Comparative study by microwave pyrolysis and conventional pyrolysis of pharmaceutical sludge: Resourceful disposal and antibiotic adsorption

Compared with conventional pyrolysis, microwave pyrolysis has superior heat transfer performance and promotes the decomposition of organic matter. The paper focuses on the harmless treatment and resource utilization of pharmaceutical sludge (PS) by microwave heating and conventional heating methods. The experimental results showed that the conventional pyrolysis gas is dominated by CO2, CO and H2. For microwave pyrolysis gas, the "microwave effect" promoted secondary cracking of volatile fractions and increases the content of CH4, CxHy, H2 and CO through condensation, aromatization, and dehydrogenation. Conventional pyrolysis oils contained the highest percentage of oxygenated compounds. However, high-temperature microwave radiation accelerated the cleavage of polar oxygenated molecular bonds and long-chain hydrocarbons, thereby increasing the aromatics content of pyrolysis oils. The solid residues obtained from microwave pyrolysis is highly graphitized and porous, with a surface area of 146.2 m2/g. Furthermore, the solid residue was rich in pyridine-N and pyrrole-N that could be utilized for adsorption and catalysis. The MA-600 removes up to 99% of tetracycline (TC) in 6 h. It was also found that the adsorption process of TC by the two pyrolysis residues was consistent with the proposed secondary and Freundlich models.

Effects of Temperature and DC Electric Fields on Perfluorooctanoic Acid Sorption Kinetics to Activated Carbon

Sorption to activated carbon is a common approach to reducing environmental risks of waterborne perfluorooctanoic acid (PFOA), while effective and flexible approaches to PFOA sorption are needed. Variations in temperature or the use of electrokinetic phenomena (electroosmosis and electromigration) in the presence of external DC electric fields have been shown to alter the contaminant sorption of contaminants. Their role in PFOA sorption, however, remains unclear. Here, we investigated the joint effects of DC electric fields and the temperature on the sorption of PFOA on activated carbon. Temperature-dependent batch and column sorption experiments were performed in the presence and absence of DC fields, and the results were evaluated by using different kinetic sorption models. We found an emerging interplay of DC and temperature on PFOA sorption, which was linked via the liquid viscosity (η) of the electrolyte. For instance, the combined presence of a DC field and low temperature increased the PFOA loading up to 38% in 48 h relative to DC-free controls. We further developed a model that allowed us to predict temperature- and DC field strength-dependent electrokinetic benefits on the drivers of PFOA sorption kinetics (i.e., intraparticle diffusivity and the film mass transfer coefficient). Our insights may give rise to future DC- and temperature-driven applications for PFOA sorption, for instance, in response to fluctuating PFOA concentrations in contaminated water streams.

Characteristics of the pyrolytic products and the pollutant emissions at different operating stages from a pilot waste tire pyrolysis furnace

Pyrolysis is considered a highly practical, cost-effective, and environment-friendly technology for waste tires disposal. In this study, pyrolysis processes of waste tires were conducted in a pilot scale furnace feeding at 30 kg/h. The properties of pyrolytic products and the distribution patterns of pollutants generated in different operating stages (start-up, steady, and shut-down) were investigated. The pyrolytic gas in the steady state had a high caloric value of 10799 kJ/Nm3, valuable as heating source for pyrolysis. The elements of sulfur and zinc were effectively fixed as ZnS in the pyrolytic carbon. The basic properties of pyrolytic oil were in line with commercial diesel oil except for the lower flash point. Heavy metals were mainly concentrated in the pyrolytic carbon, with slightly higher concentrations in the steady state. Moreover, polycyclic aromatic hydrocarbons (PAHs) and polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) were mainly concentrated in the pyrolytic oil, with predominated low-ring PAHs and high chlorinated PCDD/Fs. The concentrations of PAHs and PCDD/Fs in the gas phase were higher during the start-up stage due to the memory effect, whereas were effectively reduced during the steady stage. The concentration of PAHs in the solid phase was highest during the furnace start-up and lowest in the shut-down stage. In contrast to PAHs, the PCDD/Fs in the solid phase reached their highest concentration during the shut-down stage, which was mainly affected by temperature. The results provide guidance for the reducing of pollutant emissions and the recycling of pyrolytic products.

Method for Measuring the Three-Dimensional Morphology of Near-Wall Bubbles and Droplets Based on LED Digital Holography

Digital holography, recognized for its noncontact nature and high precision in three-dimensional imaging, is effectively employed to measure the morphology of bubbles and droplets. However, in terms of near-wall bubbles and droplets, such as confined bubbles in microfluidic chips, the measurement of the interface morphology of bubbles near the glass surface has not yet been resolved due to the coherent noise resulting from glass surface reflections in microfluidic chips. Accordingly, an off-axis digital holography system was devised by using Linnik interferometry. Measuring the confined bubble interface near the wall within a microfluidic chip and droplet evaporation on solid surfaces was studied. Partially coherent LED sources and reference light modulation techniques were employed in the optical setup to mitigate the coherent noise. Dual exposure and weighted least-squares unwrapping algorithms were introduced to correct phase distortions, enhancing image quality. Imaging two confined CO2 bubbles was done near the wall in silicon oil within a porous microfluidic chip, and contact angles of 4.7 and 4.5° were measured. Additionally, the measurement of the three-dimensional morphology of vertically evaporating deionized water droplets on a glass surface was done, due to which calculation of contact angles at various orientations was possible. This work offers a feasible new method for measuring the 3D interface morphology of bubbles and droplets, particularly in microfluidic visualization, addressing current measurement gaps.

Synergetic degradation of perfluorooctanoic acid (PFOA) in soil using electrical resistance heating induced persulfate activation

Due to wastes from production of fluorinated materials and use of aqueous fire-fighting foams (AFFF), soils contaminated with perfluorooctanoic acid (PFOA) is of concern. However, current PFOA-contaminated soil disposal techniques have relatively low degradation efficiencies and are not suitable for on-site remediation. In this study, an electrical resistance heating (ERH) device and a box experimental device were used to study whether ERH induced persulfate activation (ERH/PS) could degrade PFOA in the soil. The results indicated that single ERH and single PS addition could not effectively degrade PFOA (with approximately 0.3 % and 3.9 % degradation after 9 h, respectively), while the degradation efficiency of PFOA with coupled ERH/PS could reach 87.3 % after 9 h of reaction. Moreover, effects of PS content, heating temperature, and soil organic matter on the degradation of PFOA were explored. During the ERH/PS process, PFOA was gradually transformed into short chain perfluorinated compounds and finally mineralized to fluoride ions. Finally, using a box experimental device, PS was effectively transported to the target contaminated area through electrokinetic (EK)-assisted delivery. After activating PS through ERH, the degradation rate of PFOA could reach 95.5 %. This is a novel study demonstrating the feasibility of ERH induced PS activation to degrade PFOA in soil, which provides a potential on-site strategy for remediation of PFOA-contaminated soil.

A novel fire smoke removal technology using electric agglomeration: The concept, experimental verification and mechanisms

Electric agglomeration technology is effective in removing particulate matter from the environment and has been widely used in the field of dust removal. For the first time, this technology is applied to the field of fire smoke removal at lab scale. By varying applied electric potential and initial concentration of smoke, the removal characteristics and mechanisms during the electric agglomeration process are systematically studied. The results show that when the applied electric potential is higher than 4 kV, the smoke transmittance increases from 4% to 90% in just 10 s, and the threshold for people safe escape can be reached in only 5 s. Three main mechanisms involved in the process of smoke removal using electric agglomeration are proposed. In addition to the conventional Coulomb agglomeration of charged particles, the turbulence-enhanced agglomeration induced by ionic wind and dipole chainization at the grounded plate are also observed. This study demonstrates the feasibility and potential of electric agglomeration technology to remove fire smoke.

Pre-Drying of Chlorine-Organic-Contaminated Soil in a Rotary Dryer for Energy Efficient Thermal Remediation

In response to the current problem of the high energy consumption of direct thermal desorption systems when treating soils with a high moisture content, we propose using the waste heat of the system to pre-dry soil to reduce its moisture. Taking chlorine-organic-contaminated soil as an object, an experimental study on the drying and pollutant desorption characteristics of soil in an indirect rotary dryer was carried out. The results show that the non-isothermal drying process was divided into warm-up and falling rate periods, and no constant period was observed. The higher the rotation speed, the lower the soil outlet temperature and the higher the drying tail gas temperature. Soil outlet and dry tail gas temperatures were lower for soils with a higher moisture content. Benzene and cis-1,2-dichloroethylene are easily desorbed. Therefore, the disposal of dry tail gas should be determined according to the type and concentration of soil pollutants present. The volumetric heat transfer coefficient was found to be 85-100 W m^-3 °C^-1, which provides a key parameter for the size design of a rotary dryer.

[Efficacy analysis of high-sensitivity troponin I concentration and its changes in the diagnosis of acute myocardial infarction]

Objective: To explore the feasibility and accuracy of 0-1 h high sensitivity cardiac troponin I (hs-cTnI) concentration and its changes in judging non-ST segment elevation myocardial infarction (NSTEMI), and to investigate the feasibility of a simplified process. Methods: Patients with acute chest pain and suspected NSTEMI who were admitted to the emergency department of Fuwai Hospital, the First Affiliated Hospital of Sun Yat-sen University and Nanjing First Hospital from January 2017 to September 2020 were selected. Hs-cTnI test was carried out for the selected patients at the time of visit (0 h) and 1 h after visit. According to the 0-1 h hs-cTnI diagnostic process and threshold standard recommended by European Society of Cardiology (ESC) guidelines in 2015, the laboratory adjudication was determined. Cardiologists who did not participate in the project design and did not know the results of hs-cTnI test performed the clinical judgment according to the routine diagnosis and treatment process of emergency department. Taking clinical judgment as the gold standard, the diagnostic efficacy of 0-1 h hs-cTnI concentration and its change recommended by the guidelines for judging NSTEMI in Chinese population was analyzed. The guide process was simplified. Under the condition of not considering the time of chest pain, the guideline threshold was used for test and judgement, and the diagnostic efficacy of the simplified process was evaluated. Results: A total of 1 534 patients were enrolled in the study, aged (62±12) years and 952 (62.1%) patients were male. Among them, 402 patients (26.2%) were clinically diagnosed as NSTEMI and 1 132 patients (73.8%) were diagnosed as non-NSTEMI. According to the diagnosis and determination process recommended by the guidelines, NSTEMI was excluded in 672 patients (42.8%), and 464 patients (30.2%) were diagnosed as NSTEMI. The consistency rate with clinical determination reached 92.4% (1 050/1 136), the sensitivity of excluding diagnosis was 99.5% (95%CI: 98.0%-99.9%), the negative predictive value was 99.7% (95%CI: 98.8%-99.9%), and the negative likelihood ratio was 0.008 (95%CI: 0.002-0.335). The diagnostic specificity was 92.6% (95%CI: 90.9%-94.0%), the positive predictive value was 81.9% (95%CI: 78.0%-85.2%), and the positive likelihood ratio was 12.739 (95%CI: 10.356-15.670). According to the simplified process, NSTEMI was excluded in 675 patients (44.0%), and 463 patients (30.2%) were diagnosed as NSTEMI. The consistency rate with clinical judgment was 92.4% (1 051/1 138), the sensitivity of exclusion diagnosis was 99.3% (95%CI: 97.6%-99.8%), the negative predictive value was 99.6% (95%CI: 98.6%-99.9%), and the negative likelihood ratio was 0.012 (95%CI: 0.004-0.389). The diagnostic specificity was 92.6% (95%CI: 90.9%-94.0%), the positive predictive value was 81.9% (95%CI: 78.0%-85.2%), and the positive likelihood ratio was 12.705 (95%CI: 10.328-15.630). There was no significant difference in diagnostic efficacy between the simplified process and the recommended process (all P>0.05). Conclusion: The diagnostic process for judging NSTEMI according to the 0-1 h hs-cTnI concentration and its change criteria recommended by the 2015 ESC guidelines is applicable in the Chinese population and remains highly accurate in judging NSTEMI without considering the duration of chest pain at the time of presentation.

Revealing the Mechanism of Dioxin Formation from Municipal Solid Waste Gasification in a Reducing Atmosphere

Gasification is an effective technology for the thermal disposal of municipal solid waste (MSW) with lower dioxin emission compared to the prevailing incineration process. Nevertheless, the mechanism of dioxin formation in the reducing atmosphere during the gasification process was seldomly explored. Herein, the effects of the atmosphere, temperature, and chlorine source were systematically investigated in terms of dioxin distribution. With CO₂ and H₂O as gasification agents, a reducing reaction atmosphere was formed with abundant H₂ which effectively suppressed the generation of C-Cl, contributing to a substantial decrease of dioxin concentration by ∼80% compared to the incineration process. The formation of dioxin was favored at temperatures below 700 °C with its peak concentration achieved at 500 °C. It was unveiled that inorganic chlorine played a dominant role in the reducing atmosphere, with a lower proportion of C-O-C/O-C═O on residual slag compared to an oxidizing atmosphere. Additionally, the generated H₂ reduced the concentration of dioxins by attacking C-Cl and inhibiting the crucial Deacon reaction for dioxin formation, validated by density functional theory calculation. Eventually, the formation route paradigm and the reaction mechanism of dioxin formation from MSW gasification were revealed, facilitating and rationally guiding the control of dioxin emission.

Kill two birds with one stone: Ceramisite production using organic contaminated soil

Disposal of organic-contaminated soil through ceramsite production can not only generate ceramsite with acceptable properties but also completely remediate the organic-contaminated soil owing to high treatment temperature. However, the removal mechanism of organic pollutants and the gas-solid phase distribution of the pollutants remain unclear. In this study, coking contaminated soils with high concentrations of polycyclic aromatic hydrocarbons (PAHs) and petroleum hydrocarbon (PHC) were used to prepare ceramsite at 1160 °C. The quality of ceramsite met the required product standard when the disposal ratio of contaminated soil was up to 60%. The concentration of PAHs and PHC in the soil was 57.7 mg kg^-1 and 255 mg kg^-1. After the experiment, almost no PAHs and PHC were found in the ceramsite. High-ring PAHs were dominant in the flue gas when using model soil spiked with PAHs. Computed tomography scanning indicated that cracks developed in the ceramsite when the temperature was higher than 200 °C. High-temperature in-situ thermal analysis showed that when the temperature was increased to 400 °C, the pollutant from the interior of ceramsite would flow into the flue gas with the released volatile matter. Thermal desorption and degradation of PAHs were the main mechanisms of pollutant removal.

Formation and control of dioxins during thermal desorption remediation of chlorine and non-chlorine organic contaminated soil

Formation and emission of dioxins is a great concern during thermal desorption remediation of organic contaminated soil. The differential formation of dioxins from chlorine organic contaminated soil (COCS) and non-chlorine organic contaminated soil (NCOCS) is still unclear and the control technique for the dioxins generated is an urgent need. In this study, the formation and distribution characteristics of dioxins were investigated in the thermal desorption unit combined with flue gas purification system during COCS and NCOCS treatments. Although organic contaminates were well desorbed, de-novo formation of dioxins was observed for both COCS and NCOCS, as well as synthesis from precursors for NCOCS. The gas-phase dioxin in the flue gas purification system continuously decreased during NCOCS thermal desorption, while the dioxin concentration in the quench tower sharply increased from 0.46 to 2.13 ng/Nm³ through de-novo synthesis during COCS treatment. Furthermore, the emission of dioxins only slightly reduced (for COCS) or even increased (for NCOCS) at 70% operating load. The catalytic adsorption tower within modified activated carbon and V₅-Mo₅-Ti catalyst after bag filter can reduce the emission of dioxins up to 91.4% at the condition of secondary combustion chamber closure, demonstrating that the catalytic adsorption tower can replace the secondary combustion chamber for controlling dioxin emission. More importantly, the highly toxic low-chlorinated polychlorinated dibenzodioxins and polychlorinated dibenzofurans (PCDD/PCDFs) were selectively removed from flue gas by the catalytic adsorption tower. These results reveal the differential formation characteristics of dioxins during COCS and NCOCS thermal treatments and highlight V₅-Mo₅-Ti/ modified activated carbon as a promising catalytic adsorption material to control the emission of dioxins from the thermal desorption of organic contaminated soil.

Formation behavior of PAHs during pyrolysis of waste tires

Polycyclic aromatic hydrocarbons (PAHs) formation from the pyrolysis of waste tires is inevitable because of the complexity of tire formulations and the addition of certain chemicals. In this study, the formation behavior and distribution of PAHs in three-phases were investigated from waste tires under pyrolysis conditions. The influencing factors including the temperature, heating rate, holding time, particle size, catalyzer, and atmosphere, were systematically evaluated. The results showed that PAHs were mainly concentrated in pyrolysis oil (94.59-99.03%), followed by the gas phase (0.96-5.34%), and their content was very low in the solid phase (0.01-0.99%). A higher temperature and slower heating rate lead to partial PAHs decomposition, thus reducing their emissions. The overall formation of PAHs can be inhibited when pyrolyzing coarse-grained tire powder. Furthermore, the PAHs formation mechanisms in waste tires were determined through reaction molecular dynamics, electron paramagnetic resonance, and intermediate products. Tires were mainly decomposed into benzene series, *C₂H₃, and *CH₃; therefore, it was determined that PAHs were formed by the joint action of the hydrogen abstraction, and vinyl radical addition and methyl addition cyclization mechanisms. Among them, low and middle-ring PAHs were formed more easily, particularly naphthalene. The generation of PAHs can be inhibited by reducing the concentration of hydrocarbons and monocyclic benzene series. Regarding the distribution law and generation pathways of PAHs, our results provide guidance for reducing PAHs formation and emissions.

Emission characteristics of dioxins during iron ore Co-sintering with municipal solid waste incinerator fly ash in a sintering pot

The disposing of municipal solid waste incineration(MSWI) fly ashes containing dioxins is an intractable problems. Co-sintering is one of the most ideal methods to dispose MSWI fly ash, because it not only degrades the dioxins but also makes it possible to re-utilize MSWI fly ashes. In the present study, MSWI fly ash(FA) and water washed MSWI fly ash(WFA) were added into the sinter raw mixture in a lab-scale sintering pot. Different effects of fly ash and water washed fly ash on emission characteristics of dioxins were studied, and possible pathways to form dioxins were discussed in detail. During co-sintering, at least 88.9%, 99.1% of dioxins brought in by FA, WFA was decomposed, respectively, and re-synthesis with a significant distribution characteristic of dioxins originated from sintering process. In the preheating and dry zone, the recombination and condensation reaction of precursors were the main formation pathways of 2,3,7,8-PCDDs in the sintering process and 2,3,7,8-PCDFs were formed by de novo synthesis. In addition, the resynthesis process was affected by chlorine and calcium brought in by fly ash. Sufficient chlorine boosted the chlorination of reactants while calcium increased the residence time, causing the emission concentration of toxic dioxins and the adding ratio were nonlinearly dependent. Therefore, the maximum proportion of water washed MSWI fly ash that can be added into the sintering process was 0.5 wt.%. Besides, the possible pathways to form dioxins were proposed.

Selective production of singlet oxygen from zinc-etching hierarchically porous biochar for sulfamethoxazole degradation

Porous carbons are appealing low-cost and metal-free catalysts in persulfate-based advanced oxidation processes. In this study, a family of porous biochar catalysts (ZnBC) with different porous structures and surface functionalities are synthesized using a chemical activation agent (ZnCl₂). The functional biochars are used to activate persulfate for sulfamethoxazole (SMX) degradation. ZnBC-3 with the highest content of ketonic group (CO, 1.25 at%) exhibits the best oxidation efficiency, attaining a rate constant (k_obs) of 0.025 min^-1. The correlation coefficient of the density of CO to k_obs (R² = 0.992) is much higher than the linearity of the organic adsorption capacity to k_obs (R² = 0.694), implying that CO is the intrinsic active site for persulfate activation. Moreover, the volume of mesopore (R² = 0.987), and Zeta potential (R² = 0.976) are also positive factors in PS adsorption and catalysis. In the mechanistic study, we identified that singlet oxygen is the primary reactive oxygen species. It can attack the -NH₂ group aligned to the benzene ring to form dimer products which could be adsorbed on the biochar surface to reach complete removal of the SMX. The optimal pH range is 4-6 which will minimize the electrostatic repulsion between ZnBCs and the reactants. The SMX degradation in ZnBC/PS system was immune to inorganic anions but would compete with organic impurities in the real wastewater. Finally, the biochar catalysts are filled in hydrogel beads and packed in a flow-through packed-bed column. The continuous system yields a high removal efficiency of over 86% for 8 h without decline, this work provided a simple biochar-based persulfate catalyst for complete antibiotics removal in salty conditions.

Constraints on Cosmic Strings Using Data from the Third Advanced LIGO-Virgo Observing Run

We search for gravitational-wave signals produced by cosmic strings in the Advanced LIGO and Virgo full O3 dataset. Search results are presented for gravitational waves produced by cosmic string loop features such as cusps, kinks, and, for the first time, kink-kink collisions. A template-based search for short-duration transient signals does not yield a detection. We also use the stochastic gravitational-wave background energy density upper limits derived from the O3 data to constrain the cosmic string tension Gμ as a function of the number of kinks, or the number of cusps, for two cosmic string loop distribution models. Additionally, we develop and test a third model that interpolates between these two models. Our results improve upon the previous LIGO-Virgo constraints on Gμ by 1 to 2 orders of magnitude depending on the model that is tested. In particular, for the one-loop distribution model, we set the most competitive constraints to date: Gμ≲4×10^{-15}. In the case of cosmic strings formed at the end of inflation in the context of grand unified theories, these results challenge simple inflationary models.

Constraints on Cosmic Strings Using Data from the Third Advanced LIGO-Virgo Observing Run

We search for gravitational-wave signals produced by cosmic strings in the Advanced LIGO and Virgo full O3 dataset. Search results are presented for gravitational waves produced by cosmic string loop features such as cusps, kinks, and, for the first time, kink-kink collisions. A template-based search for short-duration transient signals does not yield a detection. We also use the stochastic gravitational-wave background energy density upper limits derived from the O3 data to constrain the cosmic string tension Gμ as a function of the number of kinks, or the number of cusps, for two cosmic string loop distribution models. Additionally, we develop and test a third model that interpolates between these two models. Our results improve upon the previous LIGO-Virgo constraints on Gμ by 1 to 2 orders of magnitude depending on the model that is tested. In particular, for the one-loop distribution model, we set the most competitive constraints to date: Gμ≲4×10^{-15}. In the case of cosmic strings formed at the end of inflation in the context of grand unified theories, these results challenge simple inflationary models.

PCDD/Fs characteristics in flue gas and surrounding environment of iron and steel smelting industry

Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) concentrations and distributions, emission factors and amounts, and ambient air and soil potential sources were investigated by collecting flue gas, ambient air, and soil samples from ten sintering furnaces and two electric arc furnaces of eight iron and steel smelting industries (ISSI) in China. In flue gas, the concentrations of PCDD/Fs ranged from 0.05 to 2.93 ng I-TEQ Nm^-3 (mass, from 0.38 to 30.67 ng Nm^-3), with an average of 0.42 ng I-TEQ Nm^-3 (mass, 4.99 ng Nm^-3), respectively. In ambient air, the concentrations ranged from 0.05 to 0.35 pg I-TEQ m^-3 (mass, from 0.66 to 5.66 pg m^-3), with an average of 0.20 pg I-TEQ m^-3 (mass, 2.96 pg m^-3), respectively. In surface soil, the concentrations ranged from 1.80 to 21.02 ng I-TEQ kg^-1 (mass, from 34.29 to 836.00 ng kg^-1), with an average of 5.82 ng I-TEQ kg^-1 (mass, 252.10 ng kg^-1), respectively. In deep soil, the concentrations ranged from 1.17 to 12.00 ng I-TEQ kg^-1 (mass, from 56.83 to 1488.00 ng kg^-1), with an average of 7.76 ng I-TEQ kg^-1 (mass, 433.20 ng kg^-1), respectively. Compared with emission limits for PCDD/Fs, the compliance was 78.9% in flue gas, 100% in ambient air, and 77.3% in soil. In congener profiles, the contributions of PCDFs were much higher than those of PCDDs in flue gas and ambient air, but the opposite was observed in soil. In ten sintering furnaces, the emission factors ranged from 22.11 to 901.22 ng I-TEQ t^-1, with an average of 373.80 ng I-TEQ t^-1, respectively. In two electric arc furnaces, the emission factors were 1667.52 and 894.96 ng I-TEQ t^-1, with an average of 1281.24 ng I-TEQ t^-1. According to both principal component analysis and hierarchical cluster analysis, all ambient air samples were affected by the emissions of PCDD/Fs from ISSIs, but to different degrees. However, the concentrations of PCDD/Fs in most soil samples were not influenced by the ISSI emissions.

Biochar cathode: Reinforcing electro-Fenton pathway against four-electron reduction by controlled carbonization and surface chemistry

Porous biochars have attracted tremendous interests in electrochemical applications. In this study, a family of biochars were prepared from cellulose subject to different carbonization temperatures ranging from 400 to 700 °C, and the biochars were in-situ activated by a molten salt (ZnCl₂) to construct a hierarchically porous architecture. The activated porous biochars (ZnBC) were used as a carbocatalyst for electro-Fenton (EF) oxidation of organic contaminants. Results showed that high-temperature carbonization improved the activity of biochar for four-electron oxygen reduction reaction (ORR) due to the rich carbon defects, while the mild-temperature treatment regulated the species and distribution of oxygen functional groups to increase the production of hydrogen peroxide (H₂O₂) via a selective two-electron ORR pathway. ZnBC-550 was the best cathode material with a high ORR activity without compromise in H₂O₂ selectivity; a high production rate of H₂O₂ (796.1 mg/g/h) was attained at -0.25 V vs RHE at pH of 1. Furthermore, Fe(II) addition induced an electro-Fenton system to attain fast decomposition of various organic pollutants at -0.25 V vs RHE (reversible hydrogen electrode) and pH of 3 with a satisfactory mineralization efficiency toward phenolic pollutants. The EF system maintains its excellent stability for 10 cycles. Hydroxyl radicals were identified as the dominant reactive oxygen species based on in situ electron paramagnetic resonance (EPR) analysis and radical quenching tests. This study gains new insights into electrocatalytic H₂O₂ production over porous biochars and provides a low-cost, robust and high-performance electro-Fenton cathode for wastewater purification.

Formation of DF, PCDD/Fs and EPFRs from 1,2,3-trichlorobenzene over metal oxide/silica surface

The formation of dibenzofuran (DF), polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) and environmentally persistent free radicals (EPFRs) from 1,2,3-trichlorobenzene (1,2,3-TrCBz) over metal oxide / silica surface were investigated using a tubular furnace. PCDD/Fs increased exponentially from 250 to 550 °C over copper oxide / silica surface and PCDD/Fs had the maximum growth from 400 to 450 °C. The ratio of PCDD / PCDF was much less than 1, especially when the temperature raised from 450 to 550 °C. Pentachlorianated dibenzo-p-furan (PeCDF) dominated among the homologues, which contributed 45-61% to the total PCDD/Fs. Two peaks of the yield of DF occurred at 400 °C and 500 °C respectively. Furthermore, the oxygen contents have different effects for PCDD and PCDF formation, and low oxygen could promote PCDD production, especially for tetrachlorinated dibenzo-p-dioxin (TCDD). More PCDF were formed on the oxygen rich condition, indicating that the oxygen promoted the chlorination of DF. Iron oxides are better than copper oxides to catalyze the formation of PCDD/Fs from 1,2,3-TrCBzs at 350 °C, especially for PCDF. The major EPFRs on the catalysts were formed with g values in the range of 2.0040 to 2.0049, which were phenoxy radicals and semiquinone occurred with higher g value of 2.0075 when the temperature increased to 550 °C, and more EPFRs were produced with the temperature increasing. The addition of iron oxides reduced the spins concentrations of oxygen-centered radicals but increase the spins concentrations of signals with lower g values. The different possible formation pathways of PCDD and PCDF from 1,2,3-TrCBz over metal oxide surface were also proposed.

Laser picoscopy of valence electrons in solids

Valence electrons contribute a small fraction of the total electron density of materials, but they determine their essential chemical, electronic and optical properties. Strong laser fields can probe electrons in valence orbitals^1-3 and their dynamics^4-6 in the gas phase. Previous laser studies of solids have associated high-harmonic emission^7-12 with the spatial arrangement of atoms in the crystal lattice^13,14 and have used terahertz fields to probe interatomic potential forces¹⁵. Yet the direct, picometre-scale imaging of valence electrons in solids has remained challenging. Here we show that intense optical fields interacting with crystalline solids could enable the imaging of valence electrons at the picometre scale. An intense laser field with a strength that is comparable to the fields keeping the valence electrons bound in crystals can induce quasi-free electron motion. The harmonics of the laser field emerging from the nonlinear scattering of the valence electrons by the crystal potential contain the critical information that enables picometre-scale, real-space mapping of the valence electron structure. We used high harmonics to reconstruct images of the valence potential and electron density in crystalline magnesium fluoride and calcium fluoride with a spatial resolution of about 26 picometres. Picometre-scale imaging of valence electrons could enable direct probing of the chemical, electronic, optical and topological properties of materials.

Emission characteristics for co-combustion of leather wastes, sewage sludge, and coal in a laboratory-scale entrained flow tube furnace

Four different mixed fuels consisted of leather waste, coal, and sewage sludge were combusted in a lab-scale entrained flow fluidized bed furnace. The influence of blending ratio on emission characteristics of SO₂, NO_x, HCl, particulate matter (PM), heavy metals, and polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) was studied. Results showed that the mixing of coal with sewage sludge had a complex effect on the emission characteristics. On the one hand, with more sewage sludge blending in the mixed fuel, the acid gas pollutant (SO₂, NO_x) decreased a lot, and the recovery of volatile heavy metals (Cd, Pb) increased at the same time. Furthermore, the leaching toxicity of Cr in the fly ash and bottom ash went down below the national standard with the adding of sewage sludge. On the other hand, the mixing of sewage sludge which consisted of more ash content resulted in the increase of the PM emission. Moreover, the high content of Cu and chlorine in the sewage sludge can promote the formation of polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) when the fuel 3 and 4 were combusted. Most importantly, the concentration of toxic PCDD/Fs in the flue gas produced from fuel 3 and fuel 4 was successfully controlled down below 0.20 ng I-TEQ/Nm³ by the active carbon.

Cost-effectiveness analysis of the addition of bevacizumab to chemotherapy as induction and maintenance therapy for metastatic non-squamous non-small-cell lung cancer

BACKGROUND

The BEYOND trial found that the addition of bevacizumab (B) to paclitaxel-carboplatin (PC) chemotherapy provided a significant clinical benefit to Chinese patients with metastatic non-squamous non-small-cell lung cancer (NSCLC). This study aimed to evaluate the cost-effectiveness of adding B to first-line PC induction and continuation maintenance therapy from a Chinese perspective.

METHODS

A Markov model was developed to estimate the cost and effectiveness of B + PC in the induction and maintenance therapy of patients with metastatic non-squamous NSCLC. Costs were calculated in the Chinese setting, and health outcomes derived from the BEYOND trial were measured as quality-adjusted life years (QALYs). A one-way sensitivity analysis was conducted to explore the impact of various parameters in the study.

RESULTS

The B + PC treatment was more costly ($112,943.40 versus $32,171.43) and more effective (1.07 QALYs versus 0.80 QALYs) compared with the PC treatment. Adding B to the PC regimen for non-squamous NSCLC results in an incremental cost-effectiveness ratio of $299,155.44 per QALY, which exceeded the accepted societal willingness-to-pay threshold ($23,970.00) for China. In the sensitivity analysis, the duration of progression-free survival (PFS) for the B + PC group, the cost of the PFS state for B + PC group and the price of B were considered the most sensitive factors in the model.

CONCLUSIONS

The addition of B to first-line PC induction and maintenance therapy was not determined to be a cost-effective strategy for metastatic non-squamous NSCLC in China, even when an assistance program was provided.

Emission and distribution of PCDD/Fs, chlorobenzenes, chlorophenols, and PAHs from stack gas of a fluidized bed and a stoker waste incinerator in China

The concentrations, homologue, and congener profiles, as well as the gas/particle distribution of polychlorinated dibenzo-p-dioxins and furans (PCDD/Fs), chlorobenzenes (CBzs), chlorophenols (CPhs), and polyaromatic hydrocarbons (PAHs) from stack gas of two different municipal solid waste incinerators in China, were characterized. The incinerators were a stoker furnace incinerator equipped with the advanced air pollution control device (APCD) and a common circulating fluidized bed (CFB) furnace. The concentration of PCDD/Fs in the stack gas of the stoker incinerator ranged 0.011-0.109 ng international toxic equivalent factor (I-TEQ)/Nm³ and was below the current limit for PCDD/F emissions from the municipal solid waste incinerators (MSWIs) in China (0.1 ng I-TEQ/Nm³) in most of the cases. Moreover, the concentration of PCDD/Fs in the stack gas of the stoker incinerator was significantly lower than that of the CFB incinerator (0.734 to 24.6 ng I-TEQ/Nm³). In both incinerators, the majority of the total PCDD/F emissions (above 90%) ended up in the gas phase. 2,3,4,7,8-PeCDF, which occupied 24.3-43.6 and 32.5-75.6% of I-TEQ contribution in MSWIs A and B, respectively, was the most abundant congener. However, different types of incinerators and APCDs induced different congener and homologue distributions. The total concentration of CBzs from the stoker incinerator (0.05-3.2 μg/Nm³) was also much lower than that formed from the CFB incinerator (10.9-75.2 μg/Nm³). The phase distribution of CBzs followed the same pattern as with the PCDD/Fs. Moreover, the emission level of CBz was 100-1000 times higher than that of the PCDD/Fs, which determines the applicability of CBzs as indicators of PCDD/F emissions. High correlations between the emission concentrations of PCDD/Fs, TeCBz, and PCBz in specific ranges were revealed. Furthermore, high concentrations of CPhs (0.6-141.0 μg/Nm³) and PAHs (148.6-4986.5 μg/Nm³) were detected in the stack gases of MSWI B. In some cases, the concentrations were as high as the concentrations in the fumes exiting the boiler of one foreign stoker without flue gas purification indicating the abundance of CPh and PAH emissions in the stack gas of waste incinerators.

Emission characteristics and relationships among PCDD/Fs, chlorobenzenes, chlorophenols and PAHs in the stack gas from two municipal solid waste incinerators in China

An investigation was conducted into polychlorinated dibenzo-p-dioxin and furan formation mechanisms and the relationships with chlorobenzenes, chlorophenols and PAHs in the stack gas from two fluidized bed municipal solid waste incinerators.

Suppression of dioxins after the post-combustion zone of MSWIs

Thiourea was selected as representative of combined S- and N-inhibitors and injected after the post-combustion zone of two full-scale municipal solid waste incinerators (MSWIs) using a dedicated feeder. Firstly, the operating conditions were scrutinised by monitoring the concentrations of SO2, NH3 and HCl in the clean flue gas. The suppression experiment showed that in MSWI A thiourea could reduce the total I-TEQ value in flue gas by 73.4% from 1.41ng I-TEQ/Nm(3) to 0.37I-TEQ/Nm(3), those in fly ash by 87.1% from 14.3ng I-TEQ/g to 1.84I-TEQ/g and the total dioxins emission factor by 87.0wt.%, with a (S+N)/Cl molar ratio of 9.4. The suppression efficiencies of PCDD/Fs in flue gas and fly ash in MSWI B could be up to 69.2% and 83.0% when the (S+N)/Cl molar ratio attained 7.51. Furthermore, the congener distributions of dioxins were also analysed in the flue gas and fly ash, before and after addition of thiourea, to find cues to some suppression mechanism. In addition, the filtered fly ash was explored by the Scanning Electron Microscope (SEM) and Energy Dispersive Spectrometer (EDS) analysis of fly ash. These results suggest that poisoning the metal catalyst and blocking the chlorination are most probably responsible for suppression.

Suppression of dioxins in waste incinerator emissions by recirculating SO2

Sulphur is an effective inhibitor of the formation of Polychlorinated dibenzo-p-dioxins and polychlorinated dibenzo-furans (PCDD/Fs), as was proven in laboratory and pilot plant studies. In this study, a pilot-scale system with capacity 300 N m(3) h(-1) was situated at the bypass of an actual hazardous waste incinerator (HWI) and tested to reduce the emission of PCDD/Fs. Activated carbon was used as a medium to adsorb SO2 from flue gas and release it again at the higher temperature of filtered ash detoxification to achieve SO2 circulation in the system. Most PCDD/Fs in the filtered ash are decomposed by thermal treatment. Experimental results indicate that the system is capable of stable operation with SO2 accumulation at a high level of concentration and a high reduction efficiency of PCDD/Fs. A reduction of more than 80% was already achieved without addition of other sulphur compounds. When pyrite (FeS2) was added the reduction of PCDD/Fs could reach 94%, with a residual PCDD/Fs concentration in the flue gas as low as 0.13 ng TEQ N m(-3). This SO2 recirculating and suppression technology potentially provides significant progress for dioxin emission control in waste incineration and could be useful for controlling emissions of PCDD/Fs and other chlorinated organic chemicals in China.

Simultaneous suppression of PCDD/F and NO(x) during municipal solid waste incineration

Thiourea was tested as a dioxins inhibitor in a full-scale municipal solid waste incinerator with high capacity (34 t h(-1)). The suppressant, featuring a high S- and N-content, was converted into liquor and then injected (35 kg h(-1)) into the furnace (850 °C) through the inlets already used for Selective Non-Catalytic Reduction (SNCR) of flue gas NOx. The first results show that thiourea reduces the dioxins in flue gas by 55.8 wt.%, those in fly ash by 90.3 wt.% and the total dioxins emission factor by 91.0 wt.%. The concentration of PCDD/Fs was 0.08 ng TEQ Nm(-3), below the national standard of 0.1 ng TEQ Nm(-3). The weight average chlorination degree of dioxins decreases slightly after adding the inhibitor, indicating that it suppresses both the formation and the chlorination of dioxins. Analysis of fly ash by scanning electron microscope (SEM) suggests that the particle size becomes larger after adding the inhibitor. Further analysis using an energy dispersive spectrometer (EDS) reveals that the sulphur content in fly ash rises, but the chlorine content declines when adding thiourea. These results suggest that poisoning the metal catalyst and blocking the chlorination are probably responsible for suppression. NOx reduction attains 42.6 wt.%. These tests are paving the way for further industrial application and assist in controlling the future emissions of dioxins and NOx from MSWI.

Predictors of early treatment discontinuation in a cohort of patients treated with boceprevir-based therapy for hepatitis C infection

In this real-world cohort, 49% of patients stopped boceprevir-based hepatitis C therapy early, with only 20% stopping due to treatment futility. Having more comorbidities was significantly associated with early discontinuation. Tolerability of boceprevir-based regimens may be substantially worse than reported in clinical trials, particularly for patients with comorbidities.

Abstract P4-02-08: Quantitative Characterization of 3D Vasculature Spatial Patterns Within Tumor Microenvironment of Breast Cancer Stem Cells

The sustainment characters of cancer stem cells (CSCs) such as self-renew and differentiation to other tumor cells greatly depend on the tumor microenvironment, which is composed of many components, e.g. vasculature, extracellular matrix, epithelial cells, stromal cells, as well as nutrients and oxygen. As vasculature is an important factor for the CSC and tumor development, the understanding of their spatial patterns is essential for calibrating the CSC-microenvironment interactions in mathematical modeling. In this study, we acquired the vasculature in side tumors and normal breast tissues by using two-photon fluorescence microscopy, which enables 3D in vivo imaging. We developed an advanced vasculature segmentation approach for an objective and accurate quantification of the vasculature in 3D image volumes. The approach integrates supervoxel analysis and the orientation guided hidden Markov random field (ori-HMRF) modeling together to compensate for low quality images, e.g., low signal-to-noise ratio (SNR) and uneven background. By constructing a new feature space that combines the CIELAB color space and the coordinates space, the supervoxel analysis divides an image volume into subregions with local similar intensity and restricted regular shape, boundaries of which can delineate the vasculature boundaries accurately even in low intensity contrast regions. We further designed a set of features for the separation of blood vessel regions from the background. To make use of the context information, i.e. the continuity of vasculature, the ori-HMRF model is used to incorporate the consistency of vasculatures' orientation in order to reduce the false positives and negatives. Experimental results on image volumes from both breast cancer and normal breast tissues show that the proposed method can effectively reconstruct the vasculature structure with the CSC embedded tumor microenvironment.

Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P4-02-08.

Abstract P3-06-14: Identification of Prognosis-Relevant Subgroups in Patients with Chemoresistant Triple Negative Breast Cancer

Purpose: Triple-negative breast cancer (TNBC) is a highly heterogeneous disease. TNBC patients with pathologic complete response (pCR) have excellent survival, but those with residual disease after neoadjuvant chemotherapy have significantly worse outcome. However, some patients having extensive residual cancer burden after neoadjuvant chemotherapy do not relapse, and we hypothesize that there may be subgroups with diverse prognosis among these chemoresistant TNBC patients.

Methods: Forty-nine cases with residual cancer from 111 TNBC patients treated with neoadjuvant chemotherapy (in M.D. Anderson Cancer Center, 2000–2006) constituted the discovery cohort. Twenty-five chemoresistant samples from 47 neoadjuvant chemotherapy-treated TNBC (in Baylor College of Medicine and Methodist Hospital, 2002–2006) were chosen for validation. Extended validation was performed in 269 operable TNBC predicted to be chemoresistant (using a JAMA-published genomic predictor) from public databases.

Results: By comparing the gene expression data from cases in relapse with those from un-relapsed cases, we established a 7-gene prognostic signature (including AR, ESR2, GATA3, GBX2, KRT16, MMP28, and WNT11) using dChip and gene enrichment analyses. In the discovery cohort, the signature showed positive predictive value (PPV; i.e., cumulative relapse rate of patients predicted to relapse in 3 years) of 95.4% and negative predictive values (NPV; i.e., relapse-free survival of patients predicted not to relapse in 3 years) of 100%. In the validation cohort, the classifier predicted correctly with PPV of 75.0% and NPV of 76.9% at 3 years. Compared with patients predicted not to relapse, those predicted to relapse had a hazard ratio of 3.37 (95% CI, 1.15–9.85) for disease recurrence or death in 3 years. In an extended validation cohort of 269 patients, our signature discriminated chemoresistant TNBC in overall cohort (PPV, 52.4%; NPV, 77.7%; log rank P < 0.0001), or each subset (e.g., log rank p = 0.001 for Rotterdam set; p = 0.013 for Frankfurt set), with adjusted overall hazard ratio of 2.07 (95% CI, 1.26–3.39). This signature was the only marker that could effectively predict the relapse in patients with chemoresistant TNBC. Of note, the subgroup predicted not to relapse was characterized by high expression of luminal-like genes (AR, GATA3), while the subgroup predicted to have high possibility of relapse was characterized by high expression of cancer stem cell and epithelial-to-mesenchymal transition associated genes (WNT11, MMP28). The former corresponded to the luminal AR subtype and the latter to the mesenchymal stem-like subtype, according to Pietenpol's TNBC subtype classification.

Conclusion: We developed a clinically useful prognostic signature for chemoresistant TNBC. For these chemoresistant TNBC patients, new therapeutic strategies targeting AR-activation or cancer stem cells need to be developed.

Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P3-06-14.

GP88 Serum Level Is Increased in Breast Cancer Patients with Disease Progression

GP88 (progranulin) is an 88-kDa glycoprotein autocrine growth factor that plays a critical role in breast tumorigenesis. GP88 is expressed in human BC tumors in a positive correlation with their tumorigenicity. In estrogen receptor positive (ER+) cells, GP88 expression is low and is stimulated by estradiol whereas in ER negative (ER-) cells, it is constitutively overexpressed. In ER+ cells, increased GP88 expression was found to be associated with resistance to anti-estrogen therapy. In Her-2 overexpressing breast tumors, increased GP88 expression was associated with Herceptin resistance. Inhibition of GP88 expression in human breast adenocarcinoma cells resulted in a drastic reduction of tumor incidence and tumor growth in nude mice. Immunohistochemical studies carried out with 206 paraffin-embedded human breast biopsies have shown that GP88 is expressed in invasive ductal carcinomas in correlation with expression of markers of poor prognosis whereas normal tissues and benign breast lesions were negative. Importantly, high GP88 expression in tissue biopsies was accompanied by decreased disease-free and overall survival. Since GP88 contains a signal peptide for secretion, we have shown that GP88 can be found in serum. An IRB approve blood sampling study of 189 patients (Race: Caucasian- 91, African American-92, Asian-6; median age- 51 with a range from 26 to 81) established at the University of Maryland demonstrated that GP88 was measurable in serum and that GP88 serum level was statistically elevated in breast cancer patients when compared to healthy individuals. Median level of GP88 was 40.7 ng/ml (range 6.4-80) in early stage (stage 1 –3) BC pts (p- value = 0.007) and 45.3 ng/ml (range 9.8 to 158.4) in stage 4 metastatic BC patients (p-value= 0.0007). Statistically significant increase in circulating GP88 level was found in early stages as well as in metastatic disease when compared to healthy individuals.Since we have shown that GP88 tissue expression was associated with increased disease recurrence, the present study was focused on examining whether GP88 serum level was also increased in disease progression and could be used to monitor disease recurrence. Our data show that patients with disease recurrence or progression presented a 5 to 10 fold increase in their GP88 serum levels.This study identifies GP88 as a measurable biomarker for recurrence or disease progression not only at the tissue but also at the serum level.This study is supported by grants from MIPS, the Avon Foundation and from the National Cancer Institute.

Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 6040.

A Culturally-Specific Dietary Plan To Manage Weight Gain among African American Breast Cancer Survivors: A Feasibility Study

Background. African American (AA) women are less likely to survive for five years after a breast cancer diagnosis than Caucasian women. The higher prevalence of obesity in AA women may contribute to this disparity. Weight gain following breast cancer treatment is one of the few modifiable risk factors for breast cancer recurrence and mortality. AA breast cancer survivors face unique cultural and economic barriers to adopting diets which reduce the likelihood of weight gain.Objective. To determine the feasibility of adopting and maintaining a culturally-specific low-fat eating plan in a population of low to middle income AA breast cancer survivors.Participants. AA women recruited through urban medical centers who were between 30 to 75 years old, had a confirmed diagnosis of stage 0, I, II, III, or IIIA primary breast cancer, and had incomes < $50,000 per year.Methods. A culturally-specific dietary intervention was developed, based on the Women's Intervention Nutrition Study (WINS), to reduce consumption of dietary fat to 25% of total calories, while increasing fruits and vegetables.Eligible participants were enrolled in a one-year feasibility study. Participants received the Culturally-Specific WINS Low-Fat Eating Plan (WLEP) and 8 individual nutritional counseling sessions with a trained diet technician, to help reduce and maintain their fat intake to 25% of total calories. The intervention also included bi-monthly educational group meetings and follow-up telephone contacts with diet technicians.Study Measures. Dietary patterns were assessed with 3-day food records at baseline and follow-up. Compliance with the Culturally-Specific WLEP was defined as 1) dietary fat intake ≤ 25% of total calories; and 2) at least 6 to 7 servings of fruits and vegetables per day. Psychosocial factors and dietary biomarkers were also measured at baseline and follow-up to examine their association with study outcomes. Psychosocial factors included perceived susceptibility to recurrence, quality of life, and social support. Dietary biomarkers included weight, height, waist-hip circumference, blood pressure, lipids, serum fatty acid concentrations, insulin and insulin-like growth factors, glucose, and levels of sex hormone-binding globulins.Results. A total of 9 AA breast cancer survivors are enrolled and receiving the intervention. Baseline and six-month follow-up results for the psychosocial factors and dietary biomarkers associated with dietary compliance and weight maintenance will be reported in October 2009.Conclusions. A population of low to middle income AA breast cancer survivors with limited education and resources demonstrated compliance with the Culturally-Specific WLEP, thereby reducing their risk of cancer recurrence through diet. Procedures and data from this feasibility study will be used in a multi-center clinical trial of the Culturally-Specific WLEP.

Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 1053.

Association of serum levels of the growth factor GP88 with disease progression in breast cancer patients

e22021

Background: The autocrine growth factor GP88 is an important player in breast cancer. GP88 is expressed in human BC tumors in correlation with their tumorigenicity. Increased GP88 expression was associated with anti-estrogen therapy resistance in ER+ cells and Herceptin resistance in Her-2 overexpressing breast tumors. Inhibition of GP88 expression inhibited tumor incidence and growth in nude mice. Immunohistochemical studies have shown that GP88 is expressed in invasive ductal carcinomas (IDC) and that high GP88 expression correlated with increased recurrence and mortality. Since GP88 is found in serum, we hypothesized that GP88 was elevated in the sera of breast cancer patients compared to healthy individuals and that GP88 serum level increases with disease progression. Methods: An IRB approved prospective study was established at the University of Maryland Breast Clinic to determine the serum level of GP88 in breast cancer patients (BC pts). Approximately 5 ml of blood was drawn every three months. GP88 serum concentration was determined in triplicate by human GP88 enzyme immunoassay. 190 BC pts were accrued. Sera from healthy volunteers (HV) were obtained to establish GP88 baseline. BC patient characteristics: Caucasian- 91, African American-92, Asian-6; median age, 51 (range 29- 86), stage I - 48, II - 52, III - 26, IV - 63. Results: Median serum GP88 level was 28.7 ng/ml (range 16.6–38.2) in HV, 40.7 ng/ml (range 6.4–100) in early stage (stage 1 -3) BC pts (p- value = 0.007) and 45.3 ng/ml (range 9.8 to 158.4) in stage 4 BC patients (p- value= 0.0007). Statistically significant increase in serum GP88 level was found in early stages as well as in metastatic disease when compared to HV. In addition, patients that were initially diagnosed with early stage disease but recurred showed a 5 to 10 fold increase in their GP88 serum levels. Conclusions: GP88 serum level is significantly higher in the sera of BC than HV subjects. Moreover, GP88 serum level increased in association with disease recurrence and progression. This study identifies GP88 as a measurable biomarker for disease progression not only at the tissue but also at the serum level. These results are also interesting since GP88 is also a therapeutic target of malignant progression of breast carcinoma.

No significant financial relationships to disclose.

Elevated serum levels of the growth factor GP88 are found in breast cancer patients when compared to healthy individuals

Abstract #2006

Background: GP88 is an autocrine growth factor that plays a critical role in breast tumorigenesis. GP88 is expressed in human BC tumors in a positive correlation with their tumorigenicity. Increased GP88 expression is associated with resistance to anti-estrogen therapy in ER + cells and with herceptin resistance in Her-2 overexpressing breast tumors. Inhibition of GP88 expression in human breast adenocarcinoma inhibited tumor incidence and growth in nude mice. Immunohistochemical studies have shown that GP88 was expressed in invasive ductal carcinomas in correlation with the expression of poor prognosis markers whereas normal tissues and benign lesions were negative. High GP88 expression in tumor biopsies was accompanied by decreased disease-free survival. Since GP88 can be secreted, we have hypothesized that GP88 could be secreted in the circulation and found in serum. We examined whether GP88 could be found in the circulation and whether GP88 could be elevated in the sera of breast cancer patients when compared to healthy individuals.
 Methods: An IRB approved blood sampling study was conducted at the University of Maryland Breast Clinic to determine the serum level of GP88 in healthy volunteers (HV) and breast cancer patients (BC pts). Serum GP88 concentration was determined in triplicate by quantitative enzyme immunoassay. 189 BC pts were accrued. In addition, sera from 18 HV were obtained to establish a GP88 baseline in healthy volunteers. BC patient characteristics: Race: Caucasian- 91, African American-92, Asian-6; median age, 51 (range 29-86), stage I – 48, II - 52, III – 26, IV - 63.
 Results: Circulating GP88 was measurable in the serum. Median level of GP88 was 28.7 ng/ml (range 16.6-38.2) in HV; 40.7 ng/ml (range 6.4-100) in early stage (stage 1 –3) BC pts (p- value = 0.007) and 45.3 ng/ml (range 9.8 to 158.4) in stage 4 metastatic BC patients (p-value= 0.0007). Statistically significant increase in circulating GP88 level was found in early stages as well as in metastatic disease. Correlation studies with BC prognostic factors such as stage, tumor size, lymph node involvement, tumor grade and presence of ER and HER-2 will be presented.
 Conclusion: GP88 can be detected in the sera of HV and BC pts. Comparison between the two groups of subjects indicates that GP88 level is significantly higher in the sera of BC pts. These studies are important as they identify as a measurable circulating biomarker GP88 that is also a therapeutic target of malignant transformation or malignant progression of breast carcinoma (BC). Future studies will examine whether there is any correlation between the serum level of GP88 and therapeutic response to systemic therapy in breast cancer patients.
 This study was supported by grant from MIPS, the Avon Foundation and 1R43 CA 124179-01A1 from the National Institutes of Health.

Citation Information: Cancer Res 2009;69(2 Suppl):Abstract nr 2006.

Serum protein signatures detect early radiographic osteoarthritis

OBJECTIVE

To test the hypothesis that early knee and hand osteoarthritis (OA) development is characterized by detectable changes in serum proteins relevant to inflammation, cell growth, activation, and metabolism several years before OA becomes radiographically evident.

METHODS

Using microarray platforms that simultaneously test 169 proteins relevant to inflammation, cell growth, activation and metabolism, we conducted a case-control study nested within the Baltimore Longitudinal Study of Aging (BLSA). Subjects included 22 incident cases of OA and 66 age-, sex- and body mass index (BMI)-matched controls. Serum samples tested were obtained at the time of radiographic classification as either case or control, and up to 10 years earlier at a time when all participants were free of radiographic OA. Proteins with mean signal intensities fourfold higher than background were compared between cases and controls using multivariate techniques.

RESULTS

Sixteen proteins were different between OA cases compared to controls. Four of these proteins [matrix metalloproteinase (MMP)-7, interleukin (IL)-15, plasminogen activator inhibitor (PAI)-1 and soluble vascular adhesion protein (sVAP)-1] were already different in samples obtained 10 years before radiographic classification and remained different at the time of diagnosis. Six additional proteins were only associated with subsequent OA development and not with established OA.

CONCLUSIONS

Changes in serum proteins implicated in matrix degradation, cell activation, inflammation and bone collagen degradation products accompany early OA development and can precede radiographic detection by several years.

Clinical significance of pleural lavage cytology in non-small cell lung cancer: A meta-analysis

18031

Background: The clinical significance of pleural lavage cytology (PLC) in non-small-cell lung cancer (NSCLC) remains controversial. This study was performed to estimate the associations of positive PLC with the main clinicopathological characteristics, and its prognostic value. Methods: PLC studies were identified on Medline, supplemented by manual search of bibliographies and proceedings. Authors were contacted for updated information. The quality of the studies was evaluated, and the data were extracted. Pooled odds ratios (ORs) and pooled hazard ratios (HRs) with confidence intervals [95% CIs] were calculated to evaluate the association of positive PLC with clinico-pathological characteristics and survival respectively. Results: Nineteen articles assessing PLC in NSCLC were selected for this study after exclusion of repeated publications or reports with little clinical detail. Positive PLC was diagnosed in 10.2% (516) of a total of 5073 patients. Positive PLC was strongly associated with lymphatic permeation (OR 4.96 [3.29, 7.54]), pleural invasion (OR 4.38 [2.16, 8.89], and vascular involvement (OR 2.94 [1.99, 4.35]). It was also found to be associated with advanced T stage, N stage, and TNM stage. Positive PLC was more frequent in adenocarcinoma than in squamous cell carcinoma (OR 2.32, [1.51, 3.52]). It was relatively more common in moderately- and poorly-differentiated tumors than in well-differentiated tumors (OR 1.89 [0.86, 4.16]). No association was found between positive PLC and fine needle aspiration cytology (OR 1.04 [0.58, 1.81]). Positive PLC was associated with high overall recurrence (OR 2.51 [1.79, 3.53]), as well as high local recurrence (OR 3.85 [1.57, 9.44]) and distant recurrence (2.58 [1.76, 3.76]). In analysis of survival, the overall HR for mortality was 2.43 [1.87, 3.16], suggesting significantly poorer survival for patients with positive PLC. Conclusions: Positive PLC in NSCLC is strongly associated with several existing poor prognosticators including pleural invasion, lymphatic spread, and vascular involvement. It may indicate locally advanced disease with high risk of recurrence and poor survival. We recommend that the PLC test be included in future clinical trials of adjuvant therapy for patients with NSCLC.

No significant financial relationships to disclose.

Transcriptional profiling suggests that Barrett's metaplasia is an early intermediate stage in esophageal adenocarcinogenesis

To investigate the relationship between Barrett's esophagus (BE) and esophageal adenocarcinoma (EAC), we determined gene expression profiles of discrete pathological stages of esophageal neoplasia using a sequence-verified human cDNA microarray. Fifty one RNAs, comprising 24 normal esophagi (NE), 18 BEs, and nine EACs were hybridized to cDNA microarrays. Five statistical analyses were used for the data analysis. Genes showing significantly different expression levels among the three sample groups were identified. Genes were grouped into functional categories based on the Gene Ontology Consortium. Surprisingly, the expression pattern of BE was significantly more similar to EAC than to NE, notwithstanding the known histopathologic differences between BE and EAC. The pattern of NE was clearly distinct from that of EAC. Thirty-six genes were the most differentially modulated, according to these microarray data, in BE-associated neoplastic progression. Twelve genes were significantly differentially expressed in cancer-associated BE's plus EAC (as a single combined tissue group) vs noncancer-associated BE's. These genes represent potential biomarkers to diagnose EAC at its early stages. Our results demonstrate that molecular events at the transcriptional level in BE are remarkably similar to BE's-associated adenocarcinoma of the esophagus. This finding alarmingly implies that BE is biologically closer to cancer than to normal esophagus, and that the cancer risk of BE is perhaps higher than we had imagined. These findings suggest that changes modulated at the molecular biologic level supervene earlier than histologic changes, and that BE is an early intermediate stage in the process of EAC.

Interferon-beta-1a induces increases in vascular cell adhesion molecule: implications for its mode of action in multiple sclerosis

We investigated soluble vascular cell adhesion molecule-1 (sVCAM) levels and MRI lesions over 24 weeks in 15 Relapsing Remitting MS (RRMS) patients randomized prospectively to receive once-weekly (qw) IFN-beta-1a 30 mug intramuscularly (IM) (Group I, 8 patients) or three-times-weekly (tiw) IFN-beta-1a 44 mug subcutaneously (SC) (Group II, 7 patients). Both groups demonstrated a significant increase in sVCAM during treatment when compared to pre-treatment levels. Patients on IFN-beta-1a 44 mug SC tiw had a significant (p<0.0001) mean increase in sVCAM of 321.9 ng/ml which was significantly greater (p<0.0001) than with IFN-beta-1a 30 mug IM qw (68.6 ng/ml). There was a negative correlation between combined unique (CU) MRI lesions and sVCAM levels within the IFN-beta-1a 44 mug SC tiw group (slope=-0.00106, p=0.009). We postulate that the mode of action of IFN-beta therapy in MS may involve the induction of an increase in sVCAM. sVCAM could bind VLA-4 on T-cells and intercept their adhesion to the blood brain barrier (BBB). This mechanism is consistent with the observed clinical effect of IFN-beta in reducing MRI contrast enhancing lesions.

Epidemiology of capsular and surface polysaccharide in Staphylococcus aureus infections complicated by bacteraemia

Staphylococcus aureus is a leading cause of serious hospital- and community-acquired infections. The discovery of serologically distinct capsular polysaccharides on the surface of clinical isolates has allowed the development of vaccines and passive protective immunity. We have studied patient characteristics, infection characteristics and the surface and capsular polysaccharide serotype distribution in patients with S. aureus infections complicated by bacteraemia admitted to VA hospitals in Maryland between 1995 and 2000. Nine hundred and ninety-three blood cultures from 331 patients were positive for S. aureus. Thirty-eight percent of patients had diabetes, 11% had end-stage renal failure, and 23% were injection drug users. Forty-two percent of infections were caused by methicillin-resistant strains (MRSA), and 60% were acquired during hospitalization. Serotyping of the first available isolate per patient (N=234 isolates) using polyclonal antibodies showed three major phenotypes--42%, type 8 (T8) capsule; 50%, type 5 (T5) capsule; and 8%, 336 polysaccharide. MRSA isolates were significantly more likely to be T5 than methicillin-susceptible isolates (66% vs. 39%, P<0.001). The proportion of T5 MRSA increased significantly (years 1-2: 41%; years 3-4: 65%; years 5-6: 90%, P<0.001). This large sample of patients with serious S. aureus infection confirms that capsular polysaccharides T5 and T8 cause most human infections, and together with serotype 336, account for nearly all those with bacteraemia.

Phosphatidylinositide 3-kinase/AKT in radiation responses

Ionizing or ultraviolet radiation-induced cellular survival signaling pathways induce development of cancer and insensitivity of tumor cells to radiation therapy. Accumulating evidence suggests that the phosphatidylinositide 3-kinase (PI3K)/AKT signal pathway is a major contributor to radioresistance. In many cell types PI3K/AKT signaling is a key cytoprotective response downstream of the EGFR family receptors and mediated carcinogenesis. Cytokines, such as HGF, IGF-I, and IL-6 also protects cells against apoptosis induced by radiation through PI3K/AKT pathway. The mechanics by which PI3K/AKT signaling functions in radiation responses may include its regulation of mitochondrial proteins, transcription factors, translation machinery, and cell-cycle progression. In addition, cross-talk between the PI3K/AKT pathway and mitogen-activated protein kinases, protein kinase A, and protein kinase C signal pathway may also play an important role.

Signalling mechanisms of anoikis

Apoptosis following loss of cell anchorage ('anoikis') is of relevance for development, tissue homeostasis and disease. Integrins regulate cell viability through their interaction with the extracellular matrix and they can sense mechanical forces arising from the matrix and convert these stimuli to chemical signals capable of modulating intracellular signal transduction. Recently it has been shown that protein kinase signalling pathways and apoptosis-related molecular control anoikis both positively and negatively. Focal adhesion kinase, when activated by integrins, can suppress anoikis. Phosphatidylinositol 3-kinase/Akt and mitogen-activated protein kinase may mediate the anoikis-suppressing effects of cells. Conversely, the stress-activated protein kinase/Jun amino-terminal kinase pathway promotes anoikis. In addition, certain bcl-2 and bcl-2-related proteins may also participate in the regulating of anoikis. In this review, molecular mechanisms of signal pathway inducing and perpetuating detachment-induced apoptosis will be discussed with special emphasis on the role of integrins, focal adhesion kinase, phosphatidylinositol 3-kinase/Akt, mitogen-activated protein kinase and bcl-2 family members.

Wild type p53 sensitizes soft tissue sarcoma cells to doxorubicin by down-regulating multidrug resistance-1 expression

BACKGROUND

p53 mutations occur in almost half of all soft tissue sarcomas (STS) and may contribute to multidrug resistance (MDR) in patients with STS. Doxorubicin (Dox) is one of the most active single agents in STS but is less effective in STS with p53 mutations. The effect of reintroducing wild type (wt) p53 into STS cells harboring p53 mutations on the cytotoxicity of DOX in vitro and in vivo was studied.

METHODS

The following cell lines were used in this study: SKLMS-1 STS cells, which do not express wt p53; two wt p53 stable transfectant cells derived from SKLMS-1 cells; and SKLMS-1 transfectant cells from a p53 temperature-sensitive mutant that expresses wt p53 at 32 degrees C and mutant p53 at 38 degrees C. The cytotoxicity of Dox was examined by [3-(4,5-dimethylthiazzol-2-yl)-2,5-diphenltetrazolium] (MTT) and clonogenetic assay, and the effect of reintroducing wt p53 on tumor suppression by Dox was evaluated with a tumorigenicity assay. DNA fragmentation was used to detect apoptosis. MDR-1 P-glycoprotein (P-gp) expression was detected by Western blot and immunohistochemical analyses of protein levels and by Northern blot analysis of mRNA levels, respectively. The intracellular accumulation of Dox was detected by flow cytometric analysis.

RESULTS

The 50% inhibitory concentration (IC(50)) of Dox for the SKLMS-1 wt p53 transfectants decreased 16-fold compared with SKLMS-1 parental cells expressing mutant p53. Colony formation of SKLMS-1 cells after Dox treatment also was inhibited by wt p53 reintroduction. The tumorigenicity of SKLMS-1 cells was inhibited by wt p53 reintroduction alone or by Dox treatment alone and was inhibited further when p53 introduction was combined with Dox treatment in severe combined immunodeficient mice. Although no difference in DNA fragmentation, Bax expression, or Bcl-2 expression was detected among wt p53 transfectants and parental SKLMS-1 cells after Dox treatment, MDR-1 P-gp expression was decreased in wt p53 transfectants compared with parental SKLMS-1 cells. Furthermore, higher intracellular accumulations of Dox were found in wt p53 transfectants than that in SKLMS-1 cells.

CONCLUSIONS

Reintroduction of wt p53 into STS cells harboring p53 mutations can enhance their chemosensitivity to Dox through the inhibition of MDR-1 P-gp expression. Thus, the combination of p53 gene therapy and chemotherapy may increase the therapeutic efficacy in the treatment of patients with STS.