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Abstract Objective This study was to investigate the carcinogenic capacity of circYARS in laryngeal squamous cell carcinoma (LSCC) and to reveal its potential mechanism as a competitive endogenous RNA. Methods The differentially expressed circRNA and mRNA in LSCC were detected by RT-qPCR. Dual luciferase reporter assay and RIP were conducted to test the interaction between circYARS, miR-29a-3p, and IREB2. The functional effects of these molecules were investigated by CCK-8, flow cytometry, colony formation assay, Transwell, Western blot, and xenotransplantation mouse models. Results In LSCC tissues and cell lines, circYARS and IREB2 levels were enhanced, while miR-29a-3p level was lowered. Depleting circYARS led to decreased IREB2 by promoting miR-29a-3p expression. As a result of miR-29a-3p enhancement or circYARS silence, the proliferative, migratory, and invasion of cancer cells were suppressed and apoptosis was stimulated. Conclusion circYARS is involved in the tumorigenicity and progression of LSCC through the miR-29a-3p/IREB2 axis, providing strategies and targets for therapeutic intervention of LSCC.

Abstract Background The increase in the rate of multiple pregnancies in clinical practice is associated with assisted reproductive technology (ART). Given the high risk of dichorionic triamniotic (DCTA) triplet pregnancies, reducing DCTA triplet pregnancies to twin or singleton pregnancies is often beneficial. Case presentation This article reports on two cases of DCTA triplet pregnancies resulting from two blastocyst transfers. Given the high risk of complications such as twin-to-twin transfusion syndrome (TTTS) in monochorionic diamniotic (MCDA) twin pregnancies, patients have a strong desire to preserve the dichorionic diamniotic (DCDA) twins. Multifetal pregnancy reduction (MFPR) was performed in both cases to continue the pregnancy with DCDA twins by reducing one of the MCDA twins. Both of the pregnant women in this report eventually gave birth to healthy twins at 37 weeks. Conclusions For infertile couples with multiple pregnancies but with a strong desire to remain the DCDA twins, our report suggests that reducing DCTA triplets to DCDA twin pregnancies may be an option based on clinical operability and assessment of surgical difficulty.

Abstract Protective layer mining is the most effective and economical technical measure to prevent coal and gas outburst accidents. At present, in the study of multiple concentrated coal layer stress, plastic damage and mining pressure discharge range, there are problems such as less research on the protection effect of protective layer and less measured measurement points resulting in large experimental error. In view of the above problems, taking the 2305 working face of a Shanxi mine as the test mine, the crack evolution characteristics of downhole drilling were detected by this method, by means of the deep base point technology, and study the plastic damage, pressure relief characteristics and expansion characteristics in the mining process of protective layer, the findings suggest that, the crack development of the protective layer is mainly characterized by small width and quantity, after protective exploitation, the number of width and number of cracks were significantly increased, the injection is three times higher than before the protective mining, the degree of fissure development is greatly improved. The settlement change of each rock layer on the basic top presents periodic and nonlinear changes, divided into the initial deformation, violent deformation, deformation and decline of the three periods; the plastic damage area, pressure relief curve and expansion curve of protective layer are “saddle type”, the overall pressure discharge rate of the protected layer has decreased by 60%, to meet the requirements of the critical value of expansion rate in the detailed rules for preventing coal and gas outburst, the protective layer mining technology applies to other working faces of the coal mine.

Abstract Background Polycystic Ovary Syndrome (PCOS) is a widespread endocrine disorder among women, characterized by symptoms like ovarian cysts, hormonal imbalance, and metabolic issues. This research evaluates the therapeutic potential of Bone Marrow Mesenchymal Stem Cell-derived exosomes (BMSC-Exo) in treating PCOS symptoms within a mouse model. Methods BMSC-Exo were isolated from NMRI mice, characterized using Transmission Electron Microscopy (TEM) and Nanoparticle Tracking Analysis (NTA), and administered to a PCOS mouse model induced by dehydroepiandrosterone (DHEA). The efficacy of BMSC-Exo was assessed in three groups of mice: a control group, a PCOS group, and a PCOS group treated with intravenous BMSC-Exo. Morphological changes in ovarian tissue were examined by Hematoxylin and Eosin (H&E) staining, apoptosis was determined using the TUNEL assay, and CD31 expression was analyzed through immunofluorescent staining to assess angiogenic activity. Results The existence of BMSCs-Exo was confirmed via TEM and NTA, revealing their distinct cup-shaped morphology and a size range of 30 to 150 nanometers. H&E staining revealed that BMSCs-Exo treatment improved ovarian morphology in PCOS models, increasing corpora lutea and revitalizing granulosa cell layers, suggesting a reversal of PCOS-induced damage. TUNEL assays showed that BMSCs-Exo treatment significantly reduced apoptosis in PCOS-affected ovarian cells to levels comparable with the control group, highlighting its role in mitigating PCOS-induced cellular apoptosis. Immunofluorescence for CD31 indicated that BMSCs-Exo treatment normalized endothelial marker expression and angiogenic activity in PCOS models, suggesting its effectiveness in modulating the vascular irregularities of PCOS. Collectively, these findings demonstrate the therapeutic potential of BMSCs-Exo in addressing ovarian dysfunction, cellular apoptosis, and aberrant angiogenesis associated with PCOS. Conclusion The study substantiates the role of BMSC-Exo in mitigating the deleterious effects of PCOS on ovarian tissue, with implications for enhanced follicular development and reduced cellular stress. The modulation of CD31 by BMSC-Exo further highlights their potential in normalizing PCOS-induced vascular anomalies. These findings propel the need for clinical investigations to explore BMSC-Exo as a promising therapeutic avenue for PCOS management.

Abstract Osteoporosis is the most common bone metabolic disease that affects the health of middle-aged and elderly people, which is hallmarked by imbalanced bone remodeling and a deteriorating immune microenvironment. Magnesium and calcium are pivotal matrix components that participate in the bone formation process, especially in the immune microenvironment regulation and bone remodeling stages. Nevertheless, how to potently deliver magnesium and calcium to bone tissue remains a challenge. Here, we have constructed a multifunctional nanoplatform composed of calcium-based upconversion nanoparticles and magnesium organic frameworks (CM-NH2-PAA-Ald, denoted as CMPA), which features bone-targeting and pH-responsive properties, effectively regulating the inflammatory microenvironment and promoting the coordination of osteogenic functions for treating osteoporosis. The nanoplatform can efficaciously target bone tissue and gradually degrade in response to the acidic microenvironment of osteoporosis to release magnesium and calcium ions. This study validates that CMPA possessing favorable biocompatibility can suppress inflammation and facilitate osteogenesis to treat osteoporosis. Importantly, high-throughput sequencing results demonstrate that the nanoplatform exerts a good inflammatory regulation effect through inhibition of the nuclear factor kappa-B signaling pathway, thereby normalizing the osteoporotic microenvironment. This collaborative therapeutic strategy that focuses on improving bone microenvironment and promoting osteogenesis provides new insight for the treatment of metabolic diseases such as osteoporosis.

Background: Current eradication regimens are not ideal for Helicobacter pylori infected patients who have difficulty choosing antibiotics due to penicillin allergy or antibiotic resistance. Objective: To explore the efficacy and safety of a simple vonoprazan-minocycline dual therapy (VM dual therapy) in H. pylori eradication. Design: Clinical data of patients who were prescribed 14-day VM dual therapy were retrospectively collected. The included patients were 18–70 years old and positive for 13 C urea breath test ( 13 C-UBT). They were allergic to penicillin or had a history of repeated antibiotic exposure or had failed eradication with multiple regimens containing amoxicillin. VM dual therapy consists of vonoprazan 20 mg twice daily and minocycline 100 mg twice daily. 13 C-UBT was repeated 4–6 weeks after treatment to evaluate the therapeutic outcome. Results: Of the 88 enrolled patients, 54 were treatment naïve, 13 had one prior eradication failure, and 21 had multiple eradication failures. The overall intention to treat (ITT) and per-protocol (PP) eradication rates were 90.9% (95% CI: 82.4–95.7) and 95.2% (95% CI: 87.6–98.5). The ITT eradication rates were 90.7% (95% CI: 78.9–96.5) in treatment-naïve patients, 84.6% (95% CI: 53.7–97.3) in patients with one prior treatment failure, and 95.2% (95% CI: 74.1–99.8) in patients with multiple failures. The PP eradication rates were 94.2% (95% CI: 83.1–98.5), 91.7% (95% CI: 59.8–99.6), and 100%, respectively. The overall incidence of adverse events was 23.0%. The common adverse reactions were nausea and mild dizziness, which could be resolved without intervention. Conclusion: Simple VM dual therapy exhibited a good eradication rate, low incidence of adverse effects, and good adherence. It is a potential new regimen for both first-line and rescue therapy.

Osteoporosis (OP), the most prevalent bone degenerative disease, has become a significant public health challenge globally. Current therapies primarily target inhibiting osteoclast activity or stimulating osteoblast activation, but their effectiveness remains suboptimal. This paper introduced a “three birds, one stone” therapeutic approach for osteoporosis, employing upconversion nanoparticles (UCNPs) to create a dual-gas storage nanoplatform (UZPA-CP) targeting bone tissues, capable of concurrently generating carbon monoxide (CO) and hydrogen sulfide (H2S). Through the precise modulation of 808 nm near-infrared (NIR) light, the platform could effectively control the release of CO and H2S in the OP microenvironment, and realize the effective combination of promoting osteogenesis, inhibiting osteoclast activity, and improving the immune microenvironment to achieve the therapeutic effect of OP. High-throughput sequencing results further confirmed the remarkable effectiveness of the nanoplatform in inhibiting apoptosis, modulating inflammatory response, inhibiting osteoclast differentiation and regulating multiple immune signaling pathways. The gas storage nanoplatform not only optimized the OP microenvironment with the assistance of NIR, but also restored the balance between osteoblasts and osteoclasts. This comprehensive therapeutic strategy focused on improving the bone microenvironment, promoting osteogenesis and inhibiting osteoclast activity provides an ideal new solution for the treatment of metabolic bone diseases.

Global efforts to tackle climate change and the rise in popularity of electric vehicles and portable electronic devices have engendered a demand explosion for lithium-ion batteries (LIBs). Effectuated by the green and digital revolution, this exponential rise in the demand for LIBs raises a host of logistical and environmental concerns centered around raw materials, such as metals lithium and cobalt, indispensable to its production. Exclusive reliance on mining to provide raw materials for LIB production introduces a supply risk and exacerbates the negative implications of mining operations. The long-term solution to avoid bottlenecks in LIB production is the creation of a circular economy by consolidating the LIB value chain with recycling, regeneration and upcycling operations. This paper presents a perspective on circular economies and explores the need to incorporate its principles for a sustainable lithium-powered future. The challenges impeding the development of a fully realized circular economy for LIBs and the ongoing research endeavors to overcome these challenges are also addressed.

Coral reefs are among the most energetic marine ecosystems, taking a place in ecological balance. Microbes participate in the energy exchange in coral ecosystems, which may affect coral resistance and resilience. However, there is still a lack of understanding regarding the microbial structure between corals and seawater. In this study, microbial structure and interactions in coral and seawater were studied using quantitative PCR and high-throughput sequencing. We found that the abundance and diversity of microbes in corals were higher than those in seawater. Corals, as nonfluidic ecosystems, limited the dispersal of microbes, causing broader stochasticity in the ecological shaping process, whereas ecological drift and homogeneous selection were the most important assembly mechanisms in seawater. The microbial niche width was larger in the coral group than in the seawater group, indicating strong adaptability. A group of microbes (e.g., Caldilineaceae, Burkholderiaceae, and Nitrosopumilaceae) may become microbial indicators which differentiate seawater samples (e.g., SAR11 and SAR86 clades, Cryomorphaceae), which may be due to separated habitats and nutrition. Coral microbes may participate in nitrogen-metabolism to maintain a nitrogen limited microenvironment. Nodes linked in the coral co-occurrence network showed coexisting interactions and higher complexity based on the comparison of topological values. Collectively, significant differences in microbial fractions were demonstrated observed in terms of diversity, composition, co-occurrence patterns, assembly processes and predicted functions between coral and seawater samples, showing potential microbial interactions and providing in-depth insights into the metacommunity diversity in coral reef ecosystems.

BackgroundAccording to reports, iron status has been associated with the risk of bone and joint-related diseases. However, the exact role of iron status in the development of these conditions remains uncertain.MethodWe obtained genetic data on iron status, specifically serum iron, ferritin, transferrin saturation (TSAT), and transferrin, as well as data on five common bone and joint-related diseases (osteoarthritis, osteoporosis, rheumatoid arthritis [RA], ankylosing spondylitis [AS], and gout) from independent genome-wide association studies involving individuals of European ancestry. Our primary approach for causal estimation utilized the inverse variance weighted (IVW) method. To ensure the reliability of our findings, we applied complementary sensitivity analysis and conducted reverse causal analysis.ResultUsing the IVW method, we revealed a positive causal relationship between ferritin levels and the risk of osteoarthritis (OR [95% CI], 1.0114 [1.0021-1.0207]). Besides, we identified a protective causal relationship between serum iron levels and TSAT levels in the risk of RA (OR [95% CI] values of serum iron and TSAT were 0.9987 [0.9973-0.9999] and 0.9977 [0.9966-0.9987], respectively). Furthermore, we found a positive causal relationship between serum iron levels and the risk of AS (OR [95% CI], 1.0015 [1.0005-1.0026]). Regarding gout, both serum iron and TSAT showed a positive causal relationship (OR [95% CI] values of 1.3357 [1.0915-1.6345] and 1.2316 [1.0666-1.4221] for serum iron and TSAT, respectively), while transferrin exhibited a protective causal relationship (OR [95% CI], 0.8563 [0.7802-0.9399]). Additionally, our reverse causal analysis revealed a negative correlation between RA and ferritin and TSAT levels (OR [95% CI] values of serum iron and TSAT were 0.0407 [0.0034-0.4814] and 0.0049 [0.0002-0.1454], respectively), along with a positive correlation with transferrin (OR [95% CI], 853.7592 [20.7108-35194.4325]). To ensure the validity of our findings, we replicated the results through sensitivity analysis during the validation process.ConclusionOur study demonstrated a significant correlation between iron status and bone and joint-related diseases.

The freshwater lakes in the middle and lower reaches of the Yangtze River (MLYR) have been affected by a multitude of factors, including climate change and human activities, and are currently facing a range of aquatic ecological environment problems. In order to establish restoration goals and paths, it is essential to have a scientific understanding of the historical process and pattern of long-term degradation of the lake ecological environment. This study focused on Shengjin Lake, a representative Yangtze River-connected lake in MLYR. Based on the analysis results of cellulose carbon isotopes (δ13Ccellulose) in modern aquatic macrophytes, the response characteristics of aquatic macrophytes δ13Ccellulose to lake environment evolution were revealed by high-resolution multi-proxy (δ13Ccellulose of plant residues and geochemistry indices) analysis of a sediment core. The study also reconstructed the ecological environment evolution process of Shengjin Lake over the past two hundred years. The primary research findings are as follows: Firstly, the results of the modern process survey demonstrated that the δ13Ccellulose of different modern species exhibited considerable variation. The submerged plants exhibited an enrichment of 13C, while the emergent plants exhibited an enrichment of 12C. Secondly, a comprehensive modern process investigation, coupled with palaeo-limnological records and literature data, led to the conclusion that the large plant residues of sediments were primarily derived from submerged plants. Concurrently, statistical analysis indicated that the content of total organic carbon in lakes was the primary factor influencing the changes in sediment δ13Ccellulose. The composition of δ13Ccellulose may be indicative of changes in lake primary productivity. Finally, the paleo-limnological record revealed that the ecological environment of Shengjin Lake has undergone significant changes over the past two hundred years. In particular, since the 1970 s, the δ13Ccellulose has been significantly enriched by 12C, and the geochemical indexes of elements have shown an increasing trend (p

Background and Purpose The optimal surgical approach for inguinal hernia (IH) repair in adolescents has not been established. This study aimed to analyze and compare the perioperative results and long-term outcomes of adolescent patients with IH treated with laparoscopic (LHR) versus open hernia repair (OHR).Methods This study retrospectively reviewed the clinicopathological data of adolescent patients with IH who underwent LHR or OHR as initial treatment from March 2012 to February 2018 at Xinxiang Central Hospital. Clinicopathological factors associated with the prognosis of patients were identified using univariate and multivariate Cox regression analysis. Recurrence-free survival (RFS) curves between different cohorts of patients were generated using the Kaplan-Meier method and compared using the log-rank test. Propensity score matching (PSM) analysis was used to match patients of the LHR and OHR groups in a 1:1 ratio.Results Adolescent patients with IH were enrolled, including 243 patients in the LHR group and 252 patients in the OHR group. After PSM, 189 patients were matched in each of the study group. Compared with the OHR group, the LHR group had a shorter hospitalization, less blood loss, fewer overall postoperative complications and lower rates of recurrence and chronic pain. The LHR group had a significantly better RFS than the OHR group before and after PSM.Conclusions Laparoscopic inguinal hernia repair for adolescent patients with IH can be safely performed with favorable perioperative and long-term outcomes.

The close association between organelle interactions, such as mitochondrial–lysosomal interactions, and various diseases, including tumors, remains a challenge for drug discovering and identification. Conventional evaluation methods are often complex and multistep labeling procedures often generate false positives, such as cell damage. To overcome these limitations, we employed a single dual-color reporting molecule called Coupa, which labels mitochondria and lysosomes as blue and red, respectively. This facilitates the evaluation and discovering of drugs targeting mitochondria–lysosome contact (MLC). Using Coupa, we validated the effectiveness of various known antitumor drugs in intervening MLC by assessing their effect on key aspects, such as status, localization, and quantity. This provides evidence for the accuracy and applicability of our dual-color reporting molecule. Notably, we observed that several structural isomers of drugs, including Urolithin (A/B/C), exhibited distinct effects on MLC. In addition, Verteporfin and TEAD were found to induce anti-tumor effects by controlling MLC at the organelle level, suggesting a potential new mechanism of action. Collectively, Coupa offers a novel scientific tool for discovering drugs that target mitochondrial–lysosomal interactions. It not only distinguished the differential effects of structurally similar drugs on the same target, but also reveals new mechanisms underlying the reported antitumor properties of existing drugs. Ultimately, our findings contribute to the advancement of drug discovery and provide valuable insights into the complex interactions between organelles in a disease context.

BackgroundStatins, being the primary pharmacological intervention for hypercholesterolemia, exhibit a notable degree of interpatient variability in their effectiveness, which may be associated with gut microbiota. This study sought to identify the biomarkers for evaluating differences in statin efficacy.MethodsA quasi case-control study was conducted among participants with hypercholesterolemia and coronary heart disease taking rosuvastatin essential. According to the level of low density lipoprotein cholesterol (LDL-C), participants was divided into the “Up to standard” (US) group and the “Below standard” (BS) group. 16S rDNA sequencing and untargeted metabolomics were applied to detected the information of gut microbiota and related metabolites.ResultsA total of 8 US and 8 BS group matched by age and sex were included in the final analysis. 16S rDNA sequencing results indicated that the characteristic strains of the US group were f-Eubacterium_coprostanoligenes and g-Papillibacter, while the characteristic flora of the BS group were o-C0119, g-Pseudolabrys, s-Dyella-Marensis and f-Xanthobacaceae. Metabolomic results suggested that the levels of chenodeoxycholic acid-3-β-D-glucuronide, 1-methylnicotinamide and acetoacetate in stool samples of the US group were significantly higher than those of the BS group. By identifying the differentially abundant bacterial taxa, the gut microbiota could modulate the efficacy of statins through producing enzymes involved in cholesterol metabolism.ConclusionsThe findings suggest that the difference in statin efficacy may be related to gut microbiota strains that can produce short-chain fatty acids and secondary bile acids and affect the efficacy of statins by regulating the activities of cholesterol metabolite-related proteins. Metabolites related to short-chain fatty acids and secondary bile acids in the gut are expected to be biomarkers indicating the efficacy of statins.

Abstract Atherosclerotic cardiovascular disease (ASCVD) has become the leading cause of death worldwide, and early diagnosis and treatment of atherosclerosis (AS) are crucial for reducing the occurrence of acute cardiovascular events. However, early diagnosis of AS is challenging, and oral anti‐AS drugs suffer from limitations like imprecise targeting and low bioavailability. To overcome the aforementioned shortcomings, Cur/MOF@DS is developed, a nanoplatform integrating diagnosis and treatment by loading curcumin (Cur) into metal−organic frameworks with nanozymes and magnetic resonance imaging (MRI) properties. In addition, the surface‐modification of dextran sulfate (DS) enables PCN‐222(Mn) effectively target scavenger receptor class A in macrophages or foam cells within the plaque region. This nanoplatform employs mechanisms that effectively scavenge excessive reactive oxygen species in the plaque microenvironment, promote macrophage autophagy and regulate macrophage polarization to realize lipid regulation. In vivo and in vitro experiments confirm that this nanoplatform has outstanding MRI performance and anti‐AS effects, which may provide a new option for early diagnosis and treatment of AS.

Summary: High-grade serous ovarian cancers (HGSOCs) with homologous recombination deficiency (HRD) are initially responsive to poly (ADP-ribose) polymerase inhibitors (PARPi), but resistance ultimately emerges. HGSOC with CCNE1 amplification (CCNE1amp) are associated with resistance to PARPi and platinum treatments. High replication stress in HRD and CCNE1amp HGSOC leads to increased reliance on checkpoint kinase 1 (CHK1), a key regulator of cell cycle progression and the replication stress response. Here, we investigated the anti-tumor activity of the potent, highly selective, orally bioavailable CHK1 inhibitor (CHK1i), SRA737, in both acquired PARPi-resistant BRCA1/2 mutant and CCNE1amp HGSOC models. We demonstrated that SRA737 increased replication stress and induced subsequent cell death in vitro. SRA737 monotherapy in vivo prolonged survival in CCNE1amp models, suggesting a potential biomarker for CHK1i therapy. Combination SRA737 and PARPi therapy increased tumor regression in both PARPi-resistant and CCNE1amp patient-derived xenograft models, warranting further study in these HGSOC subgroups.

In this work, we proposed a method to extract the distribution of the built-in field (Eb) from the switching dynamics of the TiN/HfZrO/TiN capacitor. The relationship between reversal polarization and the distribution of Eb is established based on the classic inhomogeneous field mechanism model. Both positive and negative write pulses with different amplitudes and durations are applied to obtain the distribution parameters of Eb. The distribution of Eb is fitted by a Gaussian-type distribution, and the mean value and standard deviation are about −0.02 MV/cm and 0.28 MV/cm, respectively. This work provides an effective approach to analyze Eb directly from the electrical measurement and helps optimize the device design from the polarization switching point of view.

Microbial fuel cells (MFCs) employing Pseudomonas putida B6-2 (ATCC BAA-2545) as an exoelectrogen have been developed to harness energy from various conventional substrates, such as acetate, lactate, glucose, and fructose. Owing to its metabolic versatility, P. putida B6-2 demonstrates adaptable growth rates on diverse, cost-effective carbon sources within MFCs, exhibiting distinct energy production characteristics. Notably, the anode chamber's pH rises with carboxylates' (acetate and lactate) consumption and decreases with carbohydrates' (glucose and fructose) utilization. The MFC utilizing fructose as a substrate achieved the highest power density at 411 mW m−2. Initial analysis revealed that P. putida B6-2 forms biofilms covered with nanowires, contributing to bioelectricity generation. These microbial nanowires are likely key players in direct extracellular electron transport through physical contact. This study established a robust foundation for producing valuable compounds and bioenergy from common substrates in bioelectrochemical systems (BESs) utilizing P. putida as an exoelectrogen.

Abstract Background Acupuncture as a traditional Chinese medicine therapy relies on unique theories to alleviate fatigue. The aim of this study is to evaluate the effect of acupuncture on exercise‐induced fatigue utilizing transcranial magnetic stimulation (TMS). Methods A total of 20 participants with regular exercise habits were recruited for this study. All participants were randomly assigned to receive either acupuncture or sham acupuncture intervention for exercise‐induced fatigue. TMS and a heart rate monitor were used to measure the amplitude and latency of motor evoked potential (MEP) as well as heart rate every 5 min over a 30‐min period. The blood lactic acid (BLA) levels were measured using Lactate Scout+ at baseline, 0 min, and 30 min after fatigue. Two‐way repeated measures analysis of variance was utilized to compare the differences between the effects of acupuncture method and time. Bonferroni post hoc tests were conducted to compare specific differences. Statistical significance was set at p

Background: Given the growing problem of antibiotic resistance, it is crucial to improve Helicobacter pylori ( H. pylori ) treatment interventions or provide adjunctive therapy. The objective of this meta-analysis was to evaluate whether Lactobacillus reuteri ( L. reuteri ) could improve H. pylori eradication rate, reduce the incidence of adverse events (AEs), and alleviate gastrointestinal symptoms. Design: A meta-analysis of randomized controlled trials (RCTs) comparing L. reuteri supplementation therapy with placebo was conducted. Sources and methods: We retrieved relevant studies from PubMed, Embase, and the Cochrane Library. The primary outcome was H. pylori eradication rate, and the scores on the Gastrointestinal Symptom Rating Scale and AEs were secondary outcomes. Results: Eight RCTs including 1087 patients were included in this analysis. The L. reuteri supplementation group showed significantly higher H. pylori eradication rates in both intention-to-treat (ITT) and per-protocol (PP) analysis [ITT: 80.0% versus 72.6%; p = 0.005, relative risk (RR): 1.10; 95% confidence interval (CI): 1.03–1.17; number needed to treat (NNT) = 14; PP: 81.8% versus 75.0%; p = 0.006, RR: 1.09; 95% CI: 1.03–1.16; NNT = 15]. Patients treated with L. reuteri showed greater improvements in gastrointestinal symptoms (pooled mean difference: −2.43, 95% CI: −4.56 to −0.29, p = 0.03). The incidence of AEs was significantly reduced in the L. reuteri supplementation group based on ITT and PP analysis (ITT: p

GaN high-electron-mobility transistor (HEMT) has superior features of wide band gap, high electron mobility and very high electric field strength due to its material advantages. By using the GaN HEMT, switching frequency can be enhanced up to megahertz with extremely high efficiency. Unfortunately, GaN HEMTs accomplished by undesirable switching oscillations and voltage spikes due to extremely fast switching frequencies with very high ${dv}/{dt}$ , ${di}/{dt}$ and parasitic parameters. In this paper, RLC equivalent circuit models are developed for turn on and turn off conditions, including all parasitic components. In addition, the relative effect of each parasitic parameter is analyzed and estimated. Moreover, simple mathematical model is developed for theoretical analysis of switching oscillation phenomenon and, for guidance of snubber or damping circuit design. To validate these simple equivalent circuit models, both circuit simulation and experimental measurements are employed.

Highlights Electric double-layer regulation enabled by an ultrathin multifunctional solid electrolyte interphase layer with zincophilicity and rapid transport kinetics. Lowered potential drop over the Helmholtz layer and suppressed diffuse layer. Inhibited side reactions and uniform zinc deposition.

Both biotic and abiotic mechanisms play a role in soil CO2 emission processes. However, abiotically mediated CO2 emission and the role of reactive oxygen species are still poorly understood in paddy soil. This study revealed that ·OH promoted CO2 emission in paddy soil slurries during short-term oxidation (4 h). ·OH generation was highly hinged on active Fe(II) content, and the ·OH contribution to CO2 efflux was 10%–33% in topsoil and 40%–77% in deep-soil slurries. Net CO2 efflux was higher in topsoil slurries, which contained more dissolved organic carbon (DOC). CO2 efflux correlated well with DOC contents, suggesting the critical role of DOC. Microbial mechanisms contributed 9%–45% to CO2 production, as estimated by γ-ray sterilization experiments in the short-term reoxidation process. Solid-aqueous separation experiments showed a significant reduction in net CO2 efflux across all soil slurries after the removal of the original aqueous phase, indicating that the water phase was the main source of CO2 emission (>50%). Besides, C emission was greatly affected by pH fluctuation in acidic soil but not in neutral/alkaline soils. Fourier transform ion cyclotron resonance mass spectrometry and excitation-emission matrix results indicated that recalcitrant and macromolecular dissolved organic matter (DOM) components were more easily removed or attacked by ·OH. The decrease in DOM content during the short-term reoxidation was the combined result of ·OH oxidation, co-precipitation, and soil organic matter release. This study emphasizes the significance of the generally overlooked nonmicrobial mechanisms in promoting CO2 emission in the global C cycle, and the critical influence of the aqueous phase on C loss in paddy environments.

In power grid surveying, it is often necessary to fuse panchromatic and multispectral imagery for the design of power lines. Despite the abundance of deep learning networks for fusing these images, the results often suffer from spectral information loss or structural blurring. This study introduces a fusion model specifically tailored for power grid surveying that significantly enhances the representation of spatial–spectral features in remote sensing images. The model comprises three main modules: a TransforRS-Mamba module that integrates the sequence processing capabilities of the Mamba model with the attention mechanism of the Transformer to effectively merge spatial and spectral features; an improved spatial proximity-aware attention mechanism (SPPAM) that utilizes a spatial constraint matrix to greatly enhance the recognition of complex object relationships; and an optimized spatial proximity-constrained gated fusion module (SPCGF) that integrates spatial proximity constraints with residual connections to boost the recognition accuracy of key object features. To validate the effectiveness of the proposed method, extensive comparative and ablation experiments were conducted on GF-2 satellite images and the QuickBird (QB) dataset. Both qualitative and quantitative analyses indicate that our method outperforms 11 existing methods in terms of fusion effectiveness, particularly in reducing spectral distortion and spatial detail loss. However, the model’s generalization performance across different data sources and environmental conditions has yet to be evaluated. Future research will explore the integration of various satellite datasets and assess the model’s performance in diverse environmental contexts.

Precipitable water vapor (PWV) is a crucial parameter of Earth’s atmosphere, with its spatial and temporal variations significantly impacting Earth’s energy balance and weather patterns. Particularly during meteorological disasters such as typhoons, PWV and other meteorological parameters exhibit dramatic changes. Studying the response relationship between PWV and typhoon events, alongside other meteorological parameters, is essential for meteorological and climate analysis and research. To this end, this paper proposes a method for analyzing the response relationship between PWV and meteorological parameters based on Wavelet Coherence (WTC). Specifically, PWV and relevant meteorological parameters were obtained using GNSS and ERA5 data, and the response relationships between PWV and different meteorological parameters before and after typhoon events were studied in time–frequency domain. Considering that many GNSS stations are not equipped with meteorological monitoring equipment, this study interpolated meteorological parameters based on ERA5 data for PWV retrieval. In the experimental section, the accuracy of ERA5 meteorological parameters and the accuracy of PWV retrieval based on ERA5 were first analyzed, verifying the feasibility and effectiveness of this approach. Subsequently, using typhoon Lekima as a case study, data from six GNSS stations affected by the typhoon were selected, and the corresponding PWV was retrieved using ERA5. The WTC method was then employed to analyze the response relationship between PWV and meteorological parameters before and after the typhoon’s arrival. The results show that the correlation characteristics between PWV and pressure can reveal different stages before and after the typhoon passes, while the local characteristics between PWV and temperature better reflect regional precipitation trends.

Perovskite as an emerging semiconductor luminescent material has attracted widespread attention due to its simple preparation, high luminescence quantum yield, high color purity, tunable spectrum, and ability to cover the entire visible light band. However, due to the influence of water or other highly polar solvents, oxygen, temperature, and radiation, perovskite nanocrystals will aggregate or collapse in the lattice, eventually leading to luminescence quenching. This study starts from the postprocessing of perovskite, uses methyl methacrylate as the monomer and TPO as the photoinitiator, and encapsulates the perovskite powder prepared by the hot injection method through ultraviolet light initiation. A method is proposed to improve the luminescence and crystal structure stability of perovskite. By eliminating the influence of environmental factors on perovskite nanocrystals through the dense structure formed by organic polymers, the resistance of perovskite to strong polar solvents such as water will be greatly improved, and it has great potential in the protection of perovskite. Finally, by changing the proportion of halogen elements in the perovskite resin to change the color of the luminescent resin, a fluorescent coating emitting light in all visible light bands is prepared. Fluorescent coatings are widely used in life and industry fields such as plastics, sol, and paper.

Sarez Lake, recognized as the world's highest-altitude dammed lake, necessitates meticulous monitoring of dam deformation, lake water levels, and water storage fluctuations to ensure its safety. In pursuit of this critical objective, a Global Navigation Satellite System (GNSS) monitoring network has been established around the lake to compute real-time station coordinates for deformation monitoring. GNSS Multipath Reflectometry (GNSS-MR) technology has been introduced as an innovative approach, enabling water level retrieval through conventional GNSS geodetic receivers. However, the complex and rugged terrain surrounding Sarez Lake poses challenges to the application of GNSS-MR in this region. This research is dedicated to addressing the challenges posed by the limited available elevation range selection and the retrieval of inter-site water level combinations in such demanding terrain. It proposes a novel method for effectively discerning valid Signal-to-Noise Ratio (SNR) arcs and an inter-site inter-signal water level combination retrieval approach, resulting in a continuous sequence of water level retrievals for this region. The incorporation of remote sensing techniques further facilitates the estimation of water storage fluctuations in the area. The outcomes of this study demonstrate the efficacy of GNSS-MR in capturing the lake's seasonal water-level variations, with retrieval uncertainties ranging from centimeters to low decimeters. The fusion of GNSS-MR with remote sensing data offers a comprehensive approach for monitoring the water levels and water storage fluctuations of Sarez Lake within its challenging environmental conditions. This research provides a valuable methodology applicable to the study and monitoring of other dammed lakes.

Abstract Preventing the accretion of droplets on surfaces is vital and slippery liquid‐infused porous surfaces (SLIPS) have promising application prospects, such as surface self‐cleaning and droplet transportation. In this work, controllable self‐transport of bouncing droplets on ultraslippery surfaces with wedge‐shaped grooves is reported. The impact behaviors of droplets on SLIPS under various impact velocities and diameters are explored, which can be classified as hover, total bounce, partial bounce, Worthington jet, and crush. SLIPS with wedge‐shaped grooves were designed to transport accreted droplets. An energy and transport model is established to explain the impact and self‐transport mechanism, where the Laplace pressure and moving resistance between droplets play a key role. Finally, SLIPS with branched wedge‐shaped grooves were designed for droplet self‐transport and demonstrated advantages. This work provides a general reference for spontaneous motion control of sessile droplets, droplets with initial impacting velocity, or even liquid films.

The ceRNA network, consisting of both noncoding RNA and protein-coding RNA, governs the occurrence, progression, metastasis, and infiltration of lung adenocarcinoma. Signatures comprising multiple genes can effectively determine survival stratification and prognosis of patients with lung adenocarcinoma. To explore the mechanisms of lung adenocarcinoma progression and identify potential biological targets, we carried out systematic bioinformatics analyses of the genetic profiles of lung adenocarcinoma, such as weighted gene co-expression network analysis (WGCNA), differential expression (DE) assessment, univariate and multivariate Cox proportional hazard regression models, ceRNA modulatory networks generated using the ENCORI and miRcode databases, nomogram models, ROC curve assessment, and Kaplan-Meier survival curve analysis. The ceRNA network encompassed 37 nodes, comprising 12 mRNAs, 22 lncRNAs, and three miRNAs. Simultaneously, we performed integration analysis using the 12 genes from the ceRNA network. Our findings revealed that the signature established by these 12 genes serves as an adverse element in lung adenocarcinoma, contributing to unfavorable patient prognosis. To ensure the credibility of our results, we used in vitro experiments for further verification. In conclusion, our study delved into the potential mechanisms underlying lung adenocarcinoma via the ceRNA regulatory network, specifically focusing on the PIF1 and has-miR-125a-5p axis. Additionally, a signature comprising 12 genes was identified as a biomarker related to the prognosis of lung adenocarcinoma.

Rationale and objectivesTo construct a predictive model for benign and malignant peripheral pulmonary lesions (PPLs) using a random forest algorithm based on grayscale ultrasound and ultrasound contrast, and to evaluate its diagnostic value.Materials and methodsWe selected 254 patients with PPLs detected using chest lung computed tomography between October 2021 and July 2023, including 161 malignant and 93 benign lesions. Relevant variables for judging benign and malignant PPLs were screened using logistic regression analysis. A model was constructed using the random forest algorithm, and the test set was verified. Correlations between these relevant variables and the diagnosis of benign and malignant PPLs were evaluated.ResultsAge, lesion shape, size, angle between the lesion border and chest wall, boundary clarity, edge regularity, air bronchogram, vascular signs, enhancement patterns, enhancement intensity, homogeneity of enhancement, number of non-enhancing regions, non-enhancing region type, arrival time (AT) of the lesion, lesion-lung AT difference, AT difference ratio, and time to peak were the relevant variables for judging benign and malignant PPLs. Consequently, a model and receiver operating characteristic curve were constructed with an AUC of 0.92 and an accuracy of 88.2%. The test set results showed that the model had good predictive ability. The index with the highest correlation for judging benign and malignant PPLs was the AT difference ratio. Other important factors were lesion size, patient age, and lesion morphology.ConclusionThe random forest algorithm model constructed based on clinical data and ultrasound imaging features has clinical application value for predicting benign and malignant PPLs.

Synthetic surfactant products are continuously released into the aquatic environment in large quantities, posing a burden on ecosystems as a “pseudo–persistent” organic pollutant. Threshold derivation for protecting aquatic ecosystems is challenging due to the various homologous components of surfactants. In this study, five commercially available products were chosen as representative major types of surfactants. Corresponding quantitative structure–activity relationships (QSAR) were screened and subsequently combined with interspecific correlation estimation (ICE) to develop species sensitivity distributions (SSDs) for each component. Then, the 5th percentile hazard concentrations (HC5s) were calculated. The results indicated that the developed QSAR–ICE models demonstrated good toxicity prediction performance. The HC5 of each component showed a negatively correlation with alkyl chain length and a positive correlation with the amount of ethylene oxide. The HC5s of surfactants correlate with variations in their charged properties. Quaternary ammonium compounds (QAC) exhibited the lowest HC5s (8.5 ± 18.3 μg/L), followed by alcohol ethoxylates (AE), linear alkylbenzene sulfonates (LAS), and alcohol ethoxylated sulfates (AES); and alkyl oxide (AO) exhibited the highest HC5s (15784.2 ± 21552.6 μg/L). For cationic surfactants, the HC5s in the invertebrates were significantly lower than those in the fish; conversely, for anionic surfactants, the opposite was true, indicating a difference in the toxic mechanisms of surfactants with different charged properties across species taxa. Additionally, among invertebrates, shellfish demonstrated heightened sensitivity to surfactants, owing to their high accumulation and low metabolism of pollutants. Salmoniformes were the most sensitive among all species, indicating the necessity of prioritizing these species for aquatic ecological conservation in surfactant-contaminated waters.

Abstract Robust superhydrophobic surfaces with excellent capacities of repelling water and anti-frosting are of importance for many mechanical components. In this work, wear-resistant superhydrophobic surfaces were fabricated by curing a mixture of polyurethane acrylate (PUA) coating and 1H,1H,2H,2H-Perfluorodecyltrichlorosilane (HFTCS) on titanium alloy (TC4) surfaces decorated with micropillars pattern, thus, composite functional surfaces with PUA coating in the valleys around the micropillars pattern of TC4 were achieved. Apparent contact angle on fabricated surfaces could reach 167°. Influences of the geometric parameters of micropillars pattern on the apparent contact angle were investigated, and the corresponding wear-resistant property was compared. Droplet impact and anti-frosting performances on the prepared surfaces were highlighted. An optimized design of surface texture with robust superhydrophobicity, controllable droplet impact, and anti-frosting performances was proposed. This design principle is of promising prospects for fabricating superhydrophobic surfaces in traditional mechanical systems.

Additive Manufacturing (AM), commonly referred to as 3D printing, has ushered in a transformative era in the realm of material fabrication. Due to its innovative layer-adhesive methodology, Binder Jetting (BJ) is anticipated to ascend as the method of choice for synthesizing a vast array of materials. Presently, the defects inherent in BJ technique have precipitated considerable detriments to the quality of resultant components. In response, this exhaustive review delineates the foundational principles of the BJ methodology firstly and endeavors to compile a comprehensive inventory of potential defects encountered during printing. Based on formation mechanism, for the first time, the defects associated with BJ are methodically categorized into quintuple classifications, including slicing defect, powder spreading defect, single-layer printing defect, multi-layer accumulation defect and depowdering defect. Particular heed is devoted to the anomalies precipitated by the binder's interaction with the powder bed, which fundamentally sets BJ apart from conventional AM methodologies. An amalgamation of numerical algorithms and physical paradigms is introduced in each corresponding classification to arm researchers with a profound comprehension of the mechanism behind these defects. Moreover, a variety of mitigation strategies for these corresponding defects, encompassing binder selection, procedural parameter refinement, post-processual interventions and the integration of hybridized techniques are further explored and summarized. Finally, it concludes by pinpointing existing lacunae within the domain of BJ research and projects their future directions. This manuscript, by offering a comprehensive review of defects, aspires to serve as a scholarly compendium for the impending scientific and technological advancements in BJ technology.

Caries is considered to be the most prevalent non-communicable disease in humans, mainly deriving from acidogenic bacterial biofilm and resulting in the demineralization and decomposition of hard dental tissue. Herein, a composite responsive foam brace loaded with magnesium organic framework (MPC) is designed for caries prevention and tooth remineralization. MPC can intelligently release organic antibacterial molecules (gallic acid) and mineralized ions (Mg2+, Ca2+ and PO43−) under acidic conditions (pH

Abstract Background Coral reefs are one of the most biodiverse and productive ecosystems, providing habitat for a vast of species. Reef-building scleractinian corals with a symbiotic microbiome, including bacteria, archaea, viruses and eukaryotic microbes, are referred to coral holobionts. Among them, coral diseases, mainly caused by Vibrio spp., have significantly contributed to the loss of coral cover and diversity. Habitat filtering across the globe has led to a variety structure of marine bacterial communities. Coral species, quantity and characteristics are significant differences between the Xisha Islands and Daya Bay (Guangdong Province). Thus, the Vibrio communities may be distinct between coral rich and poor areas. Results Through comparison of Vibrio dynamics between coral-rich (Xisha Islands) and coral-poor (Daya Bay) locations, we uncovered differences in Vibrio abundance, diversity, community composition and assembly mechanisms associated with corals. The higher abundance of Vibrio in coral rich areas may indicate a strong interaction between vibrios and corals. V. campbellii, Paraphotobacterium marinum and V. caribbeanicus were widely distributed in both coral rich and poor areas, likely indicating weak species specificity in the coral-stimulated growth of Vibrio. Random-forest prediction revealed Vibrio species and Photobacterium species as potential microbial indicators in the coral rich and coral poor areas, respectively. Ecological drift rather than selection governed the Vibrio community assembly in the Xisha Islands. Comparatively, homogenizing selection was more important for the Daya Bay community, which may reflect a role of habitat filtration. Conclusion This study revealed the different distribution pattern and assembly mechanism of Vibrio spp. between coral rich and poor areas, providing the background data for the research of Vibrio community in coral reef areas and may help the protection of coral reef at the biological level. The main reasons for the difference were different number and species of corals, environmental (e.g., temperature) and spatial factors. It reflected the strong interaction between Vibrio and corals, and provided a new perspective for the investigation of Vibrio in coral reef ecosystem.

Abstract Background Guidelines recommend total thyroidectomy (TT) to facilitate radioactive ablation and serological follow-up for intermediate- to high-risk papillary thyroid carcinoma (PTC). However, the association between surgical extent and tumor recurrence in these patients has not been well validated. We aimed to examine the association between the extent of surgery and recurrence in patients with completely resected unilateral intermediate- to high-risk PTC. Methods Patients with completely resected unilateral PTC from 2000 to 2017 in a single institute were reviewed. Those who had extrathyroidal extension (ETE) or lymph node metastasis (LNM, cN1 or pN1 > 5 lymph nodes involved) were included for analysis. Cox proportional hazards models were applied to measure the association between surgical extent and recurrence-free survival (RFS) while adjusting for patient demographic, clinicopathological and treatment variables. Results A total of 4550 patients (mean[SD] age, 43.0[11.7] years; 3379 women[74.3%]) were included. Of these patients, 2262(49.7%), 656(14.4%), 1032(22.7%), and 600 (13.2%) underwent lobectomy, TT, lobectomy + neck dissection (ND) and TT + ND, respectively. With a median follow-up period of 68 months, after multivariate adjustment, lobectomy was associated with a compromised RFS compared with other surgical extents (HR[95%CI], TT 0.537[0.333–0.866], P = 0.011, lobectomy + ND 0.531[0.392–0.720] P

Abstract. Background:. Women comprise more than half of people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) worldwide and incomplete immune recovery and metabolic abnormalities affect them deeply. Studies of HIV antiretroviral therapy (ART) have a low female representation in China. We aimed to investigate immune reconstitution and metabolic changes of female HIV-positive cohort in China longitudinally. Methods:. HIV-positive women who initiated ART from January 2005 to June 2021 and were followed up regularly at least once a year were included in this study. Immunological indicators (cluster of differentiation 4 [CD4] counts and CD8 counts), viral load (VL), and metabolic indicators were collected at follow-up. All data were collected from the China Disease Prevention and Control Information System (CDPCIS). VL was tested half a year, 1 year after receiving ART, and every other year subsequently according to local policy. CD4/CD8 ratio normalization was considered as the primary outcome and defined as a value ≥1. Incidence rate and probability of CD4/CD8 ratio normalization were estimated through per 100 person-years follow-up (PYFU) and Kaplan-Meier curve, respectively. Multivariate Cox regression was used to identify independent risk factors associated with CD4/CD8 ratio normalization. We further studied the rate of dyslipidemia, hyperuricemia, diabetes, liver injury, and renal injury after ART initiation with the chi-squared tests or Fisher's exact probability tests, and a generalized estimating equation model was used to analyze factors of dyslipidemia and hyperuricemia. Results:. A total of 494 female patients with HIV/AIDS started ART within 16 years from January 2005 to June 2021, out of which 301 women were enrolled with a median duration of ART for 4.1 years (interquartile range, 2.3-7.0 years). The overall incidence rate of CD4/CD8 ratio normalization was 8.9 (95% confidence interval [CI], 7.4-10.6) per 100 PYFU, and probabilities of CD4/CD8 normalization after initiating ART at 1 year, 2 years, 5 years, and 10 years follow-up were 11.7%, 23.2%, 44.0%, and 59.0%, respectively. Independent risk factors associated with CD4/CD8 normalization were baseline CD4 cell counts 1000 cells/μL, and more than 6 months from the start of combined ART (cART) to first virological suppression. Longitudinally, the rate of hypercholesterolemia (total cholesterol [TC]) and high triglyceride (TG) showed an increasing trend, while the rate of low high-density lipoprotein cholesterol (HDL) showed a decreasing trend. The rate of hyperuricemia presented a downtrend at follow-up. Although liver and renal injury and diabetes persisted during ART, the rate was not statistically significant. Older age and protease inhibitors were independent risk factors for increase of TC and TG, and ART duration was an independent factor for elevation of TC and recovery of HDL-C. Conclusions:. This study showed that women were more likely to normalize CD4/CD8 ratio in comparison with findings reported in the literature even though immune reconstruction was incomplete.

To reduce grain loss during pickup and prevent stalk entanglement in buckwheat harvesters, thereby improving the quality of mechanized harvesting, a three-stage pickup conveyor roll with a ground-level rotary knife-type pickup header was designed and tested. This paper, based on the growth characteristics of buckwheat, determined the three-stage pickup conveying process and the overall structure of the ground-level rotary knife-type pickup header. Kinematic analysis and parameter design of the rotary knife-type pickup roll were conducted. Finally, a physical prototype was fabricated, and field performance tests were carried out, using machine forward speed and pickup roll rotational speed as influencing factors and pickup loss rate as an evaluation metric. Results showed that the interaction between pickup roll rotational speed and forward speed had a significant effect on the pickup loss rate, with forward speed having a greater impact than pickup roll rotational speed. Under consideration of their interaction, when the pickup roll rotational speed was within the range of 396–457 r/min, and the forward speed was between 0.9–1.0 m/s, the pickup loss rate was minimized. Based on the regression equation model, the predicted optimal conditions were a forward speed of 1.0 m/s and a roll pickup speed of 396 rpm. Under these conditions, the test results showed a pickup loss rate of 5.235%, indicating good pickup performance. This research provides a reference for the design of pickup devices in grain combine harvesters.

Investigating the spatiotemporal dynamics of vegetation net primary productivity (NPP) and its influencing factors are crucial for green and low-carbon development and facilitate human well-being in the Yellow River Basin (YRB). Although the research on NPP has advanced rapidly, in view of the regional particularity of the YRB, the persistence of its NPP change trend needs to be further discussed and more comprehensive impact factors need to be included in the analysis. Meanwhile, the spatial non-stationarity and scale effects of the impact on NPP when multiple factors are involved remain uncertain. Here, we selected a total of twelve natural and anthropogenic factors and used multi-scale geographically weighted regression (MGWR) to disentangle the spatial non-stationary relationship between vegetation NPP and related factors and identify the impact scale difference in the YRB. Additionally, we analyze the spatiotemporal variation trend and persistence of NPP during 2000–2020. The results revealed the following: (1) The annual NPP showed a fluctuating increasing trend, and the vegetation NPP in most regions will exhibit a future trend of increasing to decreasing. (2) The effects of different factors show significant spatial non-stationarity. Among them, the intensity of the impact of most natural factors shows a clear strip-shaped distribution in the east-west direction. It is closely related to the spatial distribution characteristics of natural factors in the YRB. In contrast, the regularity of anthropogenic influences is less obvious. (3) The impact scales of different factors on vegetation NPP were significantly different, and this scale changed with time. The factors with small impact scales could better explain the change in vegetation NPP. Interestingly, the impact size and scale of relative humidity on NPP in the YRB are both larger. This may be due to the arid and semi-arid characteristics of the YRB. Our findings could provide policy makers with specific and quantitative insights for protecting the ecological environment in the YRB.

Coinfection with Mycobacterium tuberculosis (Mtb) and the human immunodeficiency virus (HIV) is a significant public health concern. Individuals infected with Mtb who acquire HIV are approximately 16 times more likely to develop active tuberculosis. T cells play an important role as both targets for HIV infection and mediators of the immune response against both pathogens. This review aims to synthesize the current literature and provide insights into the effects of HIV/Mtb coinfection on T cell populations and their contributions to immunity. Evidence from multiple in vitro and in vivo studies demonstrates that T helper responses are severely compromised during coinfection, leading to impaired cytotoxic responses. Moreover, HIV’s targeting of Mtb-specific cells, including those within granulomas, offers an explanation for the severe progression of the disease. Herein, we discuss the patterns of differentiation, exhaustion, and transcriptomic changes in T cells during coinfection, as well as the metabolic adaptations that are necessary for T cell maintenance and functionality. This review highlights the interconnectedness of the immune response and the pathogenesis of HIV/Mtb coinfection.

Abstract Background Identifying risk factors for occult lateral lymph node metastasis (LLNM) in papillary thyroid microcarcinoma (PTMC) can provide valuable insights into the necessity of lateral neck dissection (LND). The objective of this study was to develop a nomogram for predicting the probability of LLNM in patients with cN0 unifocal PTMC. Methods We conducted a retrospective analyzed a total of 4872 patients with cN0 unifocal PTMC who were treated at our center from January 2013 to June 2018. Logistic regression analysis was used to determine the risk factors for LLNM, and a nomogram was constructed based on these risk factors. Results The rate of LLNM was 3.2%. Tumors located in the upper lobe(odds ratio [OR] = 2.56, 95% confidence interval [CI] 1.80–3.62; p

Abstract Background Drug resistance limits the treatment effect of cisplatin-based chemotherapy in head and neck squamous cell carcinoma (HNSCC), and the underlying mechanism is not fully understood. The aim of this study was to explore the cause of cisplatin resistance in HNSCC. Methods We performed survival and gene set variation analyses based on HNSCC cohorts and identified the critical role of tumor necrosis factor alpha-induced protein 2 (TNFAIP2) in cisplatin-based chemotherapy resistance. Half-maximal inhibitory concentration (IC50) examination, colony formation assays and flow cytometry assays were conducted to examine the role of TNFAIP2 in vitro, while xenograft models in nude mice and 4-nitroquinoline N-oxide (4NQO)-induced HNSCC models in C57BL/6 mice were adopted to verify the effect of TNFAIP2 in vivo. Gene set enrichment analysis (GSEA) and coimmunoprecipitation coupled with mass spectrometry (Co-IP/MS) were performed to determine the mechanism by which TNFAIP2 promotes cisplatin resistance. Results High expression of TNFAIP2 is associated with a poor prognosis, cisplatin resistance, and low reactive oxygen species (ROS) levels in HNSCC. Specifically, it protects cancer cells from cisplatin-induced apoptosis by inhibiting ROS-mediated c-JUN N-terminal kinase (JNK) phosphorylation. Mechanistically, the DLG motif contained in TNFAIP2 competes with nuclear factor-erythroid 2-related factor 2 (NRF2) by directly binding to the Kelch domain of Kelch-like ECH-associated protein 1 (KEAP1), which prevents NRF2 from undergoing ubiquitin proteasome-mediated degradation. This results in the accumulation of NRF2 and confers cisplatin resistance. Positive correlations between TNFAIP2 protein levels and NRF2 as well as its downstream target genes were validated in HNSCC specimens. Moreover, the small interfering RNA (siRNA) targeting TNFAIP2 significantly enhanced the cisplatin treatment effect in a 4NQO-induced HNSCC mouse model. Conclusions Our results reveal the antioxidant and cisplatin resistance-regulating roles of the TNFAIP2/KEAP1/NRF2/JNK axis in HNSCC, suggesting that TNFAIP2 might be a potential target in improving the cisplatin treatment effect, particularly for patients with cisplatin resistance.

Abstract Circadian rhythms are crucial for regulating physiological and behavioral processes. Pineal hormone melatonin is often used to measure circadian amplitude but its collection is costly and time-consuming. Wearable activity data are promising alternative, but the most commonly used measure, relative amplitude, is subject to behavioral masking. In this study, we firstly derive a feature named circadian activity rhythm energy (CARE) to better characterize circadian amplitude and validate CARE by correlating it with melatonin amplitude (Pearson’s r = 0.46, P = 0.007) among 33 healthy participants. Then we investigate its association with cognitive functions in an adolescent dataset (Chinese SCHEDULE-A, n = 1703) and an adult dataset (UK Biobank, n = 92,202), and find that CARE is significantly associated with Global Executive Composite (β = 30.86, P = 0.016) in adolescents, and reasoning ability, short-term memory, and prospective memory (OR = 0.01, 3.42, and 11.47 respectively, all P

Abstract It has been reported that cardiovascular disease (CVD) has become one of the major threats to global public health and is associated with climate change. Several previous studies have shown the influence of ambient temperature on CVD, but lack some evidence for the short-term effect of diurnal temperature range (DTR) on CVD mortality in northeast China. This is the first study to assess the correlation between DTR and CVD mortality in Hulunbuir located in northeast China. Daily CVD mortality data and meteorological data were collected from 2014 to 2020. A quasi-Poisson generalized linear regression with a distributed lag non-linear model (DLNM) was applied to exploring the short-term impact of DTR on CVD mortality. Stratified analyses by gender, age, and season were conducted and the short-term impacts of extremely high DTR on CVD mortality were investigated. In this study, a total of 21,067 CVD mortality cases were recorded in Hulunbuir, China from 2014 to 2020. Compared to the reference value (11.20 $$^{\circ }$$ ∘ C, 50 $${\text{ th }}$$ th percentile), a “U-shaped” non-linear relationship between DTR and CVD mortality was observed, and extremely high DTR increased the risk of CVD mortality. The short-term effect of extremely high DTR occurred immediately and lasted up to 6 days. In addition, the male and the age $$\ge$$ ≥ 65 groups were more likely to be affected by extremely high DTR compared with the female and the age < 65 groups, respectively. The results also showed that extremely high DTR in cold season had a more adverse effect on CVD mortality than warm season. This study suggests that extremely high DTR for cold season should be paid enough attention to for residents in northeast China. The male and the age $$\ge$$ ≥ 65 groups were more vulnerable to the impacts of DTR. The study results may provide some suggestions for decision-making by local public health authorities to avoid the adverse impacts of high DTR, and improve the health of residents, especially vulnerable groups in cold season.

Abstract Carbon materials (e.g., pyrogenic carbon (PyC)) are widely used in agricultural soils and can participate in various biogeochemical processes, including iron (Fe) cycling. In soils, Fe(II) species have been proposed as the main active contributor to produce reactive oxygen species (ROS), which are involved in various biogeochemical processes. However, the effects of PyC on the transformation of different Fe species in soils and the associated production of ROS are rarely investigated. This study examined the influence of PyC (pyrolyzed at 300–700 °C) on Fe(II)/Fe(III) cycling and hydroxyl radical (·OH) production during redox fluctuations of paddy soils. Results showed that the reduction of Fe(III) in soils was facilitated by PyC during anoxic incubation, which was ascribed to the increased abundance of dissimilatory Fe(III)-reducing microorganisms (biotic reduction) and the electron exchange capacity of PyC (abiotic reduction). During oxygenation, PyC and higher soil pH promoted the oxidation of active Fe(II) species (e.g., exchangeable and low-crystalline Fe(II)), which consequently induced higher yield of ·OH and further led to degradation of imidacloprid and inactivation of soil microorganisms. Our results demonstrated that PyC accelerated Fe(II)/Fe(III) cycling and ·OH production during redox fluctuations of paddy soils (especially those with low content of soil organic carbon), providing a new insight for remediation strategies in agricultural fields contaminated with organic pollutants. Graphical Abstract

Coastal subsidence monitoring typically employs Global Navigation Satellite System (GNSS) positioning technology. This method provides information only about subsidence below the station base. Sediments in coastal areas tend to accumulate quickly, and subsidence can change significantly due to compaction and alluvium. Therefore, monitoring subsidence above the base is essential to obtain overall coastal subsidence. A new technology called GNSS-Interferometric Reflectometry (GNSS-IR) has been recently developed, which can utilize multipath effects to monitor reflector height. Since the base of the GNSS station is deep and the base length remains constant, the height changes measured by the GNSS-IR technology can reflect subsidence above the base. Accordingly, this paper employs GNSS-IR technology to measure subsidence changes above the base. Additionally, GNSS positioning technology is used to obtain subsidence changes below the base, and the overall subsidence change is then calculated using both GNSS-IR and GNSS positioning technology. The Mississippi River Delta, known for its significant sediment thickness, was selected as the study area, and data from FSHS, GRIS, and MSIN stations was analyzed. The results demonstrate that GNSS-IR can be used to measure the subsidence rate above the base, and the corrected overall subsidence rate is equivalent to the relative sea level rise rate.

Abstract The incidence of bladder cancer (BLCA) in men is higher than that in women. Differences in androgen levels between men and women are considered the main causes of incidence rate differences. In this study, dihydrotestosterone (DHT) significantly increased the proliferation and invasion of BLCA cells. In addition, BLCA formation and metastatic rates were higher in N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN)-treated male mice than in female and castrated male mice in vivo. However, immunohistochemistry showed that androgen receptor (AR) was expressed at low levels in normal and BLCA tissues of men and women. The classical AR pathway considers that DHT binds to AR and induces it to enter the nucleus, where it functions as a transcription factor. Here, a non-AR combination pathway of androgen that promoted BLCA development was investigated. The EPPK1 protein was bombarded with DHT, as determined by biotinylated DHT-binding pull-down experiments. EPPK1 was highly expressed in BLCA tissues, and EPPK1 knockdown significantly inhibited BLCA cell proliferation and invasion promoted by DHT. Moreover, JUP expression was elevated in DHT-treated high-EPPK1 expressing cells, and JUP knockdown inhibited cell proliferation and invasion. EPPK1 overexpression increased tumour growth and JUP expression in nude mice. Furthermore, DHT increased the expression of the MAPK signals p38, p-p38, and c-Jun, and c-Jun could bind to the JUP promoter. However, the promotion of p38, p-p38, and c-Jun expression by DHT was not observed in EPPK1 knockdown cells, and a p38 inhibitor suppressed the DHT-induced effects, indicating that p38 MAPK may be involved in the regulation of DHT-dependent EPPK1-JUP-promoted BLCA cell proliferation and invasion. The growth of bladder tumours in BBN-treated mice was inhibited by the addition of the hormone inhibitor goserelin. Our findings indicated the potential oncogenic role and mechanism of DHT in BLCA pathogenesis through a non-AR pathway, which may serve as a novel therapeutic target for BLCA.

Abstract The overall success of worldwide mass vaccination in limiting the negative effect of the COVID-19 pandemics is inevitable, however, recent SARS-CoV-2 variants of concern, especially Omicron and its sub-lineages, efficiently evade humoral immunity mounted upon vaccination or previous infection. Thus, it is an important question whether these variants, or vaccines against them, induce anti-viral cellular immunity. Here we show that the mRNA vaccine BNT162b2 induces robust protective immunity in K18-hACE2 transgenic B-cell deficient (μMT) mice. We further demonstrate that the protection is attributed to cellular immunity depending on robust IFN-γ production. Viral challenge with SARS-CoV-2 Omicron BA.1 and BA.5.2 sub-variants induce boosted cellular responses in vaccinated μMT mice, which highlights the significance of cellular immunity against the ever-emerging SARS-CoV-2 variants evading antibody-mediated immunity. Our work, by providing evidence that BNT162b2 can induce significant protective immunity in mice that are unable to produce antibodies, thus highlights the importance of cellular immunity in the protection against SARS-CoV-2.

Objective: This study assessed positive lymph node ratio (LNR) as a prognostic marker for patients with pyriform sinus cancer. Methods: The present study retrospectively analyzed 101 patients with pyriform sinus cancer to determine the association of LNR with recurrence-free survival (RFS) and disease-specific survival (DSS). Results: The patients were followed up for a median duration of 28 months (range: 6–196 months). The number of median dissected lymph nodes (LNs) was 41, and the number of median positive LNs was three. The receiver operating characteristic curve revealed an LNR cut-off value of 8.6%. Lymphovascular invasion (LVI) or perineural invasion (PNI) (P = 0.001), thyroid gland invasion (TGI, P = 0.000), positive LNs >4 (P = 0.036), and LNR >8.6% (P = 0.008) were significantly associated with poor RFS, and LVI or PNI (P = 0.005), tumor pT3/T4 stage (P = 0.028), positive LNs >4 (P = 0.033), TGI (P = 0.001), and LNR >8.6% (P = 0.003) were significantly associated with poor DSS. The multivariate analysis revealed that LVI or PNI (P = 0.010), TGI (P = 0.000), and LNR >8.6% (P = 0.022) were independent predictors for poor RFS, while tumor pT3/T4 stage (P = 0.049), TGI (P = 0.015), and LNR >8.6% (P = 0.001) were independent predictors for poor DDS. Conclusion: LNR and other clinicopathological data can be used to predict the RFS and DSS of pyriform sinus cancer patients.