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OBJECTIVE: The aim of this study was to investigate the clinical efficacy and associated adverse reactions of Programmed Death Receptor-1 (PD-1)/PD-L1 inhibitors in the management of patients with advanced esophageal squamous cell carcinoma (ESCC). PATIENTS AND METHODS: In this retrospective study, 54 patients with advanced ESCC treated with PD-1/PD-L1 inhibitors in our hospital from January 2021 to January 2023 were identified as the research subjects. Using propensity score matching at a 1:1 ratio, patients only receiving chemotherapy were recruited as controls. The clinical effectiveness of PD-1/PD-L1 was evaluated by comparing the objective response rate (ORR) and disease control rate (DCR). Progression-free survival (PFS) and overall survival (OS) were analyzed for treatment outcome assessments. Adverse events (AEs) between the two groups were recorded and compared. RESULTS: Patients treated with PD-1/PD-L1 inhibitors had a higher rate of ORR (33.33%) and disease control (85.19%), compared to controls with an objective response rate of 20.37% and a disease control rate of 59.26%. The two groups showed similar ORR results, while the incorporation of PD-1/PD-L1 inhibitors resulted in significantly increased DCR when compared to the controls. The median OS was 22 months (95% CI: 1,629 months) for the control group and 31 months (95% CI: 28NA) for the study group, suggesting OS benefits offered by PD-1/PD-L1 inhibitor treatment (HR=0.479, 95% CI: 0.284, 0.809). The median PFS was 15 months (95% CI: 1,223 months) for the control group and 23 months (95% CI: 1,926) for the study group, indicating more PFS benefits provided by PD-1/PD-L1 inhibitors (HR=0.662, 95% CI: 0.436, 1.005). Adverse events and their severity were recorded during patient follow-up, and no grade 5 adverse events were reported in either group. The incidence of grade 3 or higher adverse events between the two groups was similar, while PD-1/PD-L1 inhibitors appeared to significantly reduce the incidence of gastrointestinal reactions in patients. CONCLUSIONS: PD-1/PD-L1 inhibitors integrated with chemotherapy provide significant benefits in the management of patients with advanced ESCC without increasing adverse events. [ABSTRACT FROM AUTHOR]

OBJECTIVE: Acute lung injury (ALI) is one of the most serious complications of sepsis and remains refractory. It is of great significance to discuss the pathogenesis of acute lung injury in sepsis and look for more effective drugs for treatment. The purpose of this study was to investigate the role of LincRNA-p21 on acute lung injury in sepsis. MATERIALS AND METHODS: Lung histology was detected by HE staining to evaluate sepsis- induced ALI model in rats. The miRNA expression of LincRNA-p21 in septic model in vivo and in vitro was detected by RT-qPCR. Cell apoptosis, inflammatory responses and oxidative stress were detected to uncover the influence of LincRNA-p21 on LPS-induced septic model in vitro. RESULTS: The expression of LincRNA-p21 was significantly increased in septic model in vivo and in vitro. Cell apoptosis, inflammatory responses and oxidative stress were alleviated by LincRNA-p21 interference in LPS-treated BEAS- 2B cells. CONCLUSIONS: All the results in the current study proved that LincRNA-p21 interference could alleviate the acute lung injury in septic model. It raised the conclusion that LincRNA- p21 may act as a novel regulator in the pathological process and a potential therapeutic target in sepsis-induced ALI. [ABSTRACT FROM AUTHOR]

OBJECTIVE: The aim of this study was to investigate the effect and the mechanism of the NogoA/NgR1/RhoA signaling pathway on the apoptosis of neurons in cerebral infarction (CI) rats. Our findings might provide references for clinical prevention and treatment of CI. MATERIALS AND METHODS: A total of 60 adult male Wistar rats were randomly divided into 3 groups, including: Sham operation group (Sham group), CI group, and CI + NogoA gene knockout group (CI + NogoA KO group) using a random number table. The model of CI was successfully constructed using suture method in rats of CI group and CI + NogoA KO group. Only blood vessels were exposed in Sham group. At 2 days after CI operation, the rats were killed, and brain tissues were collected. Reverse Transcription-Polymerase Chain Reaction (RT-PCR) and Western blotting were used to detect the messenger ribonucleic acid (mRNA) and protein expression levels of NogoA/NgR1/RhoA in brain lesion tissues of rats in the three groups, respectively. Subsequently, the pathological damage of brain tissues was detected via hematoxylin and eosin (H&E) staining. TTC staining was carried out to evaluate the infarction area in each group. Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) staining was conducted to measure the apoptosis level of neurons in brain tissues of rats in each group. Additionally, the level of Nissl's body in brain tissues of each group was examined by Nissl staining. Furthermore, the expression level of the platelet-derived growth factor (PDGF) in brain tissues of rats in the three groups was measured via immunohistochemistry. RESULTS: The mRNA and protein expression levels of the NogoA/NgR1/RhoA signaling pathway in brain tissues of rats in CI group increased significantly (p<0.05). NogoA KO could significantly reduce the infarction area of brain tissues in rats (p<0.05). H&E staining and Nissl's body staining revealed that neurons in the brain tissues of rats showed evident edema and disordered arrangement after CI. Meanwhile, the number of Nissl's body was remarkably reduced. However, after KO of NogoA, brain tissue damage was significantly alleviated in rats, and the number of Nissl's body increased remarkably at the same time (p<0.05). According to TUNEL staining results, inhibiting NogoA could notably reverse CI-induced apoptosis of neurons in brain tissues of rats (p<0.05). Immunohistochemical staining results demonstrated that the expression of PDGF in brain tissues of rats in CI group decreased markedly, whereas was significantly elevated in rats of CI + NogoA KO group (p<0.05). CONCLUSIONS: The expression of the NogoA/NgR1/RhoA signaling pathway was significantly elevated in brain tissues of CI rats. Furthermore, suppressing the NogoA/NgR1/RhoA signaling pathway could reduce CI-induced apoptosis of neurons in rats. [ABSTRACT FROM AUTHOR]

Samples of La[sub 0.6]Sr[sub 0.4]Fe[sub 3-δ] with varying oxygen vacancy contents were prepared by heating them in different gas flows. Magnetization measurement showed that samples with low oxygen vacancies have a magnetic ordering temperature in the range of 300-325 K while those with 9%-12% oxygen vacancies have a magnetic ordering temperature of 800 K and higher. Mössbauer spectra at 300 K exhibit paramagnetic or weak magnetic characteristics for the N[sub 2], O[sub 2], and air-quenched samples, whereas an average hyperfine field of 52 T is found for the CO/CO[sub 2] reduced samples. The heat treatment in the reducing atmosphere creates oxygen vacancies and increases unit cell volume. However, the Fe-O bond length remains nearly constant, resulting in distortion/rotation of the oxygen octahedra which increases the Fe-O-Fe bond angle as much as 12 degrees. This dramatically affects the Fe-O-Fe superexchange coupling and plays a key role in the increase of the Nèel temperatures. [ABSTRACT FROM AUTHOR]

In order to achieve rapid and efficient decomposition of organic pollutants, semiconductor materials with heterostructure are applied because of the effective electron hole pair separation via the interfacial junction. Among the semiconductor materials, TiO2 and boron doped diamond (BDD) with unique excellent properties are ideal building blocks to form heterojunction structure, which can be used in waste water treatment. In this work, the TiO2 nanorods (NRs) with different morphology have been deposited on BDD films with a ZnO buffer layer via hydrothermal method. It is demonstrated that the reaction temperature has a great effect on the morphology and crystallinity of the TiO2 NRs on BDD film. The crystallinity of TiO2 NRs can be improved by increasing the reaction temperature. Experimentally, it shows that the TiO2 NRs/ZnO/BDD heterojunction shows enhanced photocatalytic activity with respect to TiO2 NRs/ZnO and TiO2 NRs/BDD heterojunctions respectively. [ABSTRACT FROM AUTHOR]