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Background/Aims: Zinc finger antiviral protein (ZAP) has been reported to be expressed in hepatocellular carcinoma (HCC), and ZAP expression is associated with apoptotic signaling in cancer cells. This study aimed at investigating the expression of ZAP in HCC cells and its significance in clinical pathology. Methods: Real-time quantitative PCR and western blot assays were employed to detect ZAP RNA and protein expression in normal human hepatocytes, HCC cells, and five primary HCC cell lines. Immunohistochemistry was performed to detect ZAP expression in 147 paraffin-embedded HCC tissues and adjacent normal tissues. The clinical significance of ZAP expression was analyzed in tissue samples from patients with or without infection by hepatitis B virus (HBV). Results: ZAP expression in HCC cells and human primary HCC cell lines was significantly lower than that of normal human hepatocytes. Among 147 HCC samples, ZAP expression was lower in HCC tissues than in adjacent normal tissues for 107 (77.0%) samples. In patients with HCC and HBV infection, ZAP expression was related to pathological grade (P < 0.05); in HBV-negative patients with HCC, ZAP expression was associated with tumor size (P < 0.05) and clinical stage (P < 0.05). The overall survival time in patients with low ZAP expression was significantly shorter than survival times of those with high ZAP expression (P < 0.05), especially for patients with moderately to well-differentiated HCC (Grade 1–2) and HCC at stage T1 and T2 (P < 0.05). Cox multivariate analysis showed that ZAP expression was an independent predictor of survival of patients with HCC (P < 0.01). Conclusion: Low ZAP expression is closely associated with disease progression and poor prognosis for patients with HCC.

Abstract Background It is usually difficult to identify stroke pathogenesis for single lenticulostriate infarction with nonstenotic middle cerebral artery (MCA). Our aim is to differentiate the two pathogeneses, non-branch atheromatous small vessel disease and branch atheromatous disease (BAD) by high-resolution magnetic resonance imaging (HR-MRI). Methods Thirty-two single lenticulostriate infarction patients with nonstenotic MCA admitted to the China-Japan Friendship Hospital from December 2014 to August 2017 were enrolled for retrospective analysis. National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), atherosclerotic risk factors, imaging features, and the characteristic of MCA vessel wall in HR-MRI were evaluated. Results MCA plaques were detected in 15(46.9%) patients which implied BAD and 8 of 15 (53.3%) patients had plaques location in upper dorsal side of the vessel wall. Patients with HR-MRI identified plaques had a significantly larger infarction lesion length (1.95 ± 0.86 cm versus 1.38 ± 0.55 cm; P = 0.031) and larger lesion volume (2.95 ± 3.94 cm3 versus 0.90 ± 0.94 cm3; P = 0.027) than patients without plaques. Patients with HR-MRI identified plaques had a significant higher percentage of proximal lesions than patients without plaques (P = 0.055). However, according to the location of MCA plaques, there were no significant differences in terms of imaging features, NIHSS and mRS. Conclusion We demonstrated high frequency of MCA atheromatous plaques visualized in single lenticulostriate infarction patients with nonstenotic MCA by using HR-MRI. Patients with HR-MRI identified plaque presented larger infarction lesions and more proximal lesions than patients without plaque, which were consistent with imaging features of BAD. HR-MRI is an important and effective tool for identifying stroke etiology in patients with nonstenotic MCA.

The ionospheric equivalent slab thickness (τ) is defined as the ratio of the total electron content (TEC) to the F2-layer peak electron density (NmF2), and it is a significant parameter representative of the ionosphere. In this paper, a comprehensive statistical analysis of the diurnal, seasonal, solar, and magnetic activity variations in the τ at Guam (144.86°E, 13.62°N, 5.54°N dip lat), which is located near the magnetic equator, is presented using the GPS-TEC and ionosonde NmF2 data during the years 2012–2017. It is found that, for geomagnetically quiet days, the τ reaches its maximum value in the noontime, and the peak value in winter and at the equinox are larger than that in summer. Moreover, there is a post-sunset peak observed in the winter and equinox, and the τ during the post-midnight period is smallest in equinox. The mainly diurnal and seasonal variation of τ can be explained within the framework of relative variation of TEC and NmF2 during different seasonal local time. The dependence of τ on the solar activity shows positive correlation during the daytime, and the opposite situation applies for the nighttime. Specifically, the disturbance index (DI), which can visually assess the relationship between instantaneous τ values and the median, is introduced in the paper to quantitatively describe the overall pattern of the geomagnetic storm effect on the τ variation. The results show that the geomagnetic storm seems to have positive effect on the τ during most of the storm-time period at Guam. An example, on the 1 June 2013, is also presented to analyze the physical mechanism. During the positive storms, the penetration electric field, along with storm time equator-ward neutral wind, tends to increase upward drift and uplift F region, causing the large increase in TEC, accompanied by a relatively small increase in NmF2. On the other hand, an enhanced equatorward wind tends to push more plasma, at low latitudes, into the topside ionosphere in the equatorial region, resulting in the TEC not undergoing severe depletion, as with NmF2, during the negative storms. The results would complement the analysis of τ behavior during quiet and disturbed conditions at equatorial latitudes in East Asia.

The negative impacts on the ecosystem of antibiotic residues in the environment have become a global concern. However, little is known about the transformation mechanism of antibiotics by manganese peroxidase (MnP) from microorganisms. This work investigated the transformation characteristics, the antibacterial activity of byproducts, and the degradation mechanism of tetracycline (TC) by purified MnP from Phanerochaete chrysosporium. The results show that nitrogen-limited and high level of Mn2+ medium could obtain favorable MnP activity and inhibit the expression of lignin peroxidase by Phanerochaete chrysosporium. The purified MnP could transform 80% tetracycline in 3 h, and the threshold of reaction activator (H2O2) was about 0.045 mmol L−1. After the 3rd cyclic run, the transformation rate was almost identical at the low initial concentration of TC (77.05–88.47%), while it decreased when the initial concentration was higher (49.36–60.00%). The antimicrobial potency of the TC transformation products by MnP decreased throughout reaction time. We identified seven possible degradation products and then proposed a potential TC transformation pathway, which included demethylation, oxidation of the dimethyl amino, decarbonylation, hydroxylation, and oxidative dehydrogenation. These findings provide a novel comprehension of the role of MnP on the fate of antibiotics in nature and may develop a potential technology for tetracycline removal.

Organophosphorus compounds (OPCs) are widely used in many fields. However, traditional synthetic routes in the industry usually involve multistep and hazardous procedures. Therefore, it's of great significance to construct such compounds in an environmentally‐friendly and facile way. Herein, a photoredox catalytic method has been developed to construct novel phosphoryltriacetates. Using fac‐Ir(ppy)3 (ppy=2‐phenylpyridine) as the photocatalyst and blue LEDs (456 nm) as the light source, white phosphorus can react with α‐bromo esters smoothly to generate phosphoryltriacetates in moderate to good yields. This one‐step approach features mild reaction conditions and simple operational process without chlorination. [ABSTRACT FROM AUTHOR]

The lack of early renal function recovery among geriatric patients with acute kidney injury (AKI) in the intensive care unit (ICU) is a commonly observed and acknowledged poor prognostic factor, especially for older adults. However, no reliable prognostic biomarker is available for identifying individuals at risk of renal non-recovery or mortality in older adults. In this prospective observational cohort study, we enrolled critically ill older adults (aged ≥ 60years) with AKI from the ICU and followed their disease progression. The primary endpoint was renal non-recovery within seven days of follow-up, while the secondary endpoint was the determinants of 30-day mortality after AKI. We assessed the predictive accuracy using receiver operating characteristic curves and performed between-group comparisons using the log-rank test. Among 209 older adults, 117 (56.0%) experienced renal recovery. Multiple regression analysis revealed that urine levels of tissue inhibitor of metalloproteinase-2 (TIMP-2) multiplied by insulin-like growth factor-binding protein 7 (IGFBP7) ([TIMP-2]*[IGFBP7]), AKI stages 2–3, and the Acute Physiology and Chronic Health Evaluation (APACHE II) score were independently associated with renal non-recovery. The regression model incorporating [TIMP-2]*[IGFBP7] demonstrated a fair predictive value (AUC 0.774, p<0.001), with the optimal threshold set at 0.81 (ng/mL)² /1000. When [TIMP-2]*[IGFBP7] was combined with AKI severity and the APACHE score, the AUC increased to 0.851. In conclusion, urine [TIMP-2]*[IGFBP7] is a reliable biomarker associated with renal non-recovery in critically ill older adults, and its predictive efficacy can be further enhanced when combined with AKI severity and the APACHE score. [ABSTRACT FROM AUTHOR]

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Both sepsis and AKI are diseases of major concern in intensive care unit (ICU). This study aimed to evaluate the excess mortality attributable to sepsis for acute kidney injury (AKI). A propensity score-matched analysis on a multicenter prospective cohort study in 18 Chinese ICUs was performed. Propensity score was sequentially conducted to match AKI patients with and without sepsis on day 1, day 2, and day 3–5. The primary outcome was hospital death of AKI patients. A total of 2008 AKI patients (40.9%) were eligible for the study. Of the 1010 AKI patients with sepsis, 619 (61.3%) were matched to 619 AKI patients in whom sepsis did not develop during the screening period of the study. The hospital mortality rate of matched AKI patients with sepsis was 205 of 619 (33.1%) compared with 150 of 619 (24.0%) for their matched AKI controls without sepsis (p = 0.001). The attributable mortality of total sepsis for AKI patients was 9.1% (95% CI: 4.8–13.3%). Of the matched patients with sepsis, 328 (53.0%) diagnosed septic shock. The attributable mortality of septic shock for AKI was 16.2% (95% CI: 11.3–20.8%, p < 0.001). Further, the attributable mortality of sepsis for AKI was 1.4% (95% CI: 4.1–5.9%, p = 0.825). The attributable hospital mortality of total sepsis for AKI were 9.1%. Septic shock contributes to major excess mortality rate for AKI than sepsis. registration number ChiCTR-ECH-13003934 [ABSTRACT FROM AUTHOR]

Engineered nanomaterials (NMs) are increasingly fabricated in various fields involving consumer goods, waste management, and biomedical applications such as drug delivery, diagnosis, and treatment of pathological conditions. While these NMs are intentionally or unexpectedly in contact with the human body, there are growing concerns about their intracellular journey, especially considering the therapeutic or deleterious effects after they cross the cell membrane. In this review, the cellular journey of NMs including internalization, intracellular trafficking, and deposition/exocytosis is systematically discussed. This work highlights the accumulation of NMs in cells not only depends on the moment of NMs crossing the cell membrane but also at the following trafficking and exocytosis process. A deeper understanding of the cellular journey of NMs implies that an alternative strategy to fabricate specific targeting NMs is to bypass a few pathways of intracellular trafficking to achieve potent therapeutic effects with minimal toxicity. After comprehensively reviewing the cellular journey of NMs, current progress and application scenarios of kinetic models are discussed. Finally, this review focuses on the bottleneck problems and the corresponding solution technologies for studying the cellular journey of NMs. Recent progresses on the cellular journey of NMs provide new insights into the fabrication of biomedical NMs and facilitate technology development for probing the nano‐cell interaction with high temporal‐spatial resolution. [ABSTRACT FROM AUTHOR]

Freshwater fish diversity is imperiled by multiple stressors with global change, including invasive species and habitat loss. There is an urgent need to establish synthesized baseline information pertaining to current ecological communities to quantify future change and identify habitats to protect. The Qiantang River is the largest river in the Zhejiang Province, located in the southeast of China, with extensive fishery and aquaculture sectors. However, synthetic information on freshwater fish biodiversity and invasions in this region is lacking, impeding conservation efforts. We compile published information and empirical surveys to comprehensively discern the fish community of the Qiantang River. There are 184 (167 native and 17 non-native) freshwater fish species or subspecies, belonging to 15 orders, 38 families and 105 genera in the Qiantang River, including species listed as among the '100 world's worst invasive species. Therein, 24 species are endemic to China and 14 species are classed as endangered by the IUCN. We identify and discuss habitat loss, pollution, sand mining, over-fishing and non-native species as the major threats to freshwater fish biodiversity in this system. Thus, we propose that protected areas and bans on fish introductions, should be adopted and better enforced in this and other freshwater systems. [ABSTRACT FROM AUTHOR]