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Background and Aims: Metabolic dysfunction-associated steatotic liver disease (MASLD) poses a considerable health risk. Nevertheless, its risk factors are not thoroughly comprehended, and the association between the reticulocyte count and MASLD remains uncertain. This study aimed to explore the relationship between reticulocyte count and MASLD.Methods: A total of 310,091 individuals from the UK Biobank were included in this cross-sectional study, and 7,316 individuals were included in this prospective study. The cross-sectional analysis categorized reticulocyte count into quartiles, considering the sample distribution. Logistic regression models examined the connection between reticulocyte count and MASLD. In the prospective analysis, Cox analysis was utilized to investigate the association.Results: Our study findings indicate a significant association between higher reticulocyte count and an elevated risk of MASLD in both the cross-sectional and prospective analyses. In the cross-sectional analysis, the adjusted odds ratios (ORs) of MASLD increased stepwise over reticulocyte count quartiles (quartile 2: OR 1.22, 95% CI 1.17–1.28, p < 0.001; quartile 3: OR 1.44; 95% CI 1.38–1.51, p < 0.001; quartile 4: OR 1.66, 95% CI 1.59–1.74, p < 0.001). The results of prospective analyses were similar.Conclusion: Increased reticulocyte count was independently associated with a higher risk of MASLD. This discovery offers new insights into the potential of reticulocytes as biomarkers for MASLD.

Abstract Immune checkpoint inhibitors (ICIs) are safe and efficacious treatments for advanced primary liver cancer (PLC). The efficacy of different ICIs in the treatment of liver cancer remains unclear. The purpose of this study was to explore whether there is a difference in the efficacy and safety of various programmed cell death protein 1 (PD-1) inhibitors in combination with lenvatinib in the treatment of unresectable PLC. Patients with PLC treated with lenvatinib in combination with PD-1 inhibitors (camrelizumab, tislelizumab, sintilimab, or pembrolizumab) between January 2018 and December 2021 were retrospectively enrolled. Tumor response, adverse events, and grades were evaluated. Kaplan–Meier analysis and log-rank test were used to compare the overall survival and progression-free survival of patients treated with different PD-1 inhibitors. Cox regression analysis was used for univariate and multivariate analyses to identify clinical variables related to treatment efficacy. This study included a total of 176 patients who received a combination of lenvatinib and PD-1 inhibitors. Of these, 103 patients received camrelizumab, 44 received tislelizumab, 20 received sintilimab, and 9 received pembrolizumab. There was no significant difference in the pairwise comparison of camrelizumab, tislelizumab, sintilimab, and pembrolizumab using Kaplan–Meier survival analysis. Adverse events occurred in 40 (22.7%) patients (grade ≥ 3, 2.3%). The incidence of grade 3 adverse events among the four PD-1 inhibitor groups was below 5%. Camrelizumab, tislelizumab, sintilimab, and pembrolizumab are viable options for patients with unresectable PLC. These PD-1 inhibitors in combination with lenvatinib showed good safety profiles. The results guide selecting treatment for patients with unresectable PLC.

Abstract Background & aims Immune checkpoint inhibitors (ICIs) play an increasingly important role in the treatment of primary liver cancer (PLC). Some patients with PLC experience symptoms of splenomegaly. Splenomegaly may affect the efficacy of ICIs due to an imbalance of the immune microenvironment. Currently, there is a lack of evidence on the relationship between splenomegaly and prognosis in patients with PLC treated with ICIs. This study analyzed the relationship between splenomegaly and prognosis in patients with PLC treated with ICIs. Methods In this retrospective cohort study of 161 patients with PLC treated with ICIs, splenomegaly was diagnosed using computed tomography or magnetic resonance imaging and the impact of splenomegaly on patient survival was analyzed. Results Through univariate and multivariate Cox regression analyses, we determined that splenomegaly was associated with shortened overall survival (p = 0.002) and progression‐free survival (p = 0.013) in patients with PLC treated with ICIs. Kaplan–Meier analysis further validated our results. The overall survival and progression‐free survival of patients with splenomegaly were significantly shorter than those of patients without splenomegaly (p

Background and aim: Immune checkpoint inhibitors (ICIs) are widely used in the treatment of liver cancer. However, the interaction with other drugs may change the efficacy of ICIs. Few studies investigated the effects of antibiotics (ATBs) on the efficacy of immunotherapy and the survival of patients with primary liver cancer receiving immunotherapy. This study aimed to explore the impact of ATBs on the efficacy of immunotherapy in patients with primary liver cancer. Methods: In total, 215 patients with primary liver cancer who received ICIs from June 2018 to October 2020 were included for retrospective analysis. The progression-free survival (PFS), disease control rate (DCR), and overall survival (OS) were compared between patients treated with and without ATBs within 30 days before and after immunotherapy. Results: No significant differences in PFS (P = 0.376) and OS (P = 0.121) were found between patients treated with and without ATBs. Univariate and multivariate analyses showed that using ATBs was not associated with PFS, DCR, and OS. Conclusion: The use of ATBs within 30 days before and after immunotherapy in patients with primary liver cancer had no adverse effects on PFS, DCR, and OS.

Abstract Background Immune checkpoint inhibitors (ICIs) have been used to successfully treat primary liver cancer (PLC); however, identifying modifiable patient factors associated with therapeutic benefits is challenging. Obesity is known to be associated with increased survival after ICI treatment; however, the relationship between body composition (muscle, fat) and outcomes is unclear. This study aimed to evaluate the association between sarcopenia and CT-derived fat content and the prognosis of ICIs for the treatment of PLC. Methods In this retrospective cohort study of 172 patients with PLC, we measured the skeletal muscle index (SMI), skeletal muscle density, visceral adipose tissue index, subcutaneous adipose tissue index, total adipose tissue index (TATI), and visceral-to-subcutaneous adipose tissue area ratio using CT. In addition, we analyzed the impact of body composition on the prognosis of the patients. Multivariate Cox regression analysis was used to screen for influencing factors. Results Among the seven body composition components, low SMI (sarcopenia) and low TATI were significantly associated with poor clinical outcomes. Multivariate analysis revealed that sarcopenia (hazard ratio [HR], 5.39; 95% confidence interval [CI], 1.74–16.74; p = 0.004) was a significant predictor of overall survival (OS). Kaplan–Meier curves showed that sarcopenia and TATI were significant predictors of OS. Body mass index was not associated with survival outcomes. Conclusions Sarcopenia and fat tissue content appear to be independently associated with reduced survival rates in patients with PLC treated with ICIs.

Abstract Background Dyslipidemia is a significant contributor to cardiovascular and cerebrovascular diseases. Research on the relationship between breakfast consumption frequency and dyslipidemia in the working population is lacking. Therefore, we aimed to investigate this relationship based on a retrospective cohort study of a large working population in China. Methods This retrospective cohort study used data from the physical examinations and questionnaire survey of working participants at Nanfang Hospital from January 20, 2015 to October 16, 2020. Univariate and multivariate analyses were conducted to explore the relationship between breakfast consumption frequency and dyslipidemia in this working population (n = 7644). Results The prevalence of dyslipidemia among the participants was 26.4%. The univariate logistic regression test showed that the breakfast consumption frequency was inversely correlated with dyslipidemia. After adjusting for multiple factors, such as sex, age, body mass index, hypertension, hyperuricaemia, diabetes, smoking status, alcohol consumption, education level, marital status, long-term exposure to kitchen oil fumes, attending business dinners, and sleep time, it was found that breakfast consumption remained inversely associated with dyslipidaemia. The odds ratio for daily breakfast consumption was 0.466 (95% confidence interval 0.283–0.770, P = 0.003). After adjusting for confounding factors, we found that the higher the frequency of breakfast consumption, the lower the odds ratios for hypertriglyceridaemia. Conclusions This study demonstrated that breakfast consumption frequency was inversely correlated with dyslipidemia. The higher the frequency of breakfast, the lower the risk of hypertriglyceridaemia. This study provides a basis on which dietary suggestions for the working population and lifestyle guidance for patients with a clinical need to prevent dyslipidemia can be made.

In this study, a trisodium citrate (TSC)-assisted hydrothermal method is utilized to prepare three-dimensional hydroxyapatite (3D HA). Understanding the role of TSC in the preparation of 3D HA crystals may provide valuable methods to design advanced biomaterials. As one of the indexes of solution supersaturation, the initial pH (ipH) value can not only directly affect the nucleation rate, but also affect the growth of HA crystals. In this work, the effect of the ipH on the microstructure, particle size distribution, and specific surface area of the 3D HA is explored. Results showed that the morphology of 3D HA transformed from a bundle to a dumbbell ball and then a dumbbell with an increase in the ipH. A corresponding mechanism of such a structural evolution was proposed, providing inspiration for the fabrication of innovative 3D HA structures with enhanced biological functionality and performance. [ABSTRACT FROM AUTHOR]

An oleic acid-assisted solvothermal method has been utilized to prepare hydroxyapatite (HA) nanofibers with a high flexibility and aspect ratio. Understanding the role of oleic acid in the synthesis of HA may provide effective routes for the design of advanced biomaterials. The concentration of OH− ions ([OH−]) has a great impact on the reaction system, which in turn affects the nucleation and crystal growth of HA. In this work, the effect of oleic acid on the morphology and structure of the as-prepared products under different concentrations of NaOH was investigated by XRD, FTIR and FE-SEM. The formation process of HA was also explored to better explain the role of oleic acid based on structured characteristics and morphology evolution. These results showed that oleic acid molecules absorbed on the surface of HA would effectively induce a one-dimensional crystal growth, even if the crystal growth habit had been changed under different [OH−]. For [OH−] < 1.50 M, [OH−]-responsive oleic acid and its corresponding behavior as a pH buffer can regulate pH at a relatively constant value. Besides, the flexible ultralong HA nanofibers can be formed at [OH−] = 1.25–1.50 M, while the crystallite size and preferred growth along the c-axis were both improved with an increase in [OH−] added. [ABSTRACT FROM AUTHOR]

Little is known regarding the ability of protozoans to transfer phosphates and improve maize growth. The objective of this study was to determine whether Colpoda cucullus could improve the maize phosphorus (P) level by transferring phosphate. In this three-compartment root box study, the soil in the outer compartment was inoculated with the common ciliate, C. cucullus, together with the addition of either KH232PO4, rock phosphate (RP), super phosphate (SP) or ammonium phosphate (AP), and then maize was grown in the inner compartment. The results showed that the maize plants grown in the soil inoculated with C. cucullus had much higher 32P radioactivity than the control. Colpoda cucullus inoculation resulted in significant increases in dry matter by up to 25.07%, and nitrogen (N), P and potassium (K) absorption by 1–36% (P

Fumigation is a widely applied approach to mitigate the soil-borne diseases. However, the potential effects of currently applied fumigants on ammonification remain unclear. An 84-day incubation experiment was conducted based on non-fumigated soil (CK) and fumigated soil using three common fumigants, i.e., chloropicrin (CP), 1,3-dichloropropene (1,3-D), and metam sodium (MS). The results showed that, the three fumigants all decreased the microbial C, and the largest reduction (84.7%) occurred with the application of CP. After fumigation, the microbial diversity in the CP treatment rapidly recovered, but that in the 1,3-D treatment decreased and did not recover by the end of the experiment. The application of MS showed no impact on the microbial diversity during the assay, indicating that significantly different microbial diversity can be achieved by choosing different fumigants. Furthermore, the three fumigants showed divergent effects on the enzymes involved in ammonification. The analysis showed that the enzyme variation with CP application was mainly associated with the changed microbial C and N (P

Five crop straws (wheat, rice, maize, oil-rape, and cotton) were first steam-exploded for 2 min at 210°C, 2.5 MPa and then pyrolyzed at 500°C for 2 h. Steam explosion (SE) induced 47–95% and 5–16% reduction of hemicellulose and cellulose, respectively, in the crop straws. The biochars derived from SE-treated feedstocks had a lower specific surface area (SSA) and pore volume, compared to those from pristine feedstocks, with one exception that SE enhanced SSA of oil-rape straw biochar by approximately 16 times. After SE, biochars had significant higher anion exchange capacity (AEC) (6.88–11.44 cmol kg–1) and point of zero net charges (PZNC) (pH 3.61–5.32) values. It can thus be speculated that these biochars may have higher potential for anions adsorption. In addition, oil-rape straw might be suitable to SE pretreatment for preparing biochar as a soil amendment and sorbent as well. Further work is required for testing its application in soil.

It is not certain that long-term grazing exclusion influences arbuscular mycorrhizal (AM) fungi and their association with steppe vegetation. In this study, soil and plant samples were collected from two sites of grazing exclusion since 1983 (E83) and 1996 (E96), and one site of free-grazing (FG) in the typical steppe of Xilinguole League, Inner Mongolia, China, and assayed for soil basic physicochemical properties, AM fungal parameters, aboveground biomass and shoot phosphorus (P) uptake as well. The results showed that long-term grazing exclusion of E83 and E96 led to less drastic seasonal changes and significant increases in spore density, hyphal length density and root colonization intensity of AM fungi and even soil alkaline phosphatase activity, by up to 300, 168, 110 and 102%, respectively, compared with those of FG site. In addition, the total aboveground biomass and shoot P uptake of E83 and E96 were 75–992% and 58–645%, respectively, higher than those of FG. Generally, the root colonization intensity, spore density, and hyphal length density of AM fungi were all positively correlated with the aboveground biomass and even shoot P uptake of plant. These results may imply that grazing exclusion play a critical role in increasing the growth of AM fungi, and subsequently, may increase plant P uptake and aboveground biomass production. Moreover, the spore density could sensitively reflect the impacts of long-term grazing exclusion on AM fungi since survival strategy of spores in soil.

Seven inorganic amendment materials were added into arsenic (As) contaminated soil at a rate of 0.5% (w/w); the materials used were sepiolite, red mud, iron grit, phosphogypsum, ferrihydrite, iron phosphate, and layered double oxides (LDO). Plant growth trials using rape (edible rape, Brassia campestris L.) as a bio-indicator are commonly used to assess As bioavailability in soils. In this study, B. campestris was grown in a contaminated soil for 50 days. All of the inorganic amendments significantly inhibited the uptake of As by B. campestris. Following soil treatment with the seven aforementioned inorganic ammendments, the As concentrations in the edible parts of B. campestris were reduced by 28.6, 10.5, 8.7, 31.0, 47.4, 25.3, and 28.8%, respectively, as compared with the plants grown in control soil. The most effective amendment was ferrihydrite, which reduced As concentration in B. campestris from 1.84 to 0.97 mg kg−1, compared to control. Furthermore, ferrihydrite-treated soils had a remarkable decrease in both non-specifically sorbed As and available-As by 67 and 20%, respectively, comparing to control. Phosphogypsum was the most cost-effective amendment and it showed excellent performance in reducing the water soluble As in soils by 31% and inhibiting As uptake in B. campestris by 21% comparing to control. Additionally, obvious differences in As transfer rates were observed in the various amendments. The seven amendment materials used in this study all showed potential reduction of As bioavailability and influence on plant growth and other biological processes still need to be further explored in the long term.

Innovative measure is a urgent requirement for managing the huge volume of municipal sewage sludge. The hydrothermal carbonation (HTC) shows some potential advantages for using hydrochar as a soil conditioner. The aim of this work was to investigate the properties of hydrochars, by means of the HTC of municipal sewage sludge under different temperatures (190 and 260°C) and reaction hours (1, 6, 12, 18 and 24 h). The HTC led to the decreases of N, O and H contents by more than 54.6, 37.9 and 10.0%, respectively, and slight changes of C content. The Py-GC-MS analysis showed that a large proportion of fatty acids, in particular hexadecanoic acid, transferred into alkenes, olefins and aromatic compounds. The 13C-NMR and fourier transform infrared spectra (FTIR) confirmed the transformation and changes in chemical structure in which hydrochar contained lower oxygen-containing organic C of O-alkyl, carboxylic and carbonyl C and aliphaticity, but higher aromatic C and aromaticity. The rich hydrophobic functions induced in high positive charges in the charred sludge. The HTC facilitated the pore structure development, proved by higher specific surface area and specific pore volume, with a maximum of 17.30 and 0.83 cm3 g−1, respectively. The availabilities of N, P and K markedly reduced during HTC treatment. The activities of most heavy metals were depressed though they accumulated in the hydrochar. Further work is required to investigate the values and risk of the charred sludge amended to soil.