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The degradation of multiple organic pollutants in wastewater via advanced oxidation processes might involve different radicals, of which the types and concentrations vary upon interacting with different pollutants. In this study, electrochemical activation of peroxymonosulfate (E/PMS) using advanced activated carbon cloth (ACC) as electrode was applied for simultaneous degradation of mixed pollutants, e.g., metronidazole (MNZ) and p-chloroaniline (PCA). 92.5 % of MNZ and 91.4 % of PCA can be degraded at the cathode and anode at a low current density and PMS concentration, respectively. The rate constants for the simultaneous removal of MNZ and PCA in the E/PMS/MNZ(PCA) system were 118 times and 6 times higher than those in the sole PMS system, and 2.5 times and 1.6 times higher than those in the E/Na 2 SO 4 /MNZ(PCA) system, respectively. Different electrochemical characteristics, EPR spectra and radical quenching tests verified that the degradation of MNZ and PCA in the optimal system proceeded primarily through non-radical-dominated oxidation, involving electron transfer and 1 O 2 effect. The system also exhibited low energy consumption (0.215 kWh/m -3 ·order -1 ), broad operational pH range, excellent removal efficiency for water matrix, and low by-products toxicity, indicating its strong potential for practical applications. The ACC, with its super stable, low cost, and electrochemical activity, make it as a promising materials applicable in the E/PMS system for degradation of multiple pollutants. The study further elucidated the mechanism of pollutant interaction with electrode materials in terms of radical and non-radical transformation, providing fundamental insight into the application of this system for treatment of complex wastewater., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Biochar (BC) has emerged as a potential solution to phosphate removal from wastewater primarily resulting from global overuse of fertilizers. Further modification by embedment of iron (Fe)-manganese (Mn) oxides on BC can enhance phosphate removal; however, the modification method serves as a vital factor underlying distinctive removal performances and mechanisms, which have yet been systematically examined. Herein, two Fe-Mn modified BC, Fe/MnBC (comprised of Fe 3 O 4 and MnO 2 ) and Fe-MnBC (comprised of MnFe 2 O 4 ), were comprehensively investigated for gaining insights into the unsolved perspectives. The results indicated that Fe-MnBC exhibited a markedly greater maximum phosphate adsorption capacity of 135.88 mg g -1 than that of Fe/MnBC with 17.93 mg g -1 . The comparative results based on microstructure and spectroscopic analyses suggested that different Fe and Mn oxides were successfully loaded, which played a distinctive role in phosphate removal. Further characterizations unveiled that the key mechanisms for phosphate removal by Fe/MnBC are inner-sphere complexation and precipitation, while electrostatic interaction and outer-sphere complexation are the dominant mechanisms underlying the notable performance of Fe-MnBC. The delicately designed Fe-MnBC with special structure and property also enabled a superior regeneration capacity, which presented a promisingly high phosphate removal efficacy of over 81.34% after five cycles. These results enhance comprehension regarding the impact of biochar modification techniques on phosphate removal, offering positive indications for the remediation of excessive phosphate and other pollutant-containing water through feasible design and green chemicals., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

In recent years, abnormal m6A alteration in hepatocellular carcinoma (HCC) has been a focus on investigating the biological implications. In this study, our objective is to determine whether m6A modification contributes to the progression of HBV-related HCC. To achieve this, we employed a random forest model to screen top 8 characteristic m6A regulators from 19 candidate genes. Subsequently, we developed a nomogram model that utilizes these 8 characteristic m6A regulators to predict the prevalence of HBV-related HCC. According to decision curve analysis, patients may benefit from the nomogram model. The clinical impact curves exhibited a robust predictive capability of the nomogram models. Additionally, consensus molecular subtyping was employed to identify m6A modification patterns and m6A-related gene signature. The quantification of immune cell subsets was accomplished through the implementation of ssGSEA algorithms. PCA algorithms were developed to compute the m6A score for individual tumors. Two distinct m6A modification patterns, namely cluster A and cluster B, exhibited significant correlations with distinct immune infiltration patterns and biological pathways. Notably, patients belonging to cluster B demonstrated higher m6A scores compared to those in cluster A, as determined by the m6A score metric. Furthermore, the expression of IGFBP3 proteins was validated through immunofluorescence, revealing their pronounced lower expression in tumor tissues. In summary, our study underscores the importance of m6A modification in the advancement of HBV-related HCC. This research has the potential to yield novel prognostic biomarkers and therapeutic targets for the identification of HBV-related HCC., (© 2024. The Author(s) under exclusive licence to Japan Human Cell Society.)

Porcine circovirus type 2 (PCV2) infection can cause immunosuppressive diseases in pigs. Vascular endothelial cells (VECs), as the target cells for PCV2, play an important role in the immune response and inflammatory regulation. Endothelial IL-8, which is produced by porcine hip artery endothelial cells (PIECs) infected with PCV2, can inhibit the maturation of monocyte-derived dendritic cells (MoDCs). Here, we established a co-culture system of MoDCs and different groups of PIECs to further investigate the PCV2-induced endothelial IL-8 signaling pathway that drives the inhibition of MoDC maturation. The differentially expressed genes related to MoDC maturation were mainly enriched in the NF-κB and JAK2-STAT3 signaling pathways. Both the NF-κB related factor RELA and JAK2-STAT3 signaling pathway related factors (IL2RA, JAK, STAT2, STAT5, IL23A, IL7, etc.) decreased significantly in the IL-8 up-regulated group, and increased significantly in the down-regulated group. The expression of NF-κB p65 in the IL-8 up-regulated group was reduced significantly, and the expression of IκBα was increased significantly. Nuclear translocation of NF-κB p65 was inhibited, while the nuclear translocation of p-STAT3 was increased in MoDCs in the PCV2-induced endothelial IL-8 group. The results of treatment with NF-κB signaling pathway inhibitors showed that the maturation of MoDCs was inhibited and the expression of IL-12 and GM-CSF at mRNA level were lower. Inhibition of the JAK2-STAT3 signaling pathway had no significant effect on maturation, and the expression of IL-12 and GM-CSF at mRNA level produced no significant change. In summary, the NF-κB signaling pathway is the main signaling pathway of MoDC maturation, and is inhibited by the PCV2-induced up-regulation of endothelial-derived IL-8.

Gastric cancer (GC), known for its high incidence and poor prognosis, urgently necessitates the identification of reliable prognostic biomarkers to enhance patient outcomes. We scrutinized data from 375 GC patients alongside 32 non-cancer controls, sourced from the TCGA database. A univariate Cox Proportional Hazards Model (COX) regression was employed to evaluate expressions of ferroptosis-related genes. This was followed by the application of Least Absolute Shrinkage and Selection Operator (LASSO) and multivariate COX regression for the development of prognostic models. The composition of immune cell subtypes was quantified utilizing CIBERSORT, with their distribution in GC versus control samples being comparatively analyzed. Furthermore, the correlation between the expressions of Cystathionine Gamma-Lyase (CTH) and Microtubule Associated Protein 1 Light Chain 3 Beta (MAP1LC3B) and the abundance of immune cell subtypes was explored. Our bioinformatics findings underwent validation through immunohistochemical analysis. Our prognostic models integrated CTH and MAP1LC3B. Survival analysis indicated that patients categorized as high-risk, as defined by the model, exhibited significantly lower survival rates compared to their low-risk counterparts. Notably, CTH expression inversely correlated with monocyte levels, while MAP1LC3B expression showed an inverse relationship with the abundance of M2 macrophages. Immunohistochemical validation corroborated lower expressions of CTH and MAP1LC3B in GC tissues relative to control samples, in concordance with our bioinformatics predictions. Our study suggests that the dysregulation of CTH, MAP1LC3B, and the accompanying monocyte-macrophage dynamics could be pivotal in the prognosis of GC. These elements present potential targets for prognostic assessment and therapeutic intervention., (© 2024. The Author(s).)

The principal aim of this investigation is to identify pivotal biomarkers linked to the prognosis of osteosarcoma (OS) through the application of artificial intelligence (AI), with an ultimate goal to enhance prognostic prediction. Expression profiles from 88 OS cases and 396 normal samples were procured from accessible public databases. Prognostic models were established using univariate COX regression analysis and an array of AI methodologies including the XGB method, RF method, GLM method, SVM method, and LASSO regression analysis. Multivariate COX regression analysis was also employed. Immune cell variations in OS were examined using the CIBERSORT software, and a differential analysis was conducted. Routine blood data from 20,679 normal samples and 437 OS cases were analyzed to validate lymphocyte disparity. Histological assessments of the study's postulates were performed through immunohistochemistry and hematoxylin and eosin (HE) staining. AI facilitated the identification of differentially expressed genes, which were utilized to construct a prognostic model. This model discerned that the survival rate in the high-risk category was significantly inferior compared to the low-risk cohort (p < 0.05). SERPINE2 was found to be positively associated with memory B cells, while CPT1B correlated positively with CD8 T cells. Immunohistochemical assessments indicated that SERPINE2 was more prominently expressed in OS tissues relative to adjacent non-tumorous tissues. Conversely, CPT1B expression was elevated in the adjacent non-tumorous tissues compared to OS tissues. Lymphocyte counts from routine blood evaluations exhibited marked differences between normal and OS groups (p < 0.001). The study highlights SERPINE2 and CPT1B as crucial biomarkers for OS prognosis and suggests that dysregulation of lymphocytes plays a significant role in OS pathogenesis. Both SERPINE2 and CPT1B have potential utility as prognostic biomarkers for OS., (© 2024. The Author(s).)

The photocatalytic performance of nano-TiO 2 photocatalysts in air pollutant degradation greatly depends on the adsorption of water, substrates, and intermediates. Especially under excessive humidity, substrate concentration, and intermediate concentration, the competitive adsorption of water, substrates, and intermediates can seriously inhibit the photocatalytic performance. In the past few years, extensive studies have been performed to investigate the influence of humidity, substrate concentration, and intermediates on the photocatalytic performance of TiO 2 , and significant advances have been made in the area. However, to the best of our knowledge, there is no review focusing on the effects of water, substrate, and intermediate adsorption to date. A comprehensive understanding of their mechanisms is key to overcoming the limited application of nano-TiO 2 photocatalysts in the photocatalytic decomposition of air pollutants. In this review, the progress in experimental and theoretical fields, including a recent combination of photocatalytic experiments and adsorption and photocatalytic simulations by density functional theory (DFT), to explore the impact of adsorption of various reaction components on nano-TiO 2 photocatalysts is comprehensively summarized. Additionally, the mechanism and broad perspective of the impact of their adsorption on the photocatalytic activity of TiO 2 in air treatment are also critically discussed. Finally, several solutions are proposed to resolve the current problems related to environmental factors. In general, this review contributes a comprehensive perspective of water, substrate, and intermediate adsorption toward boosting the photocatalytic application of TiO 2 nanomaterials.

Background & Aims: The function of cholinergic anti-inflammatory pathway (CAP) in acute liver failure (ALF) with inflammatory storm remains indefinite. The liver-gut axis has been proved to be crucial for liver homeostasis. Investigation about CAP regulation on liver-gut axis would enrich our understanding over cholinergic anti-inflammatory mechanism., Methods: Co-injection of lipopolysaccharide and D-galactosamine was used to establish the model of ALF. PNU-282987 was used to activate the CAP. Histological staining, real-time polymerase chain reaction, Western blotting, RNA sequencing, and flow cytometry were conducted. Liver biopsy specimens and patients' serum from patients with liver failure were also analyzed., Results: We confirmed that activating the CAP alleviated hepatocyte destruction, accompanied by a significant decrease in hepatocyte apoptosis, pro-inflammatory cytokines, and NLRP3 inflammasome activation. Moreover, hepatic MAdCAM1 and serum MAdCAM1 levels were induced in ALF, and MAdCAM1 levels were positively correlated with the extent of liver damage and the expression of pro-inflammatory markers. Furthermore, activating the CAP mainly downregulated ectopic expression of MAdCAM1 on endothelial cells, and inhibition of NF-κB p65 nuclear translocation was partly attributed to the decreased MAdCAM1. Notably, in ALF, the aberrant hepatic expression of MAdCAM1 subsequently recruited gut-derived α4β7+ CD4+T cells to the liver, which exhibited an augmented IFN-γ-secreting and IL-17-producing phenotype. Finally, we revealed that the levels of serum and hepatic MAdCAM1 were elevated in patients with liver failure and closely correlated with clinical course. Increasing hepatic infiltration of β7+ cells were also confirmed in patients., Conclusions: Activating the CAP attenuated liver injury by inhibiting MAdCAM1/α4β7 -mediated gut-derived proinflammatory lymphocytes infiltration, which provides a potential therapeutic target for ALF., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)

Animal-derived biochar are identified as a promising candidate for peroxymonosulfate (PMS) activation due to the abundant aromatics and oxygen-containing functional groups. The current investigation focuses on pig carcass-derived biochar (800-BA-PBC) by ball milling-assisted alkali activation. The results showed that 800-BA-PBC could effectively activate PMS and degraded 94.2% sulfamethoxazole (SMX, 10 mg/L) within 40 min. The reaction rate constant was found to be 47 times higher than that observed with PBC. The enhanced catalytic activity is mainly attributed to the increase in specific surface area, the increase content of oxygen-containing groups on the surface, and the formation of graphitic nitrogen. The quenching tests and electron paramagnetic resonance (EPR) analysis demonstrated that 1 O 2 is the main active species in the degradation of SMX. Moreover, the 800-BA-PBC + PMS system can maintain excellent degradation rate under different water quality, wide pH range, and the presence of different anions. The degradation pathways of SMX in the optimal system are also evaluated through intermediate identification and DFT calculation. These results indicate that the catalytic system has high anti-interference ability and practical application potential. This investigation provides new insight into the rational design of animal-derived biochar and develops a low-cost technology for the treatment of antibiotic containing wastewater., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Maillard reaction in pharmaceutical preparations refers to a complex chemical reaction existing between reducing excipients and amino-containing drugs in preparations, which can cause a series of quality problems in preparations. Maillard reaction belongs to chemical incompatibility in preparations, and measures should be taken to reduce or avoid it. In this study, the effect of cyclodextrins (commonly used pharmaceutical excipients) on the Maillard reaction and its mechanism in the lysine hydrochloride-lactose solid preparation model were explored for the first time. Our research results show that the embedding of lysine in cyclodextrin can inhibit the Maillard reaction of lysine to some extent, and the embedding of lysine in cyclodextrin with different structures has differences in the inhibitory effects on Maillard reaction.Among the five cyclodextrins we studied, α-CD and HP-β-CD embedded lysine can reduce Maillard reaction to a greater extent. We suspect that this may be related to the stability of the embedded substance, which needs further study and verification. And our research shows that the inclusion complex between lysine and cyclodextrin may be the result of hydrogen bond, electrostatic attraction, hydrophobic interaction and van der Waals force. Cyclodextrin is expected to solve the problem of Maillard reaction in pharmaceutical industry to some extent., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier B.V. All rights reserved.)

In this study, a novel bimetallic Co-Mo-TiO 2 nanomaterial was fabricated through a simple two-step method, and applied as photocatalyst to activate peroxymonosulfate (PMS) with high efficiency for sulfamethoxazole (SMX) removal under visible light. Nearly 100% of SMX was degraded within 30 min in Vis/Co-Mo-TiO 2 /PMS system, and its kinetic reaction rate constant (0.099 min -1 ) was 24.8 times higher compare with the Vis/TiO 2 /PMS system (0.014 min -1 ). Moreover, the quenching experiments and the electronic spin resonance analysis results confirmed that both 1 O 2 and SO 4 •- were the dominant active species in the optimal system, and the redox cycles of Co 3+ /Co 2+ and Mo 6+ /Mo 4+ promoted the generation of the radicals during the PMS activation process. Additionally, the Vis/Co-Mo-TiO 2 /PMS system exhibited a wide working pH range, superior catalytic performance toward different pollutants and excellent stability with 92.8% SMX removal capacity retention after three consecutive cycles. The result of density functional theory (DFT) suggested that Co-Mo-TiO 2 exhibited a high affinity for PMS adsorption, as indicated by the length O-O bond from PMS and the E ads of the catalysts. Finally, the possible degradation pathway of SMX in optimal system was proposed through intermediate identification and DFT calculation, and a toxicity assessment of the by-products was also conducted., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

This study investigated changes in the microbial compositions of crayfish tails during storage at 4 °C (for 0-12 days) as measured using high-throughput sequencing (HTS). The specific spoilage organisms (SSOs) in the crayfish tails were isolated using culture-dependent cultivation methods, and they were identified by 16S rRNA and characterized for their enzymatic spoilage potentials (e.g., protease, lipase, phospholipase, and amylase). The spoilage abilities of the selected strains in the crayfish tails were assessed by inoculating them into real food. Moreover, the microbial growth and the volatile basic nitrogen (TVB-N) changes were monitored during the storage period. The results from the HTS showed that the dominant genus of shrimp tails evolved from Streptococcus (D0) to Pseudomonas (D4) and, finally, to Paenisporosarcina (D12) during storage. Seven bacterial species ( Acinetobacter lwoffii, Aeromonas veronii, Kurthia gibsonii, Pseudomonas sp. , Exiguobacterium aurantiacum , Lelliottia amnigena, and Citrobacter freundii ) were screened from the spoiled shrimp tails by the culture-dependent method, among which Aeromonas veronii had the strongest spoilage ability.

In this study, a decontamination technology combining ultrasound (US) and plasma-activated water (PAW) was developed to better preserve crayfish. First, the decontamination efficacy of US, PAW and their combinations (UP) on crayfish was quantified after 0, 20, 40, or 60 min of treatments. The total viable count (TVC) was reduced by 0.27-0.77 Log CFU/g after individual US or PAW treatments, while a TVC reduction of 1.17 Log CFU/g was achieved after 40 min of UP treatment. Besides, the changes in psychrotrophic bacteria, lactic acid bacteria, yeasts and molds followed a similar trend to TVC. UP treatments normally resulted in more significant reductions in the natural microbiota of crayfish than US or PAW treatments. Furthermore, the microbial quality, physicochemical properties and sensory properties of crayfish after different treatments were assessed during storage at 4 °C for 12 days. According to TVC and total volatile basic nitrogen (TVB-N) values, the control group became unacceptable from 4 days, US or PAW groups became unacceptable from 6 days, while UP group extended the storage time to 8-10 days. During storage, thiobarbituric acid reactive substances (TBARS) values of all the groups were maintained below 0.5 mg/kg, among which the control group exhibited the highest value (0.39 mg/kg). Moreover, UP treatment effectively retarded the deterioration in color and texture properties of crayfish. Fourier transform infrared (FTIR) spectroscopy analysis indicated that UP treatment decreased the α-helix contents and increased the β-sheet contents of crayfish proteins, while the structural changes were not evident at the end of storage. Low-field nuclear magnetic resonance (LF-NMR) analysis revealed that UP treatment reduced the water migration and enhanced the stability of bond water in crayfish. In addition, E-nose analysis revealed the protection of UP treatment on the sensory properties of crayfish during storage. This study demonstrated that the combinations of US and PAW treatments effectively accelerated the decontamination of crayfish and contributed to better storage quality., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.)

Porcine circovirus 2 (PCV2) is one of the most important endemic swine pathogens, inducing immunosuppression in pigs and predisposing them to secondary bacterial or viral infections. Our previous studies show that PCV2 infection stimulated pig intestinal epithelial cells (IPEC-J2) to produce the secretory transforming growth factor-β (TGF-β), which, in turn, caused CD4 + T cells to differentiate into regulatory T cells (T regs ). This may be one of the key mechanisms by which PCV2 induces immunosuppression. Here, we attempt to identify the viral proteins that affect the TGF-β secretion, as well as the key amino acids that are primarily responsible for this occurrence. The three amino acids C35, S36 and V39 of the ORF4 protein are the key sites at which PCV2 induces a large amount of TGF-β production in IPEC-J2 and influences the frequency of T regs . This may elucidate the regulatory effect of PCV2 on the T regs differentiation from the perspective of virus structure and intestinal epithelial cell interaction, laying a theoretical foundation for improving the molecular mechanism of PCV2-induced intestinal mucosal immunosuppression in piglets.

Demetalation, caused by the electrochemical dissolution of metal atoms, poses a significant challenge to the practical application of single-atom catalytic sites (SACSs) in proton exchange membrane-based energy technologies. One promising approach to inhibit SACS demetalation is the use of metallic particles to interact with SACSs. However, the mechanism underlying this stabilization remains unclear. In this study, we propose and validate a unified mechanism by which metal particles can inhibit the demetalation of Fe SACSs. Metal particles act as electron donors, decreasing the Fe oxidation state by increasing the electron density at the FeN 4 position, thereby strengthening the Fe-N bond, and inhibiting electrochemical Fe dissolution. Different types, forms, and contents of metal particles increase the Fe-N bond strength to varying extents. A linear correlation between the Fe oxidation state, Fe-N bond strength, and electrochemical Fe dissolution amount supports this mechanism. Our screening of a particle-assisted Fe SACS led to a 78% reduction in Fe dissolution, enabling continuous operation for up to 430 h in a fuel cell. These findings contribute to the development of stable SACSs for energy applications.

To enhance the catalytic activity of carbon materials and streamline their synthesis process, it is necessary to optimize the doping of heteroatoms and reduce the dependence on organic solvents. This can be achieved by utilizing carbonized Polypyrrole-Polythiophene (C(Ppy-Pth)), which is obtained through simultaneous and in-situ co-doping of N and S. This material can serve as an effective activator of peroxydisulfate (PDS) for the degradation of aniline (AN). The results showed that Ppy-Pth could be efficiently synthesized by using cetyltrimethyl ammonium bromide, pyrrole, thiophene, FeCl 3 , and H 2 O 2 in water. Based on the price, self-decomposition and oxidation efficiency, the performance of PDS activated by C(Ppy-Pth) was superior to that of peroxymonosulfate (PMS) in degrading AN. The optimum conditions for catalyzing PDS and degrading 30 mg/L AN by C(Ppy-Pth) were 0.10 g/L C(Ppy-Pth)-1000-1/1, 2.10 mM PDS, and pH 0  = 3.00, which resulted in 86.69% AN removal in 30 min. Carbonation temperature, N/S ratio and pyridine N content are the key factors affecting the catalytic activity of C(Ppy-Pth). Quenching, probe, and electrochemical experiment revealed that in the catalytic PDS system with C(Ppy-Pth)-1000-1/1 (pH 0  = 3.00), the oxidation of AN mainly occurred through the generation of hydroxyl radical (·OH), superoxide anion (O 2 ·- ), and electron transfer on the C(Ppy-Pth)-1000-1/1 surface. The steady-state concentration of ·OH and O 2 ·- were 2.65 × 10 -14  M and 1.97 × 10 -13  M, respectively, and the contribution rate of ·OH oxidation was 31.28%. The oxidation of AN by sulfate radical (SO 4 ·- ) and singlet oxygen ( 1 O 2 ) could be neglected. This study provides a promising strategy for the construction of PDS catalyst and wastewater treatment., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Inc. All rights reserved.)

As the most abundant infiltrating immune cells in the tumor microenvironment (TME), tumor-associated macrophages (TAMs) are pivotal in tumor development and treatment. The present investigation endeavors to explore the potential of M1 macrophage-related genes (MRGs) as biomarkers for assessing risk in individuals with osteosarcoma. RNA-sequence data and clinical data were derived from TCGA and GEO databases. The CIBERSORT method was utilized to discern subtypes of tumor-infiltrating immune cells. Identification of MRGs was achieved through Pearson correlation analysis. A prognostic risk model for MRGs was developed using Cox and LASSO regression analyses. A tripartite gene signature comprising CD37, GABRD, and ARHGAP25 was an independent prognostic indicator and was employed to develop a risk score model. The internal and external validation cohort confirmed the results. The area under the ROC curve (AUC) was determined for survival periods of 1 year, three years, and five years, yielding values of 0.746, 0.839, and 0.850, respectively. The C-index of the risk score was found to be superior to clinicopathological factors. GO/KEGG enrichment showed that the differences between high- and low-risk groups were predominantly associated with immune response pathways. Immune-related analysis related to proportions of immune cells, immune function, and expression levels of immune checkpoint genes all showed differences between the high- and low-risk groups. The qRT-PCR and Western blotting results indicate that CD37 expression was markedly higher in MG63 and U2OS cell lines when compared to normal osteoblast hFOB1.19. In U2OS cell line, GABRD expression levels were significantly upregulated. ARHGAP25 expression levels were elevated in both 143B and U2OS cell lines. In summary, utilizing a macrophage genes signature demonstrates efficacy in predicting both the prognosis and therapy response of OS. Additionally, immune analysis confirms a correlation between the risk score and the tumor microenvironment. Our findings, therefore, provide a cogent account for the disparate prognoses observed among patients and furnish a justification for further inquiry into biomarkers and anti-tumor treatment strategies., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Mao, Song, Jin, Zou, Dai, Sun, Xu, Wang and Kang.)

Background and Aim: Sepsis is a syndromic response to infection and is associated with high mortality, thus imposing a significant global burden of disease. Although low-molecular-weight heparin (LMWH) has been recommended to prevent venous thromboembolism, its anticoagulant and anti-inflammatory effects in sepsis remain controversial. Owing to the modification of the Sepsis-3 definition and diagnostic criteria, further evaluation of the efficacy and benefit population of LMWH is required., Methods: We performed a retrospective cohort study to assess whether LMWH improved the inflammation, coagulopathy, and clinical outcomes against Sepsis-3 and to identify the target patients. All patients diagnosed with sepsis at the First Affiliated Hospital of Xi'an Jiaotong University (the largest general hospital in northwest China) from January 2016 to December 2020 were recruited and re-evaluated using Sepsis-3 criteria., Results: After 1:1 propensity score matching, 88 pairs of patients were categorized into the treatment and control groups based on subcutaneous LMWH administration. Compared with the control group, a significantly lower 28-day mortality was observed in the LMWH group (26.1 vs. 42.0%, p = 0.026) with a comparable incidence of major bleeding events (6.8 vs. 8.0%, p = 0.773). Cox regression analysis showed that LMWH administration was the independent protective factor for septic patients (aHR, 0.48; 95% CI, 0.29-0.81; p = 0.006). Correspondingly, the LMWH treatment group showed a significant improvement in inflammation and coagulopathy. Further subgroup analysis showed that LMWH therapy was associated with favorable outcomes in patients younger than 60 years and diagnosed with sepsis-induced coagulopathy (SIC), ISTH overt DIC, non-septic shock, or non-diabetics and in patients included in the moderate-risk group (APACHE II score 20-35 or SOFA score 8-12)., Conclusion: Our study results showed that LMWH improves 28-day mortality by improving inflammatory response and coagulopathy in patients meeting Sepsis-3 criteria. The SIC and ISTH overt DIC scoring systems can better identify septic patients who are likely to benefit more from LMWH administration., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Zhang, Yan, Ren, Zhou, Liu, Li, Fu, Ni, Xu, Yang, Chen, He, Zhao and Liu.)

Serum samples were collected from 54 hepatitis B e antigen (HBeAg)-positive Chinese patients infected with hepatitis B virus (HBV) subgenotype B2 or C2. They were compared for transmission efficiency using same volume of samples or infectivity using same genome copy number. Adding polyethylene glycol (PEG) during inoculation did not increase infectivity of fresh samples but markedly increased infectivity following prolonged sample storage. Differentiated HepaRG cells infected without PEG produced more hepatitis B surface antigen (HBsAg) and higher HBsAg/HBeAg ratio than sodium taurocholate cotransporting polypeptide (NTCP)-reconstituted HepG2 cells infected with PEG. They better supported replication of core promoter mutant in contrast to wild-type (WT) virus by HepG2/NTCP cells. Overall, subgenotype C2 samples had higher viral load than B2 samples, and in general produced more HBeAg, HBsAg, and replicative DNA following same-volume inoculation. Precore mutant was more prevalent in subgenotype B2 and had reduced transmission efficiency. When same genome copy number of viral particles was inoculated, viral signals were not necessarily higher for three WT C2 isolates than four WT B2 isolates. Using viral particles generated from cloned HBV genome, three WT C2 isolates showed slightly reduced infectivity than three B2 isolates. In conclusion, subgenotype C2 serum samples had higher transmission efficiency than B2 isolates in association with higher viral load and lower prevalence of precore mutant, but not necessarily higher infectivity. PEG-independent infection by HBV viremic serum samples is probably attributed to a labile host factor., (© 2023 Wiley Periodicals LLC.)

Background: The combination of pelvic fractures with lower urinary tract injuries (LUTIs) is a severe traumatic injury. This study was performed to determine the relationship between LUTIs and pelvic fracture types., Methods: Patients who sustained pelvic fractures combined with LUTIs between 1 January 2018 and 1 January 2022 in our institution were retrospectively analyzed. The patients' demographics, mechanism of injury, presence of open pelvic fractures, types of pelvic fractures, patterns of LUTIs, and early complications were analyzed. The association between pelvic fracture types and the identified LUTIs was statistically analyzed., Results: This study involved 54 patients diagnosed with pelvic fractures combined with LUTIs. The overall incidence of pelvic fractures combined with LUTIs was 7.7% ( n = 54/698). All patients had unstable pelvic fractures. The male:female ratio was approximately 2.4:1.0. The incidence of LUTIs was higher in men than women with pelvic fractures (9.1% vs. 4.4%). Bladder injuries occurred at roughly equal rates in men and women (4.5% vs. 4.4%, p = 0.966), but urethral injuries were more frequent in men (6.1% vs. 0.5%, p = 0.001). The most common pelvic injury pattern was a type C fracture according to the Tile classification and a vertical-shear-type fracture according to the Young-Burgess classification. The Young-Burgess fracture classification was related to the severity of bladder injury in men ( p = 0.037). There was no significant difference in bladder injury according to the two classifications among women ( p = 0.524 vs. p = 1.000) or among the entire cohort ( p = 0.454 vs. p = 0.342)., Conclusions: Men and women are equally likely to sustain a bladder injury, but a urethral injury with pelvic fracture is more frequent in men. LUTIs tend to be accompanied by unstable pelvic fractures. It is imperative to be vigilant for potential bladder injury when men sustain vertical-shear-type pelvic fractures.

At present, the impact of cuproptosis-related genes in the study of osteosarcoma is largely unknown. Genome-wide data of osteosarcoma and controls were downloaded from 3 different databases, and specific diagnostic models associated with cuproptosis in osteosarcoma were constructed by support vector machines with artificial intelligence, random forest trees and LASSO regression. Differential analysis of immune cell infiltration was examined using routine blood data from 25,665 cases. Differential expression was examined using immunohistochemistry and PCR. PDHA1 and CDKN2A were obtained as specific cuproptosis-related biomarkers for osteosarcoma after artificial intelligence analysis. PDHA1, CDKN2A and neutrophils were differentially expressed in OS and control groups. PDHA1 and CDKN2A are significantly dysregulated in OS and are able to serve as biomarkers of OS., (© 2023. The Author(s).)

Background: Reports on traumatic sciatic nerve injury associated with acetabular fracture are rare. In this study, we investigated the demographics of these injuries, their clinical characteristics, management, and factors potentially influencing neurological recovery., Methods: We retrospectively reviewed all patients diagnosed to have acetabular fracture at our trauma center between January 2014 and June 2021. Data on patient demographics, characteristics of sciatic nerve injury, neurological recovery, factors potentially influencing neurological recovery were analyzed., Results: Eighteen patients (bilateral in one case) met the diagnostic criteria. All these injuries involved the posterior wall or posterior column, and most patients had posterior dislocation of the hip joint. Four of the 19 sides with traumatic sciatic nerve injury involved the common peroneal nerve division and 15 involved both the common peroneal and tibial nerve divisions. Seventeen patients (18 sides) underwent intraoperative nerve exploration, which revealed abnormalities in 7 sides and no obvious abnormality in 11 sides. At the last follow-up, 10 sides (52.6%) had complete recovery and 9 (47.4%) had partial recovery; the difference was statistically significant between those with or without abnormal nerve damage during exploration (P = 0.046). Linear regression analysis showed that a nerve abnormality detected intraoperatively was a predictor of nerve recovery (P = 0.009). The mean recovery time was significantly longer for partial recovery than for complete recovery (13.78 months vs. 6.70 months; P = 0.001)., Conclusions: All the injuries in this series involved the posterior wall or posterior column, and most patients had posterior dislocation of the hip joint. Damage to the common peroneal nerve division was more severe than that to the tibial nerve division preoperatively. However, the degree of recovery of the common peroneal division was not worse than that of the tibial division. There was a relationship between the degree of neurological recovery and whether there was an abnormality at the time of intraoperative nerve exploration. Patients with partial recovery took longer to recover., (© 2023. The Author(s).)

Novel modified-TiO 2 /Zr-doped SiO 2 /g-C 3 N 4 ternary composite is fabricated via an in-situ grow of porous Zr-SiO 2 layer to TiO 2 /g-C 3 N 4 heterojunction, which exhibits well adsorption-photocatalytic performance under simulated solar light irradiation. The nano-size mesoporous TiO 2 are dispersed on the lamellar g-C 3 N 4 , and the Zr-SiO 2 is in-situ fabricated onto the surface of g-C 3 N 4 sheets. The adsorption occurs on the SiO 2 layers, and doping Zr element to SiO 2 enhances the adsorption of pollutants, while the photocatalytic reaction occurs on the valence band (VB) of TiO 2 and conduction band (CB) of g-C 3 N 4 , which gives reactive oxygen species of ∙O 2 - , h + , and ∙OH for high efficient decomposition of antibiotics, i.e. berberine hydrochloride (98.11%), tetracycline (80.76%), and oxytetracycline (84.84%). The excellent adsorption capacity and Z-scheme photoinduced charge carrier migration behavior endowed the novel material with enhanced berberine hydrochloride (BH) removal in water, which approximately 2.5 and 3.8 folds than that of pure g-C 3 N 4 and sole TiO 2 , respectively. Three degradation pathways are unraveled by LC-MS and theoretical calculations. Furthermore, the toxicity of intermediates was evaluated by the Toxicity Estimation Software Tool (T.E.S.T.), the result demonstrated a good application potential of M-TiO 2 /Zr-SiO 2 /g-C 3 N 4 as an novel adsorptive photocatalyst., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)

The development of digital inclusive finance has greatly improved the feasibility of financial inclusion. Therefore, in the context of the constrained financing of marine carbon sink fisheries, we try to investigate whether digital inclusive finance exhibits a supportive effect on marine carbon sink fisheries and thus enhances the capacity of marine carbon sinks. Specifically, this paper empirically calculates the grey correlation between the development of digital inclusive finance and marine carbon sinks based on data in nine coastal provinces of China from 2011 to 2019. The empirical results show that the grey relational coefficients between the above two in China are more than 0.5, revealing a significant positive correlation. Then, on this basis, we estimate the digital inclusive financial support efficiency (DIFSE) for marine carbon sink fisheries by applying the Super-EBM model. In addition, the determinants affecting the DIFSE for marine carbon sink fisheries selected based on the grounded theory are explored through the Tobit model. The conclusions are as follows. First, there are time-varying characteristics and regional heterogeneity in DIFSE. Generally, the effect of China's digital inclusive financial support for marine carbon sink fisheries is expanding year by year. Among them, the DIFSE in the northern marine economic circle is currently the highest, followed by that in the south and east. Second, the input of productive factors, promotion of fishery skill, development of fishery technology, and Internet coverage will significantly increase the value of DIFSE, while output structure, income level, fishery disasters, and marine pollution will have significant negative effects on DIFSE. These empirical results can help policymakers better understand the contribution of digital inclusive finance to marine carbon sink fisheries and provide them with valuable information for the formulation of supportive policies.

Purpose: The conventional lateral approach is widely used to treat radial head fractures with screws. However, the traditional incision may have shortcomings, including excessive exposure and significant scarring. We propose an innovative method - a mini-open lateral approach of less than 2.5 cm for surgical treatment of radial head fractures with screws., Methods: From Jan 2017 to Dec 2020, 34 patients diagnosed with closed radial head fracture were treated with open reduction and internal fixation (ORIF) in this study. The novel group (mini-open group) included 15 patients, and the other 19 patients were in the traditional group. The time of operation and the blood loss during operation were recorded. Postoperative clinical outcomes and radiographic results were recorded and compared between the two groups. The range of motion (ROM) in the elbow, the Visual Analogue Scale (VAS), the Mayo Elbow Performance Score (MEPS), Rating Scale of the American Shoulder and Elbow Surgeons (ASES), and the Shortened Disabilities of the Arm, Shoulder and Hand Questionnaire (Q-DASH) score and complications, such as wound infection, vascular and nerve damage, and fragment redisplacement were observed in the two groups., Results: In the comparison between the two groups, there was no significant difference in age, sex, cause of radial head fracture, or other basic information. The operation time, intraoperative blood loss, and VAS score at 3 days postoperation were significantly reduced in the novel group ( p < 0.05). The follow-up results showed that there was no significant difference in MEPS, ASES, or Q-DASH scores between the two groups., Conclusion: The mini-open approach reduced intraoperative blood loss, shortened operation time, relieved patient pain, and achieved a satisfactory postoperative clinical result, which demonstrates that the novel approach is a safe and effective option for treating radial head fractures., Competing Interests: The authors report no conflicts of interest in this work., (© 2022 Zhou et al.)

Purpose: Traumatic sciatic nerve injury is one of the most serious consequences of acetabular fracture. However, reports on this type of injury are rare. In this study, we investigated the demographics of acetabular fracture with traumatic sciatic nerve injury, the clinical characteristics of patients with these injuries, and potential risk factors., Patients and Methods: We retrospectively reviewed patients diagnosed to have acetabular fracture at our trauma center between January 2014 and June 2021. Data on patient demographics, characteristics of the acetabular fracture, whether or not sciatic nerve injury occurred, types of sciatic nerve injury, and risk factors were analyzed., Results: A total of 195 patients met the diagnostic criteria for acetabular fractures. The average Injury Severity Score was 25.9 and the average Abbreviated Injury Scale score was 12.4. Road traffic accidents and falls from height were the main causes. Chest injuries and lower extremity fractures were the most common associated injuries. Posterior wall fractures were the most common fracture type. After exclusion of spinal cord and iatrogenic sciatic nerve injuries, 18 patients with acetabular fractures had traumatic sciatic nerve injury. Four of the 19 sides with traumatic sciatic nerve injury involved the common peroneal nerve division and 15 involved both the common peroneal and tibial nerve divisions. Logistic regression analysis identified a higher AIS score, posterior column fracture, and posterior hip dislocation to be predictors of traumatic sciatic nerve injury., Conclusion: Acetabular fractures were mostly high-energy injuries. Posterior wall fractures were the most common acetabular fracture types. Most patients sustained injury to the sciatic nerve as well as injury to the common peroneal and tibial nerve divisions. A higher AIS score, posterior column fracture, and posterior hip dislocation were predictors of acetabular fracture combined with traumatic sciatic nerve injury., Competing Interests: All authors report no conflict of interest in connection with this article., (© 2022 Liu et al.)

Background: Open Tile C pelvic fractures are particularly severe. However, reports on their management and outcomes are relatively rare. This study analyzed the demographic and clinical characteristics of patients with open Tile C pelvic fractures and describes our management and outcomes of these injuries., Methods: This retrospective review included all patients with open Tile C pelvic fractures treated in our department between January 2014 and June 2021. Data on patient demographics, characteristics of the injuries, surgical management, and outcomes were analyzed., Results: Thirty patients with a mean age of 34.0 years met the diagnostic criteria. The average Injury Severity Score was 40.3. According to the Tile fracture classification, 6 patients sustained type C1.1, 12 sustained type C1.2, 3 sustained type C1.3, 5 sustained C2 and 4 sustained type C3. Most patients had soft tissue injuries in multiple zones. All patients sustained associated injuries. Management consisted of bed rest in 8 cases, external fixation as the final strategy in 14, conversion from external fixation to internal fixation in 3, open reduction with internal fixation in 5, and amputation in 6. The average amount of packed red blood cells transfused was 33.3 units, the average intensive care unit stay was 11.3 days, the mean number of operations required was 6.2, and the mean length of hospital stay was 81.8 days. The main complications were early soft tissue infections and venous thrombosis. One patient died of sepsis and multi-organ failure. Soft tissue injuries in multiple zones increased utilization of hospital resources whereas anorectal injuries did not. Vascular damage accompanying truck crush injuries had a high amputation rate., Conclusion: Open Tile C pelvic fractures require multidisciplinary diagnosis and management and consume considerable hospital resources. More emphasis needs to be placed on this complex injury., Competing Interests: All authors warrant that they have no conflict of interest in connection with this article. They have access to all the study data and take final responsibility for the decision to submit for publication., (© 2022 Lu et al.)

In this work, discrete quantum dots of crystallized anatase TiO 2 are successfully anchored on carbon nanosheets containing amorphous SiO 2 via templated self-assembly and pyrolysis routes. The novel hybrid photocatalyst of TiO 2 /C/SiO 2 exhibits well coupled adsorption and visible light photocatalysis on chlorpromazine (CPZ) and the rate constants are 0.0223 and 0.0198 min -1 , respectively. The direct photocatalytic degradation of CPZ under static conditions reaches 91.1% within 3 h while a removal rate of 31.4% for CPZ could be retained under dynamic flow conditions, and the improved performance could be attributed to enhanced adsorption via SiO 2 /C and highly exposure of TiO 2 QDs surface. Based on the trapping experiments, ESR, LC-MS, and toxicity evaluation, O 2 - free radicals are identified as main reactive species for CPZ degradation along three possible pathways, with reduced toxicities for its intermediates. The cell viability tests of photocatalytic-degraded solutions and the catalyst exhibit negligible toxicities for both intermediates and the material, suggesting the novel composite of TiO 2 /C/SiO 2 as an environmental friendly photocatalyst for pharmaceutical wastewater treatment., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

The increasing marine pollution in China's coastal areas has seriously affected the sustainable development of the economy and the living standards of residents. It is of great significance to explore the relationship between urbanization and marine pollution in coastal areas for the sustainable development of coastal cities. Based on the marine pollution data and nighttime light (NTL) data of 46 coastal cities from 2006 to 2015, the paper discusses the impact of urbanization on marine pollution by using the generalized spatial two-stage least square method (GS2SlS), and analyzes the role of technological innovation, financial development, and human capital in the impact of urbanization on marine pollution by using the three-stage least square method (3SLS). Results show that China's coastal marine pollution has a strong spatial spillover effect, and a U-shaped relationship exists between urbanization and marine pollution. Regional heterogeneity analysis shows that an inverted U-shaped relationship was found between coastal urbanization and marine pollution in the northern marine economic circle, while the eastern and southern marine economic circles have a U-shaped correlation. The heterogeneity of the urbanization pattern indicates that the relationship between different urbanization patterns and marine pollution in coastal areas is generally in a positive correlation stage, but the depth of urbanization occupies a dominant position. Further mechanism tests show that urbanization can effectively reduce coastal marine pollution and improve the marine environment through the technological innovation effect, financial development effect, and human capital effect.

Background: Osteoarthritis (OA) is the main cause of older pain and disability. Intra-articular injections of ozone (O 3 ) commonly have been found to have antioxidative and anti-inflammatory effects to reduce pain and improve function in knee osteoarthritis. It has been reported that reduced autophagy in chondrocytes plays an important role in the development of OA. This study aimed to probe the role of O 3 on the autophagy in chondrocytes treated with IL-1β., Methods: Primary chondrocytes were isolated from Wistar rats cartilage within 3 days. The OA chondrocytes model was induced via treatment with IL-1β for 24 h. Then the cells were treated with O 3 and GW9662, the inhibitor of PPARγ. Cell viability was assessed by CCK-8. Further, the cells subjected to Western blot analysis, qRT-PCR and immunofluorescence assay. The numbers of autophagosomes were observed via transmission electron microscopy., Results: 30 μg/ml O 3 improved the viability of chondrocytes treated with IL-1β. The decreased level of autophagy proteins and the numbers of autophagosomes improved in IL-1β-treated chondrocytes with O 3 via activating PPARγ/mTOR. In addition, the qRT-PCR results showed that O 3 decreased the levels of IL-6, TNF-α and MMP-3, MMP-13 in chondrocytes treated with IL-1β., Conclusions: 30 μg/ml O 3 improved autophagy via activating PPARγ/mTOR signaling and suppressing inflammation in chondrocytes treated with IL-1β., (© 2022. The Author(s).)

Introduction: Many confounding factors such as sex, age, and body mass index (BMI) affect pulmonary function parameters, but there are limited data about the direct and/or indirect effects of small airway function on lung function for differences in confounding factors., Objectives: This study aimed to use structural equation model (SEM) to explain the influence of the confounding factors (age, sex, and BMI) on the relationship between small airway function and lung function in patients with lung cancer., Methods: A cross-sectional observational study was conducted in a single medical center. Subjects were assessed; small airway function was specified by MEF25% and MEF50%; lung function by FVC; pulmonary obstruction by FEV1, FEV1%, and FEV1/FVC; and PEF and PEF% reflected the strength of abdominal muscles. The measurement model was analyzed by confirmatory factor analysis. The SEM was conducted to analyze the structural models of the effects of the confounding factors., Results: In the measurement model, variables were fit to their domains, the path linking age and sex to pulmonary obstruction was positive and statistically significant, and the path linking sex to muscle strength was also positive and statistically significant. Muscle strength positively and significantly mediates the path between sex and FVC. As a moderator, BMI increased the effects of small airway function on FVC., Conclusion: Age and sex were directed to pulmonary obstruction, and muscle strength as a mediator between sex and lung function was novel, and BMI adjusted the effects of small airway function on FVC., (© 2022 The Authors. The Clinical Respiratory Journal published by John Wiley & Sons Ltd.)

Particulate plastics (<5 mm), including macroplastics (1 μm to 5 mm), microplastics (100 nm to 1 μm) and nanoplastics (<100 nm), have become a global environmental problem due to their widespread occurrence, distribution and ecosystem risk. Although numerous studies on particulate plastics have been conducted in aquatic systems, investigations in the soil ecosystem are lacking. Soil is the main storage place of particulate plastics, conferring significant impacts on plant growth and development. The impact of particulate plastics on plants is directly related to the safety of agricultural products. This review comprehensively examines the pollution characteristics and exposure pathways of particulate plastics in agricultural soils, highlighting plastic uptake process, and mechanisms in plants, and effects of particulate plastics, biodegradable particulate plastics and combined pollution of plastics with other environmental pollutants on plant performances. This review identifies a number of future research prospects including the development of accurate quantitative methods for plastic analysis in soil and plant samples, understanding the environmental behaviors of conventional and biodegradable particulate plastics in the presence and absence of other environmental pollutants, unravelling the fate of particulate plastics in plants, phyto-toxicity and molecular regulatory mechanisms of particultate plastics, and developing best management practices for the production of safe agricultural products in plastic-contaminated soils., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2021 Elsevier B.V. All rights reserved.)

In this work, a modified g-C 3 N 4 /MgZnAl-calcined layered double hydroxide composite (M-CN/cLDH) was successfully fabricated via a template method. The composite material is a hierarchical porous flower-like nanostructure self-assembled from stacked hybrid flakes. The 3D M-CN/cLDH architectures exhibit a synergistic effect of adsorption and photocatalysis for eliminating typical tetracycline antibiotics in seawater, i.e., oxytetracycline (OTC), tetracycline (TC), chlortetracycline (CTC), and doxycycline (DXC). The synergistic removal rate of OTC in seawater of M-CN/cLDH is 2.73 times higher than that of g-C 3 N 4 after 120 min of visible-light illumination, and M-CN/cLDH also performs better adsorption-photocatalytic degradation on OTC in the continuous flow reaction process. The superior adsorption capability of the M-CN/cLDH is attributed to the open porous structures of cLDH, and its excellent photocatalytic degradation activity is ascribed to the closely bonded heterojunctions between g-C 3 N 4 (CN) and cLDH double layers. The mass spectra reveals the degradation pathways of OTC, and its byproducts are less toxic after degradation for 120 min. The exploration of the M-CN/cLDH in synthetic mariculture wastewater suggested a huge potential for its practical application. With the assistance of magnesium ammonium phosphate (MAP) precipitation pretreatment, the material can effectively retain the high OTC removal rate in the synthetic mariculture wastewater circumstance., (Copyright © 2021 Elsevier B.V. All rights reserved.)

Background: Chronic kidney disease (CKD) is associated with thyroid disease and cardiovascular disease (CVD). To date, little is known about the association of thyroid autoantibodies with renal function or cardiac function in patients with CKD., Methods: This is a descriptive cross-sectional study. Patients diagnosed with stages 3-5 CKD from January 2015 to May 2019 at our department were recruited. Routine medical history, general clinical data, and laboratory test indexes were collected for all patients. Echocardiography was performed by a trained echocardiographer to measure E in early diastole and A, E/A ratio, E' in early diastole, A' in end-diastole, E/E' ratio, and E'/A' ratio., Results: A total of 1,164 patients with stages 3-5 CKD were included. Thyrotropin receptor antibody (TRAb) was significantly positively correlated with C-reactive protein (r=0.206, P<0.001). Thyroid peroxidase antibody (TPOAb) and TGAb titers in male diabetic patients were higher (r=0.137, P=0.023; r=0.159, P=0.011). In female patients, both TPOAb and TGAb were significantly negatively correlated with hemoglobin (r=-0.213, P=0.018; r=-0.188, P=0.019). The E/E' of patients who were TPOAb positive was higher than that in patients with TPOAb negative (r=0.181, P<0.001). LVEF in patients who were TPOAb positive was higher than that in patients with TPOAb negative (r=0.159, P=0.007). In addition, LVEF was significantly negatively correlated with TRAb (r=-0.112, P=0.026)., Conclusions: In patients with stages 3-5 CKD, AITD may increase the risk of CVD in CKD patients by affecting triglycerides levels, increasing the risk of anemia, and promoting micro-inflammation. Attention should be paid to female patients with high TPOAb and TGAb titers. The mean of E/E' in patients with stage 5 CKD was 16.89 in the present study. Women with TPOAb positive may be more likely to develop diastolic heart failure., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://dx.doi.org/10.21037/atm-21-3280). Dr. WX reports funding support from the Intramural Research Program of People’s Hospital of Huadu District (No. 2020C03). Dr. SZ reports funding support from the Guangzhou Traditional Chinese Medicine and Integrated Chinese and Western Medicine Science and Technology Project (No. 20202A010023), and the Intramural Research Program of People’s Hospital of Huadu District (No. 2020C03). Dr. YL reports funding support from the Thirteenth Five-Year Plan of Guangdong Province Educational Science (No. 2020GXJK441). The other authors have no conflicts of interest to declare., (2021 Annals of Translational Medicine. All rights reserved.)

Due to the rapid development of modern industry, the coexistence of antibiotics and inorganic heavy metals pollutants in wastewater has become a universal phenomenon. Therefore, developing efficient and eco-friendly photocatalyst for mixed pollutants degradation is significant. In this work, a well-designed phosphorus and sulfur co-doped g-C 3 N 4 with feeble N vacancies catalyst (P/S-g-C 3 N x ) was fabricated by supramolecular self-assembly method, and was applied to remove berberine hydrochloride (BH) and Cr(VI) simultaneously with the synergy of adsorption-photocatalysis. A series of experiments was conducted to unveil the synergistic mechanism. The kinetic models indicated that the adsorption of P/S-g-C 3 N x improved the BH removal process by accelerating the photo-degradation, because the adsorption rate > surface degradation rate > bulk degradation rate. Besides, the photo-degradation process improved the BH removal rate by regenerating the adsorption sites of P/S-g-C 3 N x . Moreover, from the experiments in BH-Cr(VI) mixed solution system, the existence of BH also enhanced the surface adsorption of Cr(VI) in P/S-g-C 3 N x sample, and the reduction rate of Cr(VI) was also promoted with the existence of BH. Overall, the results of this investigation suggest that the adsorption-photocatalysis synergy method is an efficient way to eliminate organic pollutant and Cr(VI) simultaneously., (Copyright © 2020 Elsevier B.V. All rights reserved.)

Pyrite (FeS 2 ) is an abundant sulfide-associated iron mineral that exists in the earth. In this study, the pyrite/oxone process was demonstrated to be an effective approach for the catalytic degradation of propanil, where more than 90% decay ([propanil] 0 = 0.01 mM) was achieved within 15 min. Typically, the effects of various experimental parameters, including catalyst loading, oxone dosage, propanil concentration, and initial solution pH, were examined. Two optimal reaction pH values were observed at pH 9.1 and pH 2.9. The generated SO 4 － and OH were verified to be the dominant reactive radicals and primarily responsible for the propanil degradation. Both Fe(II) regeneration and sulfur conversion play an important role in oxone activation mechanism and effectively aid the catalytic activity of pyrite. Different co-existing natural water constituents exert dissimilar effects on the pyrite/oxone process. Additionally, the reusability test of pyrite exhibited a reasonable catalytic activity. The pyrite/oxone process was proven efficient in terms of propanil mineralization. A series of reaction intermediates was detected via four major degradation pathways. Overall, the pyrite/oxone process could be a promising approach for the removal of organic compounds in water., (Copyright © 2020 Elsevier B.V. All rights reserved.)

To compare the effects of high- (HF-EMF) and low-frequency electromagnetic fields (LF-EMF) on the proliferation and differentiation of neural stem cells (NSCs). NSCs were obtained from SD rat hippocampus and cultured in suspension and adherent differentiation media. NSCs were exposed to LF-EMF (5 m T, 50 Hz, 30 min daily), HF-EMF (maximum magnetic induction 2.5 T, 40 % MO, 50 Hz, 10 min daily) and no electromagnetic field. At 3 d, cell viability and quantity of NSCs in suspension were detected by CCK-8 assay and cell counting plate. Immunofluorescence staining and qRT-PCR were performed to detect the percentage of Tuj-1 and GFAP-positive NSCs and the expression of Tuj-1 and GFAP mRNA. The P3 NSCs were positive with Nestin and induced NSCs expressed Tuj-1, GFAP and oligodendrocyte markers (MBP). CCK-8 assay and cell counting showed that the OD value and quantity of LF-EMF group were significantly higher than those in other two groups (both P < 0.05). Compared with the control group, the OD value and quantity were significantly higher in the HF-EMF group (P < 0.05). Immunofluorescence staining and qRT-PCR revealed that the percentage of Tuj-1 positive cells and the expression of Tuj-1 mRNA of NSCs exposed to LF-EMF were the highest (both P < 0.05). The proportion of GFAP-positive NSCs and the expression of GFAP mRNA did not significantly differ among three groups (all P> 0.05). Both 50 Hz LF-EMF and HF-EMF can promote the proliferation of NSCs in vitro and LF-EMF can accelerate NSCs to differentiate into neurons., (Copyright © 2020 Elsevier B.V. All rights reserved.)

Objective: We aimed to perform a network meta-analysis that combined both direct and indirect evidence to compare the relative efficacy of interventional therapies to treat patients with postherpetic neuralgia (PHN) and to determine the treatments' superiority and validity., Method: A conventional paired meta-analysis was performed. This was followed by a network meta-analysis using the Bayesian framework., Results: Botulinum toxin type A and pulsed radiofrequency (PRF) were the two most effective individual interventions. For combination therapy, PRF + nerve block (NB) was the best choice, followed by subcutaneous injection or local infiltration (SC) + NB + ozone (O3). However, the combination of PRF + NB + SC showed reduced the efficacy compared with each treatment and was highly invasive for patients. After a long-term follow-up, PRF was shown to be the most effective therapy for treating patients with PHN., Conclusions: Regular anti-neuropathic drug administration that was accompanied by interventional therapies at an early stage is the best choice to treat patients with PHN. Appropriate combinations of different interventions show improved pain relief. Clinicians should manage therapeutic regimens on the basis of the patients specific condition and existing measures and strive to achieve personalized treatment.

Many studies have shown that ozone (O 3 ) can inhibit inflammation in osteoarthritis (OA) and regulate the metabolic balance of articular cartilage, but the mechanisms of this process are not well understood. Our study investigated the therapeutic mechanism of O 3 in OA. OA models were established, and the MWT and PWL were measured. HE staining and safranin O-fast green staining were used to observe cartilage degeneration. The levels of MMP-13, collagen-2, LC3II and P62 were measured by immunohistochemistry, and the levels of TNF-α and IL-6 were measured by ELISA. The results showed that intra-articular injection of O 3 can effectively alleviate pain and inhibit cartilage degeneration in OA rats. O 3 can also reduce the concentrations of TNF-α and IL-6, inhibit the expression of MMP-13 and the degradation of collagen-2, upregulate the autophagy-related protein LC3II and inhibit P62. This effect is associated with the upregulation of chondrocyte autophagy in OA., Competing Interests: None., (AJTR Copyright © 2020.)

Ag/g-C 3 N 4 plasmonic photocatalysts with porous structure (Ag/PCN) were successfully synthesized via a thermal exfoliation strategy and photo-reduction method. Owing to the combined merits of porous structure and surface plasmon resonance effect of silver nanoparticles, the Ag/PCN catalysts exhibited excellent photocatalytic performance for the degradation of antibiotic agents. With the optimal Ag loading, the Ag/PCN-2 catalyst exhibited the optimal catalytic activity for TC degradation under visible light, which shows about 11.8 times enhancement in the photocatalytic removal efficiency as compared to pure g-C 3 N 4 , respectively. This phenomenon can be attributed to the increased specific surface area, broadened visible light absorption and improved charge separation. The radical quenching results confirmed that h + and O 2 - radicals were the major active species during removal of TC. The degradation of TC is increased with the increment of Ag/PCN-2 catalysts, and the optimum catalyst was found to be 1.67 g/L. The hindering effect of selected of anions (Cl - , CO 3 - , H 2 PO 4 - ) was found to follow the order H 2 PO 4 - > CO 3 - > Cl - . Ag/PCN-2 sample also possessed high stability after six cycles of reuses. Furthermore, the possible degradation pathways of TC and photocatalytic mechanism over Ag/PCN-2 were proposed in detail., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Thin 2D/2D WO 3 /g-C 3 N 4 Step-scheme (S-scheme) heterojunction with carbon doping and bridge (C-W/N) was constructed with anionic polyacrylamide (APAM), in which APAM functioned as an assistant templet and a carbon source. APAM and WO 3 were inserted into g-C 3 N 4 nanosheet. The carbon, thin planar structure and WO 3 with oxygen vacancies result in fast charge transfer, high quantum efficiency and strong driving force for photocatalytic reaction. Consequently, as-prepared C-W/N ternary composite photocatalyst exhibited significantly enhanced photocatalytic performance for tetracycline (TC) degradation under visible light compared to pure g-C 3 N 4 , WO 3 and other binary composites. Moreover, the material showed high stability and reusability in cyclic TC degradation. The principal intermediate products over C-W/N photocatalyst were revealed by HPLC-MS analysis. Corresponding degradation pathway of TC was also presented in this work. According to the trapping experiments, analysis of electron spin resource (ESR) and band gap, possible charge transfer pathways of C-W/N are proposed and discussed in detail. Based on the results, carbon derived from APAM works not only as electron mediator but also as acceptor for photocatalytic degradation reaction. It is a promising way to further modulate heterojunction for varies applications., Competing Interests: Declaration of Interest Statement We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work. There is no professional or other personal interest of any nature or kind in any product, service and company that could be construed as influencing the position presented in or the review of the manuscript entitled “Anionic polyacrylamide-assisted construction of thin 2D-2D WO3/g-C3N4 Step-scheme heterojunction for enhanced tetracycline degradation under visible light irradiation”., (Copyright © 2020 Elsevier B.V. All rights reserved.)

The effect of Ca modification on the Ni/ZSM-5 catalyst for efficient toluene oxidation was studied in a plasma-catalytic system. The Ni/ZSM-5 and Ca-Ni/ZSM-5 catalysts were prepared by a wet impregnation method and characterized by X-ray diffraction (XRD), Brunauer-Emmett-Teller (BET), Fourier transform infrared (FTIR) spectroscopy, X-ray photoelectron spectroscopy (XPS), Pyridine-FTIR spectroscopy and temperature programmed desorption of ammonia (NH 3 -TPD). Among the catalysts tested, the Ca-Ni/ZSM-5 sample showed the best potential for toluene conversion (90.2%) and CO 2 selectivity (70.7%). Pyridine-FTIR spectra and NH 3 -TPD results proved that the introduction of Ca and Ni onto ZSM-5 caused a decrease in the strong and weak acidic sites. In addition, gas chromatography/mass spectrometry (GC-MS) result showed that the Ca-Ni/ZSM-5 catalyst reduced the production of undesirable byproducts (such as p-nitrotoluene and methyl benzoate). Calcium in the Ni/ZSM-5 system influenced the acidity and other surface characteristic of the catalyst, as well as directly impacting the reactive plasma species and the intermediates. Finally, possible reaction mechanisms in the plasma catalysis of toluene were also proposed., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2019 Elsevier B.V. All rights reserved.)

Many studies supported that bone marrow mesenchymal stem cells (BM-MSCs) can differentiate into neural cells, but few researchers detected mature and function of nerve cells, especially in vivo study. Some researchers even suggested that BM-MSCs transplantation would not be able to differentiate into functional neural cells. To figure out the dispute, this study examined bone marrow-derived sphere-like cells, harvested via neural stem cell suspension culture, then identified as bone marrow-derived neural progenitor cells (BM-NPCs) by finding the expression of neural progenitor cells genes and proteins, neural progenitor cells characteristic and nerve cell differentiation induced through both methods. Moreover, BM-NPCs transplantation showed long-term survival and improved the ethological and histological indexes of brain injury rats, demonstrating functional nervous cells differentiated from BM-NPCs. These in vitro and in vivo results confirmed BM-NPCs differentiating into mature and functional nerve cells. This study provided valuable experimental data for BM-NPCs, suggesting a potential alternative treatment of central nervous injury disease., (Copyright © 2020 Bai, Zhang, Xu, Li, Li, Yuan, Luo and Zhang.)

Objective: To explore the relationship between metabolic syndrome (MS) and the risk for chronic kidney disease (CKD) in premenopausal and postmenopausal women., Methods: We conducted a cross-sectional study among 1346 community-based women from June to October 2012 and collected the data of personal history, lifestyle, physical measures and laboratory indicators. The diagnosis of CKD was established for an eGFR of less than 60 mL/min per 1.73 m 2 or albuminuria. The diagnosis of metabolic syndrome was based on the International Diabetes Federation Guide. According to an epidemiological survey in Guangdong province, women older than 48.9 years were classified as having a postmenopausal status. The prevalence of MS and CKD was determined in both the premenopausal and postmenopausal women, and the association between MS and CKD was analyzed using logistic regression models., Results: MS was significantly correlated with CKD in premenopausal women in both unadjusted analyses (OR=3.10, 95% CI : 1.32-7.28, P =0.009) and in analysis after adjustment for potential confounders (OR=4.09, 95% CI : 1.63- 10.32, P =0.003). When adjusted for diabetes, hypertension, and hyperuricemia, no correlation was found between MS and CKD in premenopausal women (OR=1.56, 95% CI : 0.31-7.63, P = 0.592); in the unadjusted analyses, MS was significantly correlated with CKD in postmenopausal women ( P &lt; 0.001). After further adjustment for age, education status, current smoking, physical inactivity, and current drinking, MS was still significantly correlated with CKD (OR=2.60, 95% CI : 1.69-3.99, P &lt; 0.001). When adjusted for diabetes, hypertension, and hyperuricemia, the correlation between MS and CKD was still significant (OR=1.61, 95% CI : 1.09-2.37, P =0.018). In the unadjusted model, a high blood pressure (OR=2.77, 95%CI: 1.57-4.89, P &lt; 0.001), an elevated serum triglyceride level (OR=1.84, 95% CI : 1.16-2.90, P =0.009) and a high fast glucose level (OR=2.07, 95% CI : 1.30-3.28, P =0.002) were all significantly correlated with CKD in postmenopausal women. After adjusting for age, current smoking, current alcohol use, education status and physical inactivity, a high blood pressure (OR=2.28, 95% CI : 1.22-4.26, P =0.01), a high serum triglyceride level (OR=1.71, 95% CI : 1.03-2.86, P =0.039) and a high fast glucose (OR=2.25, 95% CI : 1.36-3.73, P =0.002) were still significantly correlated with CKD in postmenopausal women. Blood pressure, serum triglyceride level, fast glucose, serum HDL cholesterol level and central obesity were not correlated with CKD in either the unadjusted model or adjusted model in premenopausal women ( P &gt; 0.05)., Conclusions: MS is correlated with CKD in both premenopausal and postmenopausal women, and the association is dependent on diabetes, hypertension, and hyperuricemia in premenopausal women but not in postmenopausal women.

Background: Porcine circovirus type 3 (PCV3) was first reported in US in 2016. The virus was also identified later in China. Prevalence of PCV3 in Zhejiang province in southeastern China is not clear though it has been reported in many parts of China., Results: PCV3 infection and its co-infection with other swine viral pathogens in pig herds of Zhejiang province were retrospectively investigated by quantitative PCR (qPCR) and its sero-prevalence by indirect ELISA. PCV3 was found positive in 67.1% of the 283 clinical samples taken from 2014 to 2017 as shown by qPCR. Single infection with PCV3 accounted for only one-third of the samples, and majority were of co-infections, predominantly with PEDV (41.6%) but generally low with other swine viruses. Indirect ELISA using the PCV3 capsid protein as the coating antigen revealed an average sero-positive rate of 52.6% (40.8 to 60.8%) in 2345 serum samples from 2011 to 2017, with earliest yet high positive findings in samples taken in 2012. Of 203 serum samples, the qPCR method showed more positive findings than ELISA (81.3% vs 56.2%). With 89 serum samples negative by ELISA, vast majority (n = 81) were found positive by qPCR. There was negative correlation in levels of PCV3 DNA and anti-capsid antibody response. ORF2-based phylogenetic analysis revealed three major groups (PCV3a, PCV3b and PCV3c) of the 200 strains, 38 from this study and 162 reference strains from GenBank. Most of the strains from this study were clustered into PCV3c. Of the putative signature residues of the capsid protein (aa 24, 27, 77 and 150) relative to the three groups, only the PCV3a group strains showed a distinct pattern of residues VKSI (95% of the strains), while the other two groups did not have such a 'signature' pattern., Conclusions: Results from this study provided further evidence that the novel virus PCV3 was widely distributed in China and might have emerged in Zhejiang province before 2014, most probably back in 2012 when there was high PCV3 sero-prevalence. PCV3 might be viremic in pigs and could spread by fecal shedding.

Background: The efficacy and safety of glucocorticoids for the treatment of patients with IgA nephropathy (IgAN) remains controversial. The aim of the study is to perform a metaanalysis of randomized controlled trials to evaluate the efficacy and safety of glucocorticoids for patients with IgAN., Methods: We searched PubMed, EMBASE and the Cochrane Library and article reference lists of Controlled Trials, and Clinical Trial Registries for randomized controlled trials comparing glucocorticoids with other non-immunosuppressive agents in patients with IgAN., Results: The present meta-analysis, including 10 RCTs and 791 patients from 12 published studies, showed that using glucocorticoids agents relatively preserves kidney function(RR 0.06, 95% CI 0.14-0.61) and plays an effective role on reducing the proteinuria(SMD, - 0.69; 95% CI 0.85 to - 0.53, p < 0.00001; heterogeneity I2 = 0%; p = 0.09) compared with a control group. Moreover, adverse events cannot be neglected, especially gastrointestinal tract (RR 3.10, 95% CI 1.37-6.98, p = 0.006; heterogeneity I2 = 0%, p = 0.86), and corticosteroid regimens in IgAN should be reviewed with regard to safety., Conclusions: Glucocorticoids were wildly used to treat various diseases including IgAN. Meanwhile, adverse events cannot be neglected, such as gastrointestinal adverse events, infection and so on. Corticosteroid should be used with reserve, especially in those patients with hypertension and impaired renal function or older patients.

Here, we report an ultrasensitive colorimetric method for determination of Ag + based on gold nanoparticle (AuNP) oligomers with dark-field microscopy. In a proof-of-concept trial, two cytosine-rich (C-rich) aptamers as the sensing elements and AuNPs as the transducer to produce the detectable signal are designed for Ag + determination. Obviously, the C bases in the two aptamers play a crucial role in the coordination of highly specific C-Ag + -C. Through a specific C-Ag + -C coordination, one aptamer immobilized on the surface of AuNPs sitting on a glass slide hybridizes with the other aptamer in the solution, which triggers the formation of AuNP oligomers. The formation of plasmonic oligomers results in an obvious increase in the number of yellow and red spots in dark-field images, further leading to a significantly enhanced scattering intensity. By measuring the intensity change of AuNP oligomers in the dark-field images, the concentration of Ag + can be readily determined. The limits of detection (LODs) of 0.246 pM and 0.388 pM in solution and river water sample were obtained, respectively. This ultrasensitive colorimetric approach could be extended to probe Hg 2+ via T-Hg 2+ -T coordination in environmental samples.

Ag nanoparticles loaded onto TiO₂ nanosheets with exposed {001} facets were synthesized by solvothermal hydrolysis and photoreduction deposition methods. The results suggested that Ag NPs were uniformly dispersed on the surface of anatase TiO₂ NSs with a metallic state. The Raman scattering and visible light absorption performances of Ag/TiO₂ NSs were enhanced by Ag NPs due to their surface plasmon resonance effect. Photocatalytic oxidation experiments for HCHO were carried out under visible light, and the enhanced photocatalytic activity of Ag/TiO₂ NSs can be attributed to the synergistic effects of the following factors: (1) the {001} facets, which possessed higher surface energy, showed higher photocatalytic activity; (2) the Ag NPs, the increased oxygen vacancies, and O₂ adsorption on {001} facets can trap photoelectrons, thus inhibiting the recombination of photoelectrons and holes; (3) the Ag NPs can extend the light response range of TiO₂ into visible light. The in situ FTIR results showed that higher mineralization efficiency of HCHO was achieved on Ag/TiO₂ NSs than on Ag/TiO₂ NPs. Additionally, the mechanism for HCHO photocatalytic oxidation was also discussed.

Considering the three-dimensional ordered network of Ni foam-supported catalysts and the toxicity effects of volatile organic compounds (VOCs), the design of proper active materials for the highly efficient elimination of VOCs is of vital importance in the environmental field. In this study, a series of Co-Mn composite oxides with different Co/Mn molar ratios grown on interconnected Ni foam are prepared as monolithic catalysts for total toluene oxidation, in which Co 1.5 Mn 1.5 O 4 with a molar ratio of 1 : 1 achieves the highest catalytic activity with complete toluene oxidation at 270 °C. The Co-Mn monolithic catalysts are characterized by XRD, SEM, TEM, H 2 -TPR and XPS. It is observed that a moderate ratio of Mn/Co plays significant effects on the textural properties and catalytic activities. From the XPS and H 2 -TPR characterization results, the obtained Co 1.5 Mn 1.5 O 4 (Co/Mn = 1/1) favors the excellent low-temperature reducibility, high concentration of surface Mn 3+ and Co 3+ species, and rich surface oxygen vacancies, resulting in superior oxidation performance due to the formation of a solid solution between the Co and Mn species. It is deduced that the existence of the synergistic effect between Co and Mn species results in a redox reaction: Co 3+ -Mn 3+ ↔ Co 2+ -Mn 4+ , and enhances the catalytic activity for total toluene oxidation., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)