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Purpose: This study aimed to screen biomarkers to predict the efficacy of programmed cell death 1 (PD-1) blockade immunotherapy combined with chemotherapy as neoadjuvant therapy for esophageal squamous cell carcinoma (ESCC). Methods: In the first stage of the study, the baseline concentrations of 40 tumor-related chemokines in the serum samples of 50 patients were measured to screen for possible biomarkers. We investigated whether the baseline concentration of the selected chemokine was related to the therapeutic outcomes and tumor microenvironment states of patients treated with the therapy. In the second stage, the reliability of the selected biomarkers was retested in 34 patients. Results: The baseline concentration of macrophage migration inhibitory factor (MIF) was negatively correlated with disease-free survival (DFS) and overall survival (OS) in patients treated with the therapy. In addition, a low baseline expression level of MIF is related to a better tumor microenvironment for the treatment of ESCC. A secondary finding was that effective treatment decreased the serum concentration of MIF. Conclusion: Baseline MIF levels were negatively correlated with neoadjuvant therapy efficacy. Thus, MIF may serve as a predictive biomarker for this therapy. The accuracy of the prediction could be improved if the serum concentration of MIF is measured again after the patient received several weeks of treatment.

In this work, the effect of Mo and Cr on microstructure and mechanical properties of newly titanium alloys (Ti–3Al–2Nb-1.2V–1Zr–1Sn-xCr-yMo) was investigated, and a composition-microstructure-properties relationship was established by diffusion multiple. The microstructure characterization (volume fraction, size of α phases) for alloys with different molybdenum equivalent (Mo[q]) was predicted by machine learning (BP neural network), and the result shows a good agreement between the predicted results and experimental values. Combining diffusion multiple and BP neural network, a Ti alloy (Ti–3Al–2Nb-1.2V–1Zr–1Sn–4Cr–4Mo) with outstanding mechanical properties was successfully designed. The mechanical test result shows that excellent balance of strength (YS~1200 MPa) and plasticity (El~12%) can be achieved after the solution treatment at 750 °C and aging at 550 °C for 6 h. During deformation, Primary globular primary α phases were elongated, and secondary acicular α phases resisted the dislocation slipping, which provides good plasticity and strength for the alloys, respectively.

This review analyzed the trends in conversational AI tools in ELT from January 2013 to November 2023. The study examined 32 papers, focusing on publication trends, tool types, research methods, learning outcomes, and factors influencing their use. Findings revealed a gradual increase in publications, with 4 (12%) from 2013 to 2021, 13 (41%) in 2022, and 15 (47%) in 2023. All studies (100%) were conducted in Asian EFL contexts. Among the AI chatbots, Google Assistant (25%) was the most widely used. Quasi-experimental (45%) and cross-section (41%) research designs were commonly employed. Mixed-method (50%) approaches were prevalent for data collection and analysis. Conversational AI yielded positive outcomes in affective (43%) and cognitive skills (41%). The main factors influencing user perceptions or behaviors were individual (47%) and microsystem layers (31%). Future studies should (a) include diverse contexts beyond Asia, (b) consider the use of up-to-date tools (e.g., ChatGPT), (c) employ rigorous experimental designs, (d) explore behavioral learning outcomes, and (e) investigate broader environmental factors. The systematic review enhances current knowledge of recent research trends, identifies environmental factors influencing conversational AI tools concentrating in ELT, and provides insights for future research and practice in this rapidly evolving field.

Radiation is one of the standard therapies for pediatric high-grade glioma (pHGG), of which the prognosis remains poor. To gain an in-depth understanding of biological consequences beyond the classic DNA damage, we treated 9 patient-derived orthotopic xenograft (PDOX) models, including one with DNA mismatch repair (MMR) deficiency, with fractionated radiations (2 Gy/day x 5 days). Extension of survival time was noted in 5 PDOX models (P < 0.05) accompanied by γH2AX positivity in >95 % tumor cells in tumor core and >85 % in the invasive foci as well as ∼30 % apoptotic and mitotic catastrophic cell death. The model with DNA MMR (IC-1406HGG) was the most responsive to radiation with a reduction of Ki-67(+) cells. Altered metabolism, including mitochondria number elevation, COX IV activation and reactive oxygen species accumulation, were detected together with the enrichment of CD133+ tumor cells. The latter was caused by the entry of quiescent G0 cells into cell cycle and the activation of self-renewal (SOX2 and BMI1) and epithelial mesenchymal transition (fibronectin) genes. These novel insights about the cellular and molecular mechanisms of fractionated radiation in vivo should support the development of new radio-sensitizing therapies.

Summary: Objective: Positive resection margin indicates worse prognosis. The present study identified the independent risk factors of R1 resection in pancreaticoduodenectomy (PD) and distal pancreatosplenectomy (DP) for patients with pancreatic ductal adenocarcinoma (PDAC). Method: Consecutive patients who were operated from 1st December 2017 to 30th December 2018 were analyzed retrospectively. A standardized pathological examination with digital whole-mount slide images (DWMSIs) was utilized for evaluation of resection margin status. R1 was defined as microscopic tumor infiltration within 1 mm to the resection margin. The potential risk factors of R1 resection for PD and DP were analyzed separately by univariate and multivariate logistic regression analyses. Results: For the 192 patients who underwent PD, and the 87 patients who underwent DP, the R1 resection rates were 31.8% and 35.6%, respectively. Univariate analysis on risk factors of R1 resection for PD were tumor location, lymphovascular invasion, N staging, and TNM staging; while those for DP were T staging and TNM staging. Multivariate logistic regression analysis showed the location of tumor in the neck and uncinate process, and N1/2 staging were independent risk factors of R1 resection for PD; while those for DP were T3 staging. Conclusions: The clarification of the risk factors of R1 resection might clearly make surgeons take reasonable decisions on surgical strategies for different surgical procedures in patients with PDAC, so as to obtain the first attempt of R0 resection.

Purpose: To compare the survival outcomes of postoperative adjuvant aspirin with surgery alone in patients with hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC) and portal vein tumor thrombus (PVTT). Methods: From June 2013 to July 2015, an open-label, randomized controlled study was conducted in patients with resectable HBV-related HCC and PVTT. Patients were randomly assigned to undergo surgical resection and postoperative adjuvant aspirin (n = 40) or hepatectomy alone (n = 40). The primary end point was overall survival (OS). The secondary end points were time to recurrence of primary tumor (t-TTR) and time to recurrence of PVTT (p-TTR). The expression levels of COX1 and COX2 in surgical specimens of the aspirin group were correlated with patients’ survival. Results: The median OS were 16.2 and 13.4 months for the adjuvant aspirin and surgery alone groups, respectively. The median t-TTR were 5.3 and 3.2 months for the adjuvant aspirin and surgery alone groups, respectively. There was no significant difference in the OS and t-TTR between the two groups of patients (P = 0.078 and 0.336, respectively). The median p-TTR were 12.0 months and 5.4 months for the adjuvant aspirin group and the surgery alone group, respectively. Patients in the adjuvant aspirin group had markedly longer p-TTR (P = 0.001). Increased expressions of COX1 or COX2 in tumor tissues denoted better prognosis for patients receiving adjuvant aspirin. Conclusion: For patients with resectable HBV-related HCC and PVTT, postoperative adjuvant aspirin significantly prolonged time to recurrence of PVTT than surgery alone. Expression of COX1 or COX2 may predict survival in these patients.

Background: To improve the early diagnosis of hepatocellular carcinoma (HCC), more effective diagnostic biomarkers are needed. A combination of biomarkers is reported to distinguish individuals with early-stage HCC from at-risk individuals. Methods: Participants in this study were recruited from six hospitals in China. Literature review was used to choose 19 candidate proteins, a case-control study in the discovery stage was used to identify five proteins (P5) that constituted a diagnostic model. In the training and validation stages, the effectiveness of P5 for detecting early-stage HCC was tested (cross-sectional study). Finally, a nested case-control study independent of the other stages was set up to evaluate the P5 in the preclinical diagnosis of HCC. Findings: Between February 2013 and June 2017, a total of 1396 participants were recruited. A panel of 5 proteins (P5: OPN, GDF15, NSE, TRAP5 and OPG) showed high diagnostic accuracy when differentiating the early-stage HCC from the at-risk group, with AUCs of 0·892, 0·907 and 0·852 for the training stage, validation cohort 1 and cohort 2 data sets, respectively. In the prediction set, the sensitivity of P5 for diagnosing preclinical HCC increased with time, starting from 12 months before to the time of definitive clinical diagnosis (range, 46·15% to 86·67%). Interpretation: The P5 panel has the potential to screen populations at high risk of developing HCC and can enable the early diagnosis of HCC. Funding: Research supported by grants from eight funds. All sources of funding were declared at the end of the text. Keywords: Peripheral blood, Multi-tumor markers, Earlier detection, Liver cancer, Multi-center study

Over-expression of aspartyl (asparagynal)-β-hydroxylase (ASPH) contributes to hepatocellular carcinoma (HCC) invasiveness, but the role of ASPH hydroxylase activity in this process remains to be defined. As such, the current study investigated the role of ASPH hydroxylase activity in downstream signalling of HCC tumorgenesis and, specifically, metastasis development. Over-expression of wild-type ASPH, but not a hydroxylase mutant, promoted HCC cell migration in vitro, as well as intrahepatic and distant metastases in vivo. The enhanced migration and epithelial to mesenchymal transition (EMT) activation was notably absent in response to hydroxylase activity blockade. Vimentin, a regulator of EMT, interacted with ASPH and likely mediated the effect of ASPH hydroxylase activity with cell migration. The enhanced hydroxylase activity in tumor tissues predicted worse prognoses of HCC patients. Collectively, the hydroxylase activity of ASPH affected HCC metastasis through interacting with vimentin and regulating EMT. As such, ASPH might be a promising therapeutic target of HCC. Keywords: ASPH, Hydroxylase, Hepatocellular carcinoma, Metastasis, Epithelial-mesenchymal transition, Vimentin

Objective: Based on a large series of histopathologically confirmed hepatic angiomyolipomas, we retrospectively studied the typical diagnostic features of hepatic angiomyolipoma and proposed a treatment strategy for this disease. Materials and methods: From December 1997 to December 2007, 74 consecutive patients who received definitive treatment for hepatic angiomyolipoma, at a single tertiary center, were studied. Results: There was a marked female predominance (54 females vs. 20 males) and the mean age was 42 years. Forty patients had no symptoms and the tumors were detected incidentally during a medical check-up. From this study, we proposed the typical diagnostic features of hepatic angiomyolipoma to be the absence of risk factors for malignancy, normal tumor marker levels, and typical imaging features on ultrasound (USG), abdominal contrast computed tomography (CT), or magnetic resonance imaging (MRI). Only 23% of patients could have been diagnosed before surgery using these features. One patient (1.4%) had a malignant angiomyolipoma, and died with distant metastases 14 months after surgery. After a median follow-up of 64 months, there was no recurrence in the other 73 patients. Conclusion: Patients with typical diagnostic features suggestive of hepatic angiomyolipoma could be observed with regular surveillance. Definitive treatment should be performed when the tumor has symptoms/complications, when the tumor is enlarging, or when a malignant lesion cannot be ruled out.

While hepatic resection or local ablative therapy may provide a potentially curative treatment for hepatocellular carcinoma (HCC), more than half of these patients develop recurrent HCC within 5 years after treatment. Thus identification of any therapy which can decrease or delay the incidence of recurrence will improve the results of treatment. However, no chemopreventive agent has been approved for HCC. Methods: A MEDLINE database, Embase, Cancerlit (National Cancer Institute), and CBM (Chinese Biomedical Database) search from 1990 to 2009 was performed to identify relevant articles using the keywords “hepatocellular carcinoma,” “vitamin analogue,” and “chemoprevention.” Additional papers were identified by a manual search of the references from the key articles. The fixed effect model was used for a meta-analysis. Results: Oral administration of acyclic retinoids (vitamin A analogue), and menatetrenone (vitamin K2 analogue) have been tested as chemopreventive agents after hepatic resection or local ablative therapy for HCC. There were one and four randomised, controlled trials (RCTs) which evaluated the efficacy of polyprenoic acid and menatetrenone, respectively. All studies were conducted in Japan. One RCT showed the preventive effect of polyprenoic acid in lowering the incidence of HCC recurrence after hepatic resection or percutaneous ethanol injection, and this effect lasted up to 199 weeks after randomization (or 151 weeks after completion of retinoid administration). Four RCTs evaluated the preventive efficacy of menatetrenone on HCC recurrence after hepatic resection or local ablative therapy. The results of three studies, as well as the meta-analysis of all four studies, showed significantly better tumour recurrencefree survival. The beneficial effect on the overall survival was less definite. Conclusion: There is evidence to suggest that chemopreventive therapy after partial hepatectomy or local ablative therapy is beneficial in prolonging disease-free survival, but the evidence is less for an effect on the overall survival. To confirm the beneficial role of vitamin A or K analogues in the chemoprevention of HCC further and larger randomised trials are now required.

Given the risks of poor patient compliance and bleeding associated with current dual antiplatelet therapies, it is urgent to develop the next generation of cardiovascular stents with anticoagulation and rapid endothelialization capabilities. Inspired by the prominent bioactivity and bioavailability of zeolitic imidazolate framework-90 (ZIF-90) in driving endothelial cell (EC) morphogenesis, this research proposes a "synergistic anticoagulant and endothelial regeneration strategy" depending on mussel-inspired phospholipid copolymer (MIPC) and ZIF-90. Depending on the copolymerization of the catechol with dopamine (Dopa) monomers, Dopa/MIPC coating was immobilized on the surface of CoCr via a one-pot process for resisting the initial thrombosis induced by platelets and fibrinogen. Meanwhile, ZIF-90 was loaded on the coating via coordination effect, aiming to accelerate the proliferation and migration of ECs. Compared with CoCr, the well-designed CoCr-Dopa/MIPC@ZIF-90 not only reduced fibrinogen adhesion by approximately 40 % and platelet adhesion by almost 55 %, but also promoted the proliferation and migration of ECs significantly in vitro. Furthermore, the blood flow velocity of CoCr-Dopa/MIPC@ZIF-90 stent was similar to natural aorta and ECs coverage on it was greatly strengthened after 30 days in a rat aorta vascular stent implantation model. Collectively, CoCr-Dopa/MIPC@ZIF-90 exhibited obvious superiority in reducing the formation of thrombus and promoting endothelial regeneration, which might meet the high requirement for the next generation of vascular stent., 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.)

Carbonaceous fluid within mineral-hosted inclusions provides important information for carbon cycle in deep Earth. In addition to CH 4 and CO 2 , heavy hydrocarbons (e.g., C 2 H 6 and C 3 H 8 ) are frequently observed in carbonaceous fluid inclusions (i.e, wet gas inclusions with C 1 /∑C i  < 0.95). However, determination of the composition of such complex volatiles is difficult based on traditional microthermometric measurements. Here we carried out experimental calibrations on Raman spectroscopic measurements of the pressure (P) and composition of the CH 4  ± C 2 H 6  ± C 3 H 8  ± H 2 S system at room temperature and 0.1-130 MPa. We confirmed that the C-H symmetric stretching vibration band of CH 4 [ν 1 (CH 4 ), ∼2917 cm -1 ] shifted to lower wavenumber with rising pressure, thus the P-ν 1 (CH 4 ) relationship could be applied to calculate the pressure of wet gas. It should be noted that the presence of C 2 + and/or H 2 S will shift the [ν 1 (CH 4 )] to lower wavenumber at constant pressure (with the order of C 3 H 8  ≥ H 2 S > C 2 H 6 ). Obviously, the P-ν 1 (CH 4 ) relationship derived from pure CH 4 system could not be simply applied to wet gas inclusion, otherwise the pressure would be overestimated. To avoid the overlap of the C-H vibrations of CH 4 , C 2 H 6 and C 3 H 8 , the peak areas and peak heights of the overtone vibration of CH 4 [2ν 4 (CH 4 ), ∼2580 cm -1 ], C-C symmetric stretching vibrations of C 2 H 6 [ν 3 (C 2 H 6 ), ∼995 cm -1 ] and C 3 H 8 [ν 8 (C 3 H 8 ), ∼868 cm -1 ], and S-H symmetric stretching vibration of H 2 S [ν 1 (H 2 S), ∼2612 cm -1 ] were fitted using Gaussian + Lorentz functions. The obtained peak areas and peak heights were then used to calculate the Raman quantification factors (F factor and G factor, respectively) of C 2 H 6 , C 3 H 8 and H 2 S relative to CH 4 , respectively. Both the F factor and G factor increased with rising pressure, whereas the FC 2 H 6 , FC 3 H 8 and GH 2 S kept nearly constant at ∼5.69, 6.39 and 153.8, respectively in high pressure gas mixtures (e.g., >30 MPa). Therefore, for inclusions with higher internal pressure, the molar ratio of CH 4 , C 2 H 6 , C 3 H 8 and H 2 S could be determined by the aforementioned F and G factors. This method was applied to the calcite-hosted single-phase gas inclusions in the Upper Permian Changxing Formation carbonate reservoir from the eastern Sichuan Basin (South China). Our results indicated that the trapping pressure would be obviously overestimated if the presence of heavy hydrocarbons was not taken into account., 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.)

Herein, a magnetic three-dimensional acanthosphere-like hierarchical Co@graphitic carbon (3D Co@GC) is introduced as an efficient adsorbent for extraction of three nitroimidazoles (NMZs: metronidazole (MNZ), ornidazole (ONZ) and tinidazole (TNZ)) from environmental water and food samples. The proposed 3D Co@GC was synthesized by a simple template-free method, which consisted of plentiful freely arranged one-dimensional nanowires. The adsorption properties of 3D Co@GC for three NMZs were investigated systematically by adsorption kinetic and isotherm studies. 3D Co@GC exhibits good adsorption capacity and fast adsorption kinetics toward three NMZs by virtue of its unique hierarchical structure. In addition, it was also found that a bit of methanol can effectively elute the adsorbed NMZs, eliminating the need for other dangerous strong acid or base solutions. Thus, 3D Co@GC as adsorbent to extraction three trace NMZs followed by direct quantification detection of targets with high-performance liquid chromatography with ultraviolet-visible detector (HPLC-UV) was developed. The parameters of dispersed magnetic solid-phase extraction (d-MSPE) were optimized by univariate and multivariate methods (Box-Behnken design). This established method revealed wide linear range and low limits of detection. Furthermore, the satisfactory recoveries of NMZs (86.7-106.7%) were acquired in spiked river water, honey, milk, and muscle samples. This study might provide a potential strategy for the efficient extraction and sensitive analysis of trace NMZs in river water, honey, milk, and muscle samples., 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. Published by Elsevier B.V.)