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Abstract Circular RNAs (circRNAs) are a unique class of RNA molecules formed through back‐splicing rather than linear splicing. As an emerging field in molecular biology, circRNAs have garnered significant attention due to their distinct structure and potential functional implications. A comprehensive understanding of circRNAs’ functions and potential clinical applications remains elusive despite accumulating evidence of their involvement in disease pathogenesis. Recent research highlights their significant roles in various human diseases, but comprehensive reviews on their functions and applications remain scarce. This review provides an in‐depth examination of circRNAs, focusing first on their involvement in non‐neoplastic diseases such as respiratory, endocrine, metabolic, musculoskeletal, cardiovascular, and renal disorders. We then explore their roles in tumors, with particular emphasis on exosomal circular RNAs, which are crucial for cancer initiation, progression, and resistance to treatment. By detailing their biogenesis, functions, and impact on disease mechanisms, this review underscores the potential of circRNAs as diagnostic biomarkers and therapeutic targets. The review not only enhances our understanding of circRNAs’ roles in specific diseases and tumor types but also highlights their potential as novel diagnostic and therapeutic tools, thereby paving the way for future clinical investigations and potential therapeutic interventions.

In order to improve the output value of microsilica produced during the ferrosilicon production process as well as to reduce pollution, amorphous silica was prepared from microsilica by calcination, alkali leaching and acid precipitation. The relevant parameters were optimized and the relevant mechanism was proposed. The results of X-ray diffraction, scanning electron microscope, infrared spectra and X-ray fluorescence spectroscopy indicated that the prepared amorphous silica is of high grade (96.06%) and high whiteness (90.2%). It was then used to prepare amorphous silica/TiO2 composite pigment material, which has similar pigment properties with TiO2. Therefore, this study provides a feasible way of producing high purity amorphous silica from the byproduct during the ferrosilicon production process, which not only reduces pollution, but also provides high-value substitute for white pigment.

Background and Objective. Observational studies have frequently linked aortic aneurysm (AA) to immune-mediated inflammatory diseases (IMIDs) as a cardiovascular complication. However, the presence of confounding factors has cast doubt on the validity of this association and the potential for reverse causality. This study employs a two-sample bidirectional Mendelian randomization (MR) approach to elucidate the causal relationships between AA and IMIDs. Methods. We sourced genetic association data from public genome-wide association study databases for populations of European ancestry. Adhering to MR principles, we identified valid instrumental variables from genetic variants. A range of statistical methods were applied for MR analysis, with the inverse variance weighted (IVW) method emerging as the most reliable estimator of causality in this context. Results. The causal estimates obtained using the IVW method revealed a significant association between genetically predicted AA and rheumatoid arthritis (RA; OR = 1.06, 95% CI = 1.01–1.12, P=0.029). Conversely, genetically predicted RA showed nonsignificant causal estimates of AA (OR = 0.97, 95% CI = 0.92–1.02, P=0.204). Additionally, there was no evidence to suggest that AA may increase the risk of inflammatory bowel disease (IBD), Crohn’s disease (CD), ulcerative colitis (UC), systemic lupus erythematosus (SLE), and psoriasis (PSO). The sensitivity analysis confirmed the absence of heterogeneity or horizontal pleiotropy effects. Conclusion. Our findings shed light on the causal effects between genetically predisposed AA and RA. They also suggest the potential clinical utility of human leukocyte antigen (HLA) risk genetic markers for developing personalized treatment and prevention strategies.

Contamination with cadmium (Cd) is a prominent issue in agricultural non-point source pollution in China. With the deposition and activation of numerous Cd metal elements in farmland, the problem of excessive pollution of agricultural produce can no longer be disregarded. Considering the issue of Cd pollution in farmland, this study proposes the utilization of cross-linked modified biochar (prepared from pine wood) and calcium alginate hydrogels to fabricate a composite material which is called MB-CA for short. The aim is to investigate the adsorption and passivation mechanism of soil Cd by this innovative composite. The MB-CA exhibits a higher heavy metal adsorption capacity compared to traditional biochar and hydrogel due to its increased oxygen-containing functional groups and heavy metal adsorption sites. In the Cd solution adsorption experiment, the highest Cd2+ removal rate reached 85.48%. In addition, it was found that the material also has an excellent pH improvement effect. Through the adsorption kinetics experiment and the soil culture experiments, it was determined that MB-CA adheres to the quasi-second-order kinetic model and is capable of adsorbing 35.94% of Cd2+ in soil. This study validates the efficacy of MB-CA in the adsorption and passivation of Cd in soil, offering a novel approach for managing Cd-contaminated cultivated land.

Metabolic-associated fatty liver disease (MAFLD), which is previously known as non-alcoholic fatty liver disease (NAFLD), represents a major health concern worldwide with limited therapy. Here, we provide evidence that ferroptosis, a novel form of regulated cell death characterized by iron-driven lipid peroxidation, was comprehensively activated in liver tissues from MAFLD patients. The canonical-GPX4 (cGPX4), which is the most important negative controller of ferroptosis, is downregulated at protein but not mRNA level. Interestingly, a non-canonical GPX4 transcript-variant is induced (inducible-GPX4, iGPX4) in MAFLD condition. The high fat-fructose/sucrose diet (HFFD) and methionine/choline-deficient diet (MCD)-induced MAFLD pathologies, including hepatocellular ballooning, steatohepatitis and fibrosis, were attenuated and aggravated, respectively, in cGPX4-and iGPX4-knockin mice. cGPX4 and iGPX4 isoforms also displayed opposing effects on oxidative stress and ferroptosis in hepatocytes. Knockdown of iGPX4 by siRNA alleviated lipid stress, ferroptosis and cell injury. Mechanistically, the triggered iGPX4 interacts with cGPX4 to facilitate the transformation of cGPX4 from enzymatic-active monomer to enzymatic-inactive oligomers upon lipid stress, and thus promotes ferroptosis. Co-immunoprecipitation and nano LC–MS/MS analyses confirmed the interaction between iGPX4 and cGPX4. Our results reveal a detrimental role of non-canonical GPX4 isoform in ferroptosis, and indicate selectively targeting iGPX4 may be a promising therapeutic strategy for MAFLD.

PurposeTo evaluate the long-term cost-effectiveness of dapagliflozin, in addition to standard treatment, for the treatment of adult patients with type 2 diabetes (T2DM) at high cardiovascular risk from the Chinese healthcare system perspective.MethodsA decision-analytic Markov model with one-year cycles was developed to evaluate the health and economic outcomes in patients with T2DM and high risk of cardiovascular disease (CVD) treated with standard treatment and dapagliflozin plus standard treatment for 30 years. Clinical data, cost, and utility data were extracted from databases or published literature. Quality-adjusted life-years (QALYs), costs (€/¥ 2021) as well as incremental cost-effectiveness ratios (ICERs) were calculated. Deterministic and probabilistic sensitivity analyses were performed to assess the uncertainty in the results.ResultsCompared with standard treatment, dapagliflozin plus standard treatment was predicted to result in an additional 0.25 QALYs (12.26 QALYs vs. 12.01 QALYs) at an incremental cost of €4,435.81 (¥33,875.83) per patient. The ICER for dapagliflozin plus standard treatment vs. standard treatment was €17,742.07 (¥135,494.41) per QALY gained, which was considered cost-effective in China compared to three times the GDP per capita in 2021 (€31,809.77/¥242,928). The deterministic and probabilistic sensitivity analyses showed the base-case results to be robust.ConclusionsThe study suggests that, from the perspective of the Chinese health system, dapagliflozin plus standard treatment is a cost-effective option for patients with T2DM at high cardiovascular risk. These findings may help clinicians make the best treatment decisions for patients with T2DM at high cardiovascular risk.

Objectives To describe the incidence and types of medication errors occurring during the transfer of patients from the intensive care unit (ICU) to the non-ICU setting and explore the key factors affecting medication safety in transfer care.Design Multicentre, retrospective, epidemiological study.Participants Patients transferred from the ICU to a non-ICU setting between 1 July 2019 and 30 June 2020.Main outcome measures Incidence and types of medication errors.Results Of the 1546 patients transferred during the study period, 899 (58.15%) had at least one medication error. Most errors (83.00%) were National Coordinating Council (NCC) for Medication Error Reporting and Prevention (MERP) category C. A small number of errors (17.00%) were category D. Among patients with medication errors, there was an average of 1.68 (SD, 0.90; range, 1–5) errors per patient. The most common types of errors were route of administration 570 (37.85%), dosage 271 (17.99%) and frequency 139 (9.23%). Eighty-three per cent of medication errors reached patients but did not cause harm. Daytime ICU transfer (07:00–14:59) and an admission diagnosis of severe kidney disease were found to be factors associated with the occurrence of medication errors as compared with the reference category (OR, 1.40; 95% CI 1.01 to 1.95; OR, 6.78; 95% CI 1.46 to 31.60, respectively).Orders for bronchorespiratory (OR, 5.92; 95% CI 4.2 to 8.32), cardiovascular (OR, 1.91; 95% CI 1.34 to 2.73), hepatic (OR, 1.95; 95% CI 1.30 to 2.91), endocrine (OR, 1.99; 95% CI 1.37 to 2.91), haematologic (OR, 2.58; 95% CI 1.84 to 3.64), anti-inflammatory/pain (OR, 2.80; 95% CI 1.90 to 4.12) and vitamin (OR, 1.73; 95% CI 1.26 to 2.37) medications at transition of care were associated with an increased odds of medication error.Conclusions More than half of ICU patients experienced medication errors during the transition of care. The vast majority of medication errors reached the patient but did not cause harm.

Background: Human pancreatic cancer cells have an extreme tolerance to nutrition starvation, enabling them to survive in the hypovascular tumor microenvironment, a phenomenon also known as “austerity”. Discovery of agents that preferentially inhibit cancer cells’ tolerance to nutrition starvation is a unique anti-austerity strategy for the discovery of a new generation of anticancer agents. Purpose: To discover potential anti-austerity agents from Boesenbergia pandurata against the PANC-1 human pancreatic cancer cell line exhibiting cytotoxic effects only under the nutrient-deprived conditions with little or no toxicity under normal conditions. Methods: Phytochemical investigation of B. pandurata was carried out, and preferential cytotoxicity activity of all isolated compounds against PANC-1 cells under nutrient-deprived and nutrient-rich conditions was evaluated. The most active compound, (+)-panduratin A (1), was further investigated for its effect on PANC-1 cell morphology, including live imaging, cell migration, and colony formation inhibitory activities. Finally, a mechanistic investigation was carried out to investigate the active compound's cellular targets. Results: Phytochemical investigation led to the isolation of four compounds (1−4). Among these, (+)-panduratin A (1) was identified as the most active constituent, displaying selective cytotoxicity against PANC-1 human pancreatic cancer cell line under the nutrient-deprived conditions, with a PC50 value of 1.6 μM. (+)-Panduratin A (1) was also found to inhibit PANC-1 cell migration and colony formation. Mechanistically, (+)-panduratin A (1) inhibited the PI3K/Akt/mTOR/autophagy signaling pathway. Conclusion: (+)-panduratin A (1) is a promising lead compound for the anticancer drug development based on the anti-austerity strategy.

Abstract Background Optimal cell type as cell-based therapies for heart failure (HF) remains unclear. We sought to compare the safety and efficacy of direct intramyocardial transplantation of human embryonic stem cell-derived cardiomyocytes (hESC-CMs) and human induced pluripotent stem cell-derived mesenchymal stem cells (hiPSC-MSCs) in a porcine model of HF. Methods Eight weeks after induction of HF with myocardial infarction (MI) and rapid pacing, animals with impaired left ventricular ejection fraction (LVEF) were randomly assigned to receive direct intramyocardial injection of saline (MI group), 2 × 108 hESC-CMs (hESC-CM group), or 2 × 108 hiPSC-MSCs (hiPSC-MSC group). The hearts were harvested for immunohistochemical evaluation after serial echocardiography and hemodynamic evaluation and ventricular tachyarrhythmia (VT) induction by in vivo programmed electrical stimulation. Results At 8 weeks post-transplantation, LVEF, left ventricular maximal positive pressure derivative, and end systolic pressure-volume relationship were significantly higher in the hiPSC-MSC group but not in the hESC-CM group compared with the MI group. The incidence of early spontaneous ventricular tachyarrhythmia (VT) episodes was higher in the hESC-CM group but the incidence of inducible VT was similar among the different groups. Histological examination showed no tumor formation but hiPSC-MSCs exhibited a stronger survival capacity by activating regulatory T cells and reducing the inflammatory cells. In vitro study showed that hiPSC-MSCs were insensitive to pro-inflammatory interferon-gamma-induced human leukocyte antigen class II expression compared with hESC-CMs. Moreover, hiPSC-MSCs also significantly enhanced angiogenesis compared with other groups via increasing expression of distinct angiogenic factors. Conclusions Our results demonstrate that transplantation of hiPSC-MSCs is safe and does not increase proarrhythmia or tumor formation and superior to hESC-CMs for the improvement of cardiac function in HF. This is due to their immunomodulation that improves in vivo survival and enhanced angiogenesis via paracrine effects.

Superhydrophobic coatings with intelligent properties have attracted much attention because of their wide application in many fields. However, there is a limited amount of literature on superhydrophobic coatings whose wettability and adhesion can be adjusted by UV irradiation and calcination at the same time. In this study, amorphous SiO2 microspheres (A-SiO2) and nano-TiO2 particles (N-TiO2) were used to fabricate A-SiO2/N-TiO2 composites by wet grinding, and then, they were modified with polydimethylsiloxane (PDMS) and sprayed onto substrate surfaces to obtain a tunable adhesive superhydrophobic A-SiO2/N-TiO2@PDMS coating. It is worth noting that the wettability and adhesion of the coating to water droplets could be adjusted by UV irradiation and calcination. The mechanisms of the aforementioned phenomena were studied. Moreover, methyl orange solution could be degraded by the coating due to its photocatalysis. The as-prepared coating had good adaptation to different substrates and outdoor environments. Moreover, the surfaces of these coatings exhibited the same liquid repellency towards different droplets. This research provides an environmental strategy to prepare advanced self-cleaning coatings.

Human pancreatic tumor cells have an intrinsic ability to tolerate nutrition starvation and survive in the hypovascular tumor microenvironment, the phenomenon termed as “austerity”. Searching for an agent that inhibits such tolerance to nutrient starvation and kills the pancreatic cancer cells preferentially in nutrient-starvation is a unique anti-austerity strategy in anti-cancer drug discovery. In this strategy, plant extracts and compounds are tested against PANC-1 human pancreatic cancer cell line under the conditions of nutrient-deprived medium (NDM) and nutrient-rich medium (DMEM), to discover the compounds that show selective cytotoxicity in NDM. Screening of twenty-five Thai indigenous medicinal plant extracts for their anti-austerity activity against the PANC-1 human pancreatic cancer cell line in nutrient deprived medium (NDM) resulted in the identification of four active plants, Derris scandens, Boesenbergia pandurata, Citrus hystrix, and Kaempferia parviflora, with PC50 values 0.5–8.9 µg/mL. K. parviflora extract also inhibited PANC-1 cancer cell colony formation. Phytochemical investigation of K. parviflora extract led to the isolation of fourteen compounds, including two polyoxygenated cyclohexanes (1 and 2), eleven flavonoids (3–13), and β-sitosterol (14). Stereochemical assignment of compound 1 was confirmed through X-ray analysis. All isolated compounds were tested for their preferential cytotoxicity against PANC-1 cells. Among them, 5-hydroxy-7-methoxyflavone (3) displayed the most potent activity with a PC50 value of 0.8 µM. Mechanistically, it was found to induce apoptosis in PANC-1 cell death in NDM as evident by caspase cleavage. It was also found to inhibit PANC-1 cancer cell colony formation in DMEM. Therefore, compound 3 can be considered as a potential lead compound for the anticancer drug development based on the anti-austerity strategy.

Zirconium (Zr)-containing silica residue purification (ZSR-P) discharged from industrial production of ZrOCl2 was used as an adsorbent, and CdCl2 solution was used as the simulated wastewater containing cadmium ions (Cd2+). The properties and mechanisms of ZSR-P absorbing Cd2+ were studied. The results showed that ZSR-P had a good effect on the adsorption and removal of Cd2+ in water. The adsorption time, initial concentration of Cd2+, and pH of the solution had a significant effect on the adsorption behavior, whilst the pH value had the greatest effect amongst them. Under optimal conditions, the amount of Cd2+ adsorbed by ZSR-P was 43.1 mg/g. The isothermal adsorption conformed to the Langmuir adsorption model, and the adsorption kinetics conformed to the secondary adsorption rate model. In ZSR-P-Cd, Cd2+ was uniformly distributed on the surface of SiO2 particles and in the pores formed by the accumulation of particles. Adsorption of Cd2+ by ZSR-P was achieved through the reaction between Si-OH on the surface of SiO2 and Cd2+ hydroxyl compounds.

Surface organic modification was conducted to TiO2 with modifiers to improve the dispersity and comparability of pigment TiO2 in application system by adjusting particle surface characteristics. Then, modification effects were characterized according to the changes in wetting contact angle and activation index of TiO2 before and after modification. Moreover, the modification mechanisms of sodium stearate and sodium oleate were studied by analyzing the characteristics of TiO2 surface functional groups in modification system and effects of modifiers. The results showed that, after being wet-processed with sodium stearate and sodium oleate, TiO2 could turn from surface hydrophilic to inductive hydrophobic with controllable degree. The wetting contact angle of modified TiO2 increased from 7° to 125.6° and 121.3°, respectively. The dispersity of TiO2 in organic medium was stronger than that in inorganic medium. The modifiers formed absorption with chemical property on TiO2 particle surface, so the inductive hydrophobicity of surface was stable.

In order to improve the dispersion of nano-TiO2 particles and enhance its self-cleaning properties, including photocatalytic degradation of pollutants and surface hydrophilicity, we prepared nano-TiO2-coated SiO2 microsphere composite self-cleaning materials (SiO2–TiO2) by co-grinding SiO2 microspheres and TiO2 soliquid and calcining the ground product. The structure, morphology, and self-cleaning properties of the SiO2–TiO2 were characterized. The characterization results showed that the degradation efficiency of methyl orange by SiO2–TiO2 was 97%, which was significantly higher than that obtained by pure nano-TiO2. The minimum water contact angle of SiO2–TiO2 was 8°, indicating strong hydrophilicity and the good self-cleaning effect. The as-prepared SiO2–TiO2 was characterized by the nano-TiO2 particles uniformly coated on the SiO2 microspheres and distributed in the gap among the microspheres. The nano-TiO2 particles were in an anatase phase with the particle size of 15–20 nm. The nano-TiO2 particles were combined with SiO2 microspheres via the dehydroxylation of hydroxyl groups on their surfaces.

In order to reduce the primary particle size of zinc oxide (ZnO) and eliminate the agglomeration phenomenon to form a monodisperse state, Zn2+ was loaded on the surface of amorphous silica (SiO2) by the hydrogen bond association between hydroxyl groups in the hydrothermal process. After calcining the precursors, dehydration condensation among hydroxyl groups occurred and ZnO nanoparticles supported on amorphous SiO2 (ZnO–SiO2) were prepared. Furthermore, the SEM and TEM observations showed that ZnO nanoparticles with a particle size of 3–8 nm were uniformly and dispersedly loaded on the surface of amorphous SiO2. Compared with pure ZnO, ZnO–SiO2 showed a much better antibacterial performance in the minimum inhibitory concentration (MIC) test and the antibacterial properties of the paint adding ZnO–SiO2 composite.