Comparison of the structure-function of five newly members of the calcin family

Calcins are a group of scorpion toxin peptides specifically binding to ryanodine receptors (RyRs) with high affinity, and have the ability to activate and stabilize RyR in a long-lasting subconductance state. Five newly calcins synthesized compounds exhibit typical structural characteristics of a specific family through chemical synthesis and virtual analysis. As the calcins from the same species, Petersiicalcin1 and Petersiicalcin2, Jendekicalcin2 and Jendekicalcin3, have only one residue difference. Both Petersiicalcin1 and Petersiicalcin2 exhibited different affinities in stimulating [3H]ryanodine binding, but the residue mutation resulted in a 2.7 folds difference. Other calcins also exhibited a stimulatory effect on [3H]ryanodine binding to RyR1, however, their affinities were significantly lower than that of Petersiiicalcin1 and Petersiiicalcin2. The channel domain of RyR1 was found to be capable of binding with the basic residues of these calcins, which also exhibited interactions with the S6 helices on RyR1. Dynamic simulations were conducted for Petersiicalcin1 and Petersiicalcin2, which demonstrated their ability to form a highly stable conformation and resulting in an asymmetric tetramer structure of RyR1. The discovery of five newly calcins further enriches the diversity of the natural calcin family, which provides more native peptides for the structure-function analysis between calcin and RyRs.

[Progress on microneedle drug delivery systems for the treatment of corneal diseases]

Corneal diseases are prevalent eye conditions in China, and the lack of effective treatment in the short term can lead to blindness. However, delivering drugs to the cornea safely and effectively poses a significant challenge due to the presence of ocular barriers and clearance mechanisms. Conventional drug delivery methods exhibit low bioavailability, making it difficult to achieve therapeutic effects. Microneedles, with their ability to penetrate ocular surface barriers effectively, offer a low-invasive and highly promising drug delivery technology. This article introduces the main delivery barriers on the ocular surface, classifies microneedles, and highlights the latest developments in the treatment of corneal diseases. Finally, the potential challenges of applying microneedle delivery systems to the ocular surface are analyzed, aiming to provide insights for the clinical application of microneedles in corneal diseases.

The Effect of Acidic Residues on the Binding between Opicalcin1 and Ryanodine Receptor from the Structure-Functional Analysis

Calcin is a group ligand with high affinity and specificity for the ryanodine receptors (RyRs). Little is known about the effect of its acidic residues on the spacial structure as well as the interaction with RyRs. We screened the opicalcin1 acidic mutants and investigated the effect of mutation on activity. The results indicated that all acidic mutants maintained the structural features, but their surface charge distribution underwent significant changes. Molecular docking and dynamics simulations were used to analyze the interaction between opicalcin1 mutants and RyRs, which demonstrated that all opicalcin1 mutants effectively bound to the channel domain of RyR1. This stable binding induced a pronounced asymmetry in the structure of the RyR tetramer, exhibiting a high degree of structural dissimilarity. [3H]Ryanodine binding to RyR1 was enhanced in D2A and D15A, which was similar to opicalcin1, but that effect was suppressed in E12A and E29A and reversed for the DE-4A, thereby inhibiting ryanodine binding. Opicalcin1 and DE-4A also exhibited the ability to form stable docking structures with RyR2. Acidic residues play a crucial role in the structure of calcin and its functional interaction with RyRs that is beneficial for the calcin optimization to develop more active peptide lead compounds for RyR-related diseases.

Association of Molecular Subtypes with Pathologic Response, PFS, and OS in a Phase II Study of COXEN with Neoadjuvant Chemotherapy for Muscle-invasive Bladder Cancer

PURPOSE

The Coexpression Extrapolation (COXEN) gene expression model with chemotherapy-specific scores [for methotrexate, vinblastine, adriamycin, cisplatin (ddMVAC) and gemcitabine/cisplatin (GC)] was developed to identify responders to neoadjuvant chemotherapy (NAC). We investigated RNA-based molecular subtypes as additional predictive biomarkers for NAC response, progression-free survival (PFS), and overall survival (OS) in patients treated in S1314.

EXPERIMENTAL DESIGN

A total of 237 patients were randomized between four cycles of ddMVAC (51%) and GC (49%). On the basis of Affymetrix transcriptomic data, we determined subtypes using three classifiers: TCGA (k = 5), Consensus (k = 6), and MD Anderson (MDA; k = 3) and assessed subtype association with path response to NAC and determined associations with COXEN. We also tested whether each classifier contributed additional predictive power when added to a model based on predefined stratification (strat) factors (PS 0 vs. 1; T2 vs. T3, T4a).

RESULTS

A total of 155 patients had gene expression results, received at least three of four cycles of NAC, and had pT-N response based on radical cystectomy. TCGA three-group classifier basal-squamous (BS)/neuronal, luminal (Lum), Lum infiltrated, and GC COXEN score yielded the largest AUCs for pT0 (0.59, P = 0.28; 0.60, P = 0.18, respectively). For downstaging (

CONCLUSIONS

The Consensus classifier, based in part on the TCGA and MDA classifiers, modestly improved prediction for pathologic downstaging but subtypes were not associated with PFS or OS.

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Key Words Collapse

MESH Headings

• Humans
• Cisplatin/therapeutic use
• Cystectomy/methods
• Deoxycytidine/therapeutic use
• Muscles/pathology
• Neoadjuvant Therapy/methods
• Neoplasm Invasiveness
• Progression-Free Survival
• Retrospective Studies
• Urinary Bladder Neoplasms/drug therapy
• Urinary Bladder Neoplasms/genetics
• Urinary Bladder Neoplasms/pathology

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Grants

• UG1 CA233320 NCI NIH HHS
• UG1 CA233324 NCI NIH HHS
• UG1 CA180830 NCI NIH HHS
• UG1 CA233160 NCI NIH HHS
• U10 CA032102 NCI NIH HHS
• UG1 CA233196 NCI NIH HHS
• U10 CA180888 NCI NIH HHS
• U24 CA114748 NCI NIH HHS
• U10 CA180819 NCI NIH HHS
• UG1 CA233328 NCI NIH HHS

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Affiliation(s)

Seth P. Lerner Baylor College of Medicine, Houston, TX
David J. McConkey Johns Hopkins School of Medicine, Baltimore, MD
Catherine M. Tangen Fred Hutchinson Cancer Research Center, Seattle, WA
Joshua J Meeks Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL
Thomas W. Flaig University of Colorado, School of Medicine, University of Colorado, Aurora, CO
X Hua Fred Hutchinson Cancer Research Center, Seattle, WA
Siamak Daneshmand Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA
Ajjai Shivaram Alva University of Michigan, Ann Arbor, MI
M. Scott Lucia University of Colorado, School of Medicine, University of Colorado, Aurora, CO
Dan Theodorescu Cedars-Sinai CANCER, Los Angeles, CA
Amir Goldkorn University of Southern California, Los Angeles, CA
Matthew I. Milowsky University of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC
W. Choi Johns Hopkins School of Medicine, Baltimore, MD
Rick Bangs SWOG Cancer Research Network, Portland, OR
Daniel L. Gustafson Colorado State University, Fort Collins, CO
Melissa Plets Fred Hutchinson Cancer Research Center, Seattle, WA
Ian M. Thompson CHRISTUS Medical Center Hospital, University of Texas Health Science Center at San Antonio, San Antonio, TX

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OpiCa1-PEG-PLGA nanomicelles antagonize acute heart failure induced by the cocktail of epinephrine and caffeine

Background

Reducing Ca2+ content in the sarcoplasmic reticulum (SR) through ryanodine receptors (RyRs) by calcin is a potential intervention strategy for the SR Ca2+ overload triggered by β-adrenergic stress in acute heart diseases.

Methods

OpiCal-PEG-PLGA nanomicelles were prepared by thin film dispersion, of which the antagonistic effects were observed using an acute heart failure model induced by epinephrine and caffeine in mice. In addition, cardiac targeting, self-stability as well as biotoxicity were determined.

Results

The synthesized OpiCa1-PEG-PLGA nanomicelles were elliptical with a particle size of 72.26 nm, a PDI value of 0.3, and a molecular weight of 10.39 kDa. The nanomicelles showed a significant antagonistic effect with 100 % survival rate to the death induced by epinephrine and caffeine, which was supported by echocardiography with significantly recovered heart rate, ejection fraction and left ventricular fractional shortening rate. The FITC labeled nanomicelles had a strong membrance penetrating capacity within 2 h and cardiac targeting within 12 h that was further confirmed by immunohistochemistry with a self-prepared OpiCa1 polyclonal antibody. Meanwhile, the nanomicelles can keep better stability and dispersibility in vitro at 4 °C rather than 20 °C or 37 °C, while maintain a low but stable plasma OpiCa1 concentration in vivo within 72 h. Finally, no obvious biotoxicities were observed by CCK-8, flow cytometry, H&E staining and blood biochemical examinations.

Conclusion

Our study also provide a novel nanodelivery pathway for targeting RyRs and antagonizing the SR Ca2+ disordered heart diseases by actively releasing SR Ca2+ through RyRs with calcin.

Hierarchical Controlled Hybrid Quantum Communication Based on Six-Qubit Entangled States in IoT

The rapid development and extensive application of the Internet of Things (IoT) have brought new challenges and opportunities to the field of communication. By integrating quantum secure communication with the IoT, we can provide a higher level of security and privacy protection to counteract security threats in the IoT. In this paper, a hybrid quantum communication scheme using six-qubit entangled states as a channel is proposed for specific IoT application scenarios. This scheme achieves hierarchical control of communication protocols on a single quantum channel. In the proposed scheme, device A transmits data to device B through quantum teleportation, while device B issues control commands to device A through remote quantum state preparation technology. These two tasks are controlled by control nodes C and D, respectively. The transmission of information from device A to device B is a relatively less important task, which can be solely controlled by control node C. On the other hand, issuing control commands from device B to device A is a more crucial task requiring joint control from control nodes C and D. This paper describes the proposed scheme and conducts simulation experiments using IBM's Qiskit Aer quantum computing simulator. The results demonstrate that the fidelity of the quantum teleportation protocol (QTP) and the remote state preparation protocol (RSP) reach an impressive value of 0.999, fully validating the scheme's feasibility. Furthermore, the factors affecting the fidelity of the hybrid communication protocol in an IoT environment with specific quantum noise are analyzed. By combining the security of quantum communication with the application scenarios of the IoT, this paper presents a new possibility for IoT communication.

A Scheme for Quantum Teleportation and Remote Quantum State Preparation of IoT Multiple Devices

With the continuous development of the Internet of Things (IoT) technology, the industry's awareness of the security of the IoT is also increasing, and the adoption of quantum communication technology can significantly improve the communication security of various devices in the IoT. This paper proposes a scheme of controlled remote quantum state preparation and quantum teleportation based on multiple communication parties, and a nine-qubit entanglement channel is used to achieve secure communication of multiple devices in the IoT. The channel preparation, measurement operation, and unitary operation of the scheme were successfully simulated on the IBM Quantum platform, and the entanglement degree and reliability of the channel were verified through 8192 shots. The scheme's application in the IoT was analyzed, and the steps and examples of the scheme in the secure communication of multiple devices in the IoT are discussed. By simulating two different attack modes, the effect of the attack on the communication scheme in the IoT was deduced, and the scheme's high security and anti-interference ability was analyzed. Compared with other schemes from the two aspects of principle and transmission efficiency, it is highlighted that the advantages of the proposed scheme are that it overcomes the single fixed one-way or two-way transmission protocol form of quantum teleportation in the past and can realize quantum communication with multiple devices, ensuring both security and transmission efficiency.

Prognostic Significance of the Novel Nutrition-Inflammation Marker of Lymphocyte-C-Reactive Protein Ratio in Patients with Nasopharyngeal Carcinoma Receiving Concurrent Chemoradiotherapy

PURPOSE/OBJECTIVE(S)

Recent studies indicate that the novel lymphocyte-C-reactive protein ratio (LCR) is strongly associated with the survival of various tumors, but its prognostic value in nasopharyngeal carcinoma (NPC) is understudied. This study aimed to explore the relationship between the LCR and overall survival (OS) in NPC and to develop a predictive model.

MATERIALS/METHODS

A total of 841 NPC patients received concurrent chemoradiotherapy (CCRT) were retrospectively enrolled and randomly divided into training cohort (n = 589) and validation cohort (n = 252). Univariate and multivariate Cox analyses were performed to identify variables associated with OS and construct a predictive nomogram. The predictive accuracy of the nomogram was evaluated and independently validated.

RESULTS

The LCR score differentiated NPC patients into two groups with distinct prognoses (HR = 0.53; 95% CI: 0.32-0.89, P = 0.014). Multivariate analysis showed that age, T stage, N stage, EBV-DNA status, and LCR score were independently associated with OS and a predictive nomogram was developed. The nomogram had a good performance for the prediction of OS [C-index = 0.770 (95% CI: 0.675-0.864)] and outperformed the traditional staging system [C-index = 0.589 (95% CI: 0.385-0.792)]. The results were internally validated using an independent cohort.

CONCLUSION

The novel nutrition-inflammation marker of LCR could serve as a simplified, affordable, easy-to-obtain, non-invasive, and readily promotive prognostic marker for NPC patients received CCRT, and the LCR-based prognostic nomogram outperformed the conventional staging system in terms of predictive power.

Glutathione metabolism is conserved in response to excessive copper exposure between mice liver and Aurelia coerulea polyps

BACKGROUND

Copper (Cu) is a trace element that is engaged in various routine physiological processes. Excessive copper exposure can cause damage to organisms; however, it is unknown if the mechanisms underlying the response to Cu²⁺ among different species are conserved.

METHODS

Aurelia coerulea polyps and mice models were exposed to Cu²⁺ to assess its effects on survival status and organ damage. Transcriptomic sequencing, BLAST, structural analysis, and real-time quantitative PCR were carried out to analyze the similarities and differences in the molecular composition and response mechanisms between two species when exposed to Cu²⁺.

RESULTS

Excessive Cu²⁺ exposure led to toxic effects on both A. coerulea polyps and mice. The polyps were injured at a Cu²⁺ concentration of 3.0 mg L^-1. In the mice, increasing Cu²⁺ concentrations were correlated with, the degree of liver damage, which manifested as hepatocyte apoptosis. In the 300 mg L^-1 Cu²⁺ group of mice, livers cell death was primarily triggered by the phagosome and Toll-like signaling pathways. We found the glutathione metabolism was significantly altered in response to copper stress in both A. coerulea polyps and mice. Moreover, the similarity of gene sequences enriched at the two same sites in this pathway was as high as 41.05 %-49.82 % and 43.61 %-45.99 % respectively. Among them, there was a conservative region in the structure of A. coerulea polyps GSTK1 and mice Gsta2, but the overall difference is large.

CONCLUSION

Glutathione metabolism is a conserved copper response mechanism in evolutionary distant organisms such as A. coerulea polyps and mice, although mammals have a more complex regulatory network when it comes to copper-induced cell death.

Chromophoric dissolved organic carbon cycle and its molecular compositions and optical properties in precipitation in the Guanzhong basin, China

The investigation of water-soluble organic carbon (WSOC), which is important in the biogeochemical cycle of precipitation, can provide a comprehensive view of chromophores within the atmospheric boundary layer. In this work, the optical properties and molecular characteristics of WSOC in precipitation over the Guanzhong Basin (GB) of North China were investigated using ultraviolet-visible (UV-vis) absorption and excitation-emission matrix (EEM) fluorescence spectra, and Fourier transform ion cyclotron resonance mass spectrometry (FT-ICR MS) coupled with electrospray ionization (ESI). Furthermore, sources and wet deposition of WSOC were estimated using in-situ measurements and modeling. The light-absorption by WSOC at 250-300 nm (UV region) and 400-550 nm (visible region) was 64.17% and 15.36% relative to the estimated total light-absorption, respectively. Parallel factor (PARAFAC) analysis revealed three types of fluorophores in WSOC at Xi'an (XN), including two humic-like substances (HULIS) and one protein-like substance (PRLIS), with HULIS accounting for 79% of total fluorescence intensity. FT-ICR MS analysis revealed that CHO and CHON were the most abundant components of WSOC at XN, each containing a variety of lignins, protein/amino sugars, and lipids. Moreover, the positive matrix factorization (PMF) model identified the contributions from three main sources (secondary precursors and aerosols, and coal combustion) of WSOC in precipitation at XN. The annual wet deposition flux of WSOC in precipitation at XN was estimated as about 0.63 g C m^-2 yr^-1, lower than that at other polluted cities. These findings add to our understanding of chromophoric dissolved organic carbon budgets, which is critical for accurately assessing the global carbon cycle.

Rapid detection of miRNA via development of consecutive adenines (polyA)-based electrochemical biosensors

Herein, we report rapid electrochemical detection of miRNA let-7a based on a DNA probe consisting of a polyA and Fc-co-labeled harpin structure (the polyA-H probe). The polyA-H probe could be facilely immobilized on Au surfaces through the interactions between polyA and Au, followed by its pre-hybridization with a single strand (S1). The probe's surface density could be optimized for minimizing steric hindrance via changing the polyA block length. The target let-7a could be rapidly amplified via loop-mediated isothermal amplification (LAMP) with four simplified primers, followed by inducing the formation of dimeric i-motif (DIM) structure via H⁺-induced rapid folding of two C-rich sequences of motif strand 1 and strand 2. It was found that, after introducing the as-formed DIM to hybridize the S1, the immobilized polyA₂₀-H probe could rapidly revert to its hairpin structure, sending out a turn-on electrochemical signal of the Fc. The total time for detecting the let-7a was around 80 min, obviously less than that of most of electrochemical DNA sensors reported previously. The biosensor showed a linear relationship of the current response to the let-7a in the range of 10 fM to 50 nM with a limit of detection (LOD) of 5.1 fM. Our biosensors were further tested using human serum spiked with the let-7a and the extracts of the breast adenocarcinoma cells spiked with and without the let-7a, respectively. Satisfied results were obtained. This study shows a potential promising future of development of electrochemical biosensors for rapid detection of miRNAs in the application of clinical practice.

Economic evaluations of interventions against influenza at workplaces: systematic review

BACKGROUND

The burden of influenza is mostly felt by employees and employers because of increased absenteeism rates, loss of productivity and associated direct costs. Even though interventions against influenza among working adults are effective, patronage and compliance to these measures especially vaccination are low compared to other risk groups.

AIMS

This study was aimed to assess evidence of economic evaluations of interventions against influenza virus infection among workers or in the workplace setting.

METHODS

The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) reporting guideline for systematic reviews was followed. Three databases, PubMed, Web of Science and EconLit, were searched using keywords to identify relevant articles from inception till 25 October 2020. Original peer-reviewed papers that conducted economic evaluations of influenza interventions using cost-benefit, cost-effectiveness or cost-utility analysis methods focused on working-age adults or work settings were eligible for inclusion. Two independent teams of co-authors extracted and synthesized data from identified studies.

RESULTS

Twenty-four articles were included: 21 were cost-benefit analyses and 3 examined cost-effectiveness analyses. Two papers also presented additional cost-utility analysis. Most of the studies were pharmaceutical interventions (n = 23) primarily focused on vaccination programs while one study was a non-pharmaceutical intervention examining the benefit of paid sick leave. All but two studies reported that interventions against influenza virus infection at the workplace were cost-saving and cost-effective regardless of the analytic approach.

CONCLUSIONS

Further cost-effectiveness research in non-pharmaceutical interventions against influenza in workplace settings is warranted. There is a need to develop standardized methods for reporting economic evaluation methods to ensure comparability and applicability of future research findings.

Evolution of the chromophore aerosols and its driving factors in summertime Xi'an, Northwest China

Atmospheric chromophores have photo-sensitiveness that can participate in photochemical reactions, so they may have the potential to make an important contribution in organic aerosols aging. This study attempts to explain the effects of oxidation reaction and photochemical reaction on atmospheric chromophores. For this study, the summer period (higher sunshine intensity) was selected to observe the mechanisms by the online excitation emission matrix (EEM) fluorescence. The results showed that a lot of secondary organic aerosols were produced in the afternoon, but a large portion of them is non-chromophore. We observed that the secondary chromophores of highly-oxygenated humic-like substances (HULIS) were produced, which suggests a degradation product of less-oxygenated HULIS. The photochemical reaction and oxidation reaction were the important reactions that occur in the afternoon, which drives the oxidation state evolution of the atmospheric chromophores. Atmospheric oxidation processes are the mainly driving reaction for the transformation of atmospheric chromophore. The aged aerosol has a lower fluorescence index and a high degree of humification. It is speculated that the aerosol from night to morning is in the accumulation process dominated by local sources, and then it is mainly in the process of being gradually aged at noon and afternoon. This study will guide to better understand the atmospheric chemical processes of chromophore aerosols and provide guidance for the EEM approach to trace the aerosol aging in the atmosphere.

Diurnal evolutions and sources of water-soluble chromophoric aerosols over Xi'an during haze event, in Northwest China

Atmospheric brown carbon and their chemical behavior potentially impacts the climate and air quality. Due to lack of researches on the atmospheric chromophores by using online experimental instrument, so using the offline EEM approaches to study their types, sources and chemical processes. In this study, PILS-EEM-TOC system (Particle into liquid sampler coupled with excitation-emission matrix and total organic carbon) was developed in order to distinguish the hourly evolutions and sources of water-soluble chromophoric organic matters in atmospheric fine particles. The results suggested that the sources of atmospheric chromophores in winter were primary combustion (~90%) and coal burning, followed by biomass burning and cooking emissions in Xi'an (Northwest China). These atmospheric chromophores decay under the combined action of solar radiation and atmospheric oxidants. Meanwhile, the secondary chromophores were mainly highly-oxygenated humic-like substance (HULIS), produced by atmospheric oxidation reactions with the highest peak in the afternoon. The partly secondary chromophores can also be generated through the Maillard-like reaction in the morning, which depends on the relative humidity of the atmosphere. These findings made a deeper understanding of the sources and transformation of atmospheric brown carbon aerosols.

Amplified electrochemical biosensing based on bienzymatic cascade catalysis confined in a functional DNA structure

Herein, an amplified and renewable electrochemical biosensor was developed via bienzymatic cascade catalysis of glucose oxidase (GOx) and horseradish peroxidase (HRP), which were confined in a functional Y-shaped DNA nanostructure oriented by a dual-thiol-ended hairpin probe (dSH-HP) with a paired stem as a rigid scaffold and unpaired loop as enclosed binding platform. For proof-of-concept assay of sequence-specific biomarker DNA related to Alzheimer's disease (aDNA), GOx and redox ferrocene-modified HRP (Fc@HRP) were chemically conjugated in two enzyme strands (GOx-ES1 and Fc@HRP-ES2), respectively. The repeated recycling of aDNA was powered by the displacement of GOx-ES1 by aDNA and exonuclease III (ExoIII)-assisted cleavage reaction for amplified output of numerous GOx-ES1 as dependent transducers, together with Fc@HRP-ES2 which was simultaneously hybridized with dSH-HP to assemble this DNA structure. Rationally, the bienzymatic cascade catalysis was motivated through GOx-catalyzed glucose oxidization to in situ generate hydrogen peroxide (H₂O₂) and overlapped HRP-catalyzed H₂O₂ decomposition to promote the electron transfer, producing significantly enhanced electrochemical signal of Fc with an ultrahigh sensitivity down to 0.22 fM of aDNA. Benefited from the unique design of dSH-HP-oriented bienzymatic cascades, this one-step strategy without non-specific blockers passivation was simple and renewable, and would pave a promising avenue for sensitive electrochemical assay of biomolecules.

Prognostic model for risk stratification of de novo metastatic nasopharyngeal carcinoma patients treated with chemotherapy followed by locoregional radiotherapy

BACKGROUND

There is no clinically applicable prognostic model designed for patients with de novo metastatic nasopharyngeal carcinoma (mNPC) treated with chemotherapy followed by locoregional radiotherapy (LRRT). We sought to develop a predictive tool of overall survival for individualized prediction and risk stratification in this heterogeneous patient population.

PATIENTS AND METHODS

A total of 244 eligible patients with de novo mNPC, who were treated with platinum-based first-line chemotherapy followed by LRRT, were included in this retrospective study. We divided patients into the training and validation sets based on the date of initial treatment, with 152 patients treated between 2008 and 2013 comprising the training set for model development and 92 patients treated at a later time (2014 to 2015) forming the validation set. We applied Cox proportional hazards model to examine factors associated with overall survival (OS). We developed and subsequently validated a prognostic model to predict OS. We assessed the performance of this prognostic model and stratified patients based on prognostic scores obtained from this proposed model.

RESULTS

The median OS of the entire cohort was 60.9 months. C-creative protein, number of metastatic sites, liver metastasis, post-treatment Epstein-Barr virus DNA, and response of metastasis were significantly associated with OS. A prognostic model for individual survival prediction was developed and graphically represented as a nomogram. The model showed favorable discrimination (C-index: 0.759), predictive accuracy [time dependent area under the curve (tAUC) at 5 years: 0.800], and calibration, and was further validated in an independent dataset. A risk stratification derived from the model can stratify these patients into three prognostic subgroups with significantly different survival.

CONCLUSION

We developed and validated a prognostic model that exhibited adequate performance in individualized prediction and risk stratification for patients with de novo mNPC treated with chemotherapy followed by LRRT.

Photorefractive effect in LiNbO3-based integrated-optical circuits for continuous variable experiments

We investigate the impact of the photorefractive effect on lithium niobate integrated quantum photonic circuits dedicated to continuous variable on-chip experiments. The circuit main building blocks, i.e. cavities, directional couplers, and periodically poled nonlinear waveguides, are studied. This work demonstrates that photorefractivity, even when its effect is weaker than spatial mode hopping, might compromise the success of on-chip quantum photonics experiments. We describe in detail the characterization methods leading to the identification of this possible issue. We also study to which extent device heating represents a viable solution to counter this effect. We focus on photorefractive effect induced by light at 775 nm, in the context of the generation of non-classical light at 1550 nm telecom wavelength.

Self-rated health scores predict mortality among people with type 2 diabetes differently across three different country groupings: findings from the ADVANCE and ADVANCE-ON trials

AIMS

To explore whether there is a different strength of association between self-rated health and all-cause mortality in people with type 2 diabetes across three country groupings: nine countries grouped together as 'established market economies'; Asia; and Eastern Europe.

METHODS

The ADVANCE trial and its post-trial follow-up were used in this study, which included 11 140 people with type 2 diabetes from 20 countries, with a median follow-up of 9.9 years. Self-rated health was reported on a 0-100 visual analogue scale. Cox proportional hazard models were fitted to estimate the relationship between the visual analogue scale score and all-cause mortality, controlling for a range of demographic and clinical risk factors. Interaction terms were used to assess whether the association between the visual analogue scale score and mortality varied across country groupings.

RESULTS

The visual analogue scale score had different strengths of association with mortality in the three country groupings. A 10-point increase in visual analogue scale score was associated with a 15% (95% CI 12-18) lower mortality hazard in the established market economies, a 25% (95% CI 21-28) lower hazard in Asia, and an 8% (95% CI 3-13) lower hazard in Eastern Europe.

CONCLUSIONS

Self-rated health appears to predict 10-year all-cause mortality for people with type 2 diabetes worldwide, but this relationship varies across groups of countries.

Occurrence and sources of chromophoric organic carbon in fine particulate matter over Xi'an, China

Understanding the characteristics and sources of atmospheric chromophores is essential to assess their impact on climate change and the quality of atmospheric environment. In this work, the fine particulate matter (PM_2.5) samples of Xi'an, China in 2017 were analyzed by excitation-emission matrices and parallel factor analysis (EEM-PARAFAC) method to obtain the species, content, sources and seasonal variation characteristics of atmospheric chromophores. The results showed that humic-like (HULIS) chromophores and polycyclic aromatic hydrocarbons-like (PAHs-like) chromophores were the most abundant chromophores in the samples, accounting for 42% and 33%, respectively. With the aggravation of air pollution, the relative content of low-polarity chromophores increased markedly, while the relative content of polar chromophores decreased. The concentrations of atmospheric chromophores exhibited obvious seasonal variation characteristics: high in winter and low in summer. Similarly, the relative contributions of atmospheric chromophores from each source varied with the season. In addition, special weather and human activities had a significant influence on the source of atmospheric chromophores. Dust source was an important source of atmospheric chromophores, which was susceptible to long-range incoming air masses from northwestern regions in spring. However, the chromophores from the dust source were easily removed by wet precipitation, which was the same as the chromophores from the combustion source. The chromophores from the combustion source were susceptible to human activities. The contribution of combustion source to atmospheric chromophores was reduced due to the implementation of air pollution control policies during the Chinese Spring Festival. In summer, the formation of photochemical secondary chromophores was more significant than in other seasons, and the photochemical secondary chromophores increased due to the formation of liquid phase reactions under high relative humidity conditions.

Down-regulation of miR-1181 indicates a dismal prognosis for nasopharyngeal carcinoma and promoted cell proliferation and metastasis by modulating Wnt/β-catenin signaling

OBJECTIVE

Our study aimed to investigate the expression pattern, clinicopathological feature and prognostic role of miR-1181 in nasopharyngeal carcinoma (NPC), and to determine the functional effects and potential mechanism of miR-1181 in NPC.

PATIENTS AND METHODS

The expression levels of miR-1181 were determined in NPC tissues and cell lines by RT-PCR. The clinical data were interpreted by chi-square test, univariate analysis, and multivariate analysis. The effect of PVT1 on proliferation was evaluated by CCK-8 and colony formation assays, and migration and invasion ability were evaluated by transwell and wound-healing assays. The association between miR-1181 and Wnt/β-catenin pathway was analyzed by Western blot.

RESULTS

We found that miR-1181 expression was significantly down-regulated in both NPC tissues and cell lines. Low expression of miR-1181 was significantly associated with N stage (p=0.013), clinical stage (p=0.037) and grade (p=0.033). Clinical assays showed that patients with low miR-1181 expression had shorter overall survival time than those with high miR-1181 expression (p=0.0007). Multivariate analysis revealed that miR-1181 expression was independently associated with the overall survival. Functional investigations indicated that overexpression of miR-1181 suppressed NPC cells proliferation, migration and invasion. Mechanistically, forced miR-1181 expression suppressed the activity of Wnt/β-catenin pathway.

CONCLUSIONS

Our findings proved that miR-1181 may serve as a candidate prognostic biomarker and target for new therapies in NPC patients.

Identification of species and sources of atmospheric chromophores by fluorescence excitation-emission matrix with parallel factor analysis

It is essential to fully understand the physicochemical properties and sources of atmospheric chromophores to evaluate their impacts on environmental quality and global climate. Three-dimensional excitation-emission matrix (EEM) fluorescence spectroscopy is an important method for directly characterizing the occurrences, origins, and chemical behaviors of atmospheric chromophores. However, there is still a lack of adequate information on the sources and chemical structures of EEM-defined chromophores. This situation limits the extensive application of the EEM method in the study of atmospheric chromophores. Under these adverse conditions, this work uses the analysis of EEM data by the parallel factor (PARAFAC) analysis model and a comprehensive comparison of the types and abundances of different chromophores in different aerosol samples (combustion source samples, secondary organic aerosols, and ambient aerosols) to demonstrate that the EEM method can distinguish among different chromophore types and aerosol sources. Indeed, approximately half of all fluorescent substances can be attributed to specific chemicals and sources. These findings provide an important basis for the study of the sources and chemical processes of atmospheric chromophores by the EEM approach.

LAMP-generated H+ ions-induced dimer i-motif as signal transducer for ultrasensitive electrochemical detection of DNA

Herein, an ultrasensitive electrochemical biosensor is proposed for the quantification of the Flu A virus biomarker DNA (fDNA), and is based on loop-mediated isothermal amplification-generated hydrogen ions (LAMP-H+) which induce the formation of the dimer i-motif structure (DiMS) for signal transduction, coupled with exonuclease III (ExoIII)-assisted DNA walking for signal dual-amplification.

Physiological Adaptive Strategies of Oil Seed Crop Ricinus communis Early Seedlings (Cotyledon vs. True Leaf) Under Salt and Alkali Stresses: From the Growth, Photosynthesis and Chlorophyll Fluorescence

Ricinus communis is an important energy crop and is considered as one of the most potential plants for salt-alkali soil improvement in Northeast China. Early seedling stage (such as the cotyledon expansion stage) is always a vulnerable stage but plays a vital role in plant establishment, especially under stress conditions. However, little information exists concerning the function of cotyledon and the relationship between cotyledon and true leaf in the adaptation to salt stress and alkali stress of this species. Here, Ricinus communis seedlings were treated with varying (40, 80 and 120 mM) salinity (NaCl) and alkalinity (NaHCO3), growth, photosynthesis, and chlorophyll fluorescence of cotyledons and true leaves were measured. The results showed that the biomass, photosynthetic parameters, and the qp value of both cotyledons and true leaves decreased with increasing salt-alkali stress, and the decrease in biomass, g s and Tr, of true leaves were much greater than that of cotyledons. Salt-alkali stress only reduced photosynthetic pigments and ΦPSII in cotyledons, but did not affect those in true leaves. Additionally, the Fv/Fm and NPQ between cotyledons and true leaves showed different trends in salinity and alkalinity. The results suggested that alkali stress could cause much more damage to the castor bean seedlings, and different physiological responses and adaptive strategies are found in cotyledons and true leaves under salt-alkali stress. This study will help us develop a better understanding of the adaptation mechanisms of cotyledon and true leaf during early seedling stage of castor bean plant, and also provide new insights into the function of cotyledon in Ricinus communis under salt-alkali stress conditions.

mcr-1 facilitated selection of high-level colistin-resistant mutants in Escherichia coli

OBJECTIVES

The mcr-1 gene is the first reported plasmid-mediated colistin resistance gene. It has caused worldwide concern about the colistin resistance in Gram-negative bacteria. The aim of this research was to study the impact of mcr-1 on the selection of high-level colistin resistance (HLCR) mutations in Escherichia coli and Klebsiella pneumoniae.

METHODS

We detected the HLCR mutation rates of Enterobacteriaceae strains (K. pneumoniae XH209, KP10, and E. coli Q3, ATCC 25922) and their transformants harbouring the mcr-1 gene. Further analysis of the HLCR mutants was conducted by sequencing, plasmid elimination experiment, and real-time quantitative PCR.

RESULTS

For XH209, mean mutation rate of XH209-pMCR was 1.7 (95% confidence interval (CI) 0.76-2.54) × 10^-8, while XH209 and XH209-pCR2.1 showed mutation rates of 2.0 (95% CI, 1.32-2.67) × 10^-8 and 2.3 (95% CI 1.47-3.13) × 10^-8. For KP10 and its derived strains KP10-pCR2.1, KP10-pMCR, the mutation rates were 3.5 (95% CI 0.77-6.13) × 10^-8, 4.8 (95% CI 0.69-8.94) × 10^-8 and 4.2 (95% CI 0.95-7.54) × 10^-8 respectively. The mutation rates of E. coli strains Q3-pMCR and ATCC25922-pMCR were 3.4 (95% CI 0.19-7.47) × 10^-8 and 1.54 (95% CI 0.27-2.8) × 10^-9, which were significantly higher than their corresponding non-mcr-1-carrying strains (p < 0.05).

CONCLUSIONS

Beside the knowledge that mcr-1 mediates low-level colistin resistance, this gene also facilitates selection of HLCR mutants in E. coli, but does not affect K. pneumoniae.

Germination Responses of Ryegrass (Annual vs. Perennial) Seed to the Interactive Effects of Temperature and Salt-Alkali Stress

Ryegrass is considered a useful grass species for forage production and turf purposes. Annual ryegrass (Lolium multiflorum Lam.) and perennial ryegrass (Lolium perenne L.)are two species of ryegrass with similar genomes. So far, little information exists concerning their physiological response to salt-alkali stress during germination stage, especially under different temperature regimes. Seeds of ryegrass were germinated at four alternating temperatures (10-20, 15-25, 20-30, and 25-35°C) with salinity (NaCl) and alkalinity (Na2CO3, high pH) stresses. Results showed that optimal germination for both species under stress conditions occurred at higher temperatures (20-30°C for annual ryegrass; 20-30°C and 25-35°C for perennial ryegrass). Germination percentage and germination rate were both inhibited by increasing salinity or alkalinity, particularly higher alkalinities under any temperature. The inhibitory effects of the high salinity on germination were greater at 10-20°C for both species. However, seeds were subjected to more stress at 25-35°C under alkali stress even though the concentration was very low. In addition, both high and low temperatures lead to a markedly decrease in seed germination under alkali stress for perennial ryegrass. Recovery percentage of both species were highest at 400 mM salinity and 25 mM alkalinity under any temperature, especially 10-20°C, and 25-35°C also resulted in lower recovery percentages under both stresses for ryegrass. Moreover, annual ryegrass had a much higher recovery percentage than perennial ryegrass under such stress conditions. These results suggest that salinity stress and alkalinity stress are greatly different, and the salt-alkaline tolerance of ryegrass seeds is greatly affected by the interactions of temperature and salinity-alkalinity.

Comparison of chemical composition in the buds of Aralia elata from different geographical origins of China

Aralia elata buds contain many nutrients and have a pleasant taste with a unique flavour. Previous studies mainly focused on triterpene saponins in the root bark of this species, but little information existed concerning other chemical components, especially in the buds. To better understand the nutritional value of A. elata, we compared total flavonoids, total saponins, phenolic compounds and mineral element contents in the buds of A. elata collected from eight different geographical regions (S1: Benxi; S2: Linjiang; S3: Pingwu; S4: Enshi; S5: Changbaishan; S6: Shangzhi; S7: Xiaoxinganling and S8: Harbin) in China. The results showed that the basic composition in the buds presented a wide variation, with ash (8.76-10.35%), crude fibre (5.38-11.07%), polysaccharides (33.85-46.79 mg g-1), total flavonoid content (TFC, 4.06-48.63 mg g-1) and total saponins (13.62-27.85 mg g-1). UPLC combined with the LC-MS/MS method was used for the phenolic compounds analysis, and 11 phenolic compounds were identified and quantified in the eight samples. The total phenolic content in Enshi (S4) was significantly higher than others, and quercetin was the predominant phenolic compound in this sample. We used ICP-OES to identify and quantify nine mineral elements in the buds. The Fe and Cu contents in S5 were much higher than that of others. We obtained maximum Mg, Mn, Co and Ni contents in S4, and found rich Zn content in S7. Moreover, the maximum estimated quantities of Ca and Sr were found in S8. This study indicated that the chemical composition in the buds of A. elata was obviously affected by geographical origin. Our results provided an essential theoretical basis of quality evaluation of A. elata buds in the food production field.

[The diagnostic value of copeptin in the cardiorenal syndrome rats and the association with heart and kidney impairment]

To explore the diagnostic value of copeptin (CPP) in cardiorenal syndrome (CRS) in rats and the association between CPP and impairment of heart and kidney, 60 male SD rats were randomly divided into blank control group (CK group), kidney failure group (SNX group), heart failure group (MI group), and CRS group. Heart and kidney function and their histology changes in rats from each group were detected. The correlation between serum CPP and heart and kidney function indexes was performed with Pearson correlation analysis. The HE staining of heart and kidney showed that the tissue lesion was more severe in CRS group than in SNX group and MI group. There was a significant positive correlation between serum CPP and brain natriuretic peptide (BNP) (r=0.638, P<0.05). No correlation was observed between serum CPP and cardiac function index (left ventricular systolic pressure, left ventricular diastolic pressure, left ventricular end-diastolic pressure) or renal function index (serum creatinine, urine creatinine, blood urea nitrogen) (r=0.512, 0.189,-0.063, 0.207, 0.290, 0.595, respectively, all P>0.05). The CPP level is associated with the degree of heart and kidney damage in CRS rats.

Fate of estrogens in a pilot-scale step-feed anoxic/oxic wastewater treatment system controlling by nitrogen and phosphorus removal

The control measures for estrogens in the aquatic environment are topics of growing concern. It is a meaningful issue to finding optimal process parameters for efficient removal of estrogens with the purpose of efficient total nitrogen (TN) or total phosphorus (TP) removal in sewage treatment plants. The present paper is concerned with the relationships between the estrogen removal and TN or TP removal in a pilot-scale three-stage anoxic/oxic (A/O) system treating real municipal wastewater. The total removal efficiency for estrone (E1) and 17β-estradiol (E2) and their sulfate and glucuronide conjugates were on average 87% in the pilot-scale system. The concentrations of the sulfate and glucuronide conjugates of estrogens (E1 and E2) in the system were much lower than the estrogens, which might be caused by the rapid degradation of conjugates in the pilot-scale system. The average removal efficiencies of E1 and E2 and their sulfate and glucuronide conjugates were significantly lower under high TP removal conditions than those under high TN removal conditions that suggested that the ammonia oxidation promotes estrogen degradation. When the system achieved efficient TN removal, the concentrations of both E1 and E2 were generally lower in the aerobic zones than those in the anoxic zones. Instead, when the system achieved efficient TP removal conditions, the estrogen concentrations were higher in the aerobic zones than in the anoxic zones. However, it was thought that the variation of the concentrations of the estrogen conjugates had weak influence on concentrations of the free estrogens. The increase of the free estrogens in the aerobic zones could be attributed to the release of the estrogens adsorbed on the sludge. The variation of estrogens in a three-stage A/O system can be properly estimated and measured by a binary linear regression model with the variables of TP and TON (NO₂^--N and NO₃^--N), which is probably the important information for the improvement and optimization of wastewater treatment processes to obtain higher removal efficiency for estrogens.

Effects of arbuscular mycorrhizal fungi on Leymus chinensis seedlings under salt–alkali stress and nitrogen deposition conditions: from osmotic adjustment and ion balance

Nitrogen deposition and soil salinization–alkalization have become major environmental problems throughout the world. Leymus chinensis is the dominant, and considered the most valuable, species for grassland restoration in the Northeast of China. However, little information exists concerning the role of arbuscular mycorrhizal fungi (AMF) in the adaptation of seedlings to the interactive effects of nitrogen and salt–alkali stress, especially from the perspective of osmotic adjustment and ion balance. Experiments were conducted in a greenhouse and Leymus chinensis seedlings were cultivated with NaCl/NaHCO₃ under two nitrogen treatments (different concentrations of NH₄⁺/NO₃⁻). Root colonization, seedling growth, ion content, and solute accumulation were measured. The results showed that the colonization rate and the dry weights of the seedlings were both decreased with the increasing salt–alkali concentration, and were much lower under alkali stress. Both of the nitrogen treatments decreased the colonization rate and dry weights compared with those of the AM seedlings, especially under the N2 (more NH₄⁺–N content) treatment. The Na⁺ content increased but the K⁺ content decreased under salt–alkali stress, and more markedly under alkali stress. AMF colonization decreased the Na⁺ content and increased the K⁺ content to some extent. In addition, the nitrogen treatments had a negative effect on the two ions in the AM seedlings. Under salt stress, the seedlings accumulated abundant Cl⁻ to maintain osmotic and ionic balance, but alkali stress inhibited the absorption of anions and the seedlings accumulated organic acids in order to resist the imbalance of both osmosis and ions, whether under the AM or nitrogen treatments. In addition, proline accumulation is thought to be a typical adaptive feature in both AM and non-AM plants under nitrogen and salt–alkali stress. Our results suggest that the salt–alkali tolerance of Leymus chinensis seedlings is enhanced by association with arbuscular mycorrhizal fungi, and the seedlings can adapt to the nitrogen and salt–alkali conditions by adjusting their osmotic adjustment and ion balance. Excessive nitrogen partly decreased the salt–alkali tolerance of the Leymus chinensis seedlings.

We evaluated the contribution of arbuscular mycorrhizal fungi to the growth, ion content, and solute accumulation of Leymus chinensis seedlings under salt–alkali stress and nitrogen deposition.

Phylogenetic estimates of diversification rate are affected by molecular rate variation

Molecular phylogenies are increasingly being used to investigate the patterns and mechanisms of macroevolution. In particular, node heights in a phylogeny can be used to detect changes in rates of diversification over time. Such analyses rest on the assumption that node heights in a phylogeny represent the timing of diversification events, which in turn rests on the assumption that evolutionary time can be accurately predicted from DNA sequence divergence. But there are many influences on the rate of molecular evolution, which might also influence node heights in molecular phylogenies, and thus affect estimates of diversification rate. In particular, a growing number of studies have revealed an association between the net diversification rate estimated from phylogenies and the rate of molecular evolution. Such an association might, by influencing the relative position of node heights, systematically bias estimates of diversification time. We simulated the evolution of DNA sequences under several scenarios where rates of diversification and molecular evolution vary through time, including models where diversification and molecular evolutionary rates are linked. We show that commonly used methods, including metric-based, likelihood and Bayesian approaches, can have a low power to identify changes in diversification rate when molecular substitution rates vary. Furthermore, the association between the rates of speciation and molecular evolution rate can cause the signature of a slowdown or speedup in speciation rates to be lost or misidentified. These results suggest that the multiple sources of variation in molecular evolutionary rates need to be considered when inferring macroevolutionary processes from phylogenies.

Patterns of Multivitamin Use after Colorectal Cancer Diagnosis in Association with Long-term Survival

Multivitamin use has been related to a modest reduced risk of colorectal cancer (CRC), but evidence on its use after diagnosis in relation to survival has been limited. Incident, invasive CRC cases were identified through cancer registries from 1997–2008 and enrolled in four population-based sites of the Colon Cancer Family Registry (Fred Hutchinson Cancer Research Center, Cancer Care Ontario, Mayo Clinic, and the Universities of Queensland and Melbourne). At enrollment, a standardized interview ascertained multivitamin use in the year prior to diagnosis. A follow-up questionnaire was administered approximately 5 years after baseline, with 2,586 participants providing information on their multivitamin use at both time points. Survival outcomes were identified through linkage to national death registries. Delayed-entry Cox regression was used to estimate the association between patterns of multivitamin use and overall or CRC-specific survival (Hazard Ratio (HR) and 95% Confidence Interval (CI)), with survival time beginning at the 5-year follow-up survey. Models were adjusted for age at diagnosis, sex, body mass index, smoking history, stage, study center, and number of days from diagnosis to baseline survey. Over a median 4.8 years after the follow-up survey, 397 participants died (103 from CRC). Multivitamin use was common: at the 5-year follow-up, 37% reported continued use since before diagnosis, 12% had initiated use, 17% had discontinued use, and only 34% participants reported never using multivitamins. Compared to never use of multivitamins, continued use was significantly associated with increased subsequent overall survival (HR = 0.71, 95% CI: 0.55–0.91). However, this association did not reach statistical significance for CRC-specific survival (HR = 0.76, 95% CI: 0.47–1.24). No significant association was observed for discontinuing (HR = 0.92, 95% CI: 0.68–1.25) or initiating (HR = 0.80, 95% CI: 0.55–1.13) multivitamin use from baseline to follow-up, compared to never users, though initiating use trended towards increased survival. These findings suggest that continuing multivitamin use after a CRC diagnosis may increase survival; replication and details on the specific micronutrients included are needed.