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Metro transit is the core of urban transportation, and the mobility analysis of metro ridership can contribute to enhance the overall service level of the metro transit. Researchers studying metro ridership are focused on the spatiotemporal distribution characteristics of the ridership in the underground system of metro station by metro smart card data. However, limited by lack of travel mobility chain of ridership integrity, their activity patterns cannot be used to identify the heterogeneity of metro ridership's origin and transfer travel mode. In our research, we applied full spatiotemporal coverage of mobile phone data to identify the complete travel mobility of metro ridership in the perspective of ground and underground transit. First, the mobility of the boarding and alighting stations was extracted and the order of the transfer station was then extracted. Second, relying on the ridership flow identification method, the aboveground origin and destination of the ridership outside the metro system were extracted, and their transferred traffic mode was identified. The empirical results have shown that our proposed framework can accurately analyze the mobility patterns of metro ridership in an aboveground area and underground station.

Adipose tissue is traditionally classified into two main types based on their functions: brown adipose tissue (BAT) and white adipose tissue (WAT). Each type plays a distinct role in the body's energy metabolism. Additionally, a third type, beige adipose tissue, can develop within subcutaneous WAT (including inguinal WAT, iWAT) in response to specific stimuli and exhibits characteristics of both BAT and WAT. Extracellular vesicles (EVs) are crucial for intercellular communication, carrying a diverse array of biomolecules such as proteins, lipids, and nucleic acids. While the functional diversity and endocrine roles of adipose tissues are well-documented, a comparative analysis of the functions of EVs released by different adipose tissues from mice housed at room temperature has not been thoroughly explored. MicroRNAs (miRNAs), which are highly enriched in small extracellular vesicles (sEVs), offer a promising avenue for investigating the complex functions and unique roles of various adipose tissues. In this study, we isolated sEVs from different adipose tissues under basal conditions and performed a comprehensive analysis of their miRNA content. By comparing miRNA profiles across different adipose tissues, we aim to elucidate the potential roles of sEV-derived miRNAs in mediating intercellular communication and the distinct physiological functions of adipose tissues. Understanding the molecular features of miRNAs in adipose tissue EVs could reveal new aspects of adipose tissue biology and lay the groundwork for further research into their physiological significance.

BackgroundThe characteristics of blood lipid and metabolic indicators were analyzed in patients with subclinical hypothyroidism (SCH), and the effect of type 2 diabetes mellitus (T2DM) on SCH patients was determined.MethodsThe physical examination data of 2,119 residents in a university community were retrospectively divided into 2 groups (SCH and non-SCH groups). Furthermore, the SCH group was divided into SCH-T2DM and SCH–non-T2DM subgroups, and the data between the groups were analyzed.ResultsThe SCH group had significantly higher levels of triglycerides (p = 0.044), total cholesterol (p = 0.001), low-density lipoprotein cholesterol (p = 0.019), very low-density lipoprotein cholesterol (p = 0.044), 2-h plasma glucose (p = 0.023), and globulin (p = 0.000) compared to the non-SCH group. The SCH–T2DM group was older (p

Porous poly (lactic-co-glycolic acid)/β-tricalcium phosphate icaritin (PTI) scaffold is an ideal alternative for repairing bone defects, but their osteoinductive activity are limited. In this study, we fabricated a MXene (Ti3C2Tx) composite PTI (TPTI) scaffold and evaluated its characterization. We co-cultured the scaffolds with rat bone marrow mesenchymal stem cells to access the biocompatibility and osteogenic potential of the TPTI scaffold under on-demand near-infrared (NIR) irradiation. Then TPTI scaffold was implanted in a femoral condyle defect model to evaluate the osteogenic properties by micro-computed tomography, histological and immunohistochemical analysis. The results of experiments reveal that MPTI scaffold has appropriate spatial structure, suitable mechanical strength, and superior photothermal properties. It can maintain the temperature at 42.0 ± 0.5 °C and promote the release of ICT from scaffold under 0.85 W cm−2 NIR irradiation. Furthermore, the scaffold is biocompatible and could promote cell proliferation, osteogenic differentiation, and biomineralization in vitro, as well as the repair of bone defects in vivo, and its effect is further enhanced under NIR irradiation. In conclusion, the MPTI scaffold has the potential to be applied in bone defects repairing, and its osteogenic property can be promoted under NIR irradiation through mild photothermal therapy.

Abstract Bone defects remain a significant challenge in clinical orthopedics, but no targeted medication can solve these problems. Inspired by inflammatory targeting properties of macrophages, inflammatory microenvironment of bone defects was exploited to develop a multifunctional nanocarrier capable of targeting bone defects and promoting bone regeneration. The avidin-modified black phosphorus nanosheets (BP-Avidin, BPAvi) were combined with biotin-modified Icaritin (ICT-Biotin, ICTBio) to synthesize Icaritin (ICT)-loaded black phosphorus nanosheets (BPICT). BPICT was then coated with macrophage membranes (MMs) to obtain MMs-camouflaged BPICT (M@BPICT). Herein, MMs allowed BPICT to target bone defects area, and BPICT accelerated the release of phosphate ions (PO4 3−) and ICT when exposed to NIR irradiation. PO4 3− recruited calcium ions (Ca2+) from the microenvironment to produce Ca3(PO4)2, and ICT increased the expression of osteogenesis-related proteins. Additionally, M@BPICT can decrease M1 polarization of macrophage and expression of pro-inflammatory factors to promote osteogenesis. According to the results, M@BPICT provided bone growth factor and bone repair material, modulated inflammatory microenvironment, and activated osteogenesis-related signaling pathways to promote bone regeneration. PTT could significantly enhance these effects. This strategy not only offers a solution to the challenging problem of drug-targeted delivery in bone defects but also expands the biomedical applications of MMs-camouflaged nanocarriers. Graphical Abstract

Abstract Background Pulmonary vein isolation (PVI) is the cornerstone of atrial fibrillation (AF) ablation. General anesthesia (GA) resolves the problem of pain intolerability and provides regular respiratory mode which might improve the catheter maneuverability of AF ablation. This study aims to compare the procedural performance of PVI under GA versus conscious sedation (CS) from multiple perspectives. Methods A total of 36 consecutive patients undergoing first AF ablation under GA were enrolled in GA group. Another 109 patients receiving AF ablation under CS in the same period were selected as the control group. After propensity score matching, 29 matched pairs with similar baseline characteristics were available for further analysis. The AIFV (using AI to analyze the raw data from CARTO3 system) system was used to evaluate six procedural parameters in each PVI procedure. Results Compared with CS, PVI under GA had a significantly shorter total PVI time (51.4 min vs. 67.8 min; p = .003) and higher radiofrequency ratio (62.6% vs. 55.8%; p = .032). The number of gaps (1.0 vs. 3.0; p

This study aims to explore the integration of Internet of Things (IoT) technology and artificial intelligence (AI) in art education, assessing its impact on learners’ experiences and learning outcomes. The study first proposes a digital teaching system that enables the IoT and Generative Adversarial Networks (GANs) to play a role in art education by monitoring students’ creative state in real-time, providing immediate feedback, and facilitating the generation of creative works. The system framework includes sensor nodes, an IoT platform, a GAN model, and a user interface to build a real-time interactive environment. Sensor nodes constantly collect physiological, movement, and environmental data from students, and the GAN model receives student data from the IoT platform, combining creative input from students to generate artwork in real-time. The generated works are transmitted to the discriminator through the IoT platform, which evaluates their quality and provides real-time feedback. Students interact with the system through the user interface, observe the generated artwork, adjust generator parameters, and propose new ideas. These interactions influence further artistic creation. The WikiArt public art creation dataset is selected to establish the experimental foundation, and the experimental evaluation focuses on image generation quality, system performance, and student learning outcomes. It is compared with Deep Convolutional Generative Adversarial Network (DCGAN) and Variational Autoencoder (VAE) models. The research results indicate that the designed IoT and GANs integrated system remarkably outperforms DCGAN and VAE in image generation quality, with an Inception Score of 4.5, which is more diverse and recognizable than other models. Regarding system performance, the IoT and GANs integrated system is significantly ahead in image generation speed and user interaction, with a transmission speed of up to 200 Mbps. Regarding student learning outcomes, the system performs excellently in emotional feedback, learning outcomes, and creative work quality, achieving 80% satisfaction and 90% positive feedback. Overall, the research conclusion clearly points out that the integration of IoT and GANs has a significant and comprehensive effect on improving the quality of art education. This study expands the field of art education by integrating IoT and GANs, enhancing students’ creative experiences, and providing innovative methods for art teaching in the digital age.

Coral hydroxyapatite (CHA) is a calcium phosphate that has a similar inorganic composition to human bone and the porous structure of coral stone. Due to its interconnected network like pore structure, it can serve as a framework for bone conduction. In this study, CHA films and Mg-CHA films were deposited on titanium and silicon substrates by Pulsed laser deposition, and then the films were heat treated respectively. Studies on the adhesion of the coating showed that the heat-treated Mg-CHA film adhered better to the titanium substrate. The experimental study on biomineralization in vitro showed that a small amount of porous structure appeared in the heat-treated Mg-CHA after immersion in SBF for three days, and the porous structure was visible after immersion for seven days. After 14 days, a new apatite layer formed on the surface. This suggested that magnesium undergoes chemical corrosion in SBF, leading to rapid ion exchange, which results in the formation of porous structures and promotes the development of an apatite-like layer. In summary, the heat-treated Mg-CHA films had superior biomineralization properties.

ObjectiveTo describe clinical and epidemiological characteristics of cases infected with novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variant diagnosed during February – May, 2023 in a district of Beijing city for effective containment of coronavirus disease 2019 (COVID-19) epidemic.MethodsThe surveyed cases were 110 laboratory-confirmed novel SARS-CoV-2 variant infections diagnosed in sampling inspection and surveillance at customs departments and medical institutions and reported to health agency of Chaoyang district of Beijing city during February – May, 2023. The collected data were analyzed with descriptive statistics. The novel SARS-CoV-2 variant refers to the SARS-CoV-2 strains not detected previously in the district (except for BA.5.2/ BF.7 and their sub-variants).ResultsThe 110 cases were consisted of 64 males and 46 females, with a median age of 32 years; compared to those in the local cases, significantly higher median age and proportions of COVID19 vaccination and secondary attack were observed in the 72 (65.45% of all the cases) imported cases (P < 0.05 for all). Among all the cases, 100 (90.91%) were identified as having infections of SARS-CoV-2 XBB variant and subvariants based on whole-genome sequencing analysis. The number of symptomatic cases was 100 (90.91% of all cases) and main clinic symptoms were fever (66.00% in proportion), sore throat (53.00%), and cough (52.00%); and 35.00% of the symptomatic cases could be diagnosed as influenza-like illness. Significantly more symptomatic cases were observed in initial infections than in the reinfections (P = 0.004). For all the cases, The duration of negative seroconversion of SARS-CoV-2 nucleic acid or antigen was 5.92 ± 2.95 days and the disease course of was 5.00 (percentile 25∶4.00, percentile 75∶8.75) days. Compared to the cases with initial infection, the cases with reinfection had significant shorter duration (5.08 ± 2.60 days vs. 6.49 ± 3.06 days) of negative seroconversion of SARS-CoV-2 nucleic acid or antigen (P = 0.026). Prevalence of clinical symptoms and the duration of negative seroconversion of SARS-CoV-2 nucleic acid or antigen were not significantly different between the cases with SARS-CoV-2 XBB variant infection and the cases with non-XBB infection (P > 0.05). The epidemiological survey among the 110 cases identified totally 252 intimately close contacts and the secondary attack rate in the close contacts was 12.70%; the secondary attack rate was higher in the contacts of non-XBB variant infections than in the contacts of XBB variant infections.ConclusionDuring February to May 2023 in a district of Beijing, the majority of reported novel SARS-CoV-2 variant cases were imported cases; most of the local cases were initial infections; the proportion of symptomatic cases was higher in initial infections than that in the reinfections but the initial infections had a longer duration of negative seroconversion of SARS-CoV-2 nucleic acid or antigen than the reinfections; the secondary attack rate was higher in the contacts of non-XBB variant infections than in the contacts of XBB variant infections.

Abstract Lipoprotein(a) [Lp(a)] is a risk factor for cardiovascular disease (CVD) and aortic stenosis. However, the data on the relationship between Lp(a) and mildly reduced estimated glomerular filtration rate (eGFR) has been disputed. This study was conducted to assess the relationship between Lp(a) concentrations and mildly reduced eGFR in healthy subjects.This community-based, cross-sectional study enrolled 1,064 volunteers aged ≥ 40 years who lived in Yonghong Community, Zhonglou District, Changzhou, China, between December 2016 and December 2017. A mildly reduced eGFR was defined as eGFR between 60 and 90 mL/min/1.73m2. A standardized questionnaire and biochemical measurements were used to gather information about participants. The serum concentration of Lp(a) was determined using the latex-enhanced immunoturbidimetric test. Of the total study population, 34.8% (n = 370) were men, and the mean age was 66.8 ± 8.5 years. A significant association existed between Lp(a) levels and the risk of mildly reduced eGFR. Individuals with the highest tertile of Lp(a) had higher odds of mildly reduced eGFR after adjusting for various confounders (adjusted odds ratio [OR]: 1.80, 95% confidence interval [CI]: 1.24–2.60, P = 0.0025) compared to those with the lowest tertile of Lp(a). Multivariable logistic regression of studies in which Lp(a) was presented as continuous variables showed consistent results (adjusted OR: 1.23 for 1-SD increment of Ln-Lp(a), 95% CI: 1.05–1.43). Subgroup analyses showed that study characteristics such as age, sex, obesity, diabetes, and hypertension status did not significantly affect the association (P for all interactions > 0.05). These results suggest that higher serum Lp(a) level was an independent risk factor for mildly reduced eGFR.

Abstract During cold exposure, activated brown adipose tissue (BAT) takes up a large amount of circulating glucose to fuel non-shivering thermogenesis and defend against hypothermia. However, little is known about the endocrine function of BAT controlling glucose homoeostasis under this thermoregulatory challenge. Here, we show that in male mice, activated BAT-derived extracellular vesicles (BDEVs) reprogram systemic glucose metabolism by promoting hepatic gluconeogenesis during cold stress. Cold exposure facilitates the selective packaging of miR-378a-3p—one of the BAT-enriched miRNAs—into EVs and delivery into the liver. BAT-derived miR-378a-3p enhances gluconeogenesis by targeting p110α. miR-378 KO mice display reduced hepatic gluconeogenesis during cold exposure, while restoration of miR-378a-3p in iBAT induces the expression of gluconeogenic genes in the liver. These findings provide a mechanistic understanding of BDEV-miRNA as stress-induced batokine to coordinate systemic glucose homoeostasis. This miR-378a-3p-mediated interorgan communication highlights a novel endocrine function of BAT in preventing hypoglycemia during cold stress.

Abstract Background Osteosarcoma (OS) is the most prevalent orthopedic malignancy with a dismal prognosis. The high iron absorption rate in OS cells of patients suggests that ferroptosis may be related to the progression of OS, but its potential molecular regulatory role is still unclear. Based on the ability to couple with exosomes for targeted delivery of signals, exosome-derived micro ribonucleic acids (miRNAs) can potentially serve as diagnostic biomarkers for OS. Methods We identified ferroptosis-related miRNAs and messenger ribonucleic acids(mRNAs) in OS using bioinformatics analysis and performed survival analysis. Then we measured miRNA expression levels through exosome microarray sequencing, and used RT-qPCR and IHC to verify the expression level of miR-144-3p and ZEB1. Stable gene expression cell lines were fabricated for in vitro experiments. Cell viability, migration and invasion were determined by CCK-8 and transwell experiment. Use the corresponding reagent kit to detect GSH/GSSG ratio, Fe2+ level, MDA level and ROS level, and measure the expression levels of GPX4, ACSL4 and xCT through RT-qPCR and WB. We also constructed nude mice model for in vivo experiments. Finally, the stability of the miRNA/mRNA axis was verified through functional rescue experiments. Results Low expression of miR-144-3p and high expression of ZEB1 in OS cell lines and tissues was observed. Overexpression of miR-144-3p can promote ferroptosis, reduce the survival ability of OS cells, and prevent the progression of OS. In addition, overexpression of miR-144-3p can downregulate the expression of ZEB1 in cell lines and nude mice. Knockdown of miR-144-3p has the opposite effect. The functional rescue experiment validated that miR-144-3p can regulate downstream ZEB1, and participates in the occurrence and development of OS by interfering with redox homeostasis and iron metabolism. Conclusions MiR-144-3p can induce the occurrence of ferroptosis by negatively regulating the expression of ZEB1, thereby inhibiting the proliferation, migration, and invasion of OS cells. Graphical Abstract

Background: Mpox, one of the most serious threats to global health, is now being seen in small but rising numbers in Beijing, China. Our study aimed to investigate healthcare workers’ (HCWs) knowledge of Mpox and to explore reasons associated with their hesitancy to vaccinate against Mpox in Beijing, China. Methods: A cross-sectional study was conducted among HCWs in Beijing from July 24 to August 2, 2023, through an online questionnaire. Participants answered questions about sociodemographic characteristics, Mpox information sources, Mpox knowledge, perception of vaccines, and attitudes toward Mpox vaccination. We used Chi-squared test to compare difference in Mpox vaccination hesitancy between different groups. Multivariable logistic regression models were applied to analyze correlates of vaccination hesitancy among HCWs. Results: A total of 2331 HCWs completed the questionnaire, with an effective response rate of 92.45 % (2155/2331). Most of the HCWs in this study worked at tertiary hospitals (89.65 %), with a mean age of 36.69 ± 9.08 years. Among the 2155 participants, 52.99 % had over ten years of working experience, and 16.66 % were from high-risk departments relevant to Mpox treatment. Approximately 84.41 % knew about Mpox before this study, 80.79 % exhibited a high level of knowledge about Mpox, whereas 42.37 % were hesitant to be vaccinated against Mpox. Moreover, the hesitancy rate of HCWs in high-risk departments (47.91 %) was higher than in lower-risk departments (41.26 %). Higher educational level (aOR = 1.75, 95 %CI: 1.17–2.62), longer working years (1.71, 1.32–2.22), working at high-risk departments (1.34, 1.05–1.71), and lower level of knowledge about Mpox (1.78, 1.13–2.85) appeared as the most significant determinants of Mpox vaccination hesitancy among HCWs who knew about Mpox. For the HCWs who did not know about Mpox, longer working years (1.96, 1.02–3.78) were significant factors associated with their hesitancy. The predominant reason for hesitancy toward Mpox vaccination among HCWs encompassed apprehensions about vaccine side effects. Conclusion: HCWs had good knowledge of Mpox, whereas their Mpox vaccination hesitancy was also relatively high in Beijing, China. Increasing HCWs’ vaccination confidence and knowledge level about Mpox, especially for those working in high-risk departments, may be an essential way of reducing their hesitancy.

Pulmonary hypertension (PH) is an insidious pulmonary vasculopathy with high mortality and morbidity and its underlying pathogenesis is still poorly delineated. The hyperproliferation and apoptosis resistance of pulmonary artery smooth muscle cells (PASMCs) contributes to pulmonary vascular remodeling in pulmonary hypertension, which is closely linked to the downregulation of fork-head box transcriptional factor O1 (FoxO1) and apoptotic protein caspase 3 (Cas-3). Here, PA-targeted co-delivery of a FoxO1 stimulus (paclitaxel, PTX) and Cas-3 was exploited to alleviate monocrotaline-induced pulmonary hypertension. The co-delivery system is prepared by loading the active protein on paclitaxel-crystal nanoparticles, followed by a glucuronic acid coating to target the glucose transporter-1 on the PASMCs. The co-loaded system (170 nm) circulates in the blood over time, accumulates in the lung, effectively targets the PAs, and profoundly regresses the remodeling of pulmonary arteries and improves hemodynamics, leading to a decrease in pulmonary arterial pressure and Fulton's index. Our mechanistic studies suggest that the targeted co-delivery system alleviates experimental pulmonary hypertension primarily via the regression of PASMC proliferation by inhibiting cell cycle progression and promoting apoptosis. Taken together, this targeted co-delivery approach offers a promising avenue to target PAs and cure the intractable vasculopathy in pulmonary hypertension.

Abstract Background Hand, foot and mouth disease (HFMD) caused by a variety of enteroviruses remains a major public health problem in China. Previous studies have found that social factors may contribute to the inconsistency of the relationship patterns between meteorological factors and HFMD, but the conclusions are inconsistent. The influence of social factors on the association between meteorology and HFMD is still less well understood. We aimed to analyze whether social factors affected the effect of meteorological factors on HFMD in Sichuan Province. Method We collected daily data on HFMD, meteorological factors and social factors in Sichuan Province from 2011 to 2017. First, we used a Bayesian spatiotemporal model combined with a distributed lag nonlinear model to evaluate the exposure-lag-response association between meteorological factors and HFMD. Second, by constructing the interaction of meteorological factors and social factors in the above model, the changes in the relative risk (RR) under different levels of social factors were evaluated. Results The cumulative exposure curves for average temperature, relative humidity, and HFMD were shaped like an inverted “V” and a “U” shape. As the average temperature increased, the RR increased and peaked at 19 °C (RR 1.020 [95% confidence interval CI 1.004–1.050]). The urbanization rate, per capita gross domestic product (GDP), population density, birth rate, number of beds in health care centers and number of kindergartens interacted with relative humidity. With the increase in social factors, the correlation curve between relative humidity and HFMD changed from an “S” shape to a “U” shape. Conclusions Relative humidity and average temperature increased the risk of HFMD within a certain range, and social factors enhanced the impact of high relative humidity. These results could provide insights into the combined role of environmental factors in HFMD and useful information for regional interventions.

Abstract Background The impact of metabolically healthy obesity (MHO) on kidney dysfunction remains debatable. Moreover, few studies have focused on the early stages of kidney dysfunction indicated by hyperfiltration and mildly reduced eGFR. Thus, we aimed to investigate the association between the MHO and early kidney dysfunction, which is represented by hyperfiltration and mildly reduced estimated glomerular filtration rate (eGFR), and to further explore whether serum uric acid affects this association. Methods This cross-sectional study enrolled 1188 residents aged ≥ 40 years old from Yonghong Communities. Metabolically healthy phenotypes were categorized based on Adult Treatment Panel III criteria. Obesity was defined as body mass index (BMI) ≥ 25 kg/m2. Mildly reduced eGFR was defined as being in the range 60 95th percentile after adjusting for sex, age, weight, and height. Results Overall, MHO accounted for 12.8% of total participants and 24.6% of obese participants. Compared to metabolically healthy non-obesity (MHNO), MHO was significantly associated with an increased risk of mildly reduced eGFR (odds ratio [OR] = 1.85, 95% confidence interval [CI] 1.13–3.01) and hyperfiltration (OR = 2.28, 95% CI 1.03–5.09). However, upon further adjusting for uric acid, the association between the MHO phenotype and mildly reduced eGFR was reduced to null. Compared with MHNO/non-hyperuricemia, MHO/non-hyperuricemia was associated with an increased risk of mildly reduced eGFR (OR = 2.04, 95% CI 1.17–3.58), whereas MHO/hyperuricemia was associated with an observably increased risk (OR = 3.07, 95% CI 1.34–7.01). Conclusions MHO was associated with an increased risk of early kidney dysfunction, and the serum uric acid partially mediated this association. Further prospective studies are warranted to clarify the causality.

Rice is a vital component in the diets of many people worldwide, supplying necessary calories for subsistence. Nevertheless, the yield of this crucial agricultural crop is consistently hindered by a range of biotic stresses. Out of these, rice blast, claused mainly by the fungus Magnaporthe oryzae, poses a significant menace to worldwide rice cultivation as well as yield in recent years. The consequences are particularly crucial given the current climate change challenges. In recent decades, substantial progress has been achieved in the development of efficient ways to manage rice blast disease. These procedures entail using a variety of rice genetic resources to find, map, clone, and functionally validate individual resistance (R) genes and quantitative trait loci (QTLs) that provide long-lasting resistance to rice blast disease. Moreover, the replication and practical confirmation of homologous avirulence (Avr) genes in various M. oryzae strains have been crucial in comprehending the fundamental molecular mechanisms of host–pathogen interactions. This article offers a thorough examination of the cloning and functional verification of different R genes and QTLs linked to resistance against rice blast disease. The complex interplay between R–Avr pairings, which contributes to the development of resistance against rice blast throughout a wide range, is thoroughly explained. Finally, this study explores the most recent progress in next-generation sequencing (NGS) and genome editing technologies (GETs), examining their potential uses in improving the treatment of rice blast disease.

IntroductionThe aim of this study was to describe appetite and glucose fluctuation in type 2 diabetes mellitus patients initiating treatment with dulaglutide combined with insulin degludec.MethodsThis retrospective study of patients identified adults starting treatment with once-weekly (QW) dulaglutide combined with insulin degludec (experimental group) or insulin degludec alone (control group). Patients were followed for up to 6 months from treatment initiation. The clinical characteristics of patients, treatment patterns, CGM data, and appetite scores were obtained for the two groups.ResultsA total of 236 patients were included in this study. SDBG, MAGE, LAGE, and PPGE of the experimental group were lower than the control group’s (P < 0.05). The proportions of patients achieving a time in range (TIR) of ≥70% in the experimental group were higher than in the control group, with 43% and 10% on the second day, 88% and 47% on the fourth day, 95% and 47% on the seventh day, and 100% and 67% on the tenth day, respectively. Significant associations existed between TIR and the prevalence of islet function. At six months, 89.2% of patients in the experimental group were still using dulaglutide. Appetite decreased significantly at 1 week and increased at 3 months after treatment with dulaglutide.ConclusionDulaglutide combined with insulin degludec significantly reduces glucose fluctuations in patients with type 2 diabetes mellitus and improves the TIR rate. However, the treatment on appetite could decrease in the first three months.

To assess the prevalence and management of atrial thrombus in patients with nonvalvular atrial fibrillation (NVAF) and identify the risk factors of the nonresolution of atrial thrombus. This single-center retrospective observational study consecutively enrolled patients with NVAF and atrial thrombus detected using transesophageal echocardiography (TEE) or cardiac computed tomography angiography (CTA) from January 2012 to December 2020. Patients with prior left atrial appendage (LAA) intervention were excluded. The primary endpoint was the presence of atrial thrombus, while the secondary endpoint was the complete resolution of atrial thrombus. The prevalence of atrial thrombus in patients with NVAF was 1.4%. Ninety patients with atrial thrombus (mean age 62.8 ± 11.9 years and 61.1% men) were finally analyzed. Atrial thrombus was in the LAA in 82 (91.1%) patients. During follow up, 60% of the patients showed complete resolution of atrial thrombus. Congestive heart failure (odds ratio [OR]: 8.94; 95% confidence interval [CI]: 1.67-47.80) and a history of ischemic stroke (OR: 8.28; 95% CI: 1.48-46.42) were independently associated with the risk of the nonresolution of atrial thrombus. The presence of atrial thrombus in patients with NVAF who received anticoagulation therapy is non-negligible. Even in anticoagulated patients, TEE or cardiac CTA might still be needed. Congestive heart failure and a history of ischemic stroke are risk factors of the nonresolution of atrial thrombus.

Introduction: We aimed to evaluate the influence of 1,25-dihydroxyvitamin D (1,25(OH)2D) on metabolic dysfunction and elucidate its underlying mechanism using a rat model of polycystic ovary syndrome (PCOS).Methods: Twenty-four Sprague-Dawley rats were randomly divided into four groups: control group (CON, 2 ml/kg of oral 0.5% CMC), 1,25VD group (oral 0.5% CMC and 2.5 ug/kg intraperitoneal 1,25(OH)2D), PCOS group (1 mg/kg oral letrozole), PCOS+1,25VD group (1 mg/kg oral letrozole orally 2.5 ug/kg intraperitoneal 1,25(OH)2D). The treatments were administered for 8 weeks. Body weight, estrus cycle, insulin tolerance, and oral glucose tolerance of the rats in the different groups were assessed. The rats were euthanized at the 8th weeks, and plasma, ovarian, and liver samples were collected and analyzed. The hepatic lipid profile was characterized using HPLC/MRM.Results: Letrozole-induced PCOS rats exhibited increased weight, insulin resistance, postprandial glucose abnormalities, and dyslipidemia. Compared with the PCOS group rats, the PCOS+1,25VD group rats showed reduced body weight, increased sensitivity to insulin, decreased postprandial glucose, and elevated levels of high-density lipoprotein cholesterol. Moreover, abnormally increased liver concentrations of total diacylglycerol (DG) and DG species in the PCOS rats were reversed by treatment with 1,25(OH)2D. Additionally, hepatic DG and insulin sensitivity were correlated.Conclusion: 1,25(OH)2D inhibited hepatic DG accumulation and ameliorated metabolic dysfunction in PCOS rat models.

Abstract Aberrantly expressed lncRNAs have been reported to be closely related to the oncogenesis and development of osteosarcoma. However, the role of a dysregulated lncRNA-miRNA-mRNA network in osteosarcoma in the same individual needs to be further investigated. Whole transcriptome sequencing was performed on the tumour tissues and matched paratumour tissues of three patients with confirmed osteosarcoma. Two divergent lncRNA-miRNA-mRNA regulatory networks were constructed in accordance with their biological significance. The GO and KEGG analysis results of the mRNAs in the two networks revealed that the aberrantly expressed lncRNAs were involved in regulating bone growth and development, epithelial cell proliferation, cell cycle arrest and the N-terminal acetylation of proteins. The survival analysis results of the two networks showed that patients with high expression of GALNT3, FAM91A1, STC2 and SLC7A1 end in poorer prognosis. Likewise, patients with low expression of IGF2, BLCAP, ZBTB47, THRB, PKIA and MITF also had poor prognosis. A subnetwork was then constructed to demonstrate the key genes regulated by aberrantly expressed lncRNAs at the posttranscriptional level via the ceRNA network. Aberrantly expressed lncRNAs in osteosarcoma tissues regulate genes involved in cellular proliferation, differentiation, angiogenesis and the cell cycle via the ceRNA network.

The conversion and utilization of renewable biomass have attracted worldwide focus on sustainable development research. The study of biochar as electrode material for supercapacitors shows that the hierarchical porous structure of biochar directly affects the performance of supercapacitors. Here, we utilize the instinct porous structure of eggplant to establish the carbon material with hierarchical porous structure by simple carbonization process. The resultant eggplant-derived hierarchical porous carbon (EHPC) materials possess high specific surface area (1947 m2 g−1), high graphitization degree, and low resistance, which brings good rate performance, excellent specific capacitance (469 F g−1 at 1 A g−1), high energy density at high power density (38.51 Wh kg−1 at 687.1 W kg−1 in organic system and 15.83 Wh kg−1 at 55.5 W kg−1 in aqueous system), great capacitance retention (90% at a high scan rate of 100 mV s−1), and long lifetime (99.95% after 20,000 cycles). The performance tests of the capacitors assembled by EHPC materials show that porous biomass offer huge advantages in the preparation of hierarchical porous carbon materials for supercapacitors electrode materials.

In order to fully mine the useful information of the internal and external inspection data of pipeline, the external inspection data is aligned against the internal inspection data, forming an alignment database of internal and external inspection based on the location information, so as to identify the main factors affecting the safe operation of pipeline. With reference to the engineering example of a natural gas pipeline, the alignment and comprehensive analysis of pipeline data were realized with the internal and external inspection data alignment method. The analysis results show that the pipeline is in a good state of cathodic protection. It is of little possibility for the soil resistivity and AC/DC stray current to form corrosion at the damage points of the external anticorrosive coating. In addition, no corrosion was found at the places with metal loss on the outer wall and at the damage points of the external anticorrosive coating of pipeline by excavation. Generally, the aligned internal and external inspection data is in favor of studying the impact of external environment on the safe operation of pipeline, further to improve the integrity assessment system.

BackgroundGuanine nucleotide binding (G) protein subunit γ 4 (GNG4) is closely related to the malignant progression and poor prognosis of various tumours. However, its role and mechanism in osteosarcoma remain unclear. This study aimed to elucidate the biological role and prognostic value of GNG4 in osteosarcoma.MethodsOsteosarcoma samples in the GSE12865, GSE14359, GSE162454 and TARGET datasets were selected as the test cohorts. The expression level of GNG4 between normal and osteosarcoma was identified in GSE12865 and GSE14359. Based on the osteosarcoma single-cell RNA sequencing (scRNA-seq) dataset GSE162454, differential expression of GNG4 among cell subsets was identified at the single-cell level. As the external validation cohort, 58 osteosarcoma specimens from the First Affiliated Hospital of Guangxi Medical University were collected. Patients with osteosarcoma were divided into high- and low-GNG4 groups. The biological function of GNG4 was annotated using Gene Ontology, gene set enrichment analysis, gene expression correlation analysis and immune infiltration analysis. Kaplan–Meier survival analysis was conducted and receiver operating characteristic (ROC) curves were calculated to determine the reliability of GNG4 in predicting prognostic significance and diagnostic value. Functional in vitro experiments were performed to explore the function of GNG4 in osteosarcoma cells.ResultsGNG4 was generally highly expressed in osteosarcoma. As an independent risk factor, high GNG4 was negatively correlated with both overall survival and event-free survival. Furthermore, GNG4 was a good diagnostic marker for osteosarcoma, with an area under the receiver operating characteristic curve (AUC) of more than 0.9. Functional analysis suggested that GNG4 may promote the occurrence of osteosarcoma by regulating ossification, B-cell activation, the cell cycle and the proportion of memory B cells. In in vitro experiments, silencing of GNG4 inhibited the viability, proliferation and invasion of osteosarcoma cells.ConclusionThrough bioinformatics analysis and experimental verification, high expression of GNG4 in osteosarcoma was identified as an oncogene and reliable biomarker for poor prognosis. This study helps to elucidate the significant potential of GNG4 in carcinogenesis and molecular targeted therapy for osteosarcoma.

Satellite internet serves as an indispensable component of the upcoming sixth-generation networks for providing global broadband internet access service. Due to the open nature of satellite-ground communication, security issue in satellite internet has always been an important concern for both industry and academia. Although many researchers focus on secure communications in satellite internet, the literature is surprisingly sparse, with no comprehensive overview of the state-of-the-art security techniques. This paper provides an in-depth survey of secure communications for various satellite internet scenarios. Based on different security mechanisms, we first categorize the existing works of secure communications in satellite internet into two categories: cryptography-based and physical layer security-based. The former includes classical encryption-based and quantum encryption-based secure communication, and the latter is further divided into precoding-based, cooperative jamming-based, relay selection-based, and physical-layer authentication-based secure communication depending on the applied techniques. Finally, we provide some future research directions.

AimsAs metabolic remodeling is a pathological characteristic in type 2 diabetes (T2D), we investigate the roles of newly developed long-acting glucagon-like peptide-1 receptor agonists (GLP-1RAs) such as dulaglutide and liraglutide on metabolic remodeling in patients with recent-onset T2D.MethodsWe recruited 52 cases of T2D and 28 control cases in this study. In the patient with T2D, 39 cases received treatment with dulaglutide and 13 cases received treatment with liraglutide. Using untargeted metabolomics analysis with broad-spectrum LC-MS, we tracked serum metabolic changes of the patients from the beginning to the end of follow-up (12th week).ResultsWe identified 198 metabolites that were differentially expressed in the patients with T2D, compared to the control group, in which 23 metabolites were significantly associated with fasting plasma glucose. Compared to pre-treatment, a total of 46 and 45 differentially regulated metabolites were identified after treatments with dulaglutide and liraglutide, respectively, in which the most differentially regulated metabolites belong to glycerophospholipids. Furthermore, a longitudinal integration analysis concurrent with diabetes case-control status revealed that metabolic pathways, such as the insulin resistance pathway and type 2 diabetes mellitus, were enriched after dulaglutide and liraglutide treatments. Proteins such as GLP-1R, GNAS, and GCG were speculated as potential targets of dulaglutide and liraglutide.ConclusionsIn total, a metabolic change in lipids existed in the early stage of T2D was ameliorated after the treatments of GLP-1RAs. In addition to similar effects on improving glycemic control, remodeling of glycerophospholipid metabolism was identified as a signature of dulaglutide and liraglutide treatments.

Extracellular vesicles (EVs) play an important role in the communication between tissues and cells. However, it is difficult to screen and trace EVs secreted by specific tissues in vivo, which affects the functional study of EVs in certain tissues under pathophysiological conditions. In this study, a Cre-dependent CD63flag-EGFP co-expressed with mCherry protein system expressing mice was constructed, which can be used for the secretion, movement, and sorting of EVs from specific tissues in vivo. This mouse model is an ideal research tool for studying the secretion amount, target tissue, and functional molecule screening of EVs in specific tissues under different pathophysiological conditions. Moreover, it provides a new research method to clarify the mechanism of secreted EVs in the pathogenesis of the disease.

Oxaliplatin resistance is a major challenge in the clinical treatment for advanced colorectal cancer (CRC). Long non-coding RNAs (lncRNAs) are involved in tumorigenesis and progression as critical regulators, while their potential roles in chemoresistance are poorly understood. In this study, we report that the LINC00460-miR-149-5p/miR-150-5p-mutant p53 feedback loop is responsible for oxaliplatin resistance in CRC. First, LINC00460 was found to exhibit higher expression in oxaliplatin-resistant CRC (CRC/OxR) cells compared with parental oxaliplatin-sensitive ones, and this expression pattern depends on mutant p53 (SW480/OxR), not wild-type p53 (HCT116/OxR). Oxaliplatin-induced LINC00460 in SW480/OxR cells was mainly located in the cytoplasm and was associated with AGO2 protein. LINC00460 functions as a competing endogenous RNA (ceRNA) to promote oxaliplatin resistance through sequestering miR-149-5p/miR-150-5p and upregulating the expression of the microRNA (miRNA) target p53. Knockdown of LINC00460 sensitized SW480/OxR cells to oxaliplatin by modulating p53 in vitro and in vivo. In turn, mutant p53 positively regulated the expression of LINC00460, thus forming a feedback loop. Clinical data showed that LINC00460 was upregulated in CRC tissues compared with paired normal tissues and was significantly correlated with clinical stage and node (N) status. Our findings uncover a mechanism for the LINC00460-miR-149-5p/miR-150-5p-mutant p53 feedback loop in oxaliplatin resistance of CRC, and they provide potential therapeutic targets for tumor chemoresistance.

In this paper, low-electron beam dispersion (EBD) method is used to prepare a kind of double-layer films on different substrates. The bottom layer is a mechanically stirred mixture of the degradable polycaprolactone (PCL) and ciprofloxacin (CIP), and the top layer is polyurethane (PU) film. The molecular structure, chemical composition and morphology of the double-layer films were investigated by FTIR, XPS and SEM. The results showed that the surfaces of the double-layer films are uniform and the thicknesses can reach micron level. In addition, the two layers are well bonded. Then the films were sliced and immersed in PBS solution, and the time-dependent variable was used to analyze the kinetic slow-release behavior of CIP in the double-layer films by agar diffusion antibacterial experiments. It can be seen that sustained release time of CIP in the double-layer films can be up to 7 days, which is due to fact that the upper PU film working as a sealing layer helps to realize the drug slow-release. Based on the above research, the comprehensive performance of the films with the composition of PCL:CIP/PU=1:1/1 is the best.

Abstract Background Subclinical diabetic cardiomyopathy (DCM) occurs frequently in asymptomatic subjects with Type 2 diabetes mellitus (T2DM). The direct association between the immune system and DCM with effective biomarkers has been demonstrated in previous studies. Methods Five hundred seven subjects with T2DM were recruited from April 2018 to October 2019 and divided into T2DM with cardiac dysfunction (DCM) group and T2DM without cardiac dysfunction (non-DCM) group. The relationship between the quartiles of Neutrophil: lymphocyte ratio (NLR) and subclinical DCM was evaluated by using adjusted logistic regression models.(covariates: age, sex, BMI, duration of diabetes, and hyperlipidemia). Results Blood NLR was significantly upregulated in DCM group compared to non-DCM group (P = 0.05). Then the adjusted odds ratio (95% CI) of the highest NLR quartile was 14.32 (2.92–70.31) compared with the lowest quartile of NLR after multiple adjusted (P

Abstract The purpose of this study was to prepare and characterize emodin-loaded stearic acid-g-chitosan oligosaccharide (CSO-SA/EMO) and to evaluate its antitumor activity in vitro. In this study, stearic acid-g-chitosan oligosaccharide was used as a carrier and its physicochemical properties were determined by different methods. Cell uptake behavior was examined using FITC-labeled stearic acid-g-chitosan oligosaccharide. CSO-SA/EMO was prepared using ultrasonication and dialysis. Particle size, surface potential, entrapment efficiency, and drug release behavior were studied in vitro. The effects of CSO-SA/EMO on gastric cancer cells were investigated using MTT assay and flow cytometry. Results showed CSO-SA/EMO particle size was larger and potential was smaller than that of stearic acid-g-chitosan oligosaccharide. The 12 h micellar uptake by MGC803 and BGC823 cells was sufficient, and the micelles were able to abundantly accumulate at lesion sites in mice thus achieving good passive EPR targeting. MTT and cell cycle arrest assays showed CSO-SA/EMO-enhanced antitumor activity significantly towards MGC803 and BGC823 cells compared with that of free emodine. Tumor volume, hematoxylin and eosin staining, and terminal deoxynucleotide transferase dUTP nick-end labeling assay proved CSO-SA/EMO had a significant antitumor effect on tumor tissues in vivo. In conclusion, the ultrasonication-dialysis method provided a simple and effective method for preparing CSO-SA/EMO. The delivery of emodine using a micelle system improved its antitumor effects effectively.

The remarkable success of machine learning (ML) in a variety of research domains has inspired academic and industrial communities to explore its potential to address hardware Trojan (HT) attacks. While numerous works have been published over the past decade, few survey papers, to the best of our knowledge, have systematically reviewed the achievements and analyzed the remaining challenges in this area. To fill this gap, this article surveys ML-based approaches against HT attacks available in the literature. In particular, we first provide a classification of all possible HT attacks and then review recent developments from four perspectives, i.e., HT detection, design-for-security (DFS), bus security, and secure architecture. Based on the review, we further discuss the lessons learned in and challenges arising from previous studies. Despite current work focusing more on chip-layer HT problems, it is notable that novel HT threats are constantly emerging and have evolved beyond chips and to the component, device, and even behavior layers, therein compromising the security and trustworthiness of the overall hardware ecosystem. Therefore, we divide the HT threats into four layers and propose a hardware Trojan defense (HTD) reference model from the perspective of the overall hardware ecosystem, therein categorizing the security threats and requirements in each layer to provide a guideline for future research in this direction.

The bystin-like (BYSL) gene is expressed in a wide range of eukaryotes and is closely associated with tumor progression. However, its function and mechanism in osteosarcoma remain unclear. Herein, the protein expression and clinical role of BYSL in human osteosarcoma tissues were assessed. High expression of BYSL was positively related to the metastasis status and poor patient prognosis. Mechanistically, upregulation of BYSL enhanced Nrf2 expression under hypoxia in osteosarcoma cells. MicroRNAs are important epigenetic regulators of osteosarcoma development. Noteworthy, bioinformatics analysis, dual-luciferase reporter and rescue assays showed that miR-378a-3p inhibited BYSL expression by binding to its 3′-untranslated region. Analysis of miR-378a-3p function under hypoxia and normoxia showed that its upregulation suppressed osteosarcoma cells invasion and inhibited epithelial-to-mesenchymal transition by suppressing BYSL. Collectively, the results show that the miR-378a-3p/BYSL may associate with metastasis risk in osteosarcoma.

The molecular structure and properties of a three-layer system based on CaH2, P2O5, microcrystalline cellulose + miramistin deposited via a low-energy electron beam onto a wound dressing have been considered. A cross-linked cellulose layer containing carbon particles and a drug component serves as the coating. The cross-linked structure of the coating enhances the resistance of the miramistin to thermal degradation. The high sorption activity of the gauze substrate determines the exponential nature of the change in the miramistin concentration in the solution. The deposition of a three-layer coating (CaH2 + P2O5 + (cellulose + miramistin)) allows imparting prolonged antibacterial (E. coli, S. aureus) and antifungal (C. alibicans) properties to gauze dressings, reducing the rate of moisture desorption from its volume as a result of the hydrogel formation on the surface of the fibers. Here, the hydrogel formation affects the decrease (over two times) in the gauze's ability to sorb moisture.

At present, most of the methods for preparing ZnO nanotubes are chemical etching of ZnO nanorods, which is inefficient and takes a long time. In this paper, ZnO nanotubes were successfully prepared by galvanostatic etching. Nanotubes prepared by galvanostatic etching only took 1/6 of the time of chemical etching. The ZnO nanotubes obtained by two different methods were tested by XRD and SEM. It is found that the crystal structure and crystallinity of the ZnO nanotubes obtained by galvanostatic etching are unchanged, and the internal corrosion of the nanotubes by galvanostatic etching is more thorough and has a larger specific surface area. In the tests of UV-vis spectrophotometry, fluorescence spectra and electrochemical performance test, the optical properties and electrochemical performance of ZnO nanotubes obtained by galvanostatic etching are better than those obtained by chemical etching. Because the ZnO nanotubes obtained by galvanostatic etching have larger specific surface area, better optical properties and better electrochemical performance, they have a greater application prospect in sensors and ultraviolet light detectors.

Giant cell tumor of bone (GCTB) is benign tumor that can cause significant osteolysis and bone destruction at the epiphysis of long bones. Osteoclasts are thought to be highly associated with osteolysis in GCTB. However, the migration of osteoclasts in GCTB remains unclear. A deeper understanding of the complex tumor microenvironment is required in order to delineate the migration of osteoclasts in GCTB. In this study, samples were isolated from one patient diagnosed with GCTB. Single-cell RNA sequencing (scRNA-seq) was used to detect the heterogeneity of GCTB. Multiplex immunofluorescence staining was used to evaluate the cell subtypes identified by scRNA-seq. A total of 8,033 cells were obtained from one patient diagnosed with GCTB, which were divided into eight major cell types as depicted by a single-cell transcriptional map. The osteoclasts were divided into three subsets, and their differentiation trajectory and migration status were further analyzed. Osteoclast migration may be regulated via a series of genes associated with cell migration. Furthermore, four signaling pathways (RANKL, PARs, CD137 and SMEA3 signaling pathway) were found to be highly associated with osteoclast migration. This comprehensive single-cell transcriptome analysis of GCTB identified a series of genes associated with cell migration as well as four major signaling pathways that were highly related to the migration of osteoclasts in GCTB. Our findings broaden the understanding of GCTB bionetworks and provides a theoretical basis for anti-osteolysis therapy against GCTB in the future.

In this paper, icaritin film was prepared by low-energy beam electron beam deposition (EBD). The material test showed that the structure and composition of icaritin were not changed after electron beam deposition. Then, the film was sliced and immersed in simulated body fluids, it can be seen that the film was released quickly in the first 7 days. With the extension of soaking time, the release rate gradually slowed down, and the release amount exceeded 90% in about 20 days. In vitro cytotoxicity test showed that the relative cell viability rate of the film was still 92.32±1.30% (p

The global rise in obesity has become a public health crisis. During the onset of obesity, disrupted catecholamine signals have been described to contribute to excess fat accumulation, however, the molecular and metabolic change of subcutaneous adipose tissue (SAT) upon chronic high-fat feeding has rarely been investigated. Here, we show that chronic high-fat feeding caused a significant decrease in the expression of thermogenic genes and acquisition of partial deleterious features of visceral fat in SAT. Upregulated miR-149-3p was involved in this obesity-induced “visceralization” of SAT via inhibiting PRDM16, a master regulator that promoted SAT thermogenesis. Reduction of miR-149-3p significantly increased PRDM16 expression in SAT, with improved whole-body insulin sensitivity, decreased SAT inflammation, and liver steatosis in high-fat fed mice. These findings provided direct evidence of the anti-obese and anti-diabetic effect of PRDM16 in the obese background for the first time and identified that miR-149-3p could serve as a therapeutic target to protect against diet-induced obesity and metabolic dysfunctions. Keywords: diet-induced obesity, miR-149-3p, Prdm16, subcutaneous adipose tissue, thermogenesis

Abstract Background The role of body fat distribution in uric acid metabolism is still ambiguity. We aimed to investigate the independent contribution of visceral adipose measured by visceral adiposity index and lipid accumulation product and liver fat assessed by fatty liver index to the risk of hyperuricemia. Methods We conducted a cross-sectional study involving 1284 participants aged ≥ 40 years old recruited from communities in Zhonglou district, Changzhou. Each participant completed a standard questionnaire, and provided blood samples for biochemical measurements. Visceral adiposity index, fatty liver index and lipid accumulation product were calculated by simple anthropometric and functional parameters. Hyperuricemia was defined as serum uric acid ≥ 420 μmol/l for males and ≥ 360 μmol/l for females. Results The prevalence of hyperuricemia was 15.9% and gradually increased across tertiles of adiposity-based indices. The visceral adipose-based measurements (visceral adiposity index, fatty liver index, lipid accumulation product) had better power to discriminate hyperuricemia than body mass index (BMI), waist circumference and neck circumference, and visceral adiposity index exhibited the highest power, with the area under the receiver operating characteristics curve (AUROC) of 0.662 (0.636–0.688). Multivariate logistic regression found 1.49-fold, 2.21-fold and 2.12-fold increased risk of hyperuricemia with 1-unit increment of visceral adiposity index, fatty liver index, and lipid accumulation product, respectively. Compared to tertile 1, the odds ratios of hyperuricemia for the second tertile and the third tertile of visceral adiposity index were 1.57 (1.00–2.50) and 3.11 (1.96–4.94), those of fatty liver index were 1.64 (1.05–2.68) and 3.58 (1.94–6.01), and those of lipid accumulation product were 1.93 (1.19–3.15) and 3.53 (2.05–6.09), respectively. However, no significant associations of BMI, waist circumference and neck circumference with hyperuricemia were observed. Conclusions Visceral adipose accumulation increased the risk of hyperuricemia, independently of BMI, waist circumference and neck circumference, among middle-aged and elderly Chinese adults.

Abstract Background Lung cancer has the highest fatality rate of all cancer types. To improve patients’ survival and life quality, it is therefore very important to screen for and detect it at an early stage. Methods A negative enrichment–fluorescence in situ hybridization (NE‐FISH) approach was used to detect circulating tumor cells (CTCs) in lung cancer patients, and levels of lung cancer‐associated serum markers were also measured in the peripheral blood of these same patients. The correlation between CTCs, serum cancer markers (carcinoembryonic antigen [CEA], CA 125, CYFRA 21‐1, and SCC), and clinicopathological characteristics was then investigated. Moreover, the potential clinical use of the combination of CTCs and tumor markers for the diagnosis of lung cancer, especially at early stages, was also explored. Results CTC frequencies in lung cancer patients were significantly higher than in healthy control volunteers or patients with benign lung disease, and the area under the receiver operating characteristics curve for the control group was 0.846 (95% CI 0.796‐0.887, P

Satellite communication systems serve as an indispensable component of wireless heterogeneous networks in 5G era for providing various critical civil and military applications. However, due to the broadcast nature and full accessibility of wireless medium, serious security threats exist from such systems. As an effort to address this issue, this paper, for the first time, investigates the secure communication in a non-geostationary orbit (NGSO) satellite system from a physical layer security perspective. Specifically, we focus on the downlink of an NGSO satellite which provides services to a fixed earth station and is wiretapped by a fixed eavesdropper. We first apply three types of orbiting models to characterize the movement state of the satellite. Based on the orbiting models, we then provide theoretical analysis for the secure communication performance of such a system. The expressions of two fundamental performance metrics, secrecy capacity and secrecy outage probability, are derived in a closed form for any system time. Finally, we conduct extensive simulations to validate our theoretical performance analysis and illustrate the security performance in a practical NGSO satellite communication system.

End-to-end (E2E) physical layer authentication for multi-hop wireless networks is still not well-explored by now. Like one step forward in this direction, this paper focuses on the E2E physical layer authentication in a dual-hop wireless network with an untrusted relay and proposes a corresponding physical layer authentication scheme. The scheme fully utilizes the location-specific features of both channel amplitude and delay interval of cascaded channels and adopts the artificial jamming technique, so that it is not only resistant to the impersonate attack from an unauthorized transmitter but also resilient to the replay attack from the untrusted relay. Theoretical analysis is further conducted to derive the expressions for the probabilities of false alarm and missed detection, which are two fundamental metrics of authentication performance. Finally, the numerical and simulation results are provided to illustrate both the efficiency of these theoretical results and the E2E authentication performance of dual-hop wireless networks under the proposed scheme.

Extensive efforts on capacity studies for the mobile ad hoc networks (MANETs) mainly focus on either the unicast traffic or the asymptotic results under multicast traffic. However, the former ones cannot support future multicast-intensive applications, and the latter ones cannot reveal the real achievable non-asymptotic capacity, such that it still remains largely unknown in such networks. This paper, for the first time, investigates the non-asymptotic capacity in MANETs under a general packet routing scheme with multicast traffic, where each source has multiple destinations. Under the routing scheme, when the destinations move into the communication range of their source, a packet at source will be directly sent to destinations; otherwise, it can be replicated to multiple different relays, which help to forward it to destinations. To study the non-asymptotic capacity in the MANETs, we first develop the two Markov chain theoretical frameworks to characterize the fastest packet propagation process at source and the fastest packet reception process at destinations under the routing scheme. Based on these two theoretical frameworks, we then derive an analytical expression for the capacity. Finally, the simulation and numerical results are conducted to validate our theoretical capacity and also to explore the impact of system parameters on the capacity performance.

POEMS syndrome is a rare multisystem disease associated with an underlying plasma cell disorder. Its name is an acronym for peripheral neuropathy (P), endocrinopathy (E), organomegaly (O), monoclonal plasma cell proliferative disorder (M), and skin changes (S). This case report describes a patient with POEMS syndrome who presented with progressive fatigue and numbness in the lower extremities. Initially, the patient was erroneously diagnosed with diabetes and diabetic peripheral neuropathy because of the endocrinopathy associated with POEMS syndrome. After a second hospitalization, the patient was diagnosed with POEMS syndrome and recovered with alkylator therapy and a peripheral blood stem cell transplant. The patient’s overall condition was improved at the 1-year follow-up. POEMS syndrome should be considered if a patient presents with endocrinopathy and unexplained peripheral neuropathy.

Abstract Secreted microRNAs (miRNAs) are novel endocrine factors that play essential pathological and physiological roles. Here, we report that pancreatic β cell‐released exosomal miR‐29 family members (miR‐29s) regulate hepatic insulin sensitivity and control glucose homeostasis. Cultured pancreatic islets were shown to secrete miR‐29s in response to high levels of free fatty acids (FFAs) in vitro. In vivo, high levels of FFAs, promoted by either high‐fat diet (HFD) feeding (physiopathological) or fasting (physiological), increased the secretion of miR‐29s into plasma. Intravenous administration of exosomal miR‐29s attenuated insulin sensitivity. The overexpression of miR‐29s in the β cells of transgenic (TG) mice promoted the secretion of miR‐29s and inhibited the insulin‐mediated suppression of glucose output in the liver. We used selective overexpression of traceable heterogenous mutant miR‐29s in β cells to confirm that islet‐derived exosomal miR‐29s target insulin signalling in the liver and blunt hepatic insulin sensitivity. Moreover, in vivo disruption of miR‐29s expression in β cells reversed HFD‐induced insulin resistance. In vitro experiments demonstrated that isolated exosomes enriched in miR‐29s inhibited insulin signalling in the liver and increased hepatic glucose production. These results unveil a novel β cell‐derived secretory signal—exosomal miR‐29s—and provide insight into the roles of miR‐29s in manipulating glucose homeostasis.

Plants have evolved a series of inducible or constitutive defense mechanisms in response to herbivore attack. Constitutive plant defenses are morphological and biochemical traits of the plants themselves, regardless of the presence of herbivores. We bred an alfalfa variety (Caoyuan No.4) with high thrips resistance, but the mechanisms underlying Caoyuan No.4 resistance to thrips are not well understood. To explore the constitutive defense of Caoyuan No.4, the morphological and biochemical traits associated with constitutive defense to thrips in alfalfa were analyzed using a thrips-susceptible alfalfa accession (Caoyuan No.2) as a control. The results showed that Caoyuan No.4 had thicker palisade tissue and parenchyma tissue, wider collenchyma, phloem, cambium and lignin layer, and smaller epidermal cells and stomatal aperture compared to Caoyuan No.2. Moreover, Caoyuan No.4 showed more non-glandular trichomes in both leaves and stems, but less glandular trichomes and more wax in stems. In addition, the results of the widely targeted metabolomics analysis showed that metabolites related to flavonoid, isoflavonoid, flavone and flavonol biosynthesis, as well as cysteine and methionine metabolism, differed between CaoyuanNo.2 and Caoyuan No.4. These findings shed new light on the constitutive insect defense of plants associated with physical or biochemical traits and may provide convenient markers for breeding thrips-resistant alfalfa cultivars.

Mobile crowdsensing (MCS) is attracting considerable attention in the past few years as a new paradigm for large-scale information sensing. Unmanned aerial vehicles (UAVs) have played a significant role in MCS tasks and served as crucial nodes in the newly-proposed space-air-ground integrated network (SAGIN). In this paper, we incorporate SAGIN into MCS task and present a Space-Air-Ground integrated Mobile CrowdSensing (SAG-MCS) problem. Based on multi-source observations from embedded sensors and satellites, an aerial UAV swarm is required to carry out energy-efficient data collection and recharging tasks. Up to date, few studies have explored such multi-task MCS problem with the cooperation of UAV swarm and satellites. To address this multi-agent problem, we propose a novel deep reinforcement learning (DRL) based method called Multi-Scale Soft Deep Recurrent Graph Network (ms-SDRGN). Our ms-SDRGN approach incorporates a multi-scale convolutional encoder to process multi-source raw observations for better feature exploitation. We also use a graph attention mechanism to model inter-UAV communications and aggregate extra neighboring information, and utilize a gated recurrent unit for long-term performance. In addition, a stochastic policy can be learned through a maximum-entropy method with an adjustable temperature parameter. Specifically, we design a heuristic reward function to encourage the agents to achieve global cooperation under partial observability. We train the model to convergence and conduct a series of case studies. Evaluation results show statistical significance and that ms-SDRGN outperforms three state-of-the-art DRL baselines in SAG-MCS. Compared with the best-performing baseline, ms-SDRGN improves 29.0% reward and 3.8% CFE score. We also investigate the scalability and robustness of ms-SDRGN towards DRL environments with diverse observation scales or demanding communication conditions.

Most previous studies on multi-agent systems aim to coordinate agents to achieve a common goal, but the lack of scalability and transferability prevents them from being applied to large-scale multi-agent tasks. To deal with these limitations, we propose a deep reinforcement learning (DRL) based multi-agent coordination control method for mixed cooperative–competitive environments. To improve scalability and transferability when applying in large-scale multi-agent systems, we construct inter-agent communication and use hierarchical graph attention networks (HGAT) to process the local observations of agents and received messages from neighbors. We also adopt the gated recurrent units (GRU) to address the partial observability issue by recording historical information. The simulation results based on a cooperative task and a competitive task not only show the superiority of our method, but also indicate the scalability and transferability of our method in various scale tasks.