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Background: There are currently limited real-world data on the effectiveness and safety of first-line pembrolizumab combined with chemotherapy in patients with advanced/recurrent or metastatic esophageal squamous cell carcinoma (ESCC) in China. This study was conducted to address this knowledge gap. Methods: This multicenter retrospective cohort study was conducted at 17 hospitals in China and included adults (⩾18 years) with stage IV primary ESCC, or recurring 6 months after radical radiotherapy/surgery-based combination therapy, who had received first-line pembrolizumab plus chemotherapy. Data were collected from electronic medical records. Endpoints included objective response rate (ORR), disease control rate (DCR) progression-free survival (PFS), overall survival (OS), and safety. Subgroup analyses were conducted to identify patient characteristics and treatment patterns associated with treatment response. Results: In total, 202 patients who had received treatment from 2018 to 2023 were included: 125 (61.9%) newly diagnosed and 77 (38.1%) with recurrence, 181 (89.1%) were male. Pembrolizumab was most commonly combined with paclitaxel + platinum (69.8%) or fluorouracil + platinum (19.3%). After a median follow-up of 22.6 months (95% confidence interval (CI) 20.1–25.4), the ORR and DCR were 60.9% and 87.6% and the median PFS and OS were 10.8 months (95% CI 9.1–13.5) and 17.3 months (95% CI 14.9–19.9), respectively. OS was similar in patients with treatment-naïve and recurrent disease. Among the combination chemotherapy regimens, paclitaxel + platinum was associated with the longest median OS (18.2 months, 95% CI 16.1–22.5). Favorable survival outcomes were observed in patients with oligometastases. No new safety signals were observed. Conclusion: These real-world data indicate that the first-line treatment with pembrolizumab plus chemotherapy is effective and safe in Chinese patients with advanced ESCC and show that paclitaxel + platinum is the most commonly used and most effective partner chemotherapy in China. [ABSTRACT FROM AUTHOR]

Advancements and utilization of magnetic refrigeration technology hinge on the ongoing enhancement and optimization of magnetic refrigeration material properties. Nevertheless, the intricacy of the magnetocaloric effect (MCE) mechanism has emerged as a bottleneck, constraining the progress and refinement of magnetic refrigeration materials. In this study, a classic magnetic system is chosen to investigate the mechanism of MCE across four different scales–macroscopic magnetism, micrometer‐scale magnetic domains, atomic magnetic moments, and electronic structure. It simultaneously exhibits two inverse MCEs and one direct MCE, with a working temperature span as wide as 125 K (most are <50 K) for the direct MCE. The measurements of the vibrating sample magnetometer, in situ Lorentz electron microscopy and variable‐temperature neutron powder diffraction directly reveal that the complex magnetic entropy changes arise from the magnetic domain wall pinning, the instability of Ho magnetic moments, and the spin rotation. First‐principles calculations elucidate the crucial role of strong hybridization between localized Ho and itinerant Co electrons in the spin reorientation of HoCo4Al. This study contributes significantly to comprehending the induction mechanism of the MCE and holds vital reference value for exploring new magnetic refrigeration materials and enhancing MCE performance. [ABSTRACT FROM AUTHOR]

Early diagnosis is essential for the treatment and prevention of nasopharyngeal cancer. However, there is a lack of effective biological indicators for nasopharyngeal carcinoma (NPC). Therefore, we explored the potential biomarkers in tumour-educated blood platelet (TEP) RNA in early NPC. Platelets were isolated from blood plasma and their RNA was extracted. High-throughput sequenced data from a total of 33 plasma samples were analysed using DESeq2 to identify the differentially expressed genes (DEGs). Subsequently, the DEGs were subjected to principal component analysis (PCA), gene ontology (GO) analysis, and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis; and Cytoscape, TargetScan, and miRanda software were used for inferring the competing endogenous RNA network. We identified 19 long non-coding (lnc) RNAs (DElncRNAs) and 248 mRNAs (DEmRNAs) that were differentially expressed in the TEP RNA. In addition, SELP gene mRNA and lncRNAs AC092135.3, AC012358.2, AL021807.1, AP001972.5, and GPX1 were found to be down-regulated DEmRNA and DElncRNAs in the early stage of NPC. Bioinformatic analysis showed that these DEmRNAs and DElncRNAs may be involved in regulating the pathogenesis of NPC. Our research may provide new insights for exploring the biological mechanisms of NPC and early diagnosis using potential biomarkers. [ABSTRACT FROM AUTHOR]

The quantum spin liquid candidate NaYbSe2 was recently reported to exhibit a Mott transition under pressure. Superconductivity was observed in the high-pressure metallic phase, raising the question concerning its relation with the low-pressure quantum spin liquid ground state. Here we combine the density functional theory and the dynamical mean-field theory to explore the underlying mechanism of the insulator-to-metal transition and superconductivity and establish an overall picture of its electronic phases under pressure. Our results suggest that NaYbSe2 is a charge-transfer insulator at ambient pressure. Upon increasing pressure, however, the system first enters a semi-metallic state with incoherent Kondo scattering against coexisting localized Yb-4f moments, and then turns into a heavy-fermion metal. In between, there may exist a delocalization quantum critical point responsible for the observed non-Fermi liquid region with linear-in-T resistivity. The insulator-to-metal transition is therefore a two-stage process. Superconductivity emerges in the heavy-fermion phase with well-nested Yb-4f Fermi surfaces, suggesting that spin fluctuations may play a role in the Cooper pairing. NaYbSe2 might therefore be the 3rd Yb-based heavy-fermion superconductor with a very "high" Tc than most heavy-fermion superconductors. [ABSTRACT FROM AUTHOR]

Circular RNAs (circRNAs) are non-coding RNAs that play key roles in the development and progression of cancer through various mechanisms of action, making them promising biomarkers for cancer diagnosis, prognosis, and treatment. In the present study, a biosensor based on surface-enhanced Raman spectroscopy (SERS) was developed for rapid, simple, and sensitive quantitative detection of intracellular circRNAs for the first time. A dual-signal SERS nanoprobe with a 4MBN and ROX signal molecule was fabricated, and the ROX signal intensity was used to determine the concentration of target circSATB2. 4MBN was used as an internal standard to calibrate the ROX signal, thereby achieving highly sensitive and reliable detection of the target circRNA with a limit of detection of 0.043 pM. Furthermore, the relatively high expression of circSATB2 in lung cancer cells compared to that in normal lung epithelial cells was successfully characterized by the proposed SERS imaging method, which is consistent with the results of standard reverse transcription-polymerase chain reaction (RT-PCR). Monitoring of specific circRNAs using this SERS-based biosensor is a promising method for cancer diagnosis and gene therapy., 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 B.V. All rights reserved.)