ForMAX - a beamline for multiscale and multimodal structural characterization of hierarchical materials

The ForMAX beamline at the MAX IV Laboratory provides multiscale and multimodal structural characterization of hierarchical materials in the nanometre to millimetre range by combining small- and wide-angle X-ray scattering with full-field microtomography. The modular design of the beamline is optimized for easy switching between different experimental modalities. The beamline has a special focus on the development of novel fibrous materials from forest resources, but it is also well suited for studies within, for example, food science and biomedical research.

A global meta-analysis of yield-scaled N2 O emissions and its mitigation efforts for maize, wheat, and rice

Maintaining or even increasing crop yields while reducing nitrous oxide (N2 O) emissions is necessary to reconcile food security and climate change, while the metric of yield-scaled N2 O emission (i.e., N2 O emissions per unit of crop yield) is at present poorly understood. Here we conducted a global meta-analysis with more than 6000 observations to explore the variation patterns and controlling factors of yield-scaled N2 O emissions for maize, wheat and rice and associated potential mitigation options. Our results showed that the average yield-scaled N2 O emissions across all available data followed the order wheat (322 g N Mg-1 , with the 95% confidence interval [CI]: 301-346) > maize (211 g N Mg-1 , CI: 198-225) > rice (153 g N Mg-1 , CI: 144-163). Yield-scaled N2 O emissions for individual crops were generally higher in tropical or subtropical zones than in temperate zones, and also showed a trend towards lower intensities from low to high latitudes. This global variation was better explained by climatic and edaphic factors than by N fertilizer management, while their combined effect predicted more than 70% of the variance. Furthermore, our analysis showed a significant decrease in yield-scaled N2 O emissions with increasing N use efficiency or in N2 O emissions for production systems with cereal yields >10 Mg ha-1 (maize), 6.6 Mg ha-1 (wheat) or 6.8 Mg ha-1 (rice), respectively. This highlights that N use efficiency indicators can be used as valuable proxies for reconciling trade-offs between crop production and N2 O mitigation. For all three major staple crops, reducing N fertilization by up to 30%, optimizing the timing and placement of fertilizer application or using enhanced-efficiency N fertilizers significantly reduced yield-scaled N2 O emissions at similar or even higher cereal yields. Our data-driven assessment provides some key guidance for developing effective and targeted mitigation and adaptation strategies for the sustainable intensification of cereal production.

Hybrid Immuno-RT for Bulky Tumors: Standard Fractionation with Partial Tumor SBRT

PURPOSE/OBJECTIVE(S)

Bulky tumors remain challenging to be treated. Stereotactic body radiation therapy (SBRT) is effective against radioresistant tumor cells and can induce immunogenic cell death (ICD) that leads to T-cell-mediated antitumor effects. Low-dose radiation (LDRT) can inflame the tumor microenvironment (TME) by recruiting T cells. We designed a novel radiotherapy technique (RT, ERT) whose dose distribution map resembles the "eclipse" by concurrently delivering LDRT to the whole tumor, meanwhile SBRT to only a part of the same tumor. This study examined the safety and efficacy of ERT to bulky lesions with PD-1 inhibitors in mice and patients.

MATERIALS/METHODS

In mice with CT26 colon or LLC1 lung bulky tumors (400 - 500 cm3), the whole tumor was irradiated by LDRT (2 Gy x 3), meanwhile the tumor center was irradiated by SBRT (10 Gy x 3); αPD-1 was given weekly. The dependence of therapeutic effects on CD8+ T cells was determined using depleting antibodies. Frequencies of CD8+ T cells and M1 macrophages (Mφ) were determined by flow cytometry. Multiplex Immunohistochemistry (mIHC) was applied to analyze the number and the location of CD8+ T cells and their subpopulations, as well as the phospho-eIF2α level (the ICD marker) of tumor cells in TME. Patients with advanced lung or liver bulky tumors who failed standard treatment or with oncologic emergencies were treated. Kaplan-Meier method was applied to estimate patients' progression-free survival (PFS) and overall survival (OS).

RESULTS

ERT/αPD-1 is superior to SBRT/αPD-1 or LDRT/αPD-1 in controlling bulky tumors in both mouse models in a CD8+ T-cell dependent manner. In the CT26 model, ERT/αPD-1 resulted in complete tumor regression in 3/11 mice and induced more CD8+ T cells and M1 Mφ in TME compared to other groups. mIHC analysis showed that ERT/αPD-1 induced higher bulk, stem-like (TCF1+ TIM3- PD-1+), and more differentiated (TCF1- TIM3+ PD-1+) CD8+ T cells infiltration into the tumor center and periphery compared to other groups. Compared to untreated or LDRT-treated tumor centers, tumor centers irradiated with ERT or SBRT showed elevated phospho-eIF2α accompanied by higher dendritic cell infiltration. In total, 39 advanced cancer patients were treated with ERT/αPD-1 or plus chemotherapy. Radiation-induced pneumonitis occurred in 1 of 26 patients receiving thoracic ERT. There were two cases of grade III toxicity associated with PD-1 inhibitors. No toxicity above grade III was observed. The objective response rate was 38.5%. The median PFS was 5.6 months and median OS was not reached at a median follow-up of 11.7 months.

CONCLUSION

ERT/αPD-1 showed superior efficacy in controlling bulky tumor in two mouse models. The hybrid immuno-RT (ERT) combing PD-1 inhibitors was safe and effective in patients with bulky tumors. Further clinical trials in combination with bioimaging to identify the optimal SBRT target region for the bulky tumor are warranted.

Comparison of prevalence, resistance, biofilm-forming ability and virulence between carbapenem-non-susceptible and carbepenem-susceptible Enterobacter cloacae complex in clusters

OBJECTIVES

This study aimed to explore differences in prevalence, resistance, biofilm-forming ability and virulence between carbapenem-non-susceptible and carbapenem-susceptible Enterobacter cloacae complex (ECC) in different clusters.

METHODS

Ninety-one carbapenem-non-susceptible isolates and an equal number of carbapenem-susceptible isolates and their clinical information were collected from a university teaching hospital in China. The strains were divided into different clusters based on hsp60 analysis. The agar dilution method was used to determine the minimum inhibitory concentrations of common antibiotics. The crystal violet assay was used to measure biofilm-forming ability. The Galleria mellonella infection model and polymerase chain reaction of virulence genes were used to evaluate virulence.

RESULTS

The isolates were divided into 12 clusters based on hsp60 analysis. Cluster VIII accounted for a greater proportion of carbapenem-non-susceptible isolates than the other clusters. The same clusters exhibited different resistance rates in carbapenem-non-susceptible and carbapenem-susceptible isolates. Moreover, carbapenem-non-susceptible isolates carried fewer virulence genes than carbapenem-susceptible isolates, and carbapenem-non-susceptible isolates in cluster II in did not carry the detected virulence genes. Virulence of carbapenem-non-susceptible and carbapenem-susceptible isolates differed significantly in clusters I, III, VIII and IX, as evaluated using the G. mellonella infection model. Carbapenem-non-susceptible isolates in cluster VIII showed higher prevalence, resistance, biofilm-forming ability and pathogenicity compared with the other clusters.

CONCLUSIONS

The study findings indicate the need to identify subgroups of ECC, and provide better advice and guidance for the use of carbapenems.

Characteristics of annual NH3 emissions from a conventional vegetable field under various nitrogen management strategies

High N-fertilizer applications to conventional vegetable production systems are associated with substantial emissions of NH₃, a key substance that triggers haze pollution and ecosystem eutrophication and thus, causing considerable damage to human and ecosystem health. While N fertilization effects on NH₃ volatilization from cereal crops have been relatively well studied, little is known about the magnitude and yield-scaled emissions of NH₃ from vegetable systems. Here we report on a 2-year field study investigating the effect of various types and rates of fertilizer application on NH₃ emissions and crop yields for a pepper-lettuce-cabbage rotation system in southwest China. Our results show that both NH₃ emissions and direct emission factors of applied N varied largely across seasons over the 2-year period, highlighting the importance of measurements spanning entire cropping years. Across all treatments varying from solely applying urea fertilizers to only using organic manures, annual NH₃ emissions ranged from 0.64 to 92.4 kg N ha^-1 yr^-1 (or 0.07-6.84 g N kg^-1 dry matter), equivalent to 0.05-5.99% of the applied N. At annual scale, NH₃ emissions correlated positively with soil δ¹⁵N values, indicating that soil δ¹⁵N may be used as an indicator for NH₃ losses. NH₃ emissions from treatments fertilized partially or fully with manure were significantly lower compared with the urea fertilized treatment, while vegetable yields remained unaffected. Moreover, full substitution of urea by manure as compared to the partial substitution further reduced the yield-scaled annual NH₃ emissions by 79.0-92.4%. Across all vegetable seasons, there is a significant negative relationship between yield-scaled NH₃ emissions and crop N use efficiency. Overall, our results suggest that substituting urea by manure and reducing total N inputs by 30-50% allows to reduce NH₃ emissions without jeopardizing yields. Such a change in management provides a feasible option to achieve environmental sustainability and food security in conventional vegetable systems.

Urbanization can accelerate climate change by increasing soil N2 O emission while reducing CH4 uptake

Urban land-use change has the potential to affect local to global biogeochemical carbon (C) and nitrogen (N) cycles and associated greenhouse gas (GHG) fluxes. We conducted a meta-analysis to (1) assess the effects of urbanization-induced land-use conversion on soil nitrous oxide (N₂ O) and methane (CH₄ ) fluxes, (2) quantify direct N₂ O emission factors (EF_d ) of fertilized urban soils used, for example, as lawns or forests, and (3) identify the key drivers leading to flux changes associated with urbanization. On average, urbanization increases soil N₂ O emissions by 153%, to 3.0 kg N ha^-1  year^-1 , while rates of soil CH₄ uptake are reduced by 50%, to 2.0 kg C ha^-1  year^-1 . The global mean annual N₂ O EF_d of fertilized lawns and urban forests is 1.4%, suggesting that urban soils can be regional hotspots of N₂ O emissions. On a global basis, conversion of land to urban greenspaces has increased soil N₂ O emission by 0.46 Tg N₂ O-N year^-1 and decreased soil CH₄ uptake by 0.58 Tg CH₄ -C year^-1 . Urbanization driven changes in soil N₂ O emission and CH₄ uptake are associated with changes in soil properties (bulk density, pH, total N content, and C/N ratio), increased temperature, and management practices, especially fertilizer use. Overall, our meta-analysis shows that urbanization increases soil N₂ O emissions and reduces the role of soils as a sink for atmospheric CH₄ . These effects can be mitigated by avoiding soil compaction, reducing fertilization of lawns, and by restoring native ecosystems in urban landscapes.

Assessing the environmental sustainability of different soil disinfestation methods used in solar greenhouse vegetable production systems

Overuse of fertilizers and irrigation and continuous monocropping is increasingly jeopardizing vegetable production in solar greenhouses as it causes serious soil degradation and the spread of soil-borne diseases. As a countermeasure, the practice of anaerobic soil disinfestation (ASD) has been recently introduced, which is carried out during the summer fallow period. However, ASD may increase N leaching and greenhouse gas emissions when large amounts of chicken manure are applied. This study assesses how the use of different amounts of chicken manure (CM) combined with rice shells (RS) or maize straw (MS) affects soil O₂ availability, N leaching, and greenhouse gases (GHG) emissions during and following the ASD period. Application of RS or MS alone effectively stimulated long-lasting soil anaerobiosis without major stimulating effects on N₂O emission and N leaching. Seasonal N leaching and N₂O emissions were in the ranges of 144-306 and 3-44 kg N ha^-1, respectively, and were strongly increasing with increasing rates of manure application. Combining high rates of manure application with additional incorporation of crop residues further increased N₂O emissions by 56 %-90 % as compared to the standard practice of farmers (1200 kg N ha^-1 CM). About 56 %-91 % of seasonal N₂O emissions occurred during the ASD period, whereas N leaching mainly occurred in the cropping period (75 %-100 %). Our study shows, that for priming ASD incorporation of crop residue is sufficient and that the addition of chicken manure for ASD is not needed and should be reduced or even prohibited as it does not improve yields but stimulates the emission of the strong GHG N₂O.

Formation of robust bound states of interacting microwave photons

Systems of correlated particles appear in many fields of modern science and represent some of the most intractable computational problems in nature. The computational challenge in these systems arises when interactions become comparable to other energy scales, which makes the state of each particle depend on all other particles1. The lack of general solutions for the three-body problem and acceptable theory for strongly correlated electrons shows that our understanding of correlated systems fades when the particle number or the interaction strength increases. One of the hallmarks of interacting systems is the formation of multiparticle bound states2-9. Here we develop a high-fidelity parameterizable fSim gate and implement the periodic quantum circuit of the spin-½ XXZ model in a ring of 24 superconducting qubits. We study the propagation of these excitations and observe their bound nature for up to five photons. We devise a phase-sensitive method for constructing the few-body spectrum of the bound states and extract their pseudo-charge by introducing a synthetic flux. By introducing interactions between the ring and additional qubits, we observe an unexpected resilience of the bound states to integrability breaking. This finding goes against the idea that bound states in non-integrable systems are unstable when their energies overlap with the continuum spectrum. Our work provides experimental evidence for bound states of interacting photons and discovers their stability beyond the integrability limit.

Noise-resilient edge modes on a chain of superconducting qubits

Inherent symmetry of a quantum system may protect its otherwise fragile states. Leveraging such protection requires testing its robustness against uncontrolled environmental interactions. Using 47 superconducting qubits, we implement the one-dimensional kicked Ising model, which exhibits nonlocal Majorana edge modes (MEMs) with ℤ 2 parity symmetry. We find that any multiqubit Pauli operator overlapping with the MEMs exhibits a uniform late-time decay rate comparable to single-qubit relaxation rates, irrespective of its size or composition. This characteristic allows us to accurately reconstruct the exponentially localized spatial profiles of the MEMs. Furthermore, the MEMs are found to be resilient against certain symmetry-breaking noise owing to a prethermalization mechanism. Our work elucidates the complex interplay between noise and symmetry-protected edge modes in a solid-state environment.

Heavy metal and nutrient concentrations in top- and sub-soils of greenhouses and arable fields in East China - Effects of cultivation years, management, and shelter

Although greenhouse vegetable production in China is rapidly changing, consumers are concerned about food quality and safety. Studies have shown that greenhouse soils are highly eutrophicated and potentially contaminated by heavy metals. However, to date, no regional study has assessed whether greenhouse soils differ significantly in their heavy metal and nutrient loads compared to adjacent arable land. Our study was conducted in Shouguang County, a key region of greenhouse vegetable production in China. Soil samples down to soil depths of 3 m were taken from 60 greenhouse vegetable fields of three different ages (5, 10, and 20 years) and from 20 adjacent arable fields to analyze the concentrations of heavy metals, nutrients, and soil physio-chemical parameters. A comparison of greenhouse soils with adjacent arable fields revealed that for greenhouses, (a) micro (heavy metals: Cu, Zn, and Mn) and macronutrients (Nmin, Olsen-P, available K) were significantly higher by a factor of about five, (b) N:P:K ratios were significantly imbalanced towards P and K, and (c) topsoil (0-30 cm) concentrations of the above-mentioned micro- and macronutrients increased with years of vegetable cultivation. In contrast, the soil concentrations of the heavy metals Cr and Pb were lower in greenhouse soils. Heavy metal concentrations did not vary significantly with soil depth, except for the micronutrients Cu and Zn, which were between 1- and 3-fold higher in the topsoil (0-30 cm) than in the subsoil (30-300 cm). The Nemerow pollution index (P_N) was 0.37, which was below the recommended environmental threshold value (P_N < 1). Structural equation model analysis revealed that soil nutrient concentrations in greenhouse soils are directly related to the input of fertilizers and agrochemicals. Lower values of soil Pb and Cr concentrations in greenhouses were due to the sheltering effect of the greenhouse roof, which protected soils from atmospheric deposition due to emissions from nearby industrial complexes.

A synthesis of nitric oxide emissions across global fertilized croplands from crop-specific emission factors

Nitrogen (N) fertilizer application to agricultural soils results in substantial emissions of nitric oxide (NO), a key substance in tropospheric chemistry involved in climate forcing and air pollution. However, the estimates of global cropland NO emissions remain uncertain due to a lack of information on direct NO emission factors (EF_d s) of applied N for various cropping systems at seasonal or annual scales. Here we quantified the crop-specific seasonal and annual-scale NO EF_d s through synthesizing 1094 measurements from 125 field-based studies worldwide. The global mean crop-specific seasonal EF_d was 0.53%, with the highest for vegetables (0.75%). Among cereal crops, the EF_d of maize (0.45%) or wheat (0.47%) was about three times higher than for rice (0.12%). At annual scale, the mean EF_d across all cropping systems was 0.58%, with tea plantations having the highest (1.54%). For other cropping systems, the annual-scale EF_d s ranged from 0.02% to 1.07%. Besides crop type, also soil organic carbon, total N, and pH as well as N fertilizer type were the main factors explaining the variations of NO EF_d s. Based on obtained specific EF_d s for each crop type, we estimated that NO emissions due to the use of synthetic fertilizers from global croplands are about 0.42-0.62 Tg N year^-1 . Our budgets are relatively lower if compared to estimates derived by the use of IPCC defaults for NO emissions (0.72-1.66 Tg N year^-1 ) or reported elsewhere (0.67-1.04 Tg N year^-1 ). In our estimates, cash crops (vegetable, tea and orchard), which cover only 9% of the world cropland area, contributed about 31% to total NO emissions from global fertilized croplands. Overall, our meta-analysis provides improved crop-specific NO EF_d s reflecting current stage of knowledge. The work also highlights the relative importance of cash crop production as sources for atmospheric NO, that is, agricultural systems on which mitigation efforts may focus.

Realizing topologically ordered states on a quantum processor

[Figure: see text].

Characteristics of annual N2O and NO fluxes from Chinese urban turfgrasses

Urban turfgrass ecosystems are expected to increase at unprecedented rates in upcoming decades, due to the increasing population density and urban sprawl worldwide. However, so far urban turfgrasses are among the least understood of all terrestrial ecosystems concerning their impact on biogeochemical N cycling and associated nitrous oxide (N₂O) and nitric oxide (NO) fluxes. In this study, we aimed to characterize and quantify annual N₂O and NO fluxes from urban turfgrasses dominated by either C4, warm-season species or C3, cool-season and shade-enduring species, based on year-round field measurements in Beijing, China. Our results showed that soil N₂O and NO fluxes varied substantially within the studied year, characterizing by higher emissions during the growing season and lower fluxes during the non-growing season. The regression model fitted by soil temperature and soil water content explained approximately 50%-70% and 31%-38% of the variance in N₂O and NO fluxes, respectively. Annual cumulative emissions for all urban turfgrasses ranged from 0.75 to 1.27 kg N ha^-1 yr^-1 for N₂O and from 0.30 to 0.46 kg N ha^-1 yr^-1 for NO, both are generally higher than those of Chinese natural grasslands. Non-growing season fluxes contributed 17%-37% and 23%-30% to the annual budgets of N₂O and NO, respectively. Our results also showed that compared to the cool-season turfgrass, annual N₂O and NO emissions were greatly reduced by the warm-season turfgrass, with the high root system limiting the availability of inorganic N substrates to soil microbial processes of nitrification and denitrification. This study indicates the importance of enhanced N retention of urban turfgrasses through the management of effective species for alleviating the potential environmental impacts of these rapidly expanding ecosystems.

Soil type affects not only magnitude but also thermal sensitivity of N2O emissions in subtropical mountain area

It is a concern whether the effect of soil type on N₂O emissions has to be considered for regional mitigation strategies and emission estimates in mountainous areas with inherent spatial heterogeneities of soil type. To date, there were few field experiments which investigated soil type effects on N₂O emissions. Thus a 2-year field study was conducted to measure N₂O emissions and soil environmental variables from three different soils that were formed from similar parental rock under the same climate. Seasonal N₂O fluxes ranged from 0.18 to 0.40 kg N ha^-1 for wheat seasons and 0.40 to 1.50 kg N ha^-1 for maize seasons across different experimental soils. The intra- and inter-annual variations in N₂O emissions were mainly triggered by temporal dynamics of soil temperature and moisture conditions. On average, seasonal N₂O fluxes for acidic soils were significantly lower than for neutral and alkaline soils in cold-dry wheat seasons while significantly greater than for neutral and alkaline soils in warm-wet maize seasons. These determined differences of N₂O emissions were mainly caused by differences of initial soil properties across different soils. Moreover, seasonal N₂O fluxes were positively correlated with soil pH in wheat seasons, but negatively correlated in maize seasons. The temperature sensitivity coefficient (Q₁₀) of soil N₂O emissions for acidic soil (4.06) were significantly greater than those for neutral (1.82) and alkaline (1.15) soils. Overall, N₂O emissions for acidic soils were not only higher than those for neutral and alkaline soils but also more sensitive to changing temperature. The present study highlights that soil type is needed to be carefully considered for regional estimate and proposing mitigation strategy of N₂O emissions especially in subtropical mountain regions with inherent great heterogeneity of soil type.

Suprafascial plane endoscopy versus open carpal tunnel release for idiopathic carpal tunnel syndrome: Use of the Accordion Severity Grading System

This study aimed to assess the safety and effectiveness of modified endoscopic technique with a single portal from an external carpal tunnel approach for surgical operations in a suprafascial plane superficial to the transverse carpal ligament. Reversible nerve injury risk is threefold greater with a conventional endoscopic method than with open carpal tunnel release (OCTR), and this suprafascial plane endoscopic release (SPER) should circumvent the problem of hardware in the carpal tunnel encountered with the conventional endoscopic method and liable to cause iatrogenic damage to the median nerve. However, the surgical consequences of the new technique have not been studied. To fill this gap, a retrospective therapeutic study was conducted to compare negative outcomes versus open surgery. The Accordion Severity Grading System was used to grade complications from 0 to 3 according to necessity of treatment. Sequela and failure rates were also compared between the SPER and OCTR groups. Eighty-eight cases in 72 patients with idiopathic carpal tunnel syndrome (ICTS) met the inclusion criteria. SPER was performed in 28 hands in 27 patients, and OCTR in 60 hands in 49 patients. The results showed no significant difference in complication, sequela, or failure rates between groups (p > 0.05). Suprafascial plane endoscopic release, has certain advantages over the open method and was validated as a safe and effective method of treating ICTS.

Phytotoxic Effects of Polyethylene Microplastics on the Growth of Food Crops Soybean (Glycine max) and Mung Bean (Vigna radiata)

Accumulation of micro-plastics (MPs) in the environment has resulted in various ecological and health concerns. Nowadays, however, studies are mainly focused on toxicity of MPs on aquatic organisms, but only a few studies assess the toxic effects of micro-plastics on terrestrial plants, especially edible agricultural crops. The present study was aimed to investigate the adverse effects of polyethylene (PE) microplastics on the germination of two common food crops of China, i.e., soybean (Glycine max) and mung bean (Vigna radiata). Both the crops were treated with polyethylene microplastics (PE-MPs) of two sizes (6.5 μm and 13 μm) with six different concentrations (0, 10, 50, 100, 200, and 500 mg/L). Parameters studied were (i) seed vigor (e.g., germination energy, germination index, vigor index, mean germination speed, germination rate); (ii) morphology (e.g., root length, shoot length) and (iii) dry weight. It was found that the phyto-toxicity of PE-MPs to soybean (Glycine max) was greater than that of mung bean (Vigna radiata). On the 3rd day, the dry weight of soybean was inhibited at different concentrations as compared to the control and the inhibition showed decline with the increase in the concentration of PE-MPs. After the 7th day, the root length of soybean was inhibited by PE-MPs of 13 μm size, and the inhibition degree was positively correlated with the concentration, whereas the root length of mung bean was increased, and the promotion degree was positively correlated with the concentration. Present study indicated the necessity to explore the hazardous effects of different sizes of PE-MPs on the growth and germination process of agricultural crops. Additionally, our results can provide theoretical basis and data support for further investigation on the toxicity of PE-MPs to soybean and mung bean.

Taurine Reduces Liver Damage in Non-Alcoholic Fatty Liver Disease Model in Rats by Down-Regulating IL-9 and Tumor Growth Factor TGF-β

The study employed a rat model to examine the effects of taurine (Tau) on prevention and therapy of non-alcoholic fatty liver disease (NAFLD). In model rats maintained on a high-fat diet (HFD), the serum levels of ALT, AST, triglycerides, cholesterol, and LDL were higher than the corresponding levels in normal control and NP groups (p<0.05). In Tau-prevention and Tau-treatment groups, the serum levels of AST and triglycerides were lower than in HFD rats (p<0.05). In HFD rats, diffuse fatty degeneration and infiltration with inflammatory cells was observed in the liver; in the ileal mucosa, the villi were fractured or absent, the epithelium was exfoliated and infiltrated with inflammatory cells. The levels of TGF-β, IL-9, and their mRNA in the liver and ileal mucosa of HFD rats were significantly higher than in normal control and NP groups (p<0.05). In Tau-prevention and Tau-treatment groups, these levels were significantly lower than in HFD rats (p<0.05). Thus, TGF-β and IL-9 can be implicated in NAFLD genesis, while Tau can preventively or therapeutically diminish the damage to the liver and ileal mucosa in rats with this disease by down-regulating the expression of TGF-β and IL-9.

[Correlation of serum ADAMTS13 and TSP1 levels with myocardial injury and prognosis in patients with acute coronary syndrome]

OBJECTIVE

To investigate serum levels of von Willebrand factor lytic protease (ADAMTS13) and thrombospondin-1 (TSP1) in patients with different types of acute coronary syndrome (ACS) and their correlation with the patients' clinical prognosis.

OBJECTIVE

According to their disease history, results of angiography and clinical biochemical tests, a total of 405 patients undergoing coronary angiography, were divided into unstable angina (UAP) group (n=215), acute myocardial infarction (AMI) group (n=96), and angiographically normal group (n=94). Serum ADAMTS13 and TSP1 levels were detected in all the patients, who were followed up for 15 months to evaluate the occurrence of long-term major cardiac adverse events (MACE).

OBJECTIVE

Serum ADAMTS13 level was significantly lower and TSP1 level was significantly higher in AMI group and UAP group than in the normal group (P < 0.001). Serum ADAMTS13 and TSP1 levels were negative correlated in ACS patients (R=-0.577, P < 0.001). The patients experiencing MACE had significantly different serum TSP1 level from those without MACE (P < 0.05). Cox proportion regression model analysis showed that TSP1 was a risk factor affecting the occurrence of MACE in ACS patients; Kaplan-Meier survival analysis showed that the patients with high levels of TSP1 had a higher incidence of longterm MACE than those with low TSP1 levels.

OBJECTIVE

A lowered serum ADAMTS13 level and an elevated TSP1 level can support the diagnosis of ACS. An elevated TSP1 level may serve as an indicator for predicting the risk of MACE in patients with ACS.

Potential benefits of liming to acid soils on climate change mitigation and food security

Globally, about 50% of all arable soils are classified as acidic. As crop and plant growth are significantly hampered under acidic soil conditions, many farmers, but increasingly as well forest managers, apply lime to raise the soil pH. Besides its direct effect on soil pH, liming also affects soil C and nutrient cycles and associated greenhouse gas (GHG) fluxes. In this meta-analysis, we reviewed 1570 observations reported in 121 field-based studies worldwide, to assess liming effects on soil GHG fluxes and plant productivity. We found that liming significantly increases crop yield by 36.3%. Also, soil organic C (SOC) stocks were found to increase by 4.51% annually, though soil respiration is stimulated too (7.57%). Moreover, liming was found to reduce soil N₂ O emission by 21.3%, yield-scaled N₂ O emission by 21.5%, and CH₄ emission and yield-scaled CH₄ emission from rice paddies by 19.0% and 12.4%, respectively. Assuming that all acid agricultural soils are limed periodically, liming results in a total GHG balance benefit of 633-749 Tg CO₂ -eq year^-1 due to reductions in soil N₂ O emissions (0.60-0.67 Tg N₂ O-N year^-1 ) and paddy soil CH₄ emissions (1.75-2.21 Tg CH₄  year^-1 ) and increases in SOC stocks (65.7-110 Tg C year^-1 ). However, this comes at the cost of an additional CO₂ release (c. 624-656 Tg CO₂  year^-1 ) deriving from lime mining, transport and application, and lime dissolution, so that the overall GHG balance is likely neutral. Nevertheless, liming of acid agricultural soils will increase yields by at least 6.64 × 10⁸  Mg year^-1 , covering the food supply of 876 million people. Overall, our study shows for the first time that a general strategy of liming of acid agricultural soils is likely to result in an increasing sustainability of global agricultural production, indicating the potential benefit of liming acid soils for climate change mitigation and food security.

Utility of Contrast-Enhanced T2 FLAIR for Imaging Brain Metastases Using a Half-dose High-Relaxivity Contrast Agent

BACKGROUND AND PURPOSE

Efficient detection of metastases is important for patient' treatment. This prospective study was to explore the clinical value of contrast-enhanced T2 FLAIR in imaging brain metastases using half-dose gadobenate dimeglumine.

MATERIALS AND METHODS

In vitro signal intensity of various gadolinium concentrations was explored by spin-echo T1-weighted imaging and T2 FLAIR. Then, 46 patients with lung cancer underwent nonenhanced T2 FLAIR before administration of half-dose gadobenate dimeglumine and 3 consecutive contrast-enhanced T2 FLAIR sequences followed by 1 spin-echo T1WI after administration of half-dose gadobenate dimeglumine. After an additional dose of 0.05 mmol/kg, 3D brain volume imaging was performed. All brain metastases were classified as follows: solid-enhancing, ≥ 5 mm (group A); ring-enhancing, ≥ 5 mm (group B); and lesion diameter of <5 mm (group C). The contrast ratio of the lesions on 3 consecutive phases of contrast-enhanced T2 FLAIR was measured, and the percentage increase of contrast-enhanced T2 FLAIR among the 3 groups was compared.

RESULTS

In vitro, the maximal signal intensity was achieved in T2 FLAIR at one-eighth to one-half of the contrast concentration needed for maximal signal intensity in T1WI. In vivo, the mean contrast ratio values of metastases on contrast-enhanced T2 FLAIR for the 3 consecutive phases ranged from 63.64% to 83.05%. The percentage increase (PI) values of contrast-enhanced T2 FLAIR were as follows: PI_A < PI_B (P = .001) and PI_A < PI_C (P < .001). The degree of enhancement of brain metastases on contrast-enhanced T2 FLAIR was lower than on 3D brain volume imaging (P < .001) in group A, and higher than on 3D brain volume imaging (P < .001) in group C.

CONCLUSIONS

Small or ring-enhancing metastases can be better visualized on delayed contrast-enhanced T2 FLAIR using a half-dose high-relaxivity contrast agent.

Elevated atmospheric CO2 reduces yield-scaled N2 O fluxes from subtropical rice systems: Six site-years field experiments

Increasing levels of atmospheric CO₂ are expected to enhance crop yields and alter soil greenhouse gas fluxes from rice paddies. While elevated CO₂ ( E CO 2 ) effects on CH₄ emissions from rice paddies have been studied in some detail, little is known how E CO 2 might affect N₂ O fluxes or yield-scaled emissions. Here, we report on a multi-site, multi-year in-situ FACE (free-air CO₂ enrichment) study, aiming to determine N₂ O fluxes and crop yields from Chinese subtropical rice systems as affected by E CO 2 . In this study, we tested various N fertilization and residue addition treatments, with rice being grown under either E CO 2 (+200 μmol/mol) or ambient control. Across the six site-years, rice straw and grain yields under E CO 2 were increased by 9%-40% for treatments fertilized with ≥150 kg N/ha, while seasonal N₂ O emissions were decreased by 23%-73%. Consequently, yield-scaled N₂ O emissions were significantly lower under E CO 2 . For treatments receiving insufficient fertilization (≤125 kg N/ha), however, no significant E CO 2 effects on N₂ O emissions were observed. The mitigating effect of E CO 2 upon N₂ O emissions is closely associated with plant N uptake and a reduction of soil N availability. Nevertheless, increases in yield-scaled N₂ O emissions with increasing N surplus suggests that N surplus is a useful indicator for assessing N₂ O emissions from rice paddies. Our findings indicate that with rising atmospheric CO₂ soil N₂ O emissions from rice paddies will decrease, given that the farmers' N fertilization is usually sufficient for crop growth. The expected decrease in N₂ O emissions was calculated to compensate 24% of the simultaneously observed increase in CH₄ emissions under E CO 2 . This shows that for an agronomic and environmental assessment of E CO 2 effects on rice systems, not only CH₄ emissions, but also N₂ O fluxes and yield-scaled emissions need to be considered for identifying most climate-friendly and economically viable options for future rice production.

The association between napping and the risk of cardiovascular disease and all-cause mortality: a systematic review and dose-response meta-analysis

Background

Napping is a habit prevalent worldwide and occurs from an early age. Some sleep specialists have suggested it as a potential public health tool due to the prevalence of sleep disorder. However, the association between napping and the risk of cardiovascular disease (CVD) and all-cause mortality remains unclear.

Purpose

To assess the association between napping and the risk of CVD and all-cause mortality.

Methods

We conducted a systematic search of Medline, Embase and Cochrane databases from inception through December 2019 for prospective cohort studies investigating the association between napping and the risk of CVD and/or all-cause mortality. Overall estimates were calculated using random effect models with inverse variance weighting. Dose-response meta-analysis was performed using restricted cubic spline models. The results were reported as hazard ratio (HR) and 95% confidence interval (CI).

Results

A total of 313651 participants (57.8% female, 38.9% took naps) from 20 cohort studies were included in the analysis. Overall, pooled analysis detected no association between daytime nap and CVD (HR 1.13, 95% CI 0.99–1.28). However, in subgroup analysis including only participants who were female (HR 1.31, 95% CI 1.09–1.58), older (age&gt;65 years) (HR 1.36, 95% CI 1.07–1.72), or took a longer nap (nap time&gt;60 minutes) (HR 1.34, 95% CI 1.05–1.63), napping was significantly associated with a higher risk of CVD comparing to not napping. All-cause mortality was associated with napping overall (HR 1.19, 95% CI 1.12–1.26), and effect sizes were even more pronounced in females (HR 1.22, 95% CI 1.13–1.31), older participants (HR 1.27, 95% CI 1.11–1.45) and those who took a long nap (HR 1.30, 95% CI 1.12–1.47). Furthermore, after stratifying participants by night sleep time (&lt;6 and &gt;6h/day), no significant association was detected except those who slept &gt;6h/day at night and took a long nap (HR 1.13, 95% CI 1.03–1.24). Dose-response analysis showed a J-curve relation between nap time and CVD (Figure 1). The HR decreased from 0 to 25 min/day, followed by a sharp increase in the risk at longer times. A positive linear relationship between nap time and all-cause mortality was also observed.

Conclusion

Long napping over 60 minutes per day is associated with increased risks of CVD and all-cause mortality. Night sleep duration may play a role in the relation between napping and all-cause mortality. Further, large-scale prospective cohort studies need to confirm our conclusion and investigate the underlying mechanisms driving these associations.

Funding Acknowledgement

Type of funding source: None

Café-au-lait macules overlying segmental macular hyperpigmentation in a pediatric patient: an early sign for mosaic neurofibromatosis type 1

The presentation of multiple café-au-lait macules (CALMs) in children is a common reason for referral to a dermatologist. Segmental CALMs, a subtype of CALMs, is usually limited to a specific part of the body. Mosaic neurofibromatosis type 1 (NF1; OMIM 162200) is a common congenital disorder associated with segmental CALMs with an incidence of about 1 case/40000 patients, which is lower than the prevalence of patients with germline NF1 mutations1,2 .

Demonstrating a Continuous Set of Two-Qubit Gates for Near-Term Quantum Algorithms

Quantum algorithms offer a dramatic speedup for computational problems in material science and chemistry. However, any near-term realizations of these algorithms will need to be optimized to fit within the finite resources offered by existing noisy hardware. Here, taking advantage of the adjustable coupling of gmon qubits, we demonstrate a continuous two-qubit gate set that can provide a threefold reduction in circuit depth as compared to a standard decomposition. We implement two gate families: an imaginary swap-like (iSWAP-like) gate to attain an arbitrary swap angle, θ, and a controlled-phase gate that generates an arbitrary conditional phase, ϕ. Using one of each of these gates, we can perform an arbitrary two-qubit gate within the excitation-preserving subspace allowing for a complete implementation of the so-called Fermionic simulation (fSim) gate set. We benchmark the fidelity of the iSWAP-like and controlled-phase gate families as well as 525 other fSim gates spread evenly across the entire fSim(θ,ϕ) parameter space, achieving a purity-limited average two-qubit Pauli error of 3.8×10^{-3} per fSim gate.

A preliminary study: proteomic analysis of exosomes derived from thyroid-stimulating hormone-stimulated HepG2 cells

BACKGROUND

Thyroid-stimulating hormone (TSH) plays an important role in the regulation of lipid metabolism. However, little is known about the role that exosomes play in the process of TSH-induced lipotoxicity in non-alcoholic fatty liver disease (NAFLD). As a preliminary step, the present study set out to investigate alterations in protein expression in exosomes derived from TSH-stimulated HepG2 cells.

METHODS

HepG2 cells were treated with TSH, exosomes were collected, and proteins were identified by mass spectrometry (MS). Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genome (KEGG) pathway analysis were performed to analyze the identified proteins.

RESULTS

TSH treatment significantly increased exosomal production and changed the exosomal proteomic profile in HepG2 cells. Among the 1728 proteins, 140 identified proteins were upregulated and seven proteins were downregulated. GO analysis and KEGG analysis revealed that these proteins were involved in multiple processes including metabolism, apoptosis, and inflammation.

CONCLUSION

Our preliminary study demonstrated that exosomes derived from TSH-stimulated hepatocytes were increased and showed a specific altered spectrum of proteins, many of which were involved in metabolism, signal transduction, apoptosis, and inflammation. This study offers new insights into the pathogenesis of TSH-induced lipotoxicity in NAFLD.

Identification of a TH 2-high psoriasis cluster based on skin biomarker analysis in a Chinese psoriasis population

BACKGROUND

Psoriasis is an immune-mediated, chronic inflammatory disease with diverse phenotypes. However, its biological diversity has not been well-characterized in Chinese psoriasis population.

OBJECTIVES

To characterize psoriasis biological heterogenicity using gene expression profiles of lesional skin biopsy specimens in a Chinese psoriasis population.

METHODS

Lesional tissues and blood samples from Chinese psoriasis patients (n = 40), atopic dermatitis (AD) patients (n = 25) and age-matched healthy controls (n = 19) were investigated by using real-time PCR array, histological evaluation and flow cytometry. Unsupervised hierarchical clustering was performed using gene expression profiles of patients with psoriasis.

RESULTS

Two distinct psoriasis clusters were identified. Both clusters indicated high T_H 17 activation. One cluster (n = 6 of 40 consecutive psoriasis patients) indicated a strong T_H 2 component in skin lesions, with early onset and low peripheral blood eosinophil level. Significantly higher IL-4, IL-13, IL-25, IL-31 and TSLP gene induction typified this cluster of psoriasis patients, even compared with AD patients. Both psoriasis clusters were characterized by neutrophilic microabscess formation. Histologically, the T_H 2 high psoriasis cluster indicated a low percentage of perivascular eosinophils.

CONCLUSIONS

Two distinct psoriasis clusters were identified. One presented early onset and a low eosinophil level, indicating T_H 17 polarization and a strong T_H 2 component. These results laid the foundation for further demonstrating the pathogenesis of psoriasis in Chinese population.

Clinicopathologic features and prognosis of synchronous and metachronous multiple primary colorectal cancer

PURPOSE

Multiple primary colorectal cancers (MPCCs) are different from solitary colorectal cancers in many aspects, which are not well studied. The aim of this study was to clarify the clinicopathological features and prognosis of MPCCs.

METHODS

The data of 64 patients with MPCCs out of 2300 patients with colorectal cancers (CRCs) from January 2009 to December 2017 were retrospectively analyzed. Stratified analysis was conducted based on subtypes and microsatellite status.

RESULTS

The overall incidence of MPCC was 2.8% and the median follow-up duration was 51.5 (range 1-120) months. Metachronous CRCs (MCRCs) are more likely to appear in the right colon (p < 0.05). However, no significant differences regarding age, sex, BMI, tumor size, smoking/drinking history, TNM stage, family history of cancer, and 5-year survival rate were observed between synchronous CRC (SCRC) and MCRC. Advanced TNM stage (III) and the presence of polyps were found to be independent poor prognostic factors for MPCCs. The prevalence of mismatch repair deficiency (dMMR) in MPCCs was 28.1%. Deficient MMR is more likely to appear in younger, lighter MPCC patients with polyps (p < 0.05). Of four mismatch repair proteins, MLH-1, MSH-2, MSH-6, and PMS-2 were negative in nine, nine, five, and nine patients, respectively. The 5-year survival rate did not differ significantly between MMR-proficient (pMMR) and dMMR groups (p = 0.752).

CONCLUSIONS

Synchronous CRC (SCRC) and MCRC might represent similar disease entities with different courses. Deficient MMR is more likely to appear in younger, lighter MPCC patients with polyps and it is an essential indicator for screening Lynch syndrome.

Protecting medical staff from skin injury/disease caused by personal protective equipment during epidemic period of COVID-19: experience from China

Linked articles: COVID‐19 SPECIAL FORUM. J Eur Acad Dermatol Venereol 2020; 34: e210–e216.

Involvement of nitrogen in storage root growth and related gene expression in sweet potato (Ipomoea batatas)

Nitrogen (N) could affect storage root growth and development of sweet potato. To manage external N concentration fluctuations, plants have developed a wide range of strategies, such as growth changes and gene expression. Five sweet potato cultivars were used to analyse the functions of N in regulating storage root growth. Growth responses and physiological indicators were measured to determine the physiological changes regulated by different N concentrations. Expression profiles of related genes were analysed via microarray hybridization data and qRT-PCR analysis to reveal the molecular mechanisms of storage root growth regulated by different N concentrations. The growth responses and physiological indicators of the five cultivars were changed by N concentration. The root fresh weight of two of the sweet potato cultivars, SS19 and GS87, was higher under low N concentrations compared with the other cultivars. SS19 and GS87 were found to be having greater tolerance to low N concentration. The expression of N metabolism and storage root growth related genes was regulated by N concentration in sweet potato. These results reveal that N significantly regulated storage root growth. SS19 and GS87 were more tolerant to low N concentration and produced greater storage root yield (at 30 days). Furthermore, several N response genes were involved in both N metabolism and storage root growth.

Excessive daytime sleepiness with snoring or witnessed apnea is associated with handgrip strength: a population-based study

BACKGROUND

Sarcopenia is emerging as an important public health problem, and evidences have determined that poor sleep is associated with muscle strength, but the potential effects of excessive daytime sleepiness (EDS), snoring and witnessed apnea on handgrip strength have not been evaluated.

AIM

We aimed to examine the association between EDS, snoring, witnessed apnea and muscle strength in an adult population.

DESIGN

Cross-sectional study.

METHODS

This cross-sectional study comprised 19 434 adults. Handgrip strength was measured using a handheld digital dynamometer. EDS was assessed by Epworth Sleepiness Scale, snoring and witnessed apnea during sleep were reported through simple yes/no questions. Analysis of covariance was carried out to determine the association between EDS with snoring or witnessed apnea and muscle strength.

RESULTS

The means (95% confidence interval) for average handgrip strength/body weight (kg/kg) across symptoms categories were 0.396 (0.333-0.472), 0.393 (0.330-0.467), 0.396 (0.333-0.471) and 0.386 (0.325-0.460) (P < 0.0001), respectively. Similar results were observed with maximal handgrip strength/body weight (kg/kg).

CONCLUSIONS

Self-reported EDS accompanied with snoring or apnea is associated with lowest handgrip strength, independently of confounding factors. Whether improvement of EDS, snoring and apnea, can ameliorate age-associated decline in muscle strength warrants further studies.