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Abstract Tumor-derived exosomes and their contents promote cancer metastasis. Phosphoglycerate mutase 1 (PGAM1) is involved in various cancer-related processes. Nevertheless, the underlying mechanism of exosomal PGAM1 in prostate cancer (PCa) metastasis remains unclear. In this study, we performed in vitro and in vivo to determine the functions of exosomal PGAM1 in the angiogenesis of patients with metastatic PCa. We performed Glutathione-S-transferase pulldown, co-immunoprecipitation, western blotting and gelatin degradation assays to determine the pathway mediating the effect of exosomal PGAM1 in PCa. Our results revealed a significant increase in exosomal PGAM1 levels in the plasma of patients with metastatic PCa compared to patients with non-metastatic PCa. Furthermore, PGAM1 was a key factor initiating PCa cell metastasis by promoting invadopodia formation and could be conveyed by exosomes from PCa cells to human umbilical vein endothelial cells (HUVECs). In addition, exosomal PGAM1 could bind to γ-actin (ACTG1), which promotes podosome formation and neovascular sprouting in HUVECs. In vivo results revealed exosomal PGAM1 enhanced lung metastasis in nude mice injected with PCa cells via the tail vein. In summary, exosomal PGAM1 promotes angiogenesis and could be used as a liquid biopsy marker for PCa metastasis.

Objective To analyze the commonality and characteristics between voluntary blood donors and hematopoietic stem cell donors in this region, and explore the potential for integration and development between China Marrow Donors Program (CMDP) and voluntary blood donors, especially platelet donor databases, so as to improve recruitment success rate and inventory rate. Methods The database modeling and comparison methods were used to screen and stratify the matching and integration degree between the voluntary blood donors in recent 10 years and the marrow donors in the Shaanxi Branch of CMDP. The frequencies of HLA-A,-B alleles, HPA alleles and haplotypes were calculated with Arlequin 3. 5. 2. 2 software, and the matching probability of different platelet donor reserve pools was conducted according to the phenotypic frequencies. Results Among the voluntary donors with known HLA genotypes in this region, according to their blood donation behavior,the active blood donors excavated were divided into the first, second, third and fourth echelons of platelet donor reserve pools, with 696, 2 752, 9 092 and 12 028 donors, respectively. The first echelon had the highest proportion of 10-50 times of platelet donations and 10-20 times of whole blood donations, with 13.65% and 26.01%, respectively. The second echelon had 10-20 times of whole blood donations and 10-50 times of platelet donations, accounted for 15.04% and 1.38%, respectively, which were significantly different from other echelons' blood donation characteristics (P

Objective To summarize the efficacy and safety of endoscopic resection of skull base chordoma via the combined oral and nasal approach. Methods The clinical data and follow⁃up data of 192 patients with skull base chordoma admitted to the Department of Otorhinolaryngology, Head and Neck Surgery, Xuanwu Hospital, Capital Medical University from December 2008 to December 2022 were retrospectively analyzed. The surgical efficacy was evaluated according to the degree of tumor resection, the emission of clinical symptoms, the incidence of postoperative complications, and the prognosis. Kaplan ⁃ Meier was used for survival analysis. Results All patients underwent endoscopic resection of skull base chordoma via the combined oral and nasal approach. Among the 192 patients, 80.21% (154/192) achieved imaging total resection (gross total resection group) and 19.79% (38/192) with residual imaging (residual group). Two patients died during perioperative period. Postoperative complications included cerebrospinal fluid leakage [6.77% (13/192)], new nerves dysfunction [6.25% (12/192)], subarachnoid hemorrhage [2.08% (4/192)] and intracranial infection [1.56% (3/192)]. Follow up of 81 (52, 120) months resulted in 57 deaths. The median survival time in the gross total resection group was 7.41 years, while in the residual group it was 4.33 years. The difference in survival time between the 2 groups was statistically significant (χ2 = 23.018, P = 0.002). Conclusions Endoscopic combined oral and nasal approach can effectively remove skull base chordoma, prolong survival time, and have a good prognosis. Surgical gross total resection of tumors is an important indicator for predicting prognosis.

AIM: To analyze the advantages of capsulorhexis-chop forceps assisted prechop(CCFP)technique in hard cataract phacoemulsification.METHODS: Prospective study. A total of 100 cases(100 eyes)with age-related grade IV hard cataract were included and randomly divided into 2 groups according to random number table, with 50 patients(50 eyes)in CCFP technique group(group A)and 50 cases(50 eyes)in stop-and-chop technique group(group B). The corneal endothelial cell count before and after operation, intraoperative US time, postoperative corneal endothelial cell loss rate, corneal edema grade at 1 and 7d and best corrected visual acuity(BCVA)were compared and statistically analyzed.RESULTS: The mean US time of group A was lower than that of group B [26.66(16, 40)s vs. 36.12(23, 46)s; Z=-5.56, P

The increasing integration of various energy sources and the adoption of smart grid technologies have revolutionized the way we generate, distribute, and consume energy. While these advancements offer numerous benefits, they also introduce vulnerabilities to cyber–physical attacks. To this aim, this paper investigates a resilient energy management strategy for integrated energy systems. By adopting a switched control approach and incorporating a local estimation mechanism, we have developed a resilient distributed energy management strategy to tackle the energy management problem (EMP) in integrated energy systems (IESs). This methodology demonstrates strong robustness and resilience, successfully detecting data integrity attacks and denial-of-service (DoS) attacks. Finally, we provide a case study to demonstrate the effectiveness of our proposed strategy in a real-world scenario.

Urinary tract cells respond to bladder distension by releasing adenosine triphosphate (ATP). Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) exhibit elevated urinary ATP levels compared to asymptomatic controls. This study aimed to evaluate the potential of urinary ATP as a non-invasive biomarker for IC/BPS and its correlation with symptom severity. We included 56 patients diagnosed with IC/BPS and 50 asymptomatic controls. Urine samples were collected from both groups. Urinary ATP levels were quantified using the luciferin-luciferase bioluminescence method. The severity of IC/BPS symptoms was assessed using the visual analogue score (VAS), Interstitial Cystitis Symptom Index (ICSI), and Interstitial Cystitis Problem Index (ICPI) from the O'Leary-Sant score. We specifically examined the correlation between symptom scores and urinary ATP levels in IC/BPS patients. Urinary ATP levels were significantly higher in IC/BPS patients compared to the control group (P < 0.0001). There was a significant positive correlation between urinary ATP concentrations and VAS, ICPI, and ICSI scores among IC/BPS patients (P < 0.0001). The threshold value for ATP concentration was set at 56.6 nM, with an area under the receiver operating characteristic (ROC) curve of 0.811 (95% CI 0.730 - 0.892). Our findings indicate that IC/BPS patients excrete elevated amounts of ATP in their urine. This suggests that urinary ATP might serve as a non-invasive biomarker for IC/BPS, with a predictive potential in terms of symptom severity.

AbstractExisting deep learning-based change detection networks encounter challenges related to the temporal dependency inherent in dual-temporal images. In this study, a weight-shared dual-difference change detection network(DDCDNet) model is proposed based on feature extraction networks. The model employs feature discrimination modules fused with spatial and channel attention mechanisms at different hierarchical levels of the backbone network. In the encoding phase, the tiny version of the Swin Transformer is utilized as the backbone network, with a weight-sharing strategy applied to extract feature information from bi-temporal remote sensing images. The proposed model in this paper is experimented on the LEVIR-CD + and DSIFN datasets, achieving F1-scores (F1) of 87.71% and 85.79%,recalls of 83.87% and 81.17%, and IoU (Intersection over Union) scores of 78.11% and 75.12%, respectively. These results indicate that the proposed model significantly outperforms other comparative models, demonstrating a better capability of identifying temporal changes in buildings, excellent generalization capability.

AbstractIntroduction: Poor oral hygiene is linked to high risks of many systemic diseases, including cancers. Oral dysbiosis is closely associated with poor oral hygiene, causing tooth loss, gingivitis, and periodontitis. We provide a summary of studies and discuss the risk factors for oesophageal squamous cell carcinoma (ESCC) from a microbial perspective in this review.Methods: A literature search of studies published before December 31, 2022 from PubMed, Web of Science, and The Cochrane Library was performed. The search strategies included the following keywords: (1) oral care, oral health, oral hygiene, dental health, dental hygiene, tooth loss, teeth loss, tooth absence, missing teeth, edentulism, tooth brushing, mouthwash, and tooth cleaning; (2) esophageal, esophagus, oesophagus, and oesophageal; (3) cancer, carcinoma, tumor, and neoplasm.Discussion: Poor oral health, indicated by infrequent tooth brushing, chronic periodontitis, and tooth loss, has been associated with an increased risk of squamous dysplasia and ESCC. Oral microbial diversity and composition are profoundly dysregulated during oesophageal tumorigenesis. Similar to the oral microbiota, the oesophageal microbiota varies distinctly in multiple bacterial taxa in ESCC and gastric cardia adenocarcinoma, both of which have high co-occurrence rates in the “Oesophageal Cancer Belt”. In addition, the potential roles of oncogenic viruses in ESCC have also been discussed. We also briefly explore the potential mechanisms underlying the tumor-promoting role of dysregulated microbiota for the development of therapeutic targeting strategies.Conclusion: Poor oral health is an established risk indicator of ESCC. The dysbiosis of microbiota in upper gastrointestinal tract that highly resembles the oral microbial ecosystem but with distinct features at individual sites contributes to the development and progression of ESCC.

Granisetron hydrochloride can be used to prevent and treat nausea and vomiting induced by chemotherapy. Its prolonged half-life and reduced dose requirement improve patient acceptance. However, patients undergoing chemotherapy often suffer from dysphagia and drug spitting due to emesis. Hence, the development of a patient-centered formulation of granisetron hydrochloride with simple medication and high compliance is crucial. The current study employed a polymer combination of polyvinylpyrrolidone/polyvinyl alcohol (PVP/PVA) as film-forming materials and Lycoat® RS 780 as a disintegrant to formulate orodispersible films (ODFs) loaded with granisetron hydrochloride. Guided by the concept of quality by design, the quality target product profile and critical quality attributes (CQAs) for the ODF were defined. Through the quality risk assessment, essential factors that have a significant impact on CQAs were identified. The formulation was screened using the Box–Behnken statistical design with three factors and three levels. Our data suggested that all ODF formulations exhibited a disintegration time of less than 60 seconds and complete dissolution within 5 minutes. Furthermore, the formulation displayed appropriate mechanical properties, water residue, and pH values. Thus, the granisetron hydrochloride-loaded ODF is regarded as a patient-friendly formulation that enhances compliance and consequently aids in therapeutic effectiveness.

BackgroundEmerging evidence reveals that SARS-CoV-2 possesses the capability to disrupt the gastrointestinal (GI) homeostasis, resulting in the long-term symptoms such as loss of appetite, diarrhea, gastroesophageal reflux, and nausea. In the current review, we summarized recent reports regarding the long-term effects of COVID-19 (long COVID) on the gastrointestine.ObjectiveTo provide a narrative review of abundant clinical evidence regarding the development and management of long-term GI symptoms in COVID-19 patients.ResultsLong-term persistent digestive symptoms are exhibited in a majority of long-COVID patients. SARS-CoV-2 infection of intestinal epithelial cells, cytokine storm, gut dysbiosis, therapeutic drugs, psychological factors and exacerbation of primary underlying diseases lead to long-term GI symptoms in COVID-19 patients. Interventions like probiotics, prebiotics, fecal microbiota transplantation, and antibiotics are proved to be beneficial in preserving intestinal microecological homeostasis and alleviating GI symptoms.ConclusionTimely diagnosis and treatment of GI symptoms in long-COVID patients hold great significance as they may contribute to the mitigation of severe conditions and ultimately lead to the improvement of outcomes of the patients.

ABSTRACTIntestinal dysbiosis frequently occurs in abdominal radiotherapy and contributes to irradiation (IR)-induced intestinal damage and inflammation. Akkermansia muciniphila (A. muciniphila) is a recently characterized probiotic, which is critical for maintaining the dynamics of the intestinal mucus layer and preserving intestinal microbiota homeostasis. However, the role of A. muciniphila in the alleviation of radiation enteritis remains unknown. In this study, we reported that the abundance of A. muciniphila was markedly reduced in the intestines of mice exposed to abdominal IR and in the feces of patients who received abdominal radiotherapy. Abundance of A. muciniphila in feces of radiotherapy patients was negatively correlated with the duration of diarrhea in patients. Administration of A. muciniphila substantially mitigated IR-induced intestinal damage and prevented mouse death. Analyzing the metabolic products of A. muciniphila revealed that propionic acid, a short-chain fatty acid secreted by the microbe, mediated the radioprotective effect. We further demonstrated that propionic acid bound to G-protein coupled receptor 43 (GRP43) on the surface of intestinal epithelia and increased histone acetylation and hence enhanced the expression of tight junction proteins occludin and ZO-1 and elevated the level of mucins, leading to enhanced integrity of intestinal epithelial barrier and reduced radiation-induced intestinal damage. Metformin, a first-line agent for the treatment of type II diabetes, promoted intestinal epithelial barrier integrity and reduced radiation intestinal damage through increasing the abundance of A. muciniphila. Together, our results demonstrated that A. muciniphila plays a critical role in the reduction of abdominal IR-induced intestinal damage. Application of probiotics or their regulators, such as metformin, could be an effective treatment for the protection of radiation exposure-damaged intestine.

Abstract Objective To assess the diagnostic value and clinical significance of nucleoporin 107 (NUP107) in hepatocellular carcinoma (HCC), and explore the possible mechanisms. Methods The transcriptomic and clinical data of HCC patients were retrieved from The Cancer Genome Atlas (TCGA) and GEO databases. Tissue specimens were collected from HCC patients in the Guangxi area. According to the expression levels and prognostic characteristics of NUP107, ROC curves and nomogram models were constructed using the R package. Results NUP107 was highly expressed in 26 human cancers including HCC, and was associated with advanced HCC staging and worse prognosis. NUP107 showed satisfactory ability to predict the prognosis of HCC patients (AUC >0.8). Results of gene set enrichment analysis (GSEA) further showed that NUP107 was mainly associated with cell cycle‐related pathways such as the cell cycle, DNA replication, G2M checkpoint, E2F target, and mitotic spindle. In addition, NUP107 was also associated with immune infiltration in HCC and showed significant positive correlation with immune checkpoints (PD‐L1 and TIM‐3).

Urban blue–green spaces (UBGSs) are a significant avenue for addressing the worldwide mental health crisis. To effectively optimise landscape design and management for the promotion of health benefits from UBGS, it is crucial to objectively understand public preferences. This paper proposes a method to evaluate public landscape preference from the perspective of seeing and thinking, takes the examples of seven parks around the Dianchi Lake in Kunming, China, and analyses the social media data by using natural language processing technology and image semantic segmentation technology. The conclusions are as follows: (1) The public exhibits significantly high positive sentiments towards various UBGSs, with over 93% of comments expressed positive sentiments. (2) Differences exist in the frequency and perception of landscape features between image and text modalities. Landscape elements related to stability are perceived more in images than in text, while dynamic and experiential elements are perceived more in text than in images. (3) In both modalities, the distinctive landscape features of parks are more frequently perceived and preferred by the public. In the end, the intrinsic links between landscape elements and public sentiment and preferences are discussed, and suggestions for design and management improvements are made to consolidate their health benefits to the public.

ABSTRACT Jingmen tick virus (JMTV), belonging to the Flaviviridae family, is a novel segmented RNA virus identified in 2014 in the Jingmen region of Hubei Province, China. Up to now, JMTV has been detected in a variety of countries or regions in Asia, Europe, Africa, and the Americas, involving a wide range of arthropods and mammals, and even humans. The JMTV genome is composed of four linear RNA segments, two of which are derived from flaviviruses, while the other two segments are unique to JMTV and has no matching virus. Currently, JMTV has been shown to have a pathogenic effect on humans. Humans who had been infected would develop viremia and variable degrees of clinical symptoms. However, the pathogenic mechanism of JMTV has not been elucidated yet. Therefore, it is crucial to strengthen the epidemiological surveillance and laboratory studies of JMTV.

The present study investigated the mechanical characteristics, hydrophobicity, antioxidant and antibacterial properties, FTIR, SEM and XRD of films fabricated with corn starch and pullulan (CS/PUL) by adding different concentrations of Gallic acid (GA) (0%, 0.5%, 1.0%, 1.5% w/v). The mechanical strength and opacity of CS/PUL films were enhanced by the addition of 1.0% GA. The water vapor permeability (WVP) of CS/PUL films was significantly lower in films with GA compared to those without (P

Objective To investigate the relationship between the neutrophil-to-lymphocyte ratio and chronic obstructive pulmonary disease complicated with pulmonary hypertension (COPD + PH). Methods We retrospectively analyzed clinical data from 242 COPD patients at our hospital from July 2018 to July 2019. Patients underwent examinations including blood analysis, C-reactive protein, N-terminal brain natriuretic peptide (BNP), pulmonary function, and cardiac color ultrasound. Results Patients were divided into the COPD and COPD + PH groups using pulmonary arterial pressure (

Fertilizer-based biofortification is a strategy for combating worldwide malnutrition of zinc (Zn), iron (Fe) and selenium (Se). Field experiments were conducted to investigate the effects of foliar treatments on concentrations of Zn, Fe, Se, N and bioavailability of Zn and Fe in grains of three maize cultivars grown at three locations. We compared the efficacy of ZnO nanoparticles (ZnO-NPs), Zn complexed chitosan nanoparticles (Zn-CNPs), conventional ZnSO4 and a cocktail solution (containing Zn, Fe and Se). All treatments were foliar-applied at rate of 452 mg Zn L–1, plus urea. Applying ten-fold less Zn (at rate of 45.2 mg Zn L–1) plus urea in the form of ZnO-NPs, Zn-CNPs, or ZnSO4 resulted in no increase, or a negligible increase, in grain Zn concentration compared with deionized water. By contrast, among the different Zn sources plus urea applied by foliar sprays, conventional ZnSO4 was the most efficient in improving grain Zn concentration. Furthermore, foliar application of a cocktail solution effectively improved grain concentrations of Zn, Fe, Se and N simultaneously, without a grain yield trade-off. For example, the average grain concentrations were simultaneously increased from 13.8 to 22.1 mg kg–1 for Zn, from 17.2 to 22.1 mg kg–1for Fe, from 21.4 to 413.5 ug kg–1 for Se and from 13.8 to 14.7 g kg–1 for N by foliar application of a cocktail solution. Because grain yield was significantly negatively correlated with grain nutrient concentrations, the magnitude of increase in grain concentrations of Zn and Fe was most pronounced in the maize cultivar with the lowest grain yield (Zhengdan958 grown in Linyi). Foliar application of a cocktail solution also significantly decreased the phytic acid (PA) concentration, ratios of PA/Fe and PA/Zn in grains, indicating an increased bioavailability of Fe and Zn for human health. In conclusion, we found that a foliar application of a cocktail solution including Zn, Fe, Se and N was most effective for biofortification, but that the grains with the lowest yield contained the greatest concentration of these elements. This finding highlights the need to breed maize varieties that are capable of achieving both high grain yield and high grain nutritional quality to address food security and human health challenges.

This paper aims to forecast solar power in very short horizons to assist in real-time distribution system operations. Popular machine learning methods for time series forecasting are studied, including recurrent neural networks with Long Short-Term Memory (LSTM). Although LSTM networks perform well in different applications by accounting for long-term dependencies, they do not consider the frequency domain patterns, especially the low frequencies in the solar power data compared to the sampling frequency. The State Frequency Memory (SFM) model in this paper extends LSTM and adds multi-frequency components into memory states to reveal a variety of frequency patterns from the data streams. To further improve the forecasting performance, the idea of Fourier Transform is integrated for optimal selection of the frequency bands by identifying the most dominant frequencies in solar power output. The results show that although the SFM model with uniform frequency selection does not significantly improve upon the LSTM model, the proper selection of frequencies yields overall better performances than the LSTM and 27% better than the persistent forecasts for forecast horizons up to one minute. Furthermore, a predictive voltage control based on solar forecasts is implemented to demonstrate the superior performance of the proposed model.

Abstract Background Porphyromonas gingivalis plays an oncogenic role in development and progression of esophageal squamous cell carcinoma (ESCC). However, the impact of P. gingivalis on local recurrence of early ESCC or precancerous lesion after ESD treatment remains unknown. The present study aimed to evaluate the impact of P. gingivalis on local recurrence after ESD treatment of early ESCC or high-grade dysplasia (HGD). Methods The amount of P. gingivalis was assessed by immunohistochemistry in 205 patients with early ESCC or HGD. Univariate and multivariate Cox regression analyses were performed to determine the effect of P. gingivalis on local recurrence. Propensity score matching analysis was performed to reduce the imbalance of baseline characteristics. A nomogram integrating significant prognostic factors was built for local recurrence prediction. Results The amount of P. gingivalis increased significantly in neoplasms that invaded up to muscularis mucosa and submucosa compared with lesions confined to epithelium or lamina propria. Overabundance of P. gingivalis was positively associated with invasion depth, post-ESD stricture and local recurrence. Univariate and multivariate Cox regression analyses revealed that P. gingivalis, longitudinal length of lesion and lymphovascular invasion were independent predictors for post-ESD recurrence. A nomogram comprising P. gingivalis, lymphovascular involvement, and lesion length performed well for prediction of post-ESD local recurrence with the concordance indices of 0.72 (95%CI, 0.62 to 0.80), 0.72 (95%CI, 0.63 to 0.80), and 0.74 (95%CI, 0.65 to 0.83) in the validation cohort, the entire cohort, and the subcohort after PSM, respectively. Conclusion P. gingivalis overabundance is a risk factor and a potential predictor for local recurrence of early ESCC or HGD after ESD treatment. Thus, clearance of P. gingivalis represents an attractive strategy for prognosis improvement and for prevention of ESCC.

Abstract The noisy intermediate-scale quantum devices enable the implementation of the variational quantum circuit (VQC) for quantum neural networks (QNN). Although the VQC-based QNN has succeeded in many machine learning tasks, the representation and generalization powers of VQC still require further investigation, particularly when the dimensionality of classical inputs is concerned. In this work, we first put forth an end-to-end QNN, TTN-VQC, which consists of a quantum tensor network based on a tensor-train network (TTN) for dimensionality reduction and a VQC for functional regression. Then, we aim at the error performance analysis for the TTN-VQC in terms of representation and generalization powers. We also characterize the optimization properties of TTN-VQC by leveraging the Polyak-Lojasiewicz condition. Moreover, we conduct the experiments of functional regression on a handwritten digit classification dataset to justify our theoretical analysis.

Recognizing AIDS epidemic as a social problem, the article reviews the development process of society participation in AIDS prevention in China during the past 40 years from a panoramic perspective. During the period in China, the concept of AIDS prevention changed from prevention and treatment to prevention and control with a passivity to initiative transformation occurring in the development of whole society participation in AIDS containment. From a long-term consideration, the initiative of whole society participation in AIDS prevention and control needs to be promoted continuously for the construction of a prevention community for effective control of AIDS epidemic.

Abstract Sirtuins (SIRTs) are nicotine adenine dinucleotide(+)-dependent histone deacetylases regulating critical signaling pathways in prokaryotes and eukaryotes, and are involved in numerous biological processes. Currently, seven mammalian homologs of yeast Sir2 named SIRT1 to SIRT7 have been identified. Increasing evidence has suggested the vital roles of seven members of the SIRT family in health and disease conditions. Notably, this protein family plays a variety of important roles in cellular biology such as inflammation, metabolism, oxidative stress, and apoptosis, etc., thus, it is considered a potential therapeutic target for different kinds of pathologies including cancer, cardiovascular disease, respiratory disease, and other conditions. Moreover, identification of SIRT modulators and exploring the functions of these different modulators have prompted increased efforts to discover new small molecules, which can modify SIRT activity. Furthermore, several randomized controlled trials have indicated that different interventions might affect the expression of SIRT protein in human samples, and supplementation of SIRT modulators might have diverse impact on physiological function in different participants. In this review, we introduce the history and structure of the SIRT protein family, discuss the molecular mechanisms and biological functions of seven members of the SIRT protein family, elaborate on the regulatory roles of SIRTs in human disease, summarize SIRT inhibitors and activators, and review related clinical studies.

To study the response of the Vallisneria natans morphological and physiology to water level change, seedlings were placed in a submerged condition at depths ranging from 50 cm to 135 cm and set the rising and declining water levels respectively (0.2 cm/d, 0.5 cm/d, 0.8 cm/d, 1.1 cm/d, 1.4 cm/d, 1.7 cm/d). After 50 days of simulation experiment, we observed the effects on plant height, the number of blades, root activity, biomass, chlorophyll a (Chl a), chlorophyll b (Chl b), chlorophyll (a + b) (Chl a + b), carotenoid (Car), soluble protein (SP) and soluble sugar (SS) of V. natans under different water level change rates. The results showed that (1) plant height and the number of blades showed an overall upward trend under the condition of high-rate water level change, while the low-rate change of water level showed a trend of first rising and then decreasing. (2) the root activity of 0.5–1.7 cm/d groups increased with the test time at rising water level, and the declining water level showed a trend of increasing and then decreasing. The total biomass showed an upward trend with the extension of the test time. (3) Chl a, Chl b, Chl (a + b), and Car showed a multi-peak downward trend with the extension of the test time. (4) the response of SP and SS to the test time showed a trend of first increase and then decrease with water level changes. In conclusion, our study demonstrates that the morphological and physiology of V. natans could adapt to water level changes, but it could be stressed if the water level exceeded the suitable range.