlooked during the environmental and agricultural applications of biochar.

New Insights into Black Carbon Nanoparticle-Induced Dispersibility of Goethite Colloids and Configuration-Dependent Sorption for Phenanthrene

Black carbon nanoparticles (nano-BC) are one of the most active components in pyrogenic carbonaceous matter and involved in many biogeochemical processes. This study investigated heteroaggregation of nano-BC with goethite (a model of natural mineral colloids) and the configuration effect of heteroaggregates on phenanthrene (PHE) sorption. Nano-BC could significantly enhance the dispersion of goethite via heteroaggregation when its concentration was higher than the critical concentration ( C_c). The C_c was dependent on the surface potential of nano-BC, which was directly measured for the first time in this study. Configuration and stability of the heteroaggregates were regulated by BC-goethite mass ratio and solution pH. At pH 5.3, oppositely charged goethite and nano-BC interacted with each other through electrostatic attraction and the configuration of heteroaggregates was dependent on BC-goethite mass ratio. At pH 7.4, where both goethite and nano-BC were negatively charged, they heteroaggregated with each other mainly through H-bonding and Lewis acid-base mechanisms, and the configuration of heteroaggregates was independent of BC-goethite mass ratio. For PHE sorption, small-sized heteroaggregates were more favorable than large ones due to the higher content of active sorption sites. Interestingly, at a higher concentration of PHE, we found that the solute molecules could probably penetrate into and/or alter the configuration of heteroaggregates and enhance its sorption capacity for PHE. These findings are useful for understanding the effect of nano-BC on colloidal stability and organic compound sorption of minerals.

Nickel-catalyzed electrochemical reductive decarboxylative coupling of N-hydroxyphthalimide esters with quinoxalinones

The first example of electrochemically enabled, NiCl₂-catalyzed reductive decarboxylative coupling of N-hydroxyphthalimide esters with quinoxalinones was developed.

[Neuropathologic study of massive subcortical heterotopia]

Objective: To investigate the clinicpathologic features and probable mechanisms of massive subcortical heterotopia. Methods: Clinical data, histologic features and neuropathologic data were analyzed in five cases of massive subcortical heterotopia collected from Xuanwu Hospital, Capital Medical University from January 2014 to October 2017. Results: All five patients (three males and two females) had a history of refractory epilepsy with a mean period of 15.4 years (range 7 to 21 years). The median age at surgery was 28.6 years(range 20 to 39 years). Magnetic resonance imaging showed that the lesions were located in the temporal lobe (two cases), parietal lobe (one case), both temporal and occipital lobes (one case) and both temporal and parietal lobes (one case). Pathologic examination disclosed that massive gray matter in subcortical and deep white matter with various shape and size. Moreover, one case also showed subpial and periventricular heterotopias and polymicrogyria. Polymicrogyria or hippocampal sclerosis were seen in the remaining three cases. None of the five patients experienced seizure attacks during the follow-up period. Conclusions: Heterotopia is malformations due to abnormal neuronal migration. Massive subcortical heterotopia due to widespread abnormal neuronal migration is relatively rare. The mechanism of heterotopia together with polymicrogyria needs further discussion.

N-doping effectively enhances the adsorption capacity of biochar for heavy metal ions from aqueous solution

N-doping was successfully employed to improve the adsorption capacity of biochar (BC) for Cu²⁺ and Cd²⁺ by direct annealing of crop straws in NH₃. The surface N content of BC increased more than 20 times by N-doping; meanwhile the content of oxidized-N was gradually diminished but graphitic-N was formed and increased with increasing annealing temperature and duration time. After N-doping, a high graphitic-N percentage (46.4%) and S_BET (418.7 m²/g) can be achieved for BC. As a result, the N-doped BC exhibited an excellent adsorption capacity for Cu²⁺ (1.63 mmol g^-1) and Cd²⁺ (1.76 mmol g^-1), which was up to 4.0 times higher than that of the original BC. Furthermore, the adsorption performance of the N-doped BC remained stable even at acidic conditions. A positive correlation can be found between adsorption capacity with the graphitic N content on BC surface. The surface chemistry of N-doped BC before and after the heavy metal ions adsorption was carefully examined by XPS and FTIR techniques, which indicated that the adsorption mechanisms mainly included cation-π bonding and complexation with graphitic-N and hydroxyl groups of carbon surfaces.

Black Carbon (Biochar) In Water/Soil Environments: Molecular Structure, Sorption, Stability, and Potential Risk

Black carbon (BC) is ubiquitous in the environments and participates in various biogeochemical processes. Both positive and negative effects of BC (especially biochar) on the ecosystem have been identified, which are mainly derived from its diverse physicochemical properties. Nevertheless, few studies systematically examined the linkage between the evolution of BC molecular structure with the resulted BC properties, environmental functions as well as potential risk, which is critical for understanding the BC environmental behavior and utilization as a multifunctional product. Thus, this review highlights the molecular structure evolution of BC during pyrolysis and the impact of BC physicochemical properties on its sorption behavior, stability, and potential risk in terrestrial and aqueous ecosystems. Given the wide application of BC and its important role in biogeochemical processes, future research should focus on the following: (1) establishing methodology to more precisely predict and design BC properties on the basis of pyrolysis and phase transformation of biomass; (2) developing an assessment system to evaluate the long-term effect of BC on stabilization and bioavailability of contaminants, agrochemicals, and nutrient elements in soils; and (3) elucidating the interaction mechanisms of BC with plant roots, microorganisms, and soil components.

Psychological perspectives in the patient with chronic orchialgia

Chronic orchialgia is a challenging problem to both the practitioner and unhappy patient and may be a poorly understood manifestation of a potential variety of different discrete causes. Treatment options can be wide ranging and include conservative measures, medical therapy, in office treatments and surgical procedures. Research has primarily focused on these more concrete treatment options with little focus on the either co-morbid or causative psychological issues. By at least considering the potential psychological co-morbidities and stressors that may be associated with chronic orchialgia, physicians can better utilize a multi-modal approach to this vexing problem.

Management of pediatric head and neck rhabdomyosarcoma: A case-series of 36 patients

Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in the pediatric population. In 35% of cases, RMS develops in the head and neck (H&N) region, and only combined therapy is recognized as a curative treatment. However, recent advances in skull base and reconstructive surgery, along with microsurgery and endoscopic surgery, have strengthened the role of surgery as an important part of RMS treatment. In the present study, 36 pediatric RMS cases (24 males and 12 females) were analyzed after surgical treatment. The average age at diagnosis was 7 years. In total, 67% of tumors were localized in the parameningeal region. Alveolar RMS was the most common histopathological type. A total of 16 patients were treated due to disease recurrence or a previous non-radical surgical procedure, while 19 cases had inductive chemotherapy and/or radiotherapy preceding surgical treatment due to locally advanced disease. In 1 case, only diagnostic biopsy was performed. It is recommended that the management of H&N RMS is interdisciplinary from the beginning. Extensive surgical dissection in the H&N region for RMS may result in severe cosmetic defects and functional impairment; thus, these risks should be considered during treatment planning, and the surgical approach should be based on the individual characteristics of each patient.

The Role of Hypoxia and Cancer Stem Cells in Renal Cell Carcinoma Pathogenesis

The cancer stem cell (CSC) model has recently been approached also in renal cell carcinoma (RCC). A few populations of putative renal tumor-initiating cells (TICs) were identified, but they are indifferently understood; however, the first and most thoroughly investigated are CD105-positive CSCs. The article presents a detailed comparison of all renal CSC-like populations identified by now as well as their presumable origin. Hypoxic activation of hypoxia-inducible factors (HIFs) contributes to tumor aggressiveness by multiple molecular pathways, including the governance of immature stem cell-like phenotype and related epithelial-to-mesenchymal transition (EMT)/de-differentiation, and, as a result, poor prognosis. Due to intrinsic von Hippel-Lindau protein (pVHL) loss of function, clear-cell RCC (ccRCC) develops unique pathological intra-cellular pseudo-hypoxic phenotype with a constant HIF activation, regardless of oxygen level. Despite satisfactory evidence concerning pseudo-hypoxia importance in RCC biology, its influence on putative renal CSC-like largely remains unknown. Thus, the article discusses a current knowledge of HIF-1α/2α signaling pathways in the promotion of undifferentiated tumor phenotype in general, including some experimental findings specific for pseudo-hypoxic ccRCC, mostly dependent from HIF-2α oncogenic functions. Existing gaps in understanding both putative renal CSCs and their potential connection with hypoxia need to be filled in order to propose breakthrough strategies for RCC treatment.

Impact of low molecular weight organic acids (LMWOAs) on biochar micropores and sorption properties for sulfamethoxazole

The interaction between biochar (BC) and antibiotics with the presence of low molecular weight organic acids (LMWOAs) is largely unknown, although it is crucial for understanding the role of BC in reducing the bioavailability of antibiotics in rhizosphere. The impacts of two typical LMWOAs (citric and malic acids) on sorption of sulfamethoxazole (SMX) by crop-straw BCs produced at 300 °C (BCs300) and 600 °C (BCs600), respectively, were examined. The sorption of SMX on BCs increased more than 5 times with the concentration of LMWOAs increasing from 0 to 100 mmol/L, which was mainly attributed to the elevated microporosity of BCs (measured by CO2) after treated by LMWOAs. The pore development of BCs was mainly derived from the release of dissolved organic residues from BC by LMWOA washing. For H2O2-oxidized BCs, however, LMWOAs had little effect on SMX sorption by BCs300 but greatly increased that by BCs600, which can be explained by the distinct sorption mechanisms of SMX on BCs300 and BCs600. These results indicate that the impact of LMWOAs on SMX sorption is highly dependent on the properties of BCs and LMWOAs, as well as their interaction mechanisms.

One-step synthesis of a novel N-doped microporous biochar derived from crop straws with high dye adsorption capacity

N-doping is one of the most promising strategies to improve the adsorption capacity and selectivity of carbon adsorbents. Herein, synthesis, characterization and dye adsorption of a novel N-doped microporous biochar derived from direct annealing of crop straws under NH3 is presented. The resultant products exhibit high microporosity (71.5%), atomic percentage of nitrogen (8.81%), and adsorption capacity to dyes, which is about 15-20 times higher than that of original biochar. Specifically, for the sample NBC800-3 pyrolyzed at 800°C in NH3 for 3 h, its adsorption for acid orange 7 (AO7, anionic) and methyl blue (MB, cationic) is up to 292 mg g(-1) and 436 mg g(-1), respectively, which is among the highest ever reported for carbonaceous adsorbents. The influences of N-doping and porous structure on dye adsorption of the synthesized carbons are also discussed, where electrostatic attraction, π-π electron donor-accepter interaction, and Lewis acid-base interaction mainly contribute to AO7 adsorption, and surface area (especially pore-filling) dominates MB adsorption. The N-doped biochar can be effectively regenerated and reused through direct combustion and desorption approaches.

Feasibility, efficacy and safety of tyrosine kinase inhibitor treatment in hemodialyzed patients with renal cell cancer: 10 years of experience

AIMS

Sine efficiency of tyrosine kinase inhibitor (TKI) therapy in dialyzed patients is still unclear we aim to analyze the outcome of treatment in such cohort.

PATIENTS & METHODS

We analyzed treatment outcomes of patients with clear cell renal cell carcinoma (ccRCC) with special focus on those who were also treated with hemodialysis and described treatment safety and progression-free survival of eight patients treated with TKIs and hemodialysis.

DISCUSSION & CONCLUSION

Our report supports statement that TKI treatment of dialyzed patients is safe and effective. ccRCC increases risk of developing renal insufficiency as well as end-stage renal disease that require dialysis. Introduction of multitargeted receptor kinase inhibitors (TKIs), including sunitinib, sorafenib and pazopanib significantly expanded life time expectancy of metastatic renal clear cell carcinoma. The advance also applies to patients with ccRCC and end-stage renal disease who undergo dialyses.