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Introduction This study establishes research priorities for Medically Not Yet Explained Symptoms (MNYES). A significant number of patients suffer from these symptoms, also known as MUS, that are likely to cause work disability and impact on quality of life. Research into MNYES in general has been poorly funded over the years, has been primarily researcher-led, and was sometimes controversial. Objectives To identify research priorities from the perspective of patients, caregivers and clinicians, following the James Lind Alliance (JLA) priority setting partnership (PSP) method. Methods The PSP Steering Group termed these symptoms Medically Not Yet Explained Symptoms (MNYES). This was an operational definition not intended to add to or replace other definitions already in use, that was constructed to embrace the views of all stakeholders. The nomenclature MNYES was chosen to indicate our incomplete understanding of these conditions. This could pertain to biological, psychological and social factors, as well as factors involving the trajectory of patients through various healthcare settings. The study involved five key stages: defining the appropriate term for the conditions under study by the PSP Steering Group; gathering questions on MNYES from patients, caregivers and clinicians in a publicly accessible survey; checking these research questions against existing evidence; interim prioritisation in a second survey; and a final multi-stakeholder consensus meeting to determine the top 10 unanswered research questions using the modified nominal group methodology. Results Over 700 responses from UK patients, caregivers and clinicians were identified in two surveys from a broad range of medical specialities and primary care. Patients prioritised research questions regarding diagnosis and aetiology; clinicians and caregivers prioritised outcomes and treatment, relatively. The top 10 unanswered research questions cover the domains of: treatment; the role of clinicians; symptoms and outcomes; and recovery. Conclusions This JLA PSP may well be the first attempt at capturing the thoughts of a wide group of medical professionals, patients and caregivers in one place with the aim eventually of standardising care and reducing unhelpful variability in the management of MNYES. Following the JLA approach is a strength of the study. The choice of the term MNYES conveys a message of hope, which responds to a need identified by patients, carers and clinicians alike for vigorous research in this domain. The research priorities are expected to generate much-needed, relevant and impactful research into MNYES. Better funding possibilities for MNYES are urgently needed. Disclosure of Interest None Declared

Perfluoroalkyl substances (PFASs) have become a recognized concern due to their mobility, persistence, ubiquity and health hazards in the environment. In this study, ten types of vegetables and three types of grain crops were collected in two open-air fields with different distances (0.3 km, 10 km) from a mega fluorochemical industrial park (FIP), China. Bioaccumulation characteristics of PFASs in light of crop types and organs were explored, followed by analyzing human exposure and risks to local residents with different age groups and dietary habits. Elevated levels of ∑PFASs were found nearby the FIP ranging from 79.9 ng/g to 200 ng/g in soils and from 58.8 ng/g to 8085 ng/g in crops. Perfluorooctanoic acid (PFOA) was the predominant PFAS component in soil; while shorter-chain perfluoroalkyl carboxylic acids (PFCAs), especially perfluorobutanoic acid (PFBA), were the major PFAS contaminants in multiple crops, resulting from their bioaccumulation preference. Depending on the crop types, the bioaccumulation factors (BAFs) of ∑PFASs for edible parts varied from 0.36 to 48.0, and the highest values were found in shoot vegetables compared with those in fruit vegetables, flower vegetables, root vegetables and grain crops. For typical grains, the BAFs of ∑PFASs decreased in the order of soybean (Glycine max (Linn.) Merr.), wheat (Triticum aestivum L.) and corn (Zea mays L.), possibly related to their protein and lipid content. Among specific organs in the whole plants, leaves exhibited the highest BAFs of ∑PFASs compared with corresponding roots, stems, husks or grains. With increasing carbon chain lengths of individual PFCAs (C4-C8), the logarithm of their BAFs for edible parts of various crops showed a linear decrease (0.1–1.16 log decrease per CF2 unit), and the largest decrease was observed in grains. Human exposure to PFOA via the consumption of contaminated crops represents a health risk for local residents, especially for low-age consumers or urban consumers with higher vegetable diet. Implications for planting optimization and food safety were provided aiming to reduce health hazards of PFASs. Keywords: PFASs, Vegetables, Grains, Bioaccumulation, Human exposure, Health risk

Industrial development has brought China both opportunities and challenges since the reform and opening up in 1978. Spatial and temporal analysis showed that rapid industrialization has made eastern China under a more serious pollution stress. The most serious effects of industrial pollution were reflected in aquatic and soil ecosystem degradation, and damage can be observed from species, population, and community to ecosystem level. Public consciousness about contaminated sites rose from 2004 leading to greater efforts in ecological remediation, monitoring, and risk governance. Considerable efforts are still needed in expanding the extent and breadth of monitoring to explore where the greatest ecological risks lie and how to control them. Ecology of industrial pollution has become a popular discipline in China and will be further developed to help achieve the Sustainable Development Goals. Future research for a better ecological risk management should be focused on multi-media transfer and effects of mixed pollutants, mechanisms for clean energy and material flow, and integration of ecological risk with human health risk.

The occurrence of endocrine disrupting chemicals (EDCs) in the aquatic environment is a global concern. In this study, we employed two different passive samplers Diffusive Gradients in Thin-films (DGT) and Chemcatcher for in situ measurement of 8 phenolic EDCs in the East River of the Pearl River system over one-year. These data were assessed alongside results from traditional grab sampling. Six chemicals (4tOP, 4NP, BPA, E1, EE2 and DES) were regularly detected in the water samples, of which the three phenols (i.e. 4tOP, 4NP and BPA) were in all samples and at high concentrations (0.4–1040 ng/L for 4tOP, 2.6–58500 ng/L for NP and 11.4–123300 ng/L for BPA). Fewer target chemicals were detected in both passive samplers, with only 4tOP, 4NP and BPA found in most samplers; E1 and DES were occasionally measurable above detection limits. The higher (by about a factor of 2–3) measurements provided by DGT compared to Chemcatcher could be attributed to the effect of the diffusive boundary layer on Chemcatcher uptake or the strong adsorption of target chemicals on the Chemcatcher PES filter. The temporal trends of EDC monthly loadings indicated that they were from different sources and that WWTPs were not effective in EDC removal and/or there was still some untreated wastewater discharged into the rivers.

Fluorescence microscopy has become a critical tool for researchers to understand biological processes at the cellular level. Micrographs from fixed and live-cell imaging procedures feature in a plethora of scientific articles for the field of cell biology, but the complexities of fluorescence microscopy as an imaging tool can sometimes be overlooked or misunderstood. This review seeks to cover the three fundamental considerations when designing fluorescence microscopy experiments: (1) hardware availability; (2) amenability of biological models to fluorescence microscopy; and (3) suitability of imaging agents for intended applications. This review will help equip the reader to make judicious decisions when designing fluorescence microscopy experiments that deliver high-resolution and informative images for cell biology.

Functionalized nanoparticles have played a major role in the field of targeted therapy, owing to their ability to control the release and for the selective delivery of entrapped materials to tumours. In this work, we described the loading capacity and in vitro release kinetics of mesoporous silica nanoparticles (MSNs), functionalized with Poly-L-Histidine and Tamoxifen. The model drug Doxorubicin (DOX) was successfully encapsulated into MSN-based systems, using the technique of solvent immersion. A post-surface grafting loading method was investigated on functionalized systems, with DOX loading content determined using HPLC. Dialysis bag diffusion was employed to investigate the release kinetics of DOX-loaded-systems at pH 7.4 and 5. The amount of DOX released from native MSNs systems over a 72 h period at pH 5 was approximately 40%; and at pH 7.4 ≈ 30%. A moderate pH dependent release behaviour was observed with both our functionalized systems: DOX@MSN-PLH and DOX@MSN-PLH-TAM; with approximately 5% of DOX released from DOX@MSN-PLH-TAM at pH 7.4 and about 9% released at pH 7.4 over 72 h. The maximal cumulated release of DOX molecules from DOX@MSN-PLH after 72 h was ≈18% at pH 7.4 and ≈23% at pH 5, respectively. The outcome of this work offers a promising contribution towards building future stimuli-responsive nano-drug delivery systems.

Conventional chemotherapies used for breast cancer (BC) treatment are non-selective, attacking both healthy and cancerous cells. Therefore, new technologies that enhance drug efficacy and ameliorate the off-target toxic effects exhibited by currently used anticancer drugs are urgently needed. Here we report the design and synthesis of novel mesoporous silica nanoparticles (MSNs) equipped with the hormonal drug tamoxifen (TAM) to facilitate guidance towards estrogen receptors (ERs) which are upregulated in breast tumours. TAM is linked to the MSNs using a poly-ʟ-histidine (PLH) polymer as a pH-sensitive gatekeeper, to ensure efficient delivery of encapsulated materials within the pores. XRD, HR-TEM, DLS, SEM, FT-IR and BET techniques were used to confirm the successful fabrication of MSNs. The MSNs have a high surface area (>1000 m2/g); and a mean particle size of 150 nm, which is an appropriate size to allow the penetration of premature blood vessels surrounding breast tumours. Successful surface functionalization was supported by FT-IR, XPS and TGA techniques, with a grafting ratio of approximately 29%. The outcomes of this preliminary work could be used as practical building blocks towards future formulations.

The presence of antibiotics as emerging micropollutants in the aquatic environment has been raising health concerns for a number of years. Macrolides (MLs) are a large class of widely-used antibiotics, but there is a lack of information on their distribution and risks in surface waters across the central and western regions of China. To clearly describe the pollution characteristics and risks of MLs in Weihe River (the largest tributary of the Yellow River), analysis of 5 typical MLs was conducted using a newly developed LC−MS/MS method for 50 water samples collected over three seasons during 2021–2022. The results revealed that the area showed comparable ML concentrations with other regions worldwide. However, the ML concentrations were much lower than those in the river during 2016 from a previous study. Furthermore, concentrations exhibited significant seasonal variation, with highest concentrations in the winter. Along the main stream of the Weihe River, the sampling sites close to the wastewater treatment plants (WWTPs) and livestock farms exhibited higher concentrations of MLs, indicating the significant contribution from WWTPs and animal husbandry to the emission of MLs. The risk quotients (RQs) suggested that the ecological risks associated with MLs were most pronounced in winter among the three seasons, with erythromycin posing a high or medium risk to algae at all sampling sites. The results of this study will be of importance towards the goal of understanding the presence of these emerging contaminants in surface waters and any required risk reduction measures.

Perfluoroalkyl acids (PFAAs) are contaminants of global concern, and the inadvertent consumption of PFAA-contaminated crops may pose a threat to public health. Therefore, systematically studying their source tracing, bioaccumulation prediction and risk assessments in crops is an urgent priority. This study investigated the source apportionment and transport of PFAAs and novel fluorinated alternatives (collectively as per- and polyfluoroalkyl substances, PFASs) from factories to agricultural fields in a fluorochemical industrial region of China. Furthermore, bioaccumulation specificities and prediction of these chemicals in different vegetables were explored, followed by a comprehensive risk assessment from agricultural fields to dinner plates which considered precursor degradation. A positive matrix factorization model revealed that approximately 70 % of PFASs in agricultural soils were derived from fluorochemical manufacturing and metal processing. Alarming levels of ∑PFASs ranged 8.28–84.3 ng/g in soils and 163–7176 ng/g in vegetables. PFAS with short carbon chain or carboxylic acid group as well as branched isomers exhibited higher environmental transport potentials and bioaccumulation factors (BAFs) across a range of vegetables. The BAFs of different isomers of perfluorooctanoic acid (PFOA) decreased as the perfluoromethyl group moved further from the acid functional group. Hexafluoropropylene oxide dimer acid (GenX) showed relatively low BAFs, probably related to its ether bond with a high affinity to soil. Vegetables with fewer Casparian strips (e.g., carrot and radish), or more protein, possessed larger BAFs of PFASs. A bioaccumulation equation integrating critical parameters of PFASs, vegetables and soils, was built and corroborated with a good contamination prediction. After a total oxidizable precursors (TOP) assay, incremental perfluoroalkyl carboxylic acids (PFCAs) were massively found (325–5940 ng/g) in edible vegetable parts. Besides, precursor degradation and volatilization loss of PFASs was firstly confirmed during vegetable cooking. A risk assessment based on the TOP assay was developed to assist the protection of vegetable consumers.