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Abstract Coriaria nepalensis Wall. (Coriariaceae) is a nitrogen-fixing shrub which forms root nodules with the actinomycete Frankia. Oils and extracts of C. nepalensis have been reported to be bacteriostatic and insecticidal, and C. nepalensis bark provides a valuable tannin resource. Here, by combining PacBio HiFi sequencing and Hi-C scaffolding techniques, we generated a haplotype-resolved chromosome-scale genome assembly for C. nepalensis. This genome assembly is approximately 620 Mb in size with a contig N50 of 11 Mb, with 99.9% of the total assembled sequences anchored to 40 pseudochromosomes. We predicted 60,862 protein-coding genes of which 99.5% were annotated from databases. We further identified 939 tRNAs, 7,297 rRNAs, and 982 ncRNAs. The chromosome-scale genome of C. nepalensis is expected to be a significant resource for understanding the genetic basis of root nodulation with Frankia, toxicity, and tannin biosynthesis.

Abstract Background This study aimed to investigate the potential mechanism of YAP1 in the senescence and degeneration of endplate chondrocytes induced by intermittent cyclic mechanical tension (ICMT). Methods According to the Pfirrmann grade evaluation classification, 30 human endplate cartilage tissues were divided into the lumbar vertebra fracture (LVF) group and lumbar disc herniation (LDH) group. Then, quantitative reverse transcription polymerase chain reaction, western blot, flow cytometry, hematoxylin–eosin staining, and senescence-associated β-galactosidase staining were performed. The difference in extracellular matrix expression between LVF and LDH endplate cartilage was detected. Second, the effect of ICMT on endplate chondrocytes degeneration was observed. Finally, the key regulatory role of YAP1 in ICMT-induced endplate cartilage degeneration was further verified. Results In degraded human endplate cartilage and tension-induced degraded endplate chondrocytes, the expression of YAP1, COL-2A, and Sox9 was decreased. Conversely, the expression of p53 and p21 was increased. By regulating YAP1 in vivo and in vitro, we can achieve alleviation of ICMT-induced senescence of endplate chondrocytes and effective treatment of disc degeneration. Conclusions ICMT could induce senescence and degeneration of endplate chondrocytes, and ICMT-induced senescence and degeneration of endplate chondrocytes could be alleviated by regulating YAP1 expression.

Panax notoginseng is a highly regarded medicinal plant that has obstacles associated with continuous cropping. Understanding soil microorganisms is crucial, as they play a major role in this regard. However, soil microorganisms are affected by multiple factors; therefore, we need to conduct more in-depth research. This study investigated the combined effects of irrigation and microbial fertilizer treatments (J1F1, J1F2, J2F1, J2F2, J3F1, J3F2, and CK) on the diversity of bacterial and fungal microbial communities in the rhizosphere of Panax notoginseng. The bacterial 16S rRNA genes and fungal internal transcribed spacer (ITS) sequences were sequenced using Illumina HiSeq. The results showed that, without microbial fertilizer (CK), the microbial community abundance and diversity were significantly lower than in the other treatments; moreover, among the microbial fertilizer treatments, the microbial abundance in F1 was higher than that in F2. Under the same microbial fertilizer application, the incidence rate of Panax notoginseng root rot was J2 > J1 > J3, and the yield of Panax notoginseng was J3 > J2 > J1. Under the same irrigation conditions, the incidence rate of Panax notoginseng root rot was F1 > F2, and the yield of Panax notoginseng was F2 > F1. This study provides important guidance for Panax notoginseng plant microbiota and sustainable agriculture.

Terpenes and terpenoids are key natural compounds for plant defense, development, and composition of plant oil. The synthesis and accumulation of a myriad of volatile terpenoid compounds in these plants may dramatically alter the quality and flavor of the oils, which provide great commercial utilization value for oil-producing plants. Terpene synthases (TPSs) are important enzymes responsible for terpenic diversity. Investigating the differentiation of the TPS gene family could provide valuable theoretical support for the genetic improvement of oil-producing plants. While the origin and function of TPS genes have been extensively studied, the exact origin of the initial gene fusion event - it occurred in plants or microbes - remains uncertain. Furthermore, a comprehensive exploration of the TPS gene differentiation is still pending. Here, phylogenetic analysis revealed that the fusion of the TPS gene likely occurred in the ancestor of land plants, following the acquisition of individual C- and N- terminal domains. Potential mutual transfer of TPS genes was observed among microbes and plants. Gene synteny analysis disclosed a differential divergence pattern between TPS-c and TPS-e/f subfamilies involved in primary metabolism and those (TPS-a/b/d/g/h subfamilies) crucial for secondary metabolites. Biosynthetic gene clusters (BGCs) analysis suggested a correlation between lineage divergence and potential natural selection in structuring terpene diversities. This study provides fresh perspectives on the origin and evolution of the TPS gene family.

Abstract Objective To investigate the safety and efficacy of chemoradiotherapy or radiotherapy combined with nimotuzumab in the treatment of unresectable oesophageal squamous cell carcinoma (ESCC) in elderly patients. Methods This study retrospectively analysed 54 cases of elderly patients (aged over 70 years) with unresectable ESCC in our centre between December 2016 and November 2019. The patients were treated with a radiation dose of 50–61.6 Gy (25–30 fractions) combined with nimotuzumab for targeted therapy with or without chemotherapy according to each patient’s condition. The patients were observed for quality of life, safety, side effects and survival before and after the treatment. Results Among the 54 patients, 26 were treated with nimotuzumab combined with chemoradiotherapy and 28 were treated with nimotuzumab combined with radiotherapy. Toxicities were mainly oesophagitis (≥ Grade 2, 38.9%), myelosuppression (≥ Grade 3, 24.1%) and hypoproteinaemia (any grade, 94.4%). The rates of complete response, partial response, disease stability and disease progression were 11.1% (6/54), 81.5% (44/54), 3.7% (2/54) and 3.7% (2/54), respectively, and the overall objective response rate was 92.6% (50/54). The median follow-up time was 35.1 months, and the 1- and 2-year overall survival (OS) and progression-free survival (PFS) rates were 61.1% (1 year OS) and 35.2% (2 year OS), 42.6% (1 year PFS) and 16.7% (2 year PFS), respectively. The median OS and PFS rates were 16.0 and 10.0 months, respectively. Conclusion Nimotuzumab combined with chemoradiotherapy or radiotherapy was well tolerated in elderly patients with unresectable ESCC. This combination can achieve a good treatment response and enhance survival.

This study employs an ensemble Kalman filter assimilation method to validate and update the pollutant emission inventory to mitigate the impact of uncertainties on the forecasting performance of air quality numerical models. Based on nationwide ground-level pollutant monitoring data in China, the emission inventory for the entire country was inverted hourly in 2022. The emission rates for PM2.5, CO, NOx, SO2, NMVOCs, BC, and OC updated by the inversion were determined to be 6.6, 702.4, 37.2, 13.4, 40.3, 3, and 18.2 ng/s/m2, respectively. When utilizing the inverted inventory instead of the priori inventory, the average accuracy of all cities’ PM2.5 forecasts was improved by 1.5–4.2%, especially for a 7% increase on polluted days. The improvement was particularly remarkable in the periods of January–March and November–December, with notable increases in the forecast accuracy of 12.5%, 12%, and 6.8% for the Northwest, Northeast, and North China regions, respectively. The concentration values and spatial distribution of PM2.5 both became more reasonable after the update. Significant improvements were particularly observed in the Northwest region, where the forecast accuracy for all preceding days was improved by approximately 15%. Additionally, the underestimated concentration of PM2.5 in the priori inventory compared to the observation value was notably alleviated by the application of the inversion.

Wood decay resistance (WDR) is marking the value of wood utilization. Many trees of the Lauraceae have exceptional WDR, as evidenced by their use in ancient royal palace buildings in China. However, the genetics of WDR remain elusive. Here, through comparative genomics, we revealed the unique characteristics related to the high WDR in Lauraceae trees. We present a 1.27-Gb chromosome-level assembly for Lindera megaphylla (Lauraceae). Comparative genomics integrating major groups of angiosperm revealed Lauraceae species have extensively shared gene microsynteny associated with the biosynthesis of specialized metabolites such as isoquinoline alkaloids, flavonoid, lignins and terpenoid, which play significant roles in WDR. In Lauraceae genomes, tandem and proximal duplications (TD/PD) significantly expanded the coding space of key enzymes of biosynthesis pathways related to WDR, which may enhance the decay resistance of wood by increasing the accumulation of these compounds. Among Lauraceae species, genes of WDR-related biosynthesis pathways showed remarkable expansion by TD/PD and conveyed unique and conserved motifs in their promoter and protein sequences, suggesting conserved gene collinearity, gene expansion and gene regulation supporting the high WDR. Our study thus reveals genomic profiles related to biochemical transitions among major plant groups and the genomic basis of WDR in the Lauraceae.

Abstract Background Sodium glucose transporters (SGLTs) play vital roles in glucose uptake in many solid cancers, including pancreatic cancer (PC). However, their expression profile in pancreatic cancer and correlation with prognosis are not clear. Thus, we aimed to analyse the expression profile and prognostic significance of SGLT-1 and SGLT-2 in PC. Methods Eighty-eight patients with pancreatic ductal adenocarcinoma (PDAC) undergoing surgery in Huashan Hospital, Fudan University, from July 2017 to June 2020 were enrolled in the study. Specimens for immunohistochemistry were obtained through surgical resection. Bioinformatics analysis was performed based on the Gene Expression Omnibus (GEO), Oncomine and The Cancer Genome Atlas (TCGA) databases. The statistics were calculated using IBM SPSS Statistics, version 20 and R 4.1.1. P values lower than 0.05 were considered to indicate statistical significance. Results SGLT-1 but not SGLT-2 was significantly overexpressed in PDAC. Survival analysis showed that the median overall survival (OS) and progression-free survival (PFS) of patients with high SGLT-1 expression were significantly longer than that of patients with low SGLT-1 expression. Cox regression indicated that high SGLT-1 expression was an independent predictor for a better prognosis, while residual tumour status (R1 and R2) was an independent risk factor for a poor prognosis. Finally, PDZK1-interacting protein 1 (PDZK1IP1), a protein participating in the generation of reactive oxygen species, was overexpressed in PDAC and its expression was significantly correlated with SGLT-1. Conclusions SGLT-1 but not SGLT-2 was overexpressed in PDAC, and the overexpression of SGLT-1 could be a predictor of a better prognosis. Residual tumour status (R1 and R2) was a risk factor for poor prognosis and disease progression.

Due to the differences in topographic features, water vapor distribution and emission structures between the north and south of Xinjiang Uygur Autonomous Region (hereinafter Xinjiang), the air pollution exhibits remarkable spatial heterogeneity in this region. In this study, Xinjiang is divided into four regions from north to south at the municipality scale based on the data from air quality monitoring sites recorded from 2013–2019, namely, the clean area in the north of northern Xinjiang (region I), the heavily polluted area of the Urumqi-Changji-Shihezi region (region Ⅲ), the moderately polluted area in the north of southern Xinjiang (region Ⅱ), and the severely polluted area in the south of southern Xinjiang (region Ⅳ). For highly polluted regions in northern and southern Xinjiang, regions Ⅲ and Ⅳ are compared with those typical polluted regions in central and eastern China, and the spatio-temporal variation characteristics and the causes of PM2.5 pollution in each sub-region are discussed. The results show that the region Ⅲ is a typical area with anthropogenic air pollution source, where the occurrence frequency of PM2.5 pollution with the intensity of moderate level or above (18%) is higher than the most heavily polluted area in central and eastern China (16%, regions from the south of North China to the west of Huang-Huai). The region IV is a typical area affected by dust weather, where the pollution frequency being about 52% is much higher than that in other typical polluted regions. In addition, under the combined effects of anthropogenic sources and dust aerosols, the pollution duration in region II is prolonged. Therefore, in contrast to the remarkable improvement of air quality in central and eastern China, the air pollution in typical regions of Xinjiang has become relatively more severe in recent years. Moreover, as Xinjiang is in the upstream of the central and eastern China in the mid-latitude westerlies, the heavy pollution due to sand and dust, anthropogenic sources and their mixing effects has a far-reaching impact on the downstream areas, further highlighting the growing importance of pollution prevention and control in Xinjiang.

Abstract Purpose There are few reports about minimally invasive decompression and fixation for patients with thoracolumbar fracture and neurological symptoms. The previously reported method requires complete laminectomy, and removal of the medial part of the pedicle to expose the spinal canal for reduction. Thus, some approach-related damage to the bony structure and soft tissue still occurs. This study was performed to describe a modified minimally invasive tube technique for decompression and reduction of thoracolumbar fracture with neurological symptoms. This modified technique preserves most of the posterior structures of the spine as well as the muscle. Methods Percutaneous pedicle screws were placed on the vertebrae superior and inferior to the fracture and at the fracture segment on the side with less severe symptoms. After retraction, the tube for decompression was placed on the facet joint where the decompression was needed. Under microscopic vision, part of the lamina and ligamentum flavum were removed to expose the spinal canal, and an L-shaped probe was used to reduce the bone fragment. Results The modified method was successfully used in eight patients. Complete decompression was achieved and the bone fragment was safely reduced through the tube under microscopy in all cases. Fluoroscopy confirmed that the positioning of the percutaneous pedicle screw was good and the bone fragment was reduced. The neurological status was improved in all patients at last follow up. Conclusion The modified method of minimally invasive decompression and fusion is effective in treating thoracolumbar fractures with neurological symptoms and preserves most of the ligaments and bone structure.

Few incidents of ancient allopolyploidization (polyploidization by hybridization or merging diverged genomes) were previously revealed, although there is significant evidence for the accumulation of whole genome duplications (WGD) in plants. Here, we focused on Ericales, one of the largest and most diverse angiosperm orders with significant ornamental and economic value. Through integrating 24 high-quality whole genome data selected from ~ 200 Superasterids genomes/species and an algorithm of topology-based gene-tree reconciliation, we explored the evolutionary history of in Ericales with ancient complex. We unraveled the allopolyploid origin of Ericales and detected extensive lineage-specific gene loss following the polyploidization. Our study provided a new hypothesis regarding the origin of Ericales and revealed an instructive perspective of gene loss as a pervasive source of genetic variation and adaptive phenotypic diversity in Ericales.

Emissions of agricultural machines during tillage processes played an important role in severe seasonal pollution events in agricultural areas in China and cannot be ignored. In this study, the CO, NOX, HC and PM2.5 emissions of agricultural machines during real-world tillage processes were tested using a portable emission measurement system (PEMS), and their fuel-based and tillage area-based emission factors were calculated. The CO, NOX, HC and PM2.5 emissions were influenced by emission standards, engine rated power, tillage processes and crops. Only the CO, HC and PM2.5 fuel-based emission factors were reduced from China 0 to China II. For China III agricultural machines, the fuel-based emission factors were higher during plowing and tilling than during harvesting. The tillage area-based CO, NOX, HC and PM2.5 emission factors of corn tillage process were 11.85 ± 8.30, 53.21 ± 48.80, 3.46 ± 3.14 and 1.64 ± 1.33 kg/km2, respectively. The tillage area-based CO, NOX, HC and PM2.5 emission factors of wheat tillage process were 19.69 ± 21.50, 79.98 ± 63.22, 3.90 ± 2.96 and 1.61 ± 2.43 kg/km2, respectively. The tillage area-based emission factors of China III agricultural machines during plowing and tilling were higher than those during harvesting. The fuel consumption per unit tillage area can be used to provide a reference for the interconversion of the two emission factors in future studies. By comparing the fuel-based emission factors in this study with those in the Guidelines and other studies, we observed that the CO, HC and PM2.5 emissions of agricultural machines with corresponding emission standards may be overestimated and the NOX emissions may be underestimated in areas where wheat and corn are mainly grown. Moreover, the pollutant emissions of agricultural machines were regionally different. These results could help elucidate the pollution contribution of agricultural machines in China.

Previous studies have found follicle‐stimulating hormone (FSH) receptors on chondrocytes (cartilage cells), but the mechanism of FSH action on chondrocytes is not clear. The purpose of this experiment is to study whether FSH affects chondrocytes and how it causes changes in these cells. Our results show that osteoarthritis became worse after FSH injection in the knee joint of mice. After the stimulation of chondrocytes by FSH, a total of 664 up‐regulated genes, such as Col12a1 and Col1a1, and 644 down‐regulated genes, such as MGP, were screened by transcriptomics. A subset of extracellular matrix (ECM)‐related genes and pathways underwent Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis, and the downregulation of MGP, the upregulation of EGR1 and Col1a1, and the increase of IL‐6 were verified. It was also observed that FSH can inhibit the cAMP/PKA and MKK4/JNK signaling pathway. In conclusion, we demonstrated that FSH can increase cartilage inflammatory response and promote chondrocyte dedifferentiation by inhibiting the cAMP/PKA and MKK4/JNK signaling pathways.

PurposeGemcitabine (GEM) is the first-line chemotherapeutic drug for pancreatic cancer treatment in clinical practice. However, many reasons can reduce the efficacy of GEM, among which the high expression of ATP-binding cassette (ABC) transporters is a significant factor. In this study, we aimed to investigate the antitumor effect of gemcitabine-loaded human serum albumin nanoparticle (GEM-HSA-NP) on GEM-resistant pancreatic cancer cells induced by the high expression of ABC transporters, namely multidrug resistance protein 1/P-gp/ABCB1 (MDR1) and multidrug resistance-associated protein 1/ ABCC1 (MRP1).MethodsMDR1 and MRP1 were stably overexpressed via lentiviral transduction in the pancreatic cancer cell lines BxPC3 and PANC1. Proliferation inhibition assays, cell cycle arrest and apoptosis analyses were conducted to examine the antitumor effect of GEM-HSA-NP. In addition, intracellular ATP levels were determined to explore the potential mechanisms implicated preliminarily.ResultsWhen administered to GEM-resistant cancer cells, GEM-HSA-NP displayed its antitumor effect by promoting the inhibition of proliferation, cell cycle arrest, and apoptosis induction. Intracellular ATP depletion, caused by the albumin component of GEM-HSA-NP was proposed to be potentially involved in the modulation of ABC transporter activity.ConclusionGEM-HSA-NP can effectively overcome GEM-resistance induced by MDR1 and MRP1 overexpression, which highlights its potential value in a clinical setting.

This case report introduces digital surgery-first approach orthognathic surgery assisted by three-dimensional virtual planning and combined with invisible orthodontic treatment for a 21-year-old female patient with a skeletal Class III high-angle gummy smile malocclusion. We explored the clinical significance of the widespread application of digital technology for rapid development of the orthodontic/orthognathic field. The regional acceleratory phenomenon and clear aligners were used to achieve fast and aesthetic tooth movement after surgery. The treatment lasted only 8 months, and the patient was satisfied with the aesthetic results. The results remained stable after 1 year of follow-up. This case report highlights the advantages of combining a digital design and a surgery-first approach to produce accurate, rapid, safe, stable, and fulfilling cosmetic results. The combination of the surgery-first approach and clear aligners can facilitate patient-oriented surgical orthodontic treatment.

Abstract We consider a four-dimensional HIV model that includes healthy cells, infected cells, primary cytotoxic T-lymphocyte response (CTLp), and secondary cytotoxic T-lymphocyte response (CTLe). The CTL memory generation depends on CD4+ T-cell help, and infection of CD4+ T cells results in impaired T-cell help. We show that the system has up to five equilibria. By the Routh–Hurwitz theorem and central manifold theorem we obtain some sufficient conditions for the local stability, globally stability of the equilibria, and the bifurcations. We still discover the bistability case where in the system there may coexist two stable equilibria or a stable equilibrium together with a stable limit cycle. Several numerical analyses are carried out to illustrate the validity of our theoretical results.

The mechanism of psychiatric drugs (stimulant and non-stimulant) is still unclear. Precision medication of psychiatric disorders faces challenges in pharmacogenetics and pharmacodynamics research due to difficulties in recruiting human subjects because of possibility of substance abuse and relatively small sample sizes. Drosophila is a powerful animal model for large-scale studies of drug effects based on the precise quantification of behavior. However, a user-friendly system for high-throughput simultaneous tracking and analysis of drug-treated individual adult flies is still lacking. It is critical to quickly setup a working environment including both the hardware and software at a reasonable cost. Thus, we have developed EasyFlyTracker, an open-source Python package that can track single fruit fly in each arena and analyze Drosophila locomotor and sleep activity based on video recording to facilitate revealing the psychiatric drug effects. The current version does not support multiple fruit fly tracking. Compared with existing software, EasyFlyTracker has the advantages of low cost, easy setup and scaling, rich statistics of movement trajectories, and compatibility with different video recording systems. Also, it accepts multiple video formats such as common MP4 and AVI formats. EasyFlyTracker provides a cross-platform and user-friendly interface combining command line and graphic configurations, which allows users to intuitively understand the process of tracking and downstream analyses and automatically generates multiple files, especially plots. Users can install EasyFlyTracker, go through tutorials, and give feedback on http://easyflytracker.cibr.ac.cn. Moreover, we tested EasyFlyTracker in a study of Drosophila melanogaster on the hyperactivity-like behavior effects of two psychiatric drugs, methylphenidate and atomoxetine, which are two commonly used drugs treating attention-deficit/hyperactivity disorder (ADHD) in human. This software has the potential to accelerate basic research on drug effect studies with fruit flies.

Increased insulin level (or “hyperinsulinemia”) is a common phenomenon in pancreatic ductal adenocarcinoma (PDA) patients and signals poor clinical outcomes. Insulin is safe in low PDA risk population, while insulin significantly promotes PDA risk in high PDA risk population. The correlation between insulin and PDA is a reciprocal self-reinforcing relationship. On the one hand, pancreatic cancer cells synthesize multiple molecules to cause elevated peripheral insulin resistance, thus enhancing hyperinsulinemia. On the other hand, insulin promotes pancreatic cancer initiation and sustains PDA development by eliciting tumorigenic inflammation, regulating lipid and glucose metabolic reprogram, overcoming apoptosis through the crosstalk with IGF-1, stimulating cancer metastasis, and activating tumor microenvironment formation (inflammation, fibrosis, and angiogenesis). Currently, taking glucose sensitizing agents, including metformin, SGLT-2 inhibitor, and GLP-1 agonist, is an effective way of lowering insulin levels and controlling PDA development at the same time. In the future, new drugs targeting insulin-related signal pathways may pave a novel way for suppressing PDA initiation and progression.

Green financing diverts more funds to green industries such as environmental protection, and clean energy, enabling the industries to realize structural adjustment. On green financing, the existing studies at home and abroad mainly focus on the definition of concepts and service scope and system construction. There are few attempts to combined green financing efficacy with corporate investment from the angles of investment level, investment efficiency, and investment risks. This paper associates green financing policy with corporate investment, analyzes the logical connection between the two, and thereby evaluates the effectiveness of green financing decisions. Specifically, a decision model was established for the government participation in green financing via green product subsidy, and a solving algorithm was developed for the model. After that, the authors analyzed the correlations of green financing with the investment level and investment efficiency of green enterprises. Next, the effectiveness of green financing decisions was discussed under dynamic operation risks. Finally, the proposed approach was demonstrated through simulation and empirical analysis.

Abstract Background The blat is a widely used sequence alignment tool. It is especially useful for aligning long sequences and gapped mapping, which cannot be performed properly by other fast sequence mappers designed for short reads. However, the blat tool is single threaded and when used to map whole genome or whole transcriptome sequences to reference genomes this program can take days to finish, making it unsuitable for large scale sequencing projects and iterative analysis. Here, we present pblat (parallel blat), a parallelized blat algorithm with multithread and cluster computing support, which functions to rapidly fine map large scale DNA/RNA sequences against genomes. Results The pblat algorithm takes advantage of modern multicore processors and significantly reduces the run time with the number of threads used. pblat utilizes almost equal amount of memory as when running blat. The results generated by pblat are identical with those generated by blat. The pblat tool is easy to install and can run on Linux and Mac OS systems. In addition, we provide a cluster version of pblat (pblat-cluster) running on computing clusters with MPI support. Conclusion pblat is open source and free available for non-commercial users. It is easy to install and easy to use. pblat and pblat-cluster would facilitate the high-throughput mapping of large scale genomic and transcript sequences to reference genomes with both high speed and high precision.

Background: Chronic obstructive pulmonary disease (COPD) is managed by three major classes of inhaled medications: inhaled corticosteroids (ICS), long-acting Beta 2-agonist (LABA), long-acting muscarinic antagonist (LAMA). Single inhaled medication is usually replaced by combined inhaled medications for efficacy enhancement. However, this practice should be supported by clinical evidence for large-scale implementations. Methods: The relative efficacy of inhaled medications is determined by three endpoints: changes in the trough forced expiratory volume in 1 second (tFEV1), changes in the St George’s Respiratory Questionnaire (SGRQ) score and the proportion of SGRQ responders which represents a reduction in SGRQ total score at week 24 of ≥4.0. A total of 76 eligible studies were identified in PubMed and Embase. Relevant data were extracted for the purpose of evidence synthesis. Then, raw mean differences (MD) and odds ratios (ORs) were produced by using the network meta-analysis. Results: Patients with ICS + LABA, ICS + LABA + LAMA, LABA, LABA + LAMA, LAMA exhibited significant increases in the tFEV1 compared to those with placebo (P < 0.05). Moreover, patients with ICS + LABA + LAMA exhibited the largest increase in the average tFEV1 and the largest decrease in the average SGRQ scores compared to those with placebo. COPD patients with ICS + LABA + LAMA were far more likely to achieve a significant reduction in the SGRQ scores compared to those with placebo or other inhaled medications (OR > 1). Conclusions: The combined inhaled medication of ICS + LABA + LAMA may be more efficacious than other inhaled medications for COPD patients.

Secondary inorganic aerosol (SIA) is the key driving factor of fine-particle explosive growth (FPEG) events, which are frequently observed in North China Plain. However, the SIA simulations remain highly uncertain over East Asia. To further investigate this issue, SIA modeling over North China Plain with the 15 km resolution Nested Air Quality Prediction Model System (NAQPMS) was performed from October 2017 to March 2018. Surface observations of SIA at 28 sites were obtained to evaluate the model, which confirmed the biases in the SIA modeling. To identify the source of these biases and reduce them, uncertainty analysis was performed by evaluating the heterogeneous chemical reactions in the model and conducting sensitivity tests on the different reactions. The results suggest that the omission of the SO2 heterogeneous chemical reaction involving anthropogenic aerosols in the model is probably the key reason for the systematic underestimation of sulfate during the winter season. The uptake coefficient of the “renoxification” reaction is a key source of uncertainty in nitrate simulations, and it is likely to be overestimated by the NAQPMS. Consideration of the SO2 heterogeneous reaction involving anthropogenic aerosols and optimization of the uptake coefficient of the “renoxification” reaction in the model suitably reproduced the temporal and spatial variations in sulfate, nitrate and ammonium over North China Plain. The biases in the simulations of sulfate, nitrate, ammonium, and particulate matter smaller than 2.5 μm (PM2.5) were reduced by 84.2%, 54.8%, 81.8%, and 80.9%, respectively. The results of this study provide a reference for the reduction in the model bias of SIA and PM2.5 and improvement of the simulation of heterogeneous chemical processes.

Objective. Spondyloepiphyseal dysplasia tarda (SEDT) is a rare hereditary bone disease characterized by spinal and epiphyseal anomalies. We identified the disease by gene sequencing in a Chinese pedigree with SEDT. Methods. We extracted genomic DNA from five members of a four-generation Chinese SEDT kindred with three affected males and then analyzed the genetic mutation by PCR and DNA sequencing. Results. DNA sequencing showed that the genetic missense mutation occurred one bp upstream of exon 6 in the SEDL gene in two families, and a heterozygous mutation was found in a female carrier. In addition, no mutation was found in the other members of the family. Conclusion. SEDT in this family was caused by a G/C missense mutation in exon 6 of the SEDL gene, previously not shown to be associated with X-linked SEDT.

This paper investigates the average symbol error rate (ASER) performance of a dual-hop hybrid relaying system relying on both radio frequency (RF) and free-space optical (FSO) links. Specifically, an RF link is used for supporting mobile communication, whereas an FSO link is adopted as the backhaul of the cellular infrastructure. Considering nonline-of-sight RF transmissions and a generalized atmospheric turbulence (AT) channel, the associated statistical features constituted of both exact and asymptotic moment-generating functions are derived in the closed form. They are then used for calculating the ASER of M-ary phase-shift keying (PSK), differentially encoded noncoherent PSK (DPSK), and noncoherent frequency-shift keying. A range of additional asymptotic expressions is also derived for all the modulation schemes under high signal-to-noise ratios (SNR). It is observed from the asymptotic analysis that the ASERs of all the modulation schemes are dominated by the average SNR of the RF link in the hybrid relaying system using a fixed relay gain, whereas in the relaying system using a dynamic channel-dependent relay gain, the ASERs of all the modulation schemes depend both on the average SNR and the AT condition of the FSO path. We also find that the fixed-gain relaying strategy achieves twice the diversity order of the channel-dependent relaying strategy, albeit at the cost of requiring a high power amplifier dynamic range at the relay node. Furthermore, by comparing the asymptotic ASERs, we calculate the SNR differences between the different modulation schemes in both the fixed-gain and channel-dependent relaying systems. Finally, simulation results are presented for confirming the accuracy of our expressions and observations.

Cold environment is the main constraint for tea plants (Camellia sinensis) distribution and tea farming. We identified two tea cultivars, called var. sinensis cv. Shuchazao (SCZ) with a high cold-tolerance and var. assamica cv. Yinghong9 (YH9) with low cold-tolerance. To better understand the response mechanism of tea plants under cold stress for improving breeding, we compared physiological and biochemical responses, and associated genes expression in response to 7-day and 14-day cold acclimation, followed by 7-day de-acclimation in these two tea cultivars. We found that the low EL50, low Fv/Fm, and high sucrose and raffinose accumulation are responsible for higher cold tolerance in SCZ comparing with YH9. We then measured the expression of 14 key homologous genes, known as involved in these responses in other plants, for each stages of treatment in both cultivars using RT-qPCR. Our results suggested that the increased expression of CsCBF1 and CsDHNs coupling with the accumulation of sucrose play key roles in conferring higher cold resistance in SCZ. Our findings have revealed key genes regulation responsible for cold resistance, which help to understand the cold-resistant mechanisms and guide breeding in tea plants.

Tourism is an essential pillar to promote economic development. Under the context of "dual carbon" goal, which means the Chinese government delivery that China will reach peak CO2 emissions by 2030 and achieve carbon neutrality by 2060, the measurement of tourism carbon emissions facilitate preparation for carbon reduction work, and premise the development of sustainable tourism. In this study, based on existing studies, meta-analysis was used to extract relevant data of all studies on carbon emissions of domestic scenic spots before 2022, and visualized methods and SPSS correlation analysis were used to analyze the relationship between per capita carbon emissions of tourists of scenic spots and other variables of scenic spots. The results show that: (1) With the year 2010 as the node, the number of study areas and the per capita carbon emissions of tourists in the scenic spot show an increasing trend over time. Before 2010, the average per capita carbon emissions in the scenic spot was 23.47 kg person–1, and after 2010, it increased to 55.29 kg person–1; (2) Within different types of scenic spots, the per capita carbon emissions of tourists were ranked as follows: natural category > mixed category > humanistic category. The per capita carbon emission of natural scenic spots is the largest, which is 66.13 kg person–1; (3) By analyzing the factors affecting per capita carbon emissions, it is found that there is a significant positive correlation between per capita carbon emissions of tourists and the area of the scenic spots, whereby the larger the area of the scenic spots, the larger the per capita carbon emissions; (4) An increase in the number of days of tourist routes leads to a rise in per capita carbon emissions, and in this part of the research, the influence of the source of tourists, the type of hotels and the mode of transportation on per capita carbon emissions was studied. [ABSTRACT FROM AUTHOR]

A new long-term emission inventory called the Inversed Emission Inventory for Chinese Air Quality (CAQIEI) was developed in this study by assimilating surface observations from the China National Environmental Monitoring Centre (CNEMC) using the ensemble Kalman filter (EnKF) and the Nested Air Quality Prediction Modeling System (NAQPMS). This inventory contains the constrained monthly emissions of NOx, SO2, CO, primary PM2.5, primary PM10, and NMVOCs in China from 2013 to 2020, with a horizontal resolution of 15 km × 15 km. This paper documents detailed descriptions of the assimilation system and the evaluation results for the emission inventory. The results suggest that CAQIEI can effectively reduce the biases in the a priori emission inventory, with the normalized mean biases ranging from -9.1% to 9.5% in the a posteriori simulation, which are significantly reduced from the biases in the a priori simulations (-45.6% to 93.8%). The calculated RMSEs (0.3 mg/m³ for CO and 9.4-21.1 µg/m³ for other species, on the monthly scale) and correlation coefficients (0.76-0.94) were also improved from the a priori simulations, suggesting that CAQIEI can reasonably reproduce the magnitude and variation of emissions of different air pollutants in China. Based on CAQIEI, we estimated China's total emissions (including both natural and anthropogenic emissions) of the 6 species in 2015 to be as follows: 25.2 Tg of NOx, 17.8 Tg of SO2, 465.4 Tg of CO, 15.0 Tg of PM2.5, 40.1 Tg of PM10, and 46.0 Tg of NMVOCs. From 2015 to 2020, the total emissions reduced by 54.1% for SO2, 44.4% for PM2.5, 33.6% for PM10, 35.7% for CO, and 15.1% for NOx, but increased by 21.0% for NMVOCs. Larger emission reductions were achieved during the 2018-2020 action plan than during the 2013-2017 action plan for most species. In particular, NOx and NMVOC emissions were shown to increase during the 2013-2017 action plain, and there were obvious emission increases in the Fengwei Plain area over the Central China region. However, NOx and NMVOC emissions declined during the 2018-2020 action plan, and the emissions over the Fengwei Plain area also decreased. This suggests that the emission control policies were improved in the 2018-2020 action plan. We also compared CAQIEI with previous inventories, which verified our inversion results in terms of total emissions of NOx, SO2 and NMVOCs, and more importantly identified the potential uncertainties in our current understanding of China's air pollutant emissions. Firstly, CO emissions in China may be substantially underestimated by current inventories, with the CO emissions estimated by CAQIEI (426.8 Tg) being more than twice the amount in previous inventories (120.7-237.7 Tg). Significant underestimations for other air pollutant emissions may also exist over western and northeastern China. In addition, the NMVOC emissions were shown to be substantially underestimated over northern China but overestimated in southern China. Secondly, the emission reduction rates during 2015-2018 estimated by CAQIEI are generally smaller than those estimated by previous inventories, especially for NOx, PM10 and NMVOCs, suggesting that the mitigation effects of the air pollution control may be overestimated currently. In particular, China's NMVOC emissions were shown to have increased by 26.6% from 2015 to 2018, especially over the North China Plain by 38.0%), Northeast China (by 38.3%), and Central China (60.0%). In contrast, the emissions reduction rate of CO may be underestimated. Overall, our emissions inventory sheds new light on the complex variations of air pollutant emissions in China during its two recent clean air action periods, which could significantly improve our understanding of air pollutant emissions and related changes in air quality in China. [ABSTRACT FROM AUTHOR]