Relationship of black soldier fly larvae (BSFL) gut microbiota and bioconversion efficiency with properties of substrates

Treating food waste using black soldier fly larvae (BSFL) is widely regarded as a promising nature-based measure. This study explored the influence of food waste particle sizes on substrate properties and its subsequent effects on bioconversion efficiency and gut microbiota. The results indicated that particle sizes mainly ranging from 4 mm to 10 mm (T1) significantly increased the weight loss rate of food waste by 35 % and larval biomass by 38 % compared to those in T4 (particle sizes mostly less than 2 mm) and promoted the bioconversion of carbon and nitrogen into larvae and gases. Investigation of substrates properties indicated that the final pH value of T1 was 7.79 ± 0.10, with Anaerococcus as the predominant substrate microorganism (relative abundance: 57.4 %), while T4 exhibited a final pH value of 5.71 ± 0.24, with Lactobacillus as the dominant microorganism (relative abundance: 95.2 %). Correlation analysis between substrate chemical properties and microbial community structure unveiled a strong relationship between substrate pH and the relative abundance of Anaerococcus and Lactobacillus. Furthermore, beneficial microorganisms such as Lactobacillus and Enterococcus colonized the BSFL gut of T1, while pathogenic bacterium Morganella, detrimental to BSFL gut function, was enriched in T4 (relative abundance: 60.9 %). Nevertheless, PCA analysis indicated that alterations in the gut microbial community structure may not be attributed to the substrate microorganisms. This study establishes particle size as a crucial parameter for BSFL bioconversion and advances understanding of the relationship between gut microbiota and substrate microbiota.

Rev-erbα attenuates refractory periapical periodontitis via M1 polarization: An in vitro and in vivo study

AIM

Rev-erbα has been reported to regulate the healing of inflammatory lesions through its effect on the immune system in a variety of inflammatory disease. Moreover, the balance of macrophages polarization plays a crucial role in immune response and inflammatory progression. However, in refractory periapical periodontitis (RAP), the role of Rev-erbα in inflammatory response and bone resorption by regulating macrophage polarization remains unclarified. The aims of the present study were to investigate the expression of Rev-erbα in experimental RAP and to explore the relationship between Rev-erbα and macrophage polarization through the application of its pharmacological agonist SR9009 into the in vivo and in vitro experiments.

METHODOLOGY

Enterococcus faecalis-induced RAP models were established in SD rats. Histological staining and micro-computed tomography scanning were used to evaluate osteoclastogenesis and alveolar bone resorption. The expression of Rev-erbα and macrophage polarization were detected in the periapical tissues from rats by immunofluorescence, flow cytometry, and western blots. Furthermore, immunohistochemical staining and enzyme-linked immunosorbent assay were performed to explore the relationship between Rev-erbα and inflammatory cytokines related to macrophage polarization.

RESULT

Compared to healthy periapical tissue, the expression of Rev-erbα was significantly down-regulated in macrophages from inflammatory periapical area, especially in Enterococcus faecalis-induced periapical lesions, with obvious type-1 macrophage (M1)-like dominance and the production of pro-inflammatory cytokines. In addition, Rev-erbα activation by SR9009 could induce type-2 macrophage (M2)-like polarization in periapical tissue and THP1 cell line, followed by increased secretion of anti-inflammatory cytokines IL-10 and TGF-β. Furthermore, intracanal application of SR9009 reduced the lesion size and promoted the repair of RAP by decreasing the number of osteoclasts and enhancing the formation of mineralized tissue in periapical inflammatory lesions.

CONCLUSIONS

Rev-erbα played an essential role in the pathogenesis of RAP through its effect on macrophage polarization. Targeting Rev-erbα might be a promising and prospective therapy method for the prevention and management of RAP.

[Discovery and distribution of and response to arbovirus in China over the past seven decades]

Arbovirus is a group of virus transmitted by blood-sucking arthropod bites, which infects both arthropods and vertebrates. More than 600 arboviruses have been characterized worldwide until now, including 65 highly pathogenic viruses, which pose a high threat to public health. The risk of arbovirus transmission is increasing due to climate change, international trade and urbanization. The review summarizes the discovery and distribution of emerging and reemerging arboviruses and novel arboviruses with potential pathogenic risks, and proposes responses to the arbovirus transmission risk, so as to provide insights into the research and management of arboviruses and arthropod-borne infectious diseases in China.

Observation of the short-term curative effect of using SuperPATH approach to treat elderly femoral neck fractures with schizophrenia

As China enters an aging society, the incidence of femoral neck fractures is increasing year by year. For some patients, total hip arthroplasty (THA) is the treatment of choice for displaced femoral neck fractures. Schizophrenia is a common combination of elderly patients with femoral neck fractures, and there are few reports on the treatment. This study describes the short-term efficacy of the supercapsular percutaneously assisted (SuperPATH) approach in the treatment of patients suffered with displaced femoral neck fractures combined with schizophrenia. A retrospective analysis of 20 elderly patients with displaced femoral neck fractures combined with schizophrenia who underwent THA using the SuperPATH approach. Record demographic data, postoperative reexamination of X-ray film to observe the position and the loosening condition of the prosthesis, the length of hospitalization, complications in the hospital and after discharge. The Harris score of hip joint function was used to evaluate postoperative hip joint function. The average age of the 20 patients was 73.1 years. All patients were followed up by outpatient clinic or telephone. The follow-up time was 3-12 months, with an average of 9.2 months. There was no incision infection, no tissue structure damage such as important nerves and blood vessels, and no complications such as early dislocation, loosening of the joint prosthesis, and deep vein thrombosis of lower extremities. The efficacy of the last follow-up was evaluated according to the Harris score of hip joint function: an average of 91 points (78-98 points); 13 cases were excellent, 5 cases were good, and 2 cases were fair. The SuperPATH approach has the advantages of less surgical damage, shorter recovery time, good surgical safety, preserving the normal tension of the muscles around the hip joint, and reducing the incidence rate of early postoperative dislocation of the joint prosthesis. The THA of the SuperPATH approach can treat patients with displaced femoral neck fractures combined with schizophrenia safely and effectively.

Comparative assessment of Chinese mitten crab aquaculture in China: Spatiotemporal changes and trade-offs

The increasing human demand for high-quality animal protein has provided impetus for the development of aquaculture. Chinese mitten crab (Eriocheir sinensis) is a catadromous species rapidly being cultured in China but scientific literature documenting its life cycle environmental and economic consequences remains scarce. This study aims to address this gap by examining the spatio-temporal evolution of crab aquaculture in China since the 2000s and evaluating the environmental and economic characteristics along its life-cycle stages: megalopa, juvenile crab, and adult crab cultivation. The geostatistical analysis shows a more dispersed pattern of crab aquaculture nationally as crab grows, with coastal provinces that have brackish water for megalopa cultivation but wider spatial coverage for juvenile and adult crab cultivation. Our findings reveal that the production of 1 ton of live-weight crab results in 7.65 ton of CO2 equivalent of greenhouse gas emissions, surpassing previous estimates for finfish fish production by approximately 50%. Most environmental pressures occur during the adult crab cultivation stage, with significant contributions from upstream processes such as electricity and feed production. By comparing between different production systems, our study shows that crab aquaculture in lake systems performs better than pond systems in terms of most global environmental impact categories and economic considerations. This work contributes to the existing literature by elucidating the spatio-temporal changes of crab aquaculture boom in China and constructing a representative life cycle data pool that broadens the benchmark knowledge on its environmental and economic characteristics. We highlight the trade-offs between environmental and economic performance as well as the balance between global and local environmental impacts to promote sustainable growth in the aquaculture industry.

Investing in mini-livestock production for food security and carbon neutrality in China

Future food farming technology faces challenges that must integrate the core goal of keeping the global temperature increase within 1.5 °C without reducing food security and nutrition. Here, we show that boosting the production of insects and earthworms based on food waste and livestock manure to provide food and feed in China will greatly contribute to meeting the country's food security and carbon neutrality pledges. By substituting domestic products with mini-livestock (defined as earthworms and insects produced for food or feed) protein and utilizing the recovered land for bioenergy production plus carbon capture and storage, China's agricultural sector could become carbon-neutral and reduce feed protein imports to near zero. This structural change may lead to reducing greenhouse gas emissions by 2,350 Tg CO2eq per year globally when both domestic and imported products are substituted. Overall, the success of mini-livestock protein production in achieving carbon neutrality and food security for China and its major trading partners depends on how the substitution strategies will be implemented and how the recovered agricultural land will be managed, e.g., free use for afforestation and bioenergy or by restricting this land to food crop use. Using China as an example, this study also demonstrates the potential of mini-livestock for decreasing the environmental burden of food production in general.

Remarkable Spatial Disparity of Life Cycle Inventory for Coal Production in China

Coal is the primary energy source in China, and its life cycle inventory (LCI) is widely used as background data for life cycle assessment studies. Previous research indicates that the inventory of coal production varies regionally. However, the development of complete regionalized LCIs for coal production is quite limited. Here, we establish the first provincial-level LCIs of local coal production and market for coal in China, based on a database of 6,122 coal mines and developed models. In the inventory results of local coal production, the coefficients of variation (CVs) of nine indicators exceed 0.5, especially SO2 and particulate matter emission factors (CVs > 1). Compared with that, the interprovincial coal trade homogenizes the provincial production inventory of market for coal relatively, despite four indicators with CVs exceeding 0.5. Therefore, the regionalized inventory with remarkable spatial differentiation can provide more accurate fundamental data for future research such as electricity production. Furthermore, CH4 emissions from coal production account for 24% of China's total methane emissions, highlighting its significance in mitigating global warming. Moreover, through the increasing coal trade, the significant and implicit plunder of water resources from the three coal net-exporting provinces, located in water-scarce areas, should be noted.

Revealing the effects of fermented food waste on the growth and intestinal microorganisms of black soldier fly (Hermetia illucens) larvae

The escalating global food waste (FW) issues necessitate sustainable management strategies. Black soldier fly larvae (BSFL) offer a promising solution for FW management by converting organic matter into insect protein. However, the fermentation of FW during production, collection, and transportation induces changes in FW's physicochemical properties and bacterial communities, requiring further exploration of its impact on BSFL growth and gut microbiota. The results showed that feeding FW fermented for different durations (0-10 d) slightly affected the BSFL yield. Feeding FW fermented for 8 d, characterized by a lower pH and higher biodiversity, resulted in a slight increase in larval biomass (222 mg/larvae). Nearly all groups harvested the peak larval biomass after 10 day's bioconversion. The fermentation significantly altered the microbial community of FW, with an increase in the abundance of unclassified_f_Clostridiaceae and a decrease in Lactobacillus abundance. As bioconversion progressed, intricate and mutualistic microbial interactions likely occurred between the BSFL gut and FW substrate, restructuring each other's microbial community. Specifically, the abundance of unclassified_f_Clostridiaceae increased in the BSFL gut, while its abundance in the initial larval gut was extremely low (<1 %). Despite the substrate microbial changes and interactions, a stable core gut microbiota was identified across all BSFL samples, primarily composed of nine genera dominated by Enterococcus and Klebsiella. This core gut microbiome may play a crucial role in facilitating the adaptation of BSFL to various environmental conditions and maintaining efficient FW bioconversion. These findings enhance our understanding of the role of BSFL gut microbiota in FW bioconversion.

Effect of artesunate on cardiovascular complications in periodontitis in a type I diabetes rat model and related mechanisms

PURPOSE

Both cardiovascular disease and periodontitis are complications of diabetes that have a great impact on human life and health. Our previous research found that artesunate can effectively improve cardiovascular disease in diabetes and has an inhibitory effect on periodontal disease. Therefore, the present study aimed to explore the potential therapeutic possibility of artesunate in the protection against cardiovascular complications in periodontitis with type I diabetes rats and to elucidate the possible underlying mechanisms.

METHODS

Sprague‒Dawley rats were randomly divided into the healthy, diabetic, periodontitis, diabetic with periodontitis, and artesunate treatment groups (10, 30, and 60 mg/kg, i.g.). After artesunate treatment, oral swabs were collected and used to determine changes in the oral flora. Micro-CT was performed to observe changes in alveolar bone. Blood samples were processed to measure various parameters, while cardiovascular tissues were evaluated by haematoxylin-eosin, Masson, Sirius red, and TUNEL staining to observe fibrosis and apoptosis. The protein and mRNA expression levels in the alveolar bone and cardiovascular tissues were detected using immunohistochemistry and RT‒PCR.

RESULTS

Diabetic rats with periodontitis and cardiovascular complications maintained heart and body weight but exhibited reduced blood glucose levels, and they were able to regulate blood lipid indicators at normal levels after artesunate treatment. The staining assays suggested that treatment with 60 mg/kg artesunate has a significant therapeutic effect on myocardial apoptotic fibrosis. The high expression of NF-κB, TLR4, VEGF, ICAM-1, p38 MAPK, TGF-β, Smad2, and MMP9 in the alveolar bone and cardiovascular tissue in the type I diabetes and type I diabetes with periodontitis rat models was reduced after treatment with artesunate in a concentration-dependent manner. Micro-CT showed that treatment with 60 mg/kg artesunate effectively alleviated alveolar bone resorption and density reduction. The sequencing results suggested that each model group of rats had vascular and oral flora dysbiosis, but artesunate treatment could correct the dysbacteriosis.

CONCLUSIONS

Periodontitis-related pathogenic bacteria cause dysbiosis of the oral and intravascular flora in type I diabetes and aggravate cardiovascular complications. The mechanism by which periodontitis aggravates cardiovascular complications involves the NF-κB pathway, which induces myocardial apoptosis, fibrosis, and vascular inflammation.

Handcrafted Radiomics, Deep Learning Radiomics in the Prediction of Radiation Pneumonitis for NSCLC Patients Treated with Immunotherapy Followed with Thoracic Radiotherapy

PURPOSE/OBJECTIVE(S)

Our previous study has shown that NSCLC patients previously received immune checkpoint inhibitors (ICIs) underwent thoracic intensity modulated radiotherapy have a higher risk of acute radiation pneumonitis (RP). This study aimed to establish machine learning models using handcrafted radiomics (HCR), deep learning-based radiomics (DLR) and clinical characteristics to improve the prediction of symptomatic radiation pneumonitis (RP) (grade ≥ 2) status for NSCLC patients treated with immunotherapy followed with thoracic radiotherapy.

MATERIALS/METHODS

This study retrospectively collected data of 61 NSCLC patients meeting the requirements of study enrollment. Of these 61 patients, 35 developed symptomatic graded ≥ 2 RP. We defined 3 regions of interest (ROIs) in planning CT images including gross tumor volume (GTV), planning tumor volume (PTV), PTV-GTV. We calculated the mean dose, V5, V10, V20, and V30 within TL-GTV, and the volume of GTV, PTV and total lung. A total of 516 handcrafted radiomics features and 512 deep features were extracted from each 3 ROIs. Person Correlation Analysis and Least Absolute Shrinkage and Selection Operator (LASSO) were used to reduce the dimension of features. The HCR models, DLR models and the fusion models across different ROIs with machine learning classifiers were built and compared.

RESULTS

In multi-classifier modeling, models with PTV under logistic regression (LR) classifiers showed better prediction than other ROIs under different machine learning algorithms. Based on PTV with LR, HCR+ DLR model had better performance, with an area under the curve (AUC) of 0.95 (95% confidence interval (CI): 0.893-1) in the training cohort and 0.87 (95% CI: 0.698-1) in the test cohort, which was higher than that of HCR model, with an AUC of 0.86 (95% CI: 0.755-0.9) in the training cohort and 0.82 (95% CI: 0.624-1) in the test cohort, the results of fusion model with HCR, DLR and 7 clinical characteristics including T, N, clinical stage, age, smoking, radiotherapy alone/combined and V30, demonstrated the best distinguishing performance, with an AUC of 0.99 (95% CI: 0.970-1) in the training cohort and 0.91 (95% CI: 0.784-1) in the test cohort.

CONCLUSION

The combination of HCR, DLR and clinical characteristic underwent machine learning algorithms can improve the prediction of symptomatic RP in NSCLC patients treated with ICIs followed with thoracic radiotherapy.

Agricultural trade impacts global phosphorus use and partial productivity

The spatio-temporal distribution, flow and end use of phosphorus (P) embedded in traded agricultural products are poorly understood. Here we use global trade matrices to analyse the partial factor productivity of P (output per unit of P input) for crop and livestock products in 200 countries and their cumulative contributions to the export or import of agricultural products over 1961-2019. In these six decades, the trade of agricultural P products has increased global partial factor productivity for crop and livestock production and has theoretically saved 67 Tg P in fertilizers and 1.6 Tg P in feed. However, trade is now at risk of contributing to wasteful use of P resources globally due to a decline in trade optimality, as agricultural products are increasingly exported from low to high partial factor productivity countries and due to P embedded in imported agricultural products mainly lost to the environment without recycling. Integrated crop-livestock production systems and P-recycling technologies can help.

[Analysis of therapeutic mechanism of Liushen Wan against colitis-associated colorectal cancer based on network pharmacology and validation in mice]

OBJECTIVE

To explore the therapeutic mechanism of Liushen Wan (LSW) against colitis-associated colorectal cancer (CAC) by network pharmacology.

METHODS

TCMSP, BATMAN-TCM, CNKI, PubMed, Genecards, OMIM, and TTD databases were used to obtain the related targets of LSW and CAC. The common targets of LSW and CAC were obtained using Venny online website. The PPI network was constructed using Cytoscape 3.8.2 to screen the core targets of LSW in the treatment of CAC. GO and KEGG enrichment analysis were conducted using DAVID database. The therapeutic effect of LSW on CAC was evaluated in a C57BL/6J mouse model of AOM/DSS-induced CAC by observing the changes in body weight, disease activity index, colon length, and size and number of the tumor. HE staining and RT-qPCR were used to analyze the effect of LSW on inflammatory mediators. Immunohistochemistry and TUNEL staining were used to evaluate the effect of LSW on the proliferation and apoptosis of AOM/DSS-treated colon tumor cells. Immunohistochemistry and Western blotting were used to detect the effects of LSW on the expression of TLR4 proteins in CAC mice.

RESULTS

Network pharmacology analysis identified 69 common targets of LSW and CAC, and 33 hub targets were screened in the PPI network. KEGG pathway enrichment analysis suggested that the effect of LSW on CAC was mediated by the Toll-like receptor signaling pathway. In the mouse model of AOM/DSS-induced CAC, LSW significantly inhibited colitis-associated tumorigenesis, reduced tumor number and tumor load (P < 0.05), obviously improved histopathological changes in the colon, downregulated the mRNA levels of proinflammatory cytokines, and inhibited the proliferation (P < 0.01) and promoted apoptosis of colon tumor cells (P < 0.001). LSW also significantly decreased TLR4 protein expression in the colon tissue (P < 0.05).

CONCLUSION

LSW can inhibit CAC in mice possibly by regulating the expression of TLR4 to reduce intestinal inflammation, inhibit colon tumor cell proliferation and promote their apoptosis.

Uncovering the spatio-temporal dynamics of crop-specific nutrient budgets in China

Nitrogen (N) and phosphorus (P) are two critical nutrients for agroecosystems. In meeting food demands, human use of both nutrients has crossed planetary boundaries for sustainability. Further, there has been a dramatic shift in their relative inputs and outputs, which may generate strong N:P imbalances. Despite enormous efforts on agronomic N and P budgets, the spatio-temporal characteristics of different crop types in using nutrients are unknown as are patterns in the stoichiometric coupling of these nutrients. Thus, we analyzed the annual crop-specific N and P budgets and their stoichiometric relations for producing ten major crops at the provincial level of China during 2004-2018. Results show that, China has generally witnessed excessive N and P input over the past 15 years, with the N balance remaining stable while the P balance increasing by more than 170%, thus resulting in a decline in the N:P mass ratios from 10.9 in 2004 to 3.8 in 2018. Crop-aggregated nutrient use efficiency (NUE) of N has increased by 10% in these years while most crops have shown a decreasing trend of this indicator for P, which reduced NUE of P from 75% to 61% during this period. At the provincial level, the nutrient fluxes of Beijing and Shanghai have obviously declined, while the nutrient fluxes of provinces such as Xinjiang and Inner Mongolia have increased significantly. Although N management has made progress, P management should be further explored in the future due to eutrophication concerns. More importantly, N and P management strategies for sustainable agriculture in China should take account of not only the absolute nutrient use, but also their stoichiometric balance for different crops in different locations.

[Current status and future prospects of robotic surgical system in radical gastrectomy for gastric cancer]

Robotic gastrectomy (RG) has always been a hot topic in the field of minimally invasive surgery for gastric cancer. More and more studies have confirmed that short- and long-term outcomes of RG are similar to those of laparoscopic gastrectomy. Robotic surgical systems have more advantages in specific regional lymph node dissection. More delicate operation can reduce intraoperative blood loss and the incidence of postoperative complications. Robotic surgical systems are also more ergonomically designed. However, there are also some problems such as high surgical cost, lack of tactile feedback and prolonged total operation time. In the future, robotic surgical system may be further developed in the direction of miniaturization, intelligence and modularity. At the same time, the robotic surgical system deeply integrated with artificial intelligence technology may realize the automation of some operation steps to some extent.

The underestimated importance of fertilizer in aquacultural phosphorus budget: Case of Chinese mitten crab

China's reliance on aquaculture has intensified to satisfy the growing human demand for high-quality animal protein, making it the only country whose aquaculture production has greatly exceeded that of capture fishery for a long time. Previous studies have shown that phosphorus (P) is a limiting nutrient for freshwater eutrophication; therefore, the quantification of P flows in freshwater aquaculture is of great importance for improving aquaculture efficiency and reducing environmental pollution. In this study, life cycle assessment (LCA) and substance flow analysis (SFA) are combined to develop a life cycle P flow model for Chinese mitten crab (Eriocheir sinensis) culture and calculate the P inputs, outputs and net change in stock. The results show a relatively low P use efficiency (4 %) in Chinese mitten crab. Among all life-cycle stages, the maximum P input occurs during adult crab cultivation, when feed is continuously added to maintain appropriate nutrition levels and increase body weight. In addition, fertilizer is often neglected in the existing accounts but accounts for 24 % of the total P inputs. On the output side, approximately 86 % of the P accumulates in sediment, indicating the potential of sediment recycling as a nutrient source in agriculture. This study provides an updated quantitative method for describing nutrient flows within freshwater aquaculture systems and will contribute to decision-making in pollution control of intensive freshwater aquaculture activities.

Long-term changes in cerebral and ocular hemodynamics after carotid endarterectomy in symptomatic patients with unilateral carotid artery stenosis

OBJECTIVE

The aim of the current study was to describe the alternation pattern of cerebral and ocular blood flow velocities (BFVs) in symptomatic patients with unilateral carotid stenosis after carotid endarterectomy.

PATIENTS AND METHODS

20 symptomatic patients underwent carotid endarterectomy for ≥ 50% unilateral carotid stenosis. Cerebral and ocular hemodynamics were evaluated by Transcranial Doppler (TCD) and Color Doppler imaging (CDI), respectively, first preoperatively, then during the following several days after carotid endarterectomy before discharge, and finally two to sixteen months later.

RESULTS

Statistically significant improvements in the BFVs were recorded in the ipsilateral anterior cerebral artery (ACA), middle cerebral artery (MCV) and short posterior ciliary artery (SPCA) during the following several days after carotid endarterectomy. Preoperative retrograde flows of the ipsilateral ophthalmic artery (OA) in two patients returned to anterograde direction immediately following carotid endarterectomy. At the follow-up of two to sixteen months, the BFVs of the ipsilateral ACA, MCA and SPCA tended to decline and were no longer statistically significant from the preoperative values.

CONCLUSIONS

Carotid endarterectomy significantly increased the flow velocities of ipsilateral cerebral anterior circulation and OA branching artery in patients with unilateral carotid stenosis early after surgery. At the long-term follow-up, the flow velocities in the ipsilateral hemisphere had the tendency to reduce and approach the preoperative level.

Coherent Picture on the Pure Spin Transport between Ag/Bi and Ferromagnets

In a joint effort of both experiments and first-principles calculations, we resolve a hotly debated controversy and provide a coherent picture on the pure spin transport between Ag/Bi and ferromagnets. We demonstrate a strong inverse Rashba-Edelstein effect (IREE) at the interface in between Ag/Bi with a ferromagnetic metal (FM) but not with a ferromagnetic insulator. This is in sharp contrast to the previously claimed IREE at Ag/Bi interface or inverse spin Hall effect dominated spin transport. A more than one order of magnitude modulation of IREE signal is realized for different Ag/Bi-FM interfaces, casting strong tunability and a new direction for searching efficient spintronics materials.

CARBONATED BEVERAGES AFFECT LEVELS OF ANDROGEN RECEPTOR AND TESTOSTERONE SECRETION IN MICE

Objectives

This work aimed to study the influences of carbonated beverages (CBs) on the testis growth and the expression levels of androgen receptor (AR) of mice.

Methods

Two experimental groups of 30 mice each PEP-1 and PEP-2 drank 50% and 100% Pepsi-Cola, respectively for 15 days. Other 2 experimental groups of 30 mice each COC-1 and COC-2 drank 50% and 100% Coca-Cola, respectively for 15 days. The control group (CG) of 30 mice drank water. Bilateral testes were harvested aseptically on days 0, 5, 7, 10, 13 and 15. Real-time PCR and Western blot were implemented to detect levels of androgen receptor (AR) mRNA and protein in testis tissues.

Results

Testes masses of PEP-2, COC-1 and COC-2 were greater than those of PEP-1 and CG (P < 0.05). On day 15, testis longitudinal diameter (TLD) of CBs-treated mice was increased as compared to CG. TLD, testes transverse diameters (TTD) and AR proteins levels of PEP-2 and COC-2 were increased in comparison with CG (P<0.05). Serum testosterone concentrations of PEP-2 were higher than that of COC-1 and CG (P < 0.05). Levels of AR mRNAs of four CBs-treated mice were increased by 60.18%, 67.26%, 65.93% and 78.76%.

Conclusions

A high concentration of Coca-Cola and Pepsi-Cola could raise TLD and TDD, enhance testosterone secretion, and increase serum EGF concentrations.

Fourfold Anisotropic Magnetoresistance of L1_{0} FePt Due to Relaxation Time Anisotropy

Experimental measurements show that the angular dependence of the anisotropic magnetoresistance (AMR) in L1_{0} ordered FePt epitaxial films on the current orientation and magnetization direction is a superposition of the corresponding dependences of twofold and fourfold symmetries. The twofold AMR exhibits a strong dependence on the current orientation, whereas the fourfold term only depends on the magnetization direction in the crystal and is independent of the current orientation. First-principles calculations reveal that the fourfold AMR arises from the relaxation time anisotropy due to the variation of the density of states near the Fermi energy under rotation of the magnetization. This relaxation time anisotropy is a universal property in ferromagnetic metals and determines other anisotropic physical properties that are observable in experiment.

Improving food waste composting efficiency with mature compost addition

This study investigated the impact of mature compost addition on food waste composting physicochemical properties, bacterial community succession and corresponding metabolic function. Analytical results from two pilot-scale composting treatments with (C20) or without (C0) mature compost demonstrated that mature compost amendment increased the reduction rate of volatile solids by 71.4% and shortened the composting period by 7 days. Microbial dynamics analysis revealed that mature compost addition increased the bacteria abundance related to maturity during the initial stage, and these bacteria (mainly SBR1031 and Actinomarinales) were easier to grow again during cooling stage, thus promoted the maturity of compost. Mature compost addition increased the abundance of Ureibacillus, Lysinibacillus, Limochordaceae and Tepidimicrobium by providing an appropriate temperature environment, which enhanced the amino acid and carbohydrate metabolism function and promoted the degradation of organic matter. Together, these findings revealed the underlying mechanisms of bacterial community succession with mature compost addition.

Environmental impacts of hydrometallurgical recycling and reusing for manufacturing of lithium-ion traction batteries in China

Recycling lithium-ion batteries from electric vehicles is considered an important way to tackle the future supply risks of virgin materials, but the actual environmental impact of traction battery recycling is controversial. This study conducted a process-based life cycle assessment to quantify the environmental impacts of hydrometallurgical recycling of two common lithium-ion traction batteries (lithium nickel manganese cobalt oxide and lithium iron phosphate battery) and reusing materials in their manufacturing in China. The results show that recycling can cause net environmental benefits of the two traction battery types for the considered impact categories, but the net benefits for direct recycling technology are higher because of fewer requirements of chemicals and energy. Reusing recovered materials in battery manufacturing would reduce the impacts in comparison to no recycling, but the reduction potential of greenhouse gas emission and energy demand is not significant. Sensitivity analysis shows that recycling benefits are highly dependent on recovering efficiency and electricity used for manufacturing and recycling. Comprehensive management strategies are necessary to improve the end-of-life traction battery management, such as using carbon-free energy sources, designing batteries with less metal, and developing recycling technology using fewer chemicals. This study contributes by offering transparent life cycle inventory for hydrometallurgical recycling lithium-ion traction batteries and providing scientific knowledge to improve their sustainable management.

Advancing greenhouse gas emission factors for municipal wastewater treatment plants in China

Estimations of greenhouse gas (GHG) emissions from municipal wastewater treatment plants (MWTPs) remain significant uncertainties in China owing to a lack of reliable emission factors (EFs). This study developed a framework to obtain multi-level (technology, province, and nation) GHG EFs of MWTPs using a database containing 3107 MWTPs in China and published site-specific monitoring data. Results show that GHG EFs of different technologies range widely from 180.0 to 615.7 g CO₂-eq/t wastewater, and significant differences are also observed among different provinces in China (190.5-600.3 g CO₂-eq/t wastewater), which are generally lower than the previous estimates. It confirms the importance of more detailed technology classification and considering the technological disparity of different provinces in refining GHG estimations of MWTPs. To test the feasibility of the developed EFs, we compared GHG emissions from MWTPs based on multi-level EFs at different spatial and temporal scales. Similar estimation results imply that selecting corresponding EF depending on the availability of activity data would simplify GHG estimations of MWTPs without sacrificing much accuracy. This study contributes a set of well-developed EFs to improve the estimates of GHG emissions from MWTPs, and also offers a method to develop GHG EFs for other sectors.

Bioprocess potential of Eco-friendly fungal isolates converting organic waste to bioresource

This study aims to present indigenous fungal diversity in the soil sample collected from solid waste disposal site. The synthesis of cellulase enzymes via in laboratory scale study has been performed using indigenous fungus isolates. Additionally; its impact has been evaluated on the basis of the bioconversion of organic waste treated employing screened potential cellulase producer fungi which is further used for primary and secondary screening of cellulolytic. The findings advised that, a total of 27 fungal isolates belonging to twenty-four genera were reported as most potential fungal strains. The findings indicates a highest exo-β-glucanase (C1) enzymatic action was observed by fungal strains T. harzianum, T. viride , A. niger. These isolates are promising and could be suitable candidate for biodegradation of organic waste due to its's well established extraordinary ability. Therefore, these fungal isolates are suggested for more in depth research in order to use for recycling of organic waste.

Upper Limb Lymphedema Impacts the Risk of Peripherally Inserted Central Catheter-Related Thrombosis in Patients with Breast Cancer

There is little information on the risk for catheter-related thrombosis in patients with upper limb lymphedema following breast cancer treatment. We investigated the association between upper limb lymphedema and the risk of peripherally inserted central catheterrelated thrombosis (PICC-RT) occurring in the contralateral limb of patients with breast cancer. A retrospective review analyzed all patients with breast cancer who underwent PICC insertion at a cancer hospital in Hunan Province from 2015 to 2019. Upper limb lymphedema was indexed from hospital information system (HIS) before the occurrence of PICC-RT developed in the contralateral limb. Cox regression analysis was used to evaluate the association of factors with outcome. A total of 1,262 patient records were found and 50 cases of PICC-RT were identified. Forty of these occurred in patients without lymphedema (n=1,236) and 10 in patients with upper limb lymphedema (n=26). After adjustment for various co-variables, Cox regression analysis showed that upper limb lymphedema was significantly associated with increased risk of PICC-RT (hazard ratio=12.128, 95% confidence interval=5.551-26.501; P<0.001). In breast cancer patients, upper limb lymphedema may be an important predictor for PICC-RT in the contralateral limb and information should be provided to patients.

Aeration rate improves the compost quality of food waste and promotes the decomposition of toxic materials in leachate by changing the bacterial community

The effect of aeration rates on maturity, leachate and bacterial community succession during a pilot-scale food waste composting were evaluated. Out of the four aeration rates (0.44, 3.25, 6.50 and 11.65 L kg^-1 DM initial min^-1 for T1, T2, T3 and T4, respectively) that were conducted, results found T2 to be the recommended ventilation rate considering the quality of compost and the leachate utilization. Higher ventilation increased germination index of diluted leachate. The abundance of Proteobacteria in mesophilic stage (35.5%) and Actinobacteria in cooling stage (30.6%) in T4 were higher than in other groups (7.9%-17.5%), suggesting the formation of a select community categorized by the capacity of degrading the organic matter and promoting maturity. The key bacteria of aeration-shaped bacterial communities such as Sporosarcina, Pseudomonas and Thermobifida were identified and they could be manipulated by increasing NH₄⁺, NO₃^- contents and pH in the initial stage of composting.

Assessment of end-of-life electric vehicle batteries in China: Future scenarios and economic benefits

A better understanding of the waste of end-of-life batteries from electric vehicles (EVs) is a basis for their sustainable management. This study aims to estimate the waste of end-of-life EV batteries during 2006-2040 in China and to analyze the opportunities and challenges of subsequent utilization, based on a developed numerical model, real market data, and elaborately developed scenarios. The result shows that end-of-life batteries would increase from 0.1 to 7.8 thousand tons during 2012-2018, and then to 1500-3300 thousand tons in 2040. Of the waste streams, around 50% are estimated to be metal materials, representing great opportunities for battery recycling for material recovery. Economically, battery recycling for energy storage is estimated to create more economic benefits compared with that for material recovery solely (147.8 versus 76.9 billion US dollars). However, the supply of end-of-life batteries can hardly meet the demand for renewable energy storage in the near future, and a spatial mismatch of the supply and demand of energy storage capacity exists between the eastern and western regions in China. Accordingly, this study highlights national coordination for the rational layout of the collection, disassembly, and remanufacture facilities for the second use of end-of-life EV batteries in China.

The accuracy of magnetic resonance imaging to measure the depth of invasion in oral tongue cancer: a systematic review and meta-analysis

The accuracy of magnetic resonance imaging (MRI)-derived depth of invasion (DOI) compared to histopathological DOI is still controversial. A meta-analysis was performed to address this controversy and further investigate the best imaging sequence to measure DOI of tongue squamous cell carcinomas (SCC). A comprehensive literature search of five electronic databases was conducted. Stata/SE was used to establish a continuous variable model to assess the consistency between MRI-derived DOI and histopathological DOI. IBM SPSS Statistics 22.0 was used to evaluate the correlation between MRI-derived DOI and histopathological DOI. The meta-analysis showed that the weighted mean difference (WMD) of DOI measured by MRI had an acceptable overestimation compared with that measured by histopathology (WMD 1.64 mm; P < 0.001). In the subgroup analyses, there was no difference between T1-weighted imaging (T1WI) and histopathological values (WMD 0.77 mm; P = 0.273), while T2-weighted imaging (T2WI) had a major overestimation (WMD 2.09 mm; P < 0.001). The overall inter-class correlation coefficient (ICC) between MRI-derived DOI and histopathological DOI was 0.869 (95% CI 0.837-0.895), and was 0.923 (95% CI 0.894-0.944) in the T1WI subgroup and 0.790 (95% CI 0.718-0.845) in the T2WI subgroup. MRI is an accurate modality for evaluating the DOI in oral tongue SCC, and T1WI showed relatively higher validity than T2WI for DOI measurements.

LINC00665 facilitates the progression of osteosarcoma via sponging miR-3619-5p

OBJECTIVE

Long non-coding RNAs (lncRNAs) play vital roles in the pathogenesis and development of multiple cancers, including osteosarcoma (OS). The present study aims to investigate the role of LINC00665 in OS progression.

PATIENTS AND METHODS

The expression levels of LINC00665 and miR-3619 were assessed by RT-qPCR. The correlation between LINC00665 and miR-3619 expression was evaluated by Pearson's correlation analysis. The interaction between LINC00665 and miR-3619 was predicted by starBase, which was further confirmed by Luciferase reporter assay and RIP assay. The viability, invasion, and migration of OS cells were analyzed by CCK-8 and transwell assays.

RESULTS

LINC00665 expression was upregulated in OS tissues and cell lines, and the high level of LINC00665 was associated with poor prognosis in OS. Moreover, LINC00665 knockdown attenuated the viability, invasion, and migration of OS cells. In addition, miR-3619 was demonstrated to be a target of LINC00665. Overexpression of miR-3619 inhibited OS progression, while this effect was abolished by the upregulation of LINC00665.

CONCLUSIONS

We demonstrated that LINC 00665 accelerated OS development by targeting miR-3619. These findings might provide potential treatment strategies for patients with OS.

Identifying hotspots based on high-resolution emission inventory of volatile organic compounds: A case study in China

The emission of volatile organic compounds (VOCs) makes a substantial contribution in the formation of secondary organic aerosols (SOAs) and ground-level ozone, which could deteriorate air quality and cause damage to human health. To help inform local VOCs management decisions, we compiled a speciated and high spatial resolution anthropogenic VOCs emission inventory for Huai'an City in 2017, using investigated human activity data and the latest emission factors. Furthermore, the ozone formation potential (OFP) was estimated to understand the contributions of different VOC species to ozone formation. The results show that Huai'an City emitted about 36 kt of VOCs in 2017, mainly from industrial processes, e.g. petroleum refining and iron & steel industry, and solvent use, e.g. pesticide use and asphalt paving, accounting for 41% and 32% of the total emissions, respectively. The high emissions were spatially located in the areas where there is an intensive cluster of industrial enterprises, with the top 20 VOCs emitting enterprises contributing to 43% of the city's total. These anthropogenic VOCs emissions, especially m/p-xylene, ethylene, propene, toluene, have the potential to form about 102 kt ozone in the lower atmosphere. Different from the hotspots identified based on physical weights, solvent use became the largest constituent and m/p-xylene was the leading VOC species. By investigating the spatial distribution of anthropogenic VOCs emissions and the OFP, this work highlights the necessity to consider VOC species and different effects they might have on ozone formation in future hotpot identification, which could lay a more scientific basis for local VOCs emission mitigation strategies.

Environmental burdens of small-scale intensive pig production in China

Small-scale intensive pig production systems account for over a half of the total number of pig farms in China, of which concerns have been raised relating to their environmental performances. This study explores the cradle-to-slaughterhouse gate environmental impacts using life cycle assessment (LCA) approach, with the purpose of identifying major hotspots to formulate mitigation strategies. The functional unit is defined as 1000 kg of pig carcass weight. Consistent with previous research, feed production makes up the largest contribution (56-95%) to all the six selected impact categories based on the ReCiPe 2016 framework. Of the feed ingredients, maize is identified as the principal hotspot mainly due to the large consumption as well as the heat usage in grain steaming to enhance availability of starch digestion. The results also indicate that changes of feed consumption and composition along the lifetime growth reveal a much higher contribution from the grower-finisher stage. Marked differences are observed in terms of greenhouse gas emissions from pig production between developing (including China) and developed countries. With lots of studies showing feasibilities, improvements suggested for small-scale intensive pig production systems include the optimization of feed formulas, the introduction of new feed technologies, and the upgrade of manure management system. Our results provide valuable and practical insight for the Chinese pig supply chain to mitigate environmental burdens and achieve future environmental sustainability.

[Analysis on prediction power of HIV infection risk assessment tool in men who have sex with men in Guizhou province]

Objective: To evaluate the prediction power of HIV infection risk assessment tool and the applicability in MSM in Guizhou province. Methods: MSM were recruited through snowball sampling method. Questionnaire surveys were conducted among the MSM using HIV infection risk assessment tool, and combined with HIV serologic test results, the risk prediction power of HIV infection risk assessment tool was evaluated. Results: A total of 3 379 MSM were recruited from January 2018 to December 2019 in Guizhou. The HIV infection rate was 3.3%(111/3 379). The mean risk scores of HIV positive and HIV negative MSM were (12.15±3.08) and (12.07±3.07), respectively. The difference in risk score was significant between MSM with different HIV status (t=8.69, P<0.001). According to the principle of decision tree, individual risk scores were divided into following three categories: ≤11.96, 11.97-14.80 and >14.80, the HIV infection rate was 0.8%, 4.3% and 8.6% respectively, suggesting that the higher the individual risk score was, the higher the HIV infection rate was (trend χ²=88.18, P<0.001). Multivariate logistic regression analysis showed that the higher the individual risk score was, the higher the risk of HIV infection was. Compared to the total score ≤11.96, the aOR values at total scores of 11.97-14.80 and >14.80 were 6.34 (95%CI: 3.38-11.88) and 14.07(95%CI: 7.44-26.61), respectively. The risk of HIV infection in Miao ethnic group was higher than that in Han ethnic group (aOR=1.83, 95%CI:1.04-3.21), and the risk of HIV infection in those with education level of primary school and below was higher than that in undergraduates or those with education level of junior college and above (aOR=2.50, 95%CI:1.06-5.88), and the risk of HIV infection was higher in those who had bisexual behaviors than in those who had homosexual behaviors (aOR=1.95, 95%CI:1.19-3.19). The risk of HIV infection was higher in those who had never received HIV testing (aOR=1.53, 95%CI:1.01-2.33). The area under the receiver operating characteristic (ROC) curve and area under ROC (AUC) for HIV infection prediction was 0.751 (95%CI:0.710-0.792, P<0.001). The maximum Youden's index was individual risk score of 12.56, and the sensitivity of the risk assessment tool was 0.838, and its specificity was 0.412. Conclusions: The results of HIV infection risk assessment tool in Guizhou indicated that in MSM the higher the individual risk score, the higher the risk of HIV infection is. The tool can be used to evaluate the risk of HIV infection in MSM, but the specificity should be improved.

The safety and efficacy of Cyberknife® for thymic malignancy

PURPOSE

To evaluate the safety and efficacy of Cyberknife® (CK) for the treatment of primary or recurring thymic tumours.

MATERIALS AND METHODS

We retrospectively reviewed 12 patients (16 tumour lesions) with primary or recurring thymic tumours who were treated with CK between March 2008 and October 2017. Their data was stored in prospectively collected database. Kaplan-Meier method was used to calculate survival curves.

RESULTS

Five patients (41.7%), who had inoperable disease or refused surgery, were treated with CK initially, and 7 patients (58.3%) were treated with CK when they had recurrence diseases. The disease sites treated with CK were primary tumour site (5), regional lymph nodes (4), tumour bed (3), chest wall (2), pleura (1), and bone (1). The median target volume was 43.8 cm³ (range, 13.1-302.5cm³) for the 16 tumour lesions. The median follow-up time was 69.3 months (range, 9.7-124.8 months). The median survival time was 48.2 months, and the 5-year and 10-year OS rates were 68.2% and 45.5%, respectively. A high response rate for the tumour lesions irradiated with CK was obtained. Only one patient (8%) experienced in-field recurrence, and the 5-year local recurrence free survival was 90.9%. A case indicated that CK may induce the abscopal effect, which provides the potential to combine CK and immunotherapy. No severe radiation related toxicities were observed, and no treatment related death occurred.

CONCLUSION

CK treatment resulted in good outcomes, particularly local control, with minimal side effects, in highly selected patients with primary and recurring thymic tumours. More studies with larger sample are needed.

Efficacy of utidelone plus capecitabine versus capecitabine for heavily pretreated, anthracycline- and taxane-refractory metastatic breast cancer: final analysis of overall survival in a phase III randomised controlled trial

BACKGROUND

Primary analysis of the phase III trial BG01-1323L demonstrated that utidelone plus capecitabine significantly improved progression-free survival (PFS) and overall response rate (ORR) versus capecitabine alone in heavily-pretreated patients with metastatic breast cancer (MBC). Here, we report the final overall survival (OS) analysis and updates of other endpoints.

PATIENTS AND METHODS

In total, 405 patients were randomised 2:1 to receive utidelone (30 mg/m² IV daily, days 1-5, over 90 min) plus capecitabine (1000 mg/m² orally b.i.d., days 1-14) or capecitabine alone (1250 mg/m² orally b.i.d., days 1-14) every 21 days. The secondary endpoint, OS, was estimated using the Kaplan-Meier product-limit approach at a two-sided alpha level of 0.05 after the prespecified 310 death events had been reached. Exploratory analyses of the primary endpoint, PFS, and the secondary endpoint, ORR, were also done. Safety was analysed in patients who had at least one dose of study drug.

RESULTS

At the final OS analysis, the median duration of follow-up was 19.6 months in the utidelone plus capecitabine group and 15.4 months in the capecitabine alone group. In the intention-to-treat population, 313 deaths had occurred at data cut-off, 203 of 270 patients in the combination group and 110 of 135 in the monotherapy group. Median OS in the combination group was 19.8 months compared with 16.0 months in the monotherapy group [hazard ratio (HR) = 0.75, 95% confidence intervals (CI) 0.59-0.94, P = 0.0142]. The updated analysis of PFS and ORR showed that the combination therapy remained superior to monotherapy. Safety results were similar to those previously reported with respect to incidence, severity and specificity. No late-emerging toxicities or new safety concerns occurred.

CONCLUSIONS

For heavily-pretreated, anthracycline- and taxane-resistant MBC patients, utidelone plus capecitabine significantly improved OS versus capecitabine alone. These results support the use of utidelone plus capecitabine as a novel therapeutic regimen for patients with MBC.

MiR-99a suppressed cell proliferation and invasion by directly targeting HOXA1 through regulation of the AKT/mTOR signaling pathway and EMT in ovarian cancer

OBJECTIVE

Ovarian cancer (OC) is the third frequently tumor worldwide. MicroRNA-99a (miR-99a), acting as a tumor suppressor, has been reported to be downregulated in multiple tumors. We aimed at exploring the significant roles of miR-99a in ovarian cancer.

PATIENTS AND METHODS

Quantitative Real-time polymerase chain reaction (qRT-PCR) and Western blotting were applied to calculate the mRNA and protein levels of miR-99a and its target genes. Kaplan-Meier method was conducted to evaluate the overall survival of ovarian cancer patients. CCK8 and transwell assays were performed to measure the proliferative and invasive abilities.

RESULTS

miR-99a, acting as a prognosis predictor, was downregulated in ovarian cancer tissues and cell lines. miR-99a mediated the expression of homeobox A1 (HOXA1) through directly targeting to the 3'-untranslated region (3'-UTR) of its mRNA in ovarian cancer cell lines. miR-99a inhibited the proliferation of ovarian cancer by AKT/mTOR pathway in vitro and in vivo, and it suppressed the invasion-mediated epithelial-mesenchymal transition (EMT) through direct targeting to the 3'-UTR of HOXA1 mRNA.

CONCLUSIONS

miR-99a suppressed the proliferation through AKT/mTOR signaling pathway and the invasion-mediated EMT in ovarian cancer. The newly identified miR-99a/HOXA1/AKT/mTOR axis provides novel insight into the pathogenesis of ovarian cancer.

Intrinsic Mechanism for Anisotropic Magnetoresistance and Experimental Confirmation in Co_{x}Fe_{1-x} Single-Crystal Films

Using first-principles transport calculations, we predict that the anisotropic magnetoresistance (AMR) of single-crystal Co_{x}Fe_{1-x} alloys is strongly dependent on the current orientation and alloy concentration. An intrinsic mechanism for AMR is found to arise from the band crossing due to magnetization-dependent symmetry protection. These special k points can be shifted towards or away from the Fermi energy by varying the alloy composition and hence the exchange splitting, thus allowing AMR tunability. The prediction is confirmed by delicate transport measurements, which further reveal a reciprocal relationship of the longitudinal and transverse resistivities along different crystal axes.

[Survival time and related factors on HIV/AIDS patients in Guizhou province from 1995 to 2018]

Objective: To examine the survival time and related factors on HIV/AIDS patients in Guizhou province from 1995 to 2018. Methods: A retrospective cohort study was conducted to analyze the HIV/AIDS case from 1995 to 2018 in Guizhou province with data gathered from the "Chinese National Comprehensive HIV/AIDS Prevention and care Information system". Survival rate was calculated by life table and survival time was estimated by Kaplan-Meier. Related factors on survival time were analyzed by Cox regression model. Results: A total of 53 232 HIV/AIDS cases were included in the study, with the mortality rate as 8.53/100 person-years (14 210/166 679.18), median survival time as 10.20 (95%CI: 9.91-10.48) years, and survival rates of 1, 5, 10 and 20 years as 0.85, 0.68, 0.51, 0.36, 0.19 respectively. Results from the multivariate Cox regression analysis showed that factors as: being male (compared with females, aHR=0.757, 95%CI: 0.727-0.788), with antiviral treatment (ART) (compared with those without ART, aHR=0.173, 95%CI: 0.165-0.181), CD(4)<200 cells/μl[compared with CD(4)(+)T cells (CD(4)) ≥200 cells/μl, aHR=0.410, 95%CI: 0.387-0.435], age ≥45 (compared with age<45, aHR=1.506, 95%CI: 1.193-1.901), illiterate (compared with having high school education or above, aHR=0.904, 95%CI: 0.832-0.982), unmarried (compared with divorced or widowed, aHR=0.896, 95%CI: 0.848-0.946), through heterosexual transmission (compared with homosexual transmission, aHR=0.555, 95%CI: 0.487-0.632), ethnic minorities (compared with Hans, aHR=1.185, 95%CI: 1.114-1.262), and farmers/migrant workers (compared with domestic/unemployed,aHR=0.874, 95%CI: 0.834-0.916,) etc., were related to the survival time of HIV/AIDS, in Guizhou province. Conclusions: The mortality rate of HIV/AIDS in Guizhou province appeared relatively high, but with no obvious downward trend seen in the last years. Factors as being male, age ≥45, low education level, ethnic minorities, CD(4)<200 cells/μl were identified as related to the HIV/AIDS survival time. We would suggest that treatment and follow-up management programs should be strengthened to improve the quality of life among these patients.

Association study of SNCA gene polymorphisms with schizophrenia in a Chinese North Han population

OBJECTIVE

Previous studies suggested that the alpha-synapse protein (SNCA) gene and its coding product α-synuclein (α-Syn) may play a role in the pathogenesis of neurodegenerative diseases. The mutation of SNCA can influence the formation of nerve fibers and the function of dopaminergic neurons, and that may be related to addictive behavior, such as alcohol dependence. SNCA may overlap with the pathogenesis of schizophrenia and Parkinson's disease or alcohol dependence associated with the dopamine pathway. The aim was to determine the association between three SNCA SNPs (rs3822086C/T, rs11931074G/T, and rs356219A/G) and schizophrenia in a Chinese North Han population.

PATIENTS AND METHODS

A total of 878 subjects, with or without schizophrenia, were included in our study. DNA purification, Polymerase Chain Reaction (PCR) amplification, and subsequent restriction fragment length polymorphism (RFLP) analysis were manipulated to determine genotypes.

RESULTS

Between the schizophrenia group and healthy group, neither the genotype nor allele frequencies of rs3822086C/T, rs11931074G/T, or rs356219A/G differed significantly in either the total sample or the subgroups. In the haplotype analysis, the ATT and GTT haplotype frequencies differed significantly between the patients and controls in the total sample (χ2=6.052, p=0.0139; χ2=4.508, p=0.0337). In the female subgroup, the ATT haplotype frequency differed significantly between the patients and controls (χ2=4.219, p=0.04).

CONCLUSIONS

There was no association between SNCA polymorphisms and schizophrenia in the North Han Chinese population, and the ATT haplotype may be a susceptibility factor for schizophrenia.

Environmental impacts of lithium production showing the importance of primary data of upstream process in life-cycle assessment

Life-cycle assessment (LCA) emphasizes obtaining primary data from an on-site process to reduce uncertainties. However, data of the upstream process from secondary sources also yield significant uncertainties, which have not been drawn enough attention. This study aims to explore the importance of primary data of the upstream process in LCAs. Here, we choose lithium, a key component of lithium-ion (Li-ion) battery, as a case to present a cradle-to-gate LCA for its production by rock-based technology (LRT). Then, we compare the environmental impacts of lithium by LRT with that by brine-based technology (LBT) and the Li-ion battery using lithium by the two methods. The result shows that the impacts of rock-based lithium production are dominated by the leaching process, which has the highest levels of impacts for 8 of 10 environmental categories. Besides, all 10 impact categories of lithium produced by LRT are much larger than that by LBT, with differences up to 60.4 -fold. We also find that the Li-ion battery pack by rock-based lithium offers a 17-32% increase in acidification and global warming potential relative to that by brine-based lithium. Our results contribute by providing the first mass-produced life-cycle inventory of rock-based lithium and showing the importance of primary data of the upstream process in LCAs.

Historic Trends and Future Prospects of Waste Generation and Recycling in China's Phosphorus Cycle

Intensified human activities have generated a large amount of phosphorus-containing waste (P waste). Unrecycled P waste is lost to the environment and causes eutrophication, while the increasing phosphate consumption risks the depletion of phosphorus resources. The management of P waste is critical to solving these problems. In this study, we quantified the historic trends of P waste generation and recycling in China. From 1900 to 2015, the annual generation of P waste increased from 1 Mt P to 12 Mt P. Crop farming was the largest P waste source in most years, while P waste from phosphate mining and phosphorus chemical production increased the fastest. The total recycled P waste increased 5-fold, but phosphorus loss increased 26-fold. In 2015, 28% of the P waste was lost on cultivated land, and 21% was lost on nonarable land. The largest phosphorus contributor to inland water changed from crop farming to aquaculture. The full recycling of P waste would have reduced phosphate consumption by more than one-third in 2015. The results of a scenario analysis showed that a healthier diet would greatly increase the generation and loss of P waste, but balanced fertilization could reduce the generation of P waste by 17% and promoting waste recycling could reduce the phosphorus loss by 35%.

Towed Overhauser marine magnetometer for weak magnetic anomaly detection in severe ocean conditions

A towed Overhauser marine geomagnetic magnetometer used for weak magnetic anomaly detection in severe ocean conditions is studied to investigate means to reduce the negative effect of dynamic behavior and magnetic noise associated with ocean waves. For the dynamic effect, a continuous polarization workflow is proposed to enhance the free-induction-decay signal, and then, a multi-angle pickup coil and a self-tracking programmable amplifier are used to further reduce the adverse effect caused by uncontrollable changes in the towfish attitude on the signal quality. Furthermore, to achieve adaptive suppression of magnetic noise in different ocean conditions and areas, a modified adaptive Kalman algorithm is assessed. In addition, an optimized Overhauser sensor and a towfish were developed. Overall, the experimental results show that the sensor can effectively suppress the dynamic effect and magnetic noise. Regarding the magnetic sensitivity, uncertainty and range are 12 pT/Hz^1/2@1Hz and 0.21 nT and 20 000 nT-100 000 nT, respectively. Moreover, underwater testing was performed to verify the function and the detection of the magnetic anomaly.

LncRNA HOTAIR participates in the development and progression of adrenocortical carcinoma via regulating cell cycle

OBJECTIVE

To explore the role of HOTAIR in the pathogenesis of adrenocortical carcinoma (ACC) and its underlying mechanism.

PATIENTS AND METHODS

Differentially expressed lncRNA (HOTAIR) in ACC was screened out from the GEO database. The survival analysis and ROC curve were performed according to HOTAIR expressions in ACC patients. The correlation between HOTAIR expression and clinical information of ACC patients was analyzed by chi-square test. The univariate and multivariate COX regression analysis was carried out to analyze the relationship between HOTAIR expression, disease-free survival (DFS) and overall survival (OS) of ACC patients. We then detected HOTAIR expression in 77 ACC tissues and 30 normal tissues by qRT-PCR (quantitative Real-time polymerase chain reaction). ACC cell lines were further screened out for the following in vitro experiments. After altering HOTAIR expression in ACC cells by plasmid transfection, proliferation and cell cycle were detected by Cell Counting Kit-8 (CCK-8) and colony formation assay, respectively. Finally, Western blot was utilized to detect expressions of cell cycle-related genes in ACC cells.

RESULTS

HOTAIR was overexpressed in ACC tissues than that of normal tissues. HOTAIR expression was remarkably increased in ACC with T3 and T4 stage than that of T1 and T2 stage. Moreover, HOTAIR expression was remarkably increased in ACC with stage III and IV than that of stage I and II. HOTAIR was an independent prognostic factor for DFS and OS of ACC patients. For in vitro experiments, inhibited proliferation and arrested cell cycle were observed in H295R cells transfected with si-HOTAIR. Opposite results were obtained after SW-13 cells were transfected with HOTAIR overexpression plasmid. Furthermore, expressions of cell cycle-related genes, including Cyclin D1, p-Rb and p-GSK3β were remarkably decreased after HOTAIR knockdown.

CONCLUSIONS

We demonstrated for the first time that HOTAIR is overexpressed in ACC and is a prognostic risk factor in ACC patients. HOTAIR participates in the development and progression of ACC via shortening cell cycle and promoting proliferation of ACC cells.

The use of external fixation for the management of acute and chronic Monteggia fractures in children

PURPOSE

The main objective of this study was to retrospectively evaluate the clinical and radiological outcomes of acute (AMF) and chronic Monteggia fractures (CMF) in children treated by closed or open reduction and external fixation (EF).

METHODS

This is a retrospective review of 26 patients with Monteggia fracture. Patients with AMF (time between trauma and surgery less than two weeks) were treated by closed reduction and EF of the ulna (Group A; 15 patients) while those with CMF (time between trauma and surgery more than three weeks) were managed by closed or open reduction and EF of the ulna (Group B; 11 patients). Clinical outcome was evaluated with radiography and the short version of the Disabilities of the Arm, Shoulder and Hand outcome questionnaire (Quick DASH). Complications were recorded in both groups.

RESULTS

No secondary displacement, wire migration, consolidation delays, nonunion, malunion or re-fracture was noted. However, one patient in Group A (6.7%) developed heterotopic ossification of the ulna; the final functional outcome was good (Quick DASH score: 18.2). One case of postoperative redislocation of the radial head was detected in Group B (9.1%). Two patients (7.6%) developed transient pin tract infection. Despite the fact that 16 out of 26 patients (six in Group A and ten in Group B) complained of the clinical appearance and/or had intermittent residual pain on the injured side, the results were essentially the same between the two groups of patients (p > 0.05).

CONCLUSION

EF is an alternative for the management of acute and chronic paediatric Monteggia fractures. It provides satisfactory radiological and clinical outcomes with relatively low rates of complications.

LEVEL OF EVIDENCE

IV.

Phosphorus mitigation remains critical in water protection: A review and meta-analysis from one of China's most eutrophicated lakes

The processes of urbanization and industrialization within geological phosphorus-rich mountains (GPMn) have resulted in water degradation within southwest China. Lake Dianchi, one of the most eutrophicated lakes in China, has epitomized this issue. Clear understandings of phosphorus (P) mitigation efforts, the evolution of P budgets, and possible risks in the Dianchi system will benefit future eutrophication control, providing valuable lessons for other plateau freshwater lakes. In this study, we applied systematic review methodology to investigate the above questions, and then compared the results with other lakes worldwide. Generally, meta-analytical approaches have indicated P levels remain a key factor in causing algal blooms. Post-2015, the P budget of the Dianchi system, especially in Caohai section, was modified. However, it's still experiencing high pressures from P enrichment (Caohai: 0.4 mg·l^-1; Waihai: 0.2 mg·l^-1). The flux of P in Dianchi remains high, both through the external P load (556 ton·a^-1), and an internal cycle (304 ton·a^-1 associated with the absorption, deposition and removal of algae biomass; and 380 ton·a^-1 associated with sediment exchange). Meanwhile, significant P retention has been observed in the lake, in particular within the Waihai section (211 ton·a^-1). Currently, water diversion (from external watersheds), sewage diversion, and sediment-dredging projects have benefited Dianchi. However, continuous urbanization and GPMn ecological degradation could introduce hundreds of tons of additional P, leading to subsequent algal blooms. Furthermore, beyond Lake Dianchi, other lakes and reservoirs in southwest China are facing similar issues regarding P mitigation, especially in GPMn regions, though corresponding knowledge is still limited. Therefore, effective and flexible sub-regional protection strategies and research related to external and internal P mitigations have become key requirements for Lake Dianchi management. Meanwhile, ecologically sensitive approaches to GPMn regions, as well as city development within basin and market driven treatments, should be incorporated into regional water source protection for southwest China.

Identification of key pathways and genes changes in pancreatic cancer cells (BXPC-3) after cross-talk with primary pancreatic stellate cells using bioinformatics analysis

Pancreatic ductal adenocarcinoma (PDAC) is one of the most malignant tumors with poor prognosis, and the interaction between activated pancreatic stellate cells (PSCs) and PDAC cells plays an important role in the development of PDAC. The aim of this study was to identify gene changes in BXPC-3 after cross-talk with PSCs and reveal their potential mechanisms. The gene expression profiling analysis of BXPC-3 was completed after co-culture with primary PSCs for 48 h. The gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes pathway (KEGG) enrichment analyses were performed, and the differentially expressed genes (DEGs) were identified by Agilent GeneSpring GX software. In total, 3657 DEGs were identified in BXPC-3, including 1881 up-regulated genes and 1776 downregulated genes. GO analysis results showed that upregulated DEGs were significantly enriched in biological processes (BP), including peptide metabolic process, response to stress and electron transport chain; the downregulated DEGs were significantly enriched in biological processes, including signaling, multicellular organism development and anatomical structure development. KEGG pathway analysis revealed that 19 pathways were upregulated and 32 pathways were downregulated, and that upregulated DEGs were enriched in protein export and glutathione metabolism, while the downregulated DEGs were enriched in axon guidance and focal adhesion. The top 10 upregulated genes and the top 10 downregulated genes were identified. By constructing PPI network, we selected out 10 key genes (TP53, SRC, IL6, JUN, ISG15, CAD, STAT1, OAS3, OAS1, VIM) and significant pathways. The associated survival analysis was performed and the SRC, IL-6, ISG15, STAT1, OAS3, OAS1 and VIM were proved to be related to worse overall survival time of PDAC patients. In conclusion, the present study indicated that the identified DEGs promote our understanding of the molecular mechanisms underlying the interaction between pancreatic cancer cells and PSCs and might be used as molecular targets in the future to study the role of tumor microenvironment in the progression of PDAC.